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HomeMy Public PortalAbout6446 TEMPLE CITY BLVD_Electrical__ 76ASGS-CEE06488 �v APPLICATION FOR ELECTRIICCA PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS L�1A7 C JOHN A LAMBIE COUNTY ENGINIIER , COLEMAN JENKINS, SUMRINTBNDBNT CF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN IrROSS ST NO A RECEPT_ OWNER ` MAIL LIGHT_ TOTAL FIRST 20 20 ADDRESS SWITCH_ OVER 20 10 CITY TEL NO PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FI%TURES OVER 20 10 ADDRESS RANGE—DRYER_WTR HTR CITY TEL NO J� STA COOK_DISP _F A U CONTRAC�iJOR Woy C c.! SPACE HTR _AIR COND __ ADDRESS 5 1 CLOTHES WASH —DISHWASH CITY TEL NOt1 O _ FAN—OTHER 1 00 LICENSE NO t0 CLASS/--10 MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE B TYPE OVER TO AND !TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCE! AND STATE LAW! REGULATING 0 - I 1 00 ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AMD/OR I10 3 00 LICENSED AS REQUIRED BY LO! ANGELES COUNTY AND !TATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AMD INTEND TO 10 60 S DD RESIDE IM THE ABOVE OESCPIPED RLII TIAL PROPERTY SO - 100 10 00 SIGNATURE OF PERMIT FU 100 - SOO 15 O DIST RI G,T NO �UP _ P ESSED BY p 916N GAS SIGN AND ONE CIRCUIT 3 00 T v t3 TUBE Oq W MA ROU EE ADDITIONAL CIRCUITS 100 NOTES h 2 SERVICE NOT OVER 600 VOLTS OR 200 AAP 2 00 Z OD SERVICE OVER 600 VOLTS OR 200 AMP S 00 TEMP SERVICE POLE 6 APPURTENANCES 3 00 APPROVAL! DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (SOK PERMIT FEE) POWER AUTHORIZED ' PERMIT ISSUING FEE 2 00 ow, U T RLI TYCO N OTI FIFO SUPPLEMENTARY PERMIT ISSUING FEE 1 00 1 FINAL I IAN TOTAL FEE 4 UI1 I JOSEPH C ROOHAN SUPERVISING ELEC ICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M O CASH LAP- 0 8 8 2 JUL 9 2 D 4.0p- EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� 09 0SA ee I= APPLICATION FOR ELECTRIC PERMIT ], MSION OF BUHMING AND SAFETY Department of CGan•g Fmglne CGanrt of te. xngeles BUILDING y y WM J FOX COUNTY ENGINEER ADDRESS 4 CABSATT D GRIFFIN, SUP T OF BUILDING FOR APPLICANT TO FILL IN LOCALITY 1 PERMIT FEES NEAREST PEE CROSS ST NUMBER EACH OWNER LIGHT OUTLETS I I RECEPTACLES MAIL ADORES6 WALL SWITCHES _ TOTAL OUTLETS ad f CITY TEL NO ELEC RANGES 25 ELECTRICIANac ELEC HEATERS 25 ADDREb6 6 KW FA CITU TEL NO 1-7672 FIXTURES 5 LICENSE NO NUMBER OF LIGHT CIRCUITS DISTRIX NO GROUP ZONE READY MR INSPECTION NIJMBrR R PTACIRCUIT* {. 'z MOTORS ..a//J NUMOX HORSEPOWER FEE INSPECTION RECORD ' NRW MVD HP OVER INC EACH _ eLBee f 25 2 aO 2 a 1 00 —__— a fa t 50 _ 15 DO 250 _ 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS OR EACHP MIT _ WIRING SI 00 00 FIXTURES $100 _ SUPPLEMENTARY 50 APPROVALS TOTAL FEE f 00 DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT 4 f—' � AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES —S r LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM THE GAL WNER OF THE ABOVE DESCRIBED RESIDENT AA v. UTILITY CO NOTIFIED SIGNATURE J��`,// OF PERMITTEE t FINAL RMNA WILLIAM J FOX.COUNTY ENGINEER VALIDATION -� 1 .00 ' dol 7 5 9S W21 2 DY DEPUTY F ✓