HomeMy Public PortalAbout4931 AGNES AVE_Electrical_0 CITY OF�TEMPLE CITY Li.c. #3907
76A663 CE806 1171 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNE
ING
BUILDING AND SAFETY DIVISION ESS 4931-N. Agnes
LITY Temple City
ESTFOR APPLICANTTO FILL IN S ST
OUTLETS NO EACH FEE
OWNER Patrick O°Reilly
RECEPT_ $ $
MAIL LIGHT TOTAL FIRST 20 25 ADDRESS 4931 N. Agnes
SWITCH OVER 20 CITTemple City TEL NO 286-0837
10 PLAN CHECK
LIGHTINGTOTAL 1 10 FIRST 20 25 APPLICANT
FIXTURES
1
OVER 20 ADDRESS
- RESIDENTIAL APPLIANCES CITY TEL NO
RANGE DRYER_WTR HTR_ PERMIT
APPLICANT Conlee & Son Electric
STA COOK DISP F A U I ADDRESS1030 N Grandview Ave
SPACE HTR AIR COND CIT`S.San Gabriel TEL N0280-2007
CLOTHES WASH DISHWASH LICENSE N0242432 CLASSC 10
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF >_
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 911-
00 RESIDE IN TH VE DESCRIBED RESIDENTIA ROPERTY
r Condi 1 - 10 1 300 3 00 < v
SIGNATURE r
10 - 50 500 OF PERMITTEE_�( /V (� Qom/ O
50 - 100 1000
DISTRICTNO CLASS ZONE PR CE S Y
100 - 500 1500 O Q IL
N
SIGN GAS SIGN AND ONE CIRCUITS 500 NOTES ?
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 1 300 3 00
SERVICEOVER 600 VOLTS OR 200AMP 1000 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES 500
`
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) 6 00
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 300 3 00
r
TOTAL FEE 9.00
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIO ,lI&K M 0 CASH
LALO 7 7 S 3„ AUG 28 2 D 00- F
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ r