HomeMy Public PortalAbout9635 LAS TUNAS DR_Electrical_12/5/1968_ Temple City Chamber of Commerce Christmas Lights
76AG63-CES06 468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 6 Las Tunas Drive
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS S
NO. AC FEE
RECEPT._ 1$ $ OWNER T -6ity Chamber of Commerce
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS 5827 Temple City Blvd.
SWITCH_ OVER 20 .10 CITY TEL. NO.
;)96-3101-
PLAN,CHEICK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP._F.A.U._ CONTRACTOR R. P. Horstmann
SPACE HTR. AIR COND. ADDRESS 4835 N. Ryland Ave.
CLOTHES WASH._DISHWASH._ CITY Temple City TEL. NO.
FAN—OTHER 1.00 LICENSE IJO. 181053CLASS. C-10
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 1.00
ELECTRICAL WIRING.
- 1
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES NTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LGAL OW OFAND INTED TO
10 - 50 5.00 RESIDE IN, THE E �-IRED'IS�DEN��IAP�6��'iRT�.
SIGNATURE r
50 - 100 10.00 OF PERMITTEE O
100 - 500 15.00 U
DISTRICT NO. GROUP ZONE PROCESSED BY
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 CD
TUBE, OR
V
MARQUEE ADDITIONAL CIRCUITS 1.00 d
NOTES N
0.
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 �
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE. &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITYCO:NOTIFIED
'iSUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL �O
,TOTAL FEE JOS PH C. R6bHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION .fir
j X07 5 3 81% DEG 54 0 p QQN
:E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE