HomeMy Public PortalAbout9635 LAS TUNAS DR_Electrical_12/5/1974_Christmas tree lighting sockets ,76AG63-CEBOB 10/72 APPLICkTII®N, 04
��E ICA PERMIT
ERMI�
COUNTY OF LOS ANGELES R ICAL n i
DEPARTMENT OF COUNTY ENGINEER ADDRESS b35 Las Tunas Dr.
BUILDING AND SAFETY DIVISION
LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Camellia.
OUTLETS NO. EACHI FEE OWNER OR
5 $ FIRM NAM
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY TEL. NO.
SWITCH_ OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
'
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERIT
RANGE DRYER_WTR. HTR. APPMICAN) T 1 t ✓6 1.�
STA. COOK DISP. F.A.U. ADDRESS/<`�' (�/yt 0�1.
SPACE HTR. AIR COND. CITY `f, TEL. N0. f b
CLOTHES WASH. DISHWASH. i LICENSE OR CLASS.��.
REG. NUMBE
FAN OTHER1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH 1 1 AM THE LEGAL OWNER OF T E ABOVE
1 - 1O 300 DESCRIBED RES NTIAL PROPERTY. p
V
PERMITEE
10 - 50 5.Ool SIGNATURE FFO
50 - 100 10.00 DISTRIqf N . OCES ED BY 9U
/ CL
cn
100 - 500 15.00 so
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTORS SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
i
Xillr s Street Lighting POWER AUTHORIZED
25 SOCketS UTILITY CO. NOT -•I.ED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE }
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION �p CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Fee Waived: /)A�.s.�c - /Z,-� ,"DEC 5 4 0 D .0 0 a�
City Manager - -
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE