HomeMy Public PortalAbout5323-5325 SANTA ANITA AVE_Electrical__ 76AG63-CE806 10/74 �4 ✓�
APPLICATION F R ELECT CAL PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT
BUILD NG AND SAFETY DIVISION FNEAREST
5329—Santa Anita B
Y
FOR APPLICANT TO FILL IN CROSS ST. Freer
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME Frost Develo mentaInc.-,—
RECEPT. 44 $ $ MAIL
LIGHT 28 TOTAL FIRST 20 20 .25 8 00 ADDRESS
650 West Duarte Rd-
36108 OVER 20 CITY Arcadia TEL. NO. 446-5344
SWITCH_ 88 .10 13 20 PLAN CHECK
LIGHTING TOTAL FIRST 20 20 .25 Al 00
APPLICANT
FIXTURES 26 OVER 20 6 .101 90 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT Warr E111tril
STA. COOK DISP. 2 F.A.U.2 ADDRESS 15834 Worktnan St
SPACE HTR. AIR COND. 2 CITY La Puente TEL. N0.333-5918
CLOTHES WASH. 2 DISHWASH. 2 REG NUMBER 249210 CLASS.C-10
FAN 2 OTHER 12 1.00 18 00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 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 B TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PRO ERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY L09 ANGE . COUNTY AND STATE OF }
CALIFORNIA OR THAT I E LE AL OWNER OF THE ABOVE 3
1 - 10 8.00 DESCRIBED RESIDEN P PERT . V
10 - 50 5.00 PERMITEcd
SIGNATU CD
50 — 100 10.00 13
NO.1 p OCE D BY Cl-
100 — 500 15.00 V�! Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS D INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 2 9.00 9 00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES. 5.00 WIRING9�O"76 j (,Spp} t
TEMP LIGHT OR RECEPT. SYSTEM 3.00 1 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) 57 0 NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 4 150
TOTAL FEE 61.60 4
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION K. M.O. CASH
6 7 2'r�-j MANY 3 2 8 6 1.6 U A--o
r
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE `/',