HomeMy Public PortalAbout5327-5329 SANTA ANITA AVE_Electrical__ 76A863-CE80610/74 APPLICATION F R ELECTRICkP&;MW
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS nt nits �B d
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Freer
OUTLETS NO. EACH I FEE OWNER OR
$ $ FIRM NAME Frost Develo menta Inc
RECEPT.44 MAIL
LIGHT 28 TOTAL FIRST 20 20 z5 8 00 ADDRESS 650 West Duarte Rd.
36 108 OVER 20 CITY TEL. N0446-5344
SWITCH
88 •10 13 20 PLAN CHECK
LIGHTINGTOTAL FIRST 20 20 .25 8. 00 APPLICANT
OVER 20 ADDRESS
FIXTURES �� 6 .10 90
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT Warr Electric
STA. COOK DISP. 2 F.A.U. 2 ADDRESS 15834 Workman St.
SPACE HTR. AIR COND. 2 CITY TEL. N0.333-5918
CLOTHES WASH. 2 DISHWASH. 2 p REG NNUMBER 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 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 1.00 LICENSED AS REQUIRED BY OS ANG ES COUNTY AND STATE OF },
CALIFORNIA OR THAT I A THE LE AL OWNER OF THE ABOVE 3
1 - 1O 9.00 DESCRIBED RESIDEN AL R PERT V
PERM17
10 - 50 5.00 SIGNATURE CD
V
.50 - 100 10.00 LLI
DISTRICT N0. aoCESfb BY ti
100 - 500 15.00
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS D T INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3 3.00 13 50 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,IN APPURTENANCES 5.00 WIRING wo- >6 x'+v&f7Nrr*z
r
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 4- 50
TOTAL FEE 66-10
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
67 1 r`-MAY 3 2 D 6 6.1 0
�i
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE