HomeMy Public PortalAbout5331-5333 SANTA ANITA AVE_Electrical__ 78A663-CE80610/74 APPLICATION FOR CLE&RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER nooREss anta Anita �'Bld 2
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Freer
OUTLETS N0. EACH FEE OWNER OR
RECEPT.44 $ $ FIRM NAME
LIGHT 28 TOTAL FIRST 20 20 a5 8 00
MAIL 650 West Duarte Rd.
SWITCH36 108 OVER 20 10 CITY Arcadia TEL. N0.446-5344
jjfL13 20 PLAN CHECK
LIGHTING l FIRST 2020 gg 8 QQ APPLICANT
)} TOTAL
FIXTURES 26 OVER 20 6 10 90 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT Electric
STA. COOK DISP.2 F.A.U. 2 ADDRESS 1 9R34 Workman St
SPACE HTR. AIR COND. 2 CITY La Puente TEL. NO.333-5918
CLOTHES WASH. 2 DISHWASH.2 REG NUMBER 249210 CLASS.C-10
FAN 2 OTHER1.00 O I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
12 18 00 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 PR ERLY REGISTERED AND/OR
0 - 1 1,00 LICENSED AS REQUIRED BY S ANO LES COUNTY AND STATE OF
CALIFORNIA OR THAT I A HE L SAL OWNER OF THE ABOVE :at
1 - 10 3.00 DESCRIBED RESIDENT AL PER O
C.7
PERMITEE
10 - 50 5.00 SIGNATUR C3
50 - 100 10.00v0 DISTRIC 0. P CES D BY W
cn
100 - 500 15.00 �"-- U� alv` Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS D INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AM P 2 3.00 9 QQ UNDERSLAB WORK
SERVICEOVER SOO VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING s®® `0/641A��
FTEMPLIGHT, OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 6(SUB TOTAL) NOTES;
FEE
UING FEE 3.00 4 0
L== 61TOTAL FEE
.60 n
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA IdN CK. M.O. CASH
v�
67 OrMAY 3 2 D 61.60 ,&:
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE