HomeMy Public PortalAbout5200-5202-5204-5206 VILLAGE CIRCLE DR_Electrical__ 76A663-CE80610�72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRE
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACH FEE OWNER OR
S $ FIRM NAME blapWa
RECEPT MAIL
LIGHT♦ TOTAL
FIRST 20 25 ADDRESS
�- OVER 20 $ 34 CIT TEL. N448-39W
SWITCH 10 PLAN CHECK
FIRST 20 � 25 � APPLICANT
LIGHTING TOTAL 5r
�,� OVER 20 5 ADDRESS
FIXTURES 7Y -10
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE-DRYER WTR. HTR. PERMIT �_ APPLICANT
STA. COOK DISP.-4 _F.A.U. _ ADDRESS t6o, WK 2186
SPACE HTR. AIR COND. CI TY PCOKM TEL. N0.
162"221
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER 37$ CLASS
FAN_WOTHER 32 1.00 32 QQ 1 HEHEBY 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 }
O - 1 100 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE O
1 - 10 300 OE 5!:Rlf ED IES IDENTIAL PROPERTY. V
W
PERMITEE --�
10 - 50 5.00 SIGNATURE
50 - 100 10.00 DISTRICT N0. 'PROCESSED BY Q
100 - 500 15.00
SIGN, GAS �
SIGN AND ONE CIRCUIT 5.00 APPROVALS DAtE� INSPECTOR'S SIGNATURE 1W-
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600VOLTS OR200AMP 4 3.00 1 W UNDERSLAB WORK
SER'VI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE. &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO, NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) 1 104 20
NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
d�6 IW 47
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0305010012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: BUILDING ADDRESS:
TR: 29602 LT: 1 UN: 39 5204 VILLAGE CIRCLE DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803355
ASSESSOR0 NEAREST CROSS STREET: BALDWIN
8585-001-106 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.95
JB AC UNITS +3-10HP 1.00 AC 19.65 ISSU50 ON: P 0 S ..
TOTAL FEES 58.35 05/01/03 JK 10/28/03
OWNER: TEL. 0: FINAL DATE FINAL BY: CODE:
EDGAR CHARLENE
5204 VILLAGE CIRCLE / 'r
TEMP 917803355S o 0
C/O EXISTING FURNACE & A/C UNITS W/HIGHER EFFICIENCY EQUIP
PL L.
BRYANT HEATING AND AIR CONDITIONING (626) 286-1141-
1350 E LAS TUNAS DR SPECIAL CONDITIONS:
SAN GABRIEL 91776
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR S GNATURE
BRYANT HEATING AND AIR CONDITIONING (626) 286-1141-
1350 E LAS TUNAS DRIVE LIC. NO TEMPORARY POWER POLE
SAN GABRIEL CA 91776 221751 C20
UNDERGROUND CONDUIT
ARCHITECT 0 G ER: TEL. NO: UF5R GROUND
LIC. NO: ROUGH CONDUIT
ROUGH R G
AIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY 0 D
REPORT ID: DPR265 ROUTE TO: RS0508