HomeMy Public PortalAbout5321-5323 VILLAGE CIRCLE DR_Electrical__ TEMPLE CITY
76AG63-CH000 10/74 APPLICATION FOR ELECTRICAL PERMIT Cir
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS Bldg. 4 5321 ,5323 N. Villa e
BUILDING AND SAFETY DIVISION
LOCALITY Tg# 02 Parcel 3 - le C.'1
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH I FEE OWNER OR
FIRM NAME Noel BUdwin
RECEPT.50 S S MAIL
.
20 25 8 00 ADDRESS 5302 Baldwin Avenue
LIGHT 34 TOTAL FIRST 20 CITY le C,'1 TEL. No. 448-3907
SWITCH 52 136 OVER 20 1G 10 1 4O PLAN CHECK
LIGHTING TOTIt FIRST 20 20. .25 00 APPLICANT
FIXTURES 3 OVER 20 14 10 4
10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER %WTR. HTR. APPLICANT "C" McGee Electric Inc.
STA. COOK DISP. 2 F.A.U. 2 ADDRESS
SPACE HTR. AIR COND. CITY Pomona TEL. N0628-1221
CLOTHES
e WASH. 2 DISHWASH. 2 REGENNUMBER 153378 CLASS. C-10
FAN O OTHER 2 od 18 1.001 2 00 1 HEREBY ACKNOWLEDGE THAT 1 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 LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LE AL OWNER THE ABOVE
C 1 - 1O 2 300 f1 O DESCRIBED RESIDEN L PROP T . CD
10 - 50 500 7 PERMITEE
SIGNATURE ` 1��
50 - 100 IOAO W
DISTRICT NO. SSED BY O.
100 - 500 1DA0 cn
6-1 0 1
SIGN, GAS =SIGN ONE CIRCUIT 8.00 APPROVALS DATE INSPEr
OfS910NATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600VOLTS OR200AMP 2 3.00 9 00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING . -�
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES i
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL —12-V
PERMIT FEE (SUB TOTAL) 8 50 NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 .50
TOTAL FEE 85.00
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
8 4 8 r"'.'NOV 17 2 0 1 8 5.0 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE