HomeMy Public PortalAbout5332-5334-5336-5338-5340 VILLAGE CIRCLE DR_Electrical__ TEMPLE CITY
76AG63-CE60610/74 APPLICATION FOR ELECTRICAL PERMIT Villaup
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION _
38,40,42
LOCALITY r 02 Parcel 3 le Cl
NEAREST
FOR APPLICANT TO FILL IN CROSS ST, h�
OUTLETS NO. EACH FEE OWNER OR
RECEPT.15A S 5 IIIRM -NAME Noe Baldwin
FIRST 20 20 a5 00 ADDRESS 5302 Baldwin Avenue
LIGHT 98 TOTAL CITY le City TEL. NO. 448-3907
SWITCHI4$ 400 OVER 20 80 .10 5 00
PLAN CHECK
LIGHTINGFIRST 20 20 .25 J-00 APPLICANT
TOTAL
FIXTURES 9$ OVER 20 78 10 70 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER_WTR. HTR. APPLICANT "C" McGee Electric. Inc.
STA. COOK DISP. 6 F.A.U. ADDRESS P.O. BOX 2186
SPACE HTR. AIR COND. CITY Pomona TEL. N0. 628-199
CLOTHES WASH. 6 DISHWASH6 REGENNUMBER 153378 CLASS. —
FAN 200THER 6 50, 100 7 OO 1HEREBY 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANO LES COUNTY AND STATE OF
CALIFORNIA OR THA I AM THE L GAL WNE ' OF THE ABOVE O..
1 1 - 10 6 8.00 2 .00 DESCRIDED RESIDE TI L PROP R V
PERMITEE Cs:
10 - 50 5.00 SIGNATURE
50 - 100 1090W
DISTRICT N0, ROCES ED BY oL
G7
100 - S00 15.00 Q Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' IGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00. TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 6 3.00 21 00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED n
FINAL
PERMIT FEE (SUB TOTAL) 213 70 NOTES:
PLAN'CHECK FEE
PERMIT ISSUING FEE 3.00 4 50
TOTAL FEE 21$.20--
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
8 4 6 hmav 17 2 2 1 8.2 0 a!jd
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE