HomeMy Public PortalAbout5337-5339-5341-5343-5345 VILLAGE CIRCLE DR_Electrical__ TEMPLE CITY
76AG63-CE806 10/74 APPLICATION FOR ELECTRICAL PERMIT Village Ci rcl Dr
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rFBldg.
BUILDING AND SAFETY DIVISION 19TY Tg#29602 Parcel 3 le CiT 9
FOR APPLICANT TO FILL IN CROSS ST, a..,,,
OUTLETS No. EACH FEE FOWNER RM OR "Win I3 1.C�W]11
RECEPT.]29
$ $ MAIL
LIGHT 81 TOTAL FIRST 20 '20 •25 gADDRESS
RESS
SWITCH 122 332 OVER 20 12 10 4Y le C1 TEL. NO. 448-3907
N CHECK
LIGHTING FIRST 20 .25LICANT
TOTALgn
FIXTURES �� OVER 20 61 f0
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT "C" McGee Electric, Inc.
STA. COOK DISP. 5 F.A.U. 5 ADDRESS P.O. BOX 2186
SPACE HTR. AI R COND.5 CI TY Pomona TEL. No. 628-1221
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER 153378 CLASS. C-10
FAN 1ATHER S•A• 41 100 6 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 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 - 1 100 LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I THE LEGA OW NE OF THE ABOVE
C 1 - 10 5 3.00 22 550 DESCRIBED RESIDENTIAL ROPERT V
PERMITEE CC
10 - 50 5.00 SIGNATURE v
50 - 100 10.00 a
DISTRICT NO. R tS D BY H
100 - 500 15.00
r
SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' IGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 5 3.0022 50 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,INAPPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
79 t/6� FINAL �>���j
PERMIT FEE (SUB TOTAL) . NOTES':
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 0
TOTAL FEE 1A.Z. -7;6-
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
04Uti190V .L/ u '
1 ti t�.9 5 o:.n
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE