HomeMy Public PortalAbout5344-5346-5348-5350 VILLAGE CIRCLE DR_Electrical__ TEMPLE CITY
76AG63-CESOG 10/74 APPLICATION FOR ELECTRICAL PERMIT Cir. Ur.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION . 7 e
LOCALITY# 2 Parcel. 3- le L'1
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME Noel Baldwin
RECEPT.l02 5 $ MAIL 5302 Baldwin Avenue
FIRST 20 ZS ADDRESS
LIGHT TOTAL CITY 1e (,'], - TEL. N0.448-3907
SWITCH 268 OVER 20 1p
PLAN CHECK
LIGHTINGTOTAL FIRST 20 20 ZS APPLICANT
FIXTURES 66 OVER 20 46 So 6 90 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT 11011 McGee Electric, Inco
STA. COOK DISP. 4 F.A.U. 4 ADDRESS P.O. BOX 2186
SPACE HTR, AIR COND. CITY Pomona TEL. NO. 628-1221
CLOTHES WASH. 4 DISHWASH. 4 14LEG. NUMBER ICENSE OR 153378 CLASS. ('-10
R
FAN 0THER 4 34 100 00 1 HEREBY 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.
S1ZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGEL S COUNTY AND STATE OF
CALIFORNIA OR THAT 1 THE LEG OW R OF THE ABOVE per„
C 1 - 10 4 9.00 �1 ]WIRING
DESCRIBED RESIDEN.TI PER
Y. C)
1PERMITEE
10 - 50 5.00 SIGNATURE b
50 - 100 1OAO W
DISTRICT NO .. R ED BY p
Cn
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS , DATE IN R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP 4 8.00 1 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
n
TEMP SERVICE,POLE,6 APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 8.00 FIXTURES.
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL •"�
PERMIT FEE (SUB TOTAL) 147 10 NOTES: -&e Dy 01i �� t,1?7'Ef
PLAN CHECK FEE F/- re
PERMIT ISSUING FEE 3.00 50
TOTAL FEE 151.60
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
8 4 5 r NOV 17 0 i 151.60 Wyb
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE