HomeMy Public PortalAbout5623 1/2 WELLAND AVE_Electrical__ ,76.0669-CE60610/74 APPLICATION FOR ELECTRICAL PERMIT
3 Ap COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 5623 Wk-lland I LOCALITY Temple City
NEARESTTFOR APPLICANT TO FILL 1N CROSS ST. Live Oak
OUTLETS N0. EACH FEE OWNER OR
FIRM NAME Gil CurrRECEPT.� $ MAIL
FIRST 20 ADDRESS 8 Tem le Cit Blvd.
LIGHT TOTAL CITY Tem le Cit TEL. NO. 2$ -SWITCH_ OVER 20 10PLAN CHECK
LIGHTING FIRST 20 .Z5 APPLICANT
TOTALOVER 20 ADDRESS
FIXTURES .f0RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGEDRYER_WTR. HTR. APPLIANT LA.NGSTA.FF ELECTRIC
STA. COOK DISP. F.A.U. ADDRESS E. Washington Blvd.
SPACE HTR. AIR COND. CITY Pasadena TEL. NO. 797'-119
CLOTHES WASH. DISHWASH. REG. NUMBER 010 CLASS. C10
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 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 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 LEGAL OWNER OF THE ABOVE p,.
1 - 1O 8.00 DESCRIBED RES
IDENTIp�AL PROPERTY. Com.)
TEE
10 - SO 5.00 S IEGNAITU E �• �/� i O
50 - 100 10.00 DISTRICT N0. dPR7SED Bp100 - 500 19.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS 'DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING �4i76
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEEt �T
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK: M.O. CASH
8 1 9 1 lkw 19 2 A 8.90 ,61-D
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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