HomeMy Public PortalAbout5625 1/2 WELLAND AVE_Electrical__ 76.0669-CE6,46 40/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEARESET
BUILDING AND SAFETY DIVISION S 562 W1"11and
TY Temple Cit
FOR APPLICANT TO FILL IN T. Live Oak
OUTLETS NO. EACH FEE OR
pp// FIRM NAME Gil Curry
RECEPT.[L $ — MAIL
ADDRESS 8 Temple Cit Blvd.
LIGHT TOTAL FIRST 20 4 Q
SWITCH_ OVER 20 ip
CITY Temple City TEL. N0. 282-2633.
PLANCHECK
TOTAL
LIGHTING 1 FIRST 20 •25 APPLICANT
FIXTURES •10
)}
OVER 20. ADDRESS
RESIDENTIAL APPLIANCES CITY
TEL. NO.
PERLRANGE DRYER_WTR. HTR. APPICANTLhTGSTtF E 'CTR
IC y INC .
STA. COOK DISP. F.A.U. ADDRESS 775 13.
Washington Blvd.
SPACE HTR. AIR COND. CITY Pasadena TEL. NO. 797-1196
CLOTHES WASH. DISHWASH. RGNUBENUMBER 30103.3 CLASS. ClO
FAN OTHER 1.00 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.
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 y.
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE C
1 — 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. V
10 - 50 5.00 PERMITEE
SIGNATURE a + CD
c �
50 - 100 10.00 W
DISTRICT NO. PROCESSED BY CAI
�-
100 - SOO 15.00 �^ V \ Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SI NATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING ten?
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES (/
POWER AUTHORIZED
UTILITY CO. NOTIFIED 4�2
FINAL
PERMIT FEE (SUB TOTAL) NOTES: � �/�E�'
PLAN CHECK FEE
i
PERMIT ISSUING'FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. I M.0. CASH
8 19 2 A 8.9 0 d--b
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE