HomeMy Public PortalAbout6018 AGNES AVE_Electrical__ 76A663 �W0611/70 APPLICA ION FOi7ELECTRICAL PERMIT a9,10 LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /
LOCALITY '-
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING r E
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE G
$ $ OWNER C
RECEPT MAIL G r
FIRST 20 25 ADDRESS fliv
LIGHT TOTAL
Cl TYTEL NO r
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR- APPLICANT �r
STA COOK DISP F A U ADDRESS 1 Sol
SPACE HTR AIR COND CITY .y' TEL NO 3 S�f C•
CLOTHES WASH DISHWASH LICENSE NO I 1. CLASS
FAN OTHER 100 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
(� r� — 1 100 /fl LICENSED AS RE0U IRED BY LOS ANGELES COUNTY AND STATE OF
yr CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO >_
1 — 10 300 RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL OP C.
O
SIGNATURE U
10 - 50 500 OF PERMITTEE Y �
OL
50 — 100 1000 DISTRICT NO C Ss zop PR CE S O
1 00 — 500 1500 �' W
a
SIGN GAS
TUBE OR SIGN AND ONE CIRCUIT 500 NOTES Z
_
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200AMP 300
SERVI CEOVER 600,VOLTS OR 200AMP 1000 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE _
TEMP SERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING � '
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) ` �I
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 300 o JOSEP ClROOHAN
TOTAL FEE - 00 SUPERVI IN-1&LECTRI,CAL ENGINEEP
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDA 1 f CK j M o CASH
LAW 12 2 D 3 0 0-
SEE
NSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308140060
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID I FEES PAID BUILDING ADDRESS
ITR 6561 LT 50 UN 002 1 6018 AGNES AV 1
I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801707 1
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15385 028 016 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI
I IG1 OUTLE'T'S LGT SW RECP 20 00 OUT 40 00 1 1
ITENANT IG2 LIGHFING FIXTURES 18 00 LGT 36 00 (ISSUED ON PROCESSED BY PLAN BY 1
1 IHA FAU LESS 3HP 1 00 FAU 11 00 108/14/13 SR I
I _IH2 RES GRBG DISP LT 3HP 1 00 DIS 11 00 1 1
(OWNER TEL NO IH3 RES DISHWASHR LT 3HP 1 00 DIS 11 00 (FINAL DATE FINAL,-,BY CODE I
ICHAN SAM (626) 665 3557- IH4 RES RANGE HDS LT 3HP 1 00 HOD 11 00 1
16018 AGNES AV 1H5 RES WASH MACH LT 3HP 1 00 WAS 11 00 1
(TEMP 917801707 1JB AC UNITS +3 10HP 1 00 AC 19 70 ID SCRIPTION OF WORK 1
ILB 200 AMP PANELS MCC 1 00 PAN 38 90 (ELECTRICAL FOR NEW ADDITION & REMODEL 20 OUTLETS 18 LIGHT I
TOTAL FEES 217 40 (FIXTURES FAU/AC GARBAGE DISPOSAL DISHWASHER RANGE HOOD 1
(APPLICANT TEL NO (WASHING MACHINE AND UPGRADE SERV CE PANEL TO 200 AMP
IAIU HONG (626) 675 6692 1
11809 S MONTEREY ST 1 ISPECIAL CONDITIONS
ALHAMBRA CA 91801
ICONTRACTOR TEL NO IAPP20VALS DATE INSPECTOR SIGNATURE
IMIU CONSTRUCTION INC (626) 675 6692 1 1 1
11809 S MONTEREY ST LIC NO 1 (TEMPORARY POWER POLE
ALHAMBRA CA 91801 938325 1 1 1 I
I (UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND I I
IWU HAROLD P (626) 288 0708 1 1 1-1 1
11168 SAN GABRIEL BLVD LIC NO 1 (ROUGH CONDUIT
1
ISUITE N 938325 �l _ T 1
1ROSEMEAD CA 91770 I 1ROUGH WIRING I 1
I I IMAIN WATER LINE I- 1
I IPLPSTIC YIN METAL YIN
1 1 1UTILITY COMPANY NOTIFIEDI I I
I I I I I I
1 I I I I I
I I I I I I
1 I I I I I
I I I I I I
1 I I I I I
1 I* ADDITIONAL DATA ON FILE
I I I I
I (REPORT ID DPR265 ROUTE TO BS0508 1 1 1 1
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