HomeMy Public PortalAbout4935 BALDWIN AVE_Electrical__ (2) e
76g663`CE906"(0/72 APPLICATIO F®R OECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY riNEARET
FOR APPLICANT TO FILL IN CROSS ST, ttl Wj R 1,0441fq
OUTLETS NO. EACH FEE OWNER OR g
$ $ FIRM NAME (J
RECEPT._ MAIL
FIRST 20 25 ADDRESS
LIGHT TOTAL
CITY TEL. NO.
SWITCH OVER 20 10
PLAN CHECK
LIGHTING - FIRST 20 25 APPLICANT
TOTALADDRESS
FIXTURES OVER 20 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT U,19
, / r Q `
RANGE DRYER_WTR. HTR._ APPLICANT V ,/%�i&
STA. COOK DISP. F.A.U..??� ADDRESS /10�0 f�/� �j
SPACE HTR. AIR COND.�� T CITY Y1/LJI 11 TEL. NO. 1441 IWO
CLOTHES WASH. DISHWASH. LICESE OR
REG.N UMBER L f_q 2 CLASS.
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
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI- I AM THE GAL OWNER OF E ABOVE
1 - 10 3.00 OES CRIP.ED RESIDENTIAL PROP U
l/ PERMITEE
10 - 50 5.00 SIGNATURE CD
I--
50
50 - 100 10.00v
DISTRI 0. PROC ED BY LLJ
d
100 - 500 15.00 -5 ,
/�
[J �
SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS DATE INSPECT 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 ® UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED C�
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 ` 0
TOTAL FEEv
i
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID 'fION _ V. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0205220017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 9848 LT: 22 4935 BALDWIN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804009
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-026-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
05/22/02 JK 11/18/02
OWNER: TEL. NO: FIN L DATE FIN L BY: CODE:
MAC KAY JANICE N ��
4935 BALDWIN AV y \
TEMP 917804009 DESCRIPTION OF WORK
NEW 200 AMP PANEL
APPLICANT: TE 0:
ARCADIA ELECTRIC (626) 447-5756-
122 E FOOTHILL SPECIAL CONDITIONS:
ARCADIA 91006
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ARCADIA ELECTRIC (626) 447-5756-
122 E. FOOTHILL BLVD.,A LIC. NO TEMPORARY POWER POLE
ARCADIA CA 91006 LIC EXP
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: -71 7707 N0: UF5R GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LIN ,6
PLASTIC Y/N ETAL Y//N ✓ �� /'/1 f
UTILITY COMPANY NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206110004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FES PAID BUILDING ADDRESS:
TR: 9848 LT: 22 4935 BALDWIN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804009
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA-
8589-026-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.75
TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 ISSUE ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 83.25 06/11/02 JK 12/08/02
OWNER: TEL. NO: FIN DACE FINAL BY: CODE:
MAC KAY DWINJANICEA N (626) 575-5211- /C__�
4935 BALDWIN AV ( C
TEMP 917804009 DESCRIPTION OF WORK
ELECTRICAL FOR GARAGE
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER ' -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY OTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508