HomeMy Public PortalAbout4945 BALDWIN AVE_Electrical__ (2) _ PLICATION FOR ELECTRICAL PERMI -
oIJNTY OF LOS ANGELES
'ARTMENT OF COUNTY ENGINEER BUILDING
PWBUILDI'NG AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST -'^..L�
NO EACH FEE
/
RECEPT/ $ $ OWNER
MAIL /� r
LIGHT TOTAL FIRST 20 (y 20 ADDRESS %yu
SWITCH X11— OVER 20 10 CITY TEL NO �`
LIGHTING �TOTAL FIRST 20 20 CONTRACTOR LTJFIXTURES OVER 20 10 ADDRESS
RANGEDRYER_WTR HTR CITY f TEL NO
STA COOKDISP -F A U -
LICENSE NO
SPACE HTR AIR COND 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH _DISH WASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FANOTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IND HEATERS ETC HP KW KVA RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIZEAWe n/& TYPE OVER TO p SIGNATURE d
C:OAAO 0 - 1 1 00 / OF PERMITTEE a
0
1 - 10 3 00DISTRICT NO GROUP ZONE ED V
10 - 50 5 00 ' r���r>
50 - 100 10 00 NOTES
100 - Soo 15 00
SIGN GAS SIGN AND ONE CIRCUIT 3 00 Q� -{}�I'�(/
TUBE OR e �l
MARQUEE ADDITIONAL CIRCUITS 1 00 pf�.o�B 'In� (1� g124, 4'"rl. t $U5t/;Y'
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 pF r r Jj ,
it) �lA�.r� A 1'T �t+1 Pl�-�.O_n -9'-V
SERVICE OVER 600 VOLTS OR 200 AMP 5 00 &P-eA /e- �O t�I
TEMP SERVICE POLE & APPURTENANCES 3 00 -n
APPROVALS DATE INSPECTORS SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING f
ISSUING FEE 2 00 0 f
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED /
PERMIT FEE UTILITY C_ONOTIFIED 1 /��
PLAN CHECK FEE (50% PERMIT FEE) FINAL W Wfit �, / vtj 60'v�
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELE AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CASH
L UO u 4- SEL 5 2 D 3.4 0 N v
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE L4/
oBDEAPARTMENT OF BUILDING AND SAFETff APPLICATION FOR PERIVIIT
CQUNM,OF LOS ANGELES ELECTRIC
WM FOX CHIEF ENGINEER
z DISTRICT NO GROUP ZONE PERMIT NO
< NAME O�'1 {� �j
U ADDRESS Z�35 III 5 � ' ��/ -/
IU CITY COUN �J� fi. TEL NO 3/ 7tt'�LL RECEIVED BY
BY FIRST INSPECT ECT ONCOUNTY READY FOR DATE ISSUED
W CERT NO / / EXPIRES Z'L��TiO " 'r v 7 J2 —Y�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS ,L 3 S d , A 1.D W! IV
L
NUMBER OF OUTLETS ON CIRCUITS LOCALITY (�
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST p�
CIRCUIT A B C D E F G H w NAME I "'
1 / z MAIL
/ / 3 ADDRESS
CITY TEL.NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF` I T�OF UALIFICATION
�A�I�J-CCC"'/"' r
1 G 6 ELECTRI IAN
is 1 AM THU LEGAL OWNER OF THE PROPERTY DESCRIBED
A/, 7-- .Z Z ABOVE
7)o acg / OWNER
[,I-T CORRECTIONS
Rt DOD
L c a a-
� t 3
1� 3
z
n
0
TOTAL 2 / S
NO OF OUTLETS « $ L APPROVALS
NO OF FIXTURES $ DATE INSPECTOR S NAME
NO OF MOTORS H P $ CONDUIT
NO OF SIGNS TRANS $ [" WIRING
EATERS $ ✓
FIXTURES
MISCELLANEOUS $ POWER /
PERMIT FEE $ UTILITYCO NOTIFIED
TOTAL FEE s TINA
7yA663`CF806 11 71 APPLICATION FOR EL CTMCAL SPE MIT LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS a
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OU LETS NO EACH FEE
$ $ OWNER
RECEPT MAIL
ADDRESS
LIGHT �� TOTAL FIRST 20 25 Z
OVER 20 CITY TEL NO
SWITCH_ 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 Zg APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICANT
STA COOK DISP F A U ADDRESS �/ A�L3G-�C✓
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO 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
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO O
1 - lO 300 RESIDE IN THE ABOVE DESCRIBED RESIDE NTI P OPERTY
V_
10 - 50 500 SIGNATURE P �,
OF PERMITTEE O
50 - 100 1000G
DISTRICT NO CLASS ZONE O ESS ED BY 17J
SO �- QQ/I z'LQ N
100 - 500 1500
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 1000
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDI UT
WIRING cc
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL L
PERMIT ISSUING FEE 300 � d
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATI CK MO CASH
LtO 7 5 9 6- AUG 18 2 0 5.25-
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 0305160028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL D FEES PAID BUILDING ADDRESS
TR 9848 LT 23 BL 001 4945 BALDWIN AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804009
ASSESSORB NEAREST CROSS STREET LOWER AZUSA
8589 026 034 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY
82 1 OR 2 FAMILY DWELL 1600 00 SQ 168 00
TENANT LA 100 AMP PANELS, MCC 1 00 PAN 38 85 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 234 60 05/16/03 JK 11/12/03
OWNER TEL NO FINAL DATE CODE
SIERRA JOHN (626) 448 0961
4945 BALDWIN I .XPIRLLJ
TEMPLE CITY 91780 DESCRIPTION
REWIRE HOUSE & UPGRADE PANEL TO 100AMP
APPLICANT
SAME AS OWNER
SPECIAL CONDITIONS
CONTRACTOR TEL -N-6 APPROVALS AT INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ENGINEERARCHITECT OR UFER GROUND
-
I
LIC NO _ ROUGH CONDUIT
i I I IROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID DPR265 ROUTE TO BS0508