HomeMy Public PortalAbout5022 BALDWIN AVE_Electrical__ (2) 76A663 CE806 1 67 APPLICATION FOR ELECTRICAL ERMIT�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST �-w��
FOR APPLICANT TO FILL IN v Of
cROss ST
RECEPT 1 TOTAL No I EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT J} MAIL
Oyl
SWITCH ADD L 10 ADDRESS15-0.2—?
20
TOTAL CIT TEL NO
LIGHTING 1 FIXTURES FIRST 20 20
FIXTURES I ADD L1O CONTRACTOR
OVER 20
RANGES DRYERS WTR HTRS too ADDRESS O y �y
GARB DISP STA COOK CIT Q..� /TEL NO �- /v /d
DISHWASH AUTO WASH STATE l
SPACE HTRS STA APPL 50 LICENSE NO g")
MOTORS OVER NOT OVER H P DIST JC�TN O GROUP ZqN PRO SSED/ Y
O 1 1 00 p d j��
1 3 150 INSPECTION RECORD
3 8 200
8 15 250
15 50 300
50 100 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V NOT OVER 200A 100
SERVICE 0 600V OVER 200 A 200
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
l
PERMIT ISSUING FEE 200 Q
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR B 51ONATURE
TOTAL FEE $ 3 10
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAS WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING j��.4)Pl cp
WIRING
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO POWER
RESIDE IN THE ASO DE/ �tIBED�R�E/61DENTIAL PROPERTY
SIGNATURE !�S b W UTILITY CO NOTIFIED /7"
OF PERMITTEE I NN I u FINAL
(DATION JOSEPH C ROOHAN ELECTRICAL
� CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LhLc1 0 o 2a- i`uv24 � D 3 00 -
r�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0903160001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 10821 LT 3 BL 001 5022 BALDWIN AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804010
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18585 008-034 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
I 1JX MOTORS LT 3 HP 1 00 MOT 15 30
TENANT IT2 NO PERMIT R3 OWN BLD 128 50 DOL 128 50 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 171 55 103/16/09 SR 09/12/09 1
OWNER TEL NO FI AT FI BY CODE
HONG DI HUANG (626) 375 1942
15022 BALDWIN AVE
TEMP 917801017 JDtSCRtPTI0'N OF WORK
1NEW MOTOR FOR ELECTRICAL GATE OPENER 1
(APPLICANT TEL NO
SAME AS OWNER
I - SPECIAL CONDITIONS
CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
I1
1 LIC NO (TEMPORARY POWER POLE I I
(UNDERGROUND CONDUIT
f I IARCHITECT OR ENGINEER TEL NO JUFER GROUND I I
1 LIC NO TROUGH CONDUIT 1 1 1
1R0UGH WIRING
MAIN WATER LINE
IPLASTIC Y/N METAL Y/N
1UTIIITY COMPANY NOTIFIED
IREPORT ID DPR265 ROUTE TO BS0508 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1108080010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 10821 LT 3 BL 001 I I 5022 BALDWIN AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804010 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LOWER AZUSA 1
18585 008 034 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
I IG1 OUTLETS LGT SW RECP 13 00 OUT 25 20 I
ITENANT IG2 LIGHTING FIXTURES 7 00 LGT 13 60 (ISSUED ON PROCESSED BY PLAN BY I
IH2 RES GRBG DISP LT 3HP 1 00 DIS 10 90 108/08/11 VG
IH3 RES DISHWASHR LT 3HP 1 00 DIS 10 90 1 I
(OWNER TEL NO IH4 RES RANGE HDS LT 3HP 1 00 HOO 10 90 IFIr DATE FINALAY CODE I
IHU WEI JIB (626) 589 2695 1H7 RES EXHAUST FANS 1 00 EX 10 90 1 I
15022 BALDWIN AVE TOTAL FEES 110 20 I I
ITEMPLE CITY 91780 I ID S RIPTION OF WORK I
I I (ELECTRICAL FOR REMODEL 1
(APPLICANT TEL NO 1 I
ISAME AS OWNER
I ISPECIAL CONDITIONS I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER I I
I LIC NO ITEMPORARY POWER POLE I I I
I I I I I I
I I (UNDERGROUND CONDUIT I I
I I I I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I I
1 LIC NO I IROUGH CONDUIT I I
� I TROUGH WIRING
I MAIN WATER LINE I[p- '} 14
IPLASTIC Y/N METAL Y/N I I I
I (UTILITY COMPANY NOTIFIED( I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I (REPORT ID DPR265 ROUTE TO BSO508 I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308050060
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS 1
ITR 10821 LT 3 BL 001 5022 BALDWIN AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804010
(ASSESSOR INFORMATION NUMBER II NEAREST CROSS STREET
18585 008 034 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI
IG1 OUTLETS LGT SW RECP 26 00 OUT 47 10 1
TENANT IG2 LIGHTING FIXTURES 6 00 LGT 12 00 JISSUED ON PROCESSED BY PLAN BY
TOTAL FEES 86 90 I08/0�/13 SR
I �
(OWNER TEL NO IFINAL DATE 3,�
CODE
IHU WEI JIE (626) 399 6927 1 (W 15022 BALDWIN AVE I
ITEMP 917801017 ZESCRIPTION OF WORK
WORK
126 OUTLETS AND 6 LIGHT FIXTURES FOR NEW ADDITION
APPLICANT TEL NO
1 SAME AS OWNER _
I 1 SPECIAL CONDITIONS 1
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
1 LIC NO 1 ITEMPORARY POWER POLE
I I I
I (UNDERGROUND CONDUIT 1 I I
I � I
1ARCHITECT OR ENGINEER TEL NO 1I IUFER GROUND I
I LIC NO I IROUGH CONDUIT
IROUGH WIRING '
I I (MAIN WATER LINE I I I
1 (PLASTIC YIN METAL YIN
(UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
(REPORT ID DPR265 ROUTE TO BS0508
I I I I I I
I
� I '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9907070002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE (626) 285 0488 EXT 7
LEGAL ID FEES PAID BUILDING ADDRESS
TR 10821 LT 3 BL 001 15022 BALDWIN AV
FEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804010
ASSESSOR ORM NEAREST CROSS STREET LA ROSA
8585 008 034 ( Al PERNT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY
LA IM AMP PANELS, MCC 1 00 PAN 39 00 i
NA 1;2 TOTAL FEES 66 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES
I-Ale 07/07/99 UT /03/00
OWNER TEL NO FINAL DATE FINAL BY CODE
LAU SIU YUNG (626) 350 5108 �A
5022 BALDWIN AVE '�u
TEMP 917801017 AZ�
UPGRADE OF ELECTRICAL SERVICE 200 P
APPLICANT TEL NO
SAME AS OWNER
SPECIAL CONDITIONS
GELES
CONTRACTOR TEL �O� ��� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NOTEMPORARY E
UNDERGROUND CONDUIT
ARCHITEi
CT OR ER NO FER !GROUND
LIC NO 1111111 ROUGH CONDUIT
ROUGH WIRING
I I
U
O LC
� /1 00ID- 1 J AINIWAI�ER LINE
ILJI U 1`1"JU��` �J1�Ll1J^lli{i IL1K(� PLAST I C Yl/N METAL Y/N
0 0 `
O Q 7
El ® ®y
48,0 �erv�Ce Yh���o
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REPORT ID DPR265 ROUTE TO BS0508