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HomeMy Public PortalAbout5209 BALDWIN AVE_Electrical__ (2) 76A663 CE806 3 69 TEMPLE CITY LICENSE # 5376 APPLICATION FOR ELECTRICAL PERMIT ►� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5209 N. Baldwin Ave - JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST NO EACH FEE $ $ OWNER RECEIPT MAIL Emanuel T)errr)l-]. LIGHT TOTAL FIRST 20 20 ADDRESS 20N SWITCH OVER 20 10 CITY T TEL NO PLAN CHECK LIGHTING TOTAL ��ov' RST 20 20 APPLICANT FIXTURES } ER20 10 ADDRESS RANGE I DRK TR CITY �'i TEL NO STA COOISP _F A U CONTRACTOR C 7tyy GART SPACE HTR AIR COND ADDRESS 6 N1• Angeleno CLOTHES WASH DISHWASH CITY TEL N0969-2225 FAN—OTHER F[�T� 7 1 00 LICENSE NO 20+62 CLASS MOTORS TRANSr ORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 — 1 1 00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF 1 — 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBE ESIDEN TIAL PROPERTY 10 — 50 500 C � SIGNATURE C 50 - 100 10,00 OF PERMITTEE ` w IY 100 — 500 1500 DISTRICT NO GROUP ZONE ZSED {,1. O SIGN GAS SIGN AND ONE CIRCUIT 3 00 Z TUBE OR MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 © b SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK tRGH CONDUIT ING _ �. 91 PERMIT FEE (SUB TOTAL) TURES ER AUTHORIZED PLAN CHECK FEE (507 PERMIT FEE) PERMIT ISSUING FEE 2 00 LITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 AL TOTAL FEEQ JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION < cK M o CASH cla Ar- 6 U b 6c- JUL27 2 D 800- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE llllK 7GA663-CE806 3-69 ( • /' �' /�'flla`lc VERMIT APPLICATION FOR ELECTRICAL 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 FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE /�� , 1 $ $ OWNER /tel fJ1 1'1 UCs RECEIPT._ MAIL FIRST 20 I .20 ''� ADDRESS,S�® LIGHT TOTAL t�` CITY �m,01,4- TEL.NO.yy� Al SW ITCH ' OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NO. j STA. COOK /_DISP. F.A.U. CONTRACTOR �LSz�K }SG�e� j'J21 SPACE HTR..AIR COND. /©CT O ADDRESS CLOTHES WASH. DISHWASH. CITY 44- 0C) l TEL.NO. FAN OTHER 1.00 LICENSE NO., j(" CLASS. / MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF } 1 - 10 3.00 CALIFORNIA OR THAT I A HE LEGAL OWN R OF. ND NTEND TO d RESIDE IN, THE ABOV RISE RESIDE IA P TV. O 10 — 50 5.00 V SIGNATURE ✓ OC 50 — 100 10.00 OF PERMITTEE O H 100 - SOO 15.00 DISTRICT NO. GRWP 110141 ROCES D BY V o�OsJ w SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 Z SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 610 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ► r..., 6 4 7 2 Aus 2 5 2 D 9.2 0. cv SEE BACK OF APPLICATION FOR COMPLETE FFF SCHFDIII_F