HomeMy Public PortalAbout5470 BALDWIN AVE_Electrical__ (2) 76A663 CG 6U6:1. APPLICATION..FOR ELECTRICAL PERMIT
r•. COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS -S 0 /V
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE Y- q-
CROSS ST.
1 & 2-Famil S Ft. $ .025 — $ OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME �"�
Residential Swimming Pools 25.00 MAIL
ADDRESS . 00 AGIZ
Outlets:Rec Light q Sw. CITY per;, �� Tel.No. L/(,!/f%�►�
�/ First 20 .50 0 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures. First 20 .50 CITY Tel.No.
.30 PERMIT ��cc
Total No. Additional APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS F//CIO .�
Range—Heater ZD.W._ CITY > ry Tel.No. 3,3 y C�
Oven—Dryer—W.M.
Top —FAU —W.H. LICENSE
REG.NUMBER j, I
Class. if-- LZ
Hood-Fan _Other- -y� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. 2'50 v THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN.
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM ?_
Up to 1 Incl. 2.50 THELEGALOWNEROFTHEABOVEDESCRIBEDRESIDENTIALPROPERTY. Oa_
Over 1 to 101ncl. 5.00J v
Over 10 to 50 Incl. 12.50 PERMITTEE
Over 50 to 100 Inc.
25.00 SIGNATURE G-- ri CD
LU
Over 100 40.00 DISTRICT NO. PRO ES BY C_
Services �~
0-200 Amp.Under 600 V / 1 2.50 I INSPECTOR'S
201-1000 Amp.Under 600 V
25.00 APPROVALS DAT SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
Temp. Power Pole&Appurtenances
10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT ry -
Additional Sign Branch Circuits 2.00 WIRING
2dif ,Misc.Conduits&Conductors 10.00 FIXTURES f I �rl�.p �,_.{'
Other(See Complete Fee Schedule' POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES G'
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PER T VALIDATION CK: M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE {'
76A663C- CE806B 12,75 APPLICATION FOR ELECTRICAL PERMIT
I I -
BUILDING AND SAFETY DIVISIO
FOR APPLICANT TO FILL IN ,JOBY �,Q� 41
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS �Q `✓/�-��Y/f �•
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. CROSS ST. f/V
T.
Residential Swimming Pools OWNER OR y /",
FIRM NAME / 67'/ICY/
Outlets: Light, Switch& Receptacle ADDRESS J f L ✓ •
First 20
Additional CITY `— Ile— Tel. No.
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT "Al_ Heater_ D.W. ADDRESS �*
Oven Dryer W.M. __�_,/JJ
Top _ FAU W.H. CITY6k4l�/. Tel. No. df� G
Hood Fan LICEREG..NSE OR NUM ER vv Class. 1o
Disp. A.C.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I=)
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY --
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LAA
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. c-
Up to 1 Incl. z
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LI LENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST E OF
CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ROVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY.
Over 50 t0 100 InCI. PERMITEE
Over 100 SIGNATURE
DISTRICT NO. OC SED BY
Services / f� t
0-200 Amp. Under 600 V �
201 -1000 Amp. Under 600 V APPROVALS DATE INS CTUR'S
S NATURE
Over 1000 Amp.or Over 600 V
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee)
FINAL
PERMIT ISSUING FEE
NOTES
ITOTALFEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
i
7 0 OCZAL 20 2 U . 9.0 0°e
/
76A663-CF806 3-64
•APPLICATION FOR ELIECTRICAL kkMiT�
COUNTY OF LOS ANGELES
4DEPARTMENT OF COUNTY ENGINEER rl
DING
BUILDING AND SAFETY DIVISION RESS ,!, '10 1_ , •ea
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LITY _ti-' . 1 YL
EST
FOR APPLICANT TO FILL IN S ST.
RECEPT. TOTAL NO. EACH
LIGHT OUTLETS FIRST 2033 $20 $ O OWNER
AIL
ADD'L .f0 ADDRESS
SWITCH. OVER 20
TOTAL .? CITY T L.NO.
LIGHTING 1 FIRST 20 + 20 (�
FIXTURES 1 9R 2
OV
R 20 10 ELECTRICIAN Zlc
RANGES CLO.DRYERS WTR.HTRS. 11.00 ADDRESS
GARB.DISP. STA.COOK
CITY PLLci1u14. TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(:/z X.P.MAX.) .50
LICENSE NO,
MOTORS: OVER NOT OVER H.P. DIST/-RICT N(O/ GROUP ZONE �PTCE E BY
O 1 ' 1.00 � C (3 cl U
1 3 1.50 a INSPECTION RECORD a
3 8 2.00 I r
B 15 2.50 r I ad
15 50 3.00 �ei� e O
0A—a� C
5o foo 5.00 a
��® �..fr.-iv'e�:..atil.fC-!•.`"moi.� t/1
SIGNS: NO.TRANS. Z
NO.LAMPS /IYf
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2A0
SERVICE OVER 600V S.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ r
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DAT INBPECT0 'S SIC ATURM
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY y,� X
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT V'�'�M1K "' e %:I. A
ELECTRICAL WIRING. WIRING E �' .�`
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1��'" tet"\:'.4`-04+i s•�"I" I
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Il tJ Y
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE +
DESCRIBED RESIDENTIAL-PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED 1 f
OF PERMITTEE FINAL eL� �S Ts W_
DA IDATION AR' HUFt C. VEIT
SUPERVISING ELECTRICAL ENGINEER
MO CASH
LPLO 9 7 9 7 i IAR 2 2 2 D 3.8 l`7.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF P.UBS,IE W-DRKS 9701 LAS TUNAS EL 0508 1401020020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS: 1
1TR: 16957 LT: 2 1 5470 BALDWIN AV 1
1 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802626
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
8586-022-002 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
IG1 OUTLETS-LGT,SW,RECP 9.00 OUT 18.00 1
(TENANT: IG2 LIGHTING FIXTURES 8.00 LGT 16.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 61.80 101/02/14 SR 1
IOWNER: TEL. i iFI DATE FINAL BY: CODE:
HOANG, RICK (626) 534-4-4537-
15470 BALDWIN AV 1
1TEMP 917802626 1 1DESCRIPTION bF WORK
1 I 1NEW LIGHTS AND OUTLETS 1
1APPLICANT: TEL. NO:
1SAME AS OWNER _ 1
SPECIAL CONDITIONS:
1 1 1
1
1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE
1SAME AS OWNER _ 1
LIC. NO i 1TEMPORARY POWER POLE
I I I
1 I (UNDERGROUND CONDUIT 1 1
I I
ARCHITECT OR ENGINEER: TEL. NO: i IUFER GROUND I 1
LIC. NO: i 1ROUGH CONDUIT 1 1
I I I
1 IROUGH WIRING 1 1
.I
1 (MAIN WATER LINE 1
1 IPLASTIC YIN METAL YIN 1
I I
1UTILITY COMPANY NOTIFIEDI 1 1
I 1
I I I
I I I I
1 I I I I I
1 I I I I I
I I I I I I
I 1 1 I I I
1 I I I I I
1 1 1
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(REPORT ID: DPR265 ROUTE T0: BS0508
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