HomeMy Public PortalAbout6219 1/4 AVON AVE_Electrical_11/17/2014_to
COUNTY OF LOS ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING AND SAFETY / LAND DEVELOPMENT
LEGAL ID:
TR: 5903
LT: 26
ASSESSOR INFORMATION NUMBER:
5386-007-014
TENANT:
OWNER:
LOUIE, LESLIE
6219 1/4 AVON AVE
SAN GABRIEL CA 91775
TEL. NO:
(626) 355 -6433 —
APPLICANT:
TOBIN, ROBERT
5823 ZAPATA PL
RANCHO CUCAMOGA
TEL. NO:
(909) 921 -2033 —
CONTRACTOR:
TOBIN CONSTRUCTION INC.
5823 ZAPATA PLACE
RANCHO CUCAMONGA, CA 91737
TEL. NO:
(909) 989-9173—
LIC. NO
593678
ARCHITECT OR ENGINEER: TEL. NO:
LIC. NO:
TEMPLE CITY
9701 LAS TUNAS
TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
0508 ELECTRICAL PERMIT
EL 0508 1410220060
FEE DESCRIPTION:
FEES PAID
QUANTITY: UOM: AMOUNT:
Al PERMIT ISSUANCE FEE
LA 100 AMP PANELS, MCC 1.00 PAN
TOTAL FEES
REPORT ID: DPR265 ROUTE TO: BS0508
27.80
38.90
66.70
BUILDING ADDRESS:
6219 1/4 AVON AV
SGAB CA 917752607
NEAREST CROSS STREET: ROSEMEAD
THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY CA
ISSUED ON: PROCESSED BY: PLAN BY:
10/22/14 SR
FINALD T�
DESCRI T�IJ110
N OF WORK
NEW 100 AMP SERVICE
FI Y: CODE:
SPECIAL CONDITIONS:
APPROVALS
DATE INSPECTOR SIGNATURE
TEMPORARY POWER POLE
UNDERGROUND CONDUIT
UFER GROUND
ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
"
O W N E R - B U I L D E R D E C L A R A T I O N
I h e r e b y a f f i r m u n d e r p e n a l t y o f p e r j u r y t h a t I a m e x e m p t f r o m
t h e C o n t r a c t o r s '