HomeMy Public PortalAbout4834 BALDWIN AVE_Electrical__ . � v
76A663 CE4,06 11,70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
A DEPARTMENT OF COUNTY ENGINEER BUILDING )3,4L A�i? ve
BUILDING AND SAFETY DIVISION ADDRESS l�
-COLEMAN W JENKINS SUPERINTENDENT OF BUIL ING j
LOCALITY '7.e ti-i P4 t G If I
NEAREST
FOR APPLICANT TO FILL IN CROSS ST �® (f it jQ-�v'SA'
OUTLETS NO EACH OWNER (/1 C4
FEE T
RECEPT 2_V $ Is
FIRST 20 25 ADDRESS 3
LIGH /D� k '00 1 L) a
T TOTAL
CITY �/�Sry �'C�rTEL NO
SWITCH `S OVER 20 10 3 �" PLAN CHECK
LIGHTING TOTAL
FIRST 20 25 7 APPLICANT
6
FIXTURES 13_ 10
OVER 20 ADDRESS
APPLIANCES CITY A / f� AJ
NO/
RANGE DRYER WTR HTR PERM7—
APPLICANTI /VA O.j`7� ��w ^ e �/'
STA COOK DISP / F A U ADDRESS ��} /V "OR
C')M t) e6,4
SPACE HTR AIR COND �_ CITY �� QL11ATEL NO 33 --300-0
CLOTHES WASH __/_DISHWASH / D LICENSE NO CLASS
FAN OTHER / 100 / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
(� (((���JJJ 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 �-
RESIDE IN THE ABOVE SCRIPED RESIDENTIAL ROPERTY Cl-
1
1 - 10 3001
fes)
10 - 50 500 SIGNATURE C
OF PERMITTEE ix
50 - 100 1000
DISTRICT NO CLASS ZONE PROCESSED BY V
/ 1 W
100 - 500 1500 ,r + 0-
SIGN
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES N
Z
TUBE OR —
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER600VOLTS OR200AMP 300
APPROVALS DATE INSPECTOR S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 5 D
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 300
JOS PH C ROOHAN
TOTAL FEE 3 SUPERVISING ELECTRI NGIKEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M CASH
4 ? = t 2 4 2 D 2345
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE rr
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706140019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE I I 4834 BALDWIN AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804006
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18585 009 028 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY Cl
I JHA FAU LESS 3HP 1 00 FAU 10 95 I
TENANT I TOTAL FEES 38 70 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
106/14/07 SR 12/11/07 I
OWNER TEL NO IFINAL EDAJ, BYq- CODE I
NGUYEN TRACY (714) 240 7007 i 1 v f
4834 BALDWIN AV EXPIR
W
TEMP 917804006 IDESCRIPTION OF WORK I
11 NEW CIRCUIT
APPLICANT TEL NO 1
1ARGO CONST SERV (626) 581 4577
11915 EDMORE AVE 1 ISPECIAL CONDITIONS
IROWLAND HTS 91748 1 1 1
CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
1ARGO CONST SERV (626) 581 4577 1 1 1
11915 EDMORE AVE LIC NO ITEMPORARY POWER POLE I I I
IROWLAND HEIGHTS CA 91748 632879 I 1-1 1
I 1UNDERGROUND CONDUIT I I I
I I I + I I I
(ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND
I I I ' 11 1
I LIC NO I IROUGH CONDUIT I I I
I I I I I I
IROUGH WIRING I I I
I I I I I I
(MAIN WATER LINE I I I
��l r��♦� � ��� ,/'(�J�,��^,�(/l'�1 Sy�I A i PLASTIC Y/N METAL Y/N I I I
1 IW) 1 4 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 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 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
IREPORT ID DPR265 ROUTE TO BS0508 I I I I
I I I I I I