HomeMy Public PortalAbout4837 BALDWIN AVE_Electrical__ 4
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COUNTY Of LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704090003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 9848 LT 17 BL 001 4837 BALDWIN AV I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804007
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18589 025 025 1A1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY Cl
IHA FAU LESS 3HP 1 00 FAU 10 95 1 1
ITENANT IJB AC UNITS +3-10HP 1 00 AC 19 65 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
I TOTAL FEES 58 35 104/09/07 JK 10/06/07 1
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1OWNER TEL NO I I FFNA,LI��IT F Y CODE I
IDORCAS SO (626) 524 6407 1 11 {�' 1
14837 BALDWIN AV 1 I_
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(APPLICANT TEL NO I I I
IECONO AIR (800) 503 2666 I 1 1
13101 ENTERPRISE ST I ISPECIAL CONDITIONS
IBREA CA 92821 I 1
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ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
IECONO AIR (800) 503 2666 1 1 I
13101 ENTERPRISE STREET LIC NO I ITEMPORARY POWER POLE I I
1BREA CA 92821 445220 C20 I I_ I I I
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'6A663 CE806 5 62 APPLICATION FOR" ELECT: CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE 4
LIGHT OUTLETS FIRST 20 O $20 $ MWNER
AIL
ADD ADDRESS
SWITCH S� �/ OVER 20 10
aCITYTEL NO
LIGHTING F1RST 201 20FIXTUREST--T;—�—Eo
DDL 10ELECTRICIAN R 20
RANGES CLO DRYERS WTR HTRB 100 ADDRESS
ARB D18P BTA COOK CITY TEL NO I
DISHWASH AUTO WASH STATE
SPACE HTRB APP I MAX 50 , LICENSE NO I
MOTORS OVER NOT OVER HP DISTRIICT O GROUP ZONE CESSED Y
O 1 100 i l/
1 3 150J ��� INSPECTION RECORD A
3 8 200 a� I .tel`r �L.^.e� C
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S 15 250 ,.' ��
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15 50 300 0
50 100 500 1w
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NO TRANS ~
SIGNS NO LAMPS W
SERVICE O 600V NOT OVER 200A 100z
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SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100,
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAT ON APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT 1 A A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS A GELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM; GAL O R OF E ABOVE
DESCRIBED RESIDENT[A�rfPROPOWER //! //ay,moi . _AFA/I
SIGNATURE G' UTILITY CO NOTIFIED XO�pJd7' Al .
OF PERMITTEE LN{Ll .. AQ �'
FINAL nAA�i°�
�LIDATION ARTHUR C VETT o'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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76A663 CE806 3 69
APPLICATION FOR ELECT CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION gDDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALI
FOR APPLICANT TO FILL IN NEAREg� 2 Cl 17'1
ST
CROSS S
NO EACH FEE
$ $ OWNE
RECEIPT MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
TEL NO
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES } OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK DISP F A U C ,
SPACE HTR AIR COND ADDRESS
CLOTHES WASH _DISHWASH TEL N
FAN OTHER 1 00 LICENSE CLASS
MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
O - 1 1 OO HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1 - 10 3 OO CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO d
RESIDE IN THE ABOVE DESCRIBED SIDEN TIAL PROPERTY O
10 - 50 5 00 V
SIGNATURE
50 - 100 10A0 OF PERMITTE O
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100 - 500 1500 DISTRICT NO GR9J - ZONE PRO E D w
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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
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS 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 fi UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 C/ FINAL
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECT L ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M O CASH
� f' yb0 APR 7 2 D300 CQ
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OV LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704100013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
(LEGAL ID 1 FEES PAID 1 BUILDING ADDRESS I
ITR 9848 LT 17 BL 001 1 I 4837 BALDWIN AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804007 I
(ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET LOWER AZUSA 1
18589 025 025 IA1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY Cl
ILB 200 AMP PANELS MCC 1 00 PAN 38 85 1
(TENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
I I 104/10/07 JK 10/07/07 1
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(OWNER TEL NO 1 I FI ALD/,TE FI CODE 1
ISO GEORGE (626) 579 2896 I 1 ►� [ice 1
14837 BALDWIN AV 1
(TEMP 917804007 1 ITDECRIPTIONIOF WORK I
I I (UPGRADE SERVICE PANEL TO 200 AMP I
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(APPLICANT TEL NO 1 I I
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