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HomeMy Public PortalAbout4945 BALDWIN AVE_Electrical__ _ PLICATION FOR ELECTRICAL PERMI - oIJNTY OF LOS ANGELES 'ARTMENT OF COUNTY ENGINEER BUILDING PWBUILDI'NG AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST -'^..L� NO EACH FEE / RECEPT/ $ $ OWNER MAIL /� r LIGHT TOTAL FIRST 20 (y 20 ADDRESS %yu SWITCH X11— OVER 20 10 CITY TEL NO �` LIGHTING �TOTAL FIRST 20 20 CONTRACTOR LTJFIXTURES OVER 20 10 ADDRESS RANGEDRYER_WTR HTR CITY f TEL NO STA COOKDISP -F A U - LICENSE NO SPACE HTR AIR COND 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH _DISH WASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING FANOTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO IND HEATERS ETC HP KW KVA RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SIZEAWe n/& TYPE OVER TO p SIGNATURE d C:OAAO 0 - 1 1 00 / OF PERMITTEE a 0 1 - 10 3 00DISTRICT NO GROUP ZONE ED V 10 - 50 5 00 ' r���r> 50 - 100 10 00 NOTES 100 - Soo 15 00 SIGN GAS SIGN AND ONE CIRCUIT 3 00 Q� -{}�I'�(/ TUBE OR e �l MARQUEE ADDITIONAL CIRCUITS 1 00 pf�.o�B 'In� (1� g124, 4'"rl. t $U5t/;Y' SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 pF r r Jj , it) �lA�.r� A 1'T �t+1 Pl�-�.O_n -9'-V SERVICE OVER 600 VOLTS OR 200 AMP 5 00 &P-eA /e- �O t�I TEMP SERVICE POLE & APPURTENANCES 3 00 -n APPROVALS DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING f ISSUING FEE 2 00 0 f FIXTURES SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED / PERMIT FEE UTILITY C_ONOTIFIED 1 /�� PLAN CHECK FEE (50% PERMIT FEE) FINAL W Wfit �, / vtj 60'v� TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELE AL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CASH L UO u 4- SEL 5 2 D 3.4 0 N v SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE L4/ oBDEAPARTMENT OF BUILDING AND SAFETff APPLICATION FOR PERIVIIT CQUNM,OF LOS ANGELES ELECTRIC WM FOX CHIEF ENGINEER z DISTRICT NO GROUP ZONE PERMIT NO < NAME O�'1 {� �j U ADDRESS Z�35 III 5 � ' ��/ -/ IU CITY COUN �J� fi. TEL NO 3/ 7tt'�LL RECEIVED BY BY FIRST INSPECT ECT ONCOUNTY READY FOR DATE ISSUED W CERT NO / / EXPIRES Z'L��TiO " 'r v 7 J2 —Y� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS ,L 3 S d , A 1.D W! IV L NUMBER OF OUTLETS ON CIRCUITS LOCALITY (� LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW PLUGS FIXT CROSS ST p� CIRCUIT A B C D E F G H w NAME I "' 1 / z MAIL / / 3 ADDRESS CITY TEL.NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIF` I T�OF UALIFICATION �A�I�J-CCC"'/"' r 1 G 6 ELECTRI IAN is 1 AM THU LEGAL OWNER OF THE PROPERTY DESCRIBED A/, 7-- .Z Z ABOVE 7)o acg / OWNER [,I-T CORRECTIONS Rt DOD L c a a- � t 3 1� 3 z n 0 TOTAL 2 / S NO OF OUTLETS « $ L APPROVALS NO OF FIXTURES $ DATE INSPECTOR S NAME NO OF MOTORS H P $ CONDUIT NO OF SIGNS TRANS $ [" WIRING EATERS $ ✓ FIXTURES MISCELLANEOUS $ POWER / PERMIT FEE $ UTILITYCO NOTIFIED TOTAL FEE s TINA 7yA663`CF806 11 71 APPLICATION FOR EL CTMCAL SPE MIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS a LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OU LETS NO EACH FEE $ $ OWNER RECEPT MAIL ADDRESS LIGHT �� TOTAL FIRST 20 25 Z OVER 20 CITY TEL NO SWITCH_ 10 PLAN CHECK LIGHTING TOTAL FIRST 20 Zg APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER_WTR HTR_ APPLICANT STA COOK DISP F A U ADDRESS �/ A�L3G-�C✓ SPACE HTR AIR COND CITY TEL NO CLOTHES WASH DISHWASH LICENSE NO CLASS FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 O 1 - lO 300 RESIDE IN THE ABOVE DESCRIBED RESIDE NTI P OPERTY V_ 10 - 50 500 SIGNATURE P �, OF PERMITTEE O 50 - 100 1000G DISTRICT NO CLASS ZONE O ESS ED BY 17J SO �- QQ/I z'LQ N 100 - 500 1500 SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 APPROVALS DATE INSPECTOR S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 1000 TEMP POWER POLE TEMP SERVICE POLE &APPURTENANCES 500 TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK ROUGH CONDI UT WIRING cc FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE FINAL L PERMIT ISSUING FEE 300 � d TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATI CK MO CASH LtO 7 5 9 6- AUG 18 2 0 5.25- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0305160028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL D FEES PAID BUILDING ADDRESS TR 9848 LT 23 BL 001 4945 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804009 ASSESSORB NEAREST CROSS STREET LOWER AZUSA 8589 026 034 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY 82 1 OR 2 FAMILY DWELL 1600 00 SQ 168 00 TENANT LA 100 AMP PANELS, MCC 1 00 PAN 38 85 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 234 60 05/16/03 JK 11/12/03 OWNER TEL NO FINAL DATE CODE SIERRA JOHN (626) 448 0961 4945 BALDWIN I .XPIRLLJ TEMPLE CITY 91780 DESCRIPTION REWIRE HOUSE & UPGRADE PANEL TO 100AMP APPLICANT SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL -N-6 APPROVALS AT INSPECTOR SIGNATURE SAME AS OWNER LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ENGINEERARCHITECT OR UFER GROUND - I LIC NO _ ROUGH CONDUIT i I I IROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID DPR265 ROUTE TO BS0508