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HomeMy Public PortalAbout5026 BALDWIN AVE_Electrical__ 76gG63 CE80&10/72 APPLICATION FOR, ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER AOO BUILDING AND SAFETY DIVISION d LOCALITY ` NEAREST / FOR APPLICANT TO FILL IN CROSS ST +" OUTLETS NO EACH I FEE OWNER OR t FIRM NAME RECEPT� MAIL /�J i'• , ✓� ° .�� ADDRESS ( (/ FIRST 20 LIGH T TOT L ' 25 �© CITY TEL NO SWITCH OVER 20 10 PLAN CHECK y LIGHTING TOTAL FIRST 20 25 APPLICANT i ADDRESS FIXTURES OVER 20 I 10 r i RESIDENTIAL APPLIANCES CITY TEL NO PERMIT r �^ t RANGE DRYER_WTR HTR_ APPLICANTS- � i®Q STA COOK DISP F A U ADDRESS � a SPACE HTR AIR CO ID CITY TEL NO Yj ^/ CLOTHESILICENSE ORWASH DISHWASH REG NUMBER SY CLASS L� FAN .OTHER 100 I HEkE01 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 INDHEATERS ETC HP KW KVA f ELECTRICAL WIRING SIZE & TYPE OVER TO r I HEREBY CERTIFY THAT-ITAM PROPERLY IS TER ED AND 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES C UNT AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL 0ZFHEABOVE1 — 1O 300 '� CALIFOf NI RESIDEN AL PROPERTPERMITEEC_ 10 - 50 500 SIGNATURE J= O 50 - 100 I 1000 DISTRICT NO PROCESSED BY W 100 — 500 1,00 5 14N Z SIGN GAS TUBE OR SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC RS SIGNATURE MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER600VOLTS OR200AMP 1 300 UNDERSLAB WORK SERJICEOVER 600VOLTS OR200AMP 1000 s ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING TEMP LIGHTIOR RECEIPT SYSTEM 300 FIXTURES POWER AUTHORIZED , a� ` UTILITY CO NOTIFIED FINAL k iX®7r ^ PERMIT FEE (SUBTO4TAL) NOTESCjEe PLAN CHECK FEE ; X11. PERMIT ISSUING FEE 300 r r TOTAL FEE t D ^ PLAN CHECK NALIDATION CK M o CASH PERMIT VALIDATION CK ` o CASH y 2 7 1rP�AR 40 ,2 0 2 J ®90 r r SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE A / COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1004290029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT (LEGAL ID 1 FEES PAID 1 BUILDING ADDRESS 1 ITR 10821 LT 3 BL 001 UN 002 1 5026 BALDWIN AV I I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 TEMP CA 917804010 I (ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET 1 18585 008 033 IA1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl I IG1 OUTLETS LGT SW RECP 2 00 OUT 3 90 1 (TENANT ITOTAL FEES 31 65 (ISSUED ON PROCESSED BY PLAN BY I 1 104/29/10 SR 1 I I I I (OWNER TEL NO I I FII''NAL DATE FINALL�J(y�)Y CODE 1G LEE (626) 716-8599 150265026 BALDWIN AV lJ U (TEMP 917804010 1 (DESCRIPTION OF WORK 2 OJILETS FOR WET BAR (APPLICANT TEL NO 1 1 I ISAME AS OWNER 1 1 1 I I ISPErIAL CONDITIONS I I i I I I I I (CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 (SAME AS OWNER I I I I LIC NO I ITEMDORARY POWER POLE I I I I I 1 11 I I I IUNDFRGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO I IUFER GROUND II I I I I I I' 1 I I LIC NO I IROU3H CONDUIT I 1 I 1 I IROLUH WIRING I I I I -1 1 1-1 I 1 I (MAIN WATER LINE 1 1 1 I I (PLASTIC Y/N METAL Y/N 1 1 I I I (UTILITY COMPANY NOTIFIED( I 1 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 1 IREPORT ID DPR265 ROUTE TO BS0508 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECIPICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0405190025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID UILDING ADDRESS TR 10821 LT 3 BL 001 UN 002 5026 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804010 ASSESSOR INFORMATION NUMBER _ NEAREST CROSS STREET LA ROSA 8585 008 033 Al PERMIT ISSUANCE FEE 27 15 ' THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY, C G1 CUTLETS LGT SW RECP 47 00 OUT 75 45 TENANTG2 LIGHTING FIXTURES 10 00 LGT 19 50 ISSUED ON PROCESSED Bf PLAN BY EXPIRES 0 117 RES EXHAUST FANS 2 00 EX 21 90 05/19/04 VG 11/15/04 LB 200 AMP PANELS, MCC 1 00 PAN 38 85 17 OWNER TEL NO 10TAL FEES 183 45 FINAL DAT FlprL BY COD LI YAZHONG (62o) 675 9391 5026 BALDWIN AVE TEMPLE CITY 91780 DESTR—IPTMN OF WORK/ ELECTRICAL FOR ADDITION AND RE_OCATE & UPGRADE SERV,CE APPLI 4NT TEL NO HSU (626) 236 8005 SPECIAL CONDITIONS I z CONTRACTOR TEL N APPROVALS DATE INSPECTOR SiCrA�U-I— RE HL XUE PEI (626) 379 9770 1522 ACACIA STREET LIC NO TEMPORARY POLE ALHAMBRA CA 91801 764228 B UNDERGROUND CONDUIT I ARCHITECT OR ENGINEER TEL NO f G-CET GPOLIND HSU G70RGE (626) 236 8005 616 N OLIVE AVE LIC NO ! ROUGH CONDUIT AL4AMBPA CA 91801 383572 S II — � iiOJur WIRING MPIN WATER LINE PLASTIC Y/N METAL Y/N UTILIll COMPANY NOTIF eD r i l REPORT ID DPR265 ROUTE TO BS0508 Nt11