HomeMy Public PortalAbout5040 BALDWIN AVE_Electrical__ 76A663 CE806 10/72 APPLICAT16N F R ELECTRICAL P IT
COUNTY OF LOS ANGELES
DEPARTMENT OF BUILDING AND SAFETY YDIVISION ER Boa 5040 dWln Ave.
ADDRESS
LOCALI TY
NEAREST
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OUTLETS NO EACH FEE OWNER OR
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20
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LIGHT TOTAL FIRST 0 25 CITY TEL N0448-2946
SWITCH 10
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LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 1pl ADDRESS
+
RESIDENTIAL APPLIANCES CITY l TEL No
PERMIT
RANGE DRYER WTR HTR_ APPLICANT
STA COOK DISP F A U ADDRESS 1607 Chestnut St. +
SPACE HTR AIR COND CITYAlhambra TEL N0282-0315
CLOTHES WASH DISHWASH LICENSE OR
REG UMBER 229847 CLASS C-10
FAN OTHER ., 100 1 HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN 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 ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE r
1 — 1O 300 DESCRIPLI) RESIDENTIAL PROPERTY O—
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SERJICEOVER 600VOLTS OR200AMP 1000IRGHDUIT
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TEMPSERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300
HORIZED
CO NOTIFIED
�. 7'7,
PERMIT FEE (SUB TOTAL)PLAN CHECK FEEPERMIT ISSUING FEE 300TOTAL FEE 6, 06
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PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CZEK , M 0 CASH
5 471,n-JUL 21 2'1 _ b00an
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I G
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768663 CE806 10/72 APPLICATION FOR ELECTRICAL' PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
BUILDING AND SAFETY DIVISION Y
T
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO lEACH FEE OWNER OR
$ 5 FIRM NAME
RECEPT_ MAIL
FIRST 20 25 ADDRESS
LIGHT TOTALIn
CITY E NO
SWITCH OVER 20 10
PLAN CHEC
LIGHTING TOTAL
FIRST 20 25 APPLICANT
ADDRESS
FIXTURES OVER 20 10 S
RESIDENTIAL APPLIANCES CITY TEL No
PERMIT
RANGE DRYERWTR HTR APPLICANT
STA COOK DISP F A U ADDRESS " f
SPACE HTR AIR COND CITY TEL NO --,W I
CLOTHES WASH DISHWASH LICENSE OR
REG NUMBER CLAS --3
FAN OTHER 100 1 HEREON ACKNOW,EDGE 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 ANGEL COUNTY AND TATE OF
CALIFORNIA OR THAI I AM THE LEG OWNER OF T ABOVE
1 - 10 300 DESCRIPED RESIDE T AL PROPERTY d
O
PERMITEE V
10 - 50 500 SIGNATURE (1'
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J50 - 100 1000 DISTRICT NO _ PRO SED BY V
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100 - S00 1.)00 f O .//�'rjQ
SIGN GAS "[SIGN ONE CIRCUIT 500
APPROVALS DATE INSPECTOR S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CE NOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK L.I
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED y
FINAL r
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PERMIT FEE (SUB TOTAL) NOTES�� O�/��
PLAN CHECK FEEQap ®d+�✓��^�� .l�'0� \
PERMIT ISSUING FEE 300 O .. ..�y-'
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
S
9 3 0 AN z3 2 D 7.g0 ®�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663 CE806 9 64 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING y�
BUILDING AND SAFETY DIVISION ADDRESS Q f I Af
JOHN A LAMBIE COUNTY ENGINEER /
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT 6e TOTAL NO EACH FEE
OUTLETS FIRST 2O / $20 $( O OWNER
LIGHT 7' ADO L ADDRESS Q `J �/()I� �L1
MAIL
SWITCH � OVER 20 10
TOTAL CITY TEL NO
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OVFR 20 /O
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SARK STA COOK CITY A [J� /SEL NO <
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/ AUTO WASH / �y/ STATE G
SPACE HTRS STA APP (I/z H P MAX I 50 �(V LICENSE NO _23 3 Q
MOTORS OVER NOT OVER H P DISTRICT NO G ZONE I PTED
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SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500 ,
MISC
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP (CATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TCJ COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY T T I AM Y GISTERED AND/OR FIXTURES
LICENSED AS REQUIR BY O E ES CO TY AND STATE OF
CALIFORNIA OR THA GA OWNE OF AND INTEND TO
RESIDE IN THE AB SC B E DE ROPERT POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITT
FINAL
IDATION JOSEPH C ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LHLo 2 5 � 0 6 2 D 7 4 Q-
$� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1109210002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID BUILDING ADDRESS
ITR 10821 LT 1 I 1 5040 BALDWIN AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804010 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LA ROSA 1
18585 008 015 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
ILB 200 AMP PANELS MCC 1 00 PAN 38 80
ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY 1
I 109/21/11 SR 1
(OWNER TEL NO �I (F(IN DATE� F BY CODE
MONGE MARIA (626) 443 3323 I . _
15040 BALDWIN AV I I ►
ITEMP 9178040101 1 E�CRIPTION OF WORK 1
1UPIRADE SERVICE PANEL TO 200 AMP
(APPLICANT TEL NO
SAME AS OWNER
I (SPECIAL CONDITIONS r
I I I1
r I
CONTRACTOR TEL NO I ,. (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER I l -
LIC NO ITEMPORARY POWER POLE
I (UNDERGROUND CONDUIT
) I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND
I I
LIC NO IROUGH CONDUIT
IROUGH WIRING
I I I I
(MAIN WATER LINE
IPLASTIC Y/N METAL Y/N
1U9ILITY COMPANY NOTIFIEDI
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
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