HomeMy Public PortalAbout5119 BALDWIN AVE_Electrical__ B 5 A 12 43 25M
DDEPARTMENI' OF BUILDING AND SAFETY
APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
M J FOX CHIEF ENGINEER
Q NAME d /h DISTRICyNO GROUP ZONE PERMIT NO
F� ADDRESS �//
U CITY r �6.�0 TEL NO TI 1:31 � R��(//)EIV(//E{D�BY FIRST INSPECTION READY FOR DATE ISSUED
N COUNTY �j
CERT NO / � EXPIRES _!O
i
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS -S �D �L�''`'`'"^'
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW PLUGS FIXT CROSS ST
CIRCUIT A B C D I E F G I H X NAME
MAIL
Yeo d ra, 3 ADDRESS v r
jai A O CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
E,LWEC�TI,RIIC4AN
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
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Q
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!Y
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rOTAL00
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NO OF OUTLETS $ APPROVALS
NO OF FIXTURES �r $ `7S" DATE INSPECTOR S NAME
NO OF MOTORS HP $ CONDUIT
NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ I POWER
PERMIT FEE $ V UTILITYCO NOTIFIED,/ 1
TOTAL FEE FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0711070057
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS
5119 BALDWIN AV
ITR 9481 IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803902
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18589 007 002 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
ILD 400 AMP PANELS MCC 1 00 PAN 76 05 I I
ITENANT I TOTAL FEES 103 80 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
111/07/07 SR 05/05/08
(OWNER TEL NO IF NAL DATY, CODE I
IMATTA RON R GEORGIA A (626) 443 6721
15119 BALDWINAV
9178039 I DESCRIPTION OF WORK I
(TEMP 917803902 1 (INSTALLATION UPGRADE 400 AMP SURFACE MOUNT I
I
(APPLICANT TEL NO 1 I
ISAME AS OWNER j I I
SPECIAL CONDITIONS
I
1CONTRACTOR TEL NO I
N (APPROVALS DATE INSPECTOR SIGNATURE I
SAME AS OWNER I
I
LIC NO 1 ITEMPORARY POWER POLE I I I
(UNDERGROUND CONDUIT I I
I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I
LIC NO IROUGH CONDUIT I
IROUGH WIRING I I I
IMAIN WATER LINE I I
IP,ASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIEDI I I
�G Pi 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
j I I I I
j I I I I I
I I I
IREPORT ID DPR265 ROUTE TO BS0508 I I I I
`I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706110008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 9481 1 1 5119 BALDWIN AV I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803902
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LA ROSA I
18589 007 002 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
1 IB2 1 OR 2 FAMILY DWELL 638 00 SQ 66 99 1 1
ITENANT I TOTAL FEES 94 74 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
1 1 106/11/07 SR 12/08/07 I
I I I I
(OWNER TEL NO I IF NAL DATE�J FI�NpA��i"'/ABY CODE 1
MATTA RON R GEORGIA A (626) 443 5721 1 G� )
5119 BALDWIN AV "" ��✓✓ �//
ITEMP 917803902 1 IDESCRIPTION OF WORK I
I I 1ELECTRICAL FOR 2ND UNIT I
I I I I
1APPLICANT TEL NO I 1 I
IMATTA (626) 826 8391 1 I I
15119 BALDWIN AVE 1 ISPECIAL CONDITIONS I
ITEMPLE CITY CA 91780 I I I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
IMATTA RON (626) 443 5721 1 1
15119 BALDWIN AVENUE LIC NO I ITEMPORARY POWER POLE I I I
ITEMPLE CITY CA 91780 NONE I 1 11 1
I 1 UNDERGROUND CONDUIT I I I
1ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I I
LIC NO 1 IROUGH CONDUIT I I I
1 I IROUGH WIRING II
I � I •1�'/ ' �1 1
1 I IMAIN WATER LINE I I
IPLASTIC Y/N METAL Y/N I I
(UTILITY COMPANY NOTIFIEDI�!I 6, 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 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT .
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0610060017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 9481 5119 BALDWIN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803902
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8589-007-002 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 33.60 10/06/06 JK 04/04/07
OWNER: TEL. NO: F AL DATF A BY: CODE:
MATTA RON R;GEORGIA A (626) 443-6721-
5119 BALDWIN AV
TEMP 917803902 ESCRIPTIO OF WORK
ELECTRICAL FOR 2 CAR GARA E FOR SECOND UNIT
APPLICANT: TEL. NO:
MATTA (626) 443-6721-
5119 BALDWIN AVE. SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MATTA, JESS (626) 443-6721-
5119 BALDWIN AVE LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 NONE -
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508