HomeMy Public PortalAbout5426 BALDWIN AVE_Electrical__ /Ep689 CESOB f0 60 APPLICATION FOR ELECTR CAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER ♦ �w
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY �A w . 4/1 /� �! L�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNER J f JA
I T E M NUMBER EACH %
FEE MAIL
OUTLET /� J g ADDRESS
LIGHTS RECEPT SW 2 ul 10
LIGHTING FIXTURES CITY (@M�9-�R TEL NO I
10
ELEC RANGES CLO DRYERS ELECTRICIAN s 1
cl
WATER HEATERS so ADDRESS
ELEC SPACE HTR6 `DISHWASHERS CITYIA TEL NO
GARBAGE DISPOSERS AUTO STATE
WASHERS _ITA COOKING UNITS 25 LICENSE NO (-
MOTORS OVER INC H P DIS RIIpCT NO GT P ZO E I P CESSED BY,
0— 1/2
1/2— 2 50 INSPECTION RECORD
o.
2— 5 100 O
5— is ISO lJ
Is— 50 250 O
50— 200 500 rj
d
NO TRANS N
SIGNS
NO LAMPS /�
SERVICE O 600V i 00 0
SERVICE OVER 600V Boo
M ISC
WIRINGPERMIT 100
FIXTURE PERMIT too O
SUPPLEMENTARY PERMIT 50
TOTAL FEE 3,1, S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING � • ,�/�/ /,J� }
ELECTRICAL WIRING WIRING r �iC_O.i C'f�L1aC0 Q-4 s�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE FINAL
ffigam
�IDATION ARTHUR C VETT
SUPERVISING ELECTRICAL ENGINEER
MO CASH
�os 8 3 „t.11 ?6 G 13.70
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0810060023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5426 BALDWIN AV 1
1FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802624
ASSESSOR INFORMATION NUMBER 1 NEAREST CROSS STREET OLIVE
18586 023 018 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
G1 OUTLETS LGT SW RECP 12 00 OUT 23 40
TENANT IG2 LIGHTING FIXTURES 4 00 LGT 7 80 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 58 95 110/06/08 SR 04/04/09
OWNER TEL NO IFINAL D TE FIN Y CODE
IAU SANDY (818) 383 3248
15426 BALDWIN AV Iu SAl
ITEMP 917802624 IDD SC�N OF WORK 1
1 110 OUTLETS 4 LIGHT FIXTURES AND 2 SWITCH
I I I I
1APPLICANT TEL NO 1
IHUNG (714) 914 3725
113231 HAZEL ST 1SPECIAL CONDITIONS 1
GARDEN GROVE 92844 1
1CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
ILE HUNG (714) 914 3725 1 1
113231 HAZEL ST LIC NO 1TEMPORARY POWER POLE
IGARGEN GROVE CA 92844 NONE 1 1 11
I I 1UNDERGROUND CONDUIT I I
1ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I
I LIC NO 1 IROUGH CONDUIT
I I I I I I
1 I IROUGH WIRING 1 I
1 1 IMAIN WATER LINE 1 1 1
IPLASTIC Y/N METAL Y/N I
1UTILITY COMPANY NOTIFIEDI I 1
I I I I I I
I I I I I I
II 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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1 I I I I I
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I IREPORT ID DPR265 ROUTE TO BS0508 I 1 I
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