HomeMy Public PortalAbout5227 BARELA AVE_Electrical__ 76A633'ffltE80&L1-71 APPLICATION FOR ELECTiICAL PERMIT
o COUNTY OF LOS ANGELES _ �l
D€PARTMIENT OF COUNTY ENGINEER BUILDING
1
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE7
OWNER
RECEPT.� $ $ MAIL Z
FIRST 20 �' '^9 ADDRESS _
LIGHT TOTAL •25' b ry
14 CITY /I k' ; TEL. NO.
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT `
RANGE DRYERWTR. HTR._ APPLICANT
STA. COOK DISP. F.A.U. ADDRESS o i I 1-3
SPACE HTR. AIR COND. CITY 6 y'�i'Z-4`, TEL. N0. ,��JS�
CLOTHES WASH. DISHWASH. LICENSE NO. .Z_ CLASS.6-/b
FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATETHATTHE 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 1.001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THAT I fM THE LEGAL OWNER OF, AND INTEND Tp O
1 - 1O 3.00 RESIDE IN, THE B E DESCRIBEDO RESIDENTIAL PROPERTY.
/ V
10 - 50 5.00 SIGNATURE OF PERMITTEE / ` o
50 - 100 10.00 1--
DISTRICTNO. CLASS ZONE 7L.�_
D BY w
100 - S00 15.00 '� a-
A z
SIGN AN
SIGN, GAS D ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.000
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT, SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED > Z 4
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
7!3j
PERMIT ISSUING FEE 3FINAL
TOTAL
Lj(�
TOTAL FEE i 2_5
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAL'D!ATIONCK. M.O. CASH
11bo a 7 n NGV i' 2 D/' 1 1.2 5,
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
7GA5 APPLICATION FOR ELECTRIC PERMIT 1..
5
I?I
'DBS-•'+r'. VISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los AngelesBUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN, SUPT OF BUILDING ••'���
LOCALITY /.kir �.E d
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. c
NUMBER EACH FEE
OWNER
LIGHT OUTLETS
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES _
TOTAL OUTLETS 5¢ $ .� CITY TEL. NO.
ELEC.RANGES 25 ELECTRICIAN
_ELEC. HEATERS 25 ADDRESS -
J
KW EA CITY 1;4TEL.'N .
FIXTURES I 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - . DISTRICT NO. GR UP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I I /y-
MOTORS
NUMBER I HORSEPOWER IFEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
1/z&LESS $ .25
Y 1/2 2 .50 L.
2 5 1.00
5 15 1.50
I5 50 2.50
50 I 200 5.00
M15C.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE is I lP DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -e
WITH ALL COUNTY ORDINANCES AND STAVE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL. ROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL J�
WILLIAM J. FOX.COUNTY ENGINEER 'VALIDATION- A.C.VEIT,CHIEF ELECT.INSPECTOR
+
73 C Sp
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1005030044
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 15683 LT: 62 I 1 5227 BARELA AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803849 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18589-012-003 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
IF1 120V, 15/20A BR CKTS 1.00 BR 17.25 I
(TENANT: 1G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 (ISSUED ON: PROCESSED BY: PLAN BY: I
IG2 LIGHTING FIXTURES 1.00 LGT 1.95 105/03/10 SR I
1HA FAD LESS 3HP 1.00 FAU 10.95 I I
(OWNER: TEL. NO: IJB AC UNITS +3-10HP 1.00 AC 19.65 IFI AL DATE FINAL BY: CODE: I
(WANG, SHU ZHU (626) 375-7963- I TOTAL FEES 79.50 1l i I
15227 BARELA AV I I
I
ITEMP 917803849 IDESCRIPTION OF WORK A1
I I (ELECTRICAL FOR AIR CONDITIONING AND HEATING SYSTEM
I I I I
(APPLICANT: TEL. NO: I 1 I
(ALLIANCE ENERGY COMPANY (626) 831-0818- 1 I
1131 LIME AVENUE I ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91776
I I I I
ICONTRACTOR: TEL. NO: I hAPPROVALS DATE INSPECTOR SIGNATURE 1
(ALLIANCE ENERGY CO. (626) 831-0818- 1 1
1131 LIME AVE LIC. NO I ITEMPORARY POWER POLE I I
ISAN GABRIEL,CA 91776 925226-B-C I 1 11
(UNDERGROUND CONDUIT
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND
I I I
LIC. NO: I IROUGH CONDUIT I 1
I I - TROUGH WIRING �I
I
IMAIN WATER LINE
IPLASTIC Y/N METAL Y/N 1 I
(UTILITY COMPANY NOTIF_IEDI II
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 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 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: ES0508 1
I I I I I I