HomeMy Public PortalAbout10776 BLACKLEY ST_Electrical__ 76AG63-CE60610-I19 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY UILDING AND SAFETY DIVISION AS DDRE8S
B �tq 7 7� �A�V iPJ1!/.1i1
JOHN A. LAMBIE. COUNTY ENGINEER
'WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARESTn �
PERT FEES CROSS ST.
MI
ITEM lao A ad it
NUMBER EACH FEE OWNERAIL
OUTLETS: $ $ ADDRESS
LIGHTS RECEPT. SW. .1O
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICjIIAN
WATER HEATERS .50 ADDRESS CJ
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. �(D
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. Jd
MOTORS: OVER ' INC. H.P. DISTRICT NO. I GROUP ZONE ESSED BY
0— 1/2 .25
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00 _
NO.TRANS.
SIGNS:
NO.LAMPS
SERVICE 0-600V 1 1.00 .rte
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
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.�i POWER
SIGNATURE J� _ e� UTILITY CO.NOTIFIED '"I�
OF PERMITTEE tT/Ls�c�' 1, VVV'!/e-86
FINAL
®F AIDATION ARTHUR C.VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER.
( AG0 8 7 1 8 AN 4 2 A 2.0 0 to
Tt�:-m pz-c C? Y 1
76A663-CE606 3-64 APPLICATION FOR ELECTRICAL PEM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER ��eh90L /1
WILLIAM A:JENSEN, SUPT OF BUILDING LOCALITY l
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. L! L L t
FHWA
. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OWNER
MAIL
ADD'L .10 ADDRESS
. _ OVER 20
TOTAL CITY T NO.
ING � FIRST 20 .20
RES OV DR 20 .10 ELECTRICIAN
{q
S CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
P. STA.COOK CITYH. AUTO.-WASH. STATELICENSE NO.RS. STA.APP.(yp H.P.MAX.) .SO: OVER NOT OVER H.P. DISTRICT NO. GROUP INE P OCESSED Y
O 1 1.00 i 0`J I 1 L
1 3 1.50 INSPECTION RECORD a
3 B 2.00 17- ,$w �•
8 15 2.50 ^� a 0
O
Is 5o 3.00 U
W
SO 100 5.00 ® h
SIGNS: NO.TRANS
NO.LAMPS
SERVICE 0.60OV-NoT OVER 200A 1.00 LCL
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER O 5.00
a
MISC. r
At, ?,,oto
PERMIT ISSUING FEE 2.00 (Q
SUPPLEMENTARY PERMIT ISSUING FEE 1.00If rA
TOTAL FEE $
3 �� Iz-it-6�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPR DATE INSPE R7 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWN OF THE ABOVE
DESCRIBED RESIDEN ROP POWER
SIGNATURE UTILITY CO.NOTIFIED 12 ('6 OL- J
OF PERM II E
FINAL
VALARTHUR C. VETT
MO
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
ti'I''v0 6 8 5 4 DIC 1 5 2 C 3.0 0-
-7raA663•CE-.�d06R'10/77 APPLICATION FOR ELECTRICAL P RMO
COUNTY OF LOS ANGELES JOB
DEPARTMENT OF COUNTY ENGINEER ADDRESS/
BUILDING AND SAFETY DIVISION
FOR APPLICANTTO FILL IN LOCALIT Jj
New Residential Bldgs &Pools EACH NO FEE NEAREST
1 &2-Family,Sq. Ft - $ .025 — $ CROSS ST
OWNER OR
Multi-family Sq Ft .02 — FIRM NAME
Residential Swimming Pools 25.00 d MAIL
ADDRESS
Oztlets Rec LightSw' CITY el. No.
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel. No _
Addlfional .30 PERMIT
Total No APPLI
Fixed,Appliances Not Over 1 HP ADDRESS
Range_Heater_D W CITYTel No.
Oven_Dryer—W M_ LICENSE OR
Top —FAU _WH._ REG NUMBER CID s.
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp — Room Air Cond 2.50 THAT THE ABOVE IS CORRECT AND AG COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAW GULA TI ELECT CAL WIRING
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREB RTIFY HAT I A P PER REGISTERED AND/OR LICENSED AS
2.50 REQUIRED S ELES COU T AND TATE-OF CALIFORNIA,OR THAT I AM
Up to 1 Incl THE LEGA N F ABOV SCRI D RESIDENTIAL PROPERTY O
Over 1 to 10 Incl 500 v
Over 10 to 50 Incl 12.50 PERMIT
'
Over 50 to 100 Inc
25.00 SIGN
Over 100 40.00DISTRICT NO PiRPC ED BY Nz
Services
0- 200 Amp Under 600 V 12.50 INSPECTOR'S
207-1000 Amp Under 600 V
25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp or Over 600 V 50.00 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenan10.00
ces •
Sign with One Branch Circuit 10.00, ROUGH CONDUIT 9k,1,j�
Additional Sign Branch.Circuits
2'00 WIRING k�/��
r v'
Misc Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (Sub-Total) C;1 J%— 00 NOTES _ a,
PLAN CHECKING FEE (One-Fourth Permit Fee;
PERMIT ISSUING FEE $7.00 7 c,*
TOTAL FEE
.iP.LAN:CkEdK,VACIDATION'i'd;CtC O CASH D PERMIT VALIDATION CK M O CASH
FOR COPLETF, 'rSEE BACO ' DE�
V v
���1-9z_t L r Y
76A663-CE806 3.64 APPLICATION! FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. A4(!_ //'�q L i _ c--H
RECEPT. TOTAL FIRST 2O / $20 $NO. EACH FEE OWNER JT.f�lbd
OUTLETS lP
LIGHT MAIL '
ADD'L .1O ADDRESS
SWITCH. 19, � pyER ZO I.
TOTAL CIT p TEL.NO. �10�7
LIGHTING l FIRST 20 .20
FIXTURES 1 ADO'L 10 ELECTRICIAN
OVER 2OIr-
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. . STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA.APP.(+/a H.P.MAX.) ,50
LICENSE NO.
MOTORS. OVER NOT OVER H.P. DIST CT RO IGROUPI 7ONE LDROCESSED BY
0 1 1.00 ' D
I 3 1.5o INSPECTION RECORD }
CL
3 8 2.00 O
V
8 15 2.80 ix
15 80 8.00 0
V
50 100 5.00 uJ
a
V1
SIGNSI NO.TRANS Z
NO.LAMPS —
SERVICE 0.600V-Not OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 12.00
SERVICE OVER SOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 0
TOTAL FEE 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
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL-PROPS Y. POWER
SIGNATURE UTILITY CO.NOTIFIED '2' �-� — ('
OF PERMITTEE
FINAL
OK
IDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
MO CASH
Lt'o7 0 9 1N-10 DEC 24. 2 D 2,20- V
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0910280044
_BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT-
ILEGAL ID. FEES PAID I BUILDING ADDRESS: 1
ITR: 13613 LT: 56 1 - 1 10776 BLACKLEY ST 1
I IFEE DESCRIPTION: QUANTITY. UOM. AMOUNT. 1 TEMP CA 917803501 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PARMERTON 1
18573-006-010 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE- 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
I ILB 200 AMP PANELS, MCC 1.00 PAN 38 85 1
(TENANT- I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY: PLAN BY- EXPIRES ON: 1
I i 110/28/09 SR 10/28/10
(OWNER: TEL. NO: 1 IFINAL DATE FINA BY: CODE: 1
ROSENBLUM MARK I;LUPE M (626) 453-8890- 1
110776 BLACKLEY ST 1 1�� L 1
ITEMP 917803501 1 IDESCR�ON OF WORK 1
1 I 1UPGRADE SERVICE PANEL TO 200 AMP 1
(APPLICANT: TEL. NO:
IROSEMBLUM (626) 453-8890- 1
110776 BLAKCLEY ST. I ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 '
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1
ICAMINO REAL BUILDERS (626) 447-0715- I 1
12671 FAIRGREEN AVENUE LIC. NO I ITEMPORARY POWER POLE I I 1
1ARCADIA, CA 91006 240278 B 1 I I I 1
(UNDERGROUND CONDUIT
1ARCHITECT OR ENGINEER TEL NO: IUFER GROUND I I
I LIC. NO: 1 IROUGH CONDUIT I I 1
IROUGH WIRING I I I
IMAIN WATER LINE 1 1 1
1 PLASTIC YIN METAL YIN
1 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 1
I I I I I I
I I I I I I
1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 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 0908180023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13613 LT. 56 10776 BLACKLEY ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803501
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PARMERTON 1
18573-006-010 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY. TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 58.00 OUT 90.30 1
ITENANT: IG2 LIGHTING FIXTURES 14.00 LGT 27.30 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON-
JHA FAU LESS 3HP 1.00 FAU 10.95 108/18/09 SR 08/18/10 1
1 1H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 1 1
(OWNER: TEL. NO: 1H7 RES EXHAUST FANS 1.00 EX 10.95 IFINAL DATE FINAL BY: CODE:
IROSENBLUM MARK I;LUPE M (626) 453-8890- I TOTAL FEES 178.20
110776 BLACKLEY ST I 1 1
ITEMP 917803501 I IDESCRI TION OF WORK
I 1 (ELECTRICAL FOR NEW ADDITI N
(APPLICANT: TEL. NO: I I
IROSEMBLUM (626) 453-8890- I 1
110776 BLAKCLEY ST. 1 ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1 I 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ICAMINO REAL BUILDERS (626) 447-0715- I
I
12671 FAIRGREEN AVENUE LIC NO I ITEMPORARY POWER POLE I I I
1ARCADIA, CA 91006 240278 B I
I 1 (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
I LIC. NO: IROUGH CONDUIT I I
I IROUGH WIRING /p
IMAIN WATER LINE II I 1
1 1 IPLASTIC Y/N METAL Y/N 1 I 1
1UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I I I I I
1 IREPORT ID: DPR265 ROUTE TO- BS0508 I 1 1
1 I I I I I