HomeMy Public PortalAbout10792 BLACKLEY ST_Electrical__ 76A663-CE80612/75 APPLICATION FOR ELECTRICAL PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEEHR
JOB
BUILDING AND SAFETY DIVISIONADDRESS o� G
FORAPPLICANTF INLOCALITY C` _r
New Residential Bldgs & Pools EACH NO. NEAREST
1 & 2-Family, Sq. fit. $ .025 — CROSS ST.
OWNER OR �7
Multi-family Sq. Ft. 02 — FIRM NAME S
Residential Swimming Pools 20.00 MAIL
ADDRESS �. .4 A
Outlets: Light, Switch & Receptacle CITv jm r el.No.4
First 20 50 PLAN CHECK
Additional .30 APPLICANT
ADDRESS
(Lighting Fixtures
First 20 .50 CITY Tel.No.
Additional .30 PERMIT ���
APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W._ CITY Tel.No.
Oven_Dryer_W.M._
LICENSE OR
Top _ FAU _W.H._ REG.NUMBER Class.
Hood_ Fan ___ '
2.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Dlsp._A.C. ___ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
Power Apparatus& Large Appliances
Size & Type HP, KW, KVA, or KVAR HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COU AND STATE OF
Up t0 1 Incl.- 2.00 CALIFORNIA OR THAI I AM THE LEGAL OW R F THE ABOVE
DES('R 11'ED REST L PRO RTY
� 9 Over 1 to 10 Incl. 5.00 0
Over 10 t0 50 Incl. 10.00 PERMITEE
Over 50 t0 100 Incl. 20.00 SIGNATURE (A
Cd
Over 100 30.00 DISTRICT NO: t ROC SED BY
Services LU
0 200 Amp. Under 600 V 12.50 Q INS TO R'S S.
APPROVALS DATE SIGNATURE V1
201-1000 Amp. Under 600 V 25.00
Over 1000 Amp, or Over 600 V 50.00 TEMP.POWER POLE
Temp. Power Pole & Appurtenances 10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
(Other)
FIXTURES '
POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) Nrr��OTES `1/L� �,D� fjJdyT�
PLAN CHECKING FEE (One-Fourth Permit Feel �1
PERMIT ISSUING FEE $GAO 5'0
TOTAL FEE J Q
PLAN CHECK VALIDATION CK. M.O.,,, CASH PERMIT VALIDATION CK. MO. CASH
"?_39'1�.AU6 2 2 e 1 --:3.5 0
_ C .
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
•� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0905280022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID• FEES PAID 1 BUILDING ADDRESS:
ITR: 13613 LT: 53 1 10792 BLACKLEY ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803501 1
(ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET: 1
18573-006-007 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
I ILB 200 AMP PANELS, MCC 1.00 -PAN 38.85 1 1
(TENANT: I TOTAL FEES 66.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON. 1
I I 105/28/09 SR 11/24/09
I
10WNER: TEL. NO: I IF NAL DATE FINAL BY: CODE: 1
ILU, JING H (626) 329-8897- _ _ 1
110792 BLACKLEY ST I
1TEMP 917803501 D SCRIPTI N OF WORK ,
I I (UPGRADE SERVICE PANEL TO 200 AMP 1
I
1APPLICANT: TEL. NO: I
ISAME AS OWNER - I
I (SPECIAL CONDITIONS:
I
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
SAME AS OWNER - 1
LIC. NO 1 (TEMPORARY POWER POLE1
I I I
I -I JUNDERGROUND CONDUIT I I
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 6y
1
I LIC. NO: 1 (ROUGH CONDUIT r
I I
I I IROUGH WIRING 1
I I I
I I (MAIN WATER LINE 1 1
IPLASTIC YIN METAL YIN
I (UTILITY 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 I I I
I I I I I 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 0904130005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT-
LEGAL ID- FEES PAID BUILDING ADDRESS:
ITR: 13613 LT: 53 10792 BLACKLEY ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803501
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18573-006-007 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
IF1 120V, 15/20A BR CKTS 4.00 BR 69.00 1 1
(TENANT: IF2 208, 277V LGT BR CKT 2.00 BR 54.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
IG1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 104/13/09 SR 10/10/09 1
IG2 LIGHTING FIXTURES 6.00 LGT 11.70 I
(OWNER: TEL NO: I TOTAL FEES 202.05 IFINAL DATE FIN Y: CODE:
ILU, JING H (626) 329-8897- 1 _
110792 BLACKLEY ST 1 1
ITEMP 917803501 I IDEkCRIPTICIN OF WORK 1
I ELECTRICAL FOR ADDITION 1
(APPLICANT: TEL. NO: 1 I
ILU (626) 329-8897-
110792 BLACKLEY ST I (SPECIAL CONDITIONS: 1
(TEMPLE CITY CA 91780 1 1
I I
I I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IK.Y.M. CONSTRUCTION, INC. (626) 575-0843- I 1 1
IDBA TAI HEATING & AIR CONDITIO LIC. NO I (TEMPORARY POWER POLE I I
19625 ALPACA STREET 747508BC10 I I I 1 1
IS. EL MONTE CA 91733 1 1UNDERGROUND CONDUIT
I
1ARCHITECT OR ENGINEER: TEL NO: 1 .IUFER GROUND 1 r
ISKUNDRIC, LAZAR (949) 347-0062- 1
128052 CAMINO CAPISTRANO LIC. NO: 1 (ROUGH CONDUIT 1 1
ILAGUNA NIGUEL, CA 92677 C35903 I iI- 1
(ROUGH WIRING
(MAIN WATER LINE I 1
1 1 (PLASTIC Y/N METAL Y/N 1 1 1
1 1UTILITY 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
1 I I I I I
I I I I I I
I I I I I I
1 I I I I I
1 (REPORT ID: DPR265 ROUTE TO: BS0508 1
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 0201240015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 13613 LT: 53 10792 BLACKLEY ST.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803501
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MCCULLOCH
8573-006-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY.: PLAN BY:_ EXPIRES ON:
TOTAL FEES 35.55 01/24/02 JK 07/23/02
OWNER: TEL. N0: F AL DATE, FINAL BY: CODE:
- LU;JING QIANG (626) 279-2022- GG..((XXTr�s''''�l
10792 BLACKLEY ST
TEMP 917803501 DESCRIPTION OF WOR
NEW BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: _ - _ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - =
LIC. NO ���' �• � ., �• TEMPORARY POWER POLE
UNDERGROUND CONDUIT
r
ARCHITECT OR ENGINEER: TEL. NO: i UFER GROUND
LIC. N0: ---- —, ,- ;,=i�-'�., ROUGH CONDUIT
' l ,
ROUGH WIRING
• - Jam- G�-
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508 .