HomeMy Public PortalAbout9483 BLACKLEY ST_Electrical__ DBS SA 25M SETS 7-47 APMCATION FOR P
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DEPARTMENT OF WELDING AND SAFETY �1�
COUNTY OF LOS ANGELES ELECTRIC
v M. J. FOX CHIEF NGINEER
a NAME d DISTRICT NO. GROUP ZOJNJE PERMIT NO.
U ADDRESS �/ Q / ,V C AA.�. �/ ! 1 I � l/ J
U CITY I moi' TEL NO./'t J -G G 7 RECEIVED�BX READY�FOR DATE ISSUED
FIRST INSPECTION
COUNTY ,? q e a-
CERT.NO. I�j EXPIRES
APPLICANT F'II.I. IN IFAVMY OUTLINED PORTION ONLYJOB
�
DESCRIPTION OF WOE ADDRESS o 13 L a c e
NUMBER OF OUTLETS ON CIRCUIT$ LOCALITY /
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. ( /y
CIRCUIT A B C I D I E F G H Ir NAME
MAIL . r
1 J 3 ADDRESS 2 Qc ,
k —�I� � � � O CITY 4-t -J'A � TEL.N05+
1 AM THE LEGAL. POSSESSOR OF TH6 BOVE L08
U p17� 3 I
ANGEI 17 COUNTY CERT,FICAT6 O� Qj1ALiF�
I 1 I EL MTRIC1AN.
f I IAM 7H6 LXQAL OWNER OF THE PROPMRTY DESCRIBED
14 ABOVIi
OWNER.
117 7-6: C01MCTIONS,'
I 1
a � _
/ J
J
Z_
O
' O
TOTAL O I
NO. OF OUTLETS $ —2 v 6 APPROVALS
I NO. OF FIXTURES G DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ (� WIRING
NO. OF RANGES OR HEATERS / $ l FIXTURES
MISCELLANEOUS $ i POWER
PERMIT FEE $ a UTILITY CO.NOTIFIED -7 7/
TOTAL FEE FIN v
76A663 CE:806R 9/76 APPLICATIO 'O ELE TRICAL 'PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS Q'.9 3 Blackley St .
BUILDING AND SAFETY,DIVISION .
FOR APPLICANT TO FILL IN LOCALITY Tem le Cit
New Residential Bldgs &Pools -(EACH • NO' FEE , NEAREST ClOVerl
$ 025 $ = CROSS ST
1 &2-Family,Sq Fr OWNER OR
Multi family Sq Ft 02 — FIRM NAME Thom son
Residential S•wimming`Pools 20 00, MAIL B1Ackle St.'
ADDRESS 9483 Y
Outlets Rec Light—Sw _CITY "Temple City Tel No 286 4.501
First 20, 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS i I
Lighting Fixtures, ,First 20
50 CITY Tel No
Additional 30 , PERMIT Valle Heating Co.
Total No APPLICANT "
FixedApphcincesNot Over 1HP - ADDRESS 1116 S ,San Gabriel Blvd. ;
Range—Heater—D W CITY San ,Gabriel Tel No -285 3818
Oven_Dryer—W M_ LICENSE OR
Top —FAU'—W 1H _ REG NUMBER 147,899 Class C' 20
Hood—Fan _Other— -
2 00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp - Room Air Cond THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN.
ANCES ANDSTATE LAWS REGULATING ELECTRICAL WIRING r
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or'KVARI HEREBY CERTIFY THAT I AM PROPERLY.-REGISTERED ND/OR LICENSED AS
a REQUIRED BY LOS ANGELES COUNTY AN_rySTATE OF CALI RNIA OR THAT I AM
' Up"to 1 Ind " 2 DD THE LEGAL OWNER OF,TJHrABOVE DESC fBED RESIDENTI PROP r
Over,) to 10 Incl 5 00 d
Over 10 to 50 Incl 1000 PERMITTEE0
Over 50 to 1,00 Inc 20 00 SIGNATURE V
30 00 IXOver 100 DISTRICTjNO� `1
Services � CES RBY 0
V
'
0-200 Amp Under 600 V 12 50 INSPECTOR S vdj
201•1000 Amp Under 600 V 25 00 APPROVALS _ DATE SIGNATURE Z
Over 1000 Amp or Over`600 V 5000 TEMP POWER POLE ;
UNDERSLAB WORK
Temp Power Pole&Appurtenances'
1000 ti
Sign with One Branch Circuit 1000 ROUGH CONDUIT,
Additional Sign Branch Circuits
00WIRING
rcuits "
Mlsc Conduits&Conductors 15 00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED'
UTILITY CO NOTIFIED _y
FINAL, �I�IP-7;71 el:l��
I / {
PERMIT FEE '(Sub-Total) NOTES - •
PLAN CHECKING FEE (One-Fourth•Permit-Fee)
PERMIT ISSUING FEE $600
i i
TOTAL'FEE
PLAN CHECK VALIDATION CK MCI- CASH PERMIT VALIDATION M O CASH '
+ 1 2 8�SEP 25. 1 p x
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE t - ✓ r , ®s
76A663 CE-806(11 /78) APPLICATION F0R..ELECTR1CAL.PERM.IT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New'Residential Bldgs.&Pools EACH NO. FEE ADDRESS
1 &2-Family;Sq. Ft`. $ .025 — $ LOCALITY 7 ZA4,,i ( i
Multi-family Sq. Ft.+ .02 — NEAREST �!
CROSS ST.
Residential Swimming Pools 25.00 OWNER OR .�
cJeJ rw sow
FIRM NAME
Outlets;Rec/V Light/U Sw.1MAIL _ _-
�J� First 20 .50 -C3 Q 6 -ADDRESS
Total No. / Additional .30 f . 70 CITY Tel, No..,
PLAN CHECK
_ APPLICANT'
Lighting Fixtures First 20 .50 ADDRESS
Additional '•.30 ...
Total No. CITY Tel No:
Fixed Appliances Not.Over l HP PERMIT -
Range_Heater_ D.W. _ APPLICANTS
Oven—Dryer— W.M. ADDRESSS%,*t
Top _FAU W.H._ CITY «.S'�iS _ - Tel. No..7
Hood—Fan —Other_ LICENSE OR
-
Disp.—Room Air Cond. '— 2.50 :Class.REG.NUMBER •., _ •.. ..... ._
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP.PLICA-
Power Apparatus&Large Appliances TION AND STATE THAT,THE ABOVE IS CORRECT AND AGREE TO '
COMPLY WITH ALL-COUNTY ORDINANCES .AND STATE CAWS'
Size&T
ype HP, KW, KVA,or KVAR REGULATI ECTRICAL WIRING.
Up to 1 Incl. 2.50 I H REBY CE FY•THAT I AM PROPERLY REGISTERED AND/OR'W
Over 1 to 10 Incl. 5.00 LICENSED S REQUIR BY LOS ANGELES COUNTY AND STATE OF
1 2.50. CALIFORNI OR T AM_THE LEGAL OWNER OF THE ABOVE_ _C)
Over 10 to 50 Incl. DESCRIBED IDENTI PERTY, b
Over 50 to 100 Inc. 25.00 pERMITEE --^— A&�9
'Over 1'00• 40.00
SIGNATURE
Services
; DISTRICT NO.
0'_'200 Amp. Under 600 V 12.50 C>
201-1000'Amp. Under 600 V
25.00
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp.,Power Pole&Appurtenances 10.00 Q
Sign.with One Branch Circuit 10.00
--J
Additional Sign Branch Circuits 2'00 INSPECTION
Misc.Conduits&Conductor s 10.00 INFORMATIONON REVERSE _
Other(See.Complete Fee Schedule) SIDE . _ Z 07.1.9 A
n
a
.a a_ a a o 2 .
PERMIT FEE - (Sub TotoU o a 2 70,
Z
PLAN CHECKING.FEE One-Fourth Perm it.Fee) O °` ° o'2 6.;7.0:$
PERMIT ISSUING FEE $7.00 7 c Q G) 1 2-80
TOTAL FEE . / >•
�-
INSPECTION-FINALED
m
W
CLdate: �-'"''��,a By � •�S, „ ,•.
f.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0309190014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID NG ADDRESS:
ON FILE 9483 BLACKLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803158
ASSESSOR0 NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-004-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 21.00 OUT 40.35
G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: P L X .
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 09/19/03 VG 03/17/04
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 FINAL DATEX! I COD :
CAAL, MARIO/MARTA (818) 286-4501- H9 RES APPL LT 3HP 1.00 RES 10.95
9483 BLACKLEY ST LA 100 AMP PANELS, MCC 1.00 PAN 38.85
D:
TEMP 917803158 TOTAL FEES 154.65 OF WORK
UPGRADE ELECTRIC SERVICE TO 100 AMP AND REWIRE OUTLETS AND
FIXTURES AND SOME APPLIANCES
APPLICANT: TEL. NO:
SAME AS OWNER
SPACIAL CONDITIONS:
CONTRACTOR: TEL. N0: �A� APPROV LS DATE INSPECTOR SIGNATURE
SAME AS OWNER b® Aly
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR G L. 0: // UFER GROUND
LIC. NO- / 1111111 ROUGH CONDUIT
((
l '' ROUGH WIRING
1 n Q L n n n(0�n� 3 MAIN WATER LINE �
Fj J \�lJl�`�Jl ICJ^u{�iJ�(� PLASTIC YIN METAL YIN
UTILITY COMPANY 0
0 ':�
REPORT ID: DPR265 ROUTE TO: BS0508