HomeMy Public PortalAbout9560 BLACKLEY ST_Electrical__ 76A663-CE806 9-64 APPLICATION FOR ELECTRICALPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING � �
BUILDING AND SAFETY DIVISION ADDRESS C/
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY /
NEAREST
FOR APPLICANT TO FILL IN EVA
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 0 $20 $ OWNER �L-- 2/y!/S+/✓
LIGHT 6 MAIL
ADD'L 1O ADDRESS
SWITCH. OVER 20 /
LIGHTING- TOTAL I FIRST 20I s 20 CITY TEL. NO _
7�
FIXTURES } I ADD'L 10 ELECTRICIAN L
1
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.('/z H.P.MAX.) .50 LICENSE NO.
MO OVER NOT OVER H.P. DISTRICT
) O. GROUP ZONE PRPC� D Y
O 1 1.00 c 3 �/ 2 / 1
1 3 1.50 INSPECTION RECORD
3 S' 2.00 CL
O
8 15 2.50 V
15 50 3.00 D�
O
50 100 5.00 V
SIGNS: NO.TRANS UJ
NO.LAMPS N
Z
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 "7 -
SUPPLEMENTABY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPL ATION APPROVALS DATE INSP 'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL UNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL COWIRING. WIRING ` z'F /
I /
I HEREBY .CERTIFY AT PROPER R GIS AND S AND/OR FIXTURES /
LICENSED AS REQ VI D BY L
' PA CO N Y AND STATE OF
CALIFORNIA OR TH I M T LEGAL NE F, AND INTEND TO
RESIDE IN, THE AS E SC ED R ID TI L ROPERTY. POWER /J r
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEEY
FINAL
VA IDATION JOSEPH'C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
�� (,� 0 3 0 '51 MAR 9 2 0 9.4 ON V
76A663 DBS 6A 11-6O APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GR�I ZONE PERMIT NO.
d C 32 60 0
ELECTRICIAN CE C 1? C -91-foro RE IVED BY READY FOR DATE ISSUED
ADDRESS O 1?
, E 0 V FIRST INSPECTION
CITY TEL. N0. g �s O D /� �I �V
COUNTY LICENSE NO. EXPIRES �J v�� ADDRESS 9J ice
9 . B4 AC•11/��I'
PERMIT FEES
NUMBEREACH FEE _LOCALITY nAgR Ar �� T y
j
LIGHT OUTLETS NEAREST
RECEPTACLES CR055 ST. �(��
WALL SWITCHES _OWNER y . T e,NA RD9p V
TOTAL OUTLETS 5c _ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 254� CITY TEL. NO.
FIXTURES �7 5 — �v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS `p AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
rNEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 a Ess $ .25 SIGNATURE OFI/22 .5OPER2 5 1.00 INSPECTION RECORD
5 15 1.50 --
_
is 5O 2.50 --
_ 50 200 5.00 _
_ 200 500 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00 Ij
M.G. BET/FREQ. CHANGER-HP (Y
WELDERB: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 6 ® CONDUIT
FIXTURES $1.00 00 WIRING
SUPPLEMENTARY- .50 FIXTURES �+
POWER
TOTAL FEE $ 0 UTILITY CO. NOTIFIED ,4d,!JV
FINAL -��
+ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS '9701 LAS TUNAS EL 0508 0601170015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 17712 LT: 5 9560 BLACKLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803142
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-007-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 _
TENANT: _ G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 01/17/06 JK 07/16/06
TOTAL FEES 52.35
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
CHAN, SHU PING (626) 309-5035- /
9560 BLACKLEY ST
TEMP 917803142 DESCRIPTION OF WORK
NEW RECESS LIGHTS AND RANGE HOOD
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO I TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: - I UFER GROUND
LIC. NO: I ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
1
REPORT ID: DPR265 ROUTE TO: BS0508