HomeMy Public PortalAbout8719 BURGHARDT RD_Electrical__ 76A663-CE806 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 91 1/
BUILDING AND SAFETY DIVISION ADDRESS VXtZ7/ ;VR P 7r
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, 8UP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS$T.
R EC ENO. EACH FEE
OUTLETS PT. TOTAL (FIRST 20 $2O $ t OWNER
IIF
LIGHT ADO'L ADDR10 MAIL 8
SWITCH. OVER 20
LIGHTING . TOTALFIRST 20 ,20 CITY L J} EL. NO. —
FIXTURES ,� DADA 20 10 ELECTRICIAN p �J
RANGES CLO.DRYERS NTR.HTRB. 1.00 ADDRESS (/ .J
GARB.DISP.✓ BTA.COOK
�r CITY � TEL. NO
DISHWASH.4. AUTO.-WASH. STATE
SPACE HTRB.✓ STA."P.(y H.P.MAX.) -$O LS LICENSE NO.
MOTORS: OVER NOT OVER H.P. - DISTR T NO. GROUP NEESSED BY
O 1 1.00 f-�+�c/
1 — 3 1.50 INSPECTION RECORD a
3 B 2.00 O
V
B 1S 2.50 C
O
16 50 3.00 V
80 100 5.00 d
N
SIGNS: NO.TRANS. y� Z
NO.LAMPS )() ql
SERVICE 0-600V.Nm OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTASY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS OAT! INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELCRRICAL WIRING. WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED
LICEN8E0 AB IRS
-E
B ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA Op THAT AM HE
UE9AC C9NNER OF THE ABOVE
DESCRIBED REBIDCNTI -P ERTY. POWER
Y
SIGNATURE UTILITY CO.NOTIFIED
OF PERM(
FINAL
tl VALIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
76Abb3 CE-80RS(tl /78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS_C? -1.}
I &2-Family,Sq. FI. $ .025 — $ LOCALITY
Multi family Sq. FL .02 — NEAREST
00 / CROSS ST. '
Residential Swimming Pools 25. OWNER OR —
FIRM NAME 111.Owlets:Rec_Light_Sw._ MAIL
First 20 .50 ADDRESS V Q5),
Total No. Additional .30 CITY - II T Tel.No. 7 _
PLAN CHECK
APPLICANT _
Lighting Fixtures First 20 .50 ADDRESS
Additional .30 - - - - -
Total No. CITY � Tel.No.
Fixed Appliances Not Over I HP -PERMIT - .t -
APPLICANT 6
Range—Heater_D.W. _ ADDRESS / - -
Oven—Dryer_ W.M.— ADDRESS_ V
Top _FAU _ W.H._ CIT E Tel,No 7.
Hood—Fan _Other_ LICENSE OR
Disp.—Room Air Card. 2.50 REG.NUMBER 7 Class. ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALC'COUNTY ORDINANCES-AND STATE LAWS A
2.50
REGULATING ELECTRICAL WIRING.
p
U to 7 Incl. 5.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR d
Over 1 to 10 Ind. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C.
Over 10 to 501ad, 12.50 CALIFORNIA OR THAT I AM THE AL INER 011 ABOVE O
25.00 DESCRIBED RESIDENT R R p.
Over 50 to 100 Inc,
lJ
Over 100 40.00 PERMITEE Lel
SIGNATURE VI
Services 2 50 DISTRICT NO.
0 A PRO 5 BY` -
0 200 Amp-Under 600V S L' a-/ /
/��
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 2 2 7 5 5 7 A
Additional Sign Branch Circuits 2.00 INSPECTION >
0-0 0 0 2
Misc.Conduits a Conductors xUors 10.00 ON REVERSE i 2 - o 3 2 0 0
Other ISee Complete Fee Schedule)_ SIDE u
� A, 3200
6
11.01 '-79
PERMIT FEE (Sub Total)
PLAN CHECKING FEE One-Fourth Permit Feel O
F
PERMIT ISSUING FEE $7.00 -
TOTAL FEE j
INSPECTION FINALED 4
date: / �rT V 0 By \1 oz.�J � vs
I i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9706030022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 29922 LT: 11 8719 BURGHARDT RD
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: SGAB CA 917752613
ASSESSOR N 0 UMBER: NEAREST CROSS STREET: MUSCATEL
5386-008-061 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: SAN GABRIEL, C
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
WANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
06/03/97 VG 06/03/98
OWNER: TEL. NO: FINAL DATE FINAL CODE:
LIM RANDALL J;KAREN K (818) 285-3979- 0
(,^�J/l.el
8719 BURGHARDT RD Ill
SGAB 917752613 DESC PTION OF WYKK
UPGRADE ELECTRICAL SERVICE TO AD AMP
APPLICANT: . NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: - o/' APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO - TEMPORARY POWER POLE
UNDERGROUND CONDUIT
CHIT R ENGINEER: TEL. N \ `.'i^_r`�, �• UFER GROUND
LIC. NO: I = !� - -- ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
- -- PLASTIC Y/N METAL Y/N
ilk, UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508