HomeMy Public PortalAbout8728 BURGHARDT RD_Electrical__ 76A663ACEB063,64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS tir �" Q
JOHN A. LAMBIE, COUNTY ENGINEER
A.JENSEN. SUPT OF BUILDING
LOCALITY-
WILLIAMJ/g� ./IL
NEAREST
FOR APPLICANT TO FILL IN CIxDES 6T. /
RECEPTg�j
TOTAL NO. EACH FEE T
OUTLETS FIRST 20 $ 20 $ OD OWNER Cj
LIGNi i �../ O MAIL
3L_ (L— ApD'L l ApDRE68 {.aSWITCHOVER 2O •10 V �y
TOTAL CITY 1.4, TEL. NO.
LIGHTING FIRST 20 .20
FIXTURES VER 2 10 ELECTRICIAN 6�
oV R 20 IV 4ro
RANGES CLO.DRYERS WTR.HTR6. 1.00 ADDRESS
GARB.0I6P. � STA.COOK
CITY TEL. NO.
OISXWASH. ` AUTO.-WABX. ^� STAYE
SPACE HTRS.
STA.APP.(:/H.P.MAX.) J .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ONE PR CES D BY
O f f.00
1 3 1.50 INSPECTION RECORD i
3 B 2.00 0
S 15 2.50 C
O
iS 50 3.00 U
50 100 5.00 d
h
SIGNS: NO.TRANS. z.
NO.LAMPS
SERVICE O.60OV-NOT OVER 2GOA �� 1.00
SERVICE 0-600 V-OVER 200 A. 2:00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 'Z
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE IIT m ® (]
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LI ATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORpECT AND AGREE TO OMPLY CONDUIT
WITH ALL COUNTY ORDINANCES ANp STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING / _ Sr
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR rt
LICENSED AS REQUIRED V1L06 ANGELES COUNTY ANO STATE OF FIXTURES / I
CALIFORNIA OR THAT THE LEGAL NER OF THE ABOVE /
DESCRIBED RESIDEK ROPERTY. POWER '�J
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINAL
WDATION ARTHJUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
. 0F. 0 7 "'^ Cf� 1 2A 1 5 .50"
'°"°°' ``°°° '°"° APPLICATION F ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER loe
BUILDING AND SAFETY DIVISION ADDRESS %
LOCALITY ;sq Ai
F•>-
FOR APPLICANT TO FILL IN NEAREST G
CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
S S FIRM NAME ♦ /_�
RIGHTY._ ADO KESS A
LIGHT_ TOTAL FIRST 20 .25
CITY S TEL. N0. ~`•�
SWITCH OVER 20 .10
PLAN CHECK
LIGHTING
TOTAL FIRST 20 25 APPLICANT
OVER 20 .10 ADDRESS
FIXTURES
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE_ORYER_WTR. HTR._ APPLICANTkIjZ_jy4LAAj
STA. COOK_OISP. F.A.U._ ADDRESS I )R)
SPACE HTR. AIR COND. CITYL TEL. NO
CLOTHES WASH._DISHWASH._
LICENSEDR
REG. NUMBER CLASS.
FAN_OTHER dl1BN.l0i FI 100 ® HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
A ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
0 - 1 , 100 ® LICENSED AS REOUIREO BY LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF TME ABOVEAIC
0
1 - 10 3.00 •'mil DESCPIP.ED RESIOENTI PR TY. V
V RERMITEE
10 - 50 5.00 SIGNATURE
U
50 - 100 1000 w
❑ISTRI CT N0. EO BY 2
H
100 - 500 15.00 -:5_/P� Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'AIGNATIIRE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE. &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 111-5--7 ,---e
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.001 iL 5
TOTAL FEE
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK. M.O. CASH
14SrNDY 4 2 D 12.00o �
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
_ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 `ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9712170009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGADDRESS:
TR: 29922 LT: 15 18728.BURGHARDT RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752614
ASSESSOR NFORMATION NUMBER: NEAREST CROSS STREET:
5386-012-080 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.80
TEN NT: TOTAL FEES 38.55 ISSUED ON: PROCESSED Y: PLAN BY: EXPIR SON:
12/17/97 UT 12/17/98
OWNER: TEL. NO: FINAL{�DATE �F(�IN)A�.L.-BY: CODE:
8EECHER LAURICE S (818) 285-3721- `0 IIM� 2 �7
8728 BURGHARDT RD I! lam(
SGAB 917752614 DESC IPTION,OF WORK '
ELECTRICAL FOR FURNACE CHANGE OUT
AP CAN : TEL.-N :
CONNOR A/C (626) 286-3157-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING AND REFRIG. (818) 286-3157- i
4931 NORTH ENCINITA LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 C20 & C38 * -
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: !- UFER GROUND
LIC. NO: - - i-� - ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIE
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508