HomeMy Public PortalAbout6120 BURTON AVE_Electrical__ 16AG68-CE80612/75 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES IuOB �^
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL ILL_ LOCALITY
I New Residential Bldgs& Pools EACH NO. FEE NEAREST
1 & 2-Family, Sq. Ft. $ .025 — $ CROSS ST. l�L
OOR
Multi-family $q. Ft. •02 — FWNERIRM NAM
Residential Swimming Pools 20400 A"AILDDRESS
Outlets: Light, Switch & Receptacle CITY G el.No.
First 20 .50 PLANCHECK
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.NUMBClass.
Hood_ Fan ___
,2.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
DISp._A.C. .AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Power Apparatus& Large Appliances ELECTRICAL WIRING.
Size& Type HP, KW, KVA, or KVAR I HE V a"E
AM PROPERLY REGISTERED AND/OR
i ICEN 0 AS REQUIRED 5 ANGELES [DUN V ANO STATE OF 6
Up to 1 Incl. 2.00 CALIF RNIA THE LEGAL W..__
NEp TXE gaOVE O
5 OG OESr.RI.EO PERT Y.Over 1 to 10 Incl. PU
Over 10 t0 50 Incl. 10.00 PERMITEE
SIGNA \ N
Over 50 to 100 Incl. 20.00
Over 100 30.00 DISTRICT NO.� PROCES D BY 0 U
Services W
. 0- 200 Amp. Under 600 V 12.50 INSPECT R'S d
2011000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNA RE CA
Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE
UNDERSLAB WORK
Temp. Power Pole & Appurtenances 10.00
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) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel ��II
PERMIT ISSUING FEE $6.00 /p
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. n O CASH
2`4;;21;kML '26 ;;2: A 1 -8-5.Q e4
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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COUNTY OF LOS ANGELES TEMPLE CITY q 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1110130002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-04BB EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 26026 LT: 1 6120 BURTON AV N
I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I SGAB CA 917752632
IASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET: HELDEMAN
15386-007-052 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY, CI
I IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.80 1 _ 1
TENANT: IG2 LIGHTING FIXTURES 1.00 LOT 1.90 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 35.50 110/13/11 SR
OWNER:
TEL. NO: (FINAL DATE FINjiL BY: CODE:
ICUY PERS, JOHN - I
16120 BURTON AV
5GAH 917752632 IDESCRIPTION OF WORK
I IADD 3 OUTLETS AND 1 LIGHT FIXTURE
1APPLICANT: TEL. NO: I
RIVERA, EDUARDO (6261 390-3231-
ISPECIAL CONDITIONS:
CONTRACTOR: TEL. NO:
APPROVALS DATE INSPECTOR SIGNATURE
IE R HEART CONSTRUCTION (626) 390-3231-
1710 NOSTRAND DR LIC NO ITEMPORARY POWER POLE I I
SAN GABRIEL CA 91775 784217 B
I
1UNDERGROUND CONDUIT
I I I
IARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND
I
LIC. NO: IROUGH CONDUIT
I .
- (ROUGH WIRING
I I I
IMAIN WATER LINE
IPLASTIC YIN METAL YIN I
I
(UTILITY COMPANY NOTIFIEDI I
I I I I I I
II i II i 111 II1
I I I ITI I
1' ADDITIONAL DATA ON FILE @. .�. �.. . _ .• -
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REPORT ID DPR265 �RWTE TQ:'rBS050 4-
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