HomeMy Public PortalAbout5340 BUTTONS AVE_Electrical__ APPLICATION
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TBS-5A APPLICATION FOR ELECTRIC PEY MIT
DBS-SA 355
DWISION OF BUILDING AND SAFETY _
Department of County Engineer
'County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN. SUP•TOF BUILDING
Immmm= =ammmmmik, LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE
LIGHT OUTLETS µ OWNER
RECEPTACLES MAIL
ADDRESS
WALLSWITCHES
TOTAL OUTLETS SC $ CITY TEL.NO.
ELEC. 25 ELECTRICIAN
ELEC. HEATERS 25 ADDRESS
KW EA CITYL.NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
- DISTRICT NO. GROUP aBAOY roa Ins PEcn on
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP I OVER INC EACH
t Z� - Ih a Less 5 .25
_ fz 2 .50
2 5 1.00
5 15 1.50
IS 50 2.50
50 200 I 5.00
MISC.
I
L I_
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT' T
WIRING S1.jo.
FIXTURES $I. 2II
SUPPLEMENTARY E APPROVALS
_ TOTAL FEE 5 DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. -
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AMTHE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL RROFERTY.,1 ^ ���
SIGNATURE _ Y // ` �•P UTILITY CO.NOTIFIED (IQI5, Q�M.Lr' ._..
OFPERMITTEE AIYIYYY Y/ �L/Y �L�C^^ n^ f FINAL
WILLIAM J. FOX.COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT.INSPECTOR
(.}C 6 3 2 4 mY 2 4 2 6.8 5
1
COUNTY OF LOS ANGELES TEMPLE CITY - # OSOB ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 06092B0031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 22127 LT: 10 5340 BUTTONS AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803103
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8590-004-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS,PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 '
TENANT: G2 LIGHTING FIXTURES 2.00 LOT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 35.55 09/28/06 JK 03/27/07
OWNER: TEL. NO: FINAL 0 E FINAL BY: CODE:
LAM, VINCENT (626) 375-8188- 49,7-9 q /`
5340 BUTTONS AV Y
TEMP 917803103 DESC PTI P WORK
2 0 LETS, 2 LIGHT FIXTURES FOR PATIO ENCLOSURE
APPLICANT: TEL. NO: '
PICKARD, (810) 632-9126-
22044 CLARENDON #121 SPECIAL CONDITIONS:
WOODLANDS HILLS
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SOUTHERN CALIFORNIA HOME IMPROVEMEN (800) 950-8787-
16124 WYANDOTTE ST LIC. NO - TEMPORARY POWER POLE
VAN NUYS CA 91405 $03729 B '
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS050B