HomeMy Public PortalAbout5415 CAMBURY AVE_Electrical__ 76Afi63,;EB061,/]D APPLICATION FOR ELECTRICAL"'PERMIT'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
K
BUILDING AND SAFETY DIVISION ADDRESS ' Cambury
LOCALITY Te le Cit
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Olive
OUTLETS HF7 EACH FEE
OWNER Henry, '
RECEPT._� $ $ ADAIL
DRESS 5415 Cambury
LIGHT_ TOTAL FIRST 20 25
CITY Temple City TEL. N0.286-00 6
SWITCH OVER 20 .10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 ADDRESS
.10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE_DRYER_WTR. HTR._ APPLICANT Best
STA. COOK DISP._F.A.U._ ADDRESS 5203 N. Florinda
SPACE HTR. AIR GOND. CITY Temple [Cit TEL. NO. 8_ I
CLOTHES WASH.-- DISHWASH.— LICENSE N0. 263812 CLASS.C-IO
FAN_OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE,ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATINGWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS. ETC, HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT' I AM PROPERLY REGISTERED AND/OR
0 - I 1,00 LICENSED AS RE0U IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF, AND INTEND TO r
I - 10 3,00 3 0o RESIDE IN, THE AS D CRIB/E O��//,//qq��51DE IAL ROPERTY. CL
10 - 50 / 5,00 SIGNATURE /�^d/ Y�.�
OF PERMITTEE
C
50 - 100 1000 DISTRICT NO. CLA53 ZO k PRO S Y O
100 - 500 1500 1 G- W
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:3
TUBE, OR _
MARQUEE AODITtONAL CIRCUITS 100
SERVICENOTOVER600VOLTSOR200AMP / 3.00 3 OO
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200AMP 10.001 1
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 5.00
UNOERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CON OIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) 6 OO
UTILITY CO. NOTIFIED ,
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 3 OO ,JOSEPHC. ROOHAN
TOTAL FEE $9.00 SUPERVI/SING ELEC ICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAcK. M.O. CASH
� 5 ? :.
FEB 23 2 D� 9.00^.
Lli�o N _
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
'°A°°° `E°"'°°' APPLICATION FOR, ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDIN16 G v/- ��•-
BUILDING AND SAFETY DIVISION ADDRESS 7
JOHN A. LAMBIE, COUNTY ENGINEER =r
WILLIAM A,JENSEN.SUPT OF BUILDING LOCALITY Q I 1
FOR APPLICANT TO FILL IN NEAREST
PEPM FEES CROSS ST.
ITEM NUMBER I EACH FEE OWNER
OUTLET$ S . S NAIL
LIGHTS// RECEPT.I W. Q ,10 _L bad ADDRESS
-T�
LIGHTING_FIXTURES 10 CITY TEL.NO.
ELEC,RANGES' CLO.DRYERS ELECTRICIAN
'4- {♦
WATER HEATERS / .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERSC
CITY TEL. NO. J
GARBAGE DISPOSERS AUTO.-
STATE J / C..
WASHERS STA.COOKING UNITS .25 LICENSE NO, l / Z l/
MOTORS: OVER INC. H.P. 'DISTRIC NO. GROUP I ZON P CESS D BY
O- '/i .25 oWd ,a
'/z- 2 50 INSPECTION RECORDI
2- 5 1.00
5- 15 1.50
15- 50 2.50
50-200 5.00
SIGNS:
NO.TRANS. '/31�r At hrRF/VD
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
All rAle�)
WIRINGPERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
IH
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. ���� wkw*190
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING (L /'./.%yTN�Tf�.(/(�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REBID ENTIALgP�R�OPPERTY. / ,�, //�/jJ///� POWER
SIOGNATUREFPERMITIE J. • '1�����' UTILITY CO.NOTIFIED
FINAL
ATION ARTHUR C.VEIT.
CASH
SUPERVISING ELECTRICAL ENGINEER
CK MO _
LACO 7 6 6 0 MR14 2A 4.9 0 M
COUNTY O� LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1205300028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
I ON FILE 5415 CAMBURY AV
IFEE DESCRIPTION: QUANTITY: DDM: AMOUNT: TEMP CA 917802640
(ASSESSOR INFORMATION NUM1BER: I - NEAREST CROSS STREET:
18588-020-009 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
IF1 120V, 15/20A BR CKTS 4.00 DR 69.20
TENANT: IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 10.00 (ISSUED ON: PROCESSED BY: PLAN BY:
I IG2 LIGHTING FIXTURES 7.00 LGT 14.00 105/30/12 SR
I IH2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 1
IOWNER: TEL. N0: IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 AL/DATE FINAL/1�iY: CODE:
CHUI, CHARLES (310) 439-8774- TOTAL FEES 143.00 1 UAL
v
5415 CAMBURY AV lAl"�'iV• 1
ITEMP 917802640 1 102SCRIPTION OF WORK 41
15 GFI, 7 LIGHTS, 4 CIRCUITS D/W
1APPLICANT: TEL. NO:
IRAZ GRINBAUM (816) 448-1355-
1427 N. CITRUS AVE SPECIAL CONDITIONS:
ILOS ANGELES 90036
1
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
(LIBERTY CONSTRUCTION (886) 741-8370- 1 1
1427 N CITRUS AVE LIC. NO ITEMPORARY POWER POLE
ILOS ANGELES, CA 90036 640562 B 1 11
I IUNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 1
LIC. NO: i ROUGH CONDUIT
ROUGH WIRING
I MAIN WATER LINE X 7 47 1
PLASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIEDI
I I I I I
I I I I 11 I
IREPORT ID: DPR265 ROUTE TO:,BS0508
COUNTY QF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308140029
BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE5415 CAMBURY AV
I IIFEE DESCRIPTION: QUANTITY: UOM: AMCUNT: j TEMP CA 919802640 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: OLIVE
18588-020-009 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl'
IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 12.00 1 1
(TENANT: IGS LIGHTING FIXTURES 3.00 LOT 6.00 IISSUEO ON: PROCESSED BY: PLAN BY: I
TOTAL FEES 45.80 108/14/13 SR I
-I
(OWNER: TEL. NO: FIsIAL DATE FINAL,-BY: CODE:
ICHUI, CHARLES (310) 439-8774-
15415 CAMBURY AV L'
(TEMP 917802640 D�ZS CRIPTION OF WORK
1 16 OUTLETS AND 3 LIGHT FIXTURES FOR BATHROOM REMODEL
(APPLICANT: TEL. NO:
(SAME AS OWNER -
SPECIAL CONDITIONS:
I I I II
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER - I I_ _
LIC. NO I ITEMPORARY POWER POLE I I I
I 1 1
(UNDERGROUND CONDUIT
I I
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
I I_ 1-1
-
LTC. NO: ROUGH CONDUIT
ROUGH WIRING
1
MAIN WATER LINE
PLASTIC Y/N METAL Y/N 1
1 I
IDT ''ITY COMPANY NOTIFIED(
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I (REPORT ID: DPR265 ROUTE TO: 880508 1 1 1 1