HomeMy Public PortalAbout5208 DALEVIEW AVE_Electrical__ 76A563-CE306 1 /]� EllAPPLICATION : FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER .108
BUILDING AND SAFETY DIVISION ADDRESS r„+
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ALITYFOR APPLICANT TO FILLRESTSS ST.OUTLETS NO. ER OR NAME { /�// elyjRECEPT._ ILFIRST 20 DRESSLIGHT_ TOTAL //SWITCH OVER 20Y /� �,l�Njy TEL. N0AN CHECK
FIRST 20 LICANTLIGHTING TOTALOVER 20RESSFIXTURES
RESIDENTIAL APPLIANCES CITY TEL, NO.
PERMIT
RANGE_ORYERWTR. HTR._ APPLICANT
STA. COOK OISP._F.A.U._ ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
OR
-EIC
CLOTHES WASH. OISHWASH._ REG.N REG. NUMBER CLASS.
FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND 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 & TYPE OVER TO
/f 7 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
D - 1 1.00 Q LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Cq LIFOR NIA OR THAT AM THE LEGAL OWNER OF THE ABOVE y
1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTIY. Y
O
PERMITEE ff T U
10 - 50 500 SIGNATURE
O
H
50 - 100 1000 DISTRICT NO. PROCESSED BY CVD
d
700 - 500 15.00 Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER600 VOLTSOR200AMP 3.00 UNDERSLAS WORK
SERVICE OVER 600 VOLTS OR 200AMP 10.00 ROUGH CONOU17
7EMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING O
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 Qd
TOTAL FEE O'er
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
3 4 --)-13 OCT 2 PA 400A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE v O
76A663-CE806 ,D,>I APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS .%NGFLF,5 7
DEPARTMENT OF COUNTY ENGINEER gooRE55 J`j.O
BUILDING AND SAFETY DIVISION
LOCALITY a�-vl.l- G �rt
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS No. EACH FEE OWNER OR
$ /��
''//�q FIRM NAE /
RECEPT,J-`L S MAIL
LIGHT TOTAL
FIRST 20 �() .25 �Lr ADDRESS 2 /o L Fill e7✓
CITY N/ CG ��TYTEL N0.
SWITCN20 /b OVER 20 Jb .10 s PLAN CHECK
LIGHTING FIRST 20 25 �3 APPLICANT
TOTAL
OVER 20 ADDRESS
' r
FIXTURES � .,0 O
RESIDENTIAL APPLIANCES CITY TEL. NO. //��
PERM]T
RANGEDRYERWTR. HTR._ APPLICANT �/f //" r/e I/STA. COOK�OISP.�F.A.UA ADDRESS T7 , L./E y47.,
SPACE HTR. AIR COND. Cl TY /O/✓/IN TEL. N0.7j
CLOTHES WASH. DISHWASH. LICESE R
REG.NNUM9E �T�6L) CLASS.
FAN III OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 ,DO LICENSED A5 RED HEED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OW ER OF THE ABOVE 0-
1 — 10 3.00 DESCRIPED RESIDENTIAL PROPERTY. O
PERM I TEE ^ CD
10 — 50 5.00 SI GNATUR
O
ti
50 — 100 1000 DISTRICT NO. PROCESSED BY yVj
100 - 500 15.00 i- z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS ,.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 20OAMP / 3.00 QU UNDERSLAS WORK
SERVICEOVER600 VOL7SOR20OAMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING O
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES -4 -7 .3 77 �
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL I--7.3NAP�a.AiTf.!
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 300 0 p
TOTAL FEE 0 O
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cn.' M.O. CASH
i ?1 3 3 6 3 7 3 SEP 2 6 2 0 3 0.10
rNv\�
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 9701140016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14020 LT: 7 5208 DALEVIEWAV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP'CA 917803523
ASSESSOR INFORMATION BER: NEAREST CROSS STREET:
8574-007-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUE ON: PROCESSED BY: PLAN BY: EXPIRES ON:
01/14/97 TC 01/14/98
OWNER: TEL. NO: FINAL TE FINAL BY: CODE:
ALMANZAN RUBEN R;GLORIA F (818) 443-7978-
5220 DALEVIEW AV f L,
TEMP 917803523 DESCRIPIIUN 0 WORK f
NEW ELECTRICAL SERVICE UPGRADE - 200 FAM.P
APPLICANT: TEL. N0: �I
SPECIAL CONDITIONS:
CREW ELECTRIC SERVICE (818) 303-9591-
{y,
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CREW ELECTRIC SERVICE (818) 303-9591-
P.O. BOX 1782 LIC. NO1111 TEMPORARY POWERPOLE
MONROVIA, CA 91017 381827 C10 \ C 0 --- -
���� -� - - UNDERGROUND CONDUIT
ARCHITECT 0 TEL. NO: yjj ' o' `��S, J ! UFER GROUND
LIC. NO: �11r� „ L__- I ROUGH CONDUIT
L '
ROUGH WIRING
c� I
(� MAIN WATER LINE
,,LASTIC Y/N METAL Y/N
UTILITY OM ANY NOTIFIED
-- - REPORT ID: DPR265 ROUTE TO: BS0508