HomeMy Public PortalAbout4902 DOREEN AVE_Electrical__ 16A663-CE806 562 AyyYICATI /9 FQU ESECRIAL PERMIT
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING L/p�
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY ,17
NEAREST
FOR APPLICANT TO PILL IN CROSS ST.
FXTURES
l TOTAL NO. EACH FEE
l OUTLETS FIRST 20 S 2O 5 OWNER
Jf MAIL
ADU'L �. ADDRESS
OVER 20 .10
G 1 TOTAL CITY - TEL. NO.
FIRST 20 .20ty
ES 11 ADo'L 1O ELECTR IAN
OVER 20
CLO.DRYERS WTR.HTR9. 1.00ADDRESS
. STA.COOK I CryI. TEL. I
AUTO.-WASH. �1 STATE
E SPACE HTRS, STA.APR.(y¢H.P.MA%q ,:j0 -,,OI LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE P71� SSED BY
O t 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00
B — 15 2.50 a
? 15 50 3.00 I O
V
50 100 5.00 m
tl O
SIGNS: NO.TRANS- H
+ NO.LAMPS W
D.
g SERVICE 0.600V-NOT OVER 200A LOOT H
C SERVICE O.6OOV-OVER 200A. 2.00 ?
SERVICE OVER 600V 5.00
MISC.
Y,
PERMIT ISSUING FEE 2.00
Y SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT.
WITH ALL COUNTY 0ROMANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES-
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. _ POWER f
ISGNATURE C�QT./ UTILITY CO.NOTIFIED / GI
OF PERMITTEE _
FINAL
VALIDATI9N—)) ARTHUR'C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LFCO 6 9 2 7 NOV 14 2 D 5.9 Q
�ll2�vA�m1
TEMPLE E CLT }1
76A663-CESO6 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS yDAq (fZ)
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY _
NEAREST //
FOR APPLICANT TO FILL IN CROSS ST.s<O .ze
RECEPT. 1 TOTAL NO, EACH FEE
1
LIGHT l OUTLETS (FIRST 20 $.20 $ a OWNERI` MAIL
L
ADD' ADDRESS
SWITCH. OVER 20 ,10
TOTAL CITY - TEL. NO.
LIGHTING T
l O Flasr 201 .20 i
FIXTURES If (� , 10 ELECTRICIAN
R
oVER 20
2
` RANGES ..DRYERS WTR.HTRS, I.00 — ADDRESS AJ
GARB.DISP. STA.COOK
CITY + TEL. NO.
OISHWASH. AUTO.•WAEH. STATE
SPACE HTRS. STA.APR.(y H.P.MAX.) ,•SO LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE^ P ESSED BY
O 1 1.00
1 3 1.50 /J(] /A INSPECTION RECORD
3 S 2.00 `{P�E` / l�iylY�r�/ Q��✓dr/
2.50
15 50 3.00 '�1� / i11 ,{y?(�C= /rn•✓ NG,!�'ra �-a�
so 100 5.00
NO.TRANS // 707
yy//�T
SIGNS: NO.LAMP9 / - I% O
SERVICE 0.60OV-NOT OVER 200A 1.001 / v+
/ y�✓W
SERVICE 0-60ON-OVER 200 A. 2.00 4 � _ •/A y
SERVICE OVER 600V 5.00 I F ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE
) INEPELTOR'B SIGNATOR!
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Oq �RZs��
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED ry" / T "������id`✓yA7
OF PERMITTE FINAL gT�$'�/`I� �^ICM,o•YG- !
VALIDATIARTHUR'C. VEIT
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
LJ4.A 4 4 0 0* RAY 8 2 D 5.4 0" s
COUNTY OF LOS ANGELES TEMPLE CITY 8 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0909020028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 13645 LT: 63 BL: .001 1 4902 DOREEN AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804116
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA
18585-026-029 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I F1 120V, 15/20A BR CKTS 2.00 BE 34.50 I I
TENANT: IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I IG2 LIGHTING FIXTURES 4.00 LOT 7.80 109/02/09 SR 09/02/10
1 TOTAL FEES 79.60 1
OWNER: TEL. NO: FINAL DATE qq FINAL BY: CODE:
ACOSTA, DOLORES (626) 579-6513- r /1�
4902 DOREEN AV 1
TEMP 917804116 1 IO SCR�OF WORK
- I JELECTRICAL FOR NEW ADDITION
APPLICANT: TEL. N0:
JACOSTA (626) 579-6513-
14902 DOREEN AVE. I SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
I
CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE
IACOSTA, DOLORES (626) 579-6513- 1
14902 DOREEN AVENUE LIC. NO TEMPORARY POWER. POLE
TEMPLE CITY, CA 91780 NONE
UNDERGROUND CONDUIT
I J
ARCHITECT OR ENGINEER: TEL. N0: I JUFER GROUND
ILEECO ENG. (626) 448-7870- 1
I LIC. NO: I IROUGH CONDUIT
NONE I I I
ROUGH WIRING r
1 (MAIN WATER LINE I I I
(PLASTIC YIN METAL YIN
I I
I I IDTILITY COMPANY NOTIFIED I I
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I (REPORT ID: DPR265 ROUTE T0: H50508 I I I I
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