HomeMy Public PortalAbout4921 DOREEN AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0210040004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
G ID; FEES PAID BUILDING ADDRESS:
TR: 13645 LT: 53 4921 DOREEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804117
ASSESSOR INFORMATION BER: NEAREST CROSS STREET: LOWER AZUSA
8585-024-039 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
Gl OUTLETS-LGT,SW,RECP 13.00 OUT 25.35
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISS ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 58.95 10/04/02 JK 04/02/03
OWNER: TEL. NO: FINAL DATE Ex pi RF U BY: CODE:
VOONG;CARRIE (626) 429-8023-
4921 DOREEN AVENUE
TEMPLE CITY 91780 _ DESCRIPTION-UF-WORK
REPLACE ELECTRICAL IN KITCHEN & BATH
APPLICANT: TEL. N0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: L. N0: , UFER GROUND
LIC. N0: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANYWOT-ITM
REPORT ID: DPR265 ROUTE TO: BS0508
�'JSA663�DB9 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
-COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT . GROUP ZONE PERMIT NO.
ELECTRICIA /� e LCL L/ 6. L}DAT n
RECEIVED BY READY FOR DATE ISSUED
ADDRESS /� �j j A 11 �^ Query, - FIRST INSPECTION / //�
CITY �✓ �/ / TEL NO.LSO a 14 I F� �f/ 'f 0
COUNTY LICENSE NO. I EXPIRES - 0-: Z SDU'LDIRISl L/ iJ /
PERMIT FEES ADDRE99 7 n4 ///(7 / � Q/J✓�.�/
NUMBER EACH FEE LOCALITY//jam ry,.ip P/c y1 / ./
_LIGHT OUTLETS NEAREST._ CROSS ST. /�L KI [�L- Kf G �/l. J
RECEPTACLES �y {I n
WALL SWITCHES / 7 OWNER,
TOTAL OUTLETS Sc $ fJ MAIL
ELEC. RANGES25 ADDRESS 'yT/v� /� /'
ELEC. HEATERS ' 25 �/L. CITY 2/ p �1. /2/0 CATEL. NO.
FIXTURES 5 • Q 1 HEREBY ACKNOWLEDGE"THAT I HAVE READ THIS
MIBC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS 3 ,r AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS 3 AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER - ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. MP ovER Inc. EADH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
Vt 6 LEBB IS •25 SIGNATURE Of
1/x 2 •50 - PERMITTE
2 5 1.00 INSPECTION RECORD
s 15 1.50
is 50 2.50 -
_ SO 200 5.00
200 500 10.00 \ J
5013 loan 15.00 \ Sa(� _Z
OVER 1000 20.00 I I �• IU 0
_ M.G. SET/FRED. CHANGER-HP _ Q
WELDERS: AC-KVA D
GENERATORS - KW
TRANSFORMERS-- KVA
TEMP. MOTORS (75% of DRiG.)
MOVED MOTORS (75% OF CRIB.)
MIBC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 Q CONDUIT
FIXTURES $1.00 613 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE S UTILITYCO.NOTIFIED
' / FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0906220021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13645 LT: 53 4921 DOREEN AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917604117
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: KEY WEST
18585-024-039 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I IF1 120V, 15/20A BR CKTS 2.00 BR 34.50 1 1
(TENANT: IG1 OUTLETS-LGT,SW,RECP 23.00 OUT 43.05 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I IG2 LIGHTING FIXTURES 5.00 LOT 9.75 106/22/09 SR 12/19/09 1
1 1147 RES EXHAUST FANS 1.00 EX 10.95
(OWNER: TEL. NO: I TOTAL FEES 126.00 (FINAL DATE FINAL BY: CODE: 1
WANG, WALTER (626) 922-4921- 1 1
14921 DOREEN AVE. I
ITEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK 1
(ELECTRICAL FOR ADDITION 1
(APPLICANT: TEL. N0: I I I
IDE ARTOLA (213) 215-9813-
12020 S. VERMONT AVE (SPECIAL CONDITIONS:
1L0S ANGELES
I
I
CONTRACTOR: TEL. NO: 1 APPROVALS DATE INSPECTOR SIGNATURE
WANG, WALTER (626) 922-4921- 1 1
14921 DOREEN AVENUE LIC- NO TEMPORARY POWER POLE
ITEMPLE CITY, CA 91780 NONE
(UNDERGROUND CONDUIT I
I I I
ARCHITECT OR ENGINEER: TEL. N0: I IUFER GROUND
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LIC. NO: 1R0UGH CONDUIT
ROUGH WIRING !1{I
MAIN WATER LINE
PLASTIC YIN METAL YIN
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(UTILITY COMPANY NOTIFIED(
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(REPORT ID: DPR265 ROUTE T0: HSO508
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