HomeMy Public PortalAbout5004 DOREEN AVE_Electrical__ ,6A&63-GE80611-71 APPLICATION FOR ELLTICAL PERMIT IJ
COUNTY OF LOS ANGELES �a1 TJE14ARTMENT OF COUNTY ENGINEER 0BUILDING AND SAFETY DIVISION /FOR APPLICANT TO FILL IN OUTLETS N0. EACH FEdv
C� (�.eRECEPLIGHT _ FIRST 20 �O /2 e B h
LIGHT_ TOTAL .25
CITY T/ 1�� TEL: NO.
SWITCH_ OVER 20 .10
PLAN CHECK
GHTING TOTAL
L1 FIRST 20 25 APPLICANT
FI% .10 I (I
OVER 20 ADDRESS
TURES
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER WTR. HTR._ PERMIT
APPLICANT Z-9 mM ` /E G /✓/G
STA. COOK_DISP. F.A.U._ ADDRESS, /&V& W .1-L/f A <-
SPACE HTR, AIR COND. CITY (�(�' Co L/ti A TEL. NO.-W-3703
CLOTHES WASH. DI SHWASH._ LICENSE NO. -y—(0 CLASS - �d
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.
S1ZE & TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REOU IRED Y l05 AN 0ELES COU Y AND STATE OF
CALIFOR NII OR THAT I M THE LEGAL OW NEP F, AND INTEND TO d
3/lP. - 10 300 RESIDE IN, THE AB VE DES 10E0 RES 1 ENT AL PROPERTY.
I/CO.N 00 V
SIGNATURE
10 - 50 500 OF PERMITTEE
50 - 100 10.00 - - G
015 TRI CT NO. CLASS ZONE PROCE SED BY
100 - 500 1500 �J-(7�' A- ( W
C,
H
SIGN, GAS SIGN AND ONE CIRCUIT5.00 NOTES: - _ e)� NG 517, ?.
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00 3
APPROVALS DATE INSPECTO SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POW ER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CON DI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) U
UTILITY CO. NOTIFIED G
PLAN CHECK FEE
FINAL �L
PERMIT ISSUING FEE 3.00 3 Q U
TOTAL FEE 9- 0.9
PLANCHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
920- 7,' OCT 12 2 D 9.00~ 2'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /K/J
°B .-41.-.3 25. ;" APPLICATION FOR PERMfs
bPART OFAG AND SAFETS
COU ��������
COUNTY OFF LOS LOS ANGELES
M. J. FOX CHIEF ENGINEER
a NAME DISTRICTNO. GR/O�UP ZONE PERMIT NO.
F�F ADDRESS �
U CITY TEL.NO. RECEIVED BY//.���� READY FOR DATEISSUED
W�1 COUNTY �iJ II'
FIRST INSPECTION j,--j3-y%
lil CERT.NO. EXPIRES `�66
APPLICANT FILL IN HEAVILY OUTLINE�WP/JORTION,ONLY
JOB
DESCRIMON OF WORK ADDRESS U 2
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS jFljT CROSS ST. ICA Juw-e�
CIRCUIT A B I C I D I E I F G I H I KNAME, . .11 "1'ke K `
z Z MAIL
- ; ADDRESS •^'��
O /�
CITY � ]FJ TEL.NO.�-
1 AM THE LEGAL POSSE660R OF THE ABOVE LOS
ANGELES COUNTY REQUALIFICATION..
ELE VgAN.
I AM THE LEGAL OW ERN OF TNBWROPERTY'0 SCRIBED
ABOVE
/ SCO CYTONS
_ J
Z
Z
O
R
D
TOTAL Z
NO. OF OUTLETS $ 'i o APPROVALS
NO. OP FIXTURES S DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT tN
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
ISCELLANEOUS $ /- POWER
PERMIT FEE UTILITYCO.NOTIFIED /
TOTAL,FEE W-- 6 FINAL / G vim-¢
oes s-A 2-16 APPLICATION FOR PERMIT -
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
FOX CHIEF ENGINEER
2 < � /
NAME DISTRICT NO. GR``O--UP ZONE PERM`I'T NO.
K
ADDRESS �'� ���-_ r/ / / //;1"/--�
it
%A RECEIVED RY' READY FOR DATE ISSUED
JNU TEL.NO. �I �n FIRST INSPECTION
COU .� --�
4i CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS -
NEAREST ff /jr
LIGHT OUTLETS JSW. PLUGS I vdr CROSS ST.
CIRCUIT A B C D E F G H W NAME Lim-�*/. �l - % 7i
= MAIL
3 ADDRESS �•�Z:�-���
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF OI/ALIFIGATJON..
ELECTRICIAN.
I AM THE LEGAL OWNER.OF THE PROPERTY DESCRIBED
ABOVE
CORRECTIONS
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J
Q
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D
E
D
I
T w✓ / y %
NO. OF OUTLETS
;E�S! APPROVALS
1 NO. OF FIXTURES 7 S / DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. S WIRING
EOFS OR HEATERS S FIXTURES
US $ POWER
S UTILITYCO.NOTIFIED
'L� �- 'JI FINAL
R ,.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9608280021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 80 BL: .001 5004 DOREEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803437
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA RD.
8585-022-041 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
F2 208, 277V LGT BR CKT 1.00 BR 27.30
TENANT: G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H9 RES APPL LT 3HP 1.00 RES 10.80 08/28/96 TC 08/28/97
TOTAL FEES 67.80
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
TERRAZONE, DONNA (818) 575-0652- / q >/
5004 DOREEN AV (��/ -4 V
TEMP 917803437 DESCRI TION OF WORK
ALTERATION TO MASTER BATH NO NEW S0. FOOTAGE
APPLICANT: TEL. N0:
DIAMOND CONSTRUCTION (909) 396-8363-
&eL E S �® SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DIAMOND CONSTRUCTION (909) 396-8363- A
P. O- BOX LIC. NO ®rsa {j TEMPORARY POWER P E
DIAMOND BARR,, C CA 91765 702476@
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND
LIC. NO: Mill ROUGH CONDUIT
ROUGH WIRING
PUBLICWORKS MAIN WATER LINE
PLASTIC Y/N METAL Y/N
O 1u:� co
UTILITYCOMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: SS0508