HomeMy Public PortalAbout5026 DOREEN AVE_Electrical__ E
DBS-SA APPLICATION FOR ELECTRIC PERMIT
DBS-SA
OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM. J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN. SUPT OP BmLOINc pp-�
FOR APPLICANT TO FILL IN LOCALITY i �G
PERMIT FEES NEAREST /
CROSS ST.
NUMBER EACH FEE
LIGHT OUTLETS OWNER
RECEPTACLES MAIL v
=WALL SWITCHES ADDRESS
TOTAL OUTLETS 54 S---/.3,1 CITY TEL. NO.
ELEC. RANGES 25 _ . ELECTRICIAN �-
ELEC. HEATERS 25 A[
KW EA _
CITY 1 TEL. NO.
FIXTURES � 5 LICENSE NO. 3 `l
NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP I ZONE READY ,H INSPECTION
NUMBER OF RECEPTACLE CIRCUITSO-
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVO. HP OVER INC. p EACH
eLEGG S .25
_ '/i 2 .50 I
2 _5_ 1.00
5 15 1.50
15 50 2.50
50 200 5,00
misc.
NO. SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING 51.00 V
FIXTURES 51.00
SUPPLEMENTARY .50 T_
APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY TH I AM P 0 ER LY REGISTERED ND/OR FIXTURES
LICENSED AS REDUIRE LOS AN E ES COIL NTY AND TE OF yy r
CALIFORNIA OR TNAT M THE E AL OWNER OF TH ABOVEUTIL TY CO.NOTIFIED
DESCRIBED RESIDENTI ER
NOPERTY. i
SIGNATURE ��( A
OF PERMITTEE FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATIT e 4.O O
fa9(+AQ_2 5 8 5''� nPa 14 2 - /
BY
DEPUTY
` COUNTY OF LOS ANGELES TEMPLE CITY '� # 0508 ELECTRICAL PER I.TJ
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS V�L 0508_9704230020 -
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID 8 LD G_ADDRESS.)
TR: 11290 LT: 10 BL: D C-5026.DOREEN AV--
FEE DESCRIPTION: QUANTITY: UOM; AMOUNT: TEMP CA_917803437 -?r
ASSESSOR IN FORMA ION NUMB R: NEAREST CROSS STREET:
8585-022-032 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45
TENANT: TOTAL FEES 82.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/23/97 TC 04/23/,98
42 11
0 NE0 R.— TEL. NO: FINAL DATEFINAL 81' CODE:
RUEHLE PAUL M;MARIANNE (818) 443-5117- -L/I�a
5026 DOREEN AV fl
TEMP 917803437 D SCR[PT ON ORK
TO PERMIT EXISTING SPA
PLICA-P TAt I: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: C. - �� j� APPROVALS OATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO c�. // �� � TEMP POWER POLE
UNDERGROUND CONDUIT
LTLT OT€ �INF..rk: ---� \.fl,--.if- V A '�, UFER G1f00WD
LIC. N0: t—I �itTr�'., t:;: R0UGh CONDUIT — -- --
ROUGH 0
fAIN WATER LINE
PLASTIC Y/N METAL Y/N
(VF;-. UTILI Y COM ANY NOTTTFIE6i � '
REPORT ID: OPR265 ROUTE T0: BS0508