HomeMy Public PortalAbout5127 DOREEN AVE_Electrical__ 76A663-CE806 11-71 , APPLICATION FOR ELECTRICAL PERMIT .
•'� COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JNEARE'TING �/�
,. BUILDING AND SAFETY DIVISION ss
ITY' TAJPC� �L
FOR APPLICANT TO FILL IN S ST.
OUTLETS NO. EACH FEE
R U
RECEPT. � $ $ �}�
FIRST 20 GS 25 �� ADDRESS S��- //�I/•
LIGHT_ TOTAL CITY •T��i L-e (AT TEL.
SWITCH L ( OVER 20 ,10
PLAN CHECK
GHTING TOTAL
LFIRST 20 .25 APPLICANT
FI%TURES .10 I
OVER 20 AOORESS
%
RESIDENTIAL APPLIANCES CITY TEL. NO.PERT
C
RANGE—/—DRYER_WTR: HTR._ i APPMII [1 'CANT ' 1 .S BGG
STA. COOK_DISP.-F.A.U._ ADDRESS Q aQ � ')I/ r
SPACE HTR, AIR COND. I CITY C/.JPLE G/ TEL. N0.'9 T'L'70 70
CLOTHES WASH._OI SHWASH.L LICENSE NO. CLASS.
FAN OTHER 1.00 OO HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATETHATTHE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. MVA, ELECTRICAL WIRING.
5ICE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR
0 _ 1 Ipp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THATT1 AM THE LEGAL OWNER OF, AND INTEND TO
1 - IO 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDEN�31IAL PROPERTY. _.O
U
SIGNATURE _ :
10 - 50 500 OF PERMITTEE c2 O
50— 100 1000 _._ _... H
DISTRICT NO. CLASS ZONE P OC SED BY W
-100 - 500 15.00 rJ^D N
SIGN, GAS SIGN AND ONE CIRCUIT $.00 NOTES: �' 7 Z G. Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 0 / 1y
SERVICE NOTOVER 600 VOLTS OR 200 AMP / 3.00 TSL/
APPROVALS DATE INSPECTOR'S SIGNATURE. .
SERVICE OVER 600 VOLTS OR.200AMP 10.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT ��yy
WIRING
O L .�[i
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN'CHECK FEE ii
O FINAL
PERMIT ISSUING FEE 3.00 /
TOTAL FEE D
�d • S
PLAN CHECK VALIDATION LN. M. cAsn PERMIT VALIDATION cM. M.D. CASH
CC
LIU7 , z 9A jUU18 a D 10-50-
,Y
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
F
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207260005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL G .
TR: 11290 LT: 19 5127 DOREEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803439
ASSESSOR0 R: NEAREST CROSS STREET: FREER
8585-023-033 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED N: PROCESSED Y: PLAN BY: EXPIRES ON:
JB AC UNITS +3-10HP 1.00 AC 19.65 07/26/02 JK 01/22/03
TOTAL FEES 59.10
OWNER: TEL. NO: F NAL ATE [NAL BY: CODE:
GUZMAN RICHARD (626) 442-2099- /�///� j
5127 DOREEN AV �/
TEMP 917803439 D T6111UN OF WUKK
RE OCATE PORCH LIGHTS TO CEILING 8 1 IN LIVING RM FROM WALL
TO CEILING
APPLICANT: TEL. 0:
SAME AS OWNER SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: �4� �I//; � APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO .� OR ER POLE
UNDERGROUND CONDUIT
ARCHITECT ri •,_/J
R ENGINEER: EL. NO: UFER GROUND
LIC. N04: r ._� ROUGH CONDUIT
r I • l ROUGH WIRING
WAIN AER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY 0 ED
REPORT ID: DPR265 ROUTE TO: BS0508