HomeMy Public PortalAbout9956 DUFFY ST_Electrical__ 76A663 DBS SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING ARID SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR AP LI NT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRI6- _ ' ` �,y r
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION ,a��1 a�
CITY \ T NO: / ,� �`�
COUNTY LICENSE NO. EXPIRES -,.V BUILDING
PER IT F ES ADDRESS to /f
!P
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES
CROSS ST.
WALL SWIT4iHES OWNER y(, s f /
TOTAL OUTLETS 5C MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 136 CITY / / v / TEL. NO.
FIXTURES. 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. I
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE•VALID LOS
NUMBERHORSEPOWER FEE
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER I HC. EACH OF THE RESIDENTIAL PR ER DE 15RIBEPYABOVE.
a LESS $ .25 SIGNATURE OF '7 /
%z 2 .50 PERMITTE
2 s 1.00 INSPECTION RIOCORD
s 1s 1.50
is so 2.50
50 200 5.00
200 500 10.00 J
5130 1000 15.00 a
OVER 1000 20.00 IS
M.G. SET/FREQ. CHANGER-HP It
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (7S% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 t� CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES V!—�/ G` ��-• �
POWER
TOTAL FEE $ Jr UTILITY CO.NOTIFIED �7 _
FINAL / -�
76A663A-CE806A 4/72. APP(I CAIMN FOR ELPG'!�'�f'�MAL PERN7(
COUNTY OF LOS ANGELES �C l� u !r0 UVII U
=DEPARTMENT OF COUNTY ENGINEER BUILDING
B LDING AND SAFETY DIVISION ADDRESS
LOCALITY a
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
$ OWNER j
$.
RECEPT.160 MAIL ,i
FIRST 20 ADDRESS i
LIGHT_ TOTAL d ''b
CITY TEL. NO.
SWITCH OVER 20 ,
PLAN CHECK
LIGHTING 1TOTAL FIRST 20 APPLICANT
J}
FIXTURES �'
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR._ APPLICANT o
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR._AIR COND. CITY TEL. NO.,IrZ `J •
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY p
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
IND. HEATERS, ETC. HP. KW, KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO p
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR F...
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR THAT I AM THE LEGAL R OF, AND INTEND TO
1 - 10 RESIDE N, THE A E DE .RIP•E RE IDE NTIAL PROPERTY. N
Z
SIGNATURE
10 - 50 OF PERMITTEE
50 - 100 °
DISTRICT N0. 1CLASS � 7>,Q•19E PRO SS ED BY
100 - 500
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:!/.
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVI CE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS "' DATE INSPECTOR'S SIGNATURE
SERVI CE OV ER 600 VOLTS OR 200 AMP
TEMP.'POWER POLE4, '
TEMP SERVICE,POLE, at APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL /!
PERMIT ISSUING FEE '
V
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
nCT 8 2 D 1 3.8 0 ,&58
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0307100011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 17200 LT: 4 9956 DUFFY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802607
ASSESSOR INFORMATION NUMBER• NEAREST CROSS STREET: BALDWIN
8588-014-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
JA HEAT PUMPS +3-10HP 1.00 HT 19.65
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 67.05 07/10/03 JK 01/06/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HALVERSON PETER & HIRATA KAYOKO (626) 287-3225-
9956 DUFFY STREET J i
TEMPLE CITY 91780 DESCRIPTION OF WORK
ELECTRICAL FOR HEATPUMP & AC CONDENSORS
APPLICANT: TEL. NO:
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: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508