HomeMy Public PortalAbout9063 EMPEROR AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1110100010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9063 EMPEROR AV
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( SGAB CA 917752016
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ROSEMEAD
15382-011-017 IAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 _ 1
(TENANT: I TOTAL FEES 66.60 JISSUED ON: PROCESSED BY: PLAN BY:
1 110/10/11 SR
OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE:
CHUNG, RICHARD/CONNIE (626) 272-7268-
9063 EMPEROR AV �f
ISGAB 917752016 1 IDESCRIPTION OF WORK
(UPGRADE SERVICE PANEL TO 200 AMP
1APPLICANT: TEL. NO: I
SAME AS OWNER - I
ISPECIAL CONDITIONS:
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I1
I LIC. NO (TEMPORARY POWER POLE
1-
1UNDERGROUND CONDUIT
1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
I LIC. NO: IROUGH CONDUIT
IROUGH WIRING
1 IMAIN WATER LINE
(PLASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIED(
I I I I I I
I I I I I
- - - REPORT ID: DPR265- ROUTE TO: BS050r8
79S5-A'6-46
` APPLICATION
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DEPARTMENT OF ygDNKM S9iiBY
COUNTY OF LOS ANGELES
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WM J FOX CHIEF ENGINEER �ILECTRIC
Q NAME DISTRICT NO. GROUP ZONAE PERMIT NO.
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W CITY TEC NO ! FIRST INSPECTION
J COUNTY J.FIRST
W CERT NO cyI EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORD ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITYV
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS isw PLUGS IFIXT —CROSS ST
CIRCUIT A B C D I E F.143 I H 1 0! NAME
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i 3 ADDRESS -,O 4
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CITY TEL NO. �^
1 AM THE. LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
ELECTRICIAN.
1 AN THS"GAL OWNER OOFF�THE PROPERTY DESCRIBED
OWNER
CORRECTIONS
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TOTAL I I I I I I
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NO. OF OUTLETS $ / 0 APPROVALS
NO OF FIXTURES $ 0 DATE INSPECTOR'S NAME
NO OF MOTORS HIP $ CONDUIT
NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES ✓
MISCELLANEOUS $ POWER
PERMIT FEE $ A J UTILITY CO NOTIFIED
TOTAL FEE FINAL
76A663-C E806-9-67 _ APPLICATION FOR ELECTRICA RMIT
COUNTY OF LRS ANGELES
-DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS o
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST T
NO EACH FEE
$ $ OWNER
RECEP MAIL
LIGHT OT FIRST 20 20 ADDRESS
SWITC OVER 20 10 ITY TEL NO
LIGHTING �_YovER
TAL FIRST 20 20 CONTRACTOFIXTURES 20 10 ADDRES
RANGEDRYER—WTR HTR _ CITY EL NO
STA COOK4�ISP -/—F A U _/� LICENSE NO
SPACE HTR AIR COND D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN THEIR1 001 45�
1 HEREBY CERTIFY THAT I AM PROPERLY RE I TE RED AND/OR
LICENSED AS REQ ED BY LOS ANGELES COU AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR T A I AM THE LEGAL OWNER , AND INTEND TO
IND HEATERS, ETC HP KW KVA RESIDE IN, TH BOVE ESCRIBED ES NT PROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1 00 OF PERMITT CL
1 - 10 3 00 DIST NO GRgJ.JP ZO E P CESSED BY 0
10 - 50 5 00 ` w
O
50 - 100 10 00 NOTES G
W
100 - 500 15 00 a
N
TUBE, OR SIGN AND ONE CIRCUIT 3 00 Z
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE J
UNDERSLAB WORK /
ROUGH CONDUIT
WIRING
ISSUING FEE 2 00 L
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED ( _
PERMIT FEE UTILITY CO NOTIFIED l O
PLAN CHECK FEE 150% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION cK M o CASH PERMIT VALIDATION CK M o CASH
LACo5 2 0 0110
` Juw25 2 D 2 3.00
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE