HomeMy Public PortalAbout5323 ENCINITA AVE_Electrical__ 76A663 CE-806 NF 6/78 APPLICATION O aaECTRICIA R ,
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN, JOB • ---*�
New Residential Bldgs &Pop I EACH NO FEE ADDRESS +� f�C/ �Tl�
1 &2-Family,Sq Ft � LOCALITY
Multi-family Sg Ft — NEAREST ' '
Residential Swimming Pools' CROSS ST
OWNER OR
FIRM NAME
Outlets Rec-20Light SW x MAIL
7 First 20 'ADDRESS /�O
Total No Additional CITY /94LTel No
j' PLAN CHECK
_ APPLICANT
Lighting Fixtures - First 20` ADDRESS'
Total No O Additional CITY Tel No
Fixed Appliances Not Over 1 HP _ PERMIT �-
Range_Heater_D W APPLICANT
Oven_Dryer_W M— _ ADDRESS Z_ c_j Ae,�O(eJ• IV41d
Top _FAU I WH' CITYCaVegyp ;;t77 Tel No q�j,7—Z/
Hood—Fan —Other—
LICENSE O `
Disp•_/_Room Air Cond REG NUMBER 3 i77S0 Class C /�,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size T COMPLY WITH ALL COUNTY-ORDINANCES AND.STATE LAWS,
ype HP, KW, KVA,or KVAR REGULATING ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE'OF
Over 10 to 50 Incl CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE cc
DESCRIBED RESIDENTIAL PROPERTY" 0
Over 50 to 100 Inc Y�YYY
PERMITEE
Over 100 _
SIGNATURE
Vf
Services _ DISTRICT NO - P D BY-
0 200 Amp U;de,600 V
201-1000 Amp r 600 V
Over 1000 Amp or Over 600 V �y,d j O
Temp Power Pole&Appurtenances /✓�'aG c7/���+ Q / �
Sign with One Branch Circuit J
Additional Sign Branch Circuits' INSPECTION
INFORMATION
Misc Conduits&Conductors ON REVERSE i
Other(See Complete Fee Schedule) SIDE - Z 8 9 7.3 A
V# '0002
PERMITTEE (SuE-Totall - 2 ° ° 5 2 0 0
PLAN CHECKING FEE ,(One,-Fourth Permit Fee) 2p 0.0 o 52000,
PERMIT ISSUING FEE4.
Q 2 1 2-5
TOTAL FEE 1 >
INSPECTION FINALED
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date �,� By , Os
76A663CE-806(11 /.•78; APPLICATI FOR- EL TRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB •� AlNew Residential Bldgs.&Pools EACH NO. FEE ADDRESS Sao 3 .65ACICU Th
1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY-7—C/0 Pj46. C)_J-1
02 — NEAREST CROSS ST. fy L_ 1 V�
Multi-family Sq. Ft. (%
Residential Swimming Pools 25.00 OWNER OR /�
FIRM NAME OM Ni tie l L 4
Outlets: Rec Light ADDRESS 8 ®AIL
.Firstst 2 20 S0
Total No. Additional .30 CITY A-XC dt®� _.. TeL No.L/.(PC—
PLAN CHECK
APPLICANT _S6✓1 r
Lighting Fixtures First 20 50 ADDRESS
Additional .30 a
Total No. CITY • Tel. No.
' Fixed Appliances NotOver1 HIP PERMIT -
T J •'A
Range—Heater—D.W. —
APPLICAN
Oven—Dryer— W.M.— ADDRESS
Top _FAU — W.H. _ CITY ,• TeL_No., .
Hood_Fon _Other_ LICENSE OR
Disp.—Room Air Cond. 2'50 REG,NUMBER, Class.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA.
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY'WITH'ALLCOUNTY ORDINANCES AND STATE LAWS"'
Size&Type HP, KW, KVA,or KVAR REGULATING ELECTRICAL WIRING.
Up to 1 Incl 2.50
5.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl 12.50 CALIFORNIA O THAT I AM THE LEGAL OWNER OFT E ABOVE
25.00 DESCRIBED RE IVTIAL PROPERTY. I�
Over 50 to 100 Inc. 4000 PERMITEE
. ,
Over 100 SIG 'T
v
vest
Services DISTRICT NO. PRO ES ED BY g
0- 200 Amp, Under 600 V 12.50
201'-1000-Amp. Under 600 V 25.00 �) !� - -
Over 1000 Amp.or Over 600 V 50.00 Z
® � O
Temp. Power Pole&Appurtenances 1 0:00 - Q
Sign with One Branch Circuit 10.00 r
Additional Sign Branch Circuits •2.00 INSPECTION >. f
Misc.Conduits&Conductors 10'00 INFORMATIONON REVERSE z Fj 2
Other(See Complete Fee Schedule) SIDE - u
Q } c c 0 .0 L
J
- d
2 1 400
PERMIT FEE '(Sub-Total) /® ` G C,
Z.
PLAN CHECKING FEE (One-Fourth Permit Feel O c,
PERMIT ISSUING FEE $7.00. o
J
Q
TOTAL FEE
r
INSPECTION FINALED
W
date: sy
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801080002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT
LEGAL ID "FEES PAID I BUILDING ADDRESS
IBK 43 PG 93 PC 2 5323 ENCINITA AV I
IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 917803115 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
15388-008-030 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 8 00 OUT 15 60 1 I
ITENANT IG2 LIGHTING FIXTURES 3 00 LGT 5 85 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
1 TOTAL FEES 49 20 101/08/08 SR 07/06/08 1
(OWNER: TEL NO: 1 1FINAL DATE FIN Y CODE I
ISWANSON RICHARD M,SUSAN J (626) 202-6127-
15323 ENCINITA AV 11 /
1TEMP 917803115ID CRES- IPTION OF WORK
I ( I8 OUTLETS AND 3 LIGHT FIXTURES
I
(APPLICANT. TEL NO I I 4 I
ISAME AS OWNER
I - I ISPECIAL CONDITIONS
_ I
I I I I
ICONTRACTOR: TEL NO- 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I
I LIC NO I ITEMPORARY POWER POLE I 1
I (UNDERGROUND CONDUIT I I I
I I I
(ARCHITECT OR ENGINEER: TEL NO - IUFER GROUND I
LIC NO 1_ _IROUGH CONDUIT I 1 I
\ 1ROUGH WIRING ` I
� I I
IMAIN WATER LINE
I 1PLASTIC Y/N METAL Y/N I 1 I
(UTILITY COMPANY NOTIFIED( I
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IREPORT ID DPR265 ROUTE TO- BS0508 I I
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