HomeMy Public PortalAbout5443 ENCINITA AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY #) 050E ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308190008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 7796 LT: 14 I 1 5443 ENCINITA AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803117 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15388-001-014 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI
_IG1. OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 I
(TENANT: TOTAL FEES 29.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I 1 108/19/13 SR 1
(OWNER: TEL. NO: 1 (FINAL DATE FINAL B CODE: 1
EASTVEDT RICHARD E;MAUREEN L (626) 287-3018-
1 I�0 2 �3
15443 ENCINITA AV
(TEMP 917803117 j IDES PTION OF WORK
1 I IA.DD DEDICATED GFCI CIRCUIT 1
(APPLICANT: TEL. NO:
(TONY ANDERSON
I i ISPEC:IAL CONDITIONS: 1
ICONTRACTOR: TEL. NO: ;APP:'.^VALS DATE INSPECTOR SIGNATURE
IGREENWORKS US (925) 272-4590-
I
14301 LAKESIDE DRIVE LIC. NO I ITEMZORARY POWER POLE 1 I
IRICHMOND, CA 94806 668492 * I 1----.-. _
1 IUNDLRGRO'UND CONDUIT I
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I j
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I LIC. NO: IROUGH CONDUIT 1 1
1 I IROUGH WIRING I I
I 1 (MAIN WATER LINE
I 1 ;PLASTIC YIN METAL YIN I 1
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1 I* ADDITIONAL DATA ON FILE I I I
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IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I
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DBS-5A 12.54 YY ALICATION FOR .ELECTRIC .PERMIT yl
DBS-5A
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING a" "
WM. J. FOX, COUNTY ENGINEER ADDRESS ✓ �■ �` 0•
CASSATT D. GRIFFIN, SUPT OF BUILDING _
/
FOR APPLICANT TO FILL IN LOCALITyI J1
PERMIT FEES CROSS ST.
FEE
NUMBER EACH
LIGHT OUTLETS OWNER a, G' 'y/�+ f� //- Z
RECEPTACLES MAIL
ADDRESS ✓ J • ( f
WALL SWITCHES /
TOTAL OUTLETS 50 $ CITY �Ay' jPj TEL. NO.
ELEC. RANGES 25 ELECTRICIAN -
ELEC! HEATERS - 25 ADDRESS
KW EA CITY r IF TEL. NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS'
DIST RI T NO. GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS ( ! .R
MOTORS 1
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW_ MVD. HP OVER INC. EACH
/ 1/2&LESS $ .25
2 5 1.00
5 15 1.50
15 . 50 2.50
50 00 5.001
U.
MISC.
NO. SIGNS - NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT: -
WIRING - - $1.00
FIXTURES $1.00 -
SUPPLEMENTARY .50 ,
APPROVALS
TOTAL FEE $ / DATE INSPECTOR'S SIGNATURE
I 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 THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS-ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL 0,WDIER OF THE ABOVE POWER i
DESCRIBED RESIDENTIAL PR ERTY.
UTILITY CO.NOTIFIED �r� �^' - .0 i�t A
SIGNATURE FINAL ' �l+l
OF PERMITTE
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
UTY
76A6&3-CE906_10/72 . APPLICATION FOR ELECTRICAL PERMIT. .. �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB J'/
BUILDING AND SAFETY DIVISION ADDRESS5zlV3 a
LOCALITY `�-✓9/�4f .G
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OUTLETS NO. EACH FEE OWNER OR J
FIRM NAME
RECEPT. $ $ MAIL
LIGHT TOTAL
FIRST 20 25 4:¢0 ADDRESS
CITY I, ,y d TEL. NO. '� s
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TE
CLOTHES WASH. ' DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN OTHER 1.00 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI- I� AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY.
/
UR9 S
b U
PERMITEE 'J7
10 - 50 5.00 SIGNATE /� U��
O
50 - 100 10.00
DISTRICT NO. PROC SSED BY U
W
100 - 500 15.00 Q e N
Z_
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES-
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT A /ID CK. M.0. CASH
r
jar,^ 2 1 '973 JUL - 0 ? D 7.00A c"
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76g6g3-CE606410/72 APPLICATION FOR ELECTRICAL PERMIT..
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS S Z4
LOCALITY `-
NEAREST
FOR APPLICANT TO FILL IN 7 CROSS ST. 2 LL,I
FRECEPT.
TS N0. EACH FEE OWNER RM NAME 1 f✓'
$ $
MAIL /TOTALFIRST 20 25 ADDRESS b / Z OVER 20 10 CITY TEL. NO.
PL CHECK
LIGHTING1 FIRST 20 .25 APP
rrSAUZ
I TOTAL
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CI TEL, NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITYblu TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBE CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE >-
1 - 10 3.00 DESCRIPED RESIDENTIAL PROPERTY. p
V
PERMITEE 0 A ,�►^� j �
10 - 50 5.00 SIGNATURE GG _Y ` > p
H
50 - 100 10.00 v
DISTRICT N0. PROC ED BY W
10
0 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00dUNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES;- •'
PLAN CHECK FEE ``''
PERMIT ISSUING FEE 3.00 dv 1 71d17-3
TOTAL FEE O0 I L
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT OtJ CK. M.0. CASH'
4 5 ;B?3 JUN 4 2 6.0 aN v
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE