HomeMy Public PortalAbout5523 ENCINITA AVE_Electrical__ 76AS63 DBS SA 7-S, APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L
WILLIAM J. FOX, CHIEF ENGINEER
F❑R APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN O
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 2 _ S //J FIRST INSPECTION 1
CITY TEL NO ?i- 6
COUNTY LICENSE NO 19q-S" EXPIRE, BUILDING
ADDRESS
PERMI FEES
-- FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS 7. NEAREST
CROSS BT
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ MAIL
ELEC RANGES try. ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC I
APPLICATION AND STATE THAT THC ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS r IO J AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND ,TATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTYh LICENSE, OR 1 AM THE LEGAL OWNER
FEE I
NEW MVD HP OVER IND. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I/2 s-LE-is $ 25 SIGNATURE 0
/ 2
.50 PERMITTE a nl9
2 5 1 DD INSPECTION RECORD
s is 1 50
is 50 250
50 200 Sao
200 500 1000 J
500 1000 1500 Q
Z
OVER 1000 2000
M G SET/FREQ. CHANGER-HP Q'
WELDERS'AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% O� DRIG)
MOVED MOTORS (75% OF ORIG)
MISC
SIGNS
NO NO TRANS
APPROVALS
NO NO LAMPS
DATE INSPECTOR',NAME
FOR EACH PERMIT'
WIRING $1 00 CONDUIT
FIXTURES $1 0O WIRING 40a
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE �"� UTILITY CO. NOTIFIED fIn s I
®p FINAL �^ ?i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0607030022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT C !)-;:�,J? 6r0GA/
LEGAL ID FEES PAID BUILDING ADDRESS J
TR 9751 LT 182 5521 ENCINITA AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802308
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY
5387-020-011 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C
LB 200 AMP PANELS, MCC 1 00 PAN 38 85
TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
07/03/06 JK 12/30/06
OWNER TEL NO FINAL DATE FINAL BY CODE
GARCIA REFUGIO S,ELEANOR (323) 726-1597- `Qz�v(o
5521 ENCINITA AVE
TEMPLE CITY CA 91780 DESCRIPTION OF OR
APPLY A NEW ACCESS PANEL 200 AMP
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 /O
,r
REPORT ID DPR265 ROUTE TO BS0508