HomeMy Public PortalAbout6361 ENCINITA AVE_Electrical__ 761R63-C.E80t 10/72 APPLICATION FOR iLECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOe �/ ENG%N/T
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �QN
OUTLETS N. EACH FEE OWNER OR 7;J -' ! r,
6 5 FIRM NAME C: J
RECEPT./z q MAIL ♦ ! " (�(.rl9
FIRST 20 25 U U ADDRESS �r77
LIGHT H TOT/AL - / CI TV �( TEL. NO
SWITCH OVER 20 10 60
PLAN CHECK
LIGHTING FIRST 20 25 APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES _10
RESIDENTIAL Af PLIANCE6
CITY TEL NO.
V/ PERMIT
RANGEDRY ER_WTR. HTR._ APPLICANT r /V
STA. COOK DISP. F.A.U. ADDRESS /� ',)d
SPACE HTR.�. /AIR CONO. CITY — �� TEL. NO _&
CLOTHES WASH. ✓ OISHWASH._ LICENSE OR " - CLASS.
REG. NUMBER
FAN OTHER IAO Cj 1 XEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
JJJ L+ ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERSRATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC, HP. KW. MVA. ELECTRICAL WIRING.
512E & TIRE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY HEGISTERED.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 DESCRIOEO RESIDENTIAL PROPERTY. y
�. l E
10 - W 500 PERMITEE U
SIGNATURE / of nl ED
50 - 100 1000 1-
DISTRICT NO. . PROC SED BY W
100 - 500 15.00 Q V 1 y
Z_
SIGN, GAS SIGN AND ONE CIRCUIT 5:00 . APPROVALS DATE IN5PECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK _
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE.POLE, &APPURTENANCES 5.00 WIRING( �♦ ���.-1 '11 6;1,
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES w�� ♦ ,
POWER''AUTHORIZED +'
UTILITY CO. NOTIFIED ^ ZE ��
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 a L>U
TOTAL FEE
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK. M CASH
a �7 APER 8 2 0 1 5.3 5 esu
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
• — 1
DBs-5A APPLICATION FOR ELECTRIC PERMIT
DBS-E/.9-fie
DIVISION OF. BUILDING AND SAFETY
Deportlaent of County Engineer _
County of Los Angeles BUILDING
ADDRESS
WM.J. FOX. COUNTY ENGINEER
CASSATT D. GRIFFIN. SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cRoss sr. t9 Le
NUMBER EACH FEE OWNER ERPA E. k/LSOM
LIGHT OUTLETSMAIL
fit'
RECEPTACLES ADDRESS GI A4�/ 1�(//�E
WALL SWITCHES �r. � e'OTd TEL. NO. ;r -vw/
TOTAL OUTLETS 5Q S CITY AD
ELEC. RANGES 25 ELECTRICIANUR FA`)7'V V F At,01A AW
_ELEC. HEATERS / 25 ADDRESS pp • AW tf � T/Q w"
KW EA CITY�/�IP'LJE C'_/T/ TEL NoA
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMRER HORSEPOWER I FEE INSPECTION RECORD
NEW MVO. HP OVER INC. EACH
V1 a LE55 $ .25
Iz .50
2 5 ,.00 L� T 1,51 P OT
2 ,
5 15 1.50 —
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
' NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING S1.00
FIXTURES S1.00
SUPPLEMENTARY .50 APPROVALS
_ TOTAL FEE IS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICA ION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL.OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIPROPERT7Y. _ n/t"
SIGNATURE I-� ����^ UTILITY CO. NOTIFIED
OF PERMITTEE ///LLL�AAI�i�.��� FINAL I, O
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A. C. VEIT.CHIEF ELECT. INSPECTOR
� 05720 MAY 4 2 1 .25 to
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - eECECTRICAU PERMIT
- DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS _ .'EL_05089707070012
- - BUILDING AND SAFETY / LAND*DEVELOPMENT r TEMPLE CITY CA - _ -
- - PHONE: (818) 285-0488 EXT: -
LEGAL ID: - FEES PAID BUILDI G„ DDR SS: -- -
TR: 12115 LT:.21 - 6361-'ENCI N I TA;AV-
FEE DESCRIPTION:
V-FEE .DESCRIPTION: QUANTITY: UOM: ..AMOUNT: TEMP,CA'_9.17801318 - -
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5382-023-013 - - Al PERMIT ISSUANCE FEE - - ' 27.75 THOMAS PAGE: 596 "GRID: J2 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU" 10.80 -
TENAN : JB AC UNITS +3-10HP 1.00 AC 19-65 ISSUED 0 5 : PLAN EXPIRES -
TOTAL FEES 58.20 07/07/97 TC - 07/07/98
OWNER: - TEL. NO: FINAL DATE FINAL BY: /J CODE:
OWEN CURTIS W;DONNA S TRUSTEES (818)
- 287-8130-
6361-ENCINITA AV - - - - L"
7"T__TEMP 917801318 DE [ION
- ELECTRICAL FOR NEW HEATING AND AIR CONDITIONING SYSTEM
PPLICA L. - - -
CONNOR AIR CONDITIONING - (626) 287-8130- - -
SPECIAL CONDITIONS: -
&eL E �®
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING AND REFRIG. (818) 286-3157-
4931 NORTH ENCINITA LIC. NO ®� AR POWER POLE
TEMPLE CITY, CA 91780 C20 & C38
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: 'm7 �' ROUGH CONDUIT
IST ROUGH IRING
�'p ( ����
W. �C KS MAIN WATER LINE
(�1 Y/ G 9 Il PLASTIC YIN METAL YIN.
.19 (3 UTILITY COMPANY NOTIFIED
o oF7 ��
ervicc
* ADDITIONAL DATA ON FILE -
REPORT ID: DPR265 ROUTE TO: BS0508 -