HomeMy Public PortalAbout5124 FARAGO AVE_Electrical__ 663 CE 8068 10/" APPLICATION FOR ELECTRICAL PERMIT
" COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB qq
BUILDING AND SAFETY DIVISION ADDRESS �� of CQ/L(X, d—
FOR APPLICANT TO FILL IN LOCALITY r&N jE_ E
New Residential Bldgs &Pools EACH NO FEE NEAREST
$ 025 — $ CROSS ST
1 &2 Family Sq t OWNER OR • . f
Multi family Sq Ft 02 — FIRM NAME
Residential Swimming Pools„ 2500 MAIL �1 �
ADDRESS So /S ef k d WA.
Outlets Rec Llght_Sw CITY .CAjV1 LTeI No
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Additional 30 PERMIT
Total No i APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater—DW CITYTel No
Oven —Dryer WMT_ LICENSE OR
Top .—FAU —W H REG NUMBER Class
Hood_Fan _Other_ /� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp Room Air Cond —� 2 50 �+ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl 2 50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY CD
Over 1 to 10 Incl 500 rJ
Over 10 to 50 Incl 1 2 50 PERMITTEEA)V.11 CD
LC
Over 50 to 100 Inc
2500 SIGNATURE
Over 100 4000 DISTRICT N SED BY N
ServicesF U �1
0 X00 Amp Under 600V 1250 Z INS CTOR S
201 1000 Amp Under 600 V
2500 APPROVALS DATE S NATURE
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenarces 1000
10 00 ROUGH CONDUIT
Sign with One Branch Circuit 2 00
WIRING
Additional Sign Branch Circuits
Mlsc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO NOTIFIED Ae --&2
141
FINAL
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE (One Fourth Permit Fee) -
PERMIT ISSUING FEE $700
TOTAL FEE
i
PLAN CHECK VALIDATION CK M O CASH PES I VALIDATION t 4 K M O CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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76A663 APPLICATION FOR ELECTRIC PERMIT �r
DBS 5A 12 54
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM J FOX COUNTY ENGIMEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING mi
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST ,
CROSS ST
FEE �m
NUMBER EACH
LIGHT OUTLETS OWNER
RECEPTACLES MAILADDRESS
WALL SWITCHES
TOTAL OUTLETS 50 S CITY TEL NO
ELEC RANGES 25 ELECTRICIAN
ELEC HEATERS 25 ADDRESS ate)
KW EA CITY TEL NO
FIXTURES 5 3 LICENSE NO al
NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP I ZONE READY FOR INSPECTION
NUMBER OF RECEPTAC E CIRCUITS
0 O
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD _
NEW MVD HP OVER INC EACH
&LESS S 25
1/Z 2 50
2 5 1 00
5 15 1 50
15 50 250
50 200 500
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING S1 00
FIXTURES S1 00
SUPPLEMENTARY 50
APPROVALS
TOTAL FEE S 3 QJ DATE INSPECTOR S SIGNATURE
1 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES �, ..�..
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PR OPERTY
� UTILITY CO NOTIFIED
SIGNATURE i L
OF PERMITTEE FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION
1110 Lrbo
3012n M816 2 305
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BY
DEPUTY
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1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1104060021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID BUILDING ADDRESS
ITR 11497 LT 8 BL B I I 5124 FARAGO AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803527
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1
18574 009 042 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY Cl
I IG1 OUTLETS LGT SW RECP 20 00 OUT 38 80 I 1
(TENANT IG2 LIGHTING FIXTURES 10 00 LGT 19 40 11SSUED ON PROCESSED BY PLAN BY
I IH2 RES GRBG DISP LT 3HP 1 00 DIS 10 90 104/06/11 SR
IH3 RES DISHWASHR LT 3HP 1 00 DIS 10 90 I I
(OWNER TEL NO 1H4 RES RANGE HDS LT 3HP 1 00 HOO 10 90 IFINAL DATE FINAL BY CODE 1
IREYES VIRGINIA IHS RES WASH MACH LT 3HP 1 00 WAS 10 90
15124 FARAGO AV I TOTAL FEES 129 60
(TEMP 917803527 I ID SCRIPTION OF WORK
ELECTRICAL FOR NEW ADDITION AND HVAC SYSTEM
(APPLICANT TEL NO
ISYAL ABERGEL (818) 594 3500 1
119562 VENTURA BLVD I I I
iSPECLAL CONDITIONS
ITARZANA CA 91367
I I I I
(CONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE
1PREFERRED HOME BUILDERS INC (818) 594 3500
16271 VARIEL ST #C LIC NO ITEMPORARY POWER POLE
WOODLAND HILLS CA 91367 773147 B
(UNDERGROUND CONDUIT I I
1ARCHITECT OR ENGINEER TEL NO
ID DESIGN INC (818) 594 3500 1UFER GROUND I
119562 VENTURA BLVD LIC NO TROUGH CONDUIT 1 I I
ITARZANA CA 91367 NONE
IROUGH WIRING I
I (MAIN WATER LINE I
(PLASTIC Y/N METAL Y/N I
(UTILITY COMPANY NOTIFIEDI I
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1 1 I I I I
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IREPORT ID DPR265 ROUTE TO BS0508
I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103140040
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 11497 LT 8 BL B 5124 FARAGO AV
I 1FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803527 1
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18574 009 042 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY Cl
I 1LB 200 AMP PANELS MCC 1 00 PAN 38 80 1
TENANT 1 TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY
1 103/14/11 SR 1
OWNER TEL NO F I DAT AFI BY CODE
IREYES RUBEN A VIRGINIA C (626) 221 6174 �
15124 FARAGO AV
ITEMP 917803527 IDESCRIPTION OF WORK
(UPGRADE SERVICE 200 AMP
(APPLICANT TEL NO
1COHEN DORON (818) 644 3403
SPECIAL CONDITIONS
i
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
ISPEED ELECTRIC INC (818) 644 3403 1 1
14570 VAN NUYS BLVD #503 LIC NO ITEMPORARY POWER POLE I 1
1SHERMAN OAKS CA 91403 880178 C10 I 1 1 1 1
1 1 1UNDERGROUND CONDUIT 1 1
1ARCHITECT OR ENGINEER TEL NO IUFER GROD / 1
UN
1 LIC NO 1 1ROUGri CON IT 1 1 1
I
1 1ROUGH WIRING 1 1
1 1 1MAIN WATER LINE 1 1 1
1 1PLASTIC YIN METAL YIN 1
I I i I I I
1 1 1UTILITY COMPANY NOTIFIE �
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1 1REPORT ID DPR265 ROUTE TO BS0508 1 1 1 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0212050029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID --FEES PAID BUILDINGADDRESS
TR 11497 LT 8 BL B 5124 FARAGO AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803527
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET FREER
8574 009 042 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY
F1 120V 15/20A BR CKTS 1 00 BR 17 25
TENANTG1 OUTLETS LGT,SW,RECP 2 00 OUT 3 90 ISSUED ON PROCESSED BY PLAN BY ERPIRES ON
TOTAL FEES 48 90 12/05/02 JK 06/03/03
OWNER TEL NO F AL D TE FINAL BY CODE
REYES RUBEN A,VIRGINIA C (626) 442 8822
5124 FARAGO AV �---- _
TEMP 917803527 DESCRIPTION OF WORK" -~ i-
C/O FURNACE
APPLICANT L NO
GLOVER (909) 279 0604
5030 VICEROY AVENUE SPECIAL CONDITIONS
NORCO 92860
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR TURE
AIR TRO INC (626) 357 5311
1630 S MYRTLE AVE LIC NO TEMPORARY POWER POLE-
MONROVIA CA 91016 258228 C20
UNDERGROUND CONDUIT
ARCHITECT OR ERUTWEER T EL UFER GROUND
LIC NO ROUGH CONDUIT
ROUGH WIRING
MAIN WATER-LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NO
REPORT ID DPR265 ROUTE TO BS0508