HomeMy Public PortalAbout5326 FARAGO AVE_Electrical__ 76A66yA CE91O% 4/72 APPLICATION FOR ELECTRICAL PERMIT
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS cr''
1 LOCALITY'
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
OWNER �`vy�lFDr`
RECEPT I $ $ MAIL
FIRST 20 ADDRESS
LIGHT TOTAL
CITY .� TEL NO
SWITCH _ OVER 20
PLAN CHECK
LIGHTINGTOTAL FIRST 20 APPLICANT
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER WTR HTR_ APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH _�___DISHWASH LICENSE NO CLASS
FAN__t___OTHER IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO C
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I--
0 - 1 LICENSED AS RED [RED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR TH I AM THE WNER OF AN INTEND TO O.
1 - 10 RESIDE IN TH A VE DE IPE D ROPERTY fn
10 - 50 SIGNATURE
OF PERMITTEE
50 - 100
DISTRICTNOCLASS ZONE OLE D BYl
100 - 500 8
SIGN GAS=ND ONE CIRCUIT NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOT OVER 600 VOLTS OR 200 AMP
SERVICEOVER600VOLTS OR200AMP APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
TSS
PERMIT ISSUING FEETOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH R ITVALIDATION CK M O
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76A66JA C.�,;A 4/72 APPLICATION FOR EYECiRIC�►
AL COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
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OUTLETS NO EACH FEE `
OWNER
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FIRST 20 O ADDRESS .1�\p�V I
LIGHTL
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FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICAN
STA COOK DISP F A U ADDRESS /J
SPACE HTR AIR COND CITY�_�S�.._ ♦ TEL NO SSHtnS 4
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING w
SIZE & TYPE OVER TO 0
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I-
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR AM THE LE AL OWNER OF AND I TEND TO CL
1 - 1O RESIDE N T E AB E ESC ERTY y
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10 - 50 SIGNATURE
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TUBE OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR S SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE eq
PERMIT ISSUING FEE FINAL
D
TOTAL FEE 10
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M O sH
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76A663 CE806 9 57 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEE ! BUILDING �
BUILDING AND SAFETY DIVISION )1 �� ADDRESS9'-
E
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES
I T E M ` NUMBER EACH FEE OWNER
OUTLET f / 1` $ $ �"` MAIL
LIGHTS RECEPT 3 SW {� �} 10 ADDRESS
LIGHTING FIXTURES /G 10 ) CITY /' .�U/��TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN �..-'' C(/
A
WATER HEATERS 50 f
ELEC SPACE HTRS DISHWASHERS ADDRESS
1 / SIR �� NO
CITY .TEL
GARBAGE DISPOSERS/ AUTO ,l
r
WASHERS STA COOKING UNITS 25 v STATE
LICENSE NO � ✓ L
MOTORS OVER INC H P
o — I/2 25 DIS RIC IGH(C)U] L READY FOR INSPECTION
I/: — 2 50 `
INSPECTION RECORD
2 — 5 100
5 — 15 ISO
15 — 50 250
50— 200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 1 00
SERVICE OVER 600V Soo
MISC
WIRING PERMIT 100
FIXTURE PERMIT 100 �3
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING �d S
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE-,OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH I OVE
DESCRIBED RESIDENTIAL/PR PERTY /�
SIGNATURE A � ,f POWER
UTILITY CO NOTIFIED 1 d��CJ �i�f..f' Bpt.+�a
OF PERMITTE t //!///��� FINAL J YV
/u�AUDATION ARTHUR VEIT
//cty Mo CASH SUPERVISING ELECTRICAL ENGINEER
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703120006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS 1
ITR 24389 IT 10 I 1 5326 FARAGO AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803531 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET FREER
18573 036 004 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID D3 LOCALITY TEMPLE CITY Cl
I ILB 200 AMP PANELS MCC 1 00 PAN 38 85 I 1
ITENANT I TOTAL FEES 66 60 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
I 1 103/12/07 JK 09/08/07 1
I I I I
1OWNER TEL NO 1 IFIWJDATE FINAJT. 6 CODE 1
IMA SAU (626) 345 8282
15326 FARAGO AVE 1 1 1
ITEMPLE CITY CA 91780 I JDESCRI15TION F WORK
1 I (ELECTRICAL SERVICE UPGRADE TO 200 AMP
I I I I
1APPLICANT TEL NO
ISAME AS OWNER 1 I 1
I I ISPECIAL CONDITIONS I
I I I I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
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I LIC NO I (TEMPORARY POWER POLE I I I
I I I I I I
I I IUNDFRGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND
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1 LIC NO IROUGH CONDUITI I I
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I I IMAIN WATER LINE 1 1 1
I I IPLASTIC YIN METAL YIN I I �I
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I IREPORT ID DPR265 ROUTE TO BS0508 I I I I
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