HomeMy Public PortalAbout4918 FIESTA AVE_Electrical__ 76A663C CESa B 12,75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ,JOB
FResidential Bldgs &Pools EACH NO FEE ADDRESS Fte:5-7A
Sq Ft $ — $ LOCALITY t'l p( A C—q Ft — NEAREST
CROSSST
esientiawimming Pools OWNER OR
FIRM NAME
Outlets Light Switch &Receptacle MAIL q t a
First 20 1 o ADDRESS
Additional CITY SMPI Cl Tel No
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 0 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP ` APPLICANT 1uSG'� �
Range_ Heater_ DW ADDRESS 1(-1 N 76\Z C, JA
Oven Dryer W M
Top FAU W H CITYCi UJ 1 6— Tel N -JkQ'>)
Hood Fan LICENSE OR
Dlsp A C REG NUMBER S) 7=1 Class C'S p
U
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Size&Type HP KW KVA or KVAR ELECTRICAL WIRING w
a
Up to 1 Incl ti
I HEREBY C RTIR THA AM P ER LV REGISTERED AND/OR Z
OVer 1 tO 1O Inc] LICENSED AS R OUIRED BY L ANGE ES COUNTY AND STATE OF
CALIFORNIA O THAT I AM T E LE L OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RESI NTIAL PROP TY
Over 50 to 100 Incl PERMITEE J
Over 100 SIGNATURE -�
DISTRICT NO PR CES$ Y
Services
0 200 Amp Under 600 V 0
201 1000 Amp Under 600 VAPPROVALS E INSPECTOR S
Over 1000 Amp or Over 600 V SIGNATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit f/� -7
Additional Sign Branch Circuits ROUGH CONDUIT /
(Other) W I R I NG
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Total) UTILITYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Feel FINAL- 1-1 Z7 /
PERMIT ISSUING FEE
NOTES
ITOTALFEE6//a U
PLAN CHECK VALIDATION K MO CASH PERMIT VALIDATION CK M O CASH
9 2 71--APR d6 2 ® 1210 ®�w
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9808060017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 14647 LT 10 4918 FIESTA AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803816
ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET LOWER AZUSA
8590 018 001 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY C
HA FAU LESS 3HP 1 00 FAU 10 80
TENANT JB AC UNITS +3 10HP 1 00 AC 19 80 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 58 35 08/06/98 VG 08/06/99
OWNER TEL NO FINAL DATEtAVI CODE
KAHN MARGARET,WILLIAM J (626) 287 6222 LU
4918 FIESTA AV
TEMP 917803816 DESCRIPTION 0
ELECTRICAL FOR FAU AND A/C
APPLICANT TEL NO
AMERICAN RESIDENTIAL SERVICES OF CA (626) 797 1033
_- SPECIAL CONDITIONS
CONTRACTOR TEL NO /`� ��U \ APPROVALS DATE INSPECTOR SIGNATURE
AMERICAN RESIDENTIAL SERVICES OF CA (626) 797 1033
787 W WOODBURY RD , STE 11 LIC NO TEMPORARY POWER POLE
ALTADENA CA 91001 645050020
41, � O UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO /� �� \ �\ UFER GROUND
LIC NO�� _�__ ���Tlll i��i ROUGH CONDUIT
ROUG
H WIRING
l�(D "1r�i �/� ���f��� �� ij MAIN WATER LINE
lJ
C � I �� 1�'��� �� PLASTIC Y/N METAL Y/N
J UTIL NOTIFIED
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REPORT ID DPR265 ROUTE TO BS0508