HomeMy Public PortalAbout5028 FIESTA AVE_Electrical__ 75A663 CEB051059 APPLICATION FOR ELEC/TRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSQ�� � JJ�
JOHN A LAMBIE COUNTY ENGINEER ^��
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY rgr(J
� 1
FOR APPLICANT TO FILL IN NEAREST d
PERMIT FEES CROSS ST
1 T E M NUMBER EACH FEE OWNER
OUTLE $ '` MAIL
LIGHTS RECE SW ,� IO 'V ADDRESS
LIGHTING FIXTURES 6 10 CITY EL NO
ELEC RANGES CLO DRYERS� ELECTRICIAN
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO 7 STATE J
WASHERS STA COOKING UNITS 25 / LICENSE NO tl -,t4 6 b
MOTORS OVER INC H P DMIS TRIC N GR(02 I. PI Z N =PCESSED BY
0— 1/2 2514-1
1/2- 2 50 INSPECTION RECORD
Ni-
2— 5 100
5— 15 ISO
is— 50 250
50—200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 1 00
SERVICE OVER 600V Soo
MISC
WIRING PERMIT loo
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ ����"
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSP CTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING p�
LICENSED AS REQUIRED B LOS ANG LES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 M THE AL OWNER OF THE ABOVE
DESCRIBED RESIDENT ROPERTY POWER
SIGNATURE UTILITYCO NOTIFIED
OFPERMITTEE
FINA
OF / .IDATION SUPERVISING EL CTRICAL ENGINEER
CK MO CASH
LAGo 7ICT ? 1„ 2 6 1205
/ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1005030018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID 1 BUILDING ADDRESS 1
ITR 13329 LT 55 1 1 5028 FIESTA AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803818 1
(ASSESSOR INFORMATION NUMBER I --_ I NEAREST CROSS STREET
18590 018 017 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY Cl
HA FAU LESS 3HP 1 00 FAU 10 95 1
ITENANT IJB AC UNITS +3 10HP 1 00 AC 19 65 (ISSUED ON PROCESSED BY PLAN BY I
I ILA 100 AMP PANELS MCC 1 00 PAN 38 85 105/03/10 SR 1
I I TOTAL FEES 97 20 1 I
(OWNER TEL NO I FINAL DAT F BY CODE 1
(SHAH AJEET I T
15028 FIESTA AVE I 1_ 1
ITEMPLE CITY CA 91780 1 IDE CRlPTION OF WORK
I 1100 AMP SERVICE UPGRADE 30 AMP A/C CIRCUIT (240 VOLT) 15 AMPI
I I IFURNISH KT (120) 1
(APPLICANT TEL NO I I
ICOLEMAN ELECTRIC (626) 665 9017 1
15042 CALMVIEW AVE I (SPECIAL CONDITIONS I
IBALDWIN PARK CA I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
(COLEMAN ELECTRIC (626) 665 9017 1 1 1
15042 CALMVIEW AVE LIC NO I (TEMPORARY POWER POLE I `I I
IBALDWIN PARK CA 91706 819050 C10 I 11 11 1
I I (UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND I I
1 LIC NO 1 IROUGH CONDUI i-�
I (ROUGH WIRING I I I
I I I
1 (MAIN WATER LINE I I
I I I
IPLASTIC YIN METAL YIN
I 1 (UTILITY COMPANY NOTIFIE / 1
I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I (REPORT ID DPR265 ROUTE TO BS0508 1 1 I 1
I I I I I I