HomeMy Public PortalAbout9167 FORTSON DR_Electrical__ 76A669 CE_806(„ ,78)
APPLICATION F_•O.R RECTRIL PERMIT --
COUNTY OF LOS ANGELES BUILDING AND SAFETY ,
FOR APPLICANT TO FILL IN •• '
New'Residentiol Bldgs &Pools EACH-• NO FEE' "
ADDRES _
1 &2-Family,Sq. Ft $ 025 -. $ LOCALITY �t
02 - - -- NEAREST•. '
Multi-family Sq'Ft CROSS ST G �C�
Residential Swimmmg:Pools - 25 00 ' OWNER OR
FIRM NAME A,14
Outlets-RecS__Light Sw MAIL
First 20 50 So ADDRESS , -
Total No -rt =Additional 30 CITY, _ -„ Tel„No._a,�... ._... ...
PLAN-CHECK `
APPLICANT. -
Lighting Fixtures First 20 50
ADDRESS',
_ .
'Addition'al 30..
Total No CITY-, Tel No
Fixed Appliances-Not Over_VHP: PERMIT; - / � - -•> - -
Range_Heater W
APPLICANT V(J
Oven-Dryer_W M ADDRESS -- -
Top '_FAU W H CITYTel No-,
Hood_Fan _Other_
2'50 LICENSE OR
Disp —Room Air.Cond •.— _REG NUMBER,XtClass
I'HEREBY A KNOWL- GE-HAT 1 HAVE READ TH APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND'AGREE-TO
Size&Type HP, KW, KVA,or,KVAR COMPLY WITH"'AL'L' COUNTY"ORDINANCES AND-STATE-LAWS
REGULATING ELECTRICAL WIRING
T- Up to,'1 Incl 2 50 ^-'-1 HEREBY CERTIFY THAT'I'AM PROPERLY REGISTERED'AND/OR'
Over 1 to 10 Incl 5 00 LICENSED AS REQUI BY LO LES COUNTY AND STATE OF �.
Over 10 to•50 Incl 12 50. CALIFORNIA OR TI _T HE LEGAL_O _ OF_THE•ABOVE
Over 50 to 100 Inc
25 00 DESCRIBED RESID P E TY pe
4000 PERMITEE'
Over 100 '; SIGNATURE -�
w
Services ' - : 1 2 50 DISTRICT NO - PROCEDDY
p Under 600 V
0-kO Am.
201-1000 Amp Under'600 V' ' " 25 00 <��Va• A.,�t -Over 1000 Amp or Over 600 V 50.00 Z _
O
Temp Power Pole&'Appurtenances" ” 1000-
Sign
000•Sign with One'Bronch Circuit 1000 `I• C
Additional Sign Branch Circuits r 2 00 _ INSPECTION >
10 00 INW : - q '1 9.0 A
Misc Conduits.&Conductors ON REVERSE' '' 'u
Other(See Complete Fee Schedule) u
_ SIDE._ _ z _ # 0 0 0,0 0 2
PERMIT FEE ' )Sub-Totol)
x'0.0 � 1 2.0 0
PLAN CHECKING FEE one-Fourth Permit Feel: O 2,2 9''l80
PERMIT ISSUING FEE .$7,00
TOTAL FEE >
INSPECTION FINA'LED ..•-!!.__tt
d
date ► ' -ore BY
FGA663-CE6064.90 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY
7LIGHTSRECEPT.
APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES
OWNER
NUMBER • EACH FEE MAIL
$ $ ADDRESS
SW. .lO i
I LIGHTING FIXTURES 10 CITY c EL.NO. J
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER H EATERS .50 ADDRESS dql
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.. STATE
' WASHERS BTA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT O GROUP I ZONE PaQCESSED BY _
o — 1/2 .25
V2 — 2 .50 INSPECTION RECORD
2 — 5 1.00
5 — is 1.50 O
V
15 — so 2.50 0
SO — 200
s.00
W
SIGNS: NO TRANS. 4.
NO. LAMPS N
Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE 4EGAL OWNER OF THE ABOVE -
DESCRIBED RESIDE PROP RT POWER
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITT
FINAL G
VALIDATIOr_ ARTHUR C.VETT.
CK O cnBH SUPERVISING ELECTRICAL ENGINEER
f - 6 5 3 1 iW'Y 2 D 2.Jr '�
Li. i �''
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0707170010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 14396 LT: 33 9167 FORTSON DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801323
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ENCINITAS
15382-016-013 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: ITOTAL FEES 66.60 ISSUED ON- PROCESSED BY: PLAN BY: EXPIRES ON:
1 1 107/17/07 SR 01/13/08
OWNER: TEL. NO: (FINAL_ DAT FIN B CODE:
IERICKSON JOHN W;MARTY (626) 287-1779-
19167 FORTSON DR �
TEMP 917801323 I I SCR--- IPTION OF WORK
IMOVED ELECTRRICAL METER UPGRADE TO 200 AMP
APPLICANT: TEL. NO:
1SAME AS OWNER _
SPECIAL CONDITIONS:
I
� I
I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I
1 LIC. NO 1 ITEMPORARY POWER POLE
I I I
1 1 (UNDERGROUND CONDUIT I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I
1 LIC. NO: 1 IROUGH CONDUIT
1 1 TROUGH WIRING I I
1 I IMAIN WATER LINE
IPLASTIC YIN METAL YIN
I I
1 1UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I I I I I
1 1REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704060017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: •- .
ILEGAL ID: I FEES PAID 1 BUILDING ADDRESS:
ITR: 14396 LT: 33 I 1 9167 FORTSON DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801323
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ENCINITA
15382-016-013 IA1 PERMIT ISSUANCE FEE 27.75
I.� THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
I IHA FAU LESS 3HP _ 1.00 FAU 10.95 I I
(TENANT: IJB AC UNITS +3-10HP 1.00 AC 19.65 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
I TOTAL FEES 58.35 104/06/07 JK 10/03/07 1
I I IFINAL AT FIN CODE: 1
OWNER: TEL. N0: _
IERICKSON JOHN W;MARTY (626) 287-1779- 1 - I I
19167 FORTSON DR 1 I I
1TEMP 917801323 ID SCRIPTION OF WORK
(INSTALL AIR GOND-HEATING SYSTEM, ELECTRICAL TO FAU IN ATTIC 1
I& CONDENSOR
(APPLICANT: TEL. NO: 1 I I
ICONNOR AIR (626) 286-3157- 1 I I
14931 N. ENCINITA AVE 1 (SPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1 I } I
ICONTRACTOR: TEL. N0: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ICONNOR AIR CONDITIONING (626) 286-3157- I 1 I
14931 ENCINITA AVE LIC. NO 1 ITEMPORARY POWER POLE I I
ITEMPLE CITY, CA 91780 403735 C2O I I I
I 1 (UNDERGROUND CONDUIT I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I I
_ I I I
LIC. NO: i TROUGH CONDUIT I I I
I I 1ROUGH WIRING
I I I
1 'IN ER LINE I I I
PLAST Y/N METAL Y/N I 1 1
I (UTILITY COMPANY NOTIFIED( 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
1 I I I I I
I I I I I I
I I I I I I
I IREPORT ID: DPR265 ROUTE TO: ES0508 I I I I
I I I I I I