HomeMy Public PortalAbout9613 GIDLEY ST_Electrical__ DSS S-A 12-44
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PER""
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
Q NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS U
RECEIVED BY READY FOR DATE ISSUED
IU _CITY TEL.NO. FIRST INSPECTION
COUNTY
Id CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS MeT CROSS ST.
CIRCUIT A B C D E F G H w NAME
/ 3 MAIL
(p
ADDRESS
O
CITY TEL.NO.�...
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION-
ELECTRICIAN.
1 AM THE"GAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
—— Q
Lo
Z
O
TOTAL
NO. OF OUTLETS APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES r ¢' � " '✓I"`" `
MISCELLANEOUS $ POWER -
�] ,
PERMIT FEE $ UTILITYCO.NOTIFIED / -�J� "t t( '
TOTAL FEE FINAL
COUNTY OF LAS ARGHI&S TE24PLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508 1304240003
B=.DINQ AND SAF'E'TY / LAND DEVELOPKI Ti' TEMPLE CITY CA 91780 _ - -
PHONE: (6-26) 285-0488 ETP:
LEGAL ID: FEES PAID ' " BUILDING ADDRESS:
TR: 12998 LT: 50 _ - 9613 OIDLEY ST
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT; TE24P CA 917804216 - - -
ASSESSOR 1�NFORIATION NKARFST CROSS STRE3':
8592-002-051 Al PERMIT L4SdANC$ FRE 27.80 T KA4 S PAGE: 597 OLID: A5 LOCA4ITY: 'SLE CITY CA
LB 200 AMP PANEL$, MCC 1.00 PAN 38.90 '
TENANT: TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLA14 BY:
- 04/24/13 SR -
05@ffiL: . NO: FW�rr�.nDATE
ms(/ C7ALL BY: CODE:
ED, OTILIO
961-3 G
9613 C3IDLE7 STREET
TOMP 917802640 DE.8CRIPTION OF WORK -
UPGRADE TO 200 AHP SERVICE
APPLICANT: TRL. NO:
QUAN CH=U FA _ (626) 589-5359-
3715
89-53593715 STRAND AVE. _ SPECIAL CONDITIONS: -
ROSEMEAD CA 91770 - -
CONTRACTOR: TEL. NO: _ APPROVALS DATE INSPECTOR SIGNATURE
QUAN CH= MA (626) 589-5359- -
3715 STRAND AVENUE LIC. NO - TEMPORARY POWER POLE -
ROSEMEAD, CA 91770 _ 613934 + - UNDERGROUND CONDUIT -
ARCHITECT OR ENGINEER: TEL. NO: - UFER GROUND
- LSC, NO: ROUGP CO
�. RO MIRIHO
i
TATER LINE
PLA-stiC YIN NVTKL YIN
UTILITY COMPANY NOTIFIED
+ ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO- BS0508
76A663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY ; TEL. NO.
COU ICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
FEEr
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST ) -
RECEPTACLES CROSS ST.,r-
WALL SWITCHES OWNER
TOTAL OUTLETS -4 5c $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 _CITY TEL. NOA
FIXTURES - 5
MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP VER INC.
EACH OF THE RESIDENTIAL PROPERTY )DESCRIBED ABOVE.
O \
1/2 a LESS $ .25 SIGNATURE OF
1/2 2 .50 PERMITTEE -
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
OVER 1000 20.00 Zz
M. G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.) �—
M ISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
CONDUIT
WIRING $1.00 .�
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES z-13-,l J' '--7--
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
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