HomeMy Public PortalAbout5420 GOLDEN WEST AVE_Electrical__ Y COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1212240024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ( FEES PAID BUILDING ADDRESS:
1TR: 35012 LT: 15 5420 GOLDEN WEST AV
1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803218
(ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET:
18588-020-036 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
I _1LB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 1
(TENANT: 1P2 PC RES PV<10KW 153.90 11SSUED ON: PROCESSED BY: PLAN BY:
1P3 INVRTR RES PV<10KW 27.90 112/26/12 SR
_ TOTAL FEES 248.50 1
(OWNER: TEL. NO: 1 - FINAL DATE FI AL BY: CODE:
1SU, YEH - 1 I
15420 GOLDEN WEST AV 1 I
(TEMP ID S RltTlOt OF WORK
I (UPGRADE TO 200 AMP
(APPLICANT: TEL. NO: I 1
1MICHAEL, FLEZZY 951 300 -007881
117011 11SPECIAL CONDITIONS:
1GREEN 1 I
I I
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
1ELITE ELECTRIC (951) 681-5811- 1 1 I
19415 BELLEGRAVE AVE LIC. NO 1 ITEMPORARY POWER POLE I 1
(RIVERSIDE, CA 92509 418242 * 1 1 I _
(UNDERGROUND CONDUIT 1
1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I
LIC. NO: `/ S� TROUGH CONDUIT I
b (ROUGH WIRING
1MAIN WATER LINE 1 1
1PLASTIC YIN METAL YIN
1UTILITY COMPANY NOTIFIED(
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1* ADDITIONAL DATA ON FILE I I
. IREPORT ID: DPR265 ROUTE TO: BS0508 I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1301220049
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 35012 LT: 15 5420 GOLDEN WEST AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803218
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18588-020-036 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
I TOTAL FEES 27.80 1
(TENANT: I (ISSUED ON: PROCESSED BY: PLAN BY:
. I 101/22/13 SR - 1
(OWNER: TEL. NO: IFINAL DATE FI Y: CODE: 1
I YE H, SU - I ^y//jy, �/7�
15420 GOLDEN WEST AV I I<A11 � / \ I
ITEMP 917803218 ID S RIPN OOF WORK
i I 11NSTALLATION OF ROOF MOUNTED SOLAR PANELS CHANGE CONTRACTOR 1
1 ISEE ALSO EL 1212240024
1APPLICANT: TEL. NO: 1
IMICHAEL, FLEZZY - I
1 ISPECIAL CONDITIONS:
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IBURKE ELECTRIC (951) 368-4050- 1 1
119825 ROTERDAM LN LIC. NO ITEMPORARY POWER POLE I I I
IRIVERSIDE CA 92508 010896796 1 11 1
} (UNDERGROUND CONDUIT
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1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
1 LIC. NO: I IROUGH CONDUIT I I 1
1 1 IROUGH WIRING 1
I I I I�� I
1 IMAIN WATER LINE
1 1 IPLASTIC YIN METAL YIN 1 I 1
UTILITY COMPANY NOTIFIEDI I
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
1 I I I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508
I I I I I I
76A663 CE-806(6/78)
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO FEE ADDRESS
1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY
Multi-family Sq. Ft. .02 — NEAREST
CROSS ST.
Residential Swimming Pools 25.00 OWNER OR
FIRM NAME
Outlets: Rec Light Sw. MAIL
First 20 .50 ADDRESS
Total No. Additional .30 CITY Tel, No,
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .5U ADDRESS
Additional .30
Total No. CITY Tel, No.
Fixed Appliances Not Over 1 HP PERMIT
Range—Heater— D.W. _ APPLICANT
Oven—Dryer_W.M. ADDRESS
Top _FAU — W.H. _ CITY Tel. No.
Hood Fan _Other_ LICENSE OR
Disp._Room Air Cond. 2.50 REG.NUMBER Class.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 ALL COUNTY ORDINANCES AND STATE LAWS
2.50 REGULATING ELECTRICAL WIRING, U
Up to 1 Incl. . J
500 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Iy
Over 10 to 50 Incl. 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Y
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDENTIAL PROPERTY.
Over 100 40.00 PERMITEE
SIGNATURE O
Services
12.50 PROCESSED
0-200 Amp. Under 600 V
DISTRICT NO. BY W
201-1000 Amp. Under 600 V 25.00 ~
Over 1000 Amp.or Over 600 V 50.00 Z
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Temp, Power Pole&Appurtenances 10011
a
Sign with One Branch Circuit 10.00 G
Additional Sign Branch Circuits 2.00 INSPECTION >
Misc.Conduits&Conductors
10.00 INFORMATION u
ON REVERSE i
Other(See Complete Fee Schedule) SIDE v
Z
CL F
CL
PERMIT FEE (Sub-Totali
PLAN CHECKING FEE (One-Fourth Permit Fee) O e
PERMIT ISSUING FEE $7.00 0
J
Q
TOTAL FEE >
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INSPECTION FINALED ///y///�/ CL
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