HomeMy Public PortalAbout5924, 5924 1/2, 5926, 5926 1/2 GOLDEN WEST AVE_Electrical__ DB ' 4'''a"' APPLICATION FOR PERNU
. DEPARTMENT OF BiJII.DING AND sAFETsr ELECTRIC �
COUNTY OF LOS ANGELES
M. J. FOX CHIEF ENGINEER
Q NAME g n DISTRICT NO. GROUP I ZONE PERMIT NO.
ADDRESS
RECEIVEDrBY ®READY FOR DATE ISSUED-
WU CITY u �// TEL. FIRST INSPECTION
COUNTY
W CERT.NO. PIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY")
JOB
DESCRIPTION OF WORK ADDRESS �
NUMBER OF OUTLETS ON CIRCUITS ±l��
LOCALITY
LIGHT OUTLETS ROOMSATION BY SW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D I E F G H 0: NAME 3
Z MAIL (i
r ; ADDRESS \y
O CITY
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNRt OF THE PROPERTY DESCRIBED
ABOVB
OWNER. ~
CORRECTIONS
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TOTAL FFRT:
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES E DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS E FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE E • q UTILITY CO.NOTIFIED - e
TOTAL FEEFINA X77 - ��
'I 009 S-A 12-44 APPLICATION FOR PERNM
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �i��i��'���
WM. J. FOX CHIEF ENGINEER
a NAME D-1111 wry �/�.�,�,/-� a/c9 DI STR NO. GROUP ZO(VE� P�R��MIII NOLO}
�V ADDRESS �`�s�, A 0''e, i /) /v-j `Ks ��' /'5-�/
IU CITY /Vt � TEL.NO.9;17-:/'� R CEIVF�BY FIRST INSPECTION
READY FOR DATEISSUED
JI COUNTY
<J CERT.NO. GJ�/ / EXPIRES 0 �f
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
r
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /mac./v
LOCATION BY ROOMS NEAREST
�(�[
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. U�F/ ` A/
CIRCUIT A B C D E F JGH Ir NAME A e A/ 3l/?L;,f,72 Age
3 ADDRESSY hsf• Jam'
V / / o
CITY TEL NO.
AM THE LEGAL POSSESSOR OF--,THE ABOVE LOS
ANG91-ES COUNTY CERTIFICATE/OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
y CORREf."TIONS
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-ter
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Z
9
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TOTAL
NO. OF OUTLETS (id $ APPROVALS
I NO. OF FIXTURES p $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
i
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ _ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FEE FINAL
DBpS�SAA g2pSM SETS
�72--.47�77r� p �7q'v ep�� pggPlICA►gION 4'O 179T1n1�AU
DEPARTMENT. �QF I1LJMDING ELt\H.D SAFM
lH1C H�l$YS 17 FOR �1GHU��R
COUNTY OF LOS ANGELES �4 LEUIC
WM J.'FOX CHIEF ENGINEER
Q NAME ' DISTRICT NO. GROUP ZONE PERMIT NO..
ADDRESS 2- t D �_�
CITY TEL NO RECEIVEDEBY READY FOR DATE ISSUED
J
FIRST INSPECTION _ qU
COUNTY
hl CERT.NO. 6 �- EXPIRES
APPLICANT FILL. IN HEAVILY OUTLINED PO#T 0L1�QNLYJOB
„
DESCREMON OF WORK - ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
• NEAREST
LIGHT OUTLETS P sw.1 PLUGS FIxT CROSS ST.
CIRCUIT A B C D V F G IH W NAME
/ Z MAIL
l�J ?� ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL P033 SOR ,OF THE ABOVE LOS
ANGELES COUNTY CERTIF T F Q ALIFICATION..
_ ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
' COIMCTI®Na
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F OUTLETS - APPROVALS
F FIXTURES r $ o DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE Z UTILITY CO.NOTIFIED
TOTAL FEE _ _QiZ FINAL
8 S.5A 25M SETS
D IDEPAIITIlI7 OF BUILDING ANDD SAFETY M �®N FOR PERS
LINTY OF LOS ANGELES -ELECTRIC
Wk J. FOX 1 G
a NAME .{ DISTRICT NO. GROUP ZON�Ej PERMIT NO.
ADDRESS 2- � Ll
q � � � J ✓ /
Q CITY TEL.NO. g d B RECEIVED BY READY FOR DATE ISSUED
4�A FIRST INSPECTION / {
.A COUNT?
CERT.NO. D EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
(DESCRIPTION OF WORK ADDRESS �l� �
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /I
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FIxT CROSS ST. _
CIRCUIT A B C D I E F G H a NAME
Z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THELEGAL P B�SSOR pF THE ABOVE LOS
ANGELES COUNTY C Fl SOF UALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPRRTY DESCRIBED
ABOVE
OWNER.
WHREMONS
r
r y
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o
T T
NO. OF OUTLETS $ APPROVALS
O. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS E FIXTURES
MISCELj;:at!%QUjj POWER �1
PERMIT FEE ' UTILITY CO.NOTIF4ED 1 u V" nn
TOTAL F F FINA I A-A_
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106270030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 6561 LT 77 5924 GOLDEN WEST AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802226
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LAS TUNAS
18587-026-018 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 7 00 OUT 13 60
ITENANT IG2 LIGHTING FIXTURES 5 00 LGT 9 70 JISSUED ON- PROCESSED BY- PLAN BY �- 1
1 TOTAL FEES 51 10 106/27/11 SR
OWNER TEL. NO. IFINAL DATE FIN BY CODE
ISHEN, SUSAN (626) 458-3451- 1/
15924 GOLDEN WEST AVE 1 I
(TEMPLE CITY CA 91780 1 IDEISCRIPTION OF WORK 1
1 17 OUTLETS AND 5 LIGHT FIXTURES
1
(APPLICANT TEL. NO 1 I
IYU (626) 203-2039-
118715 BARROSO ST 1 (SPECIAL CONDITIONS
ROWLAND HEIGHTS
ICONTRACTOR TEL. NO .I (APPROVALS DATE INSPECTOR SIGNATURE 1
IMILESTONE CONSTRUCTION, INC. (626) 203-2039- 1 1
118715 BARROSO ST LIC NO 1 ITEMPORARY POWER POLE I 1 1
IROWLAND HEIGHTS CA 91748 924088 B I I1 1
1 1UNDERGROUND CONDUIT I1 1 -
I
(ARCHITECT OR ENGINEER TEL NO 1UFER GROUND
1 LIC. NO 1ROUGH CONDUIT 1
I I I
(ROUGH WIRING 1
1 1 IMAIN WATER LINE 1 1
I I
(PLASTIC Y/N METAL Y/N
I I I
(UTILITY COMPANY NOTIFIED(
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(REPORT ID DPR265 ROUTE TO BS0508
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