HomeMy Public PortalAbout6002 GOLDEN WEST AVE_Electrical__ 76A663-CE606 4-68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER �7�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT.� �� $ $ (PC) OANER
IL
LIGHT V— TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY TEL. NO. .
PLAN CHECK
LIGHTING �TOTALFIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— - CITY TEL. NO.
STA.COOK_DISP.-t-F.A.U._ CONTRACTOR
SPACE HTR. AIR CONO. ADDRESS
CLOTHES WASH._DISHWASH._ CITY 6 cgotg v TEL. N
FA N_0THE R 1.00 LICE NSF IJ O. CLASS. V
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION-
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 1 1.00
ELECTRICAL WIRING.
-
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 5o 5.00 RESIDE IN, THE ABOVE DESCRIF.ED RE DENTIAL PRO ERT Y.
50 - 100 10.00 SIGNATURE D_
OF PERMITTE
U
too - 500 15.00 DISTRIC GROUP NE PROCESSE.' BY
�^ 0
SIGN,GAS
TUBE, OR SIGN AND ONE CIRCUIT 3.00
r W
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: !
SERVICE NOT OVER 600 VOLTS OR 200 AMP ` 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 Q UTILITY CO.NOTIFIED11 j
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH '
;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0402030016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 84 UN: .002 6002 GOLDEN WEST AV
FEE DESCRIPTION:, QUANTITY: UOM: AMOUNT: TEMP CA 917801718
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF
5385-027-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 57.00 02/03/04 VG 08/01/04
OWNER: TEL. NO: FINAL DATE FINAL B • CODE:
HELSEL, PAIGE M (626) 286-1326-
6002 GOLDEN WEST AV
TEMP 917801718 SCRIPTION OF WORK
ELECTRICAL FOR GARAGE & STORAGE
APPLICANT: TEL. NO:
MELILLO (626) 237-0942-
9703 GARIBALDI AVE. SPECIAL CONDITIONS:
TEMPLE CITY 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HELSEL, PAIGE (626) 286-1326-
6002 GOLDEN WEST AVE. LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 NONE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
_ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003080004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 --
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 6561 LT: 84 UN: .002 6002 GOLDEN WEST AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801718
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: KAUFFMAN 1
+5385-D27-016 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 I I
(TENANT: 1G2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
TOTAL FEES 41.40 103/08/10 SR 03/08/11
(OWNER: TEL. NO: IFINAL DATE FIY: CODE:
)HELSEL, PAIGE (626) 286-1326- 1 %'� I
16002 GOLDEN WEST AV I 1 V
ITEMP 917801718 I ID SCRIPTION OF WORK I
I I (ELECTRICAL FOR NEW 3/4 BATHROOM
I
1APPLICANT: TEL. NO: 1 1
IMELILLO (626) 664-1273-
19703 GARIBALDI AVE. (SPECIAL CONDITIONS: 1
1TEMPLE,CITY CA 91780 1 1
I I I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
1DTM CONSTRUCTION (626) 664-1273- 1 1
19703 GARIBALDI AVENUE LIC. NO 1 ITEMPORARY POWER POLE I I 1
ITEMPLE CITY, CA 91780 266616 1 1 1
(UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND I I I
LIC. NO: 1 IROUGH CONDUIT 1 1 I
I TROUGH WIRING � I
1 I IMAIN WATER LINE 1
1 1 IPLASTIC YIN METAL YIN
I I I
1UTILITY COMPANY NOTIFIEDI 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 I I I I
I I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508
I I I I I I