HomeMy Public PortalAbout5817 HART AVE_Electrical__ 76A663-CE806-11-57 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BU I LD I NG �J ff��
BUILDING AND SAFETY DIVISION aDDREss > �/ �CZAL - •J
JOHN A. I A BIE,GRIFFIN,
County Engineer
CASSATT D. GRIFFIN, Supt of Building LOCALITY '*
' NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
I T E M NUMBER EACH FEE OWNER IV
OUTLETS: $ $ MAIL -
LIGHTS RE C E PT. SW. _ .10 i I ADDRESS Z.
LIGHTING FIXTURES .f0
CITY ':�-` ,. TEL.NO.
`
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50
A D 0 R ESSJU
ELEC.SPACE HTRS. DISHWASHERS Yc y
GARBAGE DISPOSERS AUTO.- CITY e �y�.� Cr .� TEL NO,4/ /-5,,� �`
WASHERS STA.COOKING UNITS •25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
DISTRICT NO. GROUP hNE R6' FOR INSPECTION
o — /z -. .25
+/2 — z .50
INSPECTION RECORD
2 — 5 1.00
5 — 15 1.50
15 — 50 2.50
50 — 200 5.00
SIGNS: NO.TRANS. I
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 - �
FIXTURE PERMIT 1.00 _
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICA N DATE INSPECTOR'S SIGNATURE
L
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGRICAL WIRING. WIRING
EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
ORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEPOWER
IBED RESIDENTIAL PROPERTY.ATURE f „�l% UTILITYCO. NOTIFIEDPERMITTEE–
FINAL
DATION SUPE URC.VETT,
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH +
�"i
. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0307150001
P BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
L FEES PAID BUILDINGADDRESS:
TR: 5905 LT: 91 5817 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801911
ASMMA ON NUM R: NEAREST CROSS STREET: LAS TUNAS
5387-015-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 16.00 OUT 31.20
TENANT: G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED 0 PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 78.45 07/15/03 JK 01/11/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
SHOKIR; ALBER J (626) 975-5574-
5817 HART AV t;�4 4" I`� L" i
TEMPLE CITY 91780 DESCRIPTION OF WORK
ADDITIONAL ELECTRICAL
APPLICANT: -TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: EL. NO: U ER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIEU
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0305060005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 5905 LT: 91 5817 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801911
ASSESSO IN OR AT ON NUMBER: NEAREST CROSS STREET: LAS TUNAS
5387-015-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35
ENANT: G2 LIGHTING FIXTURES 3.00 LGT- 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 58.95 05/06/03 JK 11/02/03
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
SHOKIR; ALBER J (626) 975-5574- 7( '
5817 HART AV L-
TEMPLE CITY 91780 DESCRIPTION OF WORK
ELECTRICAL FOR ADDITION & CONVERSION
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
J
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508