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HomeMy Public PortalAbout9031 HERMOSA DR_Electrical__ 76AS63 DBS 5A 7-51 a APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY In AEGIS � � COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIr O. GROUP ZONE_ PERMIT NO. ( ELECTRICIAN �1 A R EIVED BYE-•- READY FOR DATE ISSUED ADDRESS y � /J � /�//iV1AlrL4� A"� FIRST INSPECTION CITY ��^�� TEL. NO. �J •',[/� ��/ COUNTY LICENSEEXPIRES BUILDING ADDRESS �� PERMIT FEES __ NUMBER EACH FEE LOCALITY LIGHT OUTLETS .3 NEAREST 3 CROSS ST. J / �✓ RECEPTACLES / H WAIL SWITCHES p OWNER Sc TOTAL OUTLETS $ MAIL ELEC. RANGES 29 ADDRESS ✓ / .!G7 � ELEO. HEATERS 25 CITY TEL NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER-OF LIGHT-4CIRCUITS= _ - - - - - / ,AND- AGREE TO=COMPLY-WITH-ALL =COUNTY-ORDINANCES - NUMBER OF RECEPTACLE CIRCUITS IO AND STATE LAWS'REGULATINO ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE NEw MVD. HP OVERI/. .I.C. EAC. OF THE RESIDEN A PROPERTY DESCRIBED ABOVE. _ LESS 8 .25 SIGNATURE OFI/i2 .50 PERM2B 1.00 INSPECTION RECORD 55 1.50 isp 2.50 so0 5.00 -2OO 00 10.00 ./ _ 5OO ipp0 ts.DO a Z OVER 1000 20.00 M.G. SET/FRED. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75q .1 ORIU-) MOVED MOTORS (75% Di ORI..) MISC. SIGNS NO. NO.TRAN9. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 —� FIXTUREs Ci YAIw. POWER TOTAL FEE $ �, G O UTILITYCO. NOTIFIED FINAL 76AG63C- CES06812175 APPLICATION FOR ELECTRICAL PERMIT BUILDIN D SAFETY DIVISION7FOR APPLICANT TO FILL IN EACH N0. FEE ADDRESS U V Aq al Bldgs.& Pools _ ''}'y Sq. Ft. $ — $ LOCALITY _ �( 1 Sq. Ft. _ NEAREST CROSSST. (,.� S !�wimming PoolsPOIRM R OR r r,", Switch& Receptacle J-0 ADDRESS o 3/ /_ A Q 5 First 20 _ Additional I CITY �IL1Lp P� iTeL No.2� -Op� PLAN CHECK Lighting Fixtures APPLICANT First 20 '�b ADDRESS Additional CITY Tel. No. PERMIT j r \ Fixed Appliances Not Over 1 HP APPLICANT l! ' Range Heater D.W. / t^L �/� / Oven__ Dryer__ W.M. ADDRESS J /]V(�� v �b `-'�ry� Top FAU W.H..-_ CITY.. el. No. Hood Fan "'n LICENSE OR S Y Disp. A.C. 5 REG. NUMBER 614 Class. �� U I HEREBY ACKNOWLEDGE THAT I HAVE READ Y"IR APPLICATION Power Apparatus& Large Appliances ORDINANCES AND STATE LAWS REGULATING Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING' CZ, LEI Up to 1 Incl. i . S ti AND'..HERB" 11RTEl THAT I AN PR.IBRLI RESIST-RED Z Over 1 to 10 Incl. COU N LICENSE. AS R QU�RED By Over 10 to BO Incl. oEsca,oeo Rc EIR e�..y�</ i oEaxv�E���L+ /OWNER .1 E ARoV Over 50 to 100 Incl. PERMITe:E �S/// 'j'1�/ _ Over 100 SIGNATURE Services -� OI STRI CT N ,7n ROC ED BV 0-200 Amp. Under 600 V "�Sn `7 � `-' 201 - 1000 Amp. Under 600 VAPPROVALS DATE 5 CTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole& Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED ' PERMIT FEE (Sub-Total) A' F UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) INAL PERMIT ISSUING FEE NOTES TOTALFEE PLAN CHECK VALIDATION CK. M.0. CASH- PERMIT VALIDATION c . M.O. CASH s 0 foci 26 2 © 2 3.10 A9.°, R X-5? COUNTY,OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF,PUBLIC WORKS 9701 LAS TUNAS EL 0508 1310030016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 5904 LT: 307 9031 HERMOSA DR. I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT:j TEMP CA 917801836 1ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: ROSEMEAD 15384-016-043 JAI PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 1 1 ITENANT: IG2 LIGHTING FIXTURES 3.00 LOT 6.00 JISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 35.80 110/03/13 SR (OWNER: TEL. NO: 1 FINA D E GF3N�AL) BY: CODE: 1 ISTROBEL, CHARISE - IY 19031 HERMOSA DR I� ITEMP 917801836 I IPT ON OF WORK 11 OUTLET AND 3 LIGHT FIXT ES FOR A BATHROOM REMODEL I I (APPLICANT: TEL. N0: I I I SAME AS OWNER - I I (SPECIAL CONDITIONS: I I I I 1CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I (SAME AS OWNER - I LIC. NO I ITEMPORARY POWER POLE I I I I I 1-1- I I (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER: TEL. N0: I IUFER GROUND I - I 1 1-1- I LIC. NO: I INDOOR CONDUIT I I TROUGH WIRING 'G MAIN WATER LINE (PLASTIC YIN METAL YIN I I I I pTILITY COMPANY NOTIFIEp 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 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 (REPORT Ip: DPR265 ROUTE T0: BSO508 COUNTY OF LOS ANGELES TEMPLE CITY H 0508 ELECTRICAL PERMIT DEPARTMENT UF'PUBLIt WORKS 9701 LAS TUNAS EL 0508 1404170052 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL I0: FEES PAID BUILDING ADDRESS: ITR: 5904 LT: 307 1 9031 HERMOSA DR 1 I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917801836 1ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ROSEMEAD 15364-016-043 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI IG1 OUTLETS-LGT,SW,RECP 13.00 OUT 26.00 TENANT: IGO LIGHTING FIXTURES 10.00 LGT 20.00 JISSUED ON: PROCESSED BY: PLAN BY: H1 RES SLED OVEN LT 3HP 2.00 OVE 22.00 104/17/14 SR IH2 RES GREG DISP LT 3HP 1.00 DIS 11.00 1 OWNER: TEL. NO: IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 ipINA D FI AL Y: CODE: ISTROBEL, CHARIER - H4 RES RANGE HIS LT 3HP 1.00 SOO 11.00 111 19031 HERMOSA DR H7 RES EXHAUST FANS 1.00 EX 11.00 ITEMP 917801836 1 TOTAL FEES 139.80 IDESCRIPTION OF WORK 1 113 OUTLETS, 10 LIGHT FIXTURES, 2 ELECTRIC OVENS, GARBAGE IDISPOSAL, DISHWASHER, RANGE HOOD AND EXHAUST FAN FOR KITCHENI APPLICANT: TEL. NO: IREMODEL SAME AS OWNER - I I (SPECIAL CONDITIONS: I I I I CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO ITEMPORARY POWER POLE I I I IUNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND LIC. NO: TROUGH CONDUIT ROUGH WIRING 1 MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I 1 I I I I I I I I I I (REPORT ID: OPR265 ROUTE TO: BSO508 1 I I I I I COUNTY bF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT Ob TUBLII WORKS 9901 LAS TUNAS EL 0508 1404290074 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 5904 LT: 307 9031 HERMOSA DR 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917801836 1 (ASSESSOR INFORMATION NUMBER I i NEAREST CROSS STREET: ROSEMEAD 15384-016-043 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 ITENANT: I TOTAL FEES 66.70 (ISSUED ON: PROCESSED BY: PLAN BY: 1 104/29/14 SR OWNER: TEL. NO: I IFINADATE FI BY: CODE: ISTROBEL, CHARIER - ��///���// 19031 HERMOSA DR ITEMP 917801836 JOESCfaPTION OF WORK (UPGRADE SERVICE PANEL TO 200 AMP 1APPLICANT: TEL. NO: I I I SAME AS OWNER - ISPECIAL CONDITIONS: CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIG NO I ITEMPORARY POWER POLE I I (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: 1OFER GROUND LIC. NO: IROUGH CONDUIT IROUGH WIRING /14 IMAIN WATER LINE J (PLASTIC YIN METAL YIN (UTILITY COMPANY NOTIFIED( I I I II I I I I I I I I I I I I I 1 1REPORT ID: DPR265 ROUTE T0: 850508 1 I I I