HomeMy Public PortalAbout9038 HERMOSA DR_Electrical__ DEDEPARSMENT OF BUILDING AND SAFETY
APPLICATION FOR PERMIT 9
COUNTY OF LOS ANGELES ELECTRIC
W . J. FOX CHIEF ENGINEER
z DISTRICT NO. GROUP ZONE PERMIT NO.
:5 NAME
ttADDRESS Z Z LI �
1- " EIV B READY FOR DATE ISSUED
m CITY TELNO. -I3I // FIRSTINSPECTION
A
COUNTY
CERT.NO. 0/ y k3 EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK 'ADD
IPRESS �J Z
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS I
NEAREST
LIGHT OUTLETS ISW.III UGS FIxT CROSS ST. N
CIRCUIT A B C D E F G HE: NAME 1
z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERT�IFIjCATTEE OF QUALIFICATION..
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
a CORRECTIONS
r
J
Q
Z_
L7
R
O
TOTAL
NO. OF OUTLETS S APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES 044M 14BRB $ i S FIXTURES
MISCELLANEOUS S POWER
PERMIT FEE D S U� UTILITY CO.NOTIFIED
TOTAL FEE FINAL 7
COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0911170026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 FEES PAID BUILDING ADDRESS:
ITR: 5905 LT: 111 I 1 9038 HERMOSA DR 1
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917801841
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
15387-014-008 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.75 1
(TENANT: IG2 LIGHTING FIXTURES 8.00 LGT 15.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
IHS RES WASH MACH LT 3HP 1.00 WAS 10.95 111/17/09 SR 11/17/10 1
ILE 200 AMP PANELS, MCC 1.00 PAN 38.85 1 1
OWNER: TEL. NO I TOTAL FEES 138.90 IFAL DATE FINAL BY: CODE:
1YOUNG, BEN (626) 272-2587-
19038 HERMOSA
72-2587-19038 -HERMOSA DR
ITEMP 917801841 IDESCRIPTION OF WORK I1
IELECTRICAL FOR NEW ADDITION AND UPGRADE SERVICE PANEL TO
1 1200 AMP
1APPLICANT: TEL. NO:
IYOUNG (626) 272-2587-
19036 HERMOSA DR. 1 ISPECIAL CONDITIONS: 1
(TEMPLE CITY CA 91780
I I I
CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE
IROBERT FLING CONSTRUCTION CO. (323) 722-0378- 1
1600 N. 18TH ST. LIC. NO ITEMPORARY POWER POLE
MONTEBELLO, CA 90640 792204EHIC
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
LIC. NO: IROUGH CONDUIT '
IROUGH WIRING
MAIN WATER LINE1
PLASTIC Y/N METAL Y/N
I 1UTILITY COMPANY NOTIFIED( /1
I I I I I I
I I I I I I
I I I I I I
I I I I I 11
I I I I I
II lull I I I 111
I 11 1 � 111 1111
I I I
I I 11 1111 llll I
IREPORT ID: DPR265 ROUTE TO: BS0508
I I 11 11 11 I
o
' COUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003090032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 5905 LT: 111 I - I 9038'HERM0SA DR
I IEEE DESCRIPTION: QUANTITY: DOM: AM0UNT: 1 TEMP CA 917801841
1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
115367-014-008 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
_ HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: TOTAL FEES 38.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
103/09/10 SR 03/09/11
IOWNER: TEL. N0: 111 FINAL BY: - CODE:
YOUNG, BEN (626) 272-2587-
1
9038 HEAMOSA DR
TEMP 917801B41 IOESCRIPTION OF WORK
' (ELECTRICAL FOR FAU SYSTEM
IAPPLI CANT: TEL. N0: I I I
ISAME AS OWNER -
I ISPECIAL CONDITIONS:
I I I
r"
(CONTRACTOR: TEL. NO: IAPPR0VALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER -
LIC. NO ITEMPORARY POWER POLE I I I
I I
IUNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER: - TEL. NO: IUFEA GROUND
LIC. NO: (ROUGH CONDUIT -
I - R0UGH WIRING
I I I
(MAIN WATER LINE
(PLASTIC Y/N METAL Y/N
. i (UTILITY COMPANY NOTIFIED( 111
I I I I I I
r-� �•. !rjA
I I I I 11
I .i I I I •�� I
iREPORT ID: DPR265 ROUTE T0: HS 0508 �-'-