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HomeMy Public PortalAbout9056 HERMOSA DR_Electrical__ 76A663-CE606,4-68 APPLICATION FOR ELECTRICAL RMCIT� - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �E / SUILDING'AND SAFETY DIVISION ADDRE65 V 'b' JOHN A. LAMBIE, COUNTY ENGINEER �'j'� 77 COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /, Cr NEAREST OR APPLICANT TO FILL IN CROSS ST. NO. EAC FEE $ S OWNER 17. 0 - T.� ( yy MAIL TOTAL FIRST 20 '( .20 L AODRESS H_ OVER 20 AD CITY TEL. NO.PLAN CHECKING lTOTAL FIRST 20 .20 APPLICANT RES /( OVER'20 .10 �qDDRESSE_DRY ER_WTR.H TR:— CITY TE NO.OOK_DISP.1-F.A.L)- CONTRACTOHTR._AIR COND.� ADDR SHES WASH._DISHWASHj— CITY `OTHER b.0- LICENSE NO. G Zo CLASS,TRANSFORMERS RATINGHEATERS, ETC. HP, KW. KVA. ` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION E S TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - ELECTRICAL WIRING. - - p - 00 HEREBY CERTIFYTHAT I AM PROPERLY REGISTERED AND/OR 1 IO 3.00 LICENSED AS BY LOS ANGELES COUNTY AND STATE OF CALIGORN IA OR THATREQUIRED THAT IAM THE LEGAL OWNER OF, AND INTEND T 10 50 S,QO 1: RESIDE IN, THE ABOVE DES<RIPEBED RE NTIAL PROPERTY.. - 50 - 100 10.00 SIGNATURE dud CD OF PERMITTEE /'u loo -<506 15.00 STRI O. GTLIP _t�1P PR ESSED BY o TUBE.SIGNGOR SIGN AND ONE CIRCUIT 3.00 �C�•� GT ) W MARQUEE ADDITIONAL CIRCUITS I.00 �y NOTES: h SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 1 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE,`&APPURTENANCES 3.00 APPROVALS LS DATE INBPECTOR,'S SIGNATURE TEMP. POWER POLE UNDERSLAS WORK ROUGH CONDUITI � PERMIT FEE (SUB'TOTAL) Z - WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED t/n. PERMIT ISSUING FEE ' 2.00 © U T I L I T Y C O.N OTI FIED' qL �� �� r •V SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL V . TOTAL FEE JOSEPH'C. ROOHAN SUPERVISINGELECTRICAL ENGINEER PLAN CHECK VALIDATION CK.- M.O. cdsN pp I VA LpTION y MASH 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 0510210006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5905 LT: 98 9056 HERMOSA DR FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801916 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5387-015-014 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G2 LIGHTING FIXTURES 1.00 LGT 1.95 TENANT: TOTAL FEES 29.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 10/21/05 VG 04/19/06 OWNER: TEL. NO: FINAL DATE FINAL BY: - CODE: WANG, SHIN (626) 287-7097- / 9056 HERMOSA DR ,ri/0.-. TEMP 917801916 DESCRIPTION OF WORK REPLACE 1 LIGHT APPLICANT: TEL. NO- FUN ON (323) 842-8306- 1948 LANSDOWNE AVE. SPECIAL CONDITIONS: LOS ANGELES 90052 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE PUN ON - (323) 342-9388- 1948 LANSDOWNE AVE LIC. NO TEMPORARY POWER POLE LOS ANGELES CA 90032 685987 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 -