HomeMy Public PortalAbout9113 HERMOSA DR_Electrical__ 76A663.-GE°684-68 APPLICATION FOR ELECTRICL. PERMI ^
_ • =
COUNTY OF LOS ANGELES
' DEPARTMENT OF COUNTY ENGINEER BUILDING f,+7 0
BUILDING AND SAFETY DIVISION ADDRESS 6✓4 K
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILGING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EAC FEE
RECEPT. $ $ OWNER '� _ Glu �v
MAIL �� V /7L I�/�
LIGHT_ TOTAi FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 LCITY EL. NO.
0 PLAN CHEC
LIGHTING TO AL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE DRYER_WTR.HTR.— (CITY TEL. NO.
STA.COOK_DISP.`F.A.U._ /
CONTRACTOR (If'LG��.'r •
SPACE HTR.—AIR COND. ADDRESS
CLOTHES WASH._DISHWASH._ CITY TEL. NO.• ,.
FAN—OTHER '1.00 'LICENSE NO. CLASS.
MOTORS,TRANSFORMERS . RATING -
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY-ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
O — 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 I
CALIFORNIA OR THAT 1 AM.THE LEGAL OWNER OF, INTEND TO
10 — 50 5,00 REST BE IN, THE ABOVE DESCRIP80 RESIDENT Pq OPERTY.
SIGNATURE
CL
50 — 100 10.00 OF-PERMITTEE � O
U
100 — 500 15.00 -
DIST CT N . R ZO E P O B
SIGN,GAS O
SIGN,' A SIGN AND ONE CIRCUIT 3.00 .� U
MARQUEE LU
ADDITIONAL CIRCUITS 1.00
N
Z
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 F. INSP iOR'S SIGNATURE
TEMP.POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT,
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES -
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTlLI T,Y CO.NOTI FIED
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.D. cgsH
f tI�_o L o JUL .7 2 D 320-
- rdE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /�a/ %F•"' "" ...
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT -
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0506 0705300012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285,-0488 EXT:
LEGAL ID: FEES PAID .BUILDING ADDRESS:
ITR: 5904 LT: 359 9113 HERMOSA DR 1
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917801919
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD
15384-014-033 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
ILA 100 AMP PANELS, MCC 1.00 PAN 38.85
(TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
105/30/07 SR 11/26/07 1
IOWNEA: TEL. NO: IF, Ar n�T FINAL BY: CODE:
IALVA MICHELE F
19113 HERMOSA DR I_
ITEMP 917801919 1 1DESCRIPTION OF WORK 1
1 ISERVICE PANEL UPGRADE (100 AMP)
APPLICANT: TEL. NO:
INOVA ELECTRIC (562) 944-.4447-
111184 CORLEY DR. (SPECIAL CONDITIONS:
WHITTIER, CA 90604
CONTRACTOR: TEL. NO: JAPPROVAIS DATE INSPECTOR SIGNATURE
INOVA ELECTRIC (562) 944-4447- 1
111184 CORLEY DR LIC. NO ITEMPORARY POWER POLE I I
WHITTIER, CA 90604 512379 C10
(UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 1 1
LIC. NO: IROUGH CONDUI
1 I I
1 1 ROUGH WIRING
I I
MAIN'WATER LINE
1PLASTIC Y/N METAL Y/N 1
1UTILITY COMPANY NOTIFIED
I I I I I I
I I I I I I
I I I I
1 1 II 1 II III
1 I I I I I
I I I I I
I II I I I I
(REPORT ID: DPR265 ROUTE TO: HSO508
I I I I I I