HomeMy Public PortalAbout9122 HERMOSA DR_Electrical__ >BA6e3C- CE8UGEE 12/ts APPLICATION FOR ELECTRICAL PERMIT
. �I'NGD SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.& Pools
EACH NO. FEE ADDRESS OS ez lie
— $ LOCALITNEAREST Y
1 &2 Finaily Sq. Ft. 2r
00
MultifamilySq: Ft. - CROSS ST. Il /C Cv
le
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Light, Switch & Receptacle MAIL ,\z
First 20 111ADDRESS
�r
Additibnal CITY T.I. No. &—
PLAN CHE
Lighting Fixtures APPLICANT
First 20 74 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances NotOve 1 HP APPLICANT
Range_ Heater. D.W. ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY Tel. No.
Hood Fan LICENSE OR d
REG. NUMBER Class. p
Disp. A.C. �
I PERF-Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ASOVE 15 CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. w
Up to 1 Incl. L.
0
PROPERLYREGISTEREDNOIoR z
Over 1 to 10 Incl. DECLINED aBy LOS ANGELES
LEGAL OWNER COUNTYAND
THE ABOVE
Over 10 to 50 Incl. STATE OF
oESC.1a Eo O PERT.,
Over 50 to 100 Incl. PERMITEERE III . O R THAT I AM T'E �O
Over 100 SIGNATUREr/Ow���-'{ 3�
Services
DISTRICT NO. P SED B
Q
0-200 Amp. Under 600 V e 8
201 - 1000 Amp. Under 600 V _APPROVALS , DATE INS 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) UTI LITV CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Feel FINALZ-y-'77
PERMIT ISSUING FEE
TOTAL FEE NOTES - -
2, 241
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION •CK. M.O. CASH
44 4�JUL 7 2 D �1 9.7Q
V Y
- COUNTY OF LOS ANGELES - " ' - TEMPLE CITY 'p 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0505190023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-04BB EXT: '
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5905. LT: 84 9122 HERMOSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801916
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA
5387-016-030 - Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
F1 120V, 15/20A BR CKTS 1.00 BR 17.25
TENANT: G1 OUTLETS-LGT,SW,RECP 29.00 OUT 51.15 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
G2 LIGHTING FIXTURES 17.00 LGT 33.15 05/19/05 JK 11/15/05
HA FAU LESS 3HP 1.00 FAU .� 10.95
OWNER: TEL. NO: SB AC UNITS t3-10HP 1.00 AC 19.65 FINAL DATE FINAL BY: CODE:
SHEN, PATRICIA (626) 757-5536- LA 100 AMP PANELS, MCC 1.00 PAN 38.85
9122 HERMOSA DR TOTAL FEES 198.75
TEMP 917801918 DESCRIPTION OF WORK
ELECTRICAL FOR THE Ai3BYPPBN fi ADD 1 PANEL SERVICE 100 AMPS
Net.> rGut�4o Use
APPLICANT: TEL. NO: -
LIN (909) 946-5789-
1746 N. EUCLID AVE SPECIAL CONDITIONS:
UPLAND, CA 91784
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PAUL LIN CONSTRUCTION CO. (909) 946-5789-
1746 N. EUCLID AVENUE LIC. NO TEMPORARY POWER POLE
UPLAND, CA 91784 420907B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: USER GROUND
KENT WU ARCHITECT - (626) 966-4975-
1274 E. CENTER COURT LIC. NO: ROUGH CONDUIT
$TE. 211 NONE
COVINA, CA 91724 ROUGH WIRING 26��'
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID:'DPR265 ROUTE T0: BS0508