HomeMy Public PortalAbout6101 IVAR AVE_Electrical__ 76A663-C E8Q6 10/74 APP CAIMN FOR LL�II ECUMICAL PERM
COUNTY OF LOS ANGELES Its uVu
DEPARTMENT-OF COUNTY ENGINEER .10B
BUILDING AND SAFETY DIVISION ADDRESS
LOCA LI TY'•'
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPT.� $ $
LIGHT TOTAL MAIL '
FIRST 20 ADDRESS 65 7j< IV 2110AI g.V�E
h O
CITY TEL. N0.
SWITCH OVER 20 10
PLAN CHECK '
FIRST 20 �f 5 A APPLICANT
LIGHTING 1' TOTAL
FIXTURES
I VIER .10
20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL' NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA, COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY' CERTIFY THAT I AM PROPERLY REGISTEREDAND/OR
. 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 7..
CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE Cl_
DESCRIBED RESIDENTIAL PROPERTY. O
1 — 10 3.00 ! c.
PERMITEE
10 — 50 5.00 SIGNATURE OF__
U
.50 - 100 10.00 LV
DISTRICT NO. PROCESSED BY
N
100 - 500 15.00 C Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE ,
SERVICENOTOVER600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
i7
TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED ?
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 6
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PER T VALIDATION CK. M.0. CASH
8 0 9 n.i 'N 6.5 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-C E8 p6 1-68 f[q l�r `rt\�{ I�I� fUESEAL
E[uJpffN [NOMI
� COUNTY OF LOS ANGELES
' DEPARTMENT OF COUNTY ENGINEER ' ..,
BUILDING AND SAFETY DIVISION BUILDING
^•F ADDRESS 19JOHN A. LAMBIE, COUNTY ENGINEER
' COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
•I �- NEAREST
FOR APPLICANT TO FILL IN CROSS ST. `7'A 134.LQ
NO. EACH FEE
RECEPT.
$ $ OWNER �
n
MAIL
LIGHT .0 TOTAL FIRST 20 .20 O ADDRESS _
SWITCH- OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 .20 p APPLICANT
FIXTURES I OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR. a
CITY TEL. NO.
-STA.COOK_DISP. F.A.U.— (CONTRACTOR r
SPACE HTR. AIR COND. ADDRESS /Zo ff� V IV_r_-,qap_
CLOTHES WASH._DISHWASH. CITY
' L TEL. NO'. -� Q
FAN—OTHER 1,00 .-
LICENSE' NO. �a CLASS. _-/a MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
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
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO +
10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
50 -'100 10.00 SIGNATURE I V
OF PERMITTEE p.
100 - 500 15.00 .,.t, •' - - Q
DISTRICT O. G P Z P•R E D
TUBE,GOR AS SIGN AND ONE CIRCUIT 3.00 1 C d
MARQUEE ADDITIONAL CIRCUITS 1.00 4 NOTES: z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
Z
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE .INSPECTOR'S SIGNATURE
e
TEMP. POWER POLE
UNDERSLA'WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
,nt POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 �� UTILITYCO.NOTI-FIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.Do FINAL
TOTAL FEE JOSEPH C. ROOHAN
L�� � � _
SUPERVISING ELEC L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Lido 4 :1 0 ;8;� ,PR .4 2 D 4.Q 0~ q
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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COUNTY OF LOS ANGELES TRIC a Iwo
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1012280012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 5904 LT: 16 UN: .002 6101 IVAR AV
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( _ TEMP CA 917801524
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: GARIBALDI
15386-010-056 - IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
jLA 100 AMP PANELS, MCC 1.00 PAN 38.80
(TENANT: { TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: I
I 112/28/10 VG I
(OWNER: TEL. NO: . I IFINAL DAIE - 'FINA1, CODE: -
IKERN WILLIAM H CO-TR W H (626) 447-1302- 1 1 ' yD
191 SANDRA AV I
(ARCD 910078523 - ...GRIP ON'OF WORK
(UPGRADE ELECTRIC SERVICE.TO 100 AMP
I I I I
(APPLICANT: TEL. NO: - I
ITRIPLE E ELECTRICAL CONTRACTORS INC (626) 447-5096- - I
(SPECIAL CONDITIONS:
I I I I
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR.SIGNATURE
ITRIPLE E ELECTRICAL CONTRACTORS INC (626) 447-5096-
12535 SOUTH THIRD AVENUE LIC. NO ITEMPORARY POWER POLE_ I I I
IARCADIA, CA 91006 410132-C10
(UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I
LIC. NO: IROUGH CONDUIT
I I I I I I
I. 1 IROUGH WIRING I 1
I' IMAIN WATER LINE I I
I .(PLASTIC Y/N METAL Y/N I
I I I I I I
(UTILITY COMPANY NOTIFIEDII
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I IREPORT ID: DPR265 ROUTE TO: BS0508 I I
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