HomeMy Public PortalAbout6119 IVAR AVE_Electrical__ 76A66r3 CE 806R x0/77 ,A PPUCAMN FOR Q ELEC YMC AL PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS I
FOR.APPLICANT TO FILL IN LOCALITY
J
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
$ .025 — $ CROSS ST.
1 &2-Family,Sq. Ft. OWNER OR
Multi-family Sq. Ft. •02 — FIRM NAME _
Residential Swimming Pools 25.00 ADDRESS
Outlets: Rec Light—Sw. CITYPPO
e
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS Ao'r) 5Q 1 O
Range_Heater_D.W. CITYAlba. -
Oven _Dryer_W.M. LICENSE OR �� �^
Top —FAU —W.H._ REG.NUMBE < Class.(_;
Hood_Fan ._Other__. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS,
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RE IDENTIAL PROPERTY.
Over 1 to 10lncl. 5.00 / c�
Over 10 to 50 Incl. 12.50 PERMITTEE
SIGNATURE2 CJ ( O
Over 50 to 100 Inc. 25.00 t
Over 100 40.00 DISTRICT NO. PRO S D Y a
Services
v' V - -
0-200 Amp.Under 600 V 1 2.50INSPECTOR'S
201-1000 Amp.Under 600 V
25.00 APPROVALS DAT SIGNATURE
Over 1000.Amp.or Over 600 V. 50.00 TEMP. POWER POLE
Temp. Pole&A 10.00 UNDERSLAB WORK
. Appurtenances
Sign with One Branch Circuit
10.00 ROUGH CONDUIT
2.00WIRING
Additional Sign Branch Circuits
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule i POWER AUTHORIZED , S�
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY-OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0201280031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FES PAID BUILDING ADDRESS:
TR: 5904 LT: .17 6119 IVAR AV
FEE DESCRIPTION: QUANTITY:.UOM: AMOUNT: TEMP CA 917801524 .
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5386-010-059 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE-CITY
G1 OUTLETS-LGT,SW,RECP 49.00 OUT 78.15
TENANT: G2 LIGHTING FIXTURES 17.00 LGT 33.15 ISSUED ON: PROCESSED : PLAN BY: EXPIRES ON:
JB AC UNITS +3-10HP 1.00 AC 19.65' 01/28/02 JK 07/27/02
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
OWNER: TEL. NO: TOTAL FEES 197.55 FINAL DATE FINAL BY: CODE:
HUNG; GLORIA (626) 583-8968- S
6119 IVAR AVENUE
TEMPLE CITY 91780 -DESCRIPTION OF WORK
ELECTRICAL FOR ADDITION AND GARAGE
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO:
UFER GROUND
- I
LIC. NO: _ - ROUGH CONDUIT
ROUGH WIRINGr
Z
MAIN WATER LINE
PLASTIC Y/N METAL .Y/N
UTILITY COMPANY NOTIFIED
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REPORT ID: DPR265 ROUTE TO: BS0508