HomeMy Public PortalAbout5755 KAUFFMAN AVE_Electrical__ 7
'DBS-5A 3•SFORAPPLICATION FOR E'L ECTRIC PERMIT
MIT
'DBS-5A
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer JJ
County of Los Y ENGINEER
BUILDADDRESNG
S
- WM.J. FOX, COUNTY ENGINEER '
CASSATT D.GRIFFIN,SUPT OF BUILDING _ Al,
LOCALITY .?��� /� /�A u �/" '�
FOR APPLICANT TO FILL IN.- NEAREST
PERMIT FEES CROSS ST. J Ptir M '
NUMBER EACH FEE f
LIGHT OUTLETS - OWNER A ',/t'Re.
RECEPTACLES MAIL ADDRESS ,�.�
WALL SW ITCHES- �...:•_-•
TOTALOUTLETS 5¢ $ CITY i �' TEL.NO.
ELEC.RANGES 25 Z i ELECTRICIAN D ""^ 'Zv 1?
_ELEC. HEATERS 25 ADDRESS
KW EA CITY />''G 4 i4- TEL.NO. 'r
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I V 1 ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS.
MOTORS _L+
NUMBER HORSEPOWER
FEE INSPECTION RE RD
NEW MVD. HP OVER I INC. EACH
1/2&LESS $ .25
1/2 2 .50 -
2 S 1.00
5 . 15 1.50
15' 50 2.50
50 - '200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS _
FOR EACH PERMIT'
WIRING S1.00
FIXTURES 51.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT•I HAVE READ THIS-APPLICATION CONDUITIk
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r
WITH ALL COUNTY ORDINANCES AND STATE LAWS.REGULATING WIRING .IL,A�....'...-
ELECTRICAL WIRING. -
I HEREBY CERTIFY THAT I. AM -PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY-AND STATE OF
CALIFORNIA OR THAT I AM THEEGA NER OF THE ABOVE POWER 1
DESCRIBED RESIDENTIA ERTY
SIGNATURE UTILITY CO.NOTIFIEDt 44 {
OF PERMITTEE � FINAL V
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT. INSPECTOR
12-5
,' ,.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0905040013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 6561 LT: 511 UN: .002 5755 KAUFFMAN AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802506
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
16587-022-012 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I HA FAD LESS 3HP ]..00 FAD 10.95
TENANT: 1JB AC UNITS +3-10HP 1.00 AC 19.65 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 I TOTAL FEES 58.35 105/04/09 SR 10/31/09
OWNER: TEL. NO: 1FI AL ATE FINAL BY: CODE:
ICHIU, IP H (626) 616-4253- 1 \ E
15755 KAUFFMAN AVE. 1 _L
9 -6V
ITEMP 917802551 1 IDESCRIftIONIOF WORK
1 I ELECTRICAL FOR HVAC SYSTEM
APPLICANT: TEL. NO:
ITRAN (626) 255-4769-
17858 EMERSON PLACE I ISPECIAL CONDITIONS:
IROSEMEAD CA 91770 1 1 I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IMIKE T TRAN (626) 255-4769- 1 1 1
17858 EMERSON PLACE LIC. NO 1 ITEMPORARY POWER POLE I 1 1
IROSEMEAD, CA 91770 _ 861779 C20 1 1 1-1 I
I I JUNDERGROUND CONDUIT I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I I
1 LIC. NO: 1 IROUGH CONDUIT 1 1 I
I I I I I I
1 1 IROUGH WIRING I 1
1 IMAIN WATER LINE
I IPLASTIC Y/N METAL Y/N I 1 1
1 1UTILITY COMPANY NOTIFIEDI I 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
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1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 I 1 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904060018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 6561 LT: 511 UN: .002 1 5755 KAUFFMAN AV
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802506
(ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET:
18587-022-012 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 14.00 OUT 27.30
(TENANT: ITOTAL FEES 55.05 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 104/06/09 SR 10/03/09
I
(OWNER: TEL. NO: IFI DAT FINA BY: CODE:
IIP, CHIU HA (626) 616-1253-
15755 KAUFFMAN AVE.
(TEMPLE CITY CA 91780
DESCRIPkfIONjOF WORK
1 1 1ELECTRTCAL FOR ADDITION
I
1APPLICANT: TEL. NO: 1 I 1
ICHEN (626) 818-1077- 1 1
17640 WALNUT GROVE AV ISPECIAL CONDITIONS:
KORONA, CA 92880 1
1
I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE
IHSU, GEORGE (626) 552-1655- 1 1
1908 CONCORD AVE LIC. NO I ITEMPORARY POWER POLE I
IMONTEBELLO, CA 90640 383572B 1 I 1 I 1
1 1 (UNDERGROUND CONDUIT 1 I 1
1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 1 1
I I I I I
LIC. NO: i IROUGH CONDUIT I I
I I I
1 1 IROUGH WIRING 1 1 1
� I I
' IMAIN WATER LINE I 1
i I IPLASTIC Y/N METAL Y/N
I I I
(UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
11 11 I I I I
I I I I I I
I I I I I I
I I I i I I
1 I* ADDITIONAL DATA ON FILE
I I I I
1 IREPORT ID: DPR265 ROUTE TO: BS0508
I I I I I I