HomeMy Public PortalAbout10274 LIVE OAK AVE_Electrical__ 76A663 DBS%A '7-Sl APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY go
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICA;T TO FILL IN DISTRICT O. GROUP I ZONE PERMIT NO.
ELECTRICIAN �� -. �/� /
-A RECEIVED BY READY FOR DAA TE ISSUED
ADDRESS , 46& FIRST INSPECTION
CITY 1TEL..'NO.
COUNTY LICENSE NO. EXPIRES �. .S BUILDING
PERMIT FEES ADDRESS
FEE LOCALITY —.,Y— C--�
NUMBER EACH _ _
LIGHT OUTLETS NEAREST
RECEPTACLES CROSSST
V
WALL SWITCHES OWNER
TOTAL OUTLETS -', Sc $ MAIL
ELEC. RANGES 25 _ADDRESS
ELEC. HEATERS 25 ITY TEL. NO.
FIXTURES // 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MIBC. --TT APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENT L PROPERTY D &RIBED ABOVE.
_ V2 6 LESS S8 .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
z s ''°°
INSP'59TION RECORD
s is +.So
1 5 50 2.50
5O 200 5.00
200 5°O 10.00 J
5130 1 000 15.00 Z
-OVER 1000 20.00
M G. SET/FRE:Q. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or ORIG.)
MOVED MOTORS (75% OF ORIG.)_ _
M ISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'B NAME
WIRING $1.00 , CONDUIT
FIXTURES $1.00 �-O
WIRINGS 4n
SUPPLEMENTARY .50 FIXTURES G� SG
POWER
TOTAL FEE s TILITY CO.NOTIFIED
FINAL
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76A663 CE 806R 9/76 APPICAMN FOP, ES ECTPN / p S PERH
COUNTY OFLOS ANGELES,`
Q
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS I
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO I FEE , NEAREST
1 &2 Family,Sq Ft $ 025 — $ CROSS ST Q
Multi-family Sq Ft '02 — OWNERFIRMNAOME
Residential Swimming Pools 2000 MAIL
i, ADDRESS"
Outlets Rec Light_Sw CITY i9 Tel 'No
C
First 20 50 'PLAN CHECK
j Total NoAdditional 30 APPLICANT-
ADDRESS'
Lighting Fixtures First 20 50 CITY, Tel No ,
Additional 30 PERMIT
Total No APPLICANT
Fixed Appliances Not Over,1 HP� ADDRESS
Range—Heater_D W CITY4 ' Tel No
Oven_Dryer_W M_ LICENSE OR'
Top —FAU —W H REG NUMBER ?Class i
Hood—Fan _Other— I HEREBY ACKNOWLEDGE,THAT I HAVE READ THIS APPLICATION AND STATE
Disp — Room Air Cond 200 THAT THE ABOVE 15 CORRECT,AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING )
Power Apparatus&Large Appliances
l 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 l Incl 200 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
Over 1 to 10 Incl 5 00
Over 10 to 50 Incl 1000 PERMITTEE
" Over 50 to 100 Inc 2000 SIGNATURE L7
30 00' 0
Over 100 DISTRICT NO Ga� PR ESE BY
Services
0-200-Amp Under 600 V APPROVALS DA SIGNATURE INSPECTOR S
25 00
� 201-1000 Amp Under 600 V TEMP POWER POLE e
Over 1000 Amp or Over 600 V 5000 1
UNDERSLAB WORK ,
Temp Power Pole&Appurtenances 1000 �
10 00 ROUGH CONDUIT
Sign with One Branch Circuit 2 00
Additional Sign Branch Circuits WIRING
Misc Conduits&Conductors 15 00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE• (Sub Total)- NOTES yZ 4n:,,ZK, ASD r
PLAN CHECKING FEE (One-Fourth Permit Fee) ``/�
PERMIT ISSUING FEE $frOII' -
TOTAL FEE 0 10
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M'O CASH
1 8 9�JUgd 24 2' 9.0 0 eS
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - ®s
COUNT,- OF LOS ANGELES- � - TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ - EL 0508 0610050005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT.
LEGAL ID FEES PAID BUILDING ADDRESS:
ON FILE 10274 LIVE OAK AV
FEE DESCRIPTION. - QUANTITY- UOM - AMOUNT. TEMP CA 917802713
ASSESSOR INFORMATION NUMBER _ NEAREST CROSS STREET
8586-014-003 Al PERMIT ISSUANCE FEE, 27.75 THOMAS PAGE: GRID- LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP ,70 00 OUT 106 50
TENANT., G2 LIGHTING FIXTURES - - 30.00 LGT 52 50 ISSUED ON PROCESSED BY PLAN BY: EXPIRES ON
HA FAU LESS 3HP 1.00 FAU 10 95 10/05/06 JK 04/03/07
H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 _
OWNER
' LB 200 AMP PANELS, MCC 1 00 PAN 38.85
10274 LIVE OAK AV TOTAL FEES 267 15
TEMP 917802713 DE CRIPTION OF WORK
ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE TO
200 AMP
APPLICANT: TEL NO
DAVID LI (626) 288-1216- _
2446 N SAN GABRIEL SPECIAL CONDITIONS `
ROSEMEAD, CA 91770
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HAGGERTY FLOYD - (626) 445-4126-
HAGGERTY LUJUANA LIC NO TEMPORARY POWER POLE `-
10274 LIVE OAK AVE NONE
TEMPLE CITY, CA 91780 UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL NO UFER GROUND
LIC NO: _ ROU^H CONDUIT
' ROUGH WIRING
r MAIN WATER ,LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO BS0508