HomeMy Public PortalAbout4954 LOMA AVE_Electrical__ 7 6A663-CE806 10/72 APPUCAMN FOR
COUNTY OF LOS'ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB �l
BUILDING AND SAFETY DIVISION ADDRESS / OIY1Q 140VC-
LOCALITY
FOR APPLICANT TO FILL IN CROSSSST
So Dw'� �
OUTLETS NO EACH FEEOWNER OR J I bud
RECEPT_[_ $ $ FIRM NAME i
MAIL
LIGHT_- TOTAL -FIRST 20- 25 ADDRESS /J J h
CITY TEL
SWITCH OVER 20 Ip
PLAN CHEC
l FIRST 20APPLICANT
LIGHTING ( TOTAL 25 `
T � OVER 20 10 757 ADDRESS
FIXTURES
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT vv
RANGE , DRYER_WTR HTR APPLICANT
STA COOK DISP F A U' ADDRESS '
SPACE HTR AIR COND I CITY TEL NO
CLOTHES WASH DISHWASH LICENSE CLASS
REG. NUMBER
FAN OTHER 100 1 HEHEBI 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 REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE r
1 - 10 300 - OESrRII,ED RESIDENTIAL PROPERTY
O
PERMITEE V
10 - 50 500 I SIGNATURE
O
50 - 100 1000 DISTRICT NO. PROCES BY F_
U
r�
1,00 - 500 15 00 / / GO
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS VVV DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER/POLE
SERVICE NOT OVER 600 VOLTS OR200AMP 300 UNDERSLAB WORK '
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED �' d
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE V
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION,,,41'1' M 0 CASH
2 z, Mil' 2 2 0 7.5 G Asb
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �
76A663-CE806 3-69
APPLICATION FOR ELECTRICA PERM19
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �J ve
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Ci/�1 l L
FOR APPLICANT TO FILL IN -'CROSS INEAREST.
NO. EACH FEE
RECEIPT. , r �y�r
'MAIL
LIGHT TOTAL FIRST 20 ,20 'ADDRESS -
;CITY• �i/� L� C/f I TEL.NO
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 (APPLICANT
FIXTURES 116,120 ,10 ADDRESS `
RANGE_DRYER_WTR. HTR. ^CITY TEL NO.
STA. COOK DISP F.A.U. {CONTRACTOR
t
SPACE HTR. AIR COND 'ADDRESS
CLOTHES WASH _DISHWASH. CITY TEL.NO
e FAN OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. 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.
0 - 1 1 DO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
/�JJ LICENSED AS REQUIRED BV LOS ANGELES COUNTY AND STATEOF
I - 10 3 OO O V CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO CL
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 — 50 5.00 V
SIGNATURE w
50 — 100 10A0 OF PERMITTEE
H--
100 - 5DD 15.00 DIST /�� GRO ZONE CE D - w
SIGN,GAS �AD
GN AND ONE CIRCUIT 3 00
TUBE, OR h •�G Z
MARQUEE DITIONAL CIRCUITS 1.00 NOTES .L --
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
C
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
fo
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) ,
PERMIT ISSUING FEE 2 00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE T V EPHC. ROOHAN
(AAid SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUtLIC WORKS 9701 LAS TUNAS EL 0508 1201090035
BUILDING AND SAETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID ,I BUILDING ADDRESS, 1
4954 LOMA AV I
ON FILE IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803018 - 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET I
15388-013-011 1A1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE. 596 GRID H5 LOCALITY TEMPLE CITY, Cl
I IE1 TEMP SERV POWER POLE 1 00 TMP 43 60 1
ITENANT I TOTAL FEES 71 40 (ISSUED ON PROCESSED BY PLAN BY 1
101/09/12 SR 1
(OWNER TEL NO IFINAL DATE /FINAL BY CODE 1
IWEI, YU GUO (626) 792-1380-
1266 N CRAIG AVE. �✓(f _ \
1PASADENA, CA 91107 Df2SC17IPTION OF WORK
ITEMPORARY POWER POLE I
I I I I
1APPLICANT TEL NO. I I
SAME AS OWNER - I
ISPECIAL CONDITIONS I
ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
SAME AS OWNER _ -
LIC NO ITEMPORARY POWER POLE
I I
I 1 1UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER TEL NO 1UFER GROUND I I
LIC NO IROUGH CONDUIT I
- IROUGH WIRING I -
1 IMAIN WATER LINE I
- 1 (PLASTIC Y/N METAL Y/N I 1
I I I I I I
1 JUTILITY COMPANY NOTIFIED( Z/b
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
•1 IREPORT ID DPR265 ROUPE TO BS0508
I I i I I I
COUNTY OF LOS ANGELES TEMPLE CITY - .# 0508 •• ' ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ EL 0508 1004260001
BUILDING AND SAFETY- / LAND DEVELOPMENT TEMPLE-CITY CA 91780 •.
PHONE (626) 285-0488•,EXT �•
ILEGAL ID I FEES-,PAID 1 BUILDING.ADDRESS- 1
1 ON FILE 1 1 4954 LOMA AV 1
IFEE DESCRIPTION. QUANTITY UOM AMOUNT TEMP CA 917803018
(ASSESSOR INFORMATION NUMBER I • . I r _ - NEAREST CROSS STREET 1
15388-013-011 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 60 OO,OUT . , 93 00 1 - I
ITENANT IG2 LIGHTING FIXTURES 50 00 LGT 79 50 (ISSUED ON PROCESSED BY: PLAN BY
IRA FAU LESS 3HP ,1 00 FAU 10 95 104/26/10 SR 1
IH4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 1
10WNER. TEL NO IHS RES WASH MACH LT 3HP 1 00 WAS 10 95 IFINAL ATEFINAL Y CODE 1
1WEI, YU GUO - (626) 792-1380- IJA HEAT PUMPS +3-10HP 1 00 HT 19 65 1 _ 1
1266 N CRAIG AVE. IJB AC UNITS +3-10HP 1.00 AC' 19 65 1 1
IPASADENA, CA 91107 - ILB 200 AMP PANELS, MCC '1 00 PAN 38 85 IDD CE�RIPTION OF WORK 1
1 1 TOTAL FEES 311 25'IELECTRICAL FOR ADDITION, REMODEL, UPGRADE SERVICE PANEL TO 1
I 1200 AMP AND HVAC SYSTEM 1
1APPLICANT r TEL NO:
IWZI (626) 792-1380- I
1266 N CRAIG AVE 1 ISPECIAL CONDITIONS 1
IPASADENA, CA 91007 I • I
ICONTRACTOR - TEL NO- I (APPROVALS - DATE INSPECTOR SIGNATURE I
IJIANGANG J SONG, YU GUO (626) 378-7376- 1 - - - 1 •- _ -I
IJIANGANG SONG CONSTRUCTION LIC NO 1 ITEMPORARY POWER POLE I I _ 1
1266 N CRAIG AVENUE NONE I - .1 -__ __
1PASADENA, CA 91801 1 (UNDERGROUND CONDUIT I
I I I I II
(ARCHITECT OR ENGINEER• TEL NO I IUFER GROUND I
ILIVINGSTONE ENGINEERING (626) 795-8177- 1 1 I I
1301 LOLA AVENUE LIC NO 1 IROUGH CONDUIT I I
PASADENA, CA 91107 NONE I
I IROUGH WIRING I I
I I I I I
I IMAIN WATER LINE I I
I I IPLASTIC Y/N METAL Y/N 1 I 1
- (UTILITY COMPANY NOTIFIED( 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
IREPORT ID DPR265 ROUTE TO BS0508 1 I I I