HomeMy Public PortalAbout5422 LOMA AVE_Electrical__ W
. APPLICATION FO ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING [ ��
BUILDING AND SAFETY DIVISION ADDRESS 7
JOHN A. LAMBIE, COUNTY ENGINEER /
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ell yc
RECEPT, 2- TOTAL NO, EACH FEE n �
OUTLETS FIRST 20 $20 $ OWNER � okA
LIGHT - MAIL
ADD'L ADDRESS
SWITCH. OVER 20 •10
TOTAL CITY TEL. NO.
LIGHTING FIRST 2O .20
FIXTURES 1-1 OVDR'L 10 ELECTRICIAN 6v s1m c�.7
y y
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS I C,j(j L x� Lo,-,e,
�V'w e, 47-k Qd.
GARB.DISP. STA.COOK �j
CITY A#Ok& TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yp H.P.MAX.) .50 LICENSE NO. / E?
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE P$OCESSED BY
O 1 1.00 ✓ ` )
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00
CL
50 100 5.00 0
SIGNS: NO.TRANS
NO.LAMPS C
O
h
SERVICE 0.600V-Nor OVER 200A 1.00 V
UJ
SERVICE 0.60OV-OVER 200 A. 2.00 V)
SERVICE OVER 600V 5.00 Z
MISC.
70 " w.�,.
PERMIT ISSUING FEE 2.00 Z
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ ?
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE f7 POWER
SIGNATURE ''_ � Z• y2.>' UTILITY CO.NOTIFIED
OF PERMITTEE_ FINAL
VALIDATION ARTHUR C. VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
CCK �
76A663-CE806-H-57APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING X
ADDRESS BUILDING AND SAFETY DIVISION _7
CAOSMA,LAMBIE, County Engineer L 'TY
TT
A GRIFFIN. Supt of Building LOCALITY,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
OWNER
N
I T F M _jM E
NUM ER-i EACH FE
MAIL
q
OUTLFT--y
LIGHTS RECEPT/7 SW.-" Ess
AD R
LIGHTING FIXTURES,/ .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS — .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS .25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
DISTRI,9-T NO. GIRW&UP ZONE 5 � IIEADYFIIRINSPECTICIN
0 — l/. .25
1/2 — 2 .50 INSPECTION RECORD
2 — 5 1.00
.5 — 5 1.50
is — 50 2.50
50 — 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 hh
SUPPLEMENTARY PERMIT .50
TOTAL FEE APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE To COMPLY CONDUIT,
E AND
D T
I C'-S CORRECT
STATE
L 0
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED
ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
VjCiNATURE UTILITY CO.NOTIFIED
)fZF PERMITTEEFINAL
—_
LIDATIONARTH RVU R C.VEIT.
MO CASH SUPEISING ELECTRICAL ENGINEER
A
Lo t� .S"Ill z 2 lo+....�.,
76A663l a06 8-62' APPLICATION FOR ELECTRI L PERK-T
COUNTY OF LOS ANGELES y.
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS -6-4/2 Z 410j*4, �r6lft
JOHN A. LAMBIE. COUNTY ENGINEER �''
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY Jam"-
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. y G
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 1$.20 $ OWNER r C{_
LIGHT ��+ �(O- MAIL
SWITCH /n 6j OVER 20 (y .10 [_•'f ADDRESS
LIGHTING TOTAL FIRST 20 .20 CITYTEL NO.L
FIXTURES ADD'L ELECTRICIAN
/1 OV R 20 .+O
RANGES CLO,DRYERS WTR HTRS. / 1.00 ADDRESS V ` : f�(�} CGL. Z9-LS
GARB.DISP.f //STA COOK - !r
CITY O � TEL NO.
DISHWASH AUTO.-WASH STATE
SPACE HTRS. STA.APP.(yi H.P.MAX 3 .50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO. GROUP ZONE P O B
o t7_1 t.00 -�
+ 3 +.So ___/
I,NSPE/CTION FEC9,RD
3 Is 2.00
8 15 250
15 50 3.00
D_
50 1 DO 500 O
V
SIGNS- NO.TRANS
NO LAMPS
IO
SERVICE 0.60OV7NoT OVER 200A 1.00 0
�Q
W
SERVICED-600V-OVER 200 A. 2.00 0.
N
SERVICE OVER 600V 5.00 Z
MISC.
PERMIT ISSUING FEE - 200
SUPPLEMENTARY PERMIT ISSUING FEE I 1.001I "
TOTAL FEE $ Q
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR /
LICENSED AS REQUIRED 13Y LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LE L OWNER OF THE ABOVE / a •�
DESCRIBED RESIDENTIAL- Y. POWER
SIGNATURE �� UTILITY CO.NOTIFIED 1 _ J
OF PERMITTEE �/I //49; /
FINAL f
IDATION ARTR
HUjC:VETT
CK; MO CASH SUPERV181NG ELECTRICAL ENGINEER
5224 G tlAyG4 2 D 1 4 9G
COUNTY OF LOS &NGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1107140052
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID
I BUILDING ADDRESS I
ITR: 7796 LT 19 BL 0015422 LOMA A
1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA17803003 1
(ASSESSOR INFORMATION NUMBER- I NEAREST CROSS STREET
15388-001-037 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 2 00 OUT 3 90 1
ITENANT IG2 LIGHTING FIXTURES 5 00 LGT 9 70 11SSUED ON PROCESSED BY PLAN BY
TOTAL FEES 41 40 107/14/11 SR
10WNER TEL NO- IFINAL DATE FIN BY CODE 1
ILIN, YI (626) 905-3815-
15422 LOMA AV `
ITEMP 917803003 IDESCRIPTI� WORK 1
1ADD 2 OUTLETS AND 5 LIGHT FIXTURES FOR NEW ADDITION
1APPLICANT TEL NO
ISU, RICHARD (626) 376-1863- 1
1216 S SUNNYSLOPE AV ISPECIAL CONDITIONS I
IPASADENA, CA 91107 I
1
I I
ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
ILIN, YI (626) 905-3815- 1
IQI HONG LIN LIC NO 1 ITEMPORARY POWER POLE
15422 LOMA AVENUE NONE 1
ITEMPLE CITY, CA 91780 1
1UNDERGROUND CONDUIT I 1
I �
(ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I
- I
LIC NO- IROUGH CONDUIT
(ROUGH WIRING
1
1MAIN WATER LINE I
IPLASTIC Y/N METAL YIN I I
UTILITY COMPANY NOTIFIED(
1 1 I I I I
I I I I
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1 IREPORT ID DPR265 ROUTE TO- BS0508
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