HomeMy Public PortalAbout5634 LOMA AVE_Electrical__ 76A663 BS SA 11-50 " APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND r SAFETY
COUNTY OF 'LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APP (CANT TO FILL IN DISTRIC GROUP I ZONE PERMIT NO
ELECTRICIAN
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�9. ed cd RECEIVED BY READY FOR DATE.ISSUED
ADDRESS
�n/ FIRST INSPECTION ION
CITY ` ► TEL. NO. _ SN�s.{s qy
COUNTY LICENSE NO. l ,` EXPIRES � BUILDING
f� (d+�/
PERMIT FEES
FEE
NUMBER EACH* LOCALITY
LIGHT OUTLETS NEAREST
-
RECEPTACLES' CROSS ST. -
!! �`"' ^''
WALL SWITCHES i OWNER .
TOTAL OUTLETS r "SC $ _ 7V MAIL
ELEC. RANGES 25 ADDRESS "
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES ` 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
.MISC. t APPLICATION AND STATE THAT THE ABOVE t5 CORRECT
NUMBER OF LIGHT CIRCUITS _ a AND AGREE TO COMPLY,-'WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
• MOTORS - 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBEANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
R HORSEPOWER FEE -
NEW MVD. HP OVER I INC.
EACH OF THE RESIDENTIAL PROPERTY DESCRIBED BOVE.
1/z a LESS $ '.25I �l� SIGNATURE OF
V 1/2 2 .50 PERMITTEE
2. 5 1.00 IN ECTION RE RD
5 .15 1.50
15 50 2.50 - -
50 .200 5.00
200 500 . 10.00 „J
Soo ..1000 15.00 - Q
Z.
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA I 0
GENERATORS-KW
TRANSFORMERS-KVA '
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS -
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING - $ 00 I COCONDUIT1. '
FIXTURES $1.00 __.��V "' WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $� UTILITY CO. NOTIFIED I "'^`-.p i -
IO' FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0310160010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 16134 LT: 19 5634 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802450
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BIDWELL
5387-019-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 40.00 OUT 66.00
TENANT: G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.95 10/21/03 JK 04/18/04
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 FINAL DATE FINAL BY: CODE:
AHN; PETER - H7 RES EXHAUST FANS 1.00 EX 10.95
5634 LOMA STREET H9 RES APPL LT 3HP 1.00 RES 10.95 �- 2 '2 - OL-1
TEMPLE CITY 91780 JB AC UNITS +3-10HP 1.00 AC 19.65 DESCRIPTION OF WORK
LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ELECTRICAL FOR ADDITION
TOTAL FEES 226.50
APPLICANT: TEL. NO:
KEVIN C YANG (626) 672-5098-
9138 OLEMA ST SPECIAL CONDITIONS:
TEMPLE CITY 91780 - `-
CONTRACTOR: TEL. NO: �'' ` �9G A APPROVALS DATE INSPECTOR SIGNATURE
KEVIN CHIA-JEN YANG (626) 286-2096-
9138 OLEMA ST LIC. NO ��� TEMPORARY POWER POLE
TEMPLE CITY , CA 91780 807384 NIC
`\ UNDERGROUND CONDUIT
- ,_
ARCHITECT OR ENGINEER: TEL. N0: /� I/, �� ASA\V UFER GROUND
LIC. NO ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE l
PLASTIC Y/N METAL Y/N
/fir` UTILITY COMPANY NOTIFIEDrl7ZO
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\\'e L�vvice
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508