HomeMy Public PortalAbout5718 LOMA AVE_Electrical__ DDEPARENT
. ®D N ANGELES �' "PLICATION FOR PEIB�I'H°
ELECTRIC.
WM. J. -FOX CHIEF ENGINEER
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Q NAME �� o �p� DISTRICT'1V0. GROUP -ZONE PERMIT(VO.+�g
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CITY TEL NOIl41?Jf' __4h$ RECEIVED BY READY FOR ,_. DATEr""ISSUED
FIRST INSPECTION 3
J COUNTY '
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CERT.NO. /J / 3 �FXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORT-ION ONLY,
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(DESCRIPTION OF WORD ADDRESS /
NUMBER OF OUTLETS ON CIRCUITS LOCALITY a„�-• L�" f
LOCATION BY ROOMS -
NEAREST
LIGHTOUTLETS' SW. PLUGS FI7[T CROSS-.ST.
JJCIIRCUIT A B C D E F G H ® w NAMEMAIL
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ADDRESS L/ '` •� :-� _
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A e% S O CITY Is. 4EL.NO.
• .r:."� =4� 1 AM. THE LEGAL POSSESSOR OF THE .ABOVE ,LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION-
,ELECTRICIAN.
i AM THE LEGAL OWNER O THE PROPERTY DESCRIBED
ABOVE
CORK CTIONS
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[NO.
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OUTLETS $ >. APPROVALS
FIXTURES $ DATE INSPECTOR'S NAME
MOTORS H.P. $ CONDUIT [, p
SIGNS TRANS. $ WIRING RANGES OR HEATERS $ FIXTURES
LANEOUS $ POWER
FEE $ �� UTILITYCO.NOTIFIED
FEE �f FINAL
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76A663 DBS SA 25M SETS 11-48 APPLICATION FOR PERMIT-
'DEPARTMENT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF 'LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
k DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO ,FILL.IN '
ELECTRICIAN :• w_ de 4—:416CJS RECEIVED BY READY FOR fDATE ISSUED,
ADDRESS
— r a+ FIRST INSPECTION.
&0r,0'K'� ;+e.T.s-tiAF>F'r� .`C.3`b Jc
CITY - `�`s`, ,ry.�+�yr .. �s.p TEL:.N;. ,.F, �/ -
LICENSE NO.. msµ^ l�:d. A 6 -EXPIRES ADDRESS i�,r. �` elpi
DESCRIPTION OF WORK
NUMBER OUTLETS EACH FEES LOCALITY f.� .�.x', ^%zS,�s+• r'$aaa
CROSS
�.. LIGHTS Sc $ I<5 STREET
RECEPTACLES
i FIXTURES 5 S OWNER f. 'i✓'?., /" f ..�A'' -
WALL SWITCHES 5 MAIL A -
ADDRESS
ELEC. RANGES 25 - -
ELEC. HEATERS .25 CITY TEL. NO.
MISC. I 'CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER OF CIRCUITS INSTALLED:', ANGELES COUNTY LICENSE.
LIGHTS RECEPTACLES
MOTORS
lELECTRICIAN. -
NUMBER HORSEPOWER FEE
NEW Mvo. HP OVER INC. EACH_ J IAM THE LEGAL.OWNER OF THE RESIDENTIAL"PROP-
I/2 6 LE55 $ .25. ERTY DESCRIBED ABOVE.
I/z 2 .50 t.
2 5 1.00 . OWNER.
5 15 1.5o INSPECTION RECORD.
is So 2.50
50 200 5.00
200 sol 10.130
SD43 1000 15.4301 J
OVER 1000 20.001 z
' M.G. SET/FREQ.'..CHANGER-HP 17
WELDERS: AC-KVA _ Q
GENERATORS - KW'
TRANSFORMERS - KVA
TEMP.MOTORS (75%OF ORIG-)
MOVED .MOTORS (75% OF ORIG.)
SIGNS
TYPE' NO.TRANS. T _
TYPE: . .NO. LAMPS - APPROVALS
PERMIT :.FEE - DATE ._ INSPECTOR'S NAME.
FOR .ISSUING PERMIT: - - _CONDUIT
WITHOUT 'FIXTURES $1.00 WIRING '
WITH FIXTURES 1.25 -
- i FIXTURES
SUPPLEMENTARY. •50 I -
. _ 51.,POWER
T. TAL FEE $ UTILITY CO.NOTIFIED �f /)
�. FINAL 4.L�GGr°i�4i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0909030012
BUILDING AND SAFETY / .LAND DEVELOPMENT - TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS:
1TR: 12977 LT: 20 5718 LOMA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917$02452
(ASSESSOR INFORMATION NUMBER: 1 I I I NEAREST.CROSS STREET: 1
15387-017.-027 JAI PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: .596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS; MCC 1.00 PAN 38.85 I
(TENANT: i TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 I 109/03/09 SR 09/03/10 1
I I I I
10WNER: TEL. NO: 1 _ �AAL DAT FI BY: CODE: 1
ITRAN, SUY -
15718 LOMA AVE. 1 I "� I
ITEMPLE CITY CA 91780 I JDESCMPTIOIN OF WORK I
UPGRADE 100 AMP SERVICE TO 200 AMP I
I I I I
1APPLICANT: TEL. NO: 1 I 1
ITRAN (626) 523-4691- I I 1
12402 STRATHMORE AVE. 1 ISPECLAL CONDITIONS: I
IROSEMEAD, CA 91770 I 1
I I
I ! I
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1
ITDT CONTRACTOR, INC. (626) 523-9708- i I
12402 STRATHMORE AVE. LIC. NO 1 (TEMPORARY POWER POLE I 1
ROSEMEAD, CA 91770 521176CIO I- I. I
(UNDERGROUND CONDUIT I I I
1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I
I LIC. NO: j (ROUGH CONDUIT I I
I I I I I I
(ROUGH WIRING
I I1
� 1MAIN WATER LINE �
j IPLASTIC Y/N METAL Y/N v
I I I I I 1
I I (UTILITY COMPANY NOTIFIED
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1 (REPORT ID: DPR265 ROUTE TO: BS0508 I 1 I 1
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