HomeMy Public PortalAbout5766, 5766 1/2, 5766 3/4, 5768 LOMA AVE_Electrical__ 76A663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING FIND SAFETY
COUNTY OF LOS ANGELES I V
WILLIAM J. FOX, CHIEF ,ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ICON,E PERMIT NO.
ELECTRICIAN /, h/!�=/y Z L::--Ll
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r/ �+ RECEIVED BY READY FOR DATE ISSUED
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ADDRESS f S ,�.� S FIRST INSPECTION
(_ CITY IF tc-1 - TEL.
w COUNTY LICENSE NO. EXPIRES BUILDING
ADDRESS
PERMIT EES FEE
3oNUMBER EACH LOCALITY // 7YliV
LIGHT OUTLETS •7 NEAREST
Z� CROSS ST. -
RI ECEPTACLES J I
2 WALL SWITCHES .�� OWNER
TOTAL OUTLETS I3 5c $ ^ � MAIL
ELEC. RANGES P5 ADDRESS
ELEC. HEATERS 25 -
CITY - TEL. NO.
FIXTURES _ rL 5 V 1. HEREBY ACKNOWLEDGE. THAT. 1 HAVE READ THIS
M{SC. 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 HORSEPOWER FEE
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
'
NEW MVD. HP OVER INC.
EACH OF THE RESIDENTIAL PROPERTY.DESCRIBED ABOVE.
I ^
.{ I/2 9 LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 5 1.06 INSPECTION RECORD
5 15 1.50 -
15 50 2.50
50 200 5.00 /C? d'✓/��/�✓6 /:C/�✓'.�
200 . 500 10.00 / b ..liV S.,0
Soo 1000 15.00
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA I I-
GENERATORS-KW - ..
TRANSFORMERS-KVA .I -
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 $1.00.1 / I CONDUIT - I /// y
FIXTURES $1.00 WIRING ti1T ,!T.Plllle6e� IfIl 1/r2-
r
SUPPLEMENTARY .50 - �— FIXTURE ' '
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL"
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204020026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: - 1
ITR: 5905 LT: 78 I. 5768 LOMA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802452
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15387-017-033 IAl PERMIT ISSUANCE FEE 27.80 THOMAS-PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
IGl OUTLETS-LGT,SW,RECP 3.00 OUT 6.00
TENANT: IG2 LIGHTING FIXTURES 1.00 LGT 2.00 JISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 35.80 104/02/12 -SR
(OWNER: TEL, NO: I IFINX, DATE FINAL S CODE: 1
ITSAI, BENJAMIN - I
1825 E. ELM AVE.
ISAN GABRIEL CA 91775 IDE CRIPTION OF WORK 1
._. 11NSTALL 3 OUTLETS AND 1 LIGHT FIXTURE FOR BATHROOM REMODEL 1
(APPLICANT: TEL. NO: I
IMIRACLE DEVELOPMENT INC. (626) 674-2338-
12751 BATSON AVE I ISPECIAL CONDITIONS-:
ROWLAND HTS 91748
CONTRACTOR:_ TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MIRACLE DEVELOPMENT INC. (626) 674-2338-
12751 BATSON AVE LIC. NO ITEMPORARY POWER POLE
IROWLAND HEIGHTS CA 91748 928751 1
(UNDERGROUND CONDUIT 1
1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
1 LIC. NO: 1 IROUGH CONDUIT 1
ROUGH WIRING 1
IMAIN WATER LINE
PLASTIC Y/N METAL Y/N 1
1 1UTILITY COMPANY NOTIFIED( I
i
_ IREPORT ID: DPR265 ROUTE TO: BS0508