HomeMy Public PortalAbout5941 LOMA AVE_Electrical__ 76A663 CE 806R 1077 APPLICATION FOR ELECTRICAL PERMIT
v - COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER IOB
BUILDING AND SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN LOCALITY Jwnnn
rNewResidential Bldgs.&Pools EACH NO. FEE NEAREST 2-Family,Sq. Ft. $ .025 — $ CROSSST.OWNER OR
lti-family Sq. Ft. .02 — FIRM NAME
idential Swimming Pools 25.00 MAIL
ADDRESS
s: Rec Light_Sw. CITY T I.
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel. No.
Additional .30 PERMIT
Total No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRES
Range_Heater_D.W.— CITY el. No --
Oven _Dryer J__W.M. LICENSE OR
Top —FAU —W.H.— REG.NUMBER ak5jQOeOClass.C-
Hood_Fan _Other— ji HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. - Room Air Cond. 2'50 1 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REOUIREO'BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Q
Over 1 to 1'01ncl. 5.00 v
Over 10 to 50 Incl. 12.50 PERMITTEE
Over 50 to 100 Inc.
25.00 SIGNATURE -Mal CD
00
Over 100 40. DISTRICT NO. P SE d
5-• 0 z
Services
0-200 Amp.Under 600 V 12.50INSPECTOR'S
201-1000 Amp.Under 600 V
25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2'00 WIRING t
Misc..Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule' POWER AUTHORIZED
UTILITY CO.NOTIFIED /
FINAL ! i
PERMIT FEE (Sub-Total) /
NOTES y�,��- n.nc� -�-7_
PLAN CHECKING FEE (One-FourthTermit Feel A/0 -//&4 L
C r3 Zft
PERMIT ISSUING FEE $7.00 1 0 0 NO
TOTAL FEE 01 I+ I\) - 0
PLAN CHECK VALIDATION CK. M.O. CASH O -ON PEIMIT�ALIDATION CK: M.O. CASH
00 O C) IV 7::,
CH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTR`ICAL:PERMI-T.
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL`0508'`'97420,4003]
BUILDING AND SAFETY /t-LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: - FEESPAID BUILDING-ADDRESS:
TR: 5904 LT: 353 X594.1 LOMAAV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: v TEMP-tA 917801924
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5384-0147026 Al PERMIT;_ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 'LOCALITY: TEMPLE CITY
HA FAU LESS 3HP , 1.00 FAU 10.80
TENANT: JB AC UNITS +3-10HP 1.00 'AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 58.20 12/04/97 UT 12/04/98
OWNER: TEL. NO: FINAL DATE FINAL CODE:
AINSWORTH, STEPHANIE (626).000-0000 1-7
-
5941 LOMA AVENUE AVE
TEMPLE CITY, CA DESCRIPTION OF WORK
ELECTRICAL FOR NEW HEATING A A/C SYSTEM
APPLICANT: TEL. NO:
A & M HEATING & AIR COND. (626) 359-6637-
SPECIAL CONDITIONS:
�SLES C
CONTRACTOR: TEL. NO: e� d APPROVALS DATE INSPECTOR SIGNATURE
A & M HEATING A/C (626) 359-6637- @@@JJJJ�
123 E. OLIVE AVE. LIC. NO p TEMPORARY POWER POLE
MONROVIA, CA 91016 234903 c-
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: 0 LIFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
�
p� WORMS
0� �� MAIN WATER LINE
Nu vL PLASTIC Y/N METAL Y/N
URDUTILITY COMPANY NOTIFIED
O aF �Ie
_O o Co
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REPORT ID: DPR265 ROUTE TO: BS0508