HomeMy Public PortalAbout6013 LOMA AVE_Electrical__ 76A663-CES06-6-57 .APPLICATION FOR, ELECTRIC PERIVIITi 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ®�
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY / i �,• 1
NEAREST _
FOR APPLICANT TO FILL IN CRO ss sr. G� S
PERNIIT FEES OWNER '� f/U
LIGHTS RECEPTACLES ..5 SWITCHES J MAIL
NUMBER ITEM EACH FEE
ADDRESS" O / 'Al-
TOTAL OUTLETS $ .10 $
ELEC. RANGES, WATER HEATERS, CITY , r j, I TEL.NO. 'f Z
CLOTHES DRYERS .50
ELEC. SPACE HEATERS, STAT-Y. COOK- _ ELECTRICIAN
ING UNITS, GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25'
LIGHTING FIXTURES .10 U' CITY TEL.NO.
MOTORS STATELICENSE NO.
HORSEPOWER
H.P.- OVER INC* DISTRICT NO. - GR UP I ZON READY FOR INSPECTION
yz&LESS .25
+i2 - 2 .50 INSPECTION RECORD
2' — 5 1.00
1.50
15 — 50 2.50
50 200 5.00
MISC.
SIGNS" NO.TRANS
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE g
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITWITH ALL COUNTY
ELECTRICAL WIRING,ORDINANCES AND STATE LAWS REGULATING WIRING
I HEREBY CERTIFY THATAM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LQS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 [[AM/THE LEGAL"OWN R OF THE ABOVE POWER
DESCRIBED RESIDENTIA PROPERTY.
SIGNATURE _ , UTILITY CO.NOTIFIED iLwj
OFL
JOHN A.LAMBIE: V VALIDATI ARTHUR C.VETT,
COUNTY ENGINEER cx Mo psH SUPERVISING ELECTRICAL ENGINEER
'_,tC0 5 U' 4 6 r DE'012 2 4..2 Q.
76A663-CE806 ,,-7t APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY.DIVISION ADDRESS sr�4 �f
LOCALITY Gf
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS - NO. EACHI FEE OWNER-7--y�j
RECEPT._ - s Is MAIL /
FIRST 20 ADDRESS 6/ p6--vv
v S/"•
LIGHT TOTAL 'Z5'
CITY f.. TEL. N0.
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGFIRST 20 25 APPLICANT _
TOTAL ADDRESS
FIXTURES OVER 20 10
RESIDENTIAL APPLIANCES CITY' TEL:N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADORESSa,,*7�!
SPACE HTR. AIR CON CITY TEL. NO.,< 1leb
CLOTHES WASH. DISHWASH. LICENSE N0. -2-75' CLASS�Lc7
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH IS'APPLI CATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING 'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 = 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT.[ AM.THE LEGAL OWNER OF, AND INTEND TO O.
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
Ac
O
SIGNATURE
10 - 50 5.00 OF PERMITTEE
501- 100 10.00 0
DISTRICT NO. Ct.ASS ZONE SPR CESS ED V
1 00 - 500 15.00 8 W
a
N
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER60OVOLTSOR200AMP - 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00 -
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT..SYSTEM 3.00
ROUGH CONDIUT '
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE _
FINAL �z
PERMIT ISSUING FEE 3.00 (�-�
TOTAL'FEE. v7
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C .o. CASH
8 7` -. 1)q�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE806„_71_ _APPLICATION FOR ° 'E RI AL PER IT
c
COUNTY OF LOS ANGELES
DEPARTMENT OF-COUNTY ENGINEER BUILDING.
BUILDING AND SAFETY DIVISION ADIREsS
LOCALITY'
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. - -
OUTLETS NO. EACHI FEE
OWNER
$. $
RECEPT._ MAIL _
FIRST 20 ADDRESS
LIGHT TOTAL .25,E
CITY TEL. NO.
SWITCH OVER 20 ,10
PLAN HECK
FIRST 20 .25 APPLICANT
LIGHTING Il TOTAL
OVER 20ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMITT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND.- _ CITY im,L, N0. S '
CLOTHES WASH. DISHWASH. LICENSE NO. - CLASS.
FAN - OTHER 1.00 I 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
! AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING . W-ITH ALL COUNTY ORDINANCES AND' STATE -LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KA. ELECTRICAL WIRING.
SIZE IN TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 1 1.00 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM.THE LEGAL,OWNER.OF, AND INTEND TO O
1 — 1O 3.00 RESIDE IN, THE ABOVE ESCRIBED RESIDENTIAL PROPERTY:
V
10 - 50 5.00SIGNATURE
OF PERMITTEE O
50— 100 10.00 ~
DISTRICT NO. CLASS E O SS ED BY - W
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE,.OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER600VOLTSOR200AMP 3.00 DQr
.APPROVAL$ DATE INSPECTOR'S SIGNATURE'
SERVICEOVER 600VOLTS 0R200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 -
ROUGH CONDI UT '
WIRING
FIXTURES ..
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK, FEE -
FINAL
PERMIT ISSUING FEE 3.00 3 cr -�
TOTAL FEE i
PLAN CHECK VALIDATION CK. M.O. cnsH PERMIT VALIDATION CK. M.O. CASH
7.00
1SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ,EL 0508 13.02060044
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285--0488' EXT:
ILEGAL ID: - FEES PAID - 1. BUILDING ADDRESS: (
ITR: 5904 LT.:. 351 I - - 1. 6013,LOMA AV
I IFEE DESCRIPTION: QUANTITY: UOM:' AMOUNT: 1 TEMP CA 9178.01926
(ASSESSOR INFORMATION-NUMBER: - - NEAREST CROSS STREET: I'
15384-014-023 IA1 PERMIT ISSUANCE FEE -27.80'1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI
I - IG1 OUTLETS-LGT,SW,RECP 20.00 OUT 40.001 - I
(TENANT: IG2 LIGHTING FIXTURES 34.00 LGT 57.80 (ISSUED ON: PROCESSED BY: PLAN BY: I
I IHA FAU LESS 3HP 1.00 FAU 11.00 102/06/13 SR I
IH2 RES GRBG-DISP LT 3HP 1.00 DIS 11.00 1 - I
(OWNER: TEL. NO: IH3 RES DISHWASHR-.LT 3HP 1.00 DIS 11.00I.FI DATE FINAL BY: CODE: I,
IHSUEH, PANG YU (408) 813-9010- IH4 RES RANGE HDS LT 3HP 1.00. H00 ' 11.00 1 I
1165 NORTH BRIDGE ST IH5 RES WASH MACH LT 3HP 1.00 WAS ` 11.00 1 I
ISAN GABRIEL CA 91775 IH7 RES EXHAUST FANS 1.00 EX 11:00 IDESCRIPTION OF WORK .I .
I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 120 OUTLETS, 34 LIGHT FIXTURES, FAU/AC UNIT, GARBAGE DISPOSALI
I -1 TOTAL FEES 230.50 IDISHWASHER, RANGE HOOD, WASHING MACHINE, EXHAUST FAN AND I
(APPLICANT: TEL. NO: I (UPGRADE SERVICE PANEL TO 200 AMP I
ILEO, YAO (626) 215-9117- I I
11613 CHELSEA RD1286 I - ESPECIAL CONDITIONS: I
ISAN MARINO CA 91118 I
I I I I
ICONTRACTOR: TEL. .NO: - I IAPPROVALS> - - ' DATE INSPECTOR SIGNATURE I
IR I C E (626) 215-9117- 1 1
11613 CHELSEA RD PMB 286 LIC. NO I .ITEMPORARY POWER POLE I I
ISAN MARINO CA 91108 653921 1 1 I I
I I (UNDERGROUND CONDUIT I
I i I I I I
(ARCHITECT OR ENGINEER: TEL. NO: _ IUFER GROUND
I LIC. NO: I - IROUGH CONDUIT I I
A IROUGH WIRING
I I I
I I (MAIN WATER LINE
I I IPLASTIC YIN METAL YIN
I I (UTILITY COMPANY NOTIFIEDI
I I I I I I
I I I I I I
I i I I I I
I I I I I I
I I I I I
I I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508 I I I
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