HomeMy Public PortalAbout6127 LOMA AVE_Electrical__ 76A61j3-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEAREST /+
FOR APPLICANT TO FILL IN CROSS ST. Ci
RECEPTTOTAL NO EACH FEE
OUTLETS FIRST 20 a $20 $ OWNER
LIGHT MAIL
Aoo'L 10 ADDRESS
SWITCH. OVER 20 ^�
TOTAL O CITY TEL NO.
FI
LIGHTING RST 20 .20
FIXTURES � OVER
'L 2 .10 E
OV R
RANGES CLO.DRYERS WTR HTRS. 1.00
ADDR ,C� C�}
GARB.DISP STA COOK CITY TEL'NO. a� V/�
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS STA.APP.(l/.H P.MAX I . 50
LICENSE NO. 11 j
MOTORS: OVER ' NOT OVER HP 'DISTRICT NO. GROUP 7,ONE P CE ED BY
C- 1 100
_
1 3 150 INSPECTION RECORD
3 8 2.00
8 15 2.50 -
15_ 50 300
CL
50 - 100 500 0
SIGNS NO.TRANS
NO LAMPS 0
�O
SERVICE 0-60OV-NOT OVER 200A 1.00 W
SERVICE 0.600V-OVER 200 A. 2.00
to
SERVICE OVER 600V 5.00 z
MISC
PERMIT ISSUING FEE 2.00 0
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
o, ,yI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALSf/ DDATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT �r AN/14111/� /p"h yll—,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING l _
ELECTRICAL WIRING. WIRING l ♦ I
I HEREBY CERTIFY TH T I AM PROPERLY REG TERED ANO/OR v
LICENSED AS. RED BY LOS ANGELES COU SAND STAT OF FIXTURES I.1
CALIFORNIA R T AT/ AM THE LEGAL OW OF THE OVE /
DESCRIBED SID PROPERTY .. POWER
SIGNATUR UTILITY CO NOTIFIED
OF FINAL
VALIDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
3 Aug 7 2 D 5.8 0^'
-I rm P� may,
E1 806-8-62 APPLICATION FOR ELECTRICAL PERMIT
76E
C6UNTY OF LCIS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY -
NEAREST
FOR APPLICANT TO FILL IN cRoss ST
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 $.20 $ rib M
AIL
SWITCH /Z ADD'L d OWNER ADDRESS
�/04 �i �� ��'►'J
OVER 20 .10 1 Y-
140 /Lr Ill TEL NO. f M
LIGHTING TOTAL �I�ADR.'L
2O .20 � CITY a
FIXTURES 10 ELECTRICIAN ��'e �1�
V 20
RANGES CLO DRYERS WTR HTRS 1.001 1 ADDRESS �0� 2 19✓ E O
GARB.DISP STA COOK ^
CITY TEL.NO. t1'w-9 11�
DISHWASH AUTO.-WASH STATE ell"LICENSE NO. ^ y > 1
SPACE HTRS STA.APP.(ya H.P.MAX.) .50 4
d
MOTORS OVER NOT OVER H PDISTRICT�IO. GR P ZONE P C BY
o , 1.00 O �S' -1
1 3 1.50 ,INSPECTION RECORD
8 15 250
15 50 300
� A 1�
50 100 Soo o
1
SIGNS NO.TRANS ' = -
NO.LAMPS O
SERVICE 0.600V-Not OVER 200A 100 /7 „� h��A ,/ W
SERVICE 0-60OV-OVER 200 A. 2.00F� 4 Z
r '�,�
SERVICE OVER 600V ' 5.00 / —
l +- eA' i
MIS �fs+.�� ry
d h-) JS/fl ,R�".�2i
A41,9 -
v -G �✓
PERMIT ISSUING FEE 2.00 07.( -
SUPPLEMENTARY PERMIT ISSUING FEE 1100,
TOTAL FEE is D
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING )J/J {d�
ELECTRICAL WIRING WIRING
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNT AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OW NE O T ABOVE
DESCRIBED RESIDE I L PROPERTY. POWER
SIGNATUREa.
UTILITY CO.NOTIFIED �.YJ r1,/A
OF PERMITTEE FINAL
&LIDATION ARTHUR C. VEIT '
MO CASH SUPERVISING ELECTRICAL ENGINEER
I '
UACO 7 6 6'2 G JUL 1_ 8 2 D 5.80-
76A66C CE#806 5-61 1) 0
®Q SU.-CCUTOR, CARL PERN'T
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
1 a'w.F NEAREST
EELEC.SPACEHTRS
FOR APPLICANT TO FILL IN cRoss sr
PERMIT FEES OWNERSan Gabriel, ealif. *T.7-0539
I T E M NUMBER EACH FEE MAIL$ $ ADDRESS e' no
ECEPT W •1O CITY TEL. NO. S .fIXTUR S .10 7�7 CHARDSON ELECTRIC CO. Ino,
CLO, DRYER ELECTRICIATV' 8923 E. roadway
R HEATERS .50 ADDRESSHTRS DISHWASHERS
CITY TEL NO.
POSERS AUTO.STA COOKING UNITS ,25 1/../� LICENSE NO.
MOTORS VER INC H P. DISTRICT NO. GROUP ZONE PROCESSED BY
.15
1/2— 2 .50 INSPECTION RECORD -
2— 5 r d
t.00 (j L L '�7/ Q
S— 15u
V
15— SO 2.50 Q
I-
SO— 200 500 � JO �'� �� / W
SIGNS NO TRANS
NO.LAMPS ! z
° SERVICE 0-600V 1,00
SERVICE OVER 600V 500
misc.
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50 '
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION . APPROVALS DATE I INSPECTOR'S SIGNATURE
t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (J / +� / �✓(�
ELECTRICAL WIRING WIRING
1HEREBY CERTIFY THAT I AM PROPERLY REGIST ED AND/OR
LICENSED AS REQUIR BY LOS ANGELES UNTY AI D ATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEG NER �F T ABOVE 1 ` Jl� I/
DESCRIBED RESI TI PROPERT'. I POWER r
SIGNATURE UTILITY CO NOTIFIED
OF PERMIT
FINAL
•a
LIDATION ARTHUR C. VEIT
} MO CASH SUPERVISING ELECTRICAL ENGINEER
�_0 9 7 9 7 WtR )0 2 p 10-15
76A663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT
-COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER y► i-
LDING
BUILDING AND SAFETY DIVISION ADIDRESS l2 �� `� Iy P4
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY PL IF
NEAREST
FOR APPLICANT TO FILL IN CROSS ST / J�
NO SAC $ FEE
OWNER ► L /r`DV��
RECEPT MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS Al, Q
SWITCH_ OVER 20 ' 10 CITY TEL. NO.2 O
LIGHTING �TOTAL FIRST 20 20 CONTRACTOR /j� d ELFC • eFIXTURES OVER 20 10 ADDRESS /� S. � /Y/f�,—
RANGE_DRYER—WTR HTR.— CITY TEL NO f
STA COOK—DISP _F.A U.— LICENSE NO
SPACE HTR AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH -DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN-OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND HEATERS, ETC HP. KW KVA RESIDE IN, THEABOV DESCRIBED RESID TIAL PROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1 00 OF PERMITTEE
O
1 - 10 1 3 00 DISTRICT R ZONE PPQPE D U
10 - 50 1 5 00 `� Q� oG
O
50 - 100 10 00 NOTES: rJ
- W
100 - 500 15 00
h
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 13 00 {/
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00 '
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
i WIRING
ISSUING FEE 0
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIEO
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE Q -6-*PA C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M o CASH
r ,
cv
LAto 2 6 8 8b.— W1 5 2 0 6.0 0—
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE � I --
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0807170004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 5904 LT 255 BL 001 UN 002 I 1 6127 LOMA AV I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT- TEMP CA 917801633
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1
15384-010-020 IA1 PERMIT ISSUANCE FEE _ 27 75 I THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 10 00 OUT 19 50 I
ITENANT IG2 LIGHTING FIXTURES 9 00 LGT 17 55 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON. I
IH2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 107/17/08 SR 01/13/09 I
I TOTAL FEES 75 75 1
(OWNER TEL NO I IFINAL DATEn EJ14AL BY CODE.
ICHIANG, SHIH CHIEH (626) 286-8285- I
16127 LOMA AV I txP l l
(TEMP 917801633 1 IDESCRIPTION OF WORK 1
I I (ELECTRICAL FOR KITCHEN AND BATHROOMS REMODEL 1
I I I I
(APPLICANT- TEL NO- I
ISAME AS OWNER - I
I I ISPECIAL CONDITIONS 1
I I I I
I I I I
I I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I
I LIC NO I ITEMPORARY POWER POLE I I
I I I I
I I 1UNDERGROUND CONDUIT 1
I I I I I I
1ARCHITECT OR ENGINEER TEL NO I 1UFER GROUND I I
I - I• I I I I
LIC NO- 1 IROUGH CONDUIT 1
I I I I I I
I IROUGH WIRING I I
I I I I I I
IMAIN WATER LINE I I I
I 1 IPLASTIC Y/N METAL Y/N I 1
I I I I I I
I (UTILITY COMPANY NOTIFIED( 1 1
I I I I I I
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I I I I I I
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I I I I I I
I I I I I I
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