HomeMy Public PortalAbout6146 LOMA AVE_Electrical__ DBS-5A 11-55APPLICAT� ON FOR EL�EO II ROC PL RMT
DBS-5A
DMSION OF WELDING ARID SAFETY .
Deportment Of County Engineer rADDRESS
UILDING /
County of Los Angeles JOHN A. LAMBIE. COUNTY,ENGINEERCASSATT D. GRIFFIN,SUPT OF BUILDINGOCALITY
.x
FOR APPLICANT TO FILL IN . NEAREST
PERNIIT FEES C oss ST.
N ER OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS 5¢ $ ELECTRICIAN
ELEC. RANGES 25
ADDRESS
ELEC. HEATERS 25
CITY TEL.NO.
KW EA
STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRIC NO.^ GRP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE • t ,J
NEW MVD. HP OVER INC. EACH r ��00
36 a LESS $ .25 INSPECTION RECORD
Yi 2 .50
2 a 1.00
5 Is 1.150
is so 2.50 °��l r7' gzy
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS , /V!i
° FOR EACH PERMIT: / R/7/J41 )16;:-D
WIRING $1.00 6 '7l 'JZ � q ( /11.016:,94
FIXTURES $1.00
SUPPLEMENTARY .50 APPROlMS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING '?16 . /
ELECTRICAL WIRING. 411
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDEN IAL PROPERTY.
SIGNATURE f� UTILITY CO.NOTIFIED
OF P€RMITTEE •++� FINAL
9
JOHN A.LAMBIE.Co TY ENGINEEVALID ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
' cIc Mo
LACO 4 1 9 3MAR162 2.5 S in
D.B.B.SA 25M SETS 76-47 CATION'FOR PEi RAW
DEPARTMENT OF RUIPTG AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
CT RIC
WM. J. FOX CHIEF GI EER
NAME A DISTRICT NO. GROUP I ZONE PERMIT NO.
ADDRESS
CITY /( 1 Aim TEL.NO. RECEIVED BY READY FOR DATE ISSUED
J COUNTY ' FIRST INSPECTION �_2`
41 CERT.NO. EXPIRES
APPLICANT FHL IN ElEAVILY OUTLINED PORTION ONLY
f JOB
DESCREMON OF WORK ADDRESS .3 /U. �
PLUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JOW. ' PLUGS FdT CROSS ST
CIRCUIT /A S C D E F G H 0! NAME
Z MAIL
Z ADDRESS
o
CITY TEL.No.
1 AM THE LEGAL POSS OF THE ABOVE LOS
ANGELEt3 COUNTY CE�€IC)OFj�QUALIFICAyION..
WELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROP DESCRIBED
ABOVE
OWNER.
3OYAE 1NS
J
- Q
_Z
19
tY
O
r
TAL � L OF ou PLETsAPPROVALS
OF FIXTURES - $ 0 DATE INSPECTOR'S NAME
OF
H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MiS ELLANEOUS $ POWER
PERMIT FEE $ �y UTILITY CO.NOTIFIED ! �/
TOTAL F99 S FINA
76A669 r\9 9 6mICrETIO-9 F' � ��tl.CrELE�l
'CT- 9�'�- PERMIT
I MIT
DBS-SA 11-55 ,-T
DIVISION,OF BUILDING `AND `SAFE' '
Departmen{"of
-County '"1a^t BU1LD1NG
County of LOS Angele8 ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT of BUILDING' LOCALITY -s- -Y/' ''�..,'�-'f".C� 1_.0 X1 110
FOR APPLICANT TO FILL IN: NEAREST '
PERMIT FEES CROSS ST.
' f
NUMBER
OWNER
-LIGHT OUTLETS _ MAIL
RECEPTACLES ADDRESS - Y "7'.t�•-�''? .
'S -WALL SWITCHES FEE
CITY TEL NO f
- TOTAL OUTLETS @ 5¢ S r ,ELECTRICIAN - ,�T J +� I/
'ELEC RANGES j 25 C /1 p
ADDRESS �"' C- s`L `r`.-"
ELEC HEATERS - c 25 't
w F
CITY i„ v�`� - TEL NO ✓' y '
KW EA {- !` STATE . - /
LICENSE N
FIXTURES �� 5• O
MOTORS' :,� DISTRICT NO. I GROUP, ZONE READY FOR INSPECTION
NUMBER- _ HORSEPOWER
FEE ..i f,•<7(,-1
NEW MVD HP' OVER INC EACH '
! 112&LESS $ 25 INSPECTION RECORD
2 .50
2 5 1 00
5 15 150 f }� r
15 50 2 50
50 200
500 /I �/Y' S
�(
MISC
• 1
NO SIGNS NO -TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00 -
FIXTURES $100
SUPPLEMENTARY 50
_ �,- APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT - -
-WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED;AND/OR FIXTURES `
LICENSED AS REQUIRED BYrLOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT,�If%A°M THE LEGtAL.OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI•AZ#PROPSE}RTY f J
SIGNATURE , furl f � � UTILITY CO NOTIFIED OF PERNIITTE�E.'r' w"III 11 77W�� FINAL -
JOHN A. LAMBIE, COUNTY ENGINEER-; i VALIDATION ARTHUR C. VEI-T.CHIEF ELECT. INSPECTOR
CK MO CASH
MY 14- � , 3.65 �►
U r'
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL`PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS �EL_0508 9905030001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LE FEES UILD G ADDRESS:
TR: 5904 LT: 263 !6146 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801632
ASSESSOR INFORMATION NEAREST CROSS STREET:
5384-012-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISS ON: PROCESS BY: PLA B :
05/03/99 VG 4-1 10/30/99
OWNER: TEL. N0: rINAL,DATE FINAL BY CODE:
WOOD LA VONNE M (626) 286-0938- �,(�
5956 ENCINITA AV _ _ /
TEMP 917801931 bTSCRIPTION OF WORK
UPGRADE ELECTRIC SERVICE TO 200 AMP
PLI 0:
SHEWMAKE (626) 358-2820-
SPECIAL CONDITIONS:
Co co
CONTRACTOR: TEL. NO: �O`j IV APPROVALS DATE INSPECTOR SIGNATURE
SHEWMAKE, DAVID (818) 358-2820-
130 E. WALNUT ST. LIC. NO TEMPORARY
MONROVIA, CA. 91016 255769 C10
UNDER GROUND CONDUIT
ARCHITECT 3ROUND
- i
LIC. N0: 1111111 ROUGH CONDUIT
ROUGH WIRING
FD (1 Q (� C
n /1 AOR�/J 3 MAIN WATER LINE
J U ILIA \1VI1\1V1/ �IIfJJJ^YYY<lll I�JK(� PLASTIC Y/N METAL Y/N
0 0 I�
�
eg. a
�6 Q
�c Service
REPORT ID: DPR265 ROUTE TO: BS0508
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