HomeMy Public PortalAbout6448 LOMA AVE_Electrical__ 76A663 -APPLICATION OR ELEC RIeC"krpERMIT /�� ..
'COUNTY OF LOS ANGELES Q�
DEPARTMENT OF COUNTY ENGINEER!/ ADDRESS G ✓�
BUILDING AND SAFETY DIVISION (`7
FOR APPLICANT TO FILL IN LOCALITY G
New Residential Bldgs.&Pools EACH NO. FEE CROSS ST.
1 &2-Family,Sq..Ft. $ 025 — $ OWNER T.
OR
Multi-family Sq. Ft. 02 — FIRM NAME
Residential Swimming Pools 20.00 MAIL
J ADDRESS �n
Outlets: Rec�Light�Sw./� � ry 2 0 CITY Tel.No.
First 20 /�(/ PLAN CHECK
Total No. Additional APPLICANT
ADDRESS
Lighting Fixtures First 20 Q CITY Tel. No.
Additional PERMIT
Total No. � APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W._ CITY 4i Tel. No.
Oven _Dryer_W.M. v�� �'
LICENSE OR
Top —FAU W.H.— REG.NUMBER
Hood—Fan Other— ✓ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. 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
/ O REQUIRED BY LOS ANGELES COUNTY AND STA E OF CALIFORNIA OR THAT I AM
Up to 1 Ind. THE LEGAL OWNER OF THE AB E DESCRIBED SI DENTIAL PROPERTY.
Over 1 to 101ncl. 5.00
Over 10 to 50 Incl, 10.00 PERMITTEE
Over 50 to 100 Inca 20.00 SIGNATURE 6✓
Over 100 30.00 DISTRICT NO. PRO SS BY
Services �' 08 Win/
0-200 Amp.Under 600 V 25.00 � Q APPROVALS DA INSPECTOURE �
201-1000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances 10.00
00 ROUGH CONDUIT f
Sign with One Branch Circuit 10.
2.00 WIRING
Additional Sign Branch Circuits
Misc.Conduits&Conductors 15.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
]FINAL
PERMIT FEE (Sub-Totah' NOTES _A111) Zi- ? `� 7_�1 .�-S
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $,hod 0
TOTAL FEE 35
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATIONCK. M.O. CASH
1 7 3Ir--MAY 9 3 52 5 or.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - es
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206100014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14396 LT: 21 6448 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801333
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5382-016-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10
TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 70.65 06/10/02 JK 12/07/02
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
CHEE HSIA STING KATEY PO K (626) 282-8618- �/� p (�
6448 LOMA AV `�1 l�, v
TEMP 917801333 DESCRIPTION OF WORK
ADD RETREAT ITO MASTER BEDROOM
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LAW, TIM (909) 869-0732-
20160 PASEO DEL PRADO LIC. NO: ROUGH CONDUIT
WALNUT, CA 91789 668681
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508