HomeMy Public PortalAbout6466 LOMA AVE_Electrical__ 76A663A-CE806A 4/72 APPLICATION FOR ELECTRtCAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JING
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BUILDING AND SAFETY DIVISION SS 66 ITY """�� /1 •FOR APPLICANT TO FILL IN ST
CROSS ST.
OUTLETS NO. EACH FEE
OWNER
RECEPT. Z- 1� $ $ MAIL �^
LIGHT TOTAL
FIRST 20 O ADDRESS
CITY TEL. NO. L�S
SWITCH OVER 20
PLAN CHECK
LIGHTING TOTAL
1 FIRST 20 APPLICANT10
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ADDRESS
FIXTURES OVER 20 _
RESIDENTIAL APPLIANCES CITY TEL. N0. �—G
PERMIT
RANGE DRYER_WTR. HTR._ APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. N0.
CLOTHES WASH. DISHWASH. LICENSE NO. �L' - CLASS.0
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO C
I* HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 LICENSED AS REQUIRED ANGELES COUNTY-AND STATE OF V
CALIFORNIA OR T AM THE L L OWNER OF, AND INTEND TO �
1 - 1D RESIDE N, HE ABOVE TDI ES
RESIDENTIALI PROPERTY. cn
SIGNATURE
10 — 50 OF PERMITTEE
50 — 100
DI�ICT NO. C!. ZONE W PR ES D BY
/I
100 — 500 ��(J 11��q r l
SIGN A
SIGN, GAS AND ONE CIRCUIT NOTES: WO G ll�S�� ` � �•�
TUBE, OR ,1 ee�I/��•^ ({r �p /ry
MARQUEE ADDITIONAL CIRCUITS �'04J�P7- V/�Flbi,: 6(!, K �✓.' �l J
SERVI CENOT OVER 600 VOLTS OR 200 AMP 1NS� � �
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE L
TOTAL FEE '
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONOcKm.o. cnsH
1f 4, 6�SEP' 13 2. l) 1,22,0 w
76p663-CE806 19)72 N F0RE�CTRICAL PERM T� �•
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 4-6 '0114, o
• LOCALITY
FOR APPLICANT TO FILL'VN -CROSSSST.
FEP
TS N0, EACH FEE OWNER OR
RM N ME
$' $
- MAIL -
FIRST 20 ADDRESS
TOTAL 25CITY L NO.OVER 20 _ tp ,
PLAN CHECK -
- FIRST 20 APPLICANT
LIGHTING TOTAL .25
FIXTURES
OVER 20 ADDRESS
' - � .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYERWTR, HTR._ PERMT
APPLII
ICANT sVId
/A-,-0e; a It—
STA. COOK DISP. F.A.U. ADDRESS //e20 ' C /�pW
SPACE HTR.-AI RCOND. Cl TY E1 A-ea L Fe—
'CLOTHES WASH. DISHWASH. LICENSE
NUMBER !1CLASS.
FAN OTHER I 1.00 / ,0C9 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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 HEREBYCERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O.— 1 100 LICENSED AS REO UIRED BY LOS ANGELES COUNTY AND STATE OF
CALLFORN,
A. OR THAT I AM TJE AI OW NE OF THE ABOVE' r1 — 10 3.00 OE.5 GEDESIDENTIAL PROCL
O
PERMITEEG.7
10 - 50 5.00 j SIGNATOR
O
50,- 100 10.00 DISTRICT NO. PROCESSED BY W
100 - 500 15.00 / Z
SIGN', GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR _
'MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP - 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING 7 � �
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED -
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: -
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 GS 0
TOTAL FEE -
PLAN CHECK VALIDATION CK. M.O. &SHl PERMIT VALIDATION CK. M.O. CASH
2 2.6L'ZJU 26 D 4.0 0 Ate;
.SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE — 1
76A663-CE80610/72 PA pLl �4TION FOR ELECTRICAL PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER AD /
BUILDING AND SAFETY DIVISION 4
ADDRESS
LOCALITY e / t
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. I!L 4��tJl 6s..��
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPT./M" 5 MAIL
LIGHT_—� TOTAL FIRST 20 25 t7 0 ADDRESS
yy CITY TEL. NO.
SWITCH, J-� OVER 20 .10 ` 49
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 7� APPLICANT
O
FIXTURES .10 VER 20 ADDRESS
-
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER-L—WTR. HTR._ APPLICANT
STA. COOK DISP. I
F.A.U.—ADDRESS > -IV all, �( P
SPACE HTR. AIR COND. CITY L l grp �(-e_ TEL. 1904#x-P
CLOTHES WASH. DISHWASH. LICNSE OR
REG.N UMBER �,Sdi I - CLASS..-�(>
FAN OTHER 1.00 6! I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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 ANG E COUNTY AND STATE OF
CALIFORNIA ORTHAI I AM THE L AL OWNER OF HE ABOVE y.
1 - 10 3.00 DESCRIBED RESIDENTIAL PROPER T O
PERMITEEU
10 - 50 5.00 SIGNATURs R�
O
50 - 100 10.001 1 DISTRICT NO. ROCES D BY W
d
100 - 500 15.00
SIGN, GAS ISIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 I TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP JL 3.00 to® UNDERSLAB WORK -�
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT IS
TEMP SERVICE, POLE, 8,APPURTENANCES 5.00 WIRING S� ,0-7-1
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED 7 /
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 n=3
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
0;..7 6 r . 10 2 0 1 '8.! 5 ,&0,8
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0105240046
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGADDRESS:
TR: 5904 LT: 274 6266 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801634
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-011-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
JB AC UNITS +3-10HP 1.00 AC 19.65 05/24/01 UT 11/20/01
TOTAL FEES 55.20
OWNER: TEL. NO: FINAL DAT I BY: CODE:
BESSER PHYLLIS M TRUSTEE (818) 285-8872-
6266 LOMA AV
TEMP 917801634 DESCR PTION OF WORK
NEW HVAC SYSTEM
APPLICANT: TEL. NO:
AIR TECH HEATING AND AIR (626) 795-8880-
204 S. ROSEMEAD BL SPECIAL CONDITIONS:
PASADENA CA
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
AIR TECH HEATING AND AIR CONDITIONI (626) 795-8880 �� �����
204 S ROSEMEAD BLVD LIC. NO //v �� ✓ �; �� TEMPORARY POWER POLE
PASADENA, CA 91107 541161/C20 C
YT G^, S� � UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: /�� ��1� =�, �`� ��;�� UFER GROUND
LIC. NO,:j / J� �J ^1� I --� ROUGH CONDUIT
-- i� �o
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- —-- - - -- -- - - UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508