HomeMy Public PortalAbout9121 LONGDEN AVE_Electrical__ 76A663-CE806 10/72 QPPUC AT O N FOR REO-MC AL PERN7
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB - '
BUILDING AND SAFETY DIVISION f ADDREss ' ���✓ _iv I.9
LOCALITY `+ �.. '
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER
FIRM NAME A,'.
RECEPTI� $ S ADDRESS Q N .,�(„l
LIGHT TOTAL MAIL
FIRST 20 25 /�
CITY TG�P _ Ci-t,71 TEL NO 29,771913 7
SWITCH y OVER 20 10 'o 7PLAN CHECK
APPLICANT
LIGHTIFIRST 20 NG TOTAL 3 25 _
3 OVER 20 ADDRESS
10
FIXTURES
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT,
RANGE DRYER_WTR HTR_ APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AI R COND' CITY TEL NO
CIL WASH H DISHWASH LICENSE
REG. NUMBER CLASS
FAN OTHER - 100 1 HEHEBN ACKNOWLEDGE THAT 1 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
-SITE &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 THAI I AM THE LEGAL OWNER 'OF THE ABOVE r
1 – 10 .300 PESrRIf ED Xlf'-0 T IAL PROPERTY Q_
O
PERMITEE10 - 50 500 SIGNATURE O
50 - 100 - 1000 DISTRICT NO. PROCESSED BY W
100 - 500 15001l)
(/ c Z_
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE 1
SERVI CEN`OT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK ,
SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM - 300 FIXTURESV -&- 75
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES _•2,''L.•��, _ •�rjW L C.A0 tgUbtll-t,
PLAN CHECK FEE PNS v y !4 ,zVA/ IYOj
PERMIT ISSUING FEE 300 -, �'� /�-IQ G ._ •�
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION �;C M 0 CASH
o 7.9-�: z o 2 0 5
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 0804240012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 12115 LT, 36 9121 LONGDEN AV
(FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801604
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LIVIA
15382-023-028 lAl PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 58 00 OUT 90 30
TENANT- IG2 LIGHTING FIXTURES 23 00 LGT 43 05 JISSUED ON PROCESSED BY PLAN BY: EXPIRES ON.
IH2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 104/24/08 VG 10/21/08
IH3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 1
OWNER TEL NO. IH4 RES--RANGE HDS LT 3HP 1 00 HOO 10 95 IF AL DATE FIN BY CODE
IQUIHUIS ROBERT G - H- RES EXHAUST FANS 2 00 EX 21 90 I - ��
19121 LONGDEN AV CILB 200 AMP PANELS, MCC 1 00 PAN 38 85 1
TEMP 917801604 TOTAL FEES 254.70 IDESCRIPTION OF WORK
(ELECTRICAL FOR ADDITION AND REMODEL 1
�\AI
(APPLICANT TEL NO I I I
IVAN DE WATER (626) 533-3343- I I I
IP 0 BOX 1088 I ISPECIAL CONDITIONS 1
IARCADIA, CA 91077 , 1
ICONTRACTOR TEL NO- 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IVAN DE WATER CONSTRUCTION CO (626) 533-3343- 1
I
1428 W HUNTINGTON DR LIC. NO I ITEMPORARY POWER POLE I I I
IARCADIA, CA 91007 380470B I I I I
I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER. TEL NO I IUFER GROUND I I I
IARKTECH (626) 275-4368- 1 1 I I
1411 E HUNTINGTON DR #107-307 LIC NO. 1 1ROUGH CONDUIT1 1
1ARCADLA CA 91006 C64216 1 I I I I
IROUGH WIRING I I I
I 1 IMAIN WATER LINE I I I
1 IPLASTIC Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIEDI I I
1 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
I I I I I I
1 I I I I I
IREPORT ID DPR265 ROUTE TO BS0508 I I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704160028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID. I FEES PAID I BUILDING ADDRESS 1
ITR 12115 LT: 36 I I 9121 LONGDEN AV 1
I IFEE DESCRIPTION: QUANTITY UOM. AMOUNT I TEMP CA 917801604 1
(ASSESSOR INFORMATION NUMBER , I I NEAREST CROSS STREET LIVIA 1
15382-023-028 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE- 596 GRID H2 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 2 00 OUT 3-90 I I
ITENANT: IG2 LIGHTING FIXTURES 1 00 LGT 1.95 (ISSUED ON: PROCESSED BY- PLAN BY EXPIRES ON: I
I 1 TOTAL FEES 33.60 104/16/07 JK 10/13/07 1
I I
10WNER TEL NO 1 IF NAL DATE FINAL BY. CODE 1
IQUIHUIS ROBERT G - I ._('� I
19121 LONGDEN AV - I w
ITEMP 917801604 - 1 IDESCRI TION OF WORK 1
I I 12 OUTLETS, 1 LIGHT FIXTURE I
(APPLICANT- TEL NO- I I
IVAN DE WATER 626533343
1428 W HUNTING DR. 1 ISPECIAL CONDITIONS 1
1ARCADIA, CA 91007.
I I
(CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IVAN DE WATER (626) 533-3343- 1 1 I
1428 W. HUNTINGTON DR LIC NO 1 ITEMPORARY POWER POLE I I I
1ARCADIA, CA 91006 380470 B 1 I I I I
I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: - TEL NO IUFER GROUND I I I
I - I 11 I
1 LIC. NO 1 IROUGH CONDUIT I
I 1 IROUGH WIRING I ri1
I IMAIN WATER LINE I I I
I - IPLASTIC Y/N METAL Y/N I I I
I 1UTILITY 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 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 I
I I I I I I
` - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0708070008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID. FEES PAID BUILDING ADDRESS
ITR 12115 LT: 36 9121 LONGDEN AV 1
I IFEE DESCRIPTION: QUANTITY UOM AMOUNT TEMP CA 917801604 1
ASSESSOR INFORMATION NUMBER: I I NEAREST,CROSS STREET LIVIA _ I
15382-023-028 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H2 -LOCALITY TEMPLE, CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 19 50 I
(TENANT I TOTAL FEES 47 25 (ISSUED ON PROCESSED BY. PLAN BY EXPIRES ON-
1
N- 1
1 I 108/07/07 SR 02/03/08 1
(OWNER TEL NO I 1FINAL DATE FINAL BY CODE 1
IQUIHUIS ROBERT G
19121 LONGDEN AV I 1
iq
(TEMP 917801604 I (DESCRIPTION PF WORK
I I 110 OUTLETS
I
APPLICANT TEL. NO I I I
IVAN DE WATER 626533343
1428 W HUNTING DR. I ISPECIAL CONDITIONS
IARCADIA, CA 91007 I 1 I
I I I I
I I I I
ICONTRACTOR: TEL NO. I - (APPROVALS DATE INSPECTOR SIGNATURE I
IVAN DE WATER (626) 533-3343- I 1 I
1428 W HUNTINGTON DR. LIC NO ITEMPORARY POWER POLE I I I
IARCADIA, CA 91006 380470 B 1 I I
I (UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER: TEL NOI IUFER GROUND I I I
_ 1 1 1
1 LIC. NO: 1 (ROUGH CONDUIT I I I
I I I
I I (ROUGH WIRING I I I
I I (MAIN WATER LINE I I I
I I (PLASTIC YIN METAL YIN I I I
I I I I I I
I I IUTIL TY COMPANY NOTIFIED( 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 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 I I I I
I IREPORT ID. DPR265 ROUTE TO BS0508 I I I
I I I I I I