HomeMy Public PortalAbout4903 MCCLINTOCK AVE_Electrical__ 76A66S^CESOO-11_S7A P P LI CATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ""DING
ADDRESS
BUILDING AND SAFETY DMSION
rrOHN A.LA>EBIE.Couat�En�+neer
CASSAIT D. GAIFFIIi.Sup t m l�u�lding LOCALITY
1 NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
ITEM NUMBER EACH FEE OWNER
OUTLETS: MAIL
LIGHTS N RECEPT..',• SW.,/. 6 .10 a ADDRESS
LIGHTING FIXTURES .10 ZJ CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS •50 ,gDDRESS - --•
ELEC.SPACE HTRS. DISHWASHERS
GNi9aGS DISPOSERS AUTO.- CITY TEL.NO. 6
WASHERS STA.COOKING UNITS / .25 STATE �y
LICENSE NO.
MOTORS: OVER INC. H.P.
AAI,L
0— I/a 25 .I DISTRICT NO. GIRO, P aNE =OR INSPECTION
Va — 2 .50 Is'G
INSPECTION RECORD
2 — 5 1.00
1.80
Is=— 9=0
5 — 50 2.SO
50— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-GOOV 1.00
SERVICE OVER GOON 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 =
TOTAL FEE $ Gje APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATfON DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING .� r� U ��:4 A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR f. FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ;
CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE = POWER
DESCRIBED ROR TH PROP•RTY.
SIGNATURE ` UTILITY CO.NOTIFIED_
OFPERMITTER
FINAL
r ATION ARTHUR C.VETT.
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
_.:s 2 08 0 0 .111 2 R .G '�
- F -
°IIIII-` °°' °' APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGS G
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY7.
FOR APPLICANT TO FILL IN NEAREST
NEW FEES CROSS ST:
OWNER o oe
1 T 8 M NUMBER EACH FEE. MAIL
OUTLETS: $ $ ADDRESS
l" LIGHTS RECEP. SW, .IO
LIGHTING FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERs ELECTRICIAN
WATER HEATERS .SO ADDRESS
k' ELEM SPACE HTRS. DISHWASHERS CITY L.NO.
GARBAGE DISPOSERS wuro.- STATE
WASHERS STA.COOKING UNITS. .25 LICENSE NO.
MOTORS: OVER INC. H.P. DIST R T NO. GROYP Z N P SSED BY
0— I/a .25.
Va= 2 so INSPECTION CORD
2— 5 1.00
S— 15 1.80 • � ��1,���.3� t_-•ft'i C?.ro' �, t,A
Is— s0 2.50
SO—200 5.00 r9
SIGNS:
NO.TRANS.
r r1 _ �
NO.LAMPS Gt..I� el
SERVICE 0-6004 1.00
�. SERVICE OVER 6004 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. e. L
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING 7 –
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REBID ERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMI.TTE
FINAL
�P ATION ARTHUR C.VETT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
l Los877ED' APP 5 2 A 220
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL OSOB 0506020007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 4902 LT: 9 BL: .001 4903 MCCLINTOCK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804104
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GRAND
8574-024-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
06/02/05 JK 11/29/05
OWNER: TEL. NO: FINAL T F Y: CODE:
BALBER JEAN;RUSSELL THEODORA (626) 994-1684-
4903 MCCLINTOCK AV
TEMP 917804104 DE R TION OF WORK
UPG E SERVICE METER TO 100 AMPS
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
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED .�1
REPORT ID: DPR265 ROUTE TO: BS0508