HomeMy Public PortalAbout5011 MCCLINTOCK AVE_Electrical__ 76A668-06061/70 APPLICATION FOR ELECTRICAL PERMIT L1
COUNTY OF LOS ANGELES FADDRESS �s.1
DEPARTMENT OF COUNTY ENGINEER �� /" �� D��
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER /
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING0� ^' %,
FOR APPLICANT TO FILL IN
OUTLETS NO. EACHI FEE
OWNER
RECEPT._ $ $ pDDREss �� /
AIL
LIGHT TOTAL FIRST 20 .20
SWITCH OVER 20 10 CITY rer G J t TEL . NO.N4f.j
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
OVER 20 ADDRESS
FIXTURES .10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 1 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 1 AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
I - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
a
SIGNATURE
10 — 50 5.00 OF PERMITTEE O
50 — 100 10.00
DISTRICT NO ASS GROUP ONES^ PRO.CE E 09
100 — 500 15.00 v1 ,SIJ
SIGN, GAS=SIGN ONE CIRCUIT 3.00 NOTES: rf �.• �� LU
TUBE, OR '' v)
MARQUEE ADDITIONAL CIRCUITS 1.00 ?
SERVI CENOT OVER 600 VOLTS OR 200 AMP O
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT � )
WIRING Q -11 7 ¢/
/ / •97111
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) p�
UTILITY CO. NOTIFIED WWI -71
PERMIT ISSUING FEELa
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL V/1 r__
JOSEPH C. ROOHAN
TOTAL FEE ` &'a SUPERVISING ELECTRICAL ENGInCASH
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
tt{{ 9 97g Auc12 2 D 6.0 0-
SEE BACK OF APPLICATION FOR COMPLETE SrHEDUUE'p&, - -
P76A6'63-t,�E906,1 1/70 U
v .APPLICATION FOR ELECTRICAL P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS E J OCG
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY �
NEAREST
FOR APPLICANT TO FILL IN CROSS ST, ¢r UbtfJ
OUTLETS NO. EACHI FEE
OWNER
RECEPT. 7
$ $ ADAIL
DRESS Q. b
LIGHT TOIL FIRST 20 ,P5
SWITCH OY OVER 20 10 CITY UZ TEL. N0. _97�
PLAN CHECK
LIGHTING 1 FIRST 20 25 APPLICANT
)} TOTAL
OVER 20 ADDRESS
FIXTURES 10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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 1 AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS AN ES COUNTY AND STATE OF
CAL.FOp NIA OR THAT I AM THE LE AL WNER OF, AND INTEND TO )..
1 - 10 3.00 RESIDE IN, THE ABOVE DESCR ED RESIDENTIAL PROPERTY. 06
10 - 50 5.001
SIGNATURE U
OF PERMITTEE
50 - 100 10.00 0
DISTRICTNO. JCLASS ZON P S BY
100 - S00 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: h
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00
• APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING 2
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHOR12tED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL G/ • _1
PERMIT ISSUING FEE 3.00 JOS PH C. ROOHAN
TOTAL FEE ��� SUPERVISING ELECTRICAL ENGn
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.Q.
6 2 JUL26 2 D 5.0 0- G
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I ELE 50RfrClll�ERX1IT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNASL-08-00
----E 05010002
Bbq LDING%ND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
r PHONE: (626) 285-0488 EXT:
LEGALID: FEES PAID CBUI D-I-NG-ADDRESS•
TR: 13384 LT: 31 BL: .0b1 '5011 MCCLINTOCK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA 9-1.7803555—.__
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: G AND
8574-004-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED : PLAN BY: EXPIRES ON:
05/01/00 UT 10/28/00
OWNER: TEL. N0: FINAL DATE FINAL BY:
MARCOUX ROGER F;ELLEN B (541) 469-7272- r"
14628 MUNSON LN
BROOKI NGS, OR D SCR-P--I-O -OF-•ORK __
-NEW_E.LECTRLCAL- SERVI-CE--PANEL-UPGRAD
APPLICANT: T 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
E�IEs c
CONTRACTOR: TEL. NO: OBJ ���. APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - y
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. O: / R rGRO D
LIC. N'J 1111111 ROUGH CONDUIT
ROUGH WIRING
Inn n D U
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lur= U luu^uu51uj PLAS7<IC Y/N METAL Y/N
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UTT�T COMPANY
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REPORT ID: DPR265 ROUTE TO: Bs05O8
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