HomeMy Public PortalAbout5208 MCCLINTOCK AVE_Electrical__ 7640 8061_66 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT'-OF CC3'UNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
S
RECEPT._ S OWNER
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS �L O
SWITCH-,,Z--- OVER 20 .10 CITY 4?- $6171dr EL. NO.
PLAN CHECK
LIGHTING l TOTAL FIRST 20 .20 APPLICANT
FIXTURES T OVER 20 .10 ADDRESS
RANGE—DRYER,XWTR.MTR._ CITY TEL.. NO.
STA.COOK_DISP:lF.A.U._
CONTRACTOR
SPACE HTR._AIR COND. ADDRESS
CLOTHES WAS H-*
CITY TEL. NO.
FANIZOTHE.R �`` 1.00 LICENSE NO. CLASS.
MOT ORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I .HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1..00
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIREQ BY LOS ANGELES COUNTY AND STATE OF
CALIF ORN IA OR THAT I AM THE LEGAL OWNER-OF, AND INTEND TO a,
10 - 5Q 5.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
SIGNATURE V
50 - 100 10.00. OF PERMITTEE im
100 - 500 115.00 DISTR CN . GR P ZONE P30 :ESSED Y 0
TUBE,GOR SIGN AND ONE CIRCUIT 3.00 D r d
MARQUEE co
ADDITIONAL CIRCUITS 1.00 NOTES: Z_
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE2.00 UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION 'CK. M.D. CASH PERMIT VALIDATION CK. M.O. GCASH
3 $ 6 Sts W29% 2 D 5..40
- Y
:E BACK OF APPLICATION FOR,COMPLETE FEE SCHEDULE /'✓�V
BA666-CESOO 10-62 APPLICATION FOR ECTRICAL PERMIT
CQQU�ITY OF LOS ANGELES
�DAPAIITMENT OF COUNTY ENGINEER BUILDING aO�� ✓%C C//77�6e, �/
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITYN&- 01
NEAREST
FOR APPLICANT TO FILL IN ceoss ST.
RECEPT _ TOTAL NO. EACH FEE s6 / L�G
OUTLETS PIRST 20 .2O >S OWNER—
E
LIGXT , : VER 2O 1O
�.� MAIL ne� AJC
SWITCH. ADD'L ADDRESS p�.O . �!
O
LIGHTING TOTAL FIRST 20 20 CITY ( TEL.N _ '?-QJ 6
FIXTURES ADD'L
OVER 20 .10 ELECTRI AN e J
RANGES CLO.DRYERS WTR.NTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY - TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE NTRS. STA.APP.(va H.P.MAX.) ,50 ' LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTgICTP. GRPUP Z E P ESSE BY
O 1 1.00 r
1 s 11.50 Y INSPECTION RECORD
S 15 8.50 !� +y� +.^yyJ vV
/ I //)
15 50 5.00 - ` � �'� W
50 too 5.00
SIGNS- NO.TRANS.NO.LAMPS
2
SERVICE 0-600V-Nor OVER 200A 1.00 (�'� 6,g �•� ��, �
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC. '
PERMIT ISSUING FEE 2.00 CIA
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLI TION APPROVALS DATE INSPECTOR'S SIGNATURE l
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / ff
ELECTRICAL WIRING. WIRING ��,/G y •�.•
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR - I r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPERTY. POWER ,(�, ) y. f
SIGNATURE r UTILITY CO.NOTIFIED / 'A!/(,/
OF PERMITT
FINAL by-1®4,(o
VALIDAT ARTHUR C. VEIT
CK MID CASH SUPERVISING ELECTRICAL ENGINEER
LA(;00 4 6 9t2 SEP 23 2 D 960- ca
X
i
FOAS88_CESOO 1a-se APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT
BUILDING AND SAFETY DIY SIONER ADDRESS Szo r M @ 6?/•-7/6 e 4.
JOHN A.LAMBIE.COUNTY ENGINEER
CAB
BATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILLS IN NEAREST
CROSS ST.
PERMIT FEES OWNER
ITEM NUMBER EACH I FEE
OUTLET g 10 g MAIL t
LIGHTS RECEPT. SW. ADDRESS I
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50ADDRESS D !P . %,0. O.Av
ELEC.SPACE HTRS. DISHWASHERS
CITY S TEA.NO.
GARBAGE DISPOSERS AUTO.-
STATE / S ®�
WASHERS STA,COOKING UNITS .25 LICENSE NO. ! e"
MOTORS: OVER INC. H.P. 1315TRIC O. 20§0UP ZONE P OCESSED BY
0— 1/$ 25
l/.— 2 3/ .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
is— 50 2.50
50--200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 ®a
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT SO
TOTAL FEE S APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION i`D TE INSPECTOR'.S.SIAATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �q� /•
7. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT � !� 1
ELECTRICAL WIRING.
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 7. �o / e9,f
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY, POWER
SIGNATURE * UTILITY CO.NOTIFIED ` .2��'�� /� J% .��m n-s?
OF PERMITTEE
FINAL �- O -J�7 l '/...`lc.rz✓
ATION ARTHUR C. VEIT.
SUPERVISING ELECTRICAL ENGINEER
CK O CASH
A�,o 7 4 1 r pfd 4 2 A 2.8 0 r
W"4d'v 41LI
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0810070009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
[LEGAL ID: I FEES PAID BUILDING ADDRESS: I
ITR: 13384 IT: 11 BL: .001 [ [ 5208 MCCLINTOCK AV 1
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917803558 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER 1
18574-005-014 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl
IFI 120V, 15/20A BR CKTS 1.00 BR 17.25 1 I
ITENANT: IGl OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
IG2 LIGHTING FIXTURES 8.00 LGT 15.60 110/07/08 SR 04/05/09 I
1 HA FAD LESS 3HP 1.00 FAD 10.95 1 1
(OWNER: TEL. NO: 1H2 RES GREG DISP LT 3HP 1.00 DIS 10.95 1FltNAL9TEt. F BY: CODE: 1
IHO, LUC (626) 377-3178- IHS RES WASH MACH IT 3HP 1.00 WAS 10.95 1 h/ � I
15208 MCCLINTOCK AV IJB AC UNITS +3-10HP 2.00 AC 39.30 1 1
ITEMP 917803558 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 IDESCRIP ION OF WORK
I 1 TOTAL FEES 210.60 (ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE PANEL
1 I ITO 200 AMP 1
(APPLICANT: TEL. NO: 1 I
ILO (626) 617-2426- 1
12200 S. FREMONT AVE I ISPECIAL CONDITIONS:
IALHAMBRA, CA 91803 i 1
ICONTRACTOR: TEL. NO: I I 1
APPROVALS DATE INSPECTOR SIGNATURE
ILUC HO (626) 377-3718- 1 1 I
15208 MCCLINTOCK AVENUE LIC. NO 1 ITEMPORARY POWER POLE I I I
ITEMPLE CITY, CA 91780 NONE 1
(UNDERGROUND CONDUIT
1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I 74 I
ILO, GILBERT (626) 617-2426- 1 1 1 -1 I 1
12200 S. FREMONT AVENUE LIC. NO: 1 IROUGH CONDUIT 1 I 1
ISUITE #200 NONE * I
1ALHAMBRA, CA 91803 I IROUGH WIRING
1 1 IMAIN WATER LINE 1-u
I I IPLASTIC Y/N METAL Y/N
1 1 (UTILITY COMPANY NOTIFIED[ 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
1 I* ADDITIONAL DATA ON FILE 1
I I [
IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 1
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