HomeMy Public PortalAbout5212 MCCLINTOCK AVE_Electrical__ DSS-5A APPLICATION FOR ELECTRIC ■ E9 OMIT 1
DBs.sA ■ ■DMSION OF BUILDING AND SAFETY '
Deportment of County Engineer
County of Los Angeles BUILDING-J-aEV
,��`i�c� G:
WM.J.FOX.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING � 6A1P$ga "LOCALITY 04" 1FOR APPLICANT TO FILL IN NEARESTPERMIT FEES CROSS ST. �YD e eNUMBER EACH FEE
LIGHT OUTLETS OWNER °qq 48t9 `RECEPTACLESMAIL
ADDRESS %rA Ib I+ 4d C
WALL:SWITCHES �TOTAL OUTLETS 5¢ 5 CITY ELY' C NO.�ELEC.RANGES 25 ELECTRI AN r� `9 ) °ELEC. HEATERS 25 ADDRESSAP `,S � ��ee��A�sKVV EA CITY 0S ,,� C _. TEL.NO ti"PdA7�l
FIXTURES O S LICENSE NO. O
NUMBER OF LIGHT CIRCUITS - DISTRI?NO. I-GROUP I E I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER. HORSEPOWER FEE INSPECTION COED
NEW MVD. HP OVER INC. EACH
I/2 8&LESS S .25
2 .50
2 5 1.00
5 15 1.50
15 50 2.50
i 50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 d
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE s 2.0 DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE SHAT 1 HAVE-READ TH19 APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM' THELEGAL OW R OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P OP TY.
SIGNATURE F UTILITY CO.NOTIFIED �gl
OF PERMITTEE ° �`�'�° FINAL 7/ '�iG �i�-IIl1. Ze -Of
r
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
109 3 7 4'n OCT25 2 3 Q
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 1304040027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: I
JTR: 13384 LT: 12 1 1 5212 MCCLINTOCK AV I
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917803558 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER
18574-005-015 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI
ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 1 1
TENANT: I TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY:
104/04/13 SR 1
IONNER: TEL. NO: I IFI • T FINAL BY: CODE: 1
IKOONTZ, BARBARA (626) 797-1395- I 1 I
11575 E WASHINGTON BL 1
(PASADENA CA I (DESCRIPTION OF WORK 1
1 I 1100 AMP SERVICE UPGRADE 1
(APPLICANT: TEL. NO: I 1 1
ICUDE, LARRY R (626) 798-2295- I
13379 ELLINGTON VILLA 1 ISPECI.AL CONDITIONS: 1
IALTADENA CA 91001 II [ 1
I
I I I
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IL R C ELECTRIC (626) 798-2295- 1
3379 ELLINGTON VILLA DR LIC. NO 1 ITEMPORARY POWER POLE 1 I
IALTADENA CA 91001-1421 561893 11
I [ (UNDERGROUND CONDUIT I I I
[ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND -1 I
LIC. NO: I (ROUGH CONDUIT I I
1ROUGH WIRING 1 1 1
IMAIN WATER LINE I I I
I I (PLASTIC Y/N METAL Y/N
IUTILITY COMPANY NOTIFIE� � 1
I 1 1 I�LI I
1 I I I I
I I I I I til
1 I I I I I
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1 i I I I
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IREPORT ID: DPR265 ROUTE TO: BS0508
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