HomeMy Public PortalAbout5822 MYDA AVE_Electrical__ 76AG63-CE806`10/72 APPLICATION FO_ LECTRI AL RM_ IT
41' COUNTY OF LOS ANGELES
ARTMENT.OF COUNTY ENGINEER JOB
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• BUILDING AND SAFETY DIVISION 2C _
LOCALITY Taqxu-ai
FOR APPLICANT TO FILL INEAREST
N CROSS ST.
OUTLETS N0. EACH I FEE- OWNER OR
A $ $ FIRM NAME '
RECEPT. ` MAIL
LIGHT TOTAL
FIRST 20 .25 ADDRESS
_
CITY 0 TEL,NO.
SWITCH OVER 20 ip
PLAN CHECK
LIGHTINGTOTAL FIRST 20 1 25 APPLICANT
OVER 20 ADDRESS ,
FIXTURES .10
RESIDENTIAL APPLIANCES CITY -- -TEL. NO,
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT'• '
STA. COOK ~DISP. F.A.U. M` ADDRESS•"'
SPACE HTR. AIR COND. 1 OO CITY TEL. NO
OR
CLOTHES WASH. DISHWASH. LICENSE REG. NUMBER GG `GG7 A
vG 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 I AM PROPERLY REGISTERED AND/OR
-• 0 - 1.00 LICENSED AS REQUIRED BY LOS ANGELES-COUNTY AND STATE OF
�• r CALIFORNIA OR THAI I AM THE LEGA NER. OF THIJ ABOVE
_ on 1 - 10 3.00 DESCRIOED RESIDENTIAL PROP TY.. ,y7'
PERMITEE 'd O
10 - 50 5:00SIGNATURE
50 - 100 10.00OO ~-
DISTRICT N0. PROCES €D BY W
100 - 500 15.00D� a
SIGN, GAS .SIGN AND ONE CIRCUIT 5.00
TUBE, OR APPROVALS DATE INSPEC SSIGNATURE,
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3, 3.00j. UNDERSLAB WORK
SERVICEOV•ER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,INAPPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO.. NOTIFIED - I'
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE "
PERMIT ISSUING FEE 3.00
TOTAL. FEE '
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION > CK. M.O. CASH
A'8-:2%tSEP :24• v �. OZ-
SEE
Z SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204250037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: 1 FEES PAID BUILDING ADDRESS:
ITR: 5905 IT: 115 5822 MYDA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801823
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: HERMOSA
15387-014-012 IAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 19.00 OUT 38.00
TENANT: IG2 LIGHTING FIXTURES 20.00 LGT 40.00 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 105.80 104/25/12 SR 1
OWNER: TEL NO: IFINAL DATE FI Y: CODE:
IIMOTO, PAULA/KYLE (626) 484-6051-
I5822 MYDA AV I
TEMP 917801823 SCRI I N OF WORK
1fiLfiCTRICAL FOR NEWADDITI 19 OUTLETS AND 20 LIGHT FIXTURES(
APPLICANT: TEL. NO:
IIMOTO, PAULA/KYLE (626) 484-6051-
ISPECIAL CONDITIONS:
1 II
II
CONTRACTOR: TEL. NO: 1 APPROVALS DATE INSPECTOR SIGNATURE
IRAFU CONSTRUCTION CO. INC. (323) 262-3069- I I
1552 JADE TREE DRIVE LIC. NO ITEMPORARY POWER POLE I I I
MONTEREY PARK, CA 91754 343622 * I I I I
I JUNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 I
IIMOTO, KATSUMI (323) 262-3069- I
1552 JADE TREE DR LIC. NO: I IROUGH CONDUIT I I
MONTEREY PARK NONE I
I 1ROUGH WIRING (, 1
I IMAIN WATER LINE
1 PLASTIC Y/N METAL Y/N I 1 I
1 I UTILITY 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 1 I
I 1* ADDITIONAL DATA ON FILE I I 1 I
IREPORT ID: DPR265 ROUTE TO: BS0508 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 1103140028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID I HIIILDING ADDRESS:
ITR: 5905 IT: 115 5822 MYDA AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801823
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA I
15387-014-012 JAI PERMIT ISSUANCE FEE 0 27.8THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
LLB 200 AMP PANELS, MCC 1.00 PAN 38.80 I I
(TENANT: I TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: I
[ I 03/14/11 SR
(OWNER: TEL. NO: I (FINAL DATE FI BY: CODE: I
I TRAM, PAULA - [ I /I 1
15822 MYDA AV I I 1 1
(TEMP 917801823 I CRIPTION OF WORK I
[ [ (REPLACE 100 AMP TO 200 SERVICE
(APPLICANT: TEL. NO: I 1 1
IRAFU CONSTRUCTION COMPANY INC. (323) 262-3069- 1 1 I
1552 JADE TREE DR. I (SPECIAL CONDITIONS: I
(MONTEREY PARK 91754 I I
I I I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IRAFU CONSTRUCTION CO. INC. (323) 262-3069- 1 1
1552 JADE TREE DRIVE LIC. NO I ITENPORARY POWER POLE I I I
(MONTEREY PARK, CA 91754 343622 B 1 I I I I
I I IUNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I 11 I 1
I
ILIC. N0: I (ROUGH CONDUIT I 1 I
I I (ROUGH WIRING
I �
I 1 [MAIN WATER LINE 1 1
I I (PLASTIC YIN METAL YIN 7 �(I 1
1 I (UTILITY 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 (REPORT ID: DPR265 ROUTE TO: BS0508 1 I 1 1
I I I I [
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1102080033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
[LEGAL ID: FEES PAID I BUILDING ADDRESS: [
[TR: 5905 IT: 115 I [ 5822 MYDA AV [
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801823 [
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA [
15387-014-012 [Al PERMIT ISSUANCE FEE 27.80 [ THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.80 [ [
[TENANT: [G2 LIGHTING FIXTURES 3.00 LGT 5.80 ISSUED ON: PROCESSED BY: PLAN BY:
IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.90 102/08/11 SR
I IH4 RES RANGE HDS IT 3HP 1.00 HOO 10.90 I
[OWNER: TEL. NO: [H5 RES WASH MACH IT 3HP 1.00 WAS 10.90 [FINA�DA E FINAL BY: CODE: [
[TRAM, PAULA - I TOTAL FEES 72.10 I [
15822 MYDA AV I I [
[TEMP 917801823 1 DEV42KIPTION OF WORK [
[ [ELECTRICAL FOR KITCHEN AND BATHROOM REMODEL
I
[APPLICANT: TEL. NO: [ [ [
[RAFU CONSTRUCTION COMPANY INC. (323) 262-3069- [ [
[552 JADE TREE DR. ISPECIAL CONDITIONS: [
[MONTEREY PARK 91754 [
I I I
[CONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE [
[RAFU CONSTRUCTION COMPANY INC. (323) 262-3069- I I [
1552 JADE TREE DRIVE LIC. NO [ [TEMPORARY POWER POLE I I I
[MONTEREY PARK, CA 91754 343622 B [ I I I I
[UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: - i JUFER GROUND
[ LIC. NO: I IROUGH CONDUIT I +II [
IROUGH WIRING I 4
[ [ IMAIN WATER LINE I [
[ I [PLASTIC YIN METAL YIN [ [
[ [ [UTILITY 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
[ IREPORT ID: DPR265 ROUTE TO: BS0508 [ I
I I I I I I