HomeMy Public PortalAbout5517 NOEL DR_Electrical__ i V-.P 0;9;
76A889 CEBOB ,,,70 APPLICATION FO ELCTRICAL PIT I.J
COUNTY OF LOS ANGELES C
DEPARTMENT OF COUNTY ENGINEER BUILDING
UD EIN
BUILDING AND SAFETY DIVISION 1 r
COLEMAN W JENKINS SUPERINTENDENT OP UIL INO LOCALITY
NEAREST I^/
FOR APPLICANT TO FILL IN CROSS ST r
OUTLETS NO EACH FEE
OWNER
RECEPT_ $ $ MAIL �✓/ /�
LIGHT TOTAL
FIRST 20 25 ADORESSCJj
SWITCH OVER 20CITY TEL NOA?"71
10 PLAN CHECK
LIGHTINGTOTAL FIRST 20 25APPLICANT
OVER 20 ADDRESS
FIXTURES ,0
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK OISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100 I HEREBY ACKNOWLEDGE THAT 1 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 IMAM OPERLY REGISTERED AND/OR
Q — 1 100 I LICENSED AS REQUIRED LOS GELES COUNT ND STATE OF
CALIFORNIA OR THAT I T L NEN AND INTEND TO
— 1O 300 RESIDE IN THE VE S 1 R TIAL PROP! TY
1SIGNATURE V
0 — 50 500
OF PERI Dg
so — 100 1000 O
MD.ITRICT NO CLASS ZONE ROC SED BY G
100 - Soo 15001 g .� b
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200AMP 300 oV
SERVICE OVER 600 VOLTS OR 200 AMP 1000 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURE%
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 300 VV JOSEPH C ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEEP
PLAN CHECK VALIDATIONCK M o CASH PERMIT VALIDATION CK M o BASH
pr+ 1 3 5 IF-4JUL12 2 D 600— a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNSY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806090010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5517 NOEL DR
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802318
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BROADWAY
15387 026 003 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY Cl
I ILB 200 AMP PANELS MCC 1 00 PAN 38 85 I
TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
06/10/08 SR 12/07/08
OWNER TEL NO I (FINAL DAM FI Y CODE
IQUACH PHUONG (626) 712 3914 I � m
15517 NOEL DRJi
TEMP 917802318 I ID SCRIPTION OF WORK
UPGRADE SERVICE PANEL TO 200 AMP
APPLICANT TEL NO I
ICHEN (626) 712 3914 I
15517 NOEL DR I ISPECIALL CONDITIONS
TEMPLE CITY CA 91780 I
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IJACKY CHEN (626) 712 3914 I
15517 NOEL DRIVE LIC NO ITEMPORARY POWER POLE I I
TEMPLE CITY CA 91780 NONE I I
(UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO IUFER GROUND
LIC NO IROUrH CONDUIT
ROUGH WIRING II I
I I I
IMAIN WATER LINE II I
IPLASTIC YIN METAL YIN y
I I I I ,"� (J I I
(UTILITY COMPANY NOTIFIE
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