HomeMy Public PortalAbout5821 OAK AVE_Electrical__ 78A883 GE BOO(8/79)
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING ANQ,SAFETY
FOR APPLICANT TO FILL IN JOB //11//
New Residential Bldgs &Pools EACH NO FEE ADDRESS _may
1&2 Family Sq Ft $ 025 — $ LOCALITY G'
Multi family Sq Ft 02 — NEAREST
Residential Swimming Pools 2500 OWNER--6 R
����((// /
Outlets ReclLL_Light-4—Sw FIRM NAME f� �
First 20 50 120 /0040 MAIL ADDRESS L575 A �4
Total No 30 CITY'Z Tel No
Additional / Zr3 7 O
PLAN EHC
APPLI AENT
Lighting Fixtures First 20 50 ADDRESS
Additional 30
Total No CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D W APPLICANT +
Oven_Dryer_W M— ADDRESS 0AA..Vak-.r
Top _FAU —W H CITY ~ yss.fi.r Tel No7Q'9.7d,'e
Hood_Fan —Other LICENSE OR p
Disp —Room Air Cond
250 REG NUMBER 9 /sQ Class a��
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Yp 2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O
Over 1 to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 0
Over 10 to 50 Incl 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 0
Over 50 to 100 Inc �
25 00 DESCRIBED RESIDENTIAL PROPERTY Of
Over 100 4000 IT
EE RE G G•
SIGN
Services DISTRICT NO JPRC(JS
E
0 200 Amp Under 600 V 1250 �"' g -,---v✓
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000
cel M
Temp Power Pole&Appurtenances 1000 L+ C.. a
Sign with One Branch Circuit 1000 0 '0 3 v— U 7 77
Additional Sign Branch Circuits 200-
INSPECTION
10 0o INFORMATION A a 1 2 6 A
Misc Conduits&Conductors ON REVERSE x
Other(See Complete Fee Schedule) SIDE v #• • • • •2
Z
5 2 . 21 80
PERMIT FEE (Sub Total) • • * 21805
PLAN CHECKING FEE (One Fourth Permit Fee) O 0601 -79
PERMIT ISSUING FEE $700 / 9
TOTAL FEE a b'd >
INSPECTION F ALED
date 1� 2�� "'s��=QG1� e Z-- ` as
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103160016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID I FEES PAID BUILDING ADDRESS 1
ITR 33632 UN 5 5821 OAK AV A
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802134 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18587 006 033 1A1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CI
I IG2 LIGHTING FIXTURES 22 00 LGT 41 60 1 I
ITENANT IH2 RES GRBG DISP LT 3HP 1 00 DIS 10 90 ISSUED ON PROCESSED BY PLAN BY I
i IH3 RES DISHWASHR IT 3HP 1 00 DIS 10 90 103/16/11 SR 1
I IH4 RES RANGE HDS IT 3HP 1 00 HOO 10 90 1 1
10WNER TEL NO IH5 RES WASH MACH IT 3HP 1 00 WAS 10 90 IFINAL DATE FINAL BY CODE I
1LIU WEI ZHI (626) 688 9080 1 TOTAL FEES 113 00 1 1
15821 OAK AV I 1 1
ITEMP 917802134 I IDE CR PTION 6F WORK I
I I (ELECTRICAL FOR KITCHEN AND BATHROOMS REMODEL I
1APPLICANT TEL NO I I I
ISAME AS OWNER I I I
I 1 ISPECIAL CONDITIONS I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER I
LIC NO i TEMPOR
IARY POWER POLE 1-1 I
I I 1UNDERGROUND CONDUIT I I 1
1ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I I I
LIC NO i IROUGH CONDUIT I I 1
I I I
I I TROUGH WIRING I I I
I 1 IMAIN WATER LINE
1 I IPLASTIC Y/N METAL Y/N I I I
1 1 (UTILITY COMPANY NOTIFIEDI 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
I I I I I I
I I I I I
I I I I I
1 I I I I I
1 IREPORT ID DPR265 ROUTE TO BS0508
I I I I I I