HomeMy Public PortalAbout6303 OAK AVE_Electrical__ l� rCTRI"C
76A663-CE606 J,0/7474APPLICATIO F R E7LAL PERMIT
y ~ COUNTY OF LOS ANGELES
DEPARTMENT
AND SAFETYYDIV SIGNER FSS 01941'qLI TY ]'.fJEST /J1
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS No. EACH FEE —OWNER OR
FIRM NAME
RECEPT._ _ S S T ADDRESS
LIGHT TOTAL FIRST 20 .25 D CITY TEL. N ��
SWITCH _ OVER 20 .10 PLAN CHECK
LIGHTING 1 FIRST 20 .28 APPLICANT
J} TOTAL
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL.. NO.PERJ,
RANGE DRYER_WTR. HTR, APPLIICANT '0 `` iLJ G.G6��
STA. COOK DISP. F.A.U. ADDRESS oog4
SPACE HTR. AIR GOND. CITY,7e_-/ pL/,� DIEL. N
CLOTHES WASH. DISHWASH. ` y� O REG. NUMBER O���a •D�
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
812E & TYPE OVER TO
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Op
0 — 1 1.00 LICENSED A9 REQUIRED BY L08 ANGELES LINTY AND STATE OF }
CALIFORNIA OR THAT I AM THE LEGAL ER OF THE ABOVE O.
1 — 10 9.00 DESCRIBED RESIDENTIAL PRO ERTY. CC3
PERM10 - 50 5.00 SIGNATURE ITEE C3
50 - 100 10.00 c.3
DISTRICT N0. PROCE SED B a
100 - 500 15.00 Z
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SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS DATE INSP R'SSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP / 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 fFR.E
HORIZED
. NOTIFIED �J
s� 2.7
PERMIT FEE (SUB TOTAL)PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION• M.O. CASH
... y
6 7 99OCT 14 2 1. 1.3 0 abd
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1011080019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: 1 FEES PAID BUILDING ADDRESS:
ION FILE 6303 OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:j TEMP CA 917801336
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5382-017-042 Al PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
Gl OUTLETS-LGT,SW,RECP 3.00 OUT 5.80
TENANT: TOTAL FEES 33.60 ISSUED ON: PROCESSED BY: PLAN BY:
1 111/08/10 SR 1
OWNER: TEL. NO: 1 IFI AL DATE FIR
I BY: CODE:
BURTON-SHEFFIELD PAMELA K (626) 285-2805-
16303 OAK AV IHL4t)
TEMP 917801336 DE I N OF WORK
I IINSTALL 2 CIRCUITS OUTLETS
(APPLICANT: TEL. NO:
IRENE (626) 794-5005-
(SPECIAL CONDITIONS: 1
CONTRACTOR: TEL. NO: ' APPROVALS DATE INSPECTOR SIGNATURE
FAULTLESS ELECTRIC (626) 794-5005- 1
2850 REPOSA LANE LIC. NO ITEMPORARY POWER POLE
IALTADENA, CA 91001 232895 C10
�UND$RGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND
LIC. NO: (ROUGH CONDUIT
1ROUGH WIRING
MAIN WATER LINE
1PLASTIC YIN METAL YIN
1 JUTILITY COMPANY NOTIFIED(
I i i I
REPORT ID: DPR265 ROUTE TO: BS0508 1