HomeMy Public PortalAbout10623 OLIVE ST_Electrical__ 78A888CE808989 APPLICATION F�' E LEr RICAL PERMIT i
t COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
` BUILDING AND SAFETY DIVISION ADDRESS fQ
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 0.
FOR APPLICANT TO FILL IN NEAREST •�
CROSS ST.
NO. EACH FEE
$ $ OWNER Aw
RECEIPT._ MAIL
ADDRESS
LIGHT TOTAL FIRST 20 Z .20
CITY TEL.NO.
SWITCH_ Z_ OVER 2Q .10
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES r Lr OVER 20 ,10 ADDRESS
RANGE DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY EL.NO.
FAN_OTHER 1.00 LICENSE N0. _ CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
I - 10 3.00 CALIFORNIA ORTHAT I AM LEGAL OWNER OF. AND INTEND TO \�
RESIDE IN, THE ABOVE DE BED RESIDENTIAL PROPERTY.
10 - 50 S.00
SIGNATURE F
50 - 100 10+00 OF PERMITTEE
L
100 - 500 15.001 1 DISTRICT NO.� GROUP ZON P O BY C
/V}1/ L
SIGN,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING -or
JJ o �, /
PERMIT FEE (SUB TOTAL) FIXTURES 44'�f! el
e �
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 2 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 11.001 1 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECT ENGINEER
_ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
5 9 0 .2 9 JUL1? 2 D 3.6 0~
SEE BACK OF APPLICATION FOR COMP[CTE FEE SCHEDULE r • ��
• ^1 7
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1209100009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 7690 LT: 5 UN: .003 I 1 10623 OLIVE ST
I 'IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802843
(ASSESSOR INFORMATION NUMBER: 11 I NEAREST CROSS STREET: EL MONTE
18586-030-038 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I �ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 1
(TENANT: II TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY:
Ii 09/10/12 SR
(OWNER: TEL. NO: I IFI AL DATE FINAL BY: CODE: ]
IJIANG, DENNIS (626) 454-9404- I 1
110623 OLIVE ST I I - I
ITEMP 917802843 1 DESCRIPT31ON OF WORK I 1
I (UPGRADE METER TO 200 AMP
I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I I ]SPECIAL CONDITIONS: 1
I 1 I
ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE 1
I SAME AS OWNER - I I I
I LIC. NO I ITEMPORARY POWER POLE
I ] I
I ] ]UNDERGROUND CONDUIT I ] I
I I
ARCHITECT OR ENGINEER: TEL. NO: - i iUFER GROUND I I
I LIC. NO: II IROUGH CONDUIT
I I I
] I ]ROUGH WIRING
I I ] I I
] �I IMAIN WATER LINE ] I I
I I IPLASTIC Y/N METAL Y/N 1
I (UTILITY COMPANY NOTIFIED(
l
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
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