HomeMy Public PortalAbout5420 PARMERTON AVE_Electrical__ N 75A663 CE606 488 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ✓
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTLNDENT CIR BUILDING LOCALITY Q Q
NEAREST
FOR APPLICANT TO FILL IN CROSS ST /
AC FE
RECEPT _ S S OWNER OSG
MAIL a ..J_
LIGHT_ TOTAL FIRST 20 20 ADDRESS /
SWITCH_ OVER 20 IO CITY 11;214e / TEL NO
PLAN CHUCK If
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
IRANGE—DRYER—WTR HTR CITY TEL NO
STA COOK_DISP F A U CONTRAC TOR
SPACE HTR _AIR CONE)
ADDRESS,
CLOTHES WASH _DISHWASH CITY TEL NO
FAN_OTHER 1 00 LICENSE NO CLASS
L
RANSFORMERS RATING
TERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
9 TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
O - 1ELECTRICAL WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR1 10 3 OO LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
10 50 5 00 RESIDEINE DESCRIIEO RES DENTIAL PROPERTY
50 - 100 10 00 SIGNATUREOF PERMITTtoo — 500 1s ooTPOWFRAUTHOR�ZLD
GRO Z ESIGN AS
SIGN AND ONE CIRCUIT 3 00 - CCO
ADDITIONAL CIRCUITS 100 T OVER 600 VOLTS OR 200 AMP 2 00ER 600 VOLTS OR 200 AMP 5 GO
ICE POLE Q APPURTENANCES 3 00PPROVALS DATE INSPECTOR S SIGNATURE
POWER POLE
LAB WORK
CONDUIT
C/ C nJ
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
AUTHORIZED PERMIT ISSUING FEE 2 00 YCO NOTI FIEDSUPPLEMENTARY PERMIT ISSUING FEE1 00 p—/�
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGIN R
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o cAs
QO~EE9 4 lm t 2 z o 4.Q0-
EE
BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE l6e5�
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9610080013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 13613 LT 78 5420 PARMERTON AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803505
INFORMATIONASSESSOR NEAREST CROSS STREET
8573-007-006 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
HA FAU LESS 3HP 1 00 FAU 10 80
TENANT JB AC UNITS +3-10HP 1 00 AC 19 65
ISSUED ON PROCESSED BY PLAN BY E9FflTFZW-
TOTAL FEES 58 20 10/08/96 TC 10/08/97
1
OWNER TEL NO FINAL DATE FINAL BY CODE
FREEMYER, JOHN (000) 000-0000- ,�]/
5420 PARMERTON 11_Z� -(U
TEMPLE CITY, CA UtbLKlFll;; WORK
APPLICANT TEL NO REPLACE HEATING AND ADDING NEN AA SYSTEM
SUPER COOL A/C (818) 575-5178-
SNQ� J SPECIAL COND T O
SOE MO
SO EL MONTETE, CA
CONTRACTOR TEL NOO O i n
SUPER COOL AIR CONDITIONING (818) 575-5178- D APPROVALS°0SIGNATURE
2126 SEAMAN AVE LIC NO (� �Y 0 O
EL MONTE, CA 91733 580579 C20 q
I Nil CONDUIT
ARCHITECT OR ENGINEER TEL NO Nuom brienci UFER GROUND
LIC NO ROUGH CONDUIT
ROUGH WIRING
filo
N\ r
MAIN WATER LINE
�✓ C ELASTIC Y/N METAL Y/N
UTILITY CUPWWT-ff6rrFM
S3-1
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REPORT ID DPR265 ROUTE TO BS0508