HomeMy Public PortalAbout5356 PERSIMMON AVE_Electrical__ 76A683-CEB0810,74 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
,• DEPARTMENT OF COUNTY ENGINEER ADDRESS J •
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS T. G
OUTLETS NO. EACH FEE OWNER OR
RECEPT. $
FIRM NAME
S MAIL
ADDRESS
LIGHT TOTAL FIRST 20 25 OD
SWITCH /z! OVER 20 CITY TEL. N0.
10 PLANCHECK
TOTAL
LIGHTING FIRST 20 'y ,25 APPLICANT
FIXTURES i' OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT /
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY ff 11 TEL. NO /� 7S
CLOTHES WASH. DISHWASH. LIE
G.C
RSE ORNUMBER CLASS.`-10
Q�
FAN_74. 3OTHER 3 1.00 4 (J 1 HEREBY ACKNOWLEDGE THAT I 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 I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 9.00 DESCRIBED 51DENTIAL�PjJR,O�PERTY. CD
PIGNATEE W ®�'( CD
10 - 50 8.00 • SIGNATURES a=r= CD
50 - 100 10A0 a
DISTRICT NO.
100 - 500 15.00 PROCE SED B Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE NSPECTOR'9SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS IAO TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP r 8.00 3 0D UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 8.00 FIXTUR S
POWER AUTHORIZED
UTILITY CO. NOTIFIED-
• FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 8.00 ® O
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.G. CASH
4. 8 3 JUL 17 2 1) 1 4..5 0 A98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
78A883-CE80%10/74 APPLICATION FO ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
J. DEPARTMENT OF COUNTY ENGINEER JOB /
BUILDING AND SAFETY DIVISION ADDRESS 5 !p _ S
LOCALITY C 1?-
NEAREST �-
FOR APPLICANT TO FILL IN CROSS ST, CS
OUzLETS N0. EACH FEE OWNER OR
J/ FIRM NAME
RECEPT. MAIL
LIGHT TOTAL FIRST 20 2 •25 3' D 0 ADDRESS ,
SWITCH' OVER 20 9 10 b0 CITY � 1.� C/]` TEL. NO.
7 PLANAPPLICANT CHECK
LIGHTING 1 TOTAL FIRST 20 ,25 �(5
FIXTURES c. 10
1( /� OVER 20 ADDRESS
_
RESIDENTIAL APPLIANCES CITY, TEL. NO
PERMIT /
RANGE DRYER_WTR. HTR. APPLICANT s,V- WA
i'
STA. COOK DISP. F.A.U. ADDRESS i6 jig Z11 9,913fff- l"D
SPACE HTR. AIR COND. CITY --:Z&V TEL. NO.
CLOTHES W4SH. DISHWASH. LICENSE OR
T- REG. NUMBLE/R 3 0- LASS-
FAN
LASS.
FANOTHER C 1.00 �� -tI MEREBW NOW LEDGE THAT I 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 I AM PROPERLY R GIS TERED /OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGE CO TY A D S TE OF ?.
CALIFORNIA OR THAI' AM E L AL OW R 0 T ABOVE C7
1 - 10 3.00 DESCRIBED RESID P PE V
PERMITEE Cc
10 — 50 5.00 SIGNATUR H
50 — 100 10.00 Lu
DISTRICT N0. OCES D BY H
100 — S00 15.00
4
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S IGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING . ®VL) �� —7_<'
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 7S r� -
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 D D
TOTAL FEE141)
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
4 4 Ie'w-'JUL 15 2 1 1.4_ 0 ,&t!8
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663 CE-806R 9/76 APPLICATION FOR ELECTRICAL PERMI
.,_ .t• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS a'� �� L'�S/
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE CROSS ST.
jdt�/r~
I &2-Family,Sq.Ft. $ '025 — $ OWNER T.
Multi-family Sq.Ft. 02 — OR
FIRM NAME f s
Residential'Swimming Pools --IS O 0 MAIL
ADDRESS
Outlets:RecjLight-aSw. CITY- Tel.No.
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY ,,`` Tel.No.
Total No. Additional 30 APPLIC
/ V'
ANT L_ —%
Fixed Appliances Not Over 1 HP ADDRESS I;eGXS/A-4 OAof
Range_Heater_D.W._ CITY ; Tel.No. v_41,r7
Oven—Dryer_W.M- LICENSE OR
Top —FAU —W.H._ REG.NUMBER ry a Class. f0
Hood—Fan _Other_ �'"7
I HEREBY ACKNOWLEDGETHAT I..HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR �" I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. '2;ee—_ THE LEGAL OWNER OFMRIBED RESIDENTIAL PROPERTY 1916,Over 1 to 10 Incl. 5.00
Over 10 to 5.0 Incl.Q.S O PERMITTEE d
V
Over 50 to 100 Inc dv 2D= SIGNATURE '
Over 100 'f'0-0 344 DISTRICT NO. LPRC�ED BY
Services v ' a g ri
0-200 Amp.Under 600 V 12.50 INSPECTOR'S w
201-1000 Amp.Under 600 V
25.00 APPROVALS DATE SIGNATURE Z
Over 1000 Amp.or Over 600 V 50.00 TEMP.-POWER POLE
Temp.Power Pole&Appurtenances 10.00 UNDERSLAB WORK
Sign with One Branch Circuit
10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 15.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES ; r s,' t
PLAN CHECKING FEE (One-Fourth Permit Feel a
PERMIT ISSUING FEE -$g$g
TOTAL FEE 1,9 6V
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONcC'�� _ M.O. CASH
458C21MAY. 16 2 D 10.50 ® cs
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE es
CT)
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801310008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID HIIILDING ADDRESS:
ITR: 13613 IT: 225356 PERSIMMON AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802801
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: DAINES/FREER
18573-005-010 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 60.00 OUT 93.00
TENANT: G2 LIGHTING FIXTURES 40.00 LGT 66.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1HA FAU LESS 3HP 1.00 FAQ 10.95 101/31/08 SR 07/29/08
IH4 RES RANGE HDS IT 3HP 1.00 H00 10.95 1
1
0WNER: TEL. NO: IJB AC UNITS +3-10HP 1.00 AC 19.65 1FINAL DATxoinm
BY: CODE:
ONTIVEROS ANTHONY;JUDITH TRS (818) 443-6069- ILE 200 AMP PANELS, MCC 1.00 PAN 38.85
15356 PERSIMMON AV TOTAL FEES 267.15
TEMP 917802801 IDESCRIPTION OF WORK
1ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE PANEL
ITO 200 AMP
APPLICANT: TEL. NO: I
IONTIVEROS (626) 443-6069- I I
15356 PERSIMMON AVE i SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPfiCTOR SIGNATURE
IJUDITH E. ONTIVEROS (626) 443-6069- 1 I
15356 N. PERSIMMON AVE LIC. NO ITEMPORARY POWER POLE 1
TEMPLE CITY, CA 91780 NONE I I I
I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND
IONTIVEROS AND ASSOCIATES, INC. (707) 725-7410- I I
1167 S. FORTUNA BLVD. LIC. NO: IROUGH CONDUIT I I I
1FORTUNA, CA 95540 C55968
I I I ROUGH WIRING /1 -3 I h i
�i ilk, I
I I (MAIN WATER LINE n�
IPLASTIC YIN J/Nef
II I
I 1UTILITY COMPANY NOTIFIE&V---
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I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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