HomeMy Public PortalAbout5409 PERSIMMON AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT
DBS-SA 9•99 _
DIVISION OF BUILDING AND SAFETY - -
Department of County Engineer
County of Los Angeles `BUILDING
WM.J.FOX.COUNTY ENGINEER ADDRESS .001
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PEMV= FEES CROSS sr.
j' NUMBER EACH FEE
OWNER
LIGHT OUTLETS
MAIL �
RECEPTACLES ESStj
WALL SWITCHES
TOTAL OUTLETS 5¢ $ CITY TEL. O.
? ELEC.RANGES 25 ELECTRIC
AM
_ELEC. HEATERS 25 ADDRESS
= KW EA. CITY
FIXTURES 5 LICENSE NO.
y NUMBER OF LIGHT CIRCUITS
- DISTRICT NO. GROUPIIP-1
ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I I P^1jC��v
x: MOTORS i'\1
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER I INC'. EACH
R,LESS $ .25
2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 1. 200 1 5.00
. I
C
MISC. .�
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00 '
FIXTURES $1.00
SUPPLEMENTARY' .SO APPROVALS
TOTAL FEE DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT 3"m/- S-
p AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT IM THE LEOL 0 E F HE ABOVE POWER
DESCRIBED RESIDENTIA R RTY.
s: SIGNATURE UTILITY CO.NOTIFIED —7 -
OFPERMITTEE FINAL
4
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
11.41C04 3 3CR MAR 21 2 1 .0 0
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0701290007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 FEES PAID I BUILDING ADDRESS: I
TR: 13613 LT: 43 I 1 5409 PERSIMMON AV I
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917802804 I
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18573-003-018 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I IGl OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 I I
TENANT: 1G2 LIGHTING FIXTURES 8.00 LGT 15.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
IHA FAD LESS 3HP 1.00 FAU 10.95 101/29/07 JK 07/28/07 I
1 IH1 RES ELEC OVEN IT 3HP 1.00 OVE 10.95 1 1
(OWNER: TEL. NO: IH2 RES GREG DISP IT 3HP 1.00 DIS 10.95 IF NAL DATIol FI CODE:
(WANG LIU H;SZH-DING (626) 780-8833- IH3 RES DISHWASHR IT 3HP 1.00 DIS 10.95 I 1
15409 PERSIMMON AV IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 1 1
ITEMP 917802804 IHS RES WASH MACH LT 3HP 1.00 WAS 10.95 IDESCRIPTIO14 OF WORK 1
1 1JB AC UNITS +3-10HP 1.00 AC 19.65 (ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE TO 200 1
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 TAMP 1
1APPLICANT: TEL. NO: I TOTAL FEES 202.65 I 1
INGUYEN (626) 674-3014- 1 I 1
11139 GLENVIEW RD I SPECIAL CONDITIONS: I
[WEST COVINA CA 91790 I 1
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
(WANG, JING (626) 780-8833- 1 1 1
(5409 PERSIMMON AVENUE LIC. NO I ITEMPORARY POWER POLE [ I I
TEMPLE CITY, CA 91780 NONE I I 1 1 1
1UNDERGROUND CONDUIT I 1 I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
INGUYEN, LAP C (626) 918-8906- 1 1 1 I 1
11139 GRANDVIEW AVE. LIC. NO: 1 IROUGH CONDUIT I 1 I
IWEST COVINA, CA 91790 NONE I I I 1
1 I IROUGH WIRING I I 1
1 I IMAIN WATER LINE I 1
IPLASTIC Y/N METAL Y/N 1 1
1 1UTILITY COMPANY NOTIFIED( 1 1
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1 (REPORT ID: DPR265 ROUTE TO: BS0508
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