HomeMy Public PortalAbout5452 PERSIMMON AVE_Electrical__ 76AG63 CE 606R 26/77 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
a� Li7EPARTMENT OF COUNTY ENGINEER JOB ��t9 vAJ
BUILDING AND SAFETY DIVISION ADDRESS.
FOR APPLICANT TO FILL IN LOCALITY j�Gr
New Residential Bldgs.&Pools EACH. NO.. FEE 7 NEAREST
$ .025 — $ CROSS ST. yC
1 &2-Family,Sq.Ft. OWNER OR }� ,
Multi-family Sq.Ft. •02 — FIRM NAME %���
Residential Swimming Pools 26.00 MAIL a i �Afsvi� ✓;
ADDRESS ��
Outlets:Rec Light_Sw. CITYW ,4,"eL4f Tel.No. 1✓^ j_O
First 20 .50
Total No. Additional 30 A FLICANTK /VA)266
ADDRESS ��O�. /' fy�si✓s
Lighting Fixtures First 20 .50 CITYf1,J4%2,arf. Tel.No. 4P ✓d
Additional .30 PERMIT
Total No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater—D.W._ CITY Tel.No.
Oven_Dryer_W.M._ LICENSE OR
Top _-FAU —W.H._ REG.NUMBER 0 Z4 2 Class. a
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS,APPLICATION AND STATE
Disp. _ Room Air Cond. 2.50 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 KVARI HEREBY CERTIFY THAT I AM PROPERLY REGISTERE AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF IFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL�QABOVE DESCRIBED RESIDIAL PROPERTY. C)Over 1 to 1.0 Incl. 5.00Over 10 to 50 Incl. 12.50 PERMITTEE ` �v' o
Over 50 to 100 Inc. 25.00 SIGNATUR
Over 100 40.004ROUGH
T NO.� SED BY y
. D�
Services �
0-200 Amp.Under 600 V 12.50
201-1000 Amp.Under 600 V 25.00. PPROVALS DATE (SIGNATURE
Over 1000 Amp.or Over 600 V 50.60 TEMP. OWER POLE
Temp.Power Pole&Appurtenances
10.00 WORK
Sign with One Branch Circuit 10.00CONDUIT
Additional Sign-Branch Circuits 2.00 WIRINGS 0
Misc.Conduits&Conductors 10.00 FIXTURES J.
� t
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE 63
H PERMIT VALIDATION CK. M.O. CASH
062car.. 4 ,D .5 0 Au;,
E
POLICY HOLDERr A
SEE EF$GLOP1yPP&/. rW COMPLETE SCHEDULE
'Sk--7 ":k A-7 Z-7? �� Yt�
WIA663C-'i-19604113 Iz/,g APPLICATION FOR ELECTRICAL PERMIT
c
BUILDING AND SAFETY DIVISION Al
FOR APPLICANT TO FILL IN JOB 7 A P
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS Z es2'vlww ®/✓
1 &2 Finally Sq. Ft. $ — $ LOCALITY Giles
Multi-family Sq.Ft. — NEAREST j
Residential Swimming Pools CROSS ST.
OWNER O y� t� ���• �L
FIRM NAME /2. /G
Outlets: Light,Switch&Receptacle AMIL DDRESS 990
First 20 /J�� fG
Additional CITY d
PLANCH K 'y i
Lighting Fixtures APPLICANT ,/_-' / l., ;//,C
Lighting •. a
First 20 ADDRESS 3w 1 /c/V► ii ick ��Yi.
Additional •�' L 39
CITY. / /!�O/rj Tel, No: e, , 7 361
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater- D.W. I n
Oven _ Dryer W.M.
ADDRESSG D�i�
Top _ FAU _ W.H. CITY Tel.No.
Hood Fan REG.NNUMBER O,/ Z/
?2 Class. +I O
D isp. _ A.C. v
-1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE,TO COMPLY 0
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES ASD STATE LAWS REGULATING F..
Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING.
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELESCOUUXe AND STATE OR
CALIFORNIA :OR TH 1 AM THE LEGAL OW R OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED REBID T L PROPERTY n
Over 50 to 100 Incl. PERMITEE. e
Over 100 SI'GNATU RE
DISTRICT NO. rC7EED BY
Services s
0-200 Amp. Under 600 V
201 -1000 Amp. Under 600 V APPROVALS DATE INSPEC R'S
Over 1000 Amp.or Over 600 V
SIGNATURE
TEMP.POWER POLE
Temp.Power Pole&Appurtenances UNDERS.LAB WORK.
Sign with One Branch Circuit ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) ' WIRING
FIXTURES
POWER AUTHORIZED
PERMITFEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
TV
PLAN i0E.CW 'ATW -A ➢ M PERMIT VALIDATION CK. 'M.O. CASH
POLICY HOLDEM 14&-il
POLICY li UMBERo;
'8/►e69 CE_-60616/7,eI• APPLICATION FOR ELECTRICAL .PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs,&Pools EACH NO, FEE ADDRESS ' I of
1 &2-Family,Sq.Ft. $. .025 — $ LOCALITY
2
Multi-family Sq.Ft.. .02 — NEAREST' '
Residential Swimming Pools 25.00 CROSS ST.
����rrvv,rr OWNER'OR t
FIRM NAME .
Outlets:Rec:-671-Light _Sw. MAIL
First 20 •50 ADDRESS
Total No. Additional .30 ` CITY oe
PLAN CHE K
APPLICANT
Lighting Fixtures First 20 •50 ADDRESS
Additional •30
Toto)No.. CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W.— APPLICANTADDRESS �
Oven—Dryer—W.M.
Top _FAU —W.H._ CITYTel.No.
Hood_Fan —Other LICENSE OR
Disp._Room Air Cond. 2.50 REG.NUMBER Class. 0_/o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT'THE ABOVE IS CORRECT AND AGREE TO.
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Size&Type HP,KW,KVA,or KVAR REGULATING ELECTRICAL WIRING. 116
Up to 1 Incl. 2.50
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF
Over 10 To 50 Incl. 12.50 CALIFORNIA OR THAT 1_AM THE LEGAL OWNER OF THE ABOVE
25.00 DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Inc. v
40.00 PERMITEEij
Over 100 SIGNATURE P us
" a0&
Services DISTRICT NO. IP7SSEP.,8Y
0.200 Amp.Under 600 V 12.50
201.1000.Amp.Under 600 V '25.00
Over 1000 Amp.or Over 600 V 50.00
Z6 ast `�o 417 y I�
Temp.Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit '10.00
Additional Sign Branch Circuits 2.00' INSPECTION >
INFORMATION 0 3 8 9 A
,Misc.Conduits&Conductors• 10:00 ON REVERSE z
Other(See Complete Fee Schedule) SIDE Z # 0 0 0 0 0 2
IL2aa1350
PERMIT FEE (Sub-To'Tal) 13,50chi
Z
PLAN CHECKING FEE (One-Fourth Permit Feel O 09.21 —78
PERMIT ISSUING FEE $7.00 #7 00 a O
TOTAL FEE >
Sr_S
INSPECTION FINALED a
W
date-j%V.S7- 7� By
r
• COUNTY OF LOS ANGELES TEMPLE CITY # 0505 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS Y'UMAS CL 0508 0408270003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: ;626) 285-0488 EXT:
LEG D: FEES P I ING ADDRESS:
TR: 13613 LT: 13 5452 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802803
ASSESSOR I ORMA ON MAB R: NEAREST CROSS STREET: DAINES
8573-005-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALiTf: TEAPL.E CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON:
08/27/04 JK 02/23/05
OWNER: TEL. NO: �--DERS–C—RTPMON
AL DAT r')L�
CODs:
DI PANE BRYAN L;LINDA A (626) 443-6144- /
5452 PERSIMMON AV +� -�
TEMP 917807530 Of I'OR.
UPGRADE SERVICE TO 200 AI4PS
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPGC?Gie SIGNAIURE
SAME AS OWNER -
LIC. NO 6RARY POWER FUn
— UNDERGROUND CONDUIT
IARCHI ECT OR EUGINEEP. TEL. 0: FII—ET-G—ROUND _ '--"—
LIC. SIO: ROUGH CONDUIT—
ROUGH
ONDUITROUGH WIRING -
-�---
IMAIN
TLINE
ASTICY/NY/N -—-
� UT L I TY COWART wOiiFicD ,
REPORT ID: DPR265 ROUTE TO: BS0508
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0203280038
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALS PAID BUILDING ADDRESS:
TR: 13613 LT: 13 5452 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802803
SS SSO I R IO UM NEAREST CROSS STREET: DAINES
8573-005-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
F2 208, 277V LGT BR CKT 2.00 BR 54.60
TENANT- G1 OUTLETS-LGT,SW,RECP 27.00 OUT 48.45 ISSUED 0 OCESSE : P A EXPIRES ON:
G2 LIGHTING FIXTURES 7.00 LGT 13.65 03/28/02 JK 09/24/02
TOTAL FEES 144.45
OWNER: TEL. NO: FINAL DATE F L BY: CODE:
DI PANE BRYAN L;LINDA A (626) 443-6144-
5452 PERSIMMON AV
TEMP 917807530 10
DESCR IPS
ELECTRICAL FOR ADDITION
AP E 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
�N(;EQ_ES Co
CONTRACTOR: ' NO: _ ��� ��''� APPROVALS DATE INSPECTOR SIGNATURE
SAMELIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GRO ND
LIC. NO: 1111111 ROUGH CONDUIT-
ROUGH WIR
ONDUITRO G I G
NATI-NWANE
p o C �n�r 0�CQ PLASTIC TY/NER LIMETAL Y/N
UTILITY COMPANY NOTIFrED
O ❑ 'I1IL
Io ❑ IJU®GJ
Vv
Service'(hat
REPORT ID: DPR265 ROUTE TO: BS0508