HomeMy Public PortalAbout5508 PERSIMMON AVE_Electrical__ 7E•g6113-CE30610/72 APPLICATION FOR- ELECTkICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER UDREss SO
BUILDING AND SAFETY DIVISION
LOCALITY G/r
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
FRECEPT.—
TS NO. EACH FEE OWNER OR /�
FIRM NAME �i�`• /7/v� C/1&I
S S MAIL
TOTALFIRST 20 25 ADDRESS 6
OVER 20 CITY �/" /,L Clr TEL. NO.
f0 PLAN CHECK
LIGHTING TOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGEDRYER_WTR. HTR. APPLI.ANT V IL E� 7'11ic
STA. COOK DISP. F.A.U./ ADDRESS -75737 C,� 119901LILV D//.
SPACE HTR. AIR COND. CITY s. A 6,q6, TEL. NO-.2 03,gv7
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER �ji G/ CLASS.e-
FAN OTHER 1.00 / '90 1 HEREBY ACKNOWLEDGE THAT 1 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 IN TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY.
10 - 50 &00 PERMITEE
SIGNATURE
O
50 - 100 10.00 DISTRICT NOjv SED BY
LLII
100 - Soo 15.00A-
-5- 019.
z
SIGN, GAS ISIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOOS SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200AMP 3.00 _30 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 7„/.rr. V wp—
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO_. NOTIFIED G a�'��C
FINAL 4Fa� ' /
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 j Q
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
0 8 3c"-'JUL 17 ' 2 D '/.�/�/ 7�J 0 A�;o
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE • J -
'fl
75A653-CEQ,06 10/72 APPLICATION FOR L9T ICOPERMIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER ADDRESS 08 N Persimmon Ave•
BUILDING AND SAFETY DIVISION 55
LOCALITY Temple City
NEAREST E_ Monte
FOR APPLICANT TO FILL IN 0CROSS STE1 Ave . & Broadwa
OUTLETS N0. EACH FEE F RM NAME A
. Manachuk
RECEPT._ $ $ MAIL
FIRST 20 25 ADDRESS 5508 N Persimmon
SWITCH
LIGHT TOTAL CITY Temple City TEL. NO.443 247
- OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 •10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERIT
RANGE DRYER._WTR. HTR. APPLII ANT Valley Heating Co.
STA. COOK DISP. F.A.U. ADDRESS 0 E -Valley Blvd.
SPACE HTR. AIR GOND. CITY San Gabriel TEL. N0. 288�t6812
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER 147899 CLASS.C2O
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT TK 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 B TYPE OVER TO
I HEREBY CERTIFY 4AT I AM PRO LY RE IS TERED AND/OR
0 — 1 1.00 LICENSED AS REQUIR BY LOS ANG ES COUNT AND ST TE OF
CALIFORNIA OR TH I AM THE GAL OWNE OF TH ABOVE
1 1 — 10 3.00 DESCRIBED RE NTIAL PROPE CCD
PERMITEE
10 - 50 5.00 SIGNATUFI C
50 - 100 10.00 v
DISTRICT 0. PROC SED BY
100 - 500 15.00 1 r® % cn
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R's sIGNATURe
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE-
SERVICE NOTOVER 600 VOLTS OR 200 AMP
OLE.SERVICENOTOVER600VOLTSOR200AMP 3.00 UNDERSLAS WORK=_ -
SERVICEOVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT 1
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING r Cr, �
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 17
'-��" % �f ✓ �
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.001
TOTAL FEE 6 d.00
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK. M.0. CASH
9 7 1r"-JUL 11 2 U 6.0 0 ,&-a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1303040057
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BIIILDING ADDRESS: 1
TR: 13613 LT: 131 1 1 5508 PERSIMMON AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802805 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER
18573-009-011 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 8.00 I I
ITENANT: 1G2 LIGHTING FIXTURES 4.00 LGT 8.00 ISSUED ON: PROCESSED BY: PLAN BY: 1
IH7 RES EXHAUST FANS 1.00 EX 11.00 103/04/13 SR 1
I I TOTAL FEES 54.80 1
1OWNER: TEL. NO: I IFI DA E F NAL BY: CODE:
IMANAICHUK ALEXANDER;JEAN M - 1
15508 PERSIMMON AV 1
ITEMP 917802805 1 jDEACfttPTICd OF WORK
I I 14 OUTLETS, 4 LIGHT FIXTURE AND FAN 1
1APPLICANT: TEL. NO: I I I
ISAMB AS OWNER - 1 I I
I I ISPECIAL CONDITIONS: 1
I
I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER -
LIC. NO I ITEMPORARY POWER POLE I I I
I I (UNDERGROUND CONDUIT I I I
I I �
(ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I I
_ I I I
LIC. NO: i IROUGH CONDUIT I I I
(ROUGH WIRING
IMAIN WATER LINE
I
I I IPLASTIC YIN METAL YIN
I I I
UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I
I i I I
REPORT ID: DPR265 ROUTE TO: BS0508
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