HomeMy Public PortalAbout5537 PERSIMMON AVE_Electrical__ (2) ® �14fX F' y
76A663-CE806 468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT Oft COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION BUILDIADDRESS S 7 I�rs Y�>"'6
JOHN A. LAMBIE, COUNTY ENGINEER
Ae
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY .P y✓1a/
FOR APPLICANT TO FILL IN NEARESTCROSS ST. 41 I/10 0.$NO'. EACH FEE If
$ s OWNER AA u lVe a m
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS Y -J�N 7we �
SWITCH_ OVER 20 .10 CITY t-wmol, LAI& TEL. NO.
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LIGHTING ITOTAL FIRST 20 .20 APPPLAN CHEC 00,
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER-/—WTR.HTR._ CITY TEL. NO.
STA.COOK_DIS.P._F.A..U._ CONTRACTOR G xwy& l brzplc
SPACE HTR. AIR COND. ADDRESSS Z; �• Al-U4f)>1.%
CLOTHES WASH._DISHWASH._ CITY (plv TEL. NO. 1/'f'37-233
FAN-OTHER 1.00 LICENSE NO. d CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALI FOR
NIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 RESIDE, IN, THE ABO DESCRIBED RESIDENT, PROPERTY.
SIGNATU50 - 100 10.00 OF PERMITTEE
TEE �� V
ioo - Soo 15.00 DISTRI,'.T O. GR_QWP' Z E P CESSED BY c
SIGN,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR W
;MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
GO
SERVICE NOT OVER 600 VOLTS OR 200 AMP .2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 D� UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING F E 1..00 FINAL
TOTAL FEE ,Z JOSEPH C. R OHAN-
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. cnsH
0 7 9 -5 4 JAN. 9 • 2 D 5.2-0 N
pWE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0610040018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PRONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13613 LT: 149 5537 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TRMP CA 917802807
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8573-002-012 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED HY: PLAN BY: BXPIRE3 ON:
H7 RES EXHAUST FANS 1.00 EX 10.95 10/04/06 JK 04/02/07
IS N-RES WTR HTR IT 3HP 1.00 WTR 15.30
OWNER: TEL. NO: TOTAL FEES 63.75 FI�� FI AL BY: CODE:
ESKENDER, XSELA (310) 645-8080-
5537 PERSIMMON AV ��
TEMP 917802807 DESCRIPTION OF WORK
ELECTRICAL FOR BATHROOM REMODEL
APPLICANT: TEL. NO:
TRIANGLE CONSTRUCTION (310) 645-8080-
6504 ARIZONA AVE SPECIAL CONDITIONS:
LOS ANGELES 90045
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
TRIANGLE CONSTRUCTION INC. (310) 645-8080-
6504 ARIZONA AVENUE LIC. NO TEMPORARY POWER POLE
2ND FLOOR 746214 B
LOS ANGELES, CA 90045 UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING �4
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508