HomeMy Public PortalAbout5603 PERSIMMON AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County. Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
7 fyp-zeq P/' FIRST INSPECTION
ADDRESS
CITYL.NO. vim%
COUNTY LICENSE NO. EXPIRES BUILDING p/y
PERMIT FEES ADDREBB���� �ry� c(�Y�/��
NUMBERFEA FEE LOCALITY YAW/01- F, B i Y
LIGHT OUTLETS / NEAREST I= ,//� drip .
CROBB BT. f ���///���
RECEPTACLES //�� M
WALL SWITCHES 13WNERAI6, • J-M&A-II&WA MAAF
TOTAL OUTLETS MMAIL �� / �ELEC. RANGES ADD'R,EBBt,�/ELEC. HEATERS CITY JJ�+r/" AZ ,e' (// y TEL. NO.Fo"FIXTURES dJ�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENBE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 A LESS � .25SIGNATURE �--
I PERMITTE
/2 2 .50 ®v
2 5 1.00 INSPECTION RECORD
5 1B 1.50
I5 50 2.50
5O 200 5.00
200 50o 10.00 J
5930 1000 15.00 Z
OVER 1000 20.00 p
M.G. SET/FREQ. CHANGER-HP i
WELDERS,AC-KVA O
GENERATORS - KW
TRANSFORMERS -.KVA
TEMP. MOTORS (75% OF ORIB-) -
MOVED MOTORS (75% OF ORIO.)
M15C.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT, DATE INSPECTOR'S NAME
WIRING t$1.00 CONDUIT
FIXTURES 181,130 Q WIRING r�'/�d
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE S C,
� UTILITY CO.NOTIFIED /
FINAL
7c.Arsw Des#5A 2-53 '
DOG SA 25M SSETS7�47 'i
APMCATION FOR PERWJ
DEPARTMENTO .iU"IN^Y AM SAC
COeWY OF LOS ANGELES ELECTRIC
. FOX CHIEF ENGINES
a NAME DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS L 3 7
v 8 �, RECEIVED BE
Y, READY FOR DATE ISSUED
u7 CITY TEL.NO. Imo.9I �I FIRST INSPECTION
CERT.NO. EXPIRES
AppucAw wL TN mAvmy 0'&rLmD PoRnoN oriLy
IDESQION OHS'WOR ADORED a7•� '• a
NUMBER'OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FDiT CROSS ST.
CIRCUIT A 1 B .C I D E F Jr. m ,m NAME , r
Z MAIL
3 ADDRESS
:O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGEJ{.E6 COUNTY CERT�IF T/6 F UALiFICATION..
`1G7 Cep �
ELECTRICIAN.
I AM TIM LEGAL OWNER OF TI16 PROPF,IiPY DESCRIBED
ABOVE
OWNER.
y CORREMON3
o -
J
• Q
. Z
D
i qq ,pp
TOTAL LJ �D N
NO. OF OUTLETS $ ` A�PDDVALS
.NO. OF FIXTURES E DATE INSPECTOR'S NAME
�L'NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MI5 ELLANEOUS S POWER / 1`
PERMIT FEE E UTILITY CO.NOTIFIED
TOTAL FEE FINA /+ -- -*S1 -2
76A663-CE806 10/72 v
APPLICATION F It ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER DDREss �jQ Ty j� d V
BUILDING AND SAFETY DIVISION
LOCALITYNEARE
,FOR APPLICANT TO FILL IN 77 CROSS NEAREST. . % „
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME `0
RECEPT._ $ $ MAILt
FIRST 20 ADDRESS 401`0
LIGHT TOTAL 25 CITY TEL. N0.
SWITCH_ OVER 20 AD
PLAN CHECK
TOTAL .
LIGHTING 1 FIRST 20 25 APPLICANT
)}
OVER 20 ADDRESS
FIXTURES f0
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. . . F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN OTHER 1.00 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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE
1 — 1O 3.00 DESC.RIL:ED RESIDENTIAL PROPERTY. p,
O
PERMITEE
10 - 50 5.00 � SIGNATURE �
O
50 - 100 10.00 DISTRICT N0. fZSED BY
W
1.00 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 3 er UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH.CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
l•in.•C1.0
TEMP LIGHT OR RECEPT: SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
7
FINAL
PERMIT FEE (SUB TOTAL) NOTES: _ Q
PLAN CHECK FEE `
PERMIT ISSUING FEE 3.00 -j
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
5.:1 6"JAN ?.Q 2 D 6.0 0 Aw
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
A COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1203210027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 13935 IT: 27 I I 5603 PERSIMMON AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802809
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK
18573-001-025Al PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 20.00 I I
ITENAMT: 1G2 LIGHTING FIXTURES 8.00 LGT 16.00ISSUED ON: PROCESSED BY: PLAN BY: I
TOTAL FEES 63.80 103/21/12 SR
(OWNER: TEL. NO: I (FINAL DiftE FINAL BY• ODE:
ITAO, YONG LAN (626) 236-8066-
5603 PERSIMMON AVE.
TEMPLE CITY 91780 I IDES TION F WORK 1
(ADD 10 OUTLETS, SWITCHS AND 8 LIGHT FIXTURES 1
(APPLICANT: TEL. NO: 1
ISAME AS OWNER
ISPECIAL CONDITIONS: 1
I I �
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - 1
I LIC. NO 1 TEMPORARY POWER POLE
� I I
I 1 1UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND I I I
LIC. NO: 1 ROUGH CONDUIT
IROUGH WIRING
I IMAIN WATER LINE
IPLASTIC YIN METAL YIN I I I
(UTILITY COMPANY NOTIFIED( 1
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IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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