HomeMy Public PortalAbout5912 RENO AVE_Electrical__ dk-j.- 3-�eE506 11-71 _APPLICATION � OR'ELECTRICAL PERMIT LI
�Q COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /� /I�V/.
BUILDING AND SAFETY DIVISION ADDRESS aln
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. `
OUTLETS NO. EACH FEE
OWNER ,. C
$ $ MAIL
LIGHT ._ ADDRESS 5 /Z IJ, AIC>
LIGHT TOTAL FIRST 20 25
OVER 20 CITY TEL. N0. /3r
C
SWITCH �_ .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 .251 APPLICANT
.
FIXTURES f0
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY A Q 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 NO. CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 1O 3.00 RESIDE IN, THE ABOVE DESCRIBED R IDENTI L PROPERTY. V
SIGNATURE
10 — 50 5.00 OF PERMITTEEeCPI!�4-tl O
50 — 100 10.00
DISTRICTNO. CLASS ZONE PRO SS BY. 1!J
100 - 500 15.00
\I
SIGN, GAS Z
TUBE, OR SIGN AND ONE CIRCUIT 5.00 NOTES:
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 9.00
ROUGH CONDIUT
WIRING —VW'rZ
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
`3
PERMIT ISSUING FEE FINAL
3.00 Q
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.D. CASH
LALoO 2 1. 1t-123 DEE 15 2 D 4.75—
MI
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 0506140020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: IL-
LEGAL
LLEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 149 UN: .003 5939 RENO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801528
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-017-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.50
TENANT: G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA FAU LESS 3HP 1.00 PAU 10.95 06/14/05 JK 12/11/05
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H3 RES DISHWASHR IT 3HP 1.00 DIS 10.95 FINAL DATE FINAL BY: CODE:
THONG, NHI - HS RES WASH MACH IT 3HP 1.00 WAS 10.95
5912- RENO AV JB AC UNITS +3-10HP 1.00 AC 19.65
TEMP 917801528 LA 100 AMP PANELS, MCC 1.00 PAN 38.85 DESCRIPTION OF WORK
TOTAL FEES 194.25 ELECTRICAL FOR NEW ADDITION, REMODEL AND UPGRADE SERVICE
100 AMPS
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
-
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508