HomeMy Public PortalAbout5702 RIO HONDO AVE_Electrical__ �-�- C,7
7GA663-CEBOS 468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS 6
i q
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS S
NO. EACH FEE
S S OWNER
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH–1– OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING 1TOTAL FIRST 20 .20 APPLICANT
FIXTURES I OVER 20 .10 ADDRESS
RANGE—DRYER—WT HTR.— CITY TEL. N
STA.COOK_DISP._F.A.U._ q g U CONTRACT R
SPACE HTR. AIR COND. / ADDRES I C
CLOTHES WASH._DISHWASH._ CITY ( 1 TEL. NO. $ --a65-s
FAN—OTHER 11.00 LICENSE 1-40. 3 C 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 15 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
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 — 50 5.00 RESIDE IN, THE A DES RI D R IDENTIAL PROPERTY.
50 – 100 10.00 SIGNATURE c
]POWER
F PERMITTE100 — 500 15.00DIS RICT NO. G UP NE PES ED BY CD
SIGN,GAS
TUBE, OR IGN AND ONE CIRCUIT 3.00 !� – u
WMARQUEE DDITIONAL CIRCUITS 1.00 NOTES c-SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00SERVICE 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) WIRINGFIXTURES
PLAN CHECK FEE (50% PERMIT FEEL AUTHORIZED
PERMIT ISSUING FEE 2.00 U(J UTILITY CO.NOTIFIED l '
SUPPLEMENTARY PERMIT ISSUING FEE 1.001, FINAL f //�� �/. ,�ctar
TOTAL FEE ® JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
LG? 4 5 913 NOV29 - 2 0 3.20""
ME BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE M ,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105170051
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 LT: 1 ON: .006 I I 5702 RIO HONDO AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802432 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18587-004-002 [Al PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.60 1 1
ITENANT: IG2 LIGHTING FIXTURES 4.00 LGT 7.80 (ISSUED ON: PROCESSED BY: PLAN BY: I
I I TOTAL FEES 49.20 105/17/11 SR 1
(OWNER: TEL. NO: 1 I FRiAL DATE FI!! �Y: CODE: 1
IGUSTAFSON JAMES B;MARY A (818) 399-4301- I 1 I
15702 RIO HONDO AV 1 I [
ITEMP 917802432 1 [DESCRIPTION OF WORK 1
1 I 1FOUR OUTLETS, TWO SWITCHS AND FOUR LIGHT FIXTURES 1
1APPLICANT: TEL. NO: I [
IGEORGINO THOMAS (626) 390-3814- 1 I I
1215 E. LAS TUNAS DR [ ISPECIAL CONDITIONS: I
ISAN GABRIEL CA 91776 I [ [
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE [
ITHOMAS, GEORGINO (626) 390-3814- 1 1 I
1215 E. LAS TUNAS DRIVE LIC. NO [ ITEMPORARY POWER POLE I I I
ISAN GABRIEL, CA 91776 NONE I I I I I
I [UNDERGROUND CONDUIT I I I
ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
_ I I I
1 LIC. NO: 1 1ROUGH CONDUIT I I I
I I [ROUGH WIRING I [ I
I I MAIN WATER LINE I [ I
I 1 1PLASTIC YIN METAL YIN
I [ [UTILITY COMPANY NOTIFIED[ I I
I I I I I I
I I I I I
I I I I I I
I 1REPORT ID: DPR265 ROUTE TO: BS0508 I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 1108010039
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 6561 LT: 1 UN: .006 1 1 5702 RIO HONDO AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917802432
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK 1
18587-004-002 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.90 1 I
ITENANT: I TOTAL FEES 38.70 IISSUED ON: PROCESSED BY: PLAN BY:
108/01/11 SR
(OWNER: TEL. NO: 1 IFWAL DATE FIN BY: CODE: 1
ILIU, TRACI (626) 203-5767- 1
dffniN
15702 RIO HONDO AV KnbzA --p u
I
ITEMP 917802432 I ID CRIPTION OF WORK 41
I i IREPLACE GARBAGE DISPOSAL 1
(APPLICANT: TEL. NO: I
ISAME AS OWNER _ 1
II ISPECIAL CONDITIONS: 1
II I �
ICONTRACTOR: TEL. N0: 1
(
APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I 1
I LIC. NO 1
I 1TEMPORARY POWER POLE I I I
II (UNDERGROUND CONDUIT I 1
1ARCHITECT OR ENGINEER: TEL. NO: I UFER GROUND
I - I I I
ILIC. NO: I IROUGH CONDUIT I I 1
TROUGH WIRING I I 1
1 I IMAM WATER LINE
PLASTIC YIN METAL YIN I I
(UTILITY COMPANY NOTIFIED( I 1
I I I I I I
I 1 I I I I
I i I I I I
I I I I I I
I I I I I I
I 1 I I
1 I I I I I
1 I 1 1 I I
I I I I I I
I I I
1 I I I I I
1 I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508 1
I I I I I