HomeMy Public PortalAbout4930 ROBINHOOD AVE_Electrical__ G&ap.CEa08.,0-g6 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DMSION
Deparhnent of County Engineer BUILDING
County of LOS Angeles ADDRESS
JOHN A.LA IE.COUNTY ENGINEER �I
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL.IN CROSS T
PERT FEES AM
OWNER O
LIGHTS RECEPTACLES SWITCHES
N M ER I T E M EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ .10 S
ELEC. RANGES, WATER HEATERS, CITY TEL.NC
-CLOTHE s DRYERS 5o ELECTRICIAN
ELEC. SPACE HEATERS, STAT'Y. 000R-
!LAUTO ING OW WASHERS. BAGESHISPOSERS, .25 ADDRESS y
16HTING FIXTURES 1O fllb CITY TEL.NO&^Aclj*6
11
MOTORS STATE
HORSEPOWER LICENSE NO.
.M.P. OVER INC. --DISTRICT NO. I GROUP I ZONE READY FOR INSPECTION
U is �y
�/2 B LESS .25
— 2 .50 INSPECTION RECORD
2 — 5 1.00
5 1S 1.50
15 SO 2.50
50 200 5.00
MISC.
SIGNSI NO.TRANS
NO.LAMPS �q
SERVICE O-SOOV 1.00 d.�
SERVICE OVER 500V 5.00
WIRING PERMIT I.00 d d
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE I S 16 DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH. ALL COUNTY ORDINANCES AND STATE. LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPER R STE ED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELE T ST4TE OF
CALIFORNIA OR THAT 110 THE LEG N TABOVE POWER
DESCRIBED RESIDENTIAL OPERT^Y. F 1
SIGNATURE UTILITY CO.NOTIFIED3rl�,
OFPERMITTE FINAL I&
IOHN A.LAM VLTDATTON ARTHUR C.VEIT.
iOUNTY ENGI MO CASH SUPOMBING ELECTRICAL ENGINEER
vO 14 5 9P; .AW 2 2 12.0 5 -9
76A663-CE806-7.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Deportment of County Engineer pp AA / t
County of Los Angeles ADDRESSBUILDING 7�V /'1 G to.,N A O O�
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY /,l /
FOR APPLICANT TO FILL IN NEAREST CROS d A
PERM FEES cRoss sT. `�7 L
NUMBER OWNER /� O /N -S
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
/
WALL SWITCHES FEE CITY YC It 4-
TEL. NO.
TOTAL OUTLETS 0 52 $ ELECTRICIAN i L r d �� �t C..
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
KW EA STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NO. ZjJNE READY FOR INSPECTION
NUMBER HORSEPOWER FEE 1GR07
O/-�
NEW MVD. HP OVER INC. EAC
1/2&LESS s .25 INSPECTION RECORD
1fi 2 .5
2 5% 1 A
.5
% O 2.50
O 200 5.00
misc.
NO. SIGNS NO. RANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING PERMIT $1.00 06
FIXTURE PERMIT $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ `D DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. FIXTURES
I HER CERTIFY THAT I AM PROPERLY REGISTERED AND/OR —
LICENSED AS REQUIRED BY LOS ANGELES CO _ ND STATE OF POWER
CALIFORNIA OR THAT AM THFj[FG�L 0 ER /
DESCRIBED RESIDENT P THE ABOVE
P _ Y. UTILITY CO.NOTIFIED rJ
SIGNATURE
OF PERMITTEE �« FINAL
JOHN A. LAMBIE, VALIDATION ARTHUR C. VEIT.
..OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO CASH '(
J
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0905040022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 19043 IT: 19 I I 4930 ROBINHOOD AV 1
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917804030 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN I
8585-010-024 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 I
ITENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
105%04/09 SR 10/31/09 1
(OWNER: TEL. NO: IF DAT FINAL BY: CODE: I
IKOMAI, PHILLIP K (626) 279-1272-
14930 ROBINHOOD AV I I I
ITEMP 917804030 1 IDESCRIPTION OF WORK
(UPGRADE ELECTRICAL BOX TO 200 AMP
I
(APPLICANT: TEL. NO: I I I
1SAME AS OWNER I ISPECIAL CONDITIONS: 1
I I I
1CONTRACTOR: TEL. NO. 1 1APPROVALS DATE INSPECTOR SIGNATURE1
ISAME AS OWNER - I I I
I LIC. NO 1 ITEMPORARY POWER POLE I I
I I 1UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: I 1UFBR GROUND
I LIC. NO: 1 1RouGH CONDUIT
(ROUGH WIRING
IIMA. WATER LINE 1
IPLASTIC YIN METAL YIN I I I
IUTIpITY COMPANY NOTIFIED�(�� jl I
l
i i I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I
I I I I I