HomeMy Public PortalAbout10667 ROSEGLEN ST_Electrical__ """}°"°"°'" APPLICATION FOR ECTRIL ERMIT
COUNTY OR LOS ANGELES
DKFARTMENT OF COUNTY ENGINEER / � /�'G��
BUILDING AND SAFETY DIVISION O& v
LOCALITY � C/r
NEAREST /�-Z:
FOR APPLICANT TO FILL IN CROSS ST, 7-u
OUTLETS FEE OWNER OR �SL� A AI D/t/
FIRM NAME
RECEPT.� $ MAIL
LIGHT_ TOTAL
FIRST 20 ADOR
CITY C TEL. NO.
SWATCH OVER 20 .10
PLAN CHECK
LIGHTING FIRST 20 25 APPLICANT
TO TAI
OV
FIXTUFIXTURES10ER 20 ADDRESS
RESIDENTIAL APPLIANCES CIT' TEL. NO, n
PERMIT L
RAN OE,�DRYER_WTR. HTR. —APPLICANT ,4 C.�GT�21 CL j.
eTA. COOK DISP. F.A.U. ADDRESS �' N/h1� G
SPACE HTR. AIR COND. CI TY , TEL. NCa
CLOTHES WASH. DISHWASH. 7killCUSSC-
Y T
FAN OTHER I HEREGY ACKNOWLEDGE THAT I HAVE RET I
AD S APPLICATION
AND STAT[ SHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TIIANSF�RMERS RATING WITH ALL CDUNTY ORDIKA NC KS AND STAT[ LAWS PROULATIKS
IND. HEATERS, TC. HP. KW. KVA. ELECTRICAL WIRING.
SLZE i TYPE OVER TO
I H[R[SY CERTIFY THAT'I AM PROPERLY REGISTERED AND%DR
0 _ 1 1.00 LlC[NS[D AS REQUIRED 6Y LOS ANSEL" COUNTY AMD STAT[ OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 DEBCRIE[D Ft 9011 INITIAL PRQP[RTY. 8
PERMITEE
10 - SO 6.00 SIGNATURE
a0 - 100 1DAO p187RICT NO
D ESSED BY
100 - So0 1 e oo Q 0 G _
SIGN, GAS SIGN AND ONE CIRCUIT &00 APPROVALS DAT[ Gtr SSMIATURN
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.0 TEMP. POWER POLE
SERV
ICENOTOVER600VOL,TSOR200AMP SAO UNDERSLAB WORK
SERVLCEOVER600VOLTSOR200AMP 10.00 ROUGH.CONDUIT
TEMP'SERVICE,POLE, &APPURTENANCES 6.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 9A0 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES;
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEI°
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
472 26 2 6.80
SE[SACK OF APPLICATION FOR COMPLETE SCHEDULE
h
COUNTY OF LOS ANGELn APPZ.ICATMN FOR PE IM
of ELECTRIC Z
inew
DMSION OF BIIII.DINC� 8z SA.F7s�'Y
WILLIAM I Fox, duty vaiew
F13"P FILL IN DIOlRICT NO. QROUP ZONE FIERMIT Nn.
KLECTRICI
READY FOR DAT[ HNKim
ADDRKIM rimmeINlECT7ON
CITY L N V
a0U I [NSE NO. I EUILDIN■
PEB3G i AD D RI/S
NUMNIR EACH LOCALITY
LI O HT O Lr L[T\ NEAR-DT
REDEPITA13LXM OR
WALL BWITCHIM OWNER
TOTAL OUTLKTB ND - MAIL
Kula. OEB 16 ADD
[LXIL HEATERS OI TLA. NO.
FIXTURES S 1' HEREBY AOKNOWL.EDOE THAT 1 HAVE READ THIS
mim APWU12ATION AHD STATE THAT THE ABOVE IN OORRECT
NUMNEA OF LIGHT OIROUITB AND ASRLE TO OOMPLY WrrH ALL BOUNTY ORDINANOES
NUMBER OF R[Dl}TrAOL[ OIROUITE AND STAT[ LAWS MMULATIMO EL[OTRIOAL WIRING.
MOTORS I OKRTIFY THAT I rdSSKSS THi ABaVE VALID LOS
NUNN" HOBIEPMVIER �� ANbELi1 BOUNTY UOKMSE, OR I AM TM LWR
Ll ONE
N MVD. HP Dv�Rw INa KAP" Of THE R[S1D[NTI O D RIE
Ya • zs ■IOMATUR[ OF
f .50 ME RM
S E 1.00 INSPECTION RECORD
Is IaE
. O
16 EO Q.EO
SO 200 E.00
1100 100 10.00
ECO 1000 1E.O0 Z
aVVR tom 20.00 D
MA. B[T FR OHAHO[R-HIS Ir
WKLDIRNIAO-KVA O
OKNERATORS - KW
TPAI42FCRMERS - KVA
TEMP. MOTORS (751t DF Dmlo
movrp ioo-mRs 75OF Doti
MIND.
131CM8
MR NO,TRANS. APPROVALS
N M
DATE INKpKm
FOR EACH r[RMIT1 7 NAME
WIRING 1.00 OONDUIT
FIXTURES 01.00 WIRING S
WMEM911TAPY FI XTU RES
POWER
TOTAL FELT1 1 aI UTILITY 04 NOTIFI[
FINAL
76-u [)= #aA U-v
COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0408120004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID- BUILDING ADDRESS:
TR: 19189 LT: 55 10657 ROSEGLEN ST
FEE DESU IPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804133
ASSESSOR INFORMATION NLMI--R: - NEAREST CROSS STREET: PAL MAL
8585-028-Q08 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
G2 LIGHTING FIXTURES 3.00 LGT 5.85ISSUED ON: PROCESSED BY: PLAN BY. EXPIRES .
TOTAL FEES 39.45 08/12/04 JK 02/08/05 .
CHOY KING C;NG DAN NA /+
10667 ROSEGLEN ST
TEMP 917804133 DZSCRIPTION OF WORK
ELECTRICAL FOR WORKSPACE AND BATH
APPLICANT: TEL. NO:
SAME AS OWNER -
S L .
CONTRACTORi DATE INSPECTOR SI W
t
SAME AS OWNER
LIC. NO TEMP3RARY POW-ER POLE
ARCHITEC —"f1�]0: till( Imo
LIC_ HiQ: IP `5Q3GT1 -
PLASTIC YIN METAL YIN
REPORT ID: DPR265 ROUTE TO: BS0508