HomeMy Public PortalAbout5733 ROWLAND AVE_Electrical__ SBS 5'w 6'46 1t 6 m/}V Qp�V�ox 7 OR
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YR,/M.. J. FOX
CHIEF ENGINEER
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U NAMEf -:.DISTRICTWo. GROUP aoNE PERnnI� .
ADDRESS
I/ �� RECEIVED 13Y READY FOR DATE ISSUED
CITY W.1St+7 el, '+//£st• ?A AEL.NO.��7� ./i FIRST INSPECTION
NTY
Id CE OUT.NO. F�9 °I EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
_
1DESCII EMON•®P WORK ADDRESS 7/ Zip �I �/✓��` s'. �_
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
.LIGHT OUTLETS SW. PLUGS Foil CROSS ST.
[CIRCUIT„ A B C D E F G H N NAME
Z MAILADDRESS CITY TEL.NO. A
•1 AM THE LEGAL POS SO OF THE ABOY LOS
ANG LES COUNTY CERT��OF � LIFFIC.Y.
ELECTRICIAN.`
1 AM THE LROAL OWNER OF TZ PROPERff DESCRIBED
COCHONS
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0
TOTAL
NO. OF OUTLETSI sAPPROVALS
q
I NO. OF FIXTURES ® 8 s r DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT 4
NO. OF SIGNS TRANS. $ WIRING
NO. OR AOR HEATERS ® FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE �y UTILITY CO.NOTIFIED
TOTAL FEE FINAL '�� 0
T1ddENT OF R�DM AND SAFETY �I.]T��OiiT FORP Il�7r
COIJ M OF LOS ANGELES ELEC'T'RIC
M. J. FOX. CHIEF EN INE.R
NAME DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS
CITY TEL-NO. RECEIV BY READY FOR DATE ISSUED
,Q FIRST INSPECTION
CENTY
T.NO. EXPIRES
APPLICANT FRI m KEAVU Y OUTLINED PORTION O
JOB
IDESCREMON OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OU ISW.I PLUM F17iT CROSS
CIRCUIT A B C D E F G H M NAME �� Mer 5R
Z MAIL
y� 3 ADDRESS
CY O CITY
a 1 AM THE LEGAL POSE R B ABOVE LOS
emaffr W COUNTY CERTI IFICATION..
• E ae.
I AM THIO LEQAL OWNER OF TM PRO DESCRIBED
ABOYR
L��fA�p���g +�7�q OWNER.
4V YHF1l lO l l-eY.+Y 11®1 V r�
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VITAL
NO. OF OUTLETS S " MPROVAI.S
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
r
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FEE 0 s FINAL
7GA663 DBB 5A 11-517 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY _`•
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NEI.
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'
ELECTRICIAN t RECEIVED BY READY FOR DATE IBHU D
�r }} ry
ADDRESS "�! / - tri \ FIRST INSPECTION 7 /�_�/
CITY / EL NO. �/�� (�//��/
COUNTY LICENSE NO. . / �+-- EXPIRES BUILDING
RE 8 ( YLKJ �I`�(
PERMIT FEES
NUMBER EACH FEE LOCALITY L
LIGHT OUTLETS NEAREST /
RECEPTACLES CRO88 ST. Vl/
t
WALL SWITCHES OWNER A n
TOTAL OUTLETS 5D $ MAIL
ELEC. RANGES 25 1 Ce ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER 'ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER IND.
EACH OF THE RESIDENTIAL PROPERT DEB=RIBEDOVE.
%2 8 LESS $ .25 SIGNATURE OF " � rL+q�,
%2 2 .50 PERMITTE \
2 s 1.00 INSPECTION RECORD
5 18 1.50
15 50 2.50
50 200 5.00 _
200 500 10.00 J
spm imam 15.00 Z
r
OVER 1000 20.00. m
M.G. SET/FREq. CHANGER-HP ly
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF GRID.)
MOVED MOTORS (75% OR ORIG.)
i
MISC.
8113NS
NO. NO.TRANS. I I
APPROVALS
No. NO.LAMPS
FOR EACH PERMIT* DATE INSPECTOR4$NAME
WIRING $1.00 1 ()[7 CONDUIT
FIXTURES $1.00 WIRING
e a!
SUPPLEMENTARY .50 ''FIXTURES
POWER
TOTAL FEE $ 1 Z UTILITY CO.NOTIFIED gg��
FINAL G4�`'"' ;er n
r' "OUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1208280063
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
JTR: 6561 LT: 404 UN: .002 I 1 5733 ROWLAND AV I
I FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917802617
ASSESSOR INFORMATION NUMBER: IINEAREST CROSS STREET:
18587-029-007 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 1
ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 1
TENANT: 1 TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY:
LEE, SALLY 1 108/28/12 SR
I I I
1OWNER: TEL. NO: 1 1FINAL DATE FINAL BY: CODE:
ILES SALLY (626) 782-2289- 1 I
5733 ROWLAND AV1 I
ITEMP 917802617 I IDESCRIPTION-OF WORK u1
I I IELECTRICAL METER UPGRADE TO 200AMP I
(APPLICANT: TEL. NO: I I I
1SAME AS OWNER
I I ISPECIAL CONDITIONS:
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I I
I LIC. NO 1 ITEMPORARY POWER POLE I I I
I I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 UFER GROUND I I
1 LIC. NO: 1 IROUGH CONDUIT I I I
I I (ROUGH WIRING
IMAM WATER LINE I I I
(PLASTIC YIN METAL YIN
I I I
I I (UTILITY COMPANY NOTIFIED
I I I I I I
I I I I I
I I I I I I
I I I I I
I i IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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