HomeMy Public PortalAbout5319-5321 SANTA ANITA AVE_Electrical__ TEMPLE CITY IVA
76A663-CEe06'f2/7SAPPLICATION FOR ELECTRICAL. PERMIT I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fADRESS M1-�OB �1ta Anita
BUILDING AND SAFETY DIVISION
FOR PP F CALITYTem le G'itNew Residential Bldgs& Pools EACH .NO. FEEAREST
1 & 2-Family,Sq. Ft. S .025 — $ OSSST. Freer
NER OR
Multi-family Sq. Ft. .02 — FIRM NAME
Residential Swimming Pools 20.00 MAIL
ADDRESs650 West Duarte Rd
Outlets: Light,Switch & Receptacle CITYAreadia Tel.No. 446-5344
First 20 .50 PLAN CHECK
Additional .30 APPLICANT
ADDRESS
Lighting Fixtures
First 20 .50 CITY Tel.No.
Additiori'al .30 PERMIT
APPLICANT Warr Elect.
Fixed Appliances.Not Over I..HP ADDRESS 15834 kTorkman
Range_He-terD.W._ CITY Tel.No.
Overt__Dryer_W.M._ La Puente 333-5918
LICENSE OR
Top_ FAU _W.H._ REG.NUMBER 24921() Class. C-10
Hood_ Fan %
DIS .00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
P�A.C.A•C• -- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING
Power Apparatus& Large Appliances ELECTRICAL WIRING.
-Size&Type HP,KW, KVA,Or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND%OR
_ LICENSED AS REQUIRED BY LOS NGELES. OUNTYAND STATE OF
Up t0 1 IIICI. 2.00 CALIFORNIA OR THAI I M T LEGAL WNER OF THE ABOVE
9 Over 1 to 10 Incl./�'LC/ DESCRIRED RESIDENTIAL PR ERTY.
Over 10 t0 50 Incl. 0.00. PERMITEE 0
SIGNATURE us
20.00
�— Over 50 to 100 Incl. - 99
Over 100 - 30.00 DISTRI,C�T�NO. OC ED BY
.-I ej
,.,vices
' V
0- 200 Amp. Under 600 V 12.50 INSPECTOR'S ®,
2017000 Amp. Under 600 V 25.60 APPROVALS DATE SIGNATURE H
Over 1000-Amp.'or Over 600 V 50.00 - ]TEMP.POWER POLE _
Temp.Power Pole.&Appurtenances 10:00 I IFIXTURES
NDERSLAB WORK
Sign with One Branch Circuit 10.00 OUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING. P"
,(Other)
•
OWER AUTHORIZED
TILITY CO.NOTIFIED ,INAL b.
PERMIT FEE (Sub-Total) LL,jaf7l NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE �r
TOTAL FEE IIGG�—
PLAN CHECK VALIDATION CK. M.O. CASH: PE IT VALIDATION K. MO. CASH
6 0 ,9 r AUG 11 . 2 0 4 5.0.0 ev8
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE "•
76.0863-GE806I0,74 APPLICATION FOR ELECTdICAi 'PkiAT s
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION ER �F-532_SI—Santa
Anita Bldg5
�TY Tem 'le CitT
FOR APPLICANT TO FILL IN ST. Frelar
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME Developments,
RECEPT.-rte $ §
LIGHT 28 TOTAL FIRST 2020 8 00 ADDRESS 650 West Duarte Rd
36 108 OVER 20 CITY XX Arcadia TEL. NO. 446-5344
SWITCH_ 88 � 13 20
PLAN CHECK
LIGHTING l FIRST 20 20 8 0O APPLICANT
)} TOTAL
FIXTURES 26 1 OVER 20 6 90 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PER
RANGE DRYER_WTR. HTR. APPLII ANT Warr Electric
STA. COOK DISP. 9 F.A.U. '�_ ADDRESS 15834 Workman St.
SPACE HTR, AIR COND. 2 CITY La Puente TEL. NO. 333-5918
CLOTHES WASH. 2 DISHWASH. REG. NUMBER R 249210 CLASS. C-10
FAN 2 OTHER ). 2 1.00 18 00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
J AND STATE THAT THE ABOVE IS 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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 •�v I.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I A HE LEGAL OWNER OF TH ABOVE
• - 1O rJ� 9.00 DESCRIBED RESIDENTI R4 ERTY. CCD
10 - 50 5.00 PERMITEE
SIGNATUCD
50 - 100 �s 10.00 DISTRICT N0, PRO):ESSM BY uJ
CL
100 - 500 2." 15.00 'j v `� "`-� Z
SIGN, GAS SIGN AND ONE CIRCUIT �5'V 5.00 APPROVALS V D INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600 VOLTS OR 200AMP 3.00 9 00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 1.6- 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES ,0. 5.00 WIRING S7-1-4-2 4VI6,57her-, �/7
TEMP LIGHT OR RECEPT. SYSTEM 3,00 FIXTURES Vii.•
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) 57 lO NOTES: tv r
PLAN CHECK FEE
PERMIT ISSUING FEE 3-001 df MF)
TOTAL FEE 1.60
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA IDA ION CK. M.O. CASH
ms' s
67 3NmAY 3 2 0 t 61.60e�;
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE .�
1
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ,.-R-ECTRTCAU-PERHl7T�
`-
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS E-L-0508-9806-MO34
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
i PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 32489 UN: 8 5-321-SANT-A--AN-I-T-,Vn
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EMP CA=91Z-8036�5
ASSESSOR INFORMATION NUMBER: N EST CROSS STREET} /
8573-036-026 Al' PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:-597 GRID: D4 LOCALITY: TEMPLE CITY
101 OTHER INSPECTIONS 1.00 HOU 109.35
TENANT: TOTAL FEES 137.10 ISSUED ON: PROCESSED BY: PAN B EXPIRES ON:
06/15/98 UT 06/15/99
OWNER: TEL. NO: FINAL DATE FINAL CODE:
GIBSON FRANCES L TR 000
5321 SANTA ANITA AV V 6 U
TEMP 917803625 i DESC i•ON-OF-WDRK---�z
NSPECEOALO�SW��AM.ING POOL PE LTH DEPT.-SENATE BILL 873
F4R CONDO AS50C APPLICANT: TEL. 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. 0: �' INFER GROUND
LIC. NO:. 1 _ " -I - ROUGH CONDUIT
_ ROUGH-WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
i
REPORT ID: DPR265 ROUTE TO: BS0508
I
I