HomeMy Public PortalAbout5021 SERENO DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERM
I DEPAR'T'MENT OF COUNTY ENGINEER
DIVISION OF BUILDING a SAFETY ELECTRIC 1
WILLIAM COUNTY ENGINEM
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN �/ 6
ADDRESS RECEIVED By READY FORDATE ISSUED
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misc. 1 HEREBY ACKNOWLEDGIf THAT 1 HAVE READ THIS
NUMBER LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUM MR OF RKCKPTACLIC CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID
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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 52ERRO
JOHN A LAMBIE. COUNTY ENGINEER ,�,�.
CABBArr D GRIFFIN.Suri o!BUILDING LOCALITY �+ ►
FOR APPLICANT TO FILL,W NEARE
PEWMT FEES CROSS ST
ITEM NUMEER EACH FEE OWNER
OU f f D MAIL
LIDNTE R[CEIT IO EW fo ADDRESS L
LIGHTING FIXTURES 10
W AT[R H[ATERR aO CI
NO
ELEC.RANQR CLO DRYERS EL
ADER
ESC.SPACE HTRS DISNWwexE16 CITY TEL NO
GARSAG[0IEl04E11 AUTO-
STATE
WASHERS RTA.COOIDNG UNITS ZD LICENSE NO _
MOTORS OWR INC. N! DiSTRICTNO IGRQUPI
O— YA 23
ss— 2 so DPJPE=ON RECORD
2— a too
a— is 150
is— so 250
a0-200 Boo
SIGNS NO TRANS
No LAMPS
SERVICE O-EOOV 100
SERVICE OVER OOOV Soo
MISC,
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE f
1 HERSEY ACENOWL.EDO[ THAT 1 NAV[ RGAD THIE AP IGTION APPROVALS DATE I"PECTOR E SIGNATURE
AND STAT[ THAT THE ASOW 12 CORR[CT AND AGREE TO COMPLY
H
WITALL COUNTY ORDINAMCER AND "ATE LAWS REGULATING CONDUIT
R. CTRICAL WIRING p
I H[R[EY DERTIIY THAT AM lI70I Y REGISTERED AND/OR WIRING Z'
LICENSED AS REQUIRED OE ANGE-ES NTT AND STATE OF FIXTURES A
CALIFORNIA OR THAT I AM THE LE O O! E AEOV[ ,R
DESCRIED RIEIDWT m ![RTY POWER / A
SIGNATURE 1 (TYCO NOTIFIED r N
OF PERNIM A X tl'�r
®! VALIDA ARTJHUC UP RVI No '
CM YO CAEH IND CTRICAL ENGINEER
,t AC08 2 8 6 NOV 3 Q 2 A 4-50
. ��47Yl�T2R�N�
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0204110001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE- (626) 285-0488 EXT:
LEGAL 10 rtt:ti VAIU BUILDING ADDRESS:
ON FILE - - - 5021 SERENO DR - - - - - - -
FEE DESCRIPTION QUANTITY UOM. AMOUNT _ TEMP CA 917803038
NEAREST CROSS STREET:ENCINITA
5388-016-010 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID: H5 LOCALITY TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 70.00 OUT 106 50
TENANT G2 LIGHTING FIXTURES 35.00 LGT 59 25 ISSUED ON: PROCESSED BY: PLAN MY: EXPIRES ON'
H2 RES GRBG DISP LT 3HP 1.00 DIS 10 95 04/11/02 JK 10/08/02
H3 RES DISHWASHR LT 3HP 1 00 DIS 10 95
06MER TEL NO H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 .
NEE CHANH - (626) 287-9208- H5 RES WASH MACH LT 3HP 1 00 WAS 10.95
5025 SERENO DR H7 RES EXHAUST FANS 1.00 EX 10.95
TBP 917503038 LB 200 ANP PANELS, MCC 1 00 PAN 3885UESCRIPTION OF WORK
TOTAL FEES 287 10 ELECTRICAL FOR ADDITION
AFVLL� TEL 9T
SAME AS OWERCONTRACTOR -
SPECIAL CONDITIONS
GELES Co APPROVALS DATE INSPECTOR SiGNATUffg'—
SAME AS OWNER
LIC MO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGIMnIF-- TEL NO UFER GROUND
LEO WU AND ASSOCIATES (626) 287--9208-
5770 M ROSEMEAD BLVD 1? 102 LIC NO 11�IIIROUGH CONDUIT
TEMPLE CITY CA 91780 NONE ROUGH WIRING
MAIN WATER LINE
PUBLIC WORKS PLASTIC Y/M METAL Y/N
UTILITY COMPANY NOTTTM
5 itl
ServMceThat��t
REPORT ID: WR265 ROUTE TO 950508 -