HomeMy Public PortalAbout5060 SERENO DR_Electrical__ iI
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T'Aee'Ge D011(6"1110_ APPLICATIO FOR EL ICAL PERMIT
COUNTY OF LOS ANGELES 11DING AND SAFETY Y
0 0 [✓
FOR APPLICANT TO PILL IN ADDRESS OG J �RV`,
JOB
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New Residential Bldgs &Pools EACH NO FEE
I &2 Family Sp Ft $ 025 is LOCALITY mmpi Inny
Multi farnily5q Ft 02 — NA SST msEMEAD $,POA e4
Residential Swimming Pools 2500 WN
D47VE N9MP-T01V .
Outlets Rec !O 6ght_Sw _ FIRM NAME
MAIC
First 20 50 00 ADDRESS - -- '
Total No Additional _ 30 CITY Tel N0,3jr-ag,3
PLAN CHECK
APPLICANT
bighting Fixtures Fust 20 50 ADDRESS
-Additional 30
Total No CITY Tel Na
Fixed Appliances Not Over I HP - _ IT �I /' CNJ f
0
Range_Heater_D W — APPLICANT /S
IQO
Oven—Dryer_W M_ - ADDRESS .3p/Z;- O k1Q,• E - .s-
Top' _FAU _ W H _ CITY L C,4_ Tel No 2Z3 -S.2 J -
Hood_Fan —Other— LICENSE- - ry -
Disp _Room Air Cond �_ 2 50 REG UMBER 360 9'/3 Class C-/0
`r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA or KVAR COMPLY-WITH ALL COUNTY ORDINANCES AND STATE LAWS y
2 50 REGULATING ELECTRICAL WIRING L
Up to 1 Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0
Over I to 101nd 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
Over 10 to SO Incl 1250 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE vY
DEXRIBED RESIDENT. L PROPERTY
Over 50 to 100 Inc 25 00 1
Over 100 4000 PERMITEE /r�
SIGNATURE �-
Services DISTRICT NO -- ED BY
0 200 Amp Under 600 V 1250 �2 0
201 1000 Amp Under 600 V 2500 ✓. •Q(% s
Over 1000 Amp or Over 600 V 50 GO
r _
Temp Power Pole&Appurtenances 1000 t
Sign with One Branch Circuit 1000 -
Additional Sign Branch Circuits , 200 INSPECTION >
M,sc Conduits&Conductors 10 00 INFORMATION
Other(See Complete Fee Schedule)_ - ON SREVERSE , 3 1 O 9 1
2 A
q . . . . . 2
PERMIT FEE .Sub Total) 2 - - 2450
PLAN CHECKING FEE (One Fourth Permit Feel p • • • 2 4.5 Q 6
F
PERMIT ISSUING FEE 11 p1 -78
s7 00 7 0 0
IN
TOTAL FEE >
INSPECTION FINALED
dare ��7 as
ti OUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1405060060
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 265-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5060 SERENO DR
IFEE DESCRIPTION QUANTITY 00M AMOUNT TEMP CA 917803037
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET ENCINITA
15386-012-002 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY CAI
I IG1 OUTLETS-LGT SW RECP 8 00 OUT 16 00 I
ITENANT G2 LIGHTING FIXTURES 2 00 LOT 4 00 (ISSUED ON PROCESSED BY PIAN BY I
TOTAL FEES 47 80 105/06/14 SR
(OWNER TEL NO ] IF FINAI, BY CODE I
MA, NOEL (626) 665-8886-
15062 SERENO DR I
1 2�/y *490(-�,ysf.G 1
ITEMPLE CITY CA 91780 I (DESCRIPTION OF WORK t 1
8 OUTLETS AND 2 LIGHT FIXTURES
(APPLICANT TEL NO
IMA NOEL (626) 665-8886-
15062 SERE[O DR ISPECIAL CONDITIONS
TEMPLE CITY CA 91780 -
ICONTRACTOR TEL NO I ]APPROVALS DATE INSPECTOR SIGNATURE I
IDA HONG CONSTRUCTION (626) 262-9668- 1 1
14028 ROSEMEAD BLVD #35 LIC NO ITEMPORARY POWER POLE I I I
PICO RIVERA CA 90660 981286 `
I ]UNDERGROUND CONDUIT I
I I
]ARCHITECT OR ENGINEER TEL NO UFER GROUND
WONG GEORGE (626) 780-2199-
15721 SULTANA AVENUE LIC NO] TROUGH CONDUIT TEMPLE CITY CA 91780 49894 1 _
INDOOR WIRING ,
IMAIN WATER LINE
]PLASTIC Y/N METAL Y/N f
]UTILITY COMPANY NOTIFIEDI
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• ADDITIONAL DATA ON PILE
IREPORT ID DPR265 ROUTE TO ES0508 ]
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