HomeMy Public PortalAbout5117-5119 SERENO DR_Electrical__ APPLICATION FOR PERMIT -
JIEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM U FOX. CHIEF ENGINEER ELECTRIC 1
DISTRICT NO. ORDIJP I ZONE PERMIT NO. t
FOR APPLICANT TO FILL IN S ( IA 11
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FIXTURES S OWNER
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ELEO RANGES 75
ELEC HEATERS 75 CITY TEL NO
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I CERTIFY THAT 1 POSSESS THE ABOVE VALID LCB
NUMBER OF CIRCUITS INSTALLED ANO ELEB COUNTY LICENSE
LIGHTS RECEPTACLES
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 2 V S L
ELECTRICAL WIRING
I HEREBY CERTIFY THA.CJI AN OPERLT REGI STE D AMD/OR FIXTURES
LICENSED AS REQUIRED r LOS LES COUNTY ATE OF
CALIFORNIA OR THAT M TH L 0 L OWNER ABOVE POWER
DESCRIBED RESIDENT ROPER
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COUNTY OF LOS ANGELES ' TEKPLE CITY tl 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0201290017
T BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID. FEES PAID BUILDING ADDRESS
ON FILE 5119 SERENO DR
FEE DESCRIPTION QUANTITY ZION. AMOUNT TEMP CA 917803040
ASSESSOR INFORMATION NUMBER' INEAREST CROSS STREET ROSEMEAD
5388-017-016 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE- 596 GRID H5 LOCALITY. TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38 85
TOTAL FEES 66 60 ISSULD ON PROCESSED BY. PLAN BY EXPIRES ON
01/29/02 JK 07/28/02
OWNER. TEL. NO
VILLEGAS; ANGELICA (626) 291.2510- F L"k DATE FINAL BY CODE
I �L
5119 SERENO DRIVE ;-126
TEMPLE CITY DESQIFIIdr6F _
UPGRJDE ELECTRICAL PANEL TO 100AMP—
APPLICANT: TEL NO
SAME AS OWNER -
SPEC AL CONDITIONS
ANG \ ]�R I -
SAME AS OWNER -
�CONTRACTOR TEL NO �S TY
LIC NO � � „/Z, \ Tw-AWY POWER POLE -
d
ARCHITECT OR ENGINEER: TEL NO p Max
LIC NOMI I'L I, F6m
rJ ROUGH WIRING
t' � PLLAASTIC Y/NMETAN
UTILITY COMPANY NOTIFIED�?
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jREPORT ID DPR265 ROUTE TO BS0508
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