HomeMy Public PortalAbout5118 SERENO DR_Electrical__ COUNTY OF IDS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706270004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE (626) 285-0488 ERT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5118 SERENO DR
FEE DESCRIPTION QUANTITY GUM AMOUNT TEMP CA 917903055
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ROSEMEAD
15388-011-013 Al PERMIT ISSUANCE FEE 27 75 �� THOMAS PAGE 596 GRID H5 IDCAI.ITY TEMPLE CITY C
TENANT 1M1 CONDUITS CONDUCTORS 4 00 MIS 261 00 1
TOTAL FEES 288 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
1 - 06/27/07 SR 12/24/07
10YBiER
TEL 7- F DA F BY CODE
IGOLDFARB HARRIET (626) 357-1124- I
1518 BRADBURY RD /,
MONROVIA CA 91016
D SCAIPTION OF YORK
REMOVAL OF OVER HEAD ELECACAL SERVICE (2) METERS AND
CABLE TV AND TELEPHONE OVER HEAD DROPS 1
APPLICANT TEL NO 1
(JEFFREY S MEAD (626) 914-3865-
1948 E CYPRESS AVE _
CONDITIONS
1GLENDORA CA 91741 SPECIAL
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
JEFFREY S HEAD (626) 914-3865-
948 E CYPRESS AVENUE _ _ LIC NO
GLENDORA CA 91741 - 704668 C10 - _ _ _ - _ TEMPORARY POWER POLE
' 1 UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO 1 UPER GROUND
1 - I ( I
LIC NO - TROUGH CONDUIT
IAOUCH WIRING
' IMAIN WATER LINE
I IPLASTIC YIN METAL YIN
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l 1 IUTIIITY COMPANY MOTIF
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1AEPOAT ID DPR265 8001£ TO BS 0508 1
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76A663CE B0616/78I APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN DDRESS K
New Residential Bldgs.8 Pools EACH rv0. FEE
1 &
-Family,Sq. Ft iCO04 $ .025 — $ LOCALITY
Multi family Sq.Ft. .02 — NEAREST - -
Residential Swimming Pools 25.00 CROSS ST.
OWNEROR
FIRM NAME - A! =�r�d/ /� ��.
Outlets:Rec_Light_Sw._ MAIL
First 20 50 ADDRESS
Total No. Additional .30 CITY Tel. No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Tocol No. CITY Tel.No.
Fixed Appliances Not Over 1 HP };- PERMIT '
APPLICANT P! "LL -F ( 1.7
Range—Heater_D.W, _
Oven—Dryer_W.M.— ADDRESS �u-
Top _FAU _W.H.— CITY r /did Tel.No
Hood—Fan _Other_ LICENSE OR y
Disp._Room Air Cond. 2'50 REG.NUMBER ^/`rT Class.
g PP I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA,AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO i
Power Apparatus&Large Appliances TION
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING. U
Up to 1 Incl. 2.50 a
5.00 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF LL
Over roto 50 Ind. 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF;HIE ABOVE >_
25.00 DESCRIBED RESIDE PROPE�W7 -
Over 50 to 100 Inc. PERMITEE 40.00
Over 100 SIGNATURE _ ��' 0
d
Services DISTRIC O O ESSED By
0-200 Amp. Under 600 V 12.50
201-1000 Amp.Under 600 V 25.00 �^
Over 1000 Amp.or Over 600 V 50.00 =
O
Temp.Power Pole&Appurtenances enonces 10.00
o '•[j,�,C^ f1
Sign with One Branch Circuit 10.00 n
Additional Sign Branch Circuits 2.00 INSPECTION >
10.00 INFORMATIONbd :^ • . nF(' ,,.
Misc.Conduits&Conductors ON REVERSE x
Other ISee Complete Fee Scheduler_ SIDE u �'• • n (:iL
_ i
6
PERMIT FEE Sob-Total c L
PLAN CHECKING FEE (One-Fourth Permit Fee, O
PERMIT ISSUING FEE $7.00
TOTALFEE X:' GU > -
INSPECTION FINALED
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