HomeMy Public PortalAbout10667 SPARKLETT ST_Electrical__ �7eAe63 eeege II rl APPLICATIO =FOR ELECT ICAL PERMIT U
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7APPLICANT
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BUILDING AND SAFETY DIVISION S ,�p�
Y / L
T / h V�
FOR APPLICANT TO FILL IN T l
OUTLETS
h P 11
RECEPT 3z S
s 15 N 2 d Vc
LIGHT 71 OVER
FIRST 20 p Ze Q Q
SWITCH 11 � OVER 20 10 (" 1 0 �'a a TEL NO 4A6_- 772
{ HECK
LIGHTING l FIRST 20 Q 25 s' Q QNT
T TOTAL
OVER 20 O ADDRESS
FI%TURES 10
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE_DRYER_WTR HTR_ APPLICANT 1U✓ /,. ^ N L G
STA COOK�DISP!FAU � ADDRESS /37/;-D ^//C'N�Io Lo,
SPACE HTR AIR CORD�_ CITY h V TEL NONWU72.A
CLOTHES WASH DISHWASH LICENSE NO Q Q CLASS
FAH OTHER 100 00
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMD STATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMER! RATING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIE[ S TYFE OVER TO
I HEREBY CERTIFY THAT I AM ANGELES
C REGISTERED AND/OR
O — 1 100 CALIFORNIARAS RE THAT
BY LOS LEGAL
LEe COUNTY AND STATE OF
CESIDEMOR TXAT VE THE CRI E OWNER ESI OF AND (ROPER TO
III 1 — 10 300 O O RESIDE IN THE ABOVE DESCRIBED [110[NTIAL PROPERTY
Q
SIGNATUREOd
10 — SO 5Do OF PERMITTEE uM'B O
50 — 100 loop G
DIBrRIcr NocuaA FRocea o e IuLG
100 — 500 1500 ,3;or
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 300 DO
SERV(CE OVER 600 VOLTS OR 200 AMP 1040 APPROVALS DATE AOIWTCRS SISMATl11E
TEMP POWER POLE
TEMP SERVICE,POLE @ APPURTENANCES 5DD
UNOERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 3 D
ROUGH CONDIUT
j
WIRING
FIXTURE!
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 900
00 FINAL
TOTAL FEE 6
PLAN CHECK VALIDATION CK M o CASH PERMIT VA ID TION cK M o cA[H
0SEELi t.lo n 099— DEC 8 2 0 3 _ _30-
SEE
BACK OF APPLICATION FOR COMPLETE SCHEDULE
]eAe.)C,CRaa! la/Ta APPLICATION FOR ELECTRICAL PERMIT
BUILDI AND SAFETY D BION
POR APPLICANT TO TILL IN
New Residential Bldgs &Pools
EACH NO FEE ADDRESS lo667 E. $ r et
1 &2 Finady Sq Ft $ — $ LOCALITY Temle Citi
Multi family Sq Ft — NEAREST
RP.1 VnIO
NER TSS ST
Residential Swimming Pools OCW
OR
FIRM NAME
OMAILutlets 20 Light Switch&Receptacle ADDRESS- 10667 E. $ TklettB
First
Additional CITY Tel No
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY -.Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICAN
Range_ Heater_ D W
AODRESS----• r
Oven Dryer W M 1010TI Drive
Top FAU W H CIT - Tel No Q
Hood Fen LICENSE ORO
Dlsp AC REG NUMBER 227962 Cla ,ylo c0
IPA.Tni.•
PICAT...
AN.Power Apparatus& Large Appliances caITn•T awryi .T AND AGReeTou.T
DN.. vRolCE. AND TATs LAWS REGULATING
Size&Type HP, KW KVA or KVAR eLeCTlL.1IOUw
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jGICJCI� Up toincl rn
♦fG�Pi� •Incl
ic�w ioE^^cceRnrr THAT i w open coisv Rev nv/VN
3—ton A QJvar 1 to 10 Incl wRDuiREv eT L.. ....Le.a .Tr AND .TAT. D
G..C .... . THAT i r Gnew r TNe weG
R.cwieeI NnwI PROP TI
Over 50 to 1G0 Ind PERMITEE
. Over 100 SIGNATURE
DI
STRICT ROCE ED By
Services 0 200 Amp Under 600V (J `201 1(x10Amp Under600V S DATE SIGNATURE
INSPECTOR S
Over 1000 Amp or Over 600 VETemp Power Pole&Appurtenances KSign with One Branch Circuit
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
TOTALFEE NOTES
PLAN CHECK VALIDATION CK M 0 - CASH PERMIT ALCK MID CASH
7 8 4JUL<z57 '2 1) 9.00 A9i
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1108170044
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEG L ID FEES PAIDBUILDING ADDRESS
BK 40 PG 34 PC 5
10667 ETT ST %
JASSESSOA INFORMATION NUMBER FEE DESCRIPTION QDANTLTY UOM AMOUNT TEMP CA A 9178917804136
8585-029-036 I NEAREST CROSS STREET
IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, C
IG1 OUTLETS-LGT SW,RECP 12 00 OUT 23 30
TENANT G2 LIGHTING FIXTURES 10 00 LGT 19 40 (ISSUED ON PROCESSED BY PLAN BY
H2 RES GREG DISP IT 3HP 1 00 DIS 10 90 08/17/11 SR
H3 RES DISHWASHR LT 3HP 1 00 DIS 10 90
OWNER TEL NO H4 RES RANGE HUS IT 3HP 1 00 HOG 10 90 FINAL FINAL BY CODE
1TERRIQUEZ GAUDENCIO E,MARTHA EDWAR (626) 454-4895- TOTAL FEES 103 20
10667 SPARKLETT ST 1-7, 1
ITEM@ 917804136 IDE&SCRIPTION OF WORK
I (ELECTRICAL FOR A KITCHEN AND ITHROOM REMODEL 1
APPLICANT TEL NO
I
SAME AS OWNER _
I 1 SPECIAL CONDITIONS
I
CONTRACTOR
TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER _
LIC NO TEMPORARY POWER POLE
1 UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL NO IUFRR GROUND
� I
LIC NO TROUGH CONDUIT
ROUGH WIA ING
(MAIN MUTER LINE VV
PLASTIC Y/N METAL Y/N
I I I
(UTILITY COMPANY NOTIFIED
I I
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1 (REPORT ID DPR265 ROUTE TO DS0508
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