HomeMy Public PortalAbout4852 TEMPLE CITY BLVD_Electrical__ rawe•sC- CaaRse l=,Ta APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO PILL IN Q, t�
New Residential Bldgs &Pools
EACH NO FEE ADDRESS g5 Y 'N/L o (✓ 1✓<<d
1 &2 Finally Sq Ft $ - LOCALITY
Multi family Sq Ft - NEAREST 11
Residential Swimming Pools CROSS ST h 0 W �Y Q 2L1 1�!
OWNER OR a,�
FIRM NAME '-`4 1
Outlets Light,Switch&Receptacle MAIL
First 20 ADDRESS , S R ..s.s -e-
Additional
eAdditional CITY Q, Tel No ♦1 - �0 3 1 4(
PLAN CHECK
APPLICANT - -
Lighting Fixtures
S .
First 20 ADDRESS
Additional
CITY Tel No
Fixed Appliances Not Over 1 HP APPLIPERMIT CANT � (D CaJ7n�/
Range— Heater_ DW C
ADDRESS a ' �� 1V
Oven Dryer W M _
Top FAU WH CI7V -e H, (� �, I f To No
Hood Fan LICENSE OR
Disp AC EG NUMBER Clan p
I HEREBY ACKNOWLEDGE THAT rruCATION
AND
ASOVK IS CORRECT AND AURKM TO
Power Apparatus& Large AppliancesALLSTATE Co TIT.O ORDINANCES AND STATE LAN+ NmULLAT NG G1-
Size&Type HP, KW, KVA,or KVAR ELECTRICAUp L
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Over 1 Incl TY AN S AND/OR ti
Over 1 to 10 Incl + a.ev�Ia.o e D .TATO OF
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Over 10 to 60 InclOv<e,OOe N AL I.CICaTl _
Over 60 to 1001 ncl PERMITEE •/i a. -/
Over 100 SIGNATUR
DISTRICT NO PR
Services 5
0 200 Amp Under 600 V
201 -1000 Amp Under 600 V APPROVALS DATE INSPECTOR S
Over 1000 Amp or Over 600 V SIGNATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNOERSLAB WORK
Sign with One Branch Cucmt
Additional Sign Branch Circuits RO VGH CONDUIT
(Other) WIRING
FIXTURES
/ POWER AUTHORIZED
PERMIT FEE (Sub Total) [ UTILITYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Feel FINAL / g
PERMIT ISSUING FEE
NOTES
TOTAL FEE
e
PLAN CHECK VALIDATION CK MID CASH PERMII VALIL1AIIUIICKM O CASH
1 9 0 hJAN 20 2 6.0 U �'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0709130008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
�TR 14467 LT 10 4852 TEMPLE CITY BL
FEE DESCRIPTION QUANTITY DOM AMOUNT \TEMP CA 917804235
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LOWER AZUSA
8589-015-009 JAI PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY, C
SLB 200 AMP PANELS, MCC 1 00 PAN 38 85
TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
09/13/07 SR _ -03/11/08 -
OWNER TEL NO � F TE �n
F�NCODE
�LEUND AGUSTIN C,LILIA C (626) 379-8185- //��� '7
4852 TEMPLE CITY BL �^'
TEMP 917804235 DESCRIPTION OF YORK
UPGRADE SERVICE PANEL TO 2 0 AMP
APPLICANT TEL NO
SITU (626) 287-8303-
1068 W E GEWARE RD ISPECIAL CONDITIONS
LOS ANGELES CA 90026
CONTRACTOR TEL NO � ' APPROVALS DATE INSPECTOR SI@IATURE
KEVIN QIJUN SITU (626) 287-8303-
11068 W EDGEWARE ROAD LIC NO ITEMFORARY POWER POLE
(LOS ANGELES CA 90026 813372 CIO )
UNDERGROUND CONDUIT
-I
ARCHITECT OR ENGINEER TEL NO �UFER GROUND
LIC NO ROUGH CONDU T
ROUGH WIRING
MAIN PATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
Y
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, REPORT ID DPR265 ROUTE TO BS0508