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HomeMy Public PortalAbout5023 TEMPLE CITY BLVD_Electrical__ TaAaaa ceeoa a•aG APPLICATION FOR ELECTRICAL P RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION AODRESS / v JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NO EACH I!! RECEIPT 3 3 OWNER MAIL LIGHT_ TOTAL FIRST 20 2p ADDRESS CITY TEL NO — Q SWITCH_ OVER 20 10 PLAN HECK LIGHTING TOTAL FIRST 20 20 APPL ICANT FIXTURES } OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U CONTRACTOR T SPACE HTR —AIR COND ADDRESS CLOTHES WASH _DISHWASH CITY TEL NO FAN_OTHER 1 00 LICENSE NO CLASS_ MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION IND HEATERS, ETC HP NW KVA AND STATE THAT THE ABOVE la CORRECT AND AGREE TO COMPLY SIZE a TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 — 1 I 1 00 1 1 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED Nm/OR r D v MO A9 REQUIRED I BY HE ANGELES COUNTY AND STATE Or O 1 — 10 3 DD IN H THAT 1 ES THE LEGAL OWNER OF AND INTEND TO V IN rxc ABOVE DESCRIBED ueD Rcamcx RAL PROPERTY 10 — 50 5 GO DE URE O SO — 100 10D0 MITTEE Srj 100 — 500 5.00 T No GRSIGN GAS SIGN AND ONE CIRCUIT 3 00 Z TUBS, ORMARQUEE ADDITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00TEMP SERVICE, POLE, &APPURTENANCES 3 00APPROVALS DATE IHV ECTDRY SI ATURE POWER POLESLAB WORK CONDUITG r �r PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED JSUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M D CAS. . PERMIT VALIDATION CK M D cAa LAC0 5 2 8 4R Ear g 2 D ,; 4.0 0; SEE eACW 01 APPLIrATION FOR TOMO FTC TEE SCHEDULE 7e DBe eA 11-W APPLICATION FOR PMN 'A, DEPARTMENT OF BUILDING AND SAFETY _ COUNTY OF LOS ANGELES �+ �� �'1 WILLIAM J. PDX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. 13.5; 5 ELECTRI IAN RECEIVED BY READY EOR DAT[ ISSUED AGGRESS fIRHT INSPECTION �J CITY TEL NO COUNTY LICENSE NO jam ire. E%PI REB BUILDING PrLR?4 .n FEES ADDRESS F[[ 1 NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS BT RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS So B S JC MAIL CLEC RANBES 78 ADDRESS ELEC HEATERS SS CITY TEL NO FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MIBC APPLICATION AND BTATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATIND ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ASW[ VALID LOS Nur1eER HORSPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER TEE NEw Mw HP Duca INC EACH Or THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. YZ JAI A L"R 4 SS SIGNATURE Or 1 1 BO PERMITTEE �.ALrTALw 7 B 1 DD INSPECTION RECORD B 15 1 SO IB BO 760 BO 700 BOO _ 700 BOO 10 00 J _ BOO IOOO 1600 Z OVER 1000 7000 p M 0 BETFREC CHANGER-HP E WELDERBI AC-KVA D GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS I73% or onlo MOVED MOTORS (75 Or DRIB.) MIBC SIGNS NO NO TRANS. NO NO LAMPS APPROVALS FOR EACH PERMITI DAT[ INSPECTOR•B NAME WIRING $l 00 CONDUIT FIXTURES mica WIRING SUPPLEMENTARY BO FIXTURES r POWER TOTAL FEE S�1 UTILITY CO NOTIFIED FINAL O�"'� r s E J COUNTY OF LOS ANGM RC TEMPLE CITY R 0508 ELECTRICAL PERMIT DEPARTMNT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704190028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 13329 LT 61 UN 002 5023 TEMPLE CITY BL FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803830 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8590-015-017 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID AS LOCALITY TEMPLE CITY, C IG1 OUTLETS-LGT,SW,RECP 1 00 OUT 1 95 TENANT G2 LIGHTING FIXTURES 1 00 IAT 1 95 ISSUED ON PROCESSED BY PIAN BY EXPIRES ON HA FAU LESS 3HP 1 00 FAD 10 95 04/19/07 JK 10/16/07 OWNERIJB AC UNITS .3-10HP 1 00 AC 19 65 PAPPI 6) NO TOTAL FEES 62 25 IIFINAL x T$/ $��.T77 i�LLL BY CODE PAPPI JORGE,DOLORES TRS (626) 285-8723- � �]f� 5023 TEMPLE CITY BL , u1 TEMP 917803830 CRIPTIO OF fORX ELECTRICAL FOR HVAC SYSTEM _ APPLICANT TEL NO IROSSMOYNE INC (818) 249-8397- 3500 OCEAN VIEW DR I SPECIAL CONDITIONS Gr PNDkU, CA 91208 - - - - - CONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE IROSSMOYNS INC (818) 249-8397- 3500 OCEANVIEN BLVD LIC NO I TEMPORARY POWER POLE GLENDwLE, CA 91208 501052B UNDERGROUND CONDUIT IARCHITECT OR ENGINEER TEL NO IUFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE MASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED I I I I I I - REPORT ID DPR265 ROUTE TO BS0508