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
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