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HomeMy Public PortalAbout5208 TEMPLE CITY BLVD_Electrical__ 7Y DB•u 11-19 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY w���s��� COUNTY OFF LOS LOS ANGELES 11 WILLIAM J. FOX, CHIEF EMBIN([R T FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN S -1: 1 fJ 1 / 2- 16 R[C[V[D BY READY FOR DAT[ KBU[D ADDR FIRST IMBPEOTION r rr�nt OITT T[L NO _c` CAN COU LICEMB NO I PIRQe - O-SO BUILDING D'05� J PERMIT FEES -- 1 a� NUMBER OUTLETS EACH F[[ _ LOCALITY LIONT OR 0 NEAREST CROBB ST RECEPTACLES 6 FIXTURES a OWNER WALL SWITCHES a MAIL /l eLEa RANGES 76 ADORERS /y [LEO HEATERS 516 CITY TEL. NO CA MIS I H[ EBY OKNOWLEDGR THAT i HAVE READ THIS NUMBER OF CIR UITS INSTALLED TOTAI APPLICATION AND STATE THAT THE ABOVE IB CORRECT L113HTS RECEPTACLES AND ABREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NUMBER Hong QP I CERTIFY THAT I POSSLBS 7H[ ABOVE VALID LOB NEW I Mvo HP� ER VA ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER ILAFA• 2e OF THC RESIDENTIAL PROPERTYDESCRIBEDABOVE s 60 SIGNATURE Z 6 1OO P[RMITTQE� k G/ e to 1 eD INSPECTION RECORD eD s eD so am 6 OO 200 BOO to DD t S"'d n soo lOOO OVER 1000 20 OO ' / a �L = M O SKTlrRKQ CHANGER-HP / � WELDERS AO-KVA Q' GENERATORS - KW D TRANSFORMLRS TEMP MOTORS (75% or ORIS) MOVED MOTORS (76 OF CRIO) MISC SIGNS TYP(I NO TRANS TYPE Na LAMPS APPROVALS FOR EACH PERMIT DATE INSPECTOR-0 NAM[ WIRING Sl OO CONDUIT FIXTURES St DO WIRING SUPPLEMENTARY e0 FU(TURES POWER TOTAL FEE S 1 UTILITY CD NOT1F1[o / / O FINAL f i sJ 764563CE-806" APPLICATIO OR ELECT ` ERMIT COUNTY OF LOS ANGELES BUILDING Al SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs &Pools - EACH- NO - FEE - ADDRESS _D _ -if _I &2 Famdy,Sq Ft S 025 - E + LOCALITY Multi fomily Sq Ft - 02 - RARE STS Residenrwl Swimming Pools 25 00 WNtR UR FIRM NAME Gullets Rec_Light_Sw _ _ MAIL First 20 50 i ADDRESS ^2o if 1 Total No - Addvionol 30 CITY _ _ _Tel Np_ _ •I- ? PLAN CHECK J APPLICANT Lighting Futures First 20 50 ADDRESS i 30 Total No . -Additional - - - - - - - -�' _ CITY Tel No Fixed Appliances Not Over 1 HP_ PERMIT yy - e -� c - - Range_Heater_D W � APPLICANT- ' Oven_Dr-yyeF_ W M — ADDRESS - - S ^�^S- •- Top _FAU — WH — _ CITY jV _ Tel-N .7:?70 -Hood_Fan _Other_ - LICENSE OR -• Dnp—Room Air Cond 2 50 _ REG NUMBER Power Apporatus&Lar e A ionces g Ppl I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO Size 8 Type HP KW KVA Or KVAR COMPLY WITH'ALL-COUNTY-ORDINANCES-AND-STATE-LAWS - -� 2 50 REGULATING ELECTRICAL WIRING _T Up to I InI HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDrOR -U 3�1LW0 Over I to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pL , Over 10 to 50 Incl -1250 CALIFORNIA OR-THAT-1 AM THE LEGAL OWNER QLTHE &B0-VE Over 50 to 100 Inc 25 00 DESCRIBED R IDENTIAL P PE Y Over 100 '- 4000- _ PERMITFE-- - SIGNATURE - •--r - Servrces��e 12 50 ;�,\ 2 DISTRICT P E+ Y- -201-,1000 "- -- 0 200 Amp Under 60O V' D� 201,1000 Amp Under 600 V 25 0O-. - - - OOer 1000 Amp or Ower 600 V i 00 ` ` �s Temp Power Pole&Appurtenon�es 1000 -- - - - - -t Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 200 „ INSPECTION_ Misc Conduits&Conductors ,� 1000 INFORMATION - Other(See Complete Fee Schedule)_ —ON REVERSE -" '2 8 2 3,'6 A SIDE _Z 2 • • 24,50 PERMIT FEE e (Sub Totals 17 01 - - _� • • •'2 s 0 PLAN CHECKING FEE (One Fourth Permit Feel I Z - y� 7A 4 1213-79 PERMIT ISSUING FEE '., - - $70 O 700 r �._. .._. TOTAL FEE j t T INSPECTION FINALEED t date By - es 1 COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1109290063 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT (LEGAL ID FEES PAID I BUILDING ADDRESS ITR 15603 LT 103 I 5208 TEMPLE CITY BL I (FEE DESCRIPTION QUANTITY DOM AMOUNT TEND CA 917803832 1 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA 18589-013-025 Al1PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY 1 I IG1 OUTLETS-LGT SW,RECP 3 00 OUT 5 80 I 1 TENANT IG2 LIGHTING FIXTURES 2 00 LGT 3 90 (ISSUED ON PROCESSED BY PLAN BY TOTAL FEES 37 50 09/29/11 SR - I OWNER TEL NO I FINAL DLU FINAL Y CODE 15208 GUNSONG, LOSER 6 MARIA (626) 660-]93]- I' D 5208 TEMPLE CITY BL TEMP 917803832 MSCRIPTIJbN OF WORK ITWO OUTLETS, ONE SWITCH AND TWO LIGHT FIXTURES _ I I APPLICANT TEL NO ISIMANGUNSONG„ LUSTER (626) 660-7937- 1 15208 TEMPLE CITY BL SPECIAL CONDITIONS TEMPLE CITY CA 91780 CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE SIMANGUNSONG, LUSER S MARIA (626) 660-7937- 15208 TEMPLE CITY BLVD LIC NO 1 TEMPORARY POWER POLE ITEMPLE CITY, CA 91780 NONE I I I UNDERGROUND CONDUIT I I 11 ARCHITECT OR ENGINEER TEL NO I 1UFER GROUND I I LIC NO (ROUGH CONDUIT R000H WIRING I I I (MAIN WATER LINE I I I IPLASTIC Y/N METAL Y/N I I- UTILITY COMPANY NOTIFIEDI I I I I I I I II II I II I_ I I I I II I I I I I I I I I I I I II IREPORT IO DPR265 ROUTE TO BS0508 I I I L I J _ -, COUNTY OF LOS ANGELES TEMPLE CITY M 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308050001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITTYY C91A9O780 ENT. LEGAL ID FEES PAID BUILDING ADDRESS TR: 15683 LT: 103 5208 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UKNN AMOUNT: TEMP C 917803832 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8589-013-025 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE- 597 GRID. A4 LOCALITY TEMPLE CITY Fl 120V, 15/20A BR CKTS 7 00 BR 120 75 F2 208, 277V LGT BR CKT 3 00 BR 81 90 ISSUED ON: PROCESSED By PLAN by EXPIRES ON G1 OUTLETS-LGT,SW RECP 30 00 OUT 52 50 08/05/03 JK 02/01/04 G2 LIGHTING FIXTIlrlES 20 00 LGT 39 00 OWNER TEL NO HA FAU LESS 3HP 1.00 FAU 10 95 tIMAL by: CODE SIMANGUNSDNG, LUBER 8 MARIA (626) 309-1127- IA M-RES IX FANS LT 3XP 2 00 IX 30 60 / O� , 5208 TEMPLE CITY BL JB AC UNITS +3-10HP 1.00 AC 19 65 TEMP 917803832 LB 200 AMP PANELS, MCC 1.00 PAN 38 85 DE3`CRTPTfdr6 TOTAL FEES 421 95 ELECTRICAL FOR ADDITION APPLICANT: —TE No SAME AS OWNERCONTRACTOR TEL NOAPPROVALS DATE INSPECTOR SIGNATURE - SPECIAL CONDITIONS SAME AS OWNER \ - �5 ���VT LIC NOARCHITECT OR ENGINEER TEMPORARY POWER POLE 'f � 1 LIC NO/ / �� /_ \�� / J I B � �,"1 1 1 IT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/M �LF .. LIQ i o ,�S?rVice REPORT ID DPR265 ROUTE TO SS0508