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