HomeMy Public PortalAbout5807 TEMPLE CITY BLVD_Electrical__ 76AS69 DBa sA !-49 ® APPLICATION FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN All
DISTRICTINO. GROUPI ZONE PERMIT NO.
ELECTRICIAN "
/? f S
RECEIV �.� READY FOR DATE ISSUED
ADDRESS Z FIRSTINSPECTION (- �)
CITY TEL. NO. a (/ ` � 1
COUNTY LICENSE CIO T O k-- EXPIRES BUILDING
PERMT FEES FEE ADDRESS
NUMBER OUTLETS EACH LOCALITY
LIGHTS Sc $ to NEAREST
CROSS ST.
RECEPTACLES 5
FIXTURES S -)-110 OWNER
WALL SWITCHES5 MAIL
ELEC. RANGES 25
ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
MISC.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
s NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
' MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER _ FEE
CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH
OF THE RESIDENTIAL PROPERT]( DESCRIBED ABOVE.
+h s LE99 $ .25
I/p 2 .50 SIGNATURE O
2 S 1.00 PERMITTEe
5 15 1.50 INSPECTION RECORD
15 50 2.50
50 200 5.00
200 Soo 10.00 4-a
Soo 1000 15.00
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP ,✓
WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS 75% OP ORIG.
MOVED MOTORS (75% OF ORIO.)
MISC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT'
WIRING $1.00 r 0 0 CONDUIT
FIXTURES $1.00 to WIRING i�t�✓. r Ste'
SUPPLEMENTARY .50 FIXTURES C-y
/ POWER
TOTAL FEE $/ UTILITY CO. NOTIFIED ��• '
666 FINAL -�
7SA888 D138 8A 0-49 ® APPLICATION FOR PE MUT
' DEPARTNffNT OF BUILDING AND SAFETY ELECTRIC
���
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR PPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO.
/Z/
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 7- 3 FIRST INSPECTION
CITY TEL. NO.Or4 A A O �
COUNTY LICENSE NO. EXPIRES BUILDING
PERMT FEES ADDRESS
FEE
NUMBER OUTLETS EACH LOCALITY
LIGHTS Sc S NEAREST
RECEPTACLRECEPTACLES5 CROSS ST.
FIXTURES S OWNER V4�&� M, j to
WALL SWITCHES S MAIL
ELEC. RANGES 25 ADDRESS
ELF.S. HE TER 25 CITY TEL. NO.
MI 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS IN ALL D: APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWERI CERTIFY THAT I POSSESS THE ABOVE VALID LOS
FEE
NEW MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
Ve 6 LESS $ .25
I/2 2 .50 SIGNATURE
PERMITTEE
2 5 1.00
5 15 1.50 INSPECTION RECORD
1S 50 2.50
50 200 5.00
200 SOO 10.00
SOO i WOO 15.00 t,� 2 �f, ` Q
OVER 1000 20.00 / Z
M.G. SET/FREQ. CHANGER-HP 1 ��'�, `� - �� A�✓
� � E
WELDERS.• AC-KVA - O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.
MOVED MOTORS 73% OF oRtc.)
MISC.
SIGNS
TYPE: NO. TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT- DATE INSPECTOR'S NAME
WIRING $1.00 U O CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY 5O FIXTURES
POWER
TOTAL FEE S to UTILITY CO. NOTIFIED
FINAL
76A669 DBB SA 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES
WILLIAM J. FOX,'CHIEF ENGINEER
FOR PPLIOANT TO FILL IN DISTRICrNO. GROZO
UP NE PERMIT NO.
A .rte A / vF�
ELECTRICIAN
RECEIVED BY READY FOR DATE IBBUED
ADDRESS Lr I FIRST INSPECTION
CITY q TEL NO.06$k 9
COUNTY LICENSE NO. O A.— EXPIRESBUILDING
PERMIT FEES ADDRESS 1 1
FEE.
NUMBER OUTLETS EACH LOCALNEA
ITY
REST V
LIGHT Sc B CROSS ST.
RECEPTACLES 5
FIXTURES 5 OWNER .9,, VA , I its
WALL SWITCHES 5 MAIL
ELEC. RANGES 25 I ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
NUMBER
MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
OF CIRCUITS INfiTAL DC
TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH• ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
New MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
%2 A LESS $ .25 OF THE RESIDENTIA17 PROPERT DESCRIBED ABOVE.
%2 2 .50 SIGNATURE
2 5 1.00 PERMITTE
5 15 1.50 INSPECTION RECORD
15 513 2.50
513 200 5.00
21313 500 10.00 _
500 1000 15.00 J
OVER 1000 20.1301 Z
M.G. SET/FREQ. CHANGER-HP
WELDERS'AC-KVA I E
GENERATORS - KW O
TRANSFORMERS - KVA
TEMP. MOTORS (75 DF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
TYPE' NO.TRANS.
TYPE' NO. LAMPS APPROVALS
FOR EACH PERMIT' DAME INSPECTOR'S NAME
WIRING $1.170 CONDUIT
r
FIXTURES $1.00 WIRING �o
SUPPLEMENTARY .50
FIXTURES
POWER
TOTAL FEE $ 3 UTILITY CO.NOTIFIED
FINAL "t
< �- l r•-/
saMaa eN sA APPLIrATION FOS PERNMT
DEPARTMINT BAND SAFETY
COUNTELECTRIC i
Y OF LOS ANGELES
WILLIAM J. FOX. ONIER EN■INEER
FOR APPLICANT TO FILL 1 DISTRICT NO. BROUP I ZONE PERMIT NO.
13
ELECTRICIAN
RECEIVED ■Y READY !'OR DATE ISSUED
ADDS L rr- FIRST INSPECTION
OITY TEL.NO ��r� �+ t• •('
OUW LICENSE Nd C'Y EXPIRE■ ■UILDINS
P�T pm ADD
HUMMER OUTLETS EACH �C LOCALITY
LIMNT so MEARE■T Af
13RON BT.
RECEPTACLES a
FIXTURCS s OWNER s7
WALL SWITCHES s MAIL
EL RANEE■ as ADORES■
CLEC. VEATZ11011 an CITY TEL. NO.
NUMBER OF CIRCUIT■ INSTALLCDI I HERESY ACKNOWLEDMC THAT 1 HAVE READ THIS
TOTS APPLICATION AND STATE THAT THE AMCVE IS CORK
LIMHTE AND AMREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS RCSULATINS ELECTRICAL WIRINS.
Nummm HCR■EP13WER RC 1 CERTIFY THAT 1 PONE■■ THE AMOVE VALID LOS
Naw Mw. NP ovER IND. snots ANSELES COUNTY LICENSE. OR 1 AM THE LCMAL OWNER
a uuo .!s 13F THE RESIDENTIAL PROPERTY DLSCRIMm ASC1/6
! •� NIM
11C1 OF
! M 1.00
PERMITT« -I
s 1s 1.60 IIIBPECTZON RECORD
!
111 SO .1113
110 SOO 0.00
Sm SCO 10.013
son 1131313 111.013 JJ
OVER 1000 110.013 Z
M.M. ■ET FRE CHANME i-HP 0
WELDMOo AC-KVA
onNERAT13N
TRAN■FCRMEN - KVA
TEMP. MOTOR■ of sMI11
MOVED MOTORS (vas or unim.)
1 Q
BIBNB
TYPEI MC.TWAME-
El MC6 LAMM APPROVALS
FCR EACH PERMITI DATE IN■PCOTORr■NAME
WIRIMM ■1.m CONDUIT
FIXTURE■ 1.m WIRINM
,11 f FIXTURE■MPPLEMMTAEV .+ ~ •+••
e
—POWER
TOTAL FEE UTILITY 130.MDTIFIED
FINAL / r. 1- r A
62 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
AR'TMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS D ' /
JOHN A. LAMBIE, COUNTY ENGINEER �J
/JVILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
/ FOR APPLICANT TO FILL IN CROSS ST. . j
RECENT,/' TOTAL NO. EACH FEE
/ OUTLETS, FIRST 20 O S 2O IB 1 1 �� OWNE
LIGHT/ MAIL
VER'L f0 11 ADDRESS
SWITCH. � OVER 2O Cl
LIGHTING
TOTAL CITY TEL.NO.
F1Rsr 20
FIXTURES } // pDD'L .20 1O ELECTRICIA
•f I18 0
RANGES CLO.DRYERS WT R.HTRS. 1.00 ADDRESS 8923 E'
GARB.DISP. ' STA.COOK CITY San GabrielzELG&Wf.a AT• v
D18HWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA.APP.(Va H.P.MAX.) ,50 LICENSE NO. -
MOTORS: OVER NOT OVER H.P. DI,S�. RICT rgROUP NE PROC D B
O 1 1.00 /
1 a 1.50 INSSPPE+CTTI& RECORD ` f
5• S 2.00
s Is 2.50 'J '
1S s0 &00 �.
' o_
so too s.00 O
V
SIGNS: NO.TRANS•
NO.LAMPS O
SERVICE O•SOOV-Nor OVER 200A 1.00J
SERVICE 0.800V-OVER 200 A. 2.00 N
SERVICE OVER 500V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLBDGE,,THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND ^ONCE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT -�/• �/ ✓ c., _
ELECTRICAL WIRING. WIRING;r 1. '' �•f°'" " �/ /b/ 4-r- •�v 'f .
1 HEREBY TRA
I AM PROPERLY REGI RED AND/OR n 7 r v
LICENSED A8- L08 ANGELES COU YND TE OF FUCTUREB
CALIFORNIA AM THE LE6 OWN O TH ABOVE
DESCRIBED ROPERTY. POWER.
SIGNATURE UTILITY CO.NOTIFIED lr 77
OF PERMITTE FINAL.
DATION ARTHUR C. V9IT
CK MO -CASH SUPERVISING ELECTRICAL ENGINEER
LJ tfa� r1 4 J .3 4L 5 2 D
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1202290022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
1TR: 6561 LT: 612 BL: .001 5807 TEMPLE CITY BL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802113
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY
18587-015-002 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.40 1 I
(TENANT: IG2 LIGHTING FIXTURES 30.00 LGT 52.40 ISSUED ON: PROCESSED BY: PLAN BY:
II ILB 200 AMP PANELS, MCC PAN !02/29/12 SR
TOTAL FEES 171.50
(OWNER: TEL. NO: I IF TE FINAL BY: CODE: i
IARETE FAMILY MEDICINE (626) 975-7457- 1 I L I
15807 TEMPLE CITY BL. I I 1
ITEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK I
I I (ADD 30 OUTLETS, 30 LIGHT FIXTURES AND UPGRADE SERVICE PANEL 1
I I ITO 200 AMP FOR TENANT IMPROVEMENT 1
1APPLICANT: TEL. NO: I I I
IMOK-5 AND ASSOCIATES (909) 910-1088- I 1 1
12537 SEGOVIA I ISPECIAL CONDITIONS: i
ILA VERNE, CA 91750 I I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IMOK 5 AND ASSOCIATES BUILDER (909) 910-1088- 1 I I
12537 SEGOVIA LIC. NO 1 ITEMPORARY POWER POLE I I I
ILA VERNE, CA 91750 961125 B II I
UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND
ILEE, PETER (626) 280-9000- 1 1-
18748 E. VALLEY BLVD. SIIITE L LIC. NO: [
I 1ROUGH CONDUIT I ROSEMEAD, CA 91770 961125 H
ROUGH WIRING 1 I
I i I I I I
I I IMAIN WATER LINE
I 1 (PLASTIC Y/N METAL Y/N I I I
I 1 JUTILITY COMPANY NOTIFIED'�f
I I I I I I
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I I I I I
1 I* ADDITIONAL DATA ON FILE
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I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I