HomeMy Public PortalAbout6217-6219 TEMPLE CITY BLVD_Electrical__ 76A663 DBB SA 3-513 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES "
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TD FILL IN DISTRICT NO. GROUP ZONE PERMIT NOS
ELECTRICIAN _ _ l/s�A /A n
READY FOR
ADDRESS //^ s� ,L/�'S /J/1/� DATE ISSUED
C' /7�f�RECEIVED BY FIRBTINSPECTION
CITY 51-1/ C.Y/gc�Q/ L TEL NO. �.1!!�l
COUNTY LICENSE NO. all EXPIRES BUILDING � 7-�
LO
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY �/�/1•/+� ` /��
LIGHT OUTLETS /Q NEAREST
RECEPTACLES CRUMB 87. / D�t1l/.?�pst/
WALL SWITCHES ID OWNER 4A (2- A
TOTAL OUTLETS 3® 5c $ 1 MAIL r /
ELEC. RANGES 25 ADDRESS 6�/�% • /CAIA-c of 7-1,
Y
ELEC. HEATERS 2s �s• CITY -7' / TEL. NO.
FIXTURES /® 5 JA
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS ..I AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS / AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw Mw. HP OVER INC. EACH OF THE REBIDENTI L PROPERTY DESCRIBEE/D1( ABOVE.
I/2 A LEES $ .25 SIGNATURE OF /% P f
%2 2 .60 PERMITTEE //Z
2 5 1.001 INSPECTION RECORD
s is 1.60 I
15 50 2.50
60 2013 5.00
200 500 10.00 J
500 icon 15.017 Z
OVER 1000 20.00 0
M.G. SET/FREQ. CHANGER-NP lz
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of CRIB.)
MOVED MOTORS (75% of CRIB.)
MISC.
SIGNS
N0. NO.TRANS.
NO. N0.LAMPS NIL
FOR EACH PERMIT? DATE INSPECTOR'S NAME
WIRING $1.00 4A CONDUIT 2-(/_ F L y rV,"
FIXTURES $1.00 on WIRING �a �!l 1.1/•.
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ Q UTILITY CO.NOTIFIED <- YHA
FINAL FL-YA✓N
76A663-CES06 468 APPLICATION FOR ELECTRICAL P MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER F
G
BUILDING AND SAFETY DIVISION S
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGTY
T
FOR APPLICANT TO FILL IN T.
NO. EACH FEE
RECEPT._ S S
i
LIGHT TOTAL FIRST 20 .20 S
SWITCH_ OVER 20 .10 TEL. NiffHECK 'LIGHTING TOTAL FIRST 20 .20 ANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP._F.A.U._ CONTRACTOR
SPACE HTR. AIR COND.
ADDRESS
CLOTHES WASH._DISHWASH._ CITY ttTEL. N0.
FAN—OTHER 1.00 LICENSE WO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 - 1.00
ELECTRICAL WIRING.
1
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO }
10 - 50 5.00 RESIDE IN, THE ABO DESCRIREO RESIDENTIAL PROPERTY. C C.D
50 - 100 10.00 OF PERMITTEE 'SIGNATURE8
CD
100 - 500 15.00 I--'
FNT
T . GROUP ZONE PROCESSED BY ns
TUBE, OR SIGN AND ONE CIRCUIT 3.00 cn
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00OVALS DATE INSPECTOR'S SIGNATURE
ER POLE
rROUGH
LAB WORK
CONDUIT
PERMIT FEE (SUB TOTAL) ES
PLAN CHECK FEE (50% PERMIT FEE)
AUTHORIZED
PERMIT ISSUING FEE 2.00 od UTILITY CO.NOTIFIED � r
SUPPLEMENTARY PERMIT ISSUING FEE 1.o0 FINAL of
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELEC ICAL ENGINEER'
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
0.1
EE HACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��
COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0909240004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: �I FEES PAID I BUILDING ADDRESS: I
6217 6219 TEMPLE CITY BL I
ON FILE IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801750 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN [
15385-011-007 IAl PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
JIHA FAD LESS 3HP 2.00 FAD 21.90 1
(TENANT: JB AC UNITS +3-10HP 2.00 AC 39.30 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 109/24/09 SR 09/24/10
LN OTHER PNL 0-399 AMPS 2.00 PAN 77.70 1 I
(OWNER: TEL. NO: 1 TOTAL FEES 205.50 IFINAL DATE FINAL BY: CODE:
[LONG, MARIE (909) 985-2188- I 1 F1 1
11557 UPLAND HIILS I I 1ry
(UPLAND, CA 91784 I [DESCRIPTION OF WORK I
II INEW METER & MAIN PANEL 200 AMP (SOUTH SIDE) NEW LOAD CENTERS(
1APPLICANT: TEL. NO: I IFOR ADDRESS ABOVE (ONE ON NORTH ONE SOUTH) TWO 30 AMP, 24 1
OVAL CIRCUITS FOR A/C UNITS IN EACH UNIT 1
IDGS ELECTRICAL SERVICES (626) 864-2001- 1 1
14908 ALESSANDRO AVE. 1 ISPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 I
ICONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE [
IDGS ELECTRICAL SERVICES (626) 287-8458- 1 1 I
14908 ALESSANDRO AVENUE LIC. NO 1 ITEMPORARY POWER POLE I
ITEMPLE CITY, CA 91780 459552 C10 1 I I I I 1
1DNDERGROUND CONDUIT [
(ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND [ II
LIC, NO: ROUGH CONDUIT
ROUGH WIRING I�I r
I 1 L IMAIN WATER LINE I 1
'v d��j T', 1 L �) � � N 1PLASTIC Y/N METAL Y/N
1 I ` (UTILITY COMPANY NOTIFIED( I
� ►I II I I
I
(REPORT ID: DPR265 ROUTE TO: BS0508 [ I [ I
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