HomeMy Public PortalAbout6312 TEMPLE CITY BLVD_Electrical__ °"""`''011" '°"' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES pp
DEPARTMENT OF COUNTY ENGINEER gDDRE55 /
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE Nis SST
1 &2 Family Sq Ft�� �/ S 025 — S .71
OWNEROR
Multi family Sq Ft 02 — FIRMNAME
Residential Swimming Pools 2500 MAIL
ADDRESS
Outlets Rec Light_Sw CITY Tel No
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Total No Additional30 PERMIT T
Fixed Appliances Not Over I HP ADDRESS
Range—Heater—D W _ CITY DC104e Tel No
Oven—Dryer—W M_ LICENSE OR ,A
Top —FAU —WH — REG NUMBER
Hood—Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ARPLICATIDH AND STATE
Dlsp — Room Au Cond — 250 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY GRON
AWES AND STATE LAWS REGUATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT 1 AM PRJPERLY REGISTERED ANDIOR LICENSED AS
Up to 1 Incl 2 50 THE IIEGAL O LOS
ANGELES
R OOF TTHHEE ABOVE DEXRISESTATE RESIDENTIAL
� l wORINIM RROKRTOR THAT I AM
Over 1 to 10 Incl 500
Over 10 to 50 Ind 1250 PERMITTEE tr
Over 50 to I OO Inc 2500 SIGNA
Over 100 4000 DI ICT NO RPKXTrp ED BY
$erV Kel a `� RC1
0 200 Amp Under 600V 1250 APPROVALS' DATE I PNATOURE
201 1000 Amp Under 600 V 25 DO
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenarces 1000
Sign with One Brunch Circuit ROUGH CONDUIT
t 2 DO
Additional Sign Branch Circuits WIRING '
Ml Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO NOTIFIED q
FINAL
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE One Fourth Permit Feel
PERMIT ISSUING FEE $700 (7
TOTALFEE d 7
PLAN CHECK VALIDATION CK M O CASH PEMW VALIDATION CK M% CASH
N ♦S Q
1 WC)
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 .ELECTRICAL PE610
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS E-LND50849712010022
BUILDING AND SAFETY / LAID DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR: 33529 IRI 12 jE6312jTEMPLEFCITYSBL
FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917801453
ASSESSOR INFORKATION NUMBER NEAREST CROSS STREET
5383-015-045 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SN,RECP 8 00 OUT 15 60
TENANT G2 LIGHTING FIXTURES 3 00 LGT 5 85 issuFD ON PROCESSED BY PLAN ST EWIRESON
S H1 RES ELEC OVEN LT 3HP 1 00 OVE 10 80 12/01/97 UT /01/98
' R4 RES RANGE HDS LT 3HP 1 00 H00 10 80
OWNER TEL NO TOTAL FEES 70 BO FIKAL, DATE FINAL BY CODE.
BOOMHOVER DONALD C TR BOOMHOUER TRU _
6312 TEMPLE CITY BL Z-
TEMP 917801453 DESCRIPTION OF WORK
ELECTRIC FOR KITCHEN REMODEL
APPLICANT TEL NO
RICH ELECTRIC (626) 445-8241-
SPECIAL CONDITIONS
CONTRACTOR TEL NO P�G,ELES APPROVALS DATE INSPECTOR SIGNATURE
COCl
RICH ELECTRIC (818) 445-8241- �
91006
125E SANTA CLARA91006 C1 LIC O� iJ�
TEMPORARY POWER POLE
ARCADIA CA 343489 C10UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO. �4/moi
J
LIFER GROUND
LIC. NO ROUGH CONDUIT
ROUGH WIRINGn
MAIN WATER LINE
PUBLIC WORKS PLASTIC Y/N METAL Y/N
co
Service ' �
REPORT ID. DPR265 ROUTE TO BW508