HomeMy Public PortalAbout6355 TRELAWNEY AVE_Electrical__ 4 71 to
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DAB BB APPLICATION FOR ELECTRIC PERMIT ' I
DIVISION OF BUILDING AND SAFETY
Doparft e t of County Ensrb«m
C�nly cd Los Angeles BUILDING
WM J FO COUNTY ENGINEER ADDRESS
CAS IATT O GRIFFIN SUP T OP BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERDIIIT FEES CROSS ST
NUMBER EACH F!!
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTALOUTLETS 50 f CI
ELEC RANGES 2e ELECTRICIAN
ELEC HEATERS 26 ADDRESS
NW EA CITU TEL mlo
FIXTURES ! LICENSE NO go
NUMBER OF LIGHT CIRCUITS
DISTRICT NO GROUP ZONE EGDT FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
N[W MVD HP OVER INC EACH
a LEES 0 2B
z Eo
2 ! 100I
3 18 I E
IE !O 250
BO 200 B D
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 22- e"
FIXTURES SI 0
SUPPLEMENTARY ! APPROVALS
TOTAL FEE �I DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AOMPLYWITH ALL COUNTY ORDINANCES AND STATE LLATING WIRING
ELECTRICAL WIRING
1HEREBY CERTIFY THAT 1 AY PROPERLY REGNO/OR FIXTURE8
LICENSED AS REQUIRED BT LOS ANGELES COUNTTE OFCALIFORNIA OR THAT 1 AY THE LEGAL OWNERABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
UTILITY CO NOTIFIED
OFPERMITTEE FINAL
WILLIAM J FOX,COUNTY ENGINEER VALIDATION A C.VEIT,CHIEF ELECT.INSPECTOR
M 5 9 9 2In mAR 13 2 125
m
]EAGER-CEEDE I-e7 APPLICATION FOR ELECTRI AL PE IT/
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDREae
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUP[RImT NoENT OF BUILDING1 LOCALITY
Mm
NEAREST
O A CA CROSS ST Q PJ
RECEPT �_I
TOTAL n
OUTLETS FIRST 20 °20 ° OWNER L Q
IF
LIGHT MAIL
SWITCH ADD L 10 ADDRESS
OVER 20
TOTAL FIRST 20 20 CITY TEL NO
LIGHTING FIXTURES
FIXTURE[ ADD L 10 CONTRACTOR
OVER 20
RANGES WTR HTR, If 100 ADDRESS
DAIS DIY STA COOK
CITY TEL NO
wSHWASH AVID WASH STATE
SPACE HTRS STA AFPL EO LICENSE NO & .20
�O
MOTORS, OVER NOT OVER HP DISTRICTF,5,,,I G I Tchur I P D
de O 1 100 Tr
1 3 ISO INSPECTION RE RD
a a 200
S 15 250
Is 50 300 (/ a
50 100 500 0
SIGNS, NO TRANS pC
No u1o5 �O
SERVICED SOOV NOT OvER200A 100
OVER
A
SERVICE O GOON OV200 A 200 Z
SERVICE OVER SOOV 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2001 Cou
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPWIVALS DATE lNwnperm 0 WONATM
TOTAL FEE °
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAD WORK
AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND RATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HERE" CERTIFY THAT 1 AM PROPGLY REGISTERED AND/OltFIXTUREa
LICENSED AS REQUIRED EY LOS ANGELES COUNTY AND RATE OF
CALIFORNIA OR THAT I AM THE LEGAL OVINER OF AND IN NO TO POWER
RESIDE IN THE ABOVE E EO REST TI OP[
SIGNATURE UTILITY CO IFI D
OF PERMITTEE
FINAL
U J SEP C O
(IX MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
LAWs 7 5 OQ-- ,aL24 2 D 5AO-
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• COUNTY OF LOS ANGELES TEMPLE CITY P 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC MORSE 9701 LAS TUNAS EL 0508 0511210026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0408 BST
LEGAL ID FEES PAID BUILDING ADDRESS
TR 14263 LT 10 6355 TRELANNEY AV
FEE DESCRIPTION QUANTITY DOM AMOUNT TEND CA 917801312
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LEMON
5382-020-059 Al PERMIT ISSUANCE PER 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY C
G1 OUTLETS-LGT SM RECP 17 00 OUT 33 15
TENANT G2 LIGHTING FIXTURES 21 00 LGT 40 35 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
HA PAU LESS 3HP 1 00 FAV 10 95 11/21/05 JX 05/20/06
JB AC UNITS .3-1OHP 1 00 AC 19 65
TEL NO LH 200 AMP PANELS MCC 1 00 PAN 30 85
ZIEGL F DATE FINALINAL H�CODE
SIEGL
BR NICRAEL (626) 285-3615- TOTAL PBSS 170 70
� _
6355 TRELAWNSY '
TEMPLE CITY 91780 DESCRIPTION OF MORA
ELECTRICAL FOR ADDITION AND UPGRADE SERVICE 200 AMP
APPLICANT TEL NO
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS ONHEt
LIC NO TEMPORARY POWER DOLS
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO UPER GROUND
L A DESIGN GROUP (818) 705-8875-
5454 SELSAH AVE #215 LIC NO ROUGH CONDUIT
ENCINO CA 91316 NONE
ROUGH WIRING 7
r
MAIN NATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
TT7
REPORT ID DPR265 ROUTE TO BS0508