HomeMy Public PortalAbout9707 VAL ST_Electrical__ 76A563-05806 10/72 APPLICATION FOR ELECTRICAL PERMIT '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gooRE55
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO A H r e OWNER OR
FIRM NAME
RECEPT� S S MAIL
LIGHT TOTAL FIRST 20 D 25 S 0.0 ADDRESS
3 a CITY TEL NO
SWITCH OVER 20 10 PLAN CHECK
FIRST 20 APPLICANT
LIGHTING i TOTAL 0 V v i
/( OVER 20 ADDRESS
FIXTURES � 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE—DRYER- WTR HTR_ APPLICANT
STA COOK_DISP JZF A U � ADDRESS O'^�
SPACE NTR AIR CONO CLITY Q TEL NO 6 S
CLOTHES y/ASH DISH WAS 0.IC NUMBER 8 CLASS e�D
FANY_/OTHER IOD I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
VV �� AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMER! RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERSETC HP KW KVA ELECTRICAL WIRING
SIZE 6 TTPE OVER TO
1 LICENSED
A CERTIFY THAT I AM PROPERLY NEGIS TERED AND/OR
0 - 1 100 LICENSED Ap RETHAI I BY LO! ANGELES COUNTY AND E ADDY OF
CALIFORNIA OR TEN 1 AM THE LEGAL OWNER OF THE ApE
1 -'10 300 OEl CRIfED RESIDENTIAL PROPERTY O
PERMITEE S
10 - SO 500 SIGNATURE C
101.....
50 - 1DO 1000 DISTRICT NO EO BY
W
100 - SOO 1500 S Q 8 Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE MSPECPAS5NDIATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS IOD TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200AMP 300 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE Q APPURTENANCES SOD WIRING
TEMP LIGHT OR RECEIPT SYSTEM 300 FIXTURES
' POWER AUTHORIZED
1 UTILITY CO NOTIFIED / ��!!
FINAL �p�'AJ- /s
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 1 300
TOTAL FEE E
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION GK M 0 CASH
'27,7VJUL 7 2 0 2330 • '
!fC BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 - ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS EL 0508 1210250038
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID . FEES PAID BUILDING ADDRESS
BK 60 PO 9 PC 2 1 9707 VAL ST E
IEEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000
ASSESSOR INFORMATION NUMBER - NEAREST CROSS STREET
5383-017-031 Al PERMIT ISSUANCE FEE 27 80 THOMAS PAGE GRID LOCALITY TEMPLE CITY, Cl
GI OUTLETS-LAT SW,RECP 5 00 OUT 10 00
TENANT 102 LIGHTING FIXTURES 4 00 WT 8 00 ISSUED ON PROCESSED BY PIAN BY
IH2 RES GRBG DISP LT 3HP 1 00 DIS 11 00 10/25/12 SR
H3 RES DISHWASHR LT 3HP 1 00 DIS 11 00
OWNER TEL NO IH4 RES RANGE HUS LT 3HP 1 00 HOO 11 00 FINALJ)ATE FIN/AL qY�Y CODE
SASAYAN, ARA (618) 642-0361- TOTAL FEES 7B 80 ST11
9707 VALLEY
ITEMP 917800000 - D CRI ION OF WORK
(INSTALL 5 OUTLETS 4 LIGHT FIXTURES, GARBAGE DISPOSAL
I
IDISHWPSHER AND RANGE HOOD FOR KITCHEN AND BATHROOMS REMODEL I
(APPLICANT TEL NO
(SAME AS OWNER _
I ISPECIAL CONDITIONS
I
I
(CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
I SAME AS OWNER - I I
ILIC NO (TEMPORARY POWER POLE I
I (UNDERGROUND CONDUIT I I
I
ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I
LIC NO TROUGH CONDUIT I
TROUGH WIRING
I I
I (MAIN WATER LINE - I I -
(PLASTIC Y/N METAL YIN
I I 1-1-
I (UTILITY COMPANY NOTIFIED(
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IREPORT ID DPR265 RON1'6 TO B50508 I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ EL 0508 1211020013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE (626) 285-0488 EXT
LEGAL IO FEES PAID
BUILDING ADDRESS
BR 60 PG 9 PC 2 9707 VAL ST E
I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917800000
(ASSESSOR INFORMATION NUM ER NEAREST CROSS STREET I
15383-017 031 Al PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE GRID LOCALITY TEMPLE CITY Cl
I G1 OUTLETS-LGT,SW,RECP 57 00 OUT 8B 70
TENANT G2 LIGHTING FIXTURES 44 00 LGT 71 20 (ISSUED ON PROCESSED BY PLAN BY
TOTAL FEES 187 70 11/02/12 SR
I
OWNER 8) NO I (FINAL ;)ATE, FI Y CODE
19707 VN ARA (818) 692-0361- I
19707 VAL ST �/ 1-I
TROP 917800000 IDESMIPtION OF FORK
INSTALL 57 SWITCHES INCLUDING GFCI AND 44 LIGHT FIXTURES
( TELI IFOR RECESS LIGHTING
APPLICANT NO
ISAME AS OWNER
ISPECIAL CONDITIONS
(CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO (TEMPORARY POWER POLE
UNDERGROUND CONDUIT I
ARCHITECT OR ENGINEER TEL NO , IUPER GROUND
LIC NO IROUGH CONDUIT I I
ROUGH WIRING
I
IMAIN WATER LINE
PLASTIC Y/N METAL Y/N
1
I (UTILITY COMPANY NOTI FZ EDI
I II I
I I I I
I I
I I 1 I I
1 I
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(REPORT ID DPR265 ROUTE TO BS0508
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