HomeMy Public PortalAbout9714 VAL ST_Electrical__ 7111- CRIME 12/7e APPLICAT
ION FOR ELECTRICAL PERMIT .fl
DIVIS N
FOR wwwuew NT To FILL IN `
New Placental Bldgs &Pools
EACH NO FEE ADDRESS / F L T
1 &2 Finally Sq Ft S — S LOCALITY —
Mulh famlly Sq Ft — NEAREST 17-
Residential Swimming Pools CROSS ST
FIRM VAWD W 1
Outlets Light,Switch& Receptacle MAI L
First 20 ADDRESS 7� F
Additional CITY _ Tel No Z f
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
AdditionalCITY Tel No
Fixed Appliances Not Over 1 HP PERMITAPPLICANT
Range_ Heater_ DW ADDRESS
Oven _ Dryer W M
Top _ FAU WH CITY Tel No
Hood Fen LICENSE O
Disp AC REG NUM Clan p
HERESY w NnOWLS.O. T l.0 Y...Power Apparatus& Large Apphances •wRICATIOR CC
ANDI TATS THAT TMS ASOW I. ......T w �
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Over 1 to 10 Incl LICENSED QUIRED THAT
Ana.u. COUNTY • D STAY. OF
Over 10 to 50 Incl ...CA ao w•.o.n.,AI AM
.:. " ONNEw D.THE A.DY
Over 50 to 100 Incl •ERMIT!!
Over 100 SIGNATURIEr O
D
ServicesDISTRICT NO ROCE ED BY
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0-200 Amp Under 600 V J GX
201 1000 Amp Under 600 VAPPROVALS DATE IN CTOR S
Over 1000 Arno or Over 600 V GNATURE
tFIX
P POWER POLE
Temp Power Pole&Appurtenances DE RSLAB WORK
Sign with One Branch Circuit UGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING
TURESER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) FINAL
PERMIT ISSUING FEE .�
NOTES
TOTAL FEE �Q
PLAN CHECK VALIDATION CK MID CASH PERMIT VALI K MO CASH
C-
6 2 O�DEC 6 2 D 9.0 0 A�
Tams=- r..a.e 11175 APPLICATION FOR ELECTRICAL PERMIT
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BUILDING AND SAFETY DIVISION �y
FON APPLICANT TO Fur.IN '00ADDRESS �� 7 /7 '
New Residential Bldgs &Pools EACH NO FEE T
1 &2 Finally So Ft $ – $ LOCALITY / C
Multi-family Sq Ft CROSS ST C1/��x
Residential Swimming Pools OWNER OR ,y
FIRM NA / / -�/C�.SO Al
Outlets Light,Switch& Receptacle ADDRESS–i;'– 3 z-7 G�- Q ver
First 20 � 0
Additional CITY TC Tel No
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 � ADDRESS e
Additional
CITY Tel No
_ /s O
Fixed Appliances Not Over 1 HP APPLICANTPERMIT �//V ILI
Range_ Heater_ D W
Oven Dryer _ W M ADDRESS S Z C L CD(/&/Z b
Top FAU _ WH CITY L' Tel No 76S'f
HoCDd T REG LICENSE Fan
rspA.0 NUMBER / .99p Class T
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Ano
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T R. • A. T
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Power Apparatus& Large Appliances niT„ DiNANc.. AND •TAT• LAM. Rao ULATINa
Size&Type HP KW KVA,or KVAR L`CTRiCAL ITURI Na D ov. a ..R..CT AND waw.. oCOMPLY
W
a
Up to 1 Incl i .....%
.T111 T . A .wo..RlT ...1.1....AND'.. Z
Over 1 to 10 Inmow•AD waT ..
ouie.o .TLo. AND.L.• COUNTY
TNAT TN I...L ....R .IN T„. ...V
-Over 10 to 50 Incl D..CNI.ea R..iD. R. TT
Over 60 t0 100 Incl PERMITEE
Over 100 SIGNATU RH
Services
DISTRICT NO O P CES D BY
S
0 200 Amp Under 600 V
201 1000 Amp Under 600 V APPROVALS D E IN rRE–CTUR—S
SIGNATURE
Over 1000 Amp or Over 600 V
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit ROUGH CONDUIT
Additional Sign Branch Circum
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Total) UTILITY CO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) FINAL -2
PERMIT ISSUING FEE
TOTALFEE / 3 NOTES
N CHECK VALIDATION CK MO CASH vPERMIT VALIDA 1 1UNCK M O CASH
20 $�JAN 18 2 u p �, 13.40 •`b
COUNTY OF LOB ANGELES APPLICATION FOR PERMT!
Department of County Engine" ELECTRIC���
DIVISION OF BUILDING SAFETY ETY
WILLIAM J FOX, CountyE[[I[Mr B
FOR APPLICANT TO FILL IN DISI 0. GROUP ZONE PERMIT NO.
ELECTRICIAN5 ' Da,;;
R[J�F READY ►OR DJiTL
ADDRESS /,YJ FIRST INSPECTION
CITY TEL. No
COUNTY LICENSE NO EXPIRES BUCII I�NBO 1
PERMIT FEES
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RCSB
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS so MAIL
ELEC. RANGES Iis ADDRESS ��
[LEC. HATERS IIB CITY TEL. ND.
FIXTURES 6
1H[RE ACKNOWL[D THAT 1 MAV[ READ THIS
MIBC APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRC U' AND AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NuNRER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
NEW Mw NP OVER IHC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
1/2 • Ums 4 IIB BIBNATURL orva
II BO PERM ITTL�L1`
II B 1 DD INSPECTION RECORD
B to 1 so
is BO II BD
so IIOO B OO
200 500 low -T e" 1'19006-- 10l1T44EYl Q
BOD I low ism
OVER low 2000
0
M B SET/rRE9 CHANGER-HP
WIELDERS AC-KVA po D
DENERATORS - KW
TRANSFORMERS - I(VA
TEMP MOTORS (75or aRIR)
MOVED MOTORS (76 or ORIR
M
BIONS
N0. NO TRANS. APPROVALS
N NO MPB
FOR EACH PERMIT- DATE INSP[CTOR'B NAM[
WIRING 81.00 CONDUIT
FIXTURES mica WIRING
SUPPLEMENTARY .5rIXTUR[B
/ POWER
TOTAL FE[ • UTILITY CO.NOTIFIED
rINAL 2' /
>� DRO*a R-Ra
COUNTY OF IAS ANGELES TEMPLE CITY N 0506 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS EL 0508 0807300007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-048B EXT
LEGAL ID ' FEES PAID BUILDING ADDRESS
ON FILE 1 9714 VAL ST
IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917800000 -
ASSESSOR INFORMATION NUMBER I - NEAREST CROSS STREET
5383-018-020 lA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY Cl
IG1 OUTLETS-LGT,SW,RECP 4 00 OUT 7 80 I
TENANT G2 LIGHTING FIXTURES 22 00 IAT 41 70 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 07/30/08 SR - 01/26/09 -
IH3 RES DISHWASHR LT 3HP 1 00 DIS 10 95
OWNERTEL NO IH4 RES RANGE HES LT 3HP 1 00 HOO 10 95 (FINAL DATT�pI r BY CODE
�CHODOS MARK (626) 614-0801- IH7 RES EXHAUST FANS 1 00 EX 10 95
9714 VALLEY ST I TOTAL FEES 121 05 yb
TEMP 917800000 I �EE$CRIPTIGN F R
I (ELECTRICAL FOR KITCHEN AND BATHROOMS REMODEL
(APPLICANT TEL NO
IZEEVI ASSOCIATES (818) 831-8414-
IP O BOX 280702 SPECTni CONDITIONS
NORTHRIDGE CA 91328
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
ACT DEVELOPERS INC (818) 831-8414-
P O BOX 280702 LIC NO ITEMPORARY POWER POLE
NORTHRIGDE CA 91328 843065 B
UNDERGROUND CONDUIT
I
(ARCHITECT OR ENGINEER TEL NO I - IUFPR GROUND I
LIC NO IROUGH CONDUIT
t
UGH WIRING
IN WATER LINE I PLASTIC Y/N Y/N METAL Y/N I I
(UTILITY COMPANY NOTIFIED
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REPORT ID DPR265 ROUTE TO BS0509