HomeMy Public PortalAbout9751 VAL ST_Electrical__ TeAaea-ceeoe 967 APPLICATION F ELECTRI L PERMIT
COUNTY OF LOS ANGELES
dEPARTMENYOI: COUNTY ENGINEE-R BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �r
JOHN A LAMBIE CouNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FRECEPT -3
PPLICANT TO FILL IN CROSS ST I PJ
NO A
OWNERMAIL
FIRST 20 20 ADDRESS
OVER 20 10 CITY �pyTE�L NO
FIRST 20 20 CONTRACTOR IV FIXTURES / OVER 20 10 ADDRESS 3.A�,j� /.V c n
RANGE_DRYER—WTR HTR CITY-SO
STA COOK_DISP _F A U LICENSE NO Z
SPACE HTR _AIR GOND I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH _DISHWASH WITH ALL COUNTY 0ROMANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN—OTHER 11 00 J710 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/DR
MOTORS TRANSFORMERS RATING LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IND HEATERS ETC HP KW KVA RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIZE B TYPE OVER TO SIGNATURE
0 - I 1 00 OF PERMITTEE
1 - to 3 0o DISTRICT O O E P E D BY V
10 - 90 Soo U n w
SO - 100 10 00 NOTES -.( Al Sf 1// ..� r
100 - 500 1S 00 /'
If
SIGN GAS SIGN AND ONE CIRCUIT 3 00
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOT OVER BOO VOLTS OR 200 AMP 2 DD 9'
SERVICE OVER 600 VOLTS OR 200 AMP S 00
TEMP SERVICE POLE 6t APPURTENANCES 3 00
APPROVALS DATE WSPECTOR S SIONATME
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
,ISSUING REE 2 00
e WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 001
POWER AUTHORIZED _
PERMIT FEE UTILITY CO NOTIFIED
PLAN CHECK FEE ISO% PERMIT FEE) FINAL /P
TOTAL FEE JOSEPH C ROO AN
SUPERVISING ELE GAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M O CASH
(j�3 3 2 112 F0282 .D- 5.6 Q
I jY
EE BACK OF APPLICATION FOR COMPLETE PEE SCHEDULE
7e"ee3 DEeD; 10,/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES6t;ARTMENT OF COUNTY �pB ��jj n
BUILDING AND SAFETY DIVISIONER ADDRESS /�l /�' T•
LOCALITYNEARE
FOR APPLICANT TO PILL IN CROSS S T Ot D(',Ci �ES/
OUTLETS " " FE FOYM NA E
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LEGHT� TOTAL FIRST 20 y, ADDRESS nJAn.E
CITY ` TEL NO 7 y 3
SWITCH OVER 20 IB /
PLAN CHECK
LIGHTING l TOTAL FIRST 20 APPLICANT
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FIXADDRESS
TURES OVER 20 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE
_DRYER_WTR HTR_ APPLICANT
STA COOKDISP F A U _ ADDRESS
SPACE HTRAIR COND , CITY TEL NO
CLOTHES WASH DISHWASH_ LICENSE OR
REG NUMBER CLASS
FAN_OTHER lOD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REOUI.ATING
IN
HEATERS ETC HP KW KVA ELECTRICAL WIR ME
SIZE S TYPE OVER To
HEREBY CERTIFY REQUIR THAT I AM PROPERLY REGISTERED AND/OR
O — 1 100 LICENSED AS REQUIREDLO$ ANGELES COUNTY AND (TATE OT
CALIFORNIA OR THAI AM THE L[0 AL OW RlP F E ABOVE
_ 1 — 10 90D DESCRI[FD RE110[MTIALA PROPERTY
p
V
10 — 50 600 T
SIGNAR
31 GNATURE / HO.
50 — 100 ,000 DISTRICT NO PROCESSED BY W
1
100 — 500 1600D Ir N
Z
SIGN GAS SIGN AND ONE CIRCUIT BOD APPROVAL$ DATE UNSPECTO/[$SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP 300A. UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CO U
TEMP SERVICE POLE h APPURTENANCES 600 WIRING (e 3
TEMP LIGHT OR flECEPT SYSTEM !00 FIXTURE
POWER AUTHORIZED G'/3 73
UTILITY CO NOTIFIED
FINAL 3
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 Q
TOTAL FEE (�
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CASH
l Ar- 0 6 9 5773 RM 3 2 .D/ 1^2.70
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SEE SAO( OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF IAS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309160064
BUILDING AND SAFETY / LAND DEVELdPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 9751 VAL ST
IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917800000
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
5383-017-029 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE GRID LOCALITY TEMPLE CITY CAI
IC2 SPAS, HOT TUBS OTHR 1 00 SPA 54 50 1
TENANT IGI OUTLETS-CGT SW RECP 30 00 OUT 52 40 JISSUED ON PROCESSED BY PLAN BY I
G2 LIGHTING FIXTURES 25 00 LOT 45 70 109/16/13 SR I
TOTAL FEES 180 40 1 1
OWNER TE IFI FI�/��JB//�/ CODE
ITAING JOHAN (626) 236-2661- I'll
19751 VAL ST
TEMP 917800000 IDDV CRI LION OF WORK
]ELECTRICAL FOR NEW ADDITION 30 OUTLETS AND 25 LIGHT FIXTURES
APPLICANT TEL NO
MOSHE MAMAN (818) 618-6531-
12413 S 3RD AVE
CONDITIONS
JARCADIA CA 91006 I iSPEC LAI.
I(ONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IM F CONSTRUCTION AND DESIGN (818) 618-6531- I
2413 S 3RD AVE LIC NO ITEMPORARY POWER POLE
JARCADIA CA 91006 762001
UNDERGROUND CONDUIT
IARCHITECT OR ENGINEER TEL NO UFER GROUND
H W ENGINEERING (702) 202-0061-
110530 HOP E MILLS DR LIC NO ROUGH CONDUIT
LAS VEGAS NV 89138 C72679 I
ROLGH WIRING
MAIN WATER LINE
(PLASTIC YIN METAL YIN
1UTILITY COMPANY NOTIFIEDI
1 I I
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(REPORT ID DPR265 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS EL 0508 1306240011
BUILDING AND SAFETY / IAMB) DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID
ON FILE FEES PAID BUILDING ADDRESS
9751 VAL ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000
IASSESSOR INFORMATION NUMIDER NEAREST CROSS STREET
15383-017-028 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE GRID LOCALITY TEMPLE CITY CAI
(TENANT IG1 OUTLETS-LOT SW,RECP 40 00 OUT65 90 I
IG2 LIGHTING FIXTURES 30 00 I,GT 52 90 (ISSUED ON PROCESSED BY PINI BY
IRA FAU LESS 3HP 1 00 FAU 11 00 106/24/13 SR
H1 RES ELEC OVEN LT 3HP 1 00 OVE 11 00 1
IO�R TEL 6- IH2 RES GRBO DISP LT 3HP 1 00 DIS 11 00 iFIy♦\I. SIC/� FINpL, CODE
ITAING, JOH-N (626) 236-2661- 1143 RES DISHWASHR LT 3HP 1 00 DIS 11 00 L/J/Y/'_il/ (�1(((////1�`/
9751 VAL ST IH4 RES PANGS HDS LT 3HP 1 00 HOO 11 00
TEMP 917800000 1JB AC UNITS �3-10HP 1 00 AC 19 70 IDESCRIPTION OF WORK
LB 200 AMP PANELS MCC 1 00 PAN 3B 90 140 OUTLETS, 30 LIGHT FIXTURES, A/C & HEATING SYSTEM, ELECTRII
TOTAL FEES 259 70 ICAL OVEN GAP-RAGE DISPOSAL, DISHWASHER RANGE HOOD WASHING I
APPLICANT TEL NO I 114ACHINE AND UPGRADE SERVICE PANEL TO 200 AMP I
MOSHE MAMIAN (818) 61B-6531- 1
2413 S 3RD AVE ISPECIAL CONDITIONS I
IARCADIA CA 91006 I I
I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1
M F CONSTRUCTION AHD DESIGN (818) 618-6531-
12413 S 3RD AVE LIC NO (TEMPORARY POWER POLE
ARCADIA CA 91006 762001
I JUNDERGROUND CONDUIT
(ARCH LTECT OR ENGINEER TEL NO IUFER GROUND
LIC NO I IROUGH CONDUIT
TROUGH WIRING
IMAIN WATER LINE
(PLASTIC YIN METAL YIN
(UTILITY COMPANY NOTIFIEDI
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REPORT ID DPR265 ROUTE TO BS0508
I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1311200038
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID I BUILDING ADDRESS
ON FILE I 9751 VAL ST
(FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917800000
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15383-017-028 Al PERMIT ISSUANCE FEE 27 80 THOMAS PAGE GRID LOCALITY TEMPLE CITY CA
I JX MOTORS, IT 3 HP 1 00 MOT 15 30
TENANT TOTAL FEES 43 10 I11/20/13N PROCESSED BY PLAN BY
I I
SR
10WNER TEL NO IFI�'L��/T{\�'/ PIS/pJ�, p/�J CODE I
19751 JOHAN (626) 236-2661- I /_ �' � ' l
19951 VAL 9T ((//JJ.��
TEMP 917800000 I DESCRIPTION OF FORK
I (N) PILLARS W/(N) IRON FENCE WILL NOT EXCEED 43• IN HEIGHT I
IOF (N) ELECTRICAL UNDERGROUND PANEL TO (N) MOTOR FOR (N)
APPLICANT TEL NO ELECTRICAL GATE I
IACOSTA VICTOR (626) 841-9021- I
22647 VENTURA.
64 BLVD
I (SPECIAL CONDITIONS
WOODLAND I
CONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE I
CREATION BUILDERS, INC (885) 590-5590- 1
122647 VENTURA BLVD LIC NO TEMPORARY POWER POLE
WDODLAND HILLS CA 91364 971748
(UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO IUFER GROUND I
LIC NO I IROUGH CONDUIT I I I
ROUGH WIRING
I I
(MAIN WATER LINE
IPLASTIC Y/N FIIi CAL Y/N
(UTILITY COMPANY NOTIFIED(
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• ADDITIONAL DATA ON FILE I I
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I (REPORT ID pPR265 ROUTE TO 850508 I I