HomeMy Public PortalAbout5312 WELLAND AVE_Electrical__ 76A665 089 SA 11-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GR
OUP I ZONE PERMIT NO.
ELECTRICIAN (29 W4/(r
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY TEL.NO. t I. !
�I�M / �1
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY �� AJC
LIGHT OUTLETS NEAREST �-
RECEPTACLES CROSS BT.
WALL SWITCHES rJr/ OWNER
TOTAL OUTLETS G SOzt- MAIL
ELEC. RANGES 85 ADDRESS .� f, 1° Al /12
ELEC. HEATERS 25 CITY T�
FIXTURES 5 0.(- `v - � �L. NO. Q '
I HEREBY ACKNOWLEDGE TAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. HP OVER IND. EADH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
C
Y2 A LESS $ .25 SIGNATURE
I/2 2 .50 PERMITTEE 'er '1' N '-¢�-
2 5 1.00 INSPECTION RECORD ,
5 15 1.50
15 5O 2.50
50 200 5.00
200 500 10.00 J
5OO 1000 15.00 Z
OVER 1000 20.00 Is
M.G. SET/FREQ. CHANGER-HP 19
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or CRIB-) -
MOVED MOTORS (75% OF ORIGJ
MIS:.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO,LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 C> CJ CONDUIT i
FIXTURES $1.00 6 WIRIN13 a
SUPPLEMENTARY .5O FIXTURES +
POWER
TOTAL FEE $ ' UTILITY 00.NOTIFIED
FINAL /L-re V -7
Des a-A s-46 - ,j TION FOR PERM �
-DEPARTMENT OF BUILDING AND SAFETY ,
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
a NAME - DISTRICT NO. GROUP ZONE PERMIT NO.
y i• %
U ADDRESS
F
CITY TEL.NOd2f/ )0 RECE�IV.ED BY READY FOR DATE ISSUED
FIRST INSPECTION �)
COUNTY a :" �f .' ' 't`•�` /�
CERT.NO. cEXPIRES �
APPLICANT FILL IN HEAVILY-.OUTLINED PORTION ONLYJOB R
DESCRIPTION OF WORD ADDRESSV *f-7 `
NUMBER OF OUTLETS ON CIRCUITS
LOCALITY
LOCATION BY ROOMS
NEAREST
ff
L[GHT OUTLETS- SW. PLUGS EIXT CROSS ST.
CIRCUIT A B C I D I E F G I H .0: NAME LSMAIL
-...
AD RESSV 7aJ%-
O
CITYec-4 TEL-NO.
1 AAp��Np FA
POSSES 0 OF THE ABOVE LOS
ANGO FA COUNTY CERTI 'OFF ION—
e�el�
ELECTRICIAN.
ABO 6 THE LRAM.OWNER OF THE PROPEMY DESCRIBED
u OWNER.
CORRECTIONS
� 0
�v 4
9a at p
f i
�f Q
Z
I7
s
TOTAL U
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSSECTOR'S NAME
J
NO. OF MOTORS H.P. $ CONDUIT �-�� / a
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR EATS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ !�� UTILITY CO.NOTIFIED
TOTAL FEE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0302140019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LE L 'D" P55S PAID BUILDING ADDRESS:
TR: 10898 LT: 16 BL: B 5312 WELLAND AV
FEE DESCRIPTION: QUANTITY: UOM2 AMOUNT: TEMP CA 917803507
ASSESSOR 0 NEAREST CROSS STREET: FREER
8573-035-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED B Y: 9XPIRES ON:
02/14/03 JK 08/13/03
OWNER" TEL. N0: FINAL DATE FINAL BY: CODE:
WHITTINGTON KATHY - Q
5312 WELLAND AV 3
TEMPLE CITYDESCRIPTI-01-UF-9o-Rlr-- m
UPGRADE ELECTRICAL PANEL TO 100AMP
APPLICANT: T 0:
BILLITER; CHRIS (909) 398-1148-
31ON INDIAN HILL#330 SPECIAL CON ITIONK
CLAREMONT 91711
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
CORNERSTONE ELECTRIC (626) 442-9468-
310 N. INDIAN HILL #330 LIC. NO TEMPORARY POWER POLE
CLAREMONT, CA 91711 753265 C10
UNDERGROUND CONDUIT
ARCHITECTOR ENGINEER: TEL. N0: UFER G 0
LIC. NO: ROUGH CONDUIT
0 G
MAIN WATER LI E
PLASTIC Y/N METAL Y/N
UTILITY COMPANY D
REPORT ID: DPR265 ROUTE TO: BS0508