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Home My Public Portal About6037 AGNES AVE_Electrical__ 76A663 CW, 806R 1077 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB FADDRESS BUILDING AND SAFETY DIVISION NE REST FOR APPLICANT TO FILL IN TY New Residential Bldgs.&Pools $EACH 25 NO. $ EARES FEE ST. ,tjS 7Ui��6�5' 1 &2-Family,Sq.Ft. OWNER O Multi fomily Sq. Ft. 02 — FIRM NAME 57;6,:e.2AE7 A &1234E G� Residential Swimming Pools 25.00 MAIL ADDRESS ' O& Outlets:Rec Light—Sw. CITY ��, Tel.No. First 20 .50 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY I. No. Additional .30 PERMIT Total No. APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W.— CITY Tel.No. Oven_Dryer—W.M. LICENSE OR Top —FAU —W.H.— REG.NUMBER Class. Hood-Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. _ Room Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM > Up to 1 Incl. 2.50 THE LEGAL OWNER THE ABOVE C D RESID TIAL PROP�ERT�Yj. G Over 1 to 10 Incl. 5.00 C v Over 10 to 50 Incl. 1 2.50 PERMITTEE C Over 50 to 100 Inc. 25.00 SIGNATURE t3 Over 100 40.00 DISTRICT NO. ED BY ti a Services 0-200 Amp.Under 600 V 12.50 1 NSPtCTOR'S 201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT 2.00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedulei POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL 77/7 ){1. :I/K(/P? PERMIT FEE (S,ub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7:00 TOTAL FEE M 5Z) PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION t' CK. M.O. CASH 0 1 arv-1 juhl SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0901060029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 6561 LT: 57 UN: .002 1 6037 AGNES AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801708 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 15385-027-006 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl ILB 200 AMP PANELS, MCC 1.00 PAN 38.65 1 1 ITENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 I I 101/06/09 SR 07/05/09 I I I I (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1 IGILMORE, STEVE (626) 288-1029- 16037 AGNES AV I I ITEMP 917801708 1 IDESCRIPTION OF WORK 1 1I (UPGRADE SERVICE PANEL TO 200 AMP 1 I I I I (APPLICANT: TEL. NO: IMATT SULLIVAN 1601 DURWOOD DRIVE. 1 ISPECIAL CONDITIONS: 1 I I I I I I I I I I I I (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I IMATT SULLIVAN (626) 286-1029- 1 1 16037 AGNES AVENUE LIC. NO I ITEMPORARY POWER POLE I I I ITEMPLE CITY, CA 91780 NONE I I I I I I 1UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND 1 1 LIC. NO: 1 IROUGH CONDUIT I I I I I I I I IROUGH WIRING 1 1 I I I I I I I I IMAIN WATER LINE I I I 1 IPLASTIC Y/N METAL Y/N I 1 I (UTILITY COMPANY NOTIFIED( _q-q 1 1 I I I I I I I I I I I I I I I I I MIRE` I I I I I I I oZ-6�0 1 1 I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I I I I I I y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0810230015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 57 ON: .002 6037 AGNES AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801708 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 15385-027-006 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 14.00 OUT 27.30 I 1 TENANT: IG2 LIGHTING FIXTURES 6.00 LGT 11.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 110/23/08 SR 04/21/09 IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 1 1OWNER: TEL. NO: IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 IFINAL DATE FINAL BY: CODE: 1GILMORE, STEVE (626) 288-1029- IH5 RES WASH MACH LT 3HP 1.00 WAS 10.95 1 16037 AGNES AV IH7 RES EXHAUST FANS 1.00 EX 10.95 1 ITEMP 917801708 IH9 RES APPL LT 3HP 1.00 RES 10.95 JDESCRTPTION OF WORK 1 1 TOTAL FEES 132.45 1ELECTRICAL FOR KITCHEN, BATHROOM AND LAUNDRY REMODEL 1APPLICANT: TEL. NO: 1 1 1 IJAN VALENTINE 1601 DURWOOD DRIVE. ISPECIAL CONDITIONS: 1 I I I I I I I I I I I I CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE IJAN VALENTINE (818) 384-3190- 1 I 1 1601 DURWOOD DRIVE LIC. NO I ITEMPORARY POWER POLE I I I I NONE I I 11 1 I I 1UNDERGROUND CONDUIT I I 1 I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I I I I I I LIC. NO: I (ROUGH CONDUIT I I 1 1 I IROUGH WIRING I I 1 IMAIN WATER LINE II I (PLASTIC Y/N METAL Y/N I I I I I II I I I 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 EXPIRED I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I REPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I