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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPAPTMENT OF COUNTY ENGINEER ELECTRIC �
r DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRIQUM11N ly ELECTRIC MAINTENANCE jr` i
ADDRESS 313 1%4. gQWAN AVE. L. A. 33 RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTIO
CITYeellus 1.28t&. NO.
LICENSE NO. ��5 $S EXPIRESp v NG
ADDRESS
PERMIT FEES ADDRESS
NUMBER EACH FE LOCALITY
LIGHT OUTLETS y� NEAREST
RECEPTACLES (� CROSS
WALL SWITCHES OWNER
TOTAL OUTLETS 5C $ ZMAIL
�j
ELEC. RANGES 25 ADDRESS 11
ELEC. HEATERS 25 ✓v
FIXTURES 5 ba CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
4 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS I AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICEN OR I AM HE ER
NEW MVD. ljP OVER INC. EACH OF THE RESIDENTIAL PI RTY,DES E V
1/z&LESS $ .25
SIGNATURE OF
1/2 2 .50 PERM[TTE
7
2 5 1.00
S 15 1.50 INSPECTION
15 50 2.50
_ 50 200 5.00
200 500 10.00
500 1000 15.00
Z
OVER 1000 20.00
M.G. SET/FRED. CHANGER-HP
WELDERS: AC-KVA 0
GENERATORS - KW
TRANSFORMERS-KVA -
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS.
NO. NO. LAM APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING - $1.00
CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE S ! UTILITY CO. NOTIFIED
,
INAL /A'^76A663 DBSII SA. 4-52 `
1 ✓/
L
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112140019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13531 LT: 2 5013 ARDEN DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804005 I
ASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: LOWER AZUSA
18585-014-017 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.60 1
(TENANT: IG2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 TOTAL FEES 45.30 112/14/11 SR I
I I 1
1OWNER: TEL. NO: 1 1FINAL DATE FIN Y: CODE:
ILIN, PAUL (626) 448-1029-
15013 ARDEN DR I I��y 1
ITEMP 917804005 1 I S RIPTION OF WORK 1
I (INSTALL 3 GFCI, 3 OUTLETS, 1 SWITCH AND 2 LIGHT FIXTURES
I
(APPLICANT: TEL. NO:
IG CORP INTERNATIONAL (661) 444-0463- I
111719 WILHARNER ST 1 ISPECIAL CONDITIONS: I
ITAFT, CA 93268 1 1
1
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE I
IG. CORP INTERNANTIONAL (661) 444-0463- 1 1
111719 WILHARNER STREET LIC. NO ITEMPORARY POWER POLE I 1
ITAFT, CA 93268 917819 B I I
I I (UNDERGROUND CONDUIT
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1ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND
1 LIC. NO: 1ROUGri CONDUIT 1
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IROUGH WIRING I 1 1
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I IMAIN WATER LINE
1 (PLASTIC YIN METAL YIN
1 1 1UTILITY COMPANY NOTIFIEDI I I
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IREPORT ID: DPR265 ROUTE TO: BS0508
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