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HomeMy Public PortalAbout6253 AVON AVE_Electrical__ '6A663 CE806 5 62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /+ 5— BUILDING AND SAFETY DIVISION ADDRESS G� C JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST 2 RECEPT TOTAL NO EACH FEE LIGHT OUTLETS FIRST 20 $20 $ADD L 10 / O OWNERMAIL �^ -�✓ (/ ADDRESS 5 SWITCH OVER 20 / LIGHTING } TOTAL FIRST 20 20 CITY TEL NO / Od FIXTURES OV L 10 ELECTRICIAN RANGES CLO DRYERS WTR HTRS 1100 ADDRESS GARB DISP STA COOK CITY TEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA APP (y■H P MAX ) SO LICENSE NO MOTORS OVER NOT OVER H P DISTrl NO ROU ONE PR CE ED BY 0 1 100 I 3 Iso INS TI RECORD 3 s 200 s 15 250 a 15 50 1300 u 50 100 Soo Ix C) NO TRANS ~ SIGNS NO LAMPS W O_ N SE BR-YII07� 00Z SERVICE O 600V OVER 200 A 200 SERVICE OVER 600V 500 MISC a PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1 TOTAL FEE . $ 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL OPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LA,O 6 9 3 5:I NOV 14 2 h 3 60- v 6A663 CE806 5 62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING a BUILDING AND SAFETY DIVISION ADDRESS (� x.1'3 JOHN A LAMBIE COUNTY ENGINEERjN WILLIAMA JENSEN SUP T OF BUILDING LOCALITYNEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPT TOTAL NO EACH FEE OUTLETS FIRST 20 $2O $LIGHT ISWITCH 2 O OVER 20 10 ADD[tE8TOTAL CITY TE0LIGHTING l ,er FIRST 01 1r20FIXTURES 1( ADD L 1O ELECTRICIAN Ve -OV R 20CLO DRYERS WTR HTR9 1 OO ADDRESS A ��GARBBM CITY1 TE �-� DISHWASH STATE SPACE HTRS 5o LICENSE NO MOTORS OVER NOT OVER H P DISTRICT NO jGRQ-UPPRO�rr-SSEDN BY 0 t too t 3 15o INSPECTION RECORD 3 S 200 8 is 250 } 0- 15 50 300 0 50 100 Soo IY O NO TRANS � SIGNS NO LAMPS U W D. SERVICE O 600V NOT OVER 200A too N Z SERVICE o 600V OVER 200 A 2 00 4 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES J V CALIFORNIA OR THAT AM THE LEGAL O E OF THE ABOVE DESCRIBED REHIDENT PROP w POWER A SIGNATURE UTILITY CO NOTIFIED /Id / ��. OF PERMITTEE / ✓ `� FINAL LIDATION ARTHUR C VEIT O�K MO CASHSUPERVISING ELECTRICAL ENGINEER MIL 9014"2 SRN 2 2 A 1 9.3 0- I v��n/ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302270018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID I FEES PAID BUILDING ADDRESS ITR 5903 LT 0 BL 001 I 6253 AVON AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752649 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 15386 006 032 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY CAI I IG2 LIGHTING FIXTURES 1 00 LGT 2 00 ITENANT I TOTAL FEES 29 80 11SSUED ON PROCESSED BY PLAN BY 1 102/27/13 SR (OWNER TEL NO IFINAL DATA FINAL BY CODE 1ALEXANDER GRANT ELOISE B TRS (626) 286-6059 1 /11j 16253 AVON AV I ISGAB 917752649 D96CRIPTIO OF WORK I I (REPLACE ONE LIGHT FIXTURE 1 I I I I (APPLICANT TEL NO I I I (SAME AS OWNER I I I I (SPECIAL CONDITIONS I I I I I I I I I I I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER I I I LIC NO I ITEMPORARY POWER POLE I I I I I 1 11 1 I _ I 1UNDERGROUND CONDUIT I I 1 I I I I I I (ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I 1 I I I I LIC NO 1 IROUGH CONDUIT I I 1 I I I I I I IROUGH WIRING I I 1 1 IMAIN WATER LINE I I I 1 I (PLASTIC Y/N METAL Y/N I 1 I I I I I I I 1 I (UTILITY 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 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 1 IREPORT ID DPR265 ROUTE TO 2S0508 I I I I I I