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DBB•BA If•BS APPLICATION�4PPLICATION FOR ELECTRIC PERMIT - 1
'DIVISIONS.OF BUILDING AND SAFETY .
Deparbuent Of County Engineer BUILDING
County Of LOS Angeles ADDRESS cj
JOHN A.LA- BIE;COUNTY.ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALat
FOR P [iQ
PLICCAANT TO FILL IN NEAREST .'
Coss ST. �J
NUMBER OWNER,
LIGHT OUTLETS MAIL
R CEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS 5¢ $ ELECTRICIAN l
ELEC.,.RANGES .25
ADDRESS
ELEC.HEATERS 25
CITY TEL.NO
KW EA STATE
I L e
FIXTURES 5 LICENSE NO. 9 '
MOTORS DISTRICT NO.- I GRIP I dZONE I READY FOR INSPECTION
NUMBER HORSEPOWER
FEE '
NEW MVD. HP OVER INC. EACH r �T
]fj&Lass. $ I
.25 -. i�. UMO D
Yz 2 .50 -4 h(n GAIL:
2 5 1.o° C�! e �'� �A �-.L
5 111 1.50
15 so 2.50
50 1 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $l.00
SUPPLEMENTARY X50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONN
AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS dtEGULATING WIRING �� p
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS.REQUIRED BY LOSANGELESCOUNTY AND STATE OF
CALIFORNIA OR THA I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDEN AL PROPERI UTILITY CO..NOTIFIED f
SIGNATURE
OF PBRMITT FINAL
JOHN A.I.Alf .COUNTY ENGINEERATION ARTHUR C.YEIT.CHIEF ELECT.INSPECTOR
CK MO CASH
4:9 7 7'UA APR 11 2 2.7 d
J
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0101080030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 15683 LT: 50 5138 BARELA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803846
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BLACKLEY
8589-011-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
01/08/01 UT 07/07/01
OWNER: TEL. NO: FINAL DATE FINALly: / CODE:
ZHU DAN H
5138 BARELA AV
TEMP 917803846 DESCRIPTION OF �ORK
UPGRADE ELECTRICAL PANEL
APPLICANT: TEL. NO:
THINH VAN CHE (626) 579-6532-
4846 CEDAR AVE SPECIAL CONDITIONS:
EL MONTE 91732
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
TOM ELECTRIC CO. (626) 579-6532-
4845 CEDAR AVE LIC. NO TEMPORARY POWER POLE
EL MONTE, CA 91732 773095 C10
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: - UFER GROUND
LIC. N0: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508