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76AG63-CES06 10 59 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
OWNER
I T E M NUMBER I EACH FEE
OUTLETS $ $ MAIL
LIGHTS RECEPT SW 10 ADDRESS
LIGHTING FIXTURES 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER
WATER HEATERS 50 O ADDRESS J
ELEC SPACE HTRS DISHWASHERS ITV TEL NO
GARBAGE DISPOSERS AUTO- TATE
WASHERS STA COOKING UNITS 25 ICENSE NO
MOTORS OVER INC HP DISTRI J NGROUP ZONE PR SED BY
0— 1/2
25 ✓
1/2— 2 5o INSPECTION RECORD
2— 5 too
5— 15 150
Is— 50 250
50-200 500
SIGNS NO TRANS
NO LAMPS
SERVICE 0-600V 100
SERVICE OVER 600V Soo
MISC
t
r
WIRING PERMIT 100 �l
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
ci
TOTAL FEE
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT f
ELECTRICAL WIRING '
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES '
CALIFORNIA OR THAT I AM THE EGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT OF POWER /`
SIGNATURE UTILITY CO NOTIFIED IoOT 0/2"
OF PERMITTEE' FINAL, dI
OF DATION ARTHUR C VETT.
/ cK Mo cases SUPERVISING ELECTRICAL ENGINEER
COUNTY OF LOS ANGELES TEMPLE C-,Y # 05C8 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS IUdA: EL 5508 0406240016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) a8�-0488 EXT.
LEGAL ID: FEES PAID BUILDING ADDRESS
ON FILE 9117 BLACKLEY ST
LEGAL
FEE DESCRIPTION• QUANTITY. UOM AMOUNT TEMP CA 917803015
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET. SERENO
5388-011-004 Al PERMIT ISSUANCE IEE 27 75 THOMAS PAGE "96 GRID: H5 LOCALIT" iEMULE CITY
G1 OUTLETS-LGT,SW,RECP 80 00 OUT 120 00
TENANT. !� G2 LIGHTING FIXTURES 24 00 LGT 44 40 ISSUED ON- PROCESSED B • PLAN BY EXPIRE. N-
HA FAU LESS 3HP 1 00 FAU 10 95 06/24/04 .K 12/21/04
_ H1 RES ELEC OVEN LT 3HP 1 00 OVE 10 95
OWNER TEL NO H2 RES GRBG DISP LT 3HP 1.00 DIS iU 95 FI L DATE rINAL BY LODE.
IGUTIERREZ ENRIQUE & DAVID MILER (626) 287-9312- H3 RES DISHWASHR LT 3HP 1.00 DIS 10 95s
,9117 BLACKLEY STREET H4 RES RANGE HDS LT 3HP 1.00 H00 10 95
TEMPLE CITY 91780 H7 RES EXHAUST FANS 3 00 EX 32 85 DESCRIPTION OF LORA
H9 RES APPL LT 3HP 1.00 RES 10 95 ELECTRICAL FOR ADDIIION AND REWIRE ENTIRE HOUSE
LB 200 AMP PANELS, ',,CC 1 00 PAN 38 85
APPLICANT: 0 TOTAL FEES 329 55
SAME AS OWNER
SPECIAL CONDITIOIS-
CONTRACTOR TEL NO: APPROVALS DATE INSPCCTOP FIG-ATURE
SAME AS OWNER
LIC. NO TEMPORARY PO,t P
UNDERGROUND CZ)%DUTT
E4RC h IIT EC 0 ENGI4-t TEL NO UFEB GROUND
LIC F'1 ' ROUGH CONDUIT
i
� ROUE+H WIRING
—— —'�— MAIN WATER LINE-
PLASTIC Y/N METAL Y/A
UlI ITY C ANf NOT TT-FIED —�—
f _
— REPORT ID DPR265 ROUTE TO BS0508 - —_
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306250022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT-
LEGAL D: FEES PAID BUILDINGSS:
ON FILE 9117 BLACKLEY ST
FEE DESCRIPTION• QUANTITY: UOM: AMOUNT: TEMP CA 917803015
ASSESSOR NEAREST CROSS STREET SERENO
5388-011-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID. H5 LOCALITY TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70
E A G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON' PROCESSED BY- PLAN BY EXPIRESON
TOTAL FEES 41.40 06/25/03 JK 12/22/03
OWNER. TEL. NO FINAL DATE FINAL BY: CODE:
GUTIERREZ ENRIQUE (626) 287-9312- �
9117 BLACKLEY STREET
TEMPLE CITY 91780 DESCRIPTION OF WORK
ELECTRICAL FOR GARAGE
APPLICANT:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR. TEL. NO. APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR GROUND
LIC NO: ROUGH CONDUIT
ROUC-H WIRING � �G
IN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIEDs-
REPORT ID: DPR265 ROUTE TO: BS0508