HomeMy Public PortalAbout9309 BLACKLEY ST_Electrical__ oBs SA 9 SS APPLICATION FOR ELECTRIC PERMIT
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DBS SA
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of LOS Angeles ADDREISS / 0� (7L/�CXG LC -s
WM J FOX, COUNTY ENGINEER
CASSATT D GRIFFIN SUPT OF BUILDING
LOCALITY PL z- C/T
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES !Ross sT L dC S.5 /fN D G''
NUMBER EACH FEE
OWNER ja/{/V S (✓Rg.Srr7
LIGHT OUTLETS _ MAILn
RECEPTACLES `� ADDRESS �0(g/J�7nTC LLC ST
WALL SWITCHES
TOTAL OUTLETS 52 $ �� CITY 1`/ 1-L'�r �T TEL NOR 74 .
/
7
ELEC RANGES 25 ELECTRICIAN SSS_
_ELEC HEATERS 25 ADDRESS
KW EA CITY TEL NO
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTRICT NOGROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I 7 Id
'MOTORS
NUMBER HORSEPOWERFEE INSPECTION RECORD
NEW MVD HP OVER INC EACH
_ 1/L&LESS $ 25 \
I/ 2 50
2 5 1 00
L
5 15 1 50
15 50 2 50
50 200 5 00
� (f
MISC
NO SIGNS - NO TRAN
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1 00
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ �=/(� DATE INSPECTOR S SIGNATURE
I PP
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ALICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS ',REGULATING WIRING
ELECTRICAL WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELF,S COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THELEG OWN OF T E ABOVE POWER
DESCRIBED RESIDENTI PRO ERTY.
/ UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FO OUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
jC08 a 2 5' OCT 11 2 1 :/ U
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DBS SA 3 55 APPLICATION FOR ELECTRIC PERMIT
DMSION OF BUILDING AND SAFETY
Department of County Engmeer y�
County of Los Angeles ADDREBU I LD ISS y�.3� EY ST.
WM J FOX, COUNTY ENGINEER
CASSATT D GRIFFIN SUPT OF BUILDING G
LOCALITY
FOR APPLICANT TO FILL IN NEAREST ,e
PERMIT FEES CROSS ST
NU BER EACH FEE � )
OWNER VQI<t!V' s /PEST®
LIGHT OUTLETS r �y /�
RECEPTACLES J ADDRESS �d L/P C- L�� 5l
WALL SWITCHES p �r
TOTAL OUTLETS l 5¢ $ Irj CITY 6 Le C/i TEL NO
ELEC RANGES 25 ELECTRICIAN .SZ='d
_ELEC HEATERS 25 ADDRESS
KW EA CITY TEL NO
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTRICT NO IGROUP kZ( E I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS �J
NUMBER HORSEPOWER FEE
INSPECTION RECORD
mw
NEW MVD HP OVER INC EACH
1/2&LESS 25
1/Z 2 50
2 5 1 00
5 15 1 50
15 50 250
50 200 Boo
MISC
NO SIGNS NO TRANS `
NO SIGNS NO LAMPS
FOR EACH PERMIT
_WIRING $100 ,
FIXTURES $1 00
SUPPLEMENTARY 50 1 APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I c>I NA SIS a...
ELECTRICAL WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGE S COUNT AND STATE OF
CALIFORNIA OR THAT 1 A THE LEG OW OF T ABOVE POWER
DESCRIBED RESIDE" PR ERTY.
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL
WILLIAM J F COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT INSPECTOR
C08 a 7 ear 11 2 .'/ In
1001C r
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DBS SA
54 APPLICATION FOR ELECTRIC PERMIT
DBS '?DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM J FOX COUNTY ENGINEER 'ADD RESS 4r
CASSATT D GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY 1 I
PERMIT FEES NRoss STT L L e 1A IV bV`O
FEE
NUMBER EACH '
LIGHT OUTLETS OWNER
RECEPTACMAIL
LES ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5d S CITY TEL O
ELEC RANGES 25 ELECTRICIAN
ELEC HEATERS 25 ADDRESS
KW EA CITY TEL N
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS DISTRICT NO I GROUP I ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS v,(✓ �y}
MOTORS �
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC EACH
_ 1/2&LESS $ 25
1/2 2 50
2 5 100 —
5 15 150
15 50 2 50
50 1 200 500
MISC
NO SIGNS NO TRANS ,
NO SIGNS NO LAMPS
FOR EACH PERMIT _
WIRING $1 00 wv—
FIXTURES $100
SUPPLEMENTARY 50
APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY P f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY, AND STATE OFpYti S+�
CALIFORNIA OR THAT I AM THE LEGAL OW ER OF THE ABOVE POWER
DESCRIBED RESIDENTI PROPERTY
UTI LITY CO NOTIFIED lizz 4 Ste. I I�RJ•-- --
SIGNATUREFINAL - / I ->6 �-✓
OF PERMITTE,
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
_ 1..0 U
525'S SEP3U 2
EPUTY
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1005050009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 11492 LT 17 BL B 1 9309 BLACKLEY ST
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803139
(ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET I
18590-002-017 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
I ILA 100 AMP PANELS, MCC 1 00 PAN 38 85 1
ITENANT I TOTAL FEES 66 60 IOSSUED ON PROCESSED BY PLAN BY
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(OWNER TEL NO (FINAL DATE F NAL BY CODE 1
IHUA, CAM H (626) 291-5793- I 1 I
19309 BLACKLEY ST I I I
ITEMP 917803139 I IbEsCRIPTION OF WORK I
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(APPLICANT TEL NO I
ISAME AS OWNER
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(APPROVALS DATE INSPECTOR SIGNATURE
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