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�� L�LCHlYII � APPLICATION
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COUNTY OF LOS ANGFLES ELECTRIC
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WM. J FOX C IEF ENGINEER
a NAME DISTRICT[V0. GCiOdJP ZONE PERMIT NO.
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CITY �(/ CJ/9D�./ELS TEL NO. RECEIVED BY READY FOUR DATE ISSUED
N COUNTY '/' /^`�, FIRST INSPECTION
d CERT NO �/ EXPIRES `j/�c� G�
APPLICANT FILL IN HEAVELY OUTLINED PORTION ONLY
DESCRIPTION OF WORK A DRESS le'O ,'/��
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /� LC C,,7-
LOCATION BY ROOMS
NEAREST �1
LIGHT OUTLETS 9W PLUGS FIXT CROSS ST L 4-5�17le0
CIRCUIT A t3 C D I F. F G M 1 C NAME EL/!/EAU Co
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CITY TEL NO
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGFLC.S COUNTY CEPtT[F CAPE OF Q ALIFICATId 1
ELECTRICIAN.
A AM T119 LEGAL.OWNER OF THE FROPF-R-rf DESCRIOE.D
ABOVE
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TOTAL (O
NO OF OUTLETS $ APP&I®VAI.
~ NO OF FIXTURES $ DATE INSPECTOR'S NAME
IVO OF MOTORS H P $ CONDUIT I
NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ 17-5 POWER
^
PERMIT FEE $ UTI!(TYCO NOTIFIED
TOTAL FFINAL
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76A663-CE806 9-64 APPLICATION FOR ELECTRICAL PEWIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER r
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NEACH FEE
OUTLETS FIRST 20 O $20 $ OWNER U
LIGHT -s- , MAIL
ADD'L ADDRESS C
SWITCH OVER 20 10 /
TOTALCI TEL NO./f7
LIGHTING IF1RST 201 20
FIXTURES ,� AD DL
1O ELECTRICIAN zi
OV R 20
RANGES CLO DRYERS WTR HTRS 1 00 ADDRESS I
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO-WASH STATE
SPACE HTRS STA APP (+/.H P MAX ) 50 LICENSE NO -
MOTORS OVER NOT OVER HP DIST CT NO GROUP ONE CES
O 1 100 Z
1 3 iso INSPECTION RECORD
3 B 200 d
O
8 15 250 U
15 50 300 DC
0
I-
50 100 500 U
W
SIGNS NO TRANS d
NO LAMPS z
Z
SERVICE 0 600V NOT OVER 200A 100
SERVICE 0 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTAgY PERMIT ISSUING FEE 1 00
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 ) ,q�
ELECTRICAL WIRING WIRING J .A7
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OFAND INTEND TO
RESIDE IN TME ABOVE DE C IBED RESIDEN L PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE �' -
FINAL JI'0
VALID JOSEOH C ROOHAN Y
SUPERVISING ELECTRICAL ENGINEER
CK M CASH
LAA o 0 8 2"S) JUL 2S , 2 D 3.60
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0204050030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14572 LT: 50 9434 BLACKLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803140
ASSESSOR - - " ' NEAREST CROSS STREET: CLOVERLY� - ---� --- "
8590-008-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.75
TOTAL FEES 73.50 .
04/05/02 JK 10/02/02
OWNER: TEL. NO: FIN A FIN .
CHAN; ANDY (626) 286-0248-
9434 BLACKLEY ST
TEMP 917803140 CRIPTION OF WORK
ELECTRICAL FOR ADDITIQW
APPLICANT:
HUYNH (626) 705-5554-
3416 JACKSON AVENUE SPECIAL CONDITIONS:
ROSEMEAD 91770
GELES Co
GREATAWEST CONSTRUCTION (626) 705-7830-CTOR: TEL. NO:
C.
APPROVALS D INSPECTOR SIGNATURE
3416 JACKSON AVE. LIC. NO TEMPORARY POWER POLE
ROSEMEAD, CA 91770 557191 B
UNDERGROUND CONDUIT
ARCHITECTD
ELITE DESIGN DEVELOPMENT, INC. (626) 288-2651-
8748 VALLEY BLVD #K LIC. NO: 111111 ROUGH CONDUIT
ROSEMEAD, CA 91Th NONE
I` ROUGH WIRING
p n Q L�C W 0 FR K SS
MA 12
WA ER LIPNEu PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
Q 1
�} ❑ +
L l ❑
/c ervice-Th
REPORT ID: DPR265 ROUTE TO: BS0508
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CE71LECTRICAL PERMIT Q
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL-0508-9801140032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEG S PAID BUILDING
TR• 14572 LT: 50 9434-BL'ACKLEY ST
FEE DESCRIPTION: QUANTITY: UOM. AMOUNT TEMP-CA-917803140
ASSESSOR INFORMATION NEAREST CROSS STREET
8590-008-017 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE, 596 GRID A LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 4 00 OUT 7 80
TENANTG2 LIGHTING FIXTURES 1 00 LGT 1.95 ISSUED ON: PROCESSED Y: RES ON:
TOTAL FEES 37.50 01/14/98 UT !>4/99
OWNER: TEL NO FINAL DATEFINAL CODE
CURTIS DEANNA L;WAYNE R TRUSTEES;UD (626) 286-4353- \ y
9434 BLACKLEY ST !�
TEMP 917803140 DES OF_WOR
�'NEW`GFICIS_(4)_AND-NEW-PIXY -HOUSING_REHAB_l
APPLICANT: TEL
NICK'S REMODELING (626) 442-7985-
9941 HOWLAND DR. ___ SPECIAL CONDITIONS
TEMPLE CITY, CA
CONTRACTOR: TEL. NO j Irl , APPROVALS DATE INSPECTOR SIGNATURE
NICK'S REMODELING (626) 442-7985- �,� a ��
9941 HOWLAND DRIVE LIC. NO / °� �, �� 0 Y POWE L
TEMPLE CITY, CA 91780 409663 B ;/X, UNDERGROUND CONDU T
I \
ARCHI OR NGIN NO /�� � � � UFER GROUND
LIC NO ;� — -Lf ROUGH CONDUITi
ROUGH WIRING
17 MAIN WATER LIN
` �, f � � �,� ` ��`�� PLASTIC Y/N METAL Y/N
�� ----- -- _— - - ��
UTILITY Y NO
REPORT ID. DPR265 ROUTE TO. BS0508