HomeMy Public PortalAbout9541 BLACKLEY ST_Electrical__ '6A663-CE806.5-62 '' APPLICATION FOR ELECTRICAL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER , BUILDING 77 My
BUILDING AND SAFETY DIVISION ADDRESS r `t -hi c
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY -
NEAREST
FOR APPLICANT TO FILL IN CROSS Sr.
RECEPT TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OWNER
LIGHT
/' .r MAIL 11JJ
SWITCH 4£� '�— OVER 20 .10 ' gyp, ADDRESS
LIGHTING TOTAL FIRST 20 j,' .20 CITY /7'" oc';"- .;r- TEL NO. lop-
FIXTURES }
AD 10 ELECTRICIAN
OV R 20 I
RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS G C
GARB DISP STA COOK
DIBHWASH AUTO.-WASH CITY - /h/��f TEL. NO.
STATE yy
SPACE HTRS. STA.APP.(V.H P.MAX.) •50 C� LICENSE NO. � &
MOTORS OVER NoT.OVER 14 P.• DISTR/IC'�T O. IGROUPI ZONE PR C ED BY
O -1 1.00
1 3 1 So INSPECTION RECORD
3 B 200
8 15 '2.50
a
15 50 300 • i O
50 100 1500
SIGNS •NO TRANS i
NO.LAMPS IIVJ
a
SERVICE 0-60OV-NoT OVER 200A 100 N
Z
SERVICE 0.600VOVER-200 A." _ 200
SERVICE OVER 600V 5.00 i
MISC.
PERMIT ISSUING FEE 200 '
SUPPLEMENTAE1Y'PERMIT ISSUING FEE 100-1
TOTAL FEE $��j" 'p
LRESIDE::;��
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
TE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
L COUNTY ORDINANCES AND STATE LAWS REGULATING y
AL WIRING. WIRING
BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF,' FIXTURES
NIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE.D RESIGNATU RESIDENTI ROPERTY. POWERMI'iTEE f "`�'"- UTILITY CO.NOTIFIED ' e A /I /1
FINAL 1 (/r �''°
O.CK
LIDATION_ ARTHUR C. VETTSUPERVISING ELECTRICAL ENGINEER
MO CASH
u';1.,0'6 6,63 sD;4 2 5 2 D' 1 5.60— u1 .
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403040022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALID: FEES PAID BU S:
ON FILE 9541 BLACKLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803143
ASSESSOR-INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY
8590-005-020 Al PERMIT ISSUANCE FEE 27.75 _ THOMAS. PAGE: 596 .-.GRID:..J4_ _LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60
G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED N: PROCESSED BY: PLAN EXPIRES ON:
TOTAL FEES 47.25 03/04/04 VG 08/31/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
RIBEIRO EUGENE W (626) 625-4627-
P. 0. BOX 1062Ls
SGAB 91778 DESCRIPTION WORK
ELECTRICAL FOR NEW DEN
APPLICANT: L. NO:_
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER
UNDERGROUND CONDUIT
ARCHITECTOR UFETt G UND
LIC. NO: ROUGH CONDUIT
ROUGH 91RING
MAIN WATER LINE Y
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508