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DBS-5A 11.55 APPLICATION FO
y® ilCATIO R ELECTRIC ^ RMIT � .
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer BUILDING
County of Los Angeles ADDRESS bJ B ogUe S t e
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY Temple. City
a
FOR APPLICANT TO FILL IN' NEAREST
PERMIT FEES CROSS ST. E 1 Monte Ave .
NUMBER OWNER M i 11Pr Pr i c e
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS C 5Q $ `Z ELECTRICIANS oUthl and Electric Oo e
ELEC. RANGES 25 ADDRESs403 E Broadway San Gabrie
ELEC. HEATERS 25
KW EA �. CITY TEL.NO.
STATE 1.5 FIXTURES 5 LICE NSE NO. l a�5/l8
MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE I •-T I N"- 1•
NEW MVD. HP OVER INC. EACH
a LESS $ .z5 5:; INSPECTION RECORD
1/1 2 .50
2 5 1.00
/ 5 15 1.50
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 ° APPROVALS
TOTAL FEE $6
DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING /
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A 7THE LEGAL OWNP OF E ABOVE POWER
DESCRIBED RESIDENTIAL OPERTY. UTILITY CO.NOTIFIED 29 yI�7 Y6 r
SIGNATURE A
OF PERMITTEE FINAL
JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
Q �'7 /� CK MO , CABH
L�i S / G LQ •J 0
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76AIt68-CE806.10.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer FN
LDING
County of Los Angeles RESS �,�
JOHN A. LAMBIE. COUNTY ENGINEER ry/.�
CASSATT D. GRIFFIN. SUPT OF BUILDING ALITY :.l�Y F
ROSSSIF
T
FOR APPLICANT TO FILL IN cRoss ST.
PERMIT FEES
s
LIGHTS � RECEPTACLES SWITCHES OWNER
NUMBER I T E M EACH FEE MAIL
ADDRESS4 4p -
TOTAL OUTLETS $ 10 $
ELEC. RANGES, WATER HEATERS, CITYb-
CLOTHES DRYERS .50 ELECTRICIAAd
ELEC. SPACE HEATERS, STAT.-Y. COOK: p.
INGUNITS, GARBAGE DISPOSERS, ADDRESS AV
AUTO WASHERS, DISHWASHER .25
LIGHTING FIXTURES .10 CITY TEL. NO.
MOTORS STATE.
LICENSE NO.
HORSEPOWER IIINIHISIll
H. OVER INC. DISTRICT NO. GROUP ZONE READY FOR INSPECTION
&LESS .25 .
- 2 .50 INSPECTION RECORD
N, OFF
2 1.00
5 15 1.50 /�� ,,����.�
1 50 2.50 i0/D�7f �, - -`"'►.-/o�" ty�_�j.*e
v
50 00 5.00
'Misc.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-500V 1.00 U G
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 -
FIXTURE-PERMIT 1.00 (�
SUPPLEMENTARY PERMIT . .50 APPROVALS
TOTAL FEE $ DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLICATI N
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING A
ELECTRICAL WIRING. WIRING ��.��+
I HEREBY CERTIFY. THAT I AM PROPERLY REGISTERED AND/ORF
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IXTURES
CALIFORNIA OR THAT I AM THE LEGAL OW ER OF THE ABOVE POWER
DESCRIBED RESIDENT L PROPE Y.
SIGNATURE UTILITY CO. NOTIFIED r^
OF PERMITTEE FINAL //-
JOHN A. LAMBIE, v
COUNTY ENGINEER VALIDAPON, ARTHUR C. VEIT.
CK Mo cAs SUPERVISING ELECTRICAL ENGINEER
_ 02 1:,2',41 .. s�10 2 3,90 M
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1311190054
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT-
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 17158 LT: 3 10636 ROGUE ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802818
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18586-010-003 IA1 PERMIT.ISSUANCE FEE •27.80 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI
I IF1 120V, 15/20A BR CKTS 1.00 BR 17.30
(TENANT: IG1 OUTLETS-LGT,SW,RECP 11.00 OUT 22.00 (ISSUED ON: PROCESSED BY: PLAN BY: I
IG2 LIGHTING FIXTURES 3.00 LGT 6.00 111/19/13 SR I
IJA HEAT PUMPS +3-10HP 1.00 HT 19.70 1
(OWNER: TEL. NO: I TOTAL FEES 92 80 IFI L DATE FINAL B CODE: 1
IXU YI BING
110636 BOGUE ST 1
ITEMP 917802818 I ID SCRIPTION OF WORK
I I IBRANCH CIRUIT, 11 OUTLETS, 3 LIGHT FIXTURES AND HEAT PUMP 1
(APPLICANT: TEL. NO: 1
IHUO, HOWARD (626) 757-8025-
12555 HUNTINGTON DR 1 ISPECIAL CONDITIONS: 1
ISAN MARINO CA 91108 1 1 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IHUO CALIFORNIA INC (626) 757-8025- 1 I
12555 HUNTINGTON DR #C LIC NO ITEMPORARY POWER POLE 1
ISAN MARINO CA 91108 739583 1
1UNDERGROUND CONDUIT 1
I 1 I I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND 1
I LIC. NO: 1 IROUGH CONDUITIA I
1 1
IROUGH WIRING 1
I IMAIN WATER LINE 1 I
I I IPLASTIC Y/N METAL Y/N I '
1 (UTILITY COMPANY NOTIFIEDI I
1 I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 IREPORT ID: DPR265 ROUTE TO: BS0508 I I 1
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