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iBASSS.CEBOS 10.00 APPLICATION FOR ELECTRICAL PERMIT �
COUNTY OF LOS ANGELES
DEPA OF COUNTY ENGINEER BUILDING
BUILDINGDING AD AND SAFETY DIVISION ADDRESS J i'f lJ lV
JOHN A. E. COUNTY ENGINEER
A.JEN
WILLIAM A.JENSEN.SUPT of BUILDING � LOCALITY
NEAREST
FOR APPLICANT TO FILL IN 'ROSS ST. (/ 14 _
PERMIT FEES OWNER ZS .SK-7/4L'S '1
1 T E M NUMBE0. EACH FEE MAIL
ADDRESS a��.l // ,3/ dA()KfA
{ OUTLETS: S S / � ,
LIGHTS RECEPT. SW. 'Ip CITY 4 C%/'')'' TEL. NO.
LIGHTING FIXTURES ,Ip
C ELEC. RANGE CLO. DRYERS ELECTRICIAN /[ ��La 1!
WATER HEATERS -.SO .JD ADDRESS �a4 [/(-Gi /� ��•
ELEC.SPACE HTRS. DISHWASHERS (�
CITY U-/n�/�� TEL NO. "QO �
GARBAGE DISPOSERS AUTO.- STATE - / // q wj
WASHERS STA.COOKING UNITS ,25 LICENSE NO. / iJ
MOTORS: OVER INC, H.P. D.ISTFjICTn O. GR UP I P CESSED BY
0— V. 25 S E
v:— 2 SO INSPECTION RE-CORD
2— 5 1.00 d
O
S— 15 1.50 U
15— 50 2,130 0
so— 200 5.00
a
SIGNS: NO TRANSm
y
NO.LAMPS IZ
SERVICE 0-600V 1.00 0-0
SERVICE OVER 600V 5.00
WIRINGPERMIT 1.00 OV
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE 5 So
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTO-WE SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF , FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ,{
j DESCRIBED RESIDENTIAL -Q RTY. POWER
SIGNATUREUTILITY CO.NOTIFIED. t <y��,�J41
MITTE . ... �
OF PERI ' `Z'/
FINAL 4 G
VALIDATIQD!---, ARTHUR C. VEIT
CK Mo !CCA5 SUPERVISING ELECTRICAL ENGINEER
L'.'o 1 s i.t:�Y .i 6 ? U 2 .5 0 :'.
7D6AG63 12-Sd B5-5A APPLICATION FOR ELECTRIC PERMIT
DIVISION OF BUILDING AND SAFETY eo�glW�}
Department of County Engineer -
County of Los Angeles BUILDING
WM. J. FOX, COUNTY ENGINEER ADDRESSST
CASSATT D. GRIFFIN. SUPT OF BUILDING q
FOR APPLICANT TO FILL IN LOCALITY X� ✓
PERMIT FEES NEAREST
CROSS ST.
FEE
NUMBER EACH
LIGHT OUTLETS q •. OWNERAIL
RECEPTACLES V a- i 1 ADDRESS ��I 4 .!-....�V7 /w-.�•
WALL SWITCHES �_ T `
TOTAL OUTLETSJy— 5! S D CITY TEL. NO.
ELEC. RANGES 25
e1_e1I ELECTRICIAN '
ELEC. HEATERS I� 25 R J ADDRESS� ��bt G�JJ�ee••' _
KW EA /• CITY //f (r/�/iLM�I U TEL. Nd!�-d,Q-7A Z/
FIXTURES Y 5 y� LICENVVVVSETTTE'NO. IZ.04 .�
NUMBER OF LIGHT CIRCUITS DISTRICT NUI U GROUP ZONE RE4DY EOR ISZPEOTIDN
NUMBER OF RECEPTACLE CIRCUITS R /�
MOTORS � r{
NUMBER HORSEPOWER FEE INSPECTION RECORD _
NEW MVD. HP OVER INC. EACH L L
IfS 6 LESS S
Yz_ 2 .so
2' 5 7.00 d tieti 1�1 1-<', -
5 IS 1.50
_ 15 50 2.50 _
50 200 5.00
MISO.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS•
FOR EACH PERMIT:' _
WIRING 51.00
FIXTURES 51.00
SUPPLEMENTARY .50
(�( APPROVALS
TOTAL FEE - S S�) DATE INSPECTOR'S SIGNATURE
I A
HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION CONDUIT
WITSALLCOUNTYORDINANCESANSTATE LAWSREGULATING E H CORRECT
CE I
HNG _WIRING
ELECTRICAL WIRING.
iHEREBY CERTIFY THAT I- AM PROPERLY' REGISTERED AND/Oft FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF OWER , A
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE P /A
DESCRIBED RESIDENTIA PROBER
UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE ��^� FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION /
2 525
9-7 21S MAY"20
- ,.,. DEPUTY,.
.r...-COUNTY OF LOS'ANGELES TEMPLE CITY . •• p 0508 ELECTRICAL PERMIT '
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508 0509210007 -
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT:
LEGAL ID: _ - - - FEES,PAID BUILDING ADDRESS: +
ON FILE
9055 BROADWAY
PEE DESCAZPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917802312
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5387-026-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 28.00 OUT 49.80
TENANT: G2 LIGHTING FIXTURES 12.00 LCT 23.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 09/23/05 JK 03/22/06
TOTAL FEES 111.90
OWNER: TEL. N0: FINAL DATE FINAL BY: CODE:
YEE, SHIRLEY (626) 292-2266-
9055 BROADWAY - - V`74`L .6---
TEMPLE CITY CA 91780 DESCRIPTION OF WORK
ELECTRICAL FOR THE ADDITION
APPLICANT: TEL. NO:
CAI (626) 429-1884-
416 W. AVONDALE AVE
SPECIAL CONDITIONS:
MONTEREY PARK 91754 -
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
T 6 W CONSTRUCTION (626) 429-1884-
416 W. AVONDALE AVE LIC. NO
TEMPORARY POWER BOLE
MONTEREY PARK, CA 91754 ]]1180 H
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: « UFER GROUND '
LIC. NO: ROUGH CONDUIT
!I r i
•
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508