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DPS-SA-5AJF-55' APPLICATION LICATION FOR ELECTR.IC PERMIT 1
DMSION OF BUILDING AND SAFETY
Departrnant of County Engineer BUILDING
County of Los Angeles ADDRESS 6S Y•
JOHN A LAMBIE, COUNTY ENGINEER //
CASSATT D. GRIFFIN, SUPr-
T OF BUILDING LOCALITY �_1r
--- p 4
FOR APPLICANT TO FILL IN NEAREST
PST FEES CROSS ST
NUMBER
OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDREESS
WALL SWITCHES FEE CITY / GA / /c C/rY TEL NO
TOTAL OUTLETS @ 5¢ $ ELECTRICIAN
ELEC RANGES 25 - ADDRESS
a � O O .31Sit
ELEC HEATERS 25 CITY / �» /
C 4./ TEL NO!;Z6y
40
KW EA- STATE
FIXTURES 5 Z O LICENSE NO
MOTORS DISTRICT NO. GROUP ZONE READY FFOOgrIII ECTION
NUMBER HORSEPOWER FEE �I - ! I �✓
NEW MVD HP OVER INC EACH
&LESS $ .25 INSPECTION RECORD
Ifz 2 .50
2 5 1.00
5 15 1 50
15 50 250
50 200 500
M ISC
NO. SIGNS NO TRANS.
NO SIGNS NO LAMPS
FOR EACH PERMIT* '
WIRING $1 00 1 00
FIXTURES $1 00 0 0
SUPPLEMENTARY L
APPROVALS
TOTAL FEE $ '"0 DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAS APPLICATION
AND STATE THAT THE ABOVE IS CORREEE TO COMPLY CONDUIT ���
WITH ALL COUNTY ORDINANCES ANDS RE001,
GULATING WIRING
ELECTRICAL WIRING. `
I HEREBY CERTIFY THAT I AM PROPTERED AND/OR FIXTURES �!^� °
LICENSED AS REQUIRED BY LOS ANGEAND STATE OF
CALIFORNIA OR THAT I AM THE LEGOF THE ABOVE POWER
DESCRIBED RESIDENTIA PE
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
JOHN A.LAMBIE.COUNTY ENGINEER ATION ARTHUR C.VEI .CHIEF ELECT. INSPECTOR
CK MO CASH '
4LAr,0 9 6 5 1- J11%'2 6 2 3.2 0
DBS. Al,>,S APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department Of County Engineer FBDINGCahn{y Of 1.08 Angeles _ - _ _JOHN A. LAIr1B1E, COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING G C
PERRLA T LIF CES TO FILL IN cRoss s pi4G ILII¢L
NUMBER I
�. OWNER �
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS �o� 7►
WALL SWITCHES FEE _ CITY / / TEL NO ,y z
TOTAL OUTLETS 52 ELECTRICIAN rr!
ELEC. RANGES 25 w
ADDRESS
ELEC. HEATERS 25
KW EA CITY TEL.NO.
STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE I ^-4'—� I J�/1-/
,j /
NEW MVD HP OVER INC. EACH
I/2 a LE68 $ .25 INSPECTION RECORD
Y2 2 .50
2 5 1.00
5 15 1150
15 50 2.50
50 200 5 00
misc.
NO.SIGNS NO.TRANS.
NO SIGNS NO. LAMPS
FOR EACH PERMIT,
WIRING $1.00
FIXTURES $100
SUPPLEMENTARY .50
APPROVALS
TOTAL FEE $ ,
DATE INSPECTORS SIGNATURE
I 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 h
LICENSED'AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
CALIFORNIA OR THAT M THE LEGAL OWNOF THE ABOVE POWER
DESCRIBED RESIDENTIA P
SIGNATURE f UTILITY CO.NOTIFIED y
OF PERMITTEE '� FINAL I
l" T
JOHN A.LAMBIE.COUNTY ENGINEER LIDATION ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
MO CASH
Al�a 9. 7 0 7 JUN 2 7 2 2.5 0 �
76A663 DBS 5A 3-5o APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS-ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN O
ADDRESS a REC IVED BY READY FOR DATE ISSUED
FIRST INSPECTION 7 _
CITY w TEL NO `
COUNTY LICENSE NO. EXPIRES BUILDING /0��9�ai'rves `fir"'
ADDRESS
PERMIT FEES � - "
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES O OWNER ,S
TOTAL OUTLETS SC m MAIL
ELEC. RANGES 2g ADDRESS
ELEC HEATERS 25 CITY TEL. NO.
FIXTURES 5 .-9.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC
APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING,
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
_ FEE
NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
12 a LESS .25 SIGNATURE OF
V2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 is 1.50
is 50 2.50
50 200 SCO
200 500 10.00 „J
500 1000 15.00 Z
OVER 1000 20.00
M.G. 9ET/FRE4. CHANGER-HP
WELDERS: AC-KVA - O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or CR10)
MOVED MOTORS (75% or OR19.)
MISC.
SIGNS
NO. NO TRANS.
. APPROVALS
NO. NO LAMPS
FOR EACH PERMIT. DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT s
FIXTURES 7$1.00
WIRING f /
SUPPLEMENTARY ,g0 FIXTURES
POWER
TOTAL FEE 3 UTILITY CO.NOTIFIED
r
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0309090043
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
FEES PAID --gUTLDTO ADDRESS:
TR: 8822 LT: 1 UN: .004 10549 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802813
NUMBER:ASSESSOR INFORMATION NEAREST CROSS STREET: HALIFAX
8586-011-014 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TOTAL FEES 66.60 C L Y: .
09/09/03 JK 03/07/04
NE EL. N0: FINAL DATE NAL Y: CODE:
STEFANSKY;DEBRA SUE&PETER ALEXANDER (626) 443-7325 0\ b 3 y,
10549 DAINES DR �`�
TEMPLE CITY 91780 DESCRIPTION OF WfORK
UPGRADE ELECTRICAL PANEL TO 200AMP
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS ATE INSPECTOR SIG URE
SAME AS OWNER
LIC. NO TEMPORAR77NER PNE
UNDERGROUND CON UIT
ARCHITECT ENGINEER: UFER GROUND
LIC. NO: ROUGH'CONDU T
R GH,WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITYCORPTRY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508