HomeMy Public PortalAbout9047 EMPEROR AVE_Electrical__ r � '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0709200022
BUILDING AND SAFETY / LANb DEVELOPMENT TEMPLE CITY CA 91780
- — - PHONE (626) 285-0488 EXT
LEGAL IDFEES PAID BUILDING ADDRESS
9047 EMPEROR AV
ON FILE IFEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752016
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15382-011-012 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 4 00 OUT 7 80
ITENANT IG2 LIGHTING FIXTURES 3 00 LGT 5 85 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 41 40 109/20/07 SR 03/18/08 1
I OWNER TEL NO 1 I FINAL DATE m5' Y CODE I
ILI, GUO HUA (626) 363-3661- 1D
19047 EMPEROR AV I
ISGAB 917752016 1 IDESCRIPTION OF WORK I
., I4 OUTLETS AND 3 LIGHT FIXTURES I
(APPLICANT TEL NO 1 I
ISAME AS OWNER 1 I 1
I ISPECIAL CONDITIONS 1
(APPROVALS DATE INSPECTOR SIGNATURE 1
1CONTRACTOR TEL NO I I I
ISAME AS OWNER - I I I
I LIC NO 1 ITEMPORARY POWER POLE
I I (UNDERGROUND CONDUIT 1 1
(ARCHITECT OR ENGINEER TEL NO 1UFER GROUND I
LIC NO IROUGH CONDUIT 1 1
IROUGH WIRING 1
IMAIN WATER LINE 1 1
PLASTIC Y/N METAL Y/N I 1 1
1 (UTILITY COMPANY NOTIFIEDI I 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
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508
I I I I I I
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1001060027
BUILDING AND SAFETY /_LAN'P DEVELOPMENT TEMPLE CITY CA 91780 _
PHONE (626) 285-0488 EXT -
LEGAL ID FEES PAID BUILDING ADDRESS I
ON FILE 9047 EMPEROR AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752016
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ROSEMEAD
15382-011-012 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 6 00 OUT 11 70 1
TENANT 1G2 LIGHTING FIXTURES 4 00 LGT 7 80 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 47 25 101/06/10 SR 01/06/11
OWNER TEL NO I IFINAL DATE FINAL BY CODE
IBAUDLER, MATTHIAS (626) 451-6897- 1 1 j (-�� I ��
19047 EMPEROR AV ` r
ISGAB 917752016 1D CRIPTIO OF WORK
(ADD 6 OUTLETS AND 4 LIGHT FIXTURES FOR NEW ADDITION I
(APPLICANT TEL NO 1
IBAUDLER (626) 863-2531- 1 1
I I ISPECIAL CONDITIONS 1
ICONTRACTOR TEL NO I JAPPROVALS DATE INSPECTOR SIGNATURE
1BAUDLER, MATTHIAS (818) 234-2589- 1 1
IGUO HUA LI LIC NO ITEMPORARY POWER POLE I I
19047 EMPEROR AVENUE NONE I I I I
ISAN GABRIEL, CA 91775 1 1UNDERGROUND CONDUIT I
I I I I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I
(ERIC ENGINEERS (310) 689-9939- I I I I 1
1305 N BROADWAY #3 LIC NO I IROUGH CONDUIT
IREDONDO BEACH, CA 90277 C70392 I I
1 1 IROUGH WIRING
I I I
_ 1 IMAIN WATER LINE I
I I IPLASTIC Y/N METAL Y/N
I I I
1 I 1UTILITY COMPANY NOTIFIEDI
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 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 I I I I I
I I I I I I
I I I I I I
I I I I I I
REPORT ID DPR265 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0910210015
BUILDING AND SAFtTY-/ LA-D DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 9047 EMPEROR AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752016
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET ROSEMEAD
15382-011-012 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 14 00 OUT 27 30
ITENANT IG2 LIGHTING FIXTURES 6 00 LGT 11 70 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
IH2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 110/21/09 SR 10/21/10 1
TOTAL FEES 77 70 1 1
(OWNER TEL NO (FINAL DAATEFI Y CODE I
BAUDLER, MATTHIAS (818) 234-2589- 1
19047 EMPEROR AV (
ISGAB 917752016 1 IDES RIPTION OF WORK i
(ELECTRICAL FOR ADDITION AND REMODEL 1
(APPLICANT TEL NO I 1 1
IBAUDLER (626) 863-2531- I 1 1
1 1 ISPECIAL CONDITIONS 1
I I I I
1CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IBAUDLER, MATTHIAS (818) 234-2589- 1 1 1
IGUO HUA LI LIC NO ITEMPORARY POWER POLE 1 1
19047 EMPEROR AVENUE NONE
I
SAN GABRIEL, CA 91775 1 1UNDERGROUND CONDUIT 1 1
I I I I I
1ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I I
1ERIC ENGINEERS (310) 689-9939- 1 1 1 1 1
1305 N BROADWAY #3 LIC NO IROUGH CONDUIT 1 1 1
IREDONDO BEACH, CA 90277 C70392 1 I 1 1 1
I ROUGH WIRING
1 1 IMAIN WATER LINE 1
1 I IPLASTIC Y/N METAL Y/N 1 1
1 I (UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I I I I I
I I I I I I
1 I I I I I
I I I I I I
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508 1 1
I I I I I I
COUNTY Ov LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PL!�LT�"WORKS 9701 LAS TUNAS EL 0508 1006290019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
ON FILE I 9047 EMPEROR AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752016
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15382-011-012 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1 00 PAN 38 85
ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY
106/29/10 SR
OWNER TEL NO IFINAL DATE FIN BY CODE
IMATHIAS BAUDER, GUO H LI (626) 363-3661- 1 1
19047 EMPEROR AV
SGAB 917752016 ID S RIPTION Of7 WORK
I (UPGRADE SERVICE PANEL TO 2 0 AMP
APPLICANT TEL NO
ISAME AS OWNER -
I (SPECIAL CONDITIONS
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I
I LIC NO ITEMPORARY POWER POLE I I I
I I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I I
LIC NO I IROUGH CONDUIT II
IROUGH WIRING
IMAIN WATER LINE
IPLASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIEDI
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 I
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508 I I
I I I I I I
08 S-A 12-43 25M
DEPARTMENT' OF BUILDING Allr`D SAFETY APCATION
�F+®R FE(R`1
COUNTY OF LOS ANGELES ELEC 1 RIOT
WM J FOX CHIEFIENGINEER
FAD
_mow y� rte. DISTRICT NO. GROUP ZONE PERMIT NO,
/, 4tq�TEL NO. . 7 � i RECEIVED BY READY FOR DATE ISSUED
COU
COUNTYNTY
'CO EXPIRES ��a � / IFIRST INt,SPECTIONAPPLICANT F`I IN HEAVILY OUTLINED PORTION ONLY
ESCRIPTION OF WORK ADDRESSUMBER OF OUTLETS ON CIRCUITS LOCALI
LOCATION BY ROOMS 0
NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST "� �►
CIRCUIT A B C D E F G H tr �ARESS
i�
Z
3 -
O
CITY TEL NO
I AM THE LEGAL POSg&ISSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATJj OF" ALIFICATTIIONN.
'�A'IELECTRICIAN.
I AM THE LEGAL,OWNER OF THE PROPERTY DESCRIBED
ABOVE C
�p�.
OWNER.
CORREMONS
J
Q
_Z
19
(Y
TOTAL / /'
NO OF OUTLETS 1 11 $ APPROVALS
NO OF FIXTURES 1 E 2,5 DATE INSPECTOR'S NAME
NO OF MOTORS H P. $ CONDUIT
NO OF SIGNS TRANS $ WIRING
NO OF RANGES ORAS $ FIXTURES
f�
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITYCO NOTIFIED /
TOTAL FEE aZ FINAL
76A663 CE806 9-66 APPLICATION FOR ELECTRICAL PEoIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �.
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. 'EACH FEE ^ i
--- -- OUTLETS FIRST 20 $.20 $ _OWNER
LIGHT MAIL
SWITCH ___________ ADD'L .10
ADDRESS
_ OVER 20
TOTALGHTING FIXTURES
LFIRST 20 , .20 CITY TE NO.
I
FIXTURES ADD'L ,O CONTRACTOR '
_ _ OVER 20
RANGES -DRYERS WTR.HTR8.- - _ 1.00 ADDRESS O
GARB.DISP. BTA.COOK I
_CITY TEL. NO. /
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .50 LICENSE NO. U
MOTORS: OVER NOT OVER H.P. DIST CT GROUP ZO E PRQQED BY
0 , 1.00 T / L
, 3 1.50 /INKSPPECTIO/N� RECORD
-- ----3 ——8 / 2.00
8 15 2.50
-
15 --- SO 5.00 -----� a
Q
SO 100 5.00 U
SIGNS: NO.TRANS w
NO.LAMPS O
H
SERVICE 0.60OV•NOT OVER 200A 1.00 LU
V u
D_
SERVICE 0.600V-OVER 200 A. 2.00 H
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE f
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
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 OF, AND INTEND TO POWER
RESIDE IN.THE ABOVE DESCRIBED ESIDE NTIA P OPERTY. - -
SIGNATURE UTILITY CO.NOTIFIED _
OF PERMITTEE _
FINAL
IDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
DEI S-A 12-43 25M
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
WM J FOX CHIEF ENGINEER
zV ��T v [RECEIVED
STRICT NO. GROUP ZONE PERMIT NO.
Q NAME L_
U ADDRESS / f�
L
CITY YL° I� TEL NO + rJ 7J� BY READY FOR DATE ISSUED
M FIRST INSPECTION
CERT NO EXPIRES ��-/.? G
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS � , /i 1
NUMBER OF OUTLETS ON CIRCUITS LOCALITY )
LOCATION BY ROOMS
NEAREST .
LIGHT OUTLETS SW I PLUGS FIXT CROSS ST
CIRCUIT A B C D E F G H lx m NAME f 1 ,
Z MAIL
ADDR S
f / /
CITY TEL NO
��J / , 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
n ANGELES CO!UNT�iCERTIFICATE OF QUALIFICATION.
Ae9T`I f / l ELECTRICIAN.
AI AM BOVE THE J EGAL OWNER OF'THE PROPERTY DESCRIBED
/ OWNER.
' R .3 CORRECTIONS
II I� v / n ,✓
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TOTAL p` /� I6
NO OF OUTLETS 0 E el) "PROVALS
NO. OF FIXTURES14 D /
DATE INSPECTOR'S/NAME
NO OF MOTORS H P $ CONDUIT I \-\ �N
NO OF SIGNS TRANS E WIRING J ��
NO OF RANGES OR HEATERS E FIXTURES
MISCELLANEOUS ffi POWER
PERMIT FEE E S UTILITYCO NOTIFIED1 g2
TOTAL FEE FINAL Q g
1�
TEMPLE CITY
eeea3cee0e4e0 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS i' ✓Ci
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN. SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ST
CROSS
PERMIT FEES OWNER j
I T E M NUMBER EACH FEE MAIL O
` OUTLETS $ $ ADDRESS a0 r//r vel
LIGHTS RECEPT SW 10
AjLIGHTING FIXTURES 10 CITY ) PJTE O
ELEC RANGES CLO DRYERS ELECTRI IAN nyy�
WATER HEATERS so ADDRESS /'(// e,
ELEC SPACE HTRS DISHWASHERS CITY l TEL NO
` GARBAGE DISPOSERS AUTO- STATE
BY WASHERS STA COOKING UNITS 25 LICENSE NO
e MOTORS OVER INC H P DISTRICT GR P
0 — 1/z 125
V2 — 2 so /INSPECTION RE ORD
2 — s too //� d
s — is Iso ' O
is so 250 t �� �trVl I w
y
SO — zoo Boo
i SIGNS NO TRANS
NO LAMPS 7Ti7,- EZ/�
SERVICE 0.600V too
SERVICE OVER 600V Soo
MISC
IF
4
a
WIRING PERMIT too
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ Op
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
I HEREBY 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 OW ER OF T E ABOVE
DESCRIBED RESIDENTIAL PROPERTY. S POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE FINAL
VALIDAT ARTHUR C V
CK Mo CABH SUPERVISING ELEC
TRICAL ENGINEER
LAUc/9 7 2 71 JUL 7 2 D 2.0 0 D
TEMPLE CITU �J
IGA666 CE8064.60 APOLICATI®IV FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ]�
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES
OWNER
I T E M NUMBER EACH FEE MAIL
OUTLETS $ $ ADDRESS
LIGHTS RECEPT SW 10
LIGHTING FIXTURES 10 CITY TEL
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS s0 ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO- STq
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DISTRICT G P NE P C �$
O — %2 25
'i2 — 2 so INSPECTION E ORD
2 s foo
5 1s 150 0
15 — sO 250 0
50 — 200 --- Boo V
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N
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SERVICE 0.600V 100 V[/
SERVICE OVER 600V Boo
MISC
WIRING PERMIT loo V
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT so
TOTAL FEE
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS + DATE INSP`E,ICTOR'SISIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING Lo
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
ul
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT IAM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED 1 f 'ir it A l/i
OF PERMITTE
FINA V/' Iii ; tIGK/t/�
VALIDA
CK M CABH SUPERVISING ELECTRICAL ENGINEER
11i V 13 2 D 2 .0 0
DBS SA 25M SETS 2-47 "PLICATION FOR T1 ERD70.�r
DEPARTMENT OF IiUMIDING AND SAFETY L9�SII.H9���A 1� S s�igl���8
COUNTY OF LOS ANGELES �4��4��' I�
WM J. FO CHIEF ENGINEER
_Q NAME DISTRICT NO. GROUP ZOfVE PERMIT NO.
U ADDRESS
E —
U CITY ¢ ���{ ��p �y TEL NO a�jRECEIVED BY READY FOR DATE ISSUED
W 7 FIRST INSPECTIONCUNTY
CERT NO EXPIRES S—.
APPLICANT FILL IN HEAVILY OIPI'I.INEID PORTION ONLY
JOB
DESCRIPTION OF WORK -ADDRESS 17
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS ISW I PLUGS FIXT CROSS ST
CIRCUIT A B C D E F G H tr NAME
ILI Z MAIL
3 ADDRESS
O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGLES COUNTY CERTIFIC E OF 4U Fl�ATI
ELECTRICIA
H AN THE LEGAL OWNER OF THE PROPERTY D GCRISED
ABOVE
�7��'+�.r�g �7 0W'iER.
t C®YB.lLa�B.�H3ONS
1
L
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FNO
L
F OUTLETS $ APPROVALS
F FIXTURES $ DATE INSPECTOR'S NAME
NO OF MOTORS H P $ CONDUIT
NO OF SIGNS TRANS $ WIRING
NO OF RANG(S QRS $ S FIXTURES
MISCELLANEOUS $ POWER !'
PERMIT FEE '� $ J UTILITYCO NOTIFIED _
TOTAL FEE ® FINAL
DBSAPPLICATION FOR PERMIT
OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM J FOX CHIEF ENGINEER
z 3' e-Z F r � DISTRIC NO. GROUP' ZONE PERMIT NO.
Q NAME
U ADDRESS
FE
U CITY e/ ]f/ TEL NO q. y RECEIVED BY READY-FOR DATE ISSUED
W / I�.�'� FIRST INSPECTIONCOUN
W CERT NO EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WOE _DDRESS o
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS ISW PLUGS FIXT CROSS ST �I
CIRCUIT A B C D E F G IH K I NAME
Z MAIL
- ADDRESS II
sy O 3
ear CITY TEL NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGfiLES COUNTY CERTIFICATE OF QUALIFICATION.
® ELECTRICIAN.
I AM THS r a�OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
e
r-
J
Q
t7
!Y
' O
TOTAL
NO OF OUTLETS $ S' APPROVALS
1 NO. OF FIXTURES $ 0 DATE INSPECTOR'S NAME
NO OF MOTORS H P. $ CONDUIT
NO OF SIGNS TRANS $ WIRING i
NO OF RANGES OR HEATERS ffi FIXTURES
L
LANEOU $ POWER
FEE / v ffi 2rsUTILITYCO NOTIFIED
FEE FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
FOR APPLICANT TO FILL INDISTRICT NO. GROUP ZONE PERMIT NO.
S -r A-/ �-b �_ /Z
ELECTRICIAN
2ECEIVED BY READY FOR DATE ISSUED
ADDRESS � // l FIRST INSPECTION �— �'
CITY jilEL NOAt 6
COUNTY LICENSE NO. EXPIRESBUILDING
RMA/
PEIT FEES ADDRESS
/
NUMBER EACH FEE LOCALITY 1 ,04
LIGHT OUTLETS NEAREST A
RECEPTACLES CROSS BT t+Ca al
p
WALL SWITCHES OWNER I
TOTAL OUTLETS sc $ .S MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 26 CITY TEL NO
FIXTURES S U
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBFR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 A#4 THE LEGAL OWNER
NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED AS V
0
V2 6 LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
a s 100 INSPECT ON RECORD
5 15 1 so
15 50 250
so 200 Boo
200 6013 10 00 J
500 1000 1500
Q
Z
OVER 1000 2000 19
M G SET/FRE4 CHANGER-HP Ir
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP MOTORS (75% OF ORIG)
MOVED MOTORS (75% OF ORIG)
MISC
SIGNS`
NO NO TRANS.
APPROVALS
NO NO LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 ' Q 0 CONDUIT
FIXTURES $1.00 0 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE fj 35 UTILITY CO NOTIFIED �---
L FINAL
76A663 DBS#5A 4-52