HomeMy Public PortalAbout6125 ENCINITA AVE_Electrical__ y /per p6�Ip6�Y 11/1 APPA
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING n "
BUILDING AND.SAFETY DIVISION ADDRESS C• L
JOHN A. LAMBIE. COUNTY ENGINEER -
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20S 20 6 OWNER
MAIL
LIGXT
Y y AQQ' 0 ADDRESS
SWITCH. OVER LO
TOTAL CITY L. NO.
LIGHTING I FIRST 20 �-' .20 � Q
FIXTURES I( � •oR 10 ELECTRICIA
ovER 20
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS ` 2-
GARB.DI SP. STA.COOK
CIT /� TEL. NO
. STATE
-17
' SPACE HTRS, ASTA.PPSH:h H.P.MAX.) .5D LICENSE NO. _{�
mOTORS: OVER NOT OVER H.P. DISTRLOTNQ: GROUP ON PR CE ED•BY
0 1 1.00 L� D Yi
1 3 1.50 INSPECTION RECORD
3 B 2.00
8 I5 2.50 O
U
15 50 3.00 O
50 100 5.00
SIGNS: NO.TRAN6.
d
N O.LAMP9 y
SERVICE 0.60OV.NOT OVER 200A 1.00 �J L
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 Y.
SUPPLEMENTARY PERMIT ISSUING;FEE 1.00
TOTAL FEE
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 CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR /r� +
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES G ✓ .�/I.v i
CALIFORNIA OR THAT 1 AM THE LEGAL WNEq OF THE ABOVE '.�
DESCRIBED RESIDENT AL PROPS _ POWER
SIGNATURE UTILITY CO.NOTIFIED 1 /E
OF PERMIttEE FINAL t1.2%SGS +T W
IDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
'At'c 0 L5.6 2:0 IN 19 2 D 8.'7 0-
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105050006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ITR: S ID: FEES PAID
BUILDING ADDRESS:
ITR: 5904 LT: 291 ON .002 6125 ENCIN ITA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNTej TEMP CA 919801637
ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET:
5389-012-029 JAI PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS—LGT,SW,RECP 9.00 OUT 7.80
(TENANT: H2 RES GREG DISP LT 3HP 1.00 DIS 10.90 (ISSUED ON: PROCESSED BY: PLAN BY:
IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 105/05/11 SR
IH4 RES RANGE HUE LT 3HP 1.00 HOD 10.90 I
TOWNER: TEL. NO: I TOTAL FEES 68.30 IFZNAL DATE FINAL BY: CODE:
1QI, WEI 626) 231-6240— II
16125 ENC IN ITA AV ��'111 ^`
917801637
(TEMP
I T �'PESCCBION OF WORK
(ELECTRICAL FOR KITCHEN REMODEL
(APPLICANT: TEL. N0: 1 I
(SAME AS OWNER _ T
I
(SPECIAL CONDITIONS: T
I I
I
(CONTRACTOR: TEL. N0:
SAME AS OWNER (APPROVALS DATE INSPECTOR SIGNATURE
( _ T
LIC. NO (TEMPORARY POWER POLE
(UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: i IUFER GROUND
LIC. NO: IROUGH CONDUIT
ROUGH WIRING
Wet
TMAIN WATER LINE
(PLASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIEDI
REPORT ID: DPR265 ROUTE TO: BS0508
I I I I