HomeMy Public PortalAbout5128 FARAGO AVE_Electrical__ 76A663 CEB061060 APPLICATION FOR ELECTRIC PER 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST '
PEM TP FEES CROSS ST
OWNER
I T E M NUMBER EACH FEE MAIL
OUTLET $ $ Q ADDRESS
LIGHTS RECEPT 'SW 10 Q
LIGHTING FIXTURES 10 3 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN Tchardson El ect. Cc)� C e
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WATER HEATERS 5O ADDRESS n927j r,.Rroarlwny
ZLEC�, SPACE HTRG...,DISHWASHERS CITY EL NO l-
BAG DISPOS (ZUTO /`
STATE 7
WASHER-'> STA COOKING UNITS 2$ LICENSE NO
Morons OVER INC HIP DIS
RICCTk I GYIJP IWNF— I P C58SED BY
0— 1/2 /� 25
1/2— 2 $o INSPECTION RECORD
2— 5 100
S— 1$ ISO
15— 5o 250
50—200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V too
SERVICE OVER 600V 500
MISC
WIRING PERMIT 100 O d
FIXTURE PERMIT 100 0 v
SUPPLEMENTARY PERMIT 50
TOTAL FEE
IH
ACKNOWLEDGE THAT I 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 //JJ
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA PROPERTY POWER
SIGNATURE UTILITYCO NOTIFIED
OF PERMITTEE
FINAL
®F (c/�K
A ARTHUR C VETT
Mo cwBH SUPERVISING ELECTRICAL ENGINEER
LF1IO 9 NOV ?5 2 0 1 0 3 5
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1210290032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 11497 UN 004 1 5128 FARAGO AV
1FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803527
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18574 009 045 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY CAI
I IG2 LIGHTING FIXTURES 2 00 LGT 4 00
ITENANT IH3 RES DISHWASHR LT 3HP 1 00 DIS 11 00 (ISSUED ON PROCESSED BY PLAN BY
TOTAL FEES 42 80 110/29/12 SR
(OWNER TEL NO 1 IFINAL DATE FINAL BY CODE
IFREY BARRY (562) 760-1826 1 f
18035 RING ST 1 �-
ILBCH 908083226 (DESCRIPTION OF WORK
IREPLACE DISHWASHER AND 2 LIGHT FIXTURES FOR KITCHEN REMODEL
I
(APPLICANT TEL NO
ISAME AS OWNER 1
I ISPECIAL CONDITIONS
V 1
(CONTRACTOR , TEL NO APPRO ALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER I I
I _ LIC NO ITEMPORARY POWER POLE 1
I Y IUNDERGROUNDµCONDUIT
(ARCHITECT OR ENGINEER TEL NO 1 Y IUFER GROUND I
LTC NO 1 IROUGH CONDUIT
IROUGH WIRING 1
IMAIN WATER LINE 1 1
1 1PLASTIC YIN METAL YIN 1
1 1UTILITY COMPANY NOTIFIED( I
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I I I I I I
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