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76A663-VI0612_56 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES �)
DEPARTMENT BUILDING AND SAFETY DIVISION ER ,ADIDRESSG /fcu
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN- NEAREST
CROSS ST ✓I
PERMIT FEES OWNER
ITEM NUMBER EACH FEE
OUTLE $ $ MAIL
T ADDRESS
LIGHTS RECEPT SW / 10 [�
LIGHTING FIXTURES 10 / CITY TEL NO
ELEC RANGES CLO DRYERS -F-�� ELECTRIC11KN-
to
WATER HEATERS 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS
CITY TEL NO `
GARBAGE'DISPOSERS AUTO- -
STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC HP DISTRICT GROUP ZONE PR Y
O— 1/2 25
1/2- 2 .31,L 50 INSPECTION RECORD
2— 5 1 00 ' S�Q�
5— 15 150 4 711� At ell
15— 50 250 /
50-200 500
SIGNS NO TRANS
NO LAMPS
SERVICE 0-600V 1.00 '
SERVICE OVER 600V Soo
MISC' t
WIRINGPERMIT 1 00
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ , � APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS,APPLICATION DATE INSPECTOR'S SIG TURF
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY a ,
WITH ALL COUNTY ORDINANCCS AND STATE LAWS REGULATING CONDUIT f'f
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED R DENTIA RO PERTY POWER x "
XGNATUUTILITY CO NOTIFIED
F PER
_FINAL
`fin Z-`/`��' �.�.,y-.- _.-•�`_
®FV MO CASH
ION SURPERVISING
Eij ELECTRICAL ENGINEER
C MO
- t .
LACo a 1 2 :3 ��t� 17 2 A 3 .8 0 .
1
76A663-CE806-6-57 APPLICATION FOR ELECTRIC PE,RMITi 1�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS S3346 N, 1--RA 7-41S
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST Vg
S'
PERNUT FEES
OWNER O
LIGHTS RECEPTACLES SWITCHES
NUMBER 1 T E MMAIL
•� > /�� /� ` /�
EACH FEE ADDRESS IS-3 V O �V•/ ' /J��j ✓�
TOTAL OUTLETS $ 10 $ .910
j� (y;/)
ELEC RANGES, WATER HEATERS, CITY /f../"/��L G�/ J TEL NO /'IT k~b/)glf
CLOTHES DRYERS 50 ELECTRICIAN
ELEC SPACE HEATERS STAT Y COOK-
ING UNITS, GARBAGE DISPOSERS, ADDRESS WN
AUTO WASHERS, DISHWASHER 25
LIGHTING FIXTURES 10 CITY TEL NO
STATE
MOTORS LICENSE NO
HORSEPOWER
H P OVER INC DISTRICT-NO GFQU._P ON READY FOR INSPECTION
1/2 @ LESS 25 C•a[j� v�-'I/L•-� `J
1/2 — 2 5o INSPECTION RECORD
2 — 5 1 00 --�1
5 — 15 1 50
15 — 50 250
50 — 200 500
MISC.
V
SIGNS _ I NO TRANS
NO LAMPS
SERVICE O-600V too
SERVICE OVER 600V Soo '
WIRING PERMIT 100 Q
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE S ITO
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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
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 THE ABOVE POWER �^
DESCRIBED RESIDENTIA PR ERTY. •���
SIGNATURE J � UTILITY CO NOTIFIED �
OF PERMITTE
JOHN A.LAMBIE, VALIDATI ARTHUIR C.VEIT,
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO CASH +
-!rU0 3 3.5.8 f -CCT 1.5 2 3.0 0
®v
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706250013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS I
ITR 11492 LT 22 BL B I I 5336 FRATUS DR 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803118 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I
18590-002-025 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 8 00 OUT 15 60 1
ITENANT IG2 LIGHTING FIXTURES 6 00 LGT 11 70 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
ILB 200 AMP PANELS, MCC 1 00 PAN 38 85 106/25/07 SR 12/22/07 1
1 TOTAL FEES 93 90 I 1
1OWNER TEL NO 1 IF AL DATE FIN BY CODE I
ITIEU, BAN (626) 688-4785-
15336 FRATUS DR 1 1 1
ITEMP 917803118 1 IDMCRIPTIONIOF WORK 1
I I (ELECTRICAL FOR GARAGE AN SERVICE PANEL TO 200 AMP I
I I I I
(APPLICANT TEL NO
ITIEU (626) 688-4785- I I I
15336 FRATUS DR 1 ISPECIAL CONDITIONS 1
ITEMPLE CITY CA 91780 I 1 1
I I I I
I I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ITAM AND WANG CONSTRUCTION, INC (626) 429-1884- 1 1 1
1416 W AVONDALE AVENUE LIC NO I ITEMPORARY POWER POLE I I I
IMONTEREY PARK, CA 91754 771180 B I I I 1 I
I I (UNDERGROUND CONDUIT I I
I I I I I I
1ARCHITECT OR ENGINEER TEL NO I 1UFER GROUND I I
I - 1 1 I I
1 LIC NO I IROUGH CONDUIT 1 1
/ I
1 I IROUGH WIRING
I I I I I I
1 1 IMAIN WATER LINE I 1 1
1 1 IPLASTIC Y/N METAL Y/N I 1 1
I I I I I I
1 I (UTILITY COMPANY NOTIFIED
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
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 IREPORT ID DPR265 ROUTE TO BS0508 I I I 1
VORK•ERS' COMPENSATION DECLARATION 200019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT
i I"hereby=affirm that I have a �Orficate eft consent to self CE E,oac O _
-{ iostUre, or a c ;rtificat� of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT—OF PUBLIC WORKS
ora certifiec`f eopy thereof (Sec 3800_, Lab C )
PoIICy141GCompany FOR APPLICANT TO FILL IN JOB -33Al Il V
lCertified copy is hereby furnished � New Residential Bldgs & Pools EACH NO FEE ADDRESS
❑ S
❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY i41 Ile be C f
tion department Multi-family Sq Ft — NEAREST p�
CROSS ST lJ l
Date A licant Residential Swimming Pools OWNER OR / fit,. / Q
Applicant— FIRM NAME E
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Re `! IL ht/ Sw�0 MAIL 0. .,
�•
COMPENSATION INSURANCE ADDRESS 0 � --.S
%First 20 '
(This section need not be completed if the work involved by Total No Additional CITY �, �� Tel No
the permit is for one hundred dollars ($100)or less.) PLAN CHECK
I certify that in'the performance of the work for which t is APPLICANT
permit is issued, I shall not employ any person in any mana er Lighting Fixtures First 20 ADDRESS
so as to become subject to the Workers'Compen on L s
�b lel Total No Additional
CITY Tel No
Dat Applican Fixed Appliances Not Over 1 HP PERMIT T
NOTICE TO APPLICANT If, er .king s Certif to of APPLICATION ✓E �I� �E d..
Exemption, you should b co subject to the Workers' Range— Heater—D W
Compensation provisions of a Labor Code, you must forth- Oven — Dryer W M ADDRESS Q ��
with comply with such provisions or this permit shall be Top — FAU —W H —
deemed revoked Hood Fan —Other_ CITY �/jZj(� E(/ Tel No ��-VO F
LICENSED CONTRACTORS DECLARATION / e7�, `Zd
Disp LICENSE OR REG NUMBER Z0 Room Air Cond — Class C
I hereby affirm that I am licensed under provisions of Chapter 9 i
(commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROCESSED BY
and Professions Code,and my license is in full force and effect 11
r Size &Type HP, KW, KVA, or KVAR O
License Number 01 Lic ClassC-—"C 4'�D Up to 1 Incl FINAL U
Contractor Dat,/6 L Over 1 to 10 Incl DATE VALIDATION 0O
❑ Over 10 to 50 Incl FINAL ~
I m exempt under Se Over 50 to 100 Inc BY LUiI
B&P C for this reason Over 100 d
- Services, Swbd , MCC 8 Panelboards � 21 0 Q 3 A Z,
Date 0-200 Amp Under 600 V —
Signature 201 - 1000 Amp Under 600 V 0 0 0 0 0 2
❑ Over 1000 Am or Over 600 V
Exemption for Reg Maint Elect p ) it( ° o 5J.0,0
SINGLE FAMILY Temp Power Pole &Appurtenances OWNER-BUILDER DECLARATION
5;1. 0 0'0
' I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit J
Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits 0.2 6"'8 8
Professions Code)
❑ j, as owner of the property, will do the work and the Misc Conduits&Conductors
structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— ,
Business and Professions Code)
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec 3097, Civ C )
PLAN CHECKING FEE
Lender's Name I
PERMIT ISSUING FEE
Lender's Address t
I certify that I have read this application and state that the TOTAL FEE
above information is correct I agree to comply with all County
ordinances and State jaws regulating Electrical wiring, and
hereby authorize re resentatives of this County to enter upon
above-men propert for inspection purZes
SEE REVERSE FOR EXPLANATORY LANGUAGE
gnature 0 Permittee Date Os