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76A663-CE60670-59 APPLICATIO FOR ELE RIC PERMIT 1
COUNTY OF LOS ANGELES 9
DEPARTMENT OF COUNTY ENGINEER BUILDING A
BUILDING AND SAFETY DIVISION ADDRESS (((CCC�� ✓ ���(���(��(�
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CNEAREST
ROSS ST./
PERMIT FEES
ITEM NUMBER OWNER EACH FEE MAIL
OUTLETS: �/ 5 1O $ /40
ADDRESS
S.W.LIGHTS/
IGHTS RECEPT. T
LIGHTING FIXTURES 10 6CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
7 r
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO.
GARBAGE DISPOSERS AUTO.- STATEAr-
WASHERS STA.COOKING UNITS .25 LICENSE NO1l72-/7
MOTORS: OVER INC. H.P. DISTRICT NO. GROUP I ZONE PRQC15SED BY
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
e
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 (}v
FIXTURE PERMIT 1.00 !`
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES way
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAROPER POWER
SIGNATURE �� � UTILITY CO.NO
OF PERMITTEE
FINA
®e VAIIDA ON ARTHUR C.VETT,
CK MO cases SUPERVISING ELECTRICAL ENGINEER
City of Temple
City75A6"-V806 9--67 4 APPLItA,TION FOR ELECTRIM PERMIT
C6UNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING W5 Garibaldi
ADDRESS
JOHN A. LAMBIE. C0U4TY ENGIN[[R T�
COLEMAN W. JENKINS, SUPOPUNTtNDKI.1T OF BUILDIMs LOCALITY Tem
City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. 1 ! lA City Blvd.
NO, FE
RECEPT�
OWNER Al
__ MAIL
LIGHT TOTAL FIRST 20 1 _2Q 20 ADDRESS y�,t� QQ
SWITCH 1 OVER 20 .10 CITY Cit EL. NO.2V –O
LIGHTING �TOTAL. FIRST 20 .2oCONTRACTOR P&C'MC IIIIISI llft-8 IMC•
TFIXURES OVER 20 .10 ADDRESS 1 �[ .Grmg ��,''.^^ +*7��y�
RANGE DRYVR—WTR:HTR.— CITY Temple Cit TEL. KcW-7070
STA.COOK_DISP. F,A.U.-X– LICENSE N
SPACE HTR. AIR COND. I JHERADY ALKMOWtkDSE THAT I HAVE READ THIS APPLICATION
AND•jTAT[ THAT THE ABOVE I� CORRECT AND ASR[[ .TO COMPLY
CLOTHES WAS-H. MITH ALL COUNTY ORQINANCEE AND ETATf LAWS R[N{.ATINE
E LACTR ICAL W IR INS'.
FAK OTHER 1 1.Q0 1 I HEREBY CERTIFY THAT I AM PROPERLY R(GISTER[D AND/OR
MOTORS,TRAi18FORMEPIB RATING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AMP E QF
Ft M.IA OR THAT I AM THE LEGAL OW7LEp OF AND IM-TOID TO
IND_ HEATERS, FTC. HP. KW: KVA. RESIDE IN, THE A IDV D[4CIIIEED RQSID IAL PROP PITY.
SLZE & TYPE OVER TO JIN
GNATURE
0 - 1 11.00 Y PERMITTEQco reasor 1 - 10 1 3.00 DIST CT G O P k( N RO EASED DYV10 - 60 6.00 & lu
60 - 100 10.00 OTES.:
100 - 6QO 1"6.0
81011,OAS
�AD
TUEE, OR ON AND ONE CIRCUIT 9.00
MARQUEE DITIONAL CIRCUITS 1.00
SERVICE NOT OVER BOP VOLTS OR 200 AMR 2..00
SERVICE"OVER 600 VOLTS OR 200 AMP 6.00
TEMP SERVICE, POLE, h APPURTENANCES 9.00
PPROVAL$ DATE ]MSP[CTOR'S SIGNATURE
T MP. PqWER POLE
UNDERSLAB WORK
R UGH CONDUIT
WIRING
ISSUING FEE 2.00
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE IITII ITYCO.NOTIF7E
PLAN CHECK FEE (60% PERMIT FEE) EI AL
TOTAL FE 6 ZO .JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGiNEgR
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ( CK(J M.Q. CASH
LACO4 8 1, 6•`� 24 2 D. . ��% 0~
BEE BACK OFAPPLICATION FOR COMPLE-M FEE BCAEDULE '
I �
-_`l8A5&3-Cee06'1-ee APPLICATION FOR ELECTRICAL PEI&IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGIN[[R
COLEMAN W. JENKINS, SUFtRINTvLND[NT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH
RECEPT � _$ OWNER
MAIL
LIGHT TOTAL FIRST 20 .20 ` ADDRESS
SWITCH OVER 20 .10 CITY TEL. NO.
PLAN CHECK
121
ff
LIGHTING TOTAL FIRST 20 20 Q APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER_WTR.HTR.— CITY TEL.
STA.COOK_DISP.—F.A.U.— CONTRACTOR
SPACE HTR AIR COND.— ADDRESS
CLOTHES WASH._DISHWASH— CITY TEL. N
FAN—OTHER 1.00 LICENSE NO. Za CLASS AG.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 8 TYPE OVER TO AND Jt TATE THAT THE ASOV11 ID CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULA71MG
ELECTRICAL WIRING.
0 1 1.00
I HEREBY CEMTIFY THAT I AM FROFERLY REGISTERED AND/OR
1 — 10 3.00 LICE NIED AS RE0.IRED SY L.
ANGELES COUNTY AND !TATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWN
F, AND INTEND TO
10 — 80 6.00 RESIDE IN, THE OVE D RIMED R[ IAL PROPER .
SIGNATURE S
60 - 100 10.001 OF PERMIT cL
100 - 500 15.00 0
DISTR�T NO. GROUP ;PNE PROC ED BY
SIGN,GAS BION AND ONE CIRCUIT 3.0-0 S O /`C
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.002
NOTESs
SERVICE NOT OVER 800 VOLTS OR 200 AMP 2.00 Od
SERVICE OVER 600 VOLTS OR 200 AMP 6.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (SQ% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE2.00 �d UTILITYCO.NOTIFIED /O
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 0
TOTAL FEE JOS H C-1 ROOHAN
SUPERVISING ELECTRICAL ENGI ER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAB++
4 } } 7 �A RII 0—
SEE
�o. 10 0 5.&J Q
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
APPLICATIO FOR ELEC RIC PERMIT 1
COUNTY OF LOS ANGELES
DHPARTFNT OF COUNTY ENGINEER BUILDING
BUILD[N A, D SAFETY ADD"-88 ADD88
JOHN A. LAi1ABSAFETY COUNTY ENGINmt
WILLI A.JENSEN.Sur-r OF BUILDrNo L.00AL,ITY
FOR APPLICANT TO FILL IN NKARaJVr
PERMIT FEES aROas ST.
I T S Y NUYaSR IAal1 rim MAILER
oLrtLirce
uaHTs PM-11 sw fo
WGHTING-FIXTUR9. .Io CITY
n.ta.RANQSI OLo.DRYK" ELECTRICIAN -
WATSR HSATSRI .60 ADDRESS �J
ITAQS HT7M DWiWASH)RS CITY TEL. N 2 Y /
OARAAGS DLW-OGWM r AUTO.- $TATS
+� fTA.COOPING UNITS ,Y6 +� LI
IT
7�oTo�9: .bvnt rNC. Hs. DISTRICT NQ P
o— w s6 .4
W— . It .Ixi WS1=0N RECORD
S— D 1.00
D— 16 1.DQ
ID— 56 260
50-200 6.00
SIGNS: Ko'TP-AXIL �
Pto.LAMPS
BMW Ca 0-000V 1.00
91MCE Ovwt eoov V.00
M 1!�
WIRING P1RNIT 1.00
FIXTURE r11w[T 1.00
8UPPtZMEITA"OWMIT .210
TOTAL FEE Is 7
I HZMMY Aamow p"THAT 1 II 9AVI MCAD THIS A rWCATIOAPP?MALM DATZ IHsPwxncR'/l1ONATVIIt
AILD STATt THAT THS ABOVt IS QCRH= AND AQRSS TO OOHTL.Y
WrrH ALL OOURTT O®IHANaKS AND 1TATS LAWS RSOULATDIO CONDUIT
I HOOM CM'PY THAT 1 Ail rROPX3gLT R"LOTIO fl AM/QR WIRING
LICXKZ= AS IRQUU® kT LOG AN— OOUNTY AmD IrrATt or F1XTU _
aALIFORlL1A oR THAT I Ail THS LzmAL OIIHSE OF THS AMMM
DS1@UldD 1RAlDi NrLAL. PROFMir T.
91 GNAm RE UTI L.ITY O0. FI
O?rIpAmimm
�i YAIXDA� 6 [YURO
ax bo awar11I 1GAL.ENQlN Wt .
-- - LACO2 0 3 7 5 ,M 10 2 0 7.5 0