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76A663-CE80610-61 APPLICATION FOR E.LECTRI L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ® CG'
BUILDING AND SAFETY DIVISION ADDRESS
A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
I T E M NO. EACH FEE OWNER
OUTLETS (FIRST 20) $.2O $
LIGHTS.• RECEPT. 3W. MAIL
OUTLETS: (ADD'L UNITS) 10 ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) .20 CITY TEL. NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(1/y H.P.MAX.) ,5Q LICENSE NO.
MOTORS: OVER NOT OVER H . DISTRI T N GR2UPj P O EP_BY
0 1 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00 D_
O
8 15 2.50 u
D_'
15 50 3.00 �0
SO 100 5.00 W
SIGNS: NO.TRANS. to
NO.LAMPS Z
SERVICE 0.60OV-NOT OVER 200A Look,
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTASY PERMIT ISSUING FEE 1.00
TOTAL FEE
1HEREBY ACKNOWLEDGE THAT I 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
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY S S COU Y ND STATE OF FIXTURES
CALIFORNIA OR THAT 1 T AL W OF THE ABOVE
DESCRIBED RESIDENTIAL OP POWER
SIGNATURE / UTILITY CO.NOTIFIED
OF PERMITTEE 1.
FINAL
VALIDATI ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
i
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUILDING & SAFETY
WILLIAM 1. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIArN , Cl� 1 o
ADDRESS J �O RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CIT TEL. NO.
OUNTY ICENSSE NO. 6 EXPIRES BUILDIN ' 7 it w
PEMT FEES ADDRESS [/
NUMBER EACH FEE _ LOCALITY 7 1
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. '�--
WALL SWITCHES OWNER G
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 5
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUIT'S
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
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY SCRI ABOVE.
SIGNATURE O
1/2 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 SO 2.50
SO 200 5.00
200 SOo 10.00 - - J
500 1000 15.00 Z
OYER 1000 20.00
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA �' O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OR ORIG.)
MOVED MOTORS (75% OF ORIG.) r
MISC. t�,Af�!t-!p,• x f rr..
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 6 CONDUIT _y
FIXTURES $1,00 WIRING
SUPPLEMENTARY ,5O FIXTURES
POW ER
TOTAL FEE $ 1 v O UTILITY CO, NOTIFIED
FINAL
76A 663 DBS 5A. 4-02
;_ W01*1 S COMPEIJ3AT,oN.°ECLAAI�f1ON. . '0/91 APPLICATION FOR ELECTRICAL PERMIT ,
I f)erebY atftrm �l flava a.oertfao of consent to mif k-,s aM
ar a bertfhcate of wgrkwa' Cortpeneation Insurance, or a oertttied COUNTY OF LOS ANGELES BUILDING ANI) SAFETY
cgpy thereof•(Seo.38oO,l_.a�
Na Y FOR AppucAplr TD FILL❑i JOB
ADOF1F88
Cer#ified copy le h—by fW�f>d, . New ReeldertUal Bidge.&Pocis EACH NQ. -FEE
Qq � e4o
CwlfW copy is f1led wftt thA ty bd � it p 1 d 2--FpIAIy,3q.Ft. 3 � ffi Y Le y
'depestrnerlt . r+td-famQY�s4Ft eT
flflfa• APPIh¢r�f Residential.l*ftmN Poole OW riMrC IDD
MJ
CEFMF)CATE OF DkMPTTON FROM WORKERS'
GOMPEN&MON IN3#JRA E bullata Rao -LbM —Sw.
Mils fiction rmwd not be completed If the work hxofred-by the' First 20
pwYrMJs for one hundred dolhn ($100)-or his.) Tote]Nam Addttiortal CiTlj tel,
05 tr7 4-1
I oar* thaJ`h the performance the work for which-&M pannft , '
Is fmm] i I al-Al noterrptay•any any m®oer'eq ee to
bo g the Law& Lip Tft Fpduree Ftr9t 20 8S
4 r �+ 7 Tofal No.^ Addttiof)BJ C4-FY, Tel.W,
Fbmd Appliances Not Over THP
nook-E to Dalq APPLK ANT: � maFdrp ihls CertlRc�6sIf I
aHeeler D.W.. �'�
E�rr�Qior�you ehotid ubJ90 to=the Workers' — —
pmvWoM of U36 Labor-Cods,You must tRrthwftft oompfy with much Oven Dryer — WM�. ADDRESS
¢rgy0ons or tr.fe WTT*t_ehalI be deemed ravolmd ,. -fbp T FAU WJ-L
�iCENSED.COMRA(3TOR3 DECLAR/�lOfk Flood FanL)UNgE OR
Otf»r� CfTI -NaTe1:
F trey.efflr?R that I em IlCeitaed wr?der Pro rtaiorta Af:Cpter 8 Room-AY[Cond. � J1' Ciepn
(comrnerrhp wfU seatfQr)7000) of Dlv&O 3 of the"r6m and FE
Profasesort4 Code and Fry.Aoenee..fa In full 6-ce'ar effegt Powor i-Large Appliances _ oma? CT N0. �
r sbe 8 Type HP,.#(W,KSI%,or K14AR ► .. h
license f t><r�ef LIC.Cip se � Up to 1 Irk _ F1 NAL
GrontracforOver 1 to 10 Incl_ ✓� b ULY
Date —10
Over 10.to 501nd-
1 am tempt under sec. t Over 50.to 100 Inc',,
BAP.O.for thio reaeorl over 100 J-
0
N.
_. servbea,Sw M C d Paneltwarde .._
�fe?: 0-200 Amp.Under 800 V
201 - 1000 Amp.Under 60 a-V
Over 1000 Amp.or Ovbr 600 V
-E p for Reg.Midst Elect ; rk
SINf3LE FAMILY - 14W Power Pbie Appurtenagoee -
FAME QWNER BUILDER DECLAFWT70NSign with OneDdurcA Umk.
I.hereby 8"tm th&t[Am wwrpt froM the Contractor's L'1�e Law
for the folibwtq'raa¢c6(Sou on 7031.'6,Buatnese and Profeeaior�e SIQi Branch Circu)b
Code}:
4 as owner of the property,wf0 do the work and the struahae � y
Ie Dot "'ended or offarad for sale tseation 7044, ii a Othw See Con`plete Fee Sd*ck le) 8 6 Q 7'A
an .d Prof"-Oa Code).
#
e o 0 00 2 '
'GONSTAUCTION LENNNO AQENG"1
I hereby afftrm that there 18 a oxmtr'acnon lendlnp agency for the I a o255-0
performar-cb gf,the work for which ft-Jo parmIt la'k ed(Sec.3097, PERMfT FEE ' , (St]trTotaq '
C(v.C.). o e o.2 5.5 0 6"
'PLAN e,}-ECKR4Q FES 1231 .-87
L~a Name.
PERMff fs3UfN0,FEE
Lender?a Address . . -
1 Clef* that) have rand thb applfvatiari end state that the above ID-AL FEE;. vJr
hformation Is oor'reoL 1 Ww to oorr#y with all County ordhemes
and State. Electrical wMnb, end hereby Quthodze _
of Cow" to enter upon the abov rfwbmed
for SEt ftEVERSE FOR EXpLAHEQOHY LAHGUAQE
re Of Permittee
COUXTY OF 1,08 ANGILEB Tz"LE CITY / 0508 rr.2r- CAL PERMIT
DRPARTMMT O7 PIIBLIC MORES 9701 LAS TUTUS II, 0508 0601740007
BUILDIYG AND SALTY / LAND DLTM OPNWT TEMPLE CITY CA 91780
PHOYLi (676) 785-0488 EZTr
LEGAL IDt YENS PAID BUILDING ]nnn,SS.
ON FILL
9703 aAn raAT nI A7
FIg DLSCRIPTIOYa QIDINTITYi DOKi AMOUNT. TZ" CA 917801740
ASSRSSOR INFORMOATIOY YW®.IR: N LRXST CROSS STRIYP. LAuFFK"
5385-070-016 )u PERMIT ISSUANCIM YRE 77.75 T110101S PAGE, 597 (= i A7 LOCALITTs T]CKPLE CITY
41 OLTLI TS-LQP,SA,RLCP 4.00 OUT 7.80
TSWT: G7 LIGHTING II:ITOR18 3.00 LOT 5.85 ISSUED Cif: PROCRSSRD BYE PLAY BYE IIPIRIB ON:
TOTAL 7=8 41.40 07/74/06 jr 08/73/06
OAYER: TIM. YOB 11mL DATE P7ni. B7� CODIs
9703MELILLOGA DAYILL T (676) 664-1773- \/���(��
9703 a7ln rnAT.nI 717 VII �L
T)aQ'I.I CITY 91780 DESCRIPTI
ELECTRICAL FOR NEW BATHROOM
APPLIC7IET. TEL. YOB
SAME AS OWNER - -
SPICIIL COYDITIOYS:
CONTRACTOR: TEL. NO: APPROVALS DATE 7SBPECTOR SIGNATURE
SAME AS OWNER -
LIC. YO - TEXPORARS POWER POLE
UND12GROUND CONDUIT
ARCHITECT OR IYGIYffi: TCL. NO: - UIER GROUND
LIC. NO: ROUGH CONDUIT
ROUM MIRING
10.a WATER LINE -
PLASTIC Y/N METAL Y/Y
UTILITY COKPAYY NOTIFIED
RYPORT ID. DPR765 ROUTE TO. B9050E
`. COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL D508 031024001-5
r BUILDLNG AND SAFELY / LAUD DEVELOPMEIIT TEMPLE CITY CA 91780
PHONE; (626) 285-0488 EXT:
LEGAL ID� FEES PAID BUILDING ADDRESS:
ON FILE 9703 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801740
ASSESSOR INFORMATION NUFSER: NEAREST CROSS STREET: KAUFFMAN
5385-020-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LOT SW REUP 20.00 OUT 39.00
C2 LIGHTING FIiKAES 4.00 LOT 7.80 I
LB 200 AMP PANELS, RCC 1,00 PAN 38.85 10/24/03 VG 04/21/04
TOTAL FEES 113.40
-OWNER: TEL. NO: FI% DATE F I NAL B7. CODE:
NELItDANIEL T (d2¢) 237-0942-
GA
GAR I BALD I AY �f—]'
TEMPLE CITY 91780 DESCRTRTT�F WORK
ELECTRICAL FOR ADDITION AND RELOCATE' EXIST 'SERVICE
APPLICANT: TEL- NO:
SAME AS OWNER
-
SPECIAL CONDI I umb:
SAME AS OWNER -
LIC. NO TOMMY
ARCHITECT OR ENGINEER: TEL. NO: UFER GRULRD.
LIC. M0: ROUGH CONDUIT
PLASTIC Y/M METAL T/M
REPORT ID: DPR265 ROUTE TO: BS0508