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76"683-CESOG 12-58 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT BUIL
BUILDING AND SAFETY DIV DIVISION ADDRESS � AC%("�` itj �L•
JOHN A.LAMBIE,COUNTY ENGINEER
CAS
BATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMT FEES OWNER I JLLfL
1 T E M NUMBER EACH FEE
OUT L 96 �C/ MAIL
LIGHT RECE $W, .1O ADDRESS
LIGHTING FIXTURES ,10 ;' CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS /
CITY f,( 4t' E_- TEL.NO.
ARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS •25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO. GR�ODUP ON PRO SED BY
Y O- 1/2 .25 r 1- �-
1/2— 2 .50 INSPECTION i4prORD
2- 5 1.00
5- 15 1.50 Tf-1P-
15- 50 2.50 7 YL
CO ►f' O ��0�}UG�. L
50-200 1 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 '
SUPPLEMENTARY PERMIT .50
TOTAL FEE APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO MPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIR WIRING
I HEREBY C TIF THAT 1 AM PROPERLY •••��o�•�•o•yyy���pppppp----G ISTERED AND/OR
LICENSED AS EQU ED BY LOS ANGELES CTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEG L O NER 'F THE ABOVE
DESCRIBED RE�EENNTIIAL fROPERFY. POWER
SIGNATURE r_,,'// / j jG UTILITY CO.NOTIFIED
OF PERMITTEE J
FINAL T Jif-!iit.<-•-
OF / ; pATION ARTHUR C. VEIT.
I CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L 09' 1On . r� 7 2 A 10:75
7 4 /
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0010030075
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 10558 LT: 35 UN: .002 5334 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803328
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8585-004-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45
TENANT: G1 OUTLETS-LGT,SW,RECP 19.00 OUT 37.05 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
G2 LIGHTING FIXTURES 8.00 LGT 15.60 10/03/00 UT 04/02/01
G3 POLE MOUNTED LIGHTS 1.00 POL 2.25
OWNER: TEL. NO: H7 RES EXHAUST FANS 2.00 EX 21.90 FINAL DATE FINAL BY: CODE:
YEN;STEVE (626) 443-0322- TOTAL FEES 159.00 r= reCj
5334 GLICKMAN AV
TEMP 917803328 D S ION OF WORK
ELECT ICAL FOR REMODELING
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
Co
CONTRACTOR: TEL. NO: ®� tl��,\, \ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO `� TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: / UFER GROUND
LIC. NO: 1111111 ROUGH CONDUIT
ROUGH WIRING
fMAIN WATER LINE
`l J� L. C IVY U� PLASTIC Y/N METAL Y/N
���" UTILITY COMPANY NOTIFIED
1 0tAl
fd
ice
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0209300005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 10558 LT: 35 UN: .002 5334 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803328
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8585-004-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45
TENANT: G1 OUTLETS-LGT,SW,RECP 21.00 OUT 40.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
G2 LIGHTING FIXTURES 10.00 LGT 19.50 09/30/02 JK 03/29/03
G3 POLE MOUNTED LIGHTS 1.00 POL 2.25
OWNER: TEL. NO: H7 RES EXHAUST FANS 2.00 EX 21.90 FINAL DATE FINAL gY:, CODE:
YEN;STEVE (626) 433-0322- TOTAL FEES 166.80
5334 GLICKMAN AV
TEMP 917803328 DESCRIPTION OF WORK
FINALIZE PERMIT#00010030075
APPLICANT: TEL. N0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT /, L
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508