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D -663
5A APPLICATION FOR ELECTRIC PERMIT 1
DBSS-SA 12-54
ZDIVISION OF BUILDING AND SAFETY _
Department of County Engineer
County of Los Angeles BUILDING
WM. J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING - yyLL
FOR APPLICANT TO FILL IN
LOCALITY h�� �i (c/
PERMIT FEES NEAREST
• CROSS ST.
NUMBER EACH FEE rr i /
LIGHT OUTLETS OWNER /,�'P` s�i4 /f► r' ���-///J/lii I bR
RECEPTACLESMAIL
_T ADDRESS-`/ V / `� // //�I It /eI
WALL SWITCHES
TOTAL OUTLETS 540 $
CITY T L TEL. NO.
ELEC. RANGES /--��--;; 25. }.g= ELECTRIC AN ''
ELEC. HEATERS(&�Ip y) 25 �. ADDRESS �.
KW EA ''77 CITY Mt1j, � TEL. NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
NUMBER OF RECEPTACLE CIRCUITS
DISTRICT NO. GROUP I ZONE/I READY FOR INSPECTION
MOTORS T /_/
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. .EACH
'1/2&L6SS .$ .25 3 S-
1/2 2 .50
2 5 1.00
5 15 1.50
15 50 .2.50 -
50 200 5.00
misc.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT: I d
T
WIRING $1.00
FIXTURES $1.00 -
SUPPLEMENTARY .50
,Q' APPROVALS
TOTAL FEE $ (J DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF '
CALIFORNIA OR THAT I AM THE LEGA OWNE F THE ABOVE POWER
DESCRIBED RESIDENT[ L PROPERTY. -
N UTILITY CO. NOTIFIED
SIGNATURE
OF PERMIT ' FINAL
g
WILLIAM J. FOX.COUNTY ENGINEER-, V�ST {, ✓1 '-i S�I+J ILIDATION
V V t; 1PY C?
DEP TY
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304240031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 15098 LT: 5 4821 HALLOWELL AV
IFEE DESCRIPTION:• QUANTITY: UOM: AMOUNT:( TEMP CA 917803457
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-016-013 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 20.00
(TENANT: 1G2 LIGHTING FIXTURES 2.00 LGT 4.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 51.80 104/24/13 SR
(OWNER: TEL. NO: I 1FINALJ�DATEE / FINAL BY: CODE:
DAM, MEI (626) 731-2297-
1I I •� ` / `" 1 / IV
1217 EL MONTE ST. 1 1
ISAN GABRIEL CA 91776 1 1 ESCRIPTION OF WORK I
I (ELECTRICAL 10 OUTLETS AND 2 LIGHT FIXTURES FOR NEW GARAGE 1
(APPLICANT: TEL. NO:
ICAI HUI WANG (626) 429-1884- 1 I 1
11532 FISHBURN AVE 1 (SPECIAL CONDITIONS: I
ILOS ANGELES CA 90063 1
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
1PROSPERITY CONSTRUCTION INC (626) 429-1884- 1 1
11532 FISHBURN AVENUE LIC. NO 1 ITEMPORARY POWER POLE 1 1 1
ILOS ANGELES CA 90063 966300 1 1
I (UNDERGROUND CONDUIT 1
1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I
ILEE, PETER (626) 280-9000- 1 I
18748 E VALLEY BLVD SUITE L LIC. NO: 1 IROUGH CONDUIT 1
IROSEMEAD CA 91770 966300 1•
1 IROUGH WIRING
1 1 (MAIN WATER LINE 1
!PLASTIC YIN METAL YIN
I I 1UTILITY COMPANY NOTIFIEDI 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* ADDITIONAL DATA ON FILE 1
o I I I
(REPORT ID: DPR265 ROUTE TO: BS0508 1 1 I 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1401090055
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 15098 LT: 5 I 4821 HALLOWELL AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803457
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-016-013 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY, Cl
I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90
(TENANT: I TOTAL FEES 66.70 JISSUED ON: PROCESSED BY: PLAN BY: I
101/09/14 SR
OWNER: TEL. NO: (FINAL DA E FIN Y: CODE:
(DAM, MEI (626) 731-2297- 1 1 1
1217 EL MONTE ST. I I
ISAN GABRIEL CA 91776 I IDESCRIPTION OF WORK
1 I UPGRADE SERVICE PANEL TO 2 0 AMP
I
(APPLICANT: TEL. NO: I I
ISAME AS OWNER
I I (SPECIAL CONDITIONS:
I
I I I I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER - 1 I 1
I LIC. NO 1 (TEMPORARY POWER POLE
I I I
I (UNDERGROUND CONDUIT I I 1
I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I
ILEE, PETER (626) 280-9000- 1 1 1-1 I
18748 E VALLEY BLVD SUITE L LIC. NO: 1 (ROUGH CONDUIT I I I
IROSEMEAD CA 91770 1 k I I I
1 1 IROUGH WIRING
I I I I I I
I 1 (MAIN WATER LINE 1 1 1
I 1 IPLASTIC YIN METAL YIN
1 I (UTILITY COMPANY NOTIFIEDI I
I I I I I I
I I I I I I
I I I I I I
1 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* ADDITIONAL DATA ON FILE
I I I I
I (REPORT ID: DPR265 ROUTE TO: 2S0508 I I 1 I
I I I I I I