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76A66�CF806 8-62 lrt111'PLSOCAMN MBOMOU PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ,
BUILDING AND SAFETY DIVISION ADDRESS /Y zo -7—
JOHN A. LAMBIE, COUNTY ENGINEERs� /
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �/y/�L Z
.` NEAREST / pv
FOR APPLICANT TO FILL IN cRoss sr. L— �
RECEPT. TOTAL NO. EACHFEE 1
OUTLETS FIRST 20 $20 $ nO OWNER
S
LIGHT ? !1 MAIL
SWITCH. ` 35 ADD'L - 10 ADDRESS
�J OVER 20 5io
LIGHTING 00
TOTAL CITY TEL. NO.
1 FIRST 20 � .20
FIXTURES 1 ADD'L 70 ELECTRICIAN ES Z /C
OV R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 6_'7Z-6? L {/
GARB.DISP. STA.COOK CITY TEL. NO./J'"
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(+/¢H.P.MAX.) .50 LICENSE NO. 7
MOTORS: OVER NOT OVER H.P. DISTRIC NQS. GR LiZONE PR D B
O 1 1.00 s• �'
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00
D.
50 100 5.00 0
SIGNS: NO.TRANS
NO.LAMPS
SERVICE 0.60OV-Nor OVER 200A 1.00 V
W
„ SERVICE 0.60OV-OVER 200 A. 2.00 y
SERVICE OVER 600V 5.00 ?
MISC.
'.' PERMIT ISSUING.FEE 2.0006)
,
L.' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 .
TOTAL FEE $ ' 50 {
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. b: WIRING - /�" �wJ''j��� ,�•r �,�-`�'��,
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR5� ,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /
= CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
'. DESCRIBED RESIDENTIAL PROPERTY. :':� POWER
SIGNATURE' ''. UTILITY CO.NOTIFIED
OF PERM ITT E
FINAL /�
:•..,._,;.. `7/�� ���'� �_ 1� I
LIDATION ARTHUR C._VEIT
(:CK
SUPERVISING ELECTRICAL ENGINEER
MO CASH
Lti ;,03 1 7:; FEB 1 j ? D Q.`J fl" e
CRTY
16A663-CE806 B-62 AFMCqMN FOR E,dMQ CAL PERK .
COUNTY OF LOS ANGELES
DEPARTMENT OF`COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDREss t� F%7
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUPT OF BUILDING _ LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /ve
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER'
LIGHT MAIL
ADD'L1O ADDRESS
SWITCH. OVER 20
1 LIGHTING TOTAL FIRST 20! .20 CITY TEL. NO.
FIXTURES } I ADD'L 10 ELECTRICIAN IZ-7-1- s _
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. TA.COOK ' CITY TEL.NO. o .2-/..lp<:5r
DISHWASH. AUTO.-WAS/. STATE yry `'
SPACE HTRS. •jSTA.AP .C'/z H.P.MAX.) .50 1 LICENSE NO. [/N � ��-•�
.. , ...
MOTORS: OVER N T OVER H.P. DI_STIj1CT N I GROUP I ZO E PRPCE0ED BY '
O 1 1.00
1 3 1.50 - (Ftt 0 , kbRQ �
3 8 2.00
8 15 2.50 - J .,,� `'`'•. �- .'
15 50 1 3.00
50 100 5.00 % I C' X rt" 0
lK
SIGNS: NO.TRANS. f ,�
NO.LAMPS
O � �
SERVICE 0.600V-NOT OVER 200A 1.00 W
SERVICE 0-60OV-OVER 200 A. 2:00
SERVICE OVER 600V 5.00 Z
b)4re7/' G'
• 7
PERMIT.ISSUING FEE 2,00 ) o
'. SUPPLEMENTARY PERMIT ISSUING FEE 1.00 Y
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION �mY APPROVALS DATE INSPECTOR'S SIGNATURE
i: AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY j," CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. ,K WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR
LICENSED A3-REQUIRED BY LOS ANGELES COUNTY AND STATE OF �' FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ,,,yo
DESCRIBED RESIDENTIAL PROPERTY. E POWER y ..r"r •.lrJ�
SIGNATURE /� - UTILITY CO.NOTIFIED •-O� lr ,
OF PERMI E LSI crJ � 7777 jC�...,::;..w' FINAL 1110 f i.,.-.,l'Y(611.'
- -
ALIDATIOhI A HUR"C. VEIT
CK MO CASH S PERVISING ELECTRICAL ENGINEER
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1407140046
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA"91780 DUPLICATE
PHONE: (626) 285-0488 EXT: "
ILEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 5904 LT: 232 6220 HART AV
IFEE DESCRIPTION: - QUANTITY: UOM: AMOUNT: ( TEMP CA 917801630 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15384-009-003 JAI PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
I IF1 120V, 15/20A BR CKTS 1.00 BR 37.30 I 1
(TENANT: IHA FAU LESS 3HP 1.00 FAU 11.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 IJB AC UNITS +3-10HP 1.00 AC 19.70 107/14/14 SR 1
1 1 TOTAL FEES 75.80 1 1
(OWNER: TEL. NO: 1 IFI L DATE FINAL BY: CODE: 1
IBLUM CARL L;JEANETTE M TRS BLUM TRU -
. 16224 HART AV I
ITEMP 917801630 1 - IDE6ZRIPTION OP WORK 1
(INSTALL NEW CENTRAL HEATING AND AIR CONDITIONING SYSTEM
(INSTALL LIGHT PLUGS AND SWITCH IN ATTIC INSTALL NEW CIRCUIT 1
1APPLICANT: TEL. NO: I IFOR OUTDOOR CONDENSER 1
VALENCIA, GERARDO (626) 795-8880- 1
1204 S ROSEMEAD BLVD. 1 ISPECIAL CONDITIONS: 1
IPASADENA CA 91107 1 I
I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
(AIR TECH HEATING & AIR CONDITIONING (626) 295-8880- I - 1
1204 S. ROSEMEAD BL LIC. NO I ITEMPORARY POWER POLE' 1 I
IPASADENA, CA 91107 541161 * 1 1 _ 11
I I 1UNDERGROUND CONDUIT I
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I
1 LIC. NO: 1 1ROUGH CONDUIT
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1 IMAIN WATER LINE
I - IPLASTIC YIN METAL YIN
I 1UTILITY COMPANY NOTIFIEDI I
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1 I* ADDITIONAL DATA ON FILE
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1 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I 1
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