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DEPARTMENT OF DEPARTMENT�ll OF 8➢LLJgttH��H ING AND SAFETY
COUNTY OF LOS ANGELES L T I
WM. J. FOX CHIEF ENGINEER
NAME 6 / DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS
CITY
��.�TEL.NO. RECEIVED BY, READY FOR DATE ISSUED
W t
FIRST INSPECTION
COUNTY
CERT.NO. (:: EXPIRES _ --�.� �3 y +" 7
APPLICANT FILL E19 HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS /n 3
NUMBER OF OUTLETS ON CIRCUITS LOCALITY 1J,� S 1 ice✓c t
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FIXT CROSS T. G7 �.�'L+'VAC c�' r
CIRCUPY' A B C D E F G I F9
W MAIL
3 / r.
Z ADDRESS 6 9-9-1-5I. r. v,t 1
po
0 Gam',q/
CITY TEL.NO. s ,
I AM THE LEGXL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
II ANI THE LEGAL OWNER OF THE PROPERTY DESCRIBED
Af30VE
OWNER.
117
CORRECTIONS
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z
E9
a
TOTAL
NO. OF OUTLETS $ ' APPROVALS .
r
F FIXTURES $ DATE INSPECTOR'S NAME
F MOTORS H.P. $ CONDUIT
F SIGNS TRANS. a WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS�"`L�i2. L? -�> m $ I POWER
PERMIT FEE $ �_ UTILITY CO.NOTIFIED
TOTAL FEE FINAL I i
76AG63 DBS SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER f
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE, �PERMIT NO.
ELECTRICIAN --
sv '— RECEIVED BY READY FOR DATE 95U D I
ADDRESS y/�J`f FIR INSPECTION / ��
2 Z
CITY � TEL. NO. _
COUNTY LICENSE NO. EXPIRES BUILDING/ a ,
W✓"'�.�+
PERMIT FEES ADDRESS ( Y ♦ ^��j��ygp���
NUMBER EACH FEE LOCALITY �(C/YY✓� lll...«<///�/'Fiee °F p
LIGHT OUTLETS NEARESTU/J.. v
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER p�
TOTAL OUTLETS SC $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS •25 ._ CITY TEL. N0.
FIXTURES 5 _ I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE t5 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NumsFR HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
f, FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY
/DEE;RIBED ABOVE.
!/2 A LESS $ .25 �.—�~ SIGNATURE O -
_ %2 2 .50 PERMITTEES• a ✓ .
2 5 1.00 INSPECTION RECORD
5 is 1.50
15 50 2.50
s0 200 5.00
zoo _ Sao 10.00
00 1
SO
OVER 1 OOO 20.00 Q
Z
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (7S% Or ORIG.)
MOVED MOTORS (75% OF DRIG.)�_ _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES. $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ / 4r_� UTILITY CO.NOTIFIED
/ FINAL
COUNTY OF LOS ANGELES TEMPLE`CITY # 0508 CE'LECTRICAL-PERM_IT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL-0508.9712040048 v
BUILDING AND SAFETY / LAND DEVELOPMENT. TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
TR: 5904 LT: 210 '6229".HART AV, .-_
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-917801631`
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-007-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
LA 100 AMP-PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES .66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
12/04/97 UT 12/04/98
OWNER: TEL. NO: FINAL;DATE FINAL BY: CO
THOMAS HELEN P TR THOMAS TRUST ) ]
6229 HART AV
TEMP '917801631 DESCRIPTION OF WORK
UPGRADE IEL'ECTRICAL SERVICE-PANEL-. 0",1-0O-AMP ,
APPLICANT: TEL NO:
DREAM HOME CONST. (626) 285-4421-
SPECIAL CONDITIONS:
� LES C
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DREAM HOME CONSTRUCTION (818) 285-4421- uuu
5720 CLOVERLY AVE LIC. NO �j E� MP02ARY POWER POLE
TEMPLE CITY, CA 91780 676624 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: �L UFER GROUND
LIC. NO: - ROUGH CONDUIT
' ttilt�
{ ROUGHI WIRING
mm U L C WOK�I/��J�S MAIN WATER LINE
1v! U PLASTIC Y/N METAL Y/N
TILITY COMPANY NOTIFIED i
61
o
It co
D°
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306240020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING AD R SS:
TR: 5904 LT: 210 6229 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801631
ASSESASSErSW I 0 IO NUMBER: NEAREST CROSS STREET: LONGDEN
5384-007-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45
TERAN G1 OUTLETS-LGT,SW,RECP 89.00 OUT 132.15 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
G2 LIGHTING FIXTURES 21.00 LGT 40.35 06/26/03 JK 12/23/03
H7 RES EXHAUST FANS 4.00 EX 43.80
OWNER: TEL. NO: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 FINAL DATE FINA ,BY: CODE:
KEELIN;STEVEN & KATHERINE TRS (626) 287-0642- LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85
6229 HART AV TOTAL FEES 376.20
TEMP 917801631 DESCRIPTION OF WORK
ELECTRICAL FOR ADDITION; NEW 200AMP SERVICE PANEL ON GARAGE
SUBPANEL IN LAUNDRY RM
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT ORENGINEER: TEL. NO: - UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE �IC�U_FI
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308120031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 210 6229 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801631
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-007-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PR CESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 58.35 08/12/03 JK 02/08/04
OWNER: TEL. NO: FIN L DATE F AL BY: CODE:
KEELIN;STEVEN & KATHERINE TRS (626) 287-0642- /
6229 HART AV L
TEMP 917801631 DESCRIPTION OF W
NEW HVAC SYSTEM
APPLICANT: TEL. NO:
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
ROUGH WIRING ()
6 3 " &L �P
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY-COMPANY-NOTIFIED
REPORT ID: DPR265 ROUTE TO: SS0508