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76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING;
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER CJ
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT, & TOTALNO_. EACH FEE
LIGHT OUTLETS FIRST 20 !� $20 $ C (�, OWNER
AIL
ADD'L 10 ADDRESS
SWITCH. (� OVER 20
— r TOTAL CITY TEL. O. 9
LIGHTING F1Rsr 20 .20
FIXTURES _ ADD'L IAN vl
oY .10 ELECTRICR'L
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS a Q
GARB.DISP. STA.COOK ,Q
CITY TEL.NO ALJ
DISHWASH. AUTO.-WASH. STATE C
SPACE HTR9Y STA.APP.(ys H.P.MAX.) :50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIS TR T NO. GR UP ZONE P ESSED BY
O 1 1.00
1 3 1.50INSPECTION RECORD
3 8 2.00
8 15 2.50
15 - 50 3.00 d
50 100 5.00 O
SIGNS: NO.TRANS
NO.LAMPS 0,O
SERVICE 0.60OV-NOT OVER 200A 1.00 W
SERVICE 0.600V-OVER 200 A. 2.00 a
H
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 0
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ` L $
1 HEREBY ACKNOWLEDGE THAT 1 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 /, �'�•r'� ��r
ELECTRICAL WIRING. WIRING ,/ AbT el
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR, I •�
LICENSED AS REQUIRED BY LOS ANG. S CO NTY AND STATE OF FIXTURES
CALIFORNIA OR THAT THE L A ER OF THE ABOVE
DESCRIBED RESIDEN L PERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED A r^ - •`la�.
OF PERMITTE ,�n r �.- .-�� i�•��,y.�l
FINAL
ALIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lr' 645 4 2 5 JUN 19 2 D 6.50-
76AS63 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY mma1
COUNTY OF LOS ANGELESELEG IN
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT 0. GROUP I ZONE PERMIT. NO.
ELECTRICIAN R FWalton .� 2-11 If-7 1
RECEI ED1J�BY / READY FOR DATE ,ISSUED
ADDRESS 5134 N. Acacia St. �'� �../ FIRST INSPECTION
CITY San Gab, !�1 TEL. NO.AT 68583
COUNTY LICENSE NO. 1104 EXPIRES BUILDIADDRENG
9220 La Rosa Dro
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER B. E. Turner
TOTAL OUTLETS 5c $ Q MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MI5C. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 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 I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPE DESCRIBED ABOVE.
a LESS $ .25 SIGNATURE OF
I/t 2 .50 PERMITTEE-
2 5 1.00 INSPECTION RECORD
s 1s 1.50
15 50 2.S0
50 200 5.00
200 BOO 10.00 J
500 1000 15.00 Z
OVER 1000 1 20.00 (7
M.G. BET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or DRIO-)
MOVED MOTORS (75% OP ORIO.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
WIRING /.2v/lO d/
FIXTURES $1.0044010J v
SUPPLEMENTARY .50
FIXTURES
POWER
TOTAL FEE III UTILITY CO. NOTIFIED
FINAL /��
• COUNTY OF LOS-ANGELES TEMPLE CITY # 0508 TOECTR'ICALI-PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL-0508-9706160023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
TR: 16475 LT: 94 20:nLA__ROSA-DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803731
ASSESSORNEAREST CROSS STREET:
8590-027-020 _ LA 100 AMP PANELS, MCC 1.00 PAN 38.85 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE _CITY
TOTAL FEES 38.85
T PROCESSED-BY: XP ON:
06/16/97 TC 06/16/98
OWNER: TEL. NO:, FINAL DTE INA B - D
PARKER RALPH C;CATHY J TRS
9220 LA ROSA DR
�
TEMP 917803731 UESEWTION OF WORK
NEWFSERVICE'PANEL'UPGRADE -h100_
APPLICANT:
JORDANAIR (818) 963-3313--
SPECIAL CONDI-TIONS:
CONTRACTOR: L. NO: \�\ n APPROVALS DATE I SPEC S G ATUR
JORDANAIR (818) 963-3313- -
129 S. HACTENDA AVENUE LIC. NOTEMPORARY
GLENDORA, CA 91741 560429 B
O UNDERGROUND C D
ARCHITECTI 0: �' UFER GROUND
LIC. N0: �� � �� ��� ROUGH CONDUIT.
MAIN WATER LINE
CJS f 1 `\�/ • 1 C PLASTIC Y/N METAL Y%N
NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508
T - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 JEL'ECTRICAL PERMITn
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508'9706160013
BUILDING AND SAFETY -/ LAND DEVELOPMENT, TEMPLE CITY CA -
PHONE: (818) 285-0488 EXT: -
__LEGAL E G ADDSS
TR:-16475 LT: 949220�LA�R0SAlk
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803731
ASSESSOROR 0 R: NEAREST CROSS STREET:
8590-027-020 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00'F.AU 10.80
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 TWEETON: PLANBY: EXPIRES ON-
TOTAL FEES 58.20 06/16/97 TC 06/16/9
OWNER: TEL. O: FINALAT AL BY:.", ODE:
PARKER RALPH C;CATHY J TRS (818) 285-3587- _
9220 LA ROSA DR ���PPP
TEMP 917803731 DESCRIPTION OF WORK
- ELECTRICAL FOR NEW HEAT/AC SYSTEM
APPLICANT:
JORDANAIR (818) 963-3313-
SPECIAL ONS:
CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE,
JORDANAIR (818) 963-3313- � v
129 D A, CA 91 AVENUE 042 NO TEMPORARY POWER POLE
GLENDORA, CA 91741 560429 C20
UNDERGROUND cogffgTT--
C 0 . NO: -
LIC. NO: J ROUGH CONDUIT
12A _t i
UFWff� ��� .�1� ��)� PLASTICTY/N METAL Y/N
UTILITY COMPANY NOTIFIEU,
REPORT ID: DPR265 ROUTE TO: BS0508