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76A663-CE806 8/63 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ]
BUILDING AND SAFETY DIVISION ADDRESS 0
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS Sr
RECEPT TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER '
LIGHT MAIL
ADD'L 10 ADDRESS D
SWITCH. OVER 20
LIGHTING 1Ir TOTAL FIRST 20 ,20 CITY - TEL. NO.
FIXTURES 1ADD'L 10
ELECTRICIAN
OVFR 20 n- '
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRE S O,/ QU/ -
GARB.DISP. STA.COOK V A JBY
CITY TEL.NO. (�J DISHWASH. AUTO.-WASH. STATESPACE HTRB BTA.APP.I'/.N.P.MAX.) ,50LICENSE NO.MOTORS. OVER NOT OVER HP. DISTWCTGJP ONE P E
1
O 1 1.00
1 a 150 1 INSPECTION RECORD
s a 200 Z .� '. .j11/ �,� IL
0
8 15 2.80 �-f U
1 ss0 - 13.00 -
O
50 100 5.00 v u
W
SIGNS: NO.TRANS CL
NO.LAMPS In
Z
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT I66UING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT f.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING �''iHf E'P•� 1sY i�
1 HEREBY CERTIFY THAT 1 AM PROPERLY•REGISTERED AND/OR ' • -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA ROPERTY. POWER /' ♦ ,,,,���,,Y.fA �n�
SIGNATURE UTILITY CO.NOTIFIED / P''Cd!'
OF PERMITTEE ASFINAL
VALIDAT ARTHUR C. VETT r
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Li ko 6 6 9 5"I'a" MAR 17 2 D . 3.001- kf
76A66C CE#'806 5-61
APPLICATION FOR ELEC RICAL PERMIT L�
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING s7
BUILDING AND SAFETY DIVISION ADDRESS /��
JOHN A. LAMBIE. COUNTY ENGINEER _mary
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER
1 T E M NUMBER EACH FEE MAIL
OUT-E ➢S $ $ ADDRESS
LIGHT RECEP N SW. .10 ..- vlo CITY TEL. NO.
LIGHTING FIXTURES f' 10
ELEC. RANGES CLO. DRYERS ELECTRICIAN - Com!'
WATER HEATERS .50 ADDRESS " /Aeel
ELEC.SPACE HTRS. DISHWASHERS � ��^^tt,��� �
CITY �6 TEL N
GARBAGE DISPOSERS 's AUTO.- STATE
WASHERS STA.COOKING UNITS � .25
LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT N GROUP I Z E I P OC $£ BY
0— 1/2 -.25 1 = R! '�
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00 0
5— 15 1.50 V
15— 50 1 2.50 ad
O
50— 200 ~
5.00 W
SIGNS: NO TRANS. N
NO.LAMPS 'z
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
M ISC.
WIRINGPERMIT 1.00 f
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS RE IRED BY LOS ANGELPP COUNTY AND STATE OF FIXTURES
CALIFORNIA OR H T 1 AM THE EG OWNER OF THE ABOVE
DESCRIBED REST E IA ROP ERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
(DATION ARTHUR C. VEIT
ca Mo CASH SUPERVISING ELECTRICAL ENGINEER
— COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0809220014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
1 ON FILE 9710 LEMON AV E
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 ARCD CA 910077868
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY
15383-016-022 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
1G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 1
TENANT: IG2 LIGHTING FIXTURES 3.00 LGT 5.85 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 109/22/08 SR 03/21/09 1
1H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
(OWNER: TEL. NO: IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 IFINAL DATE FINA , BY: CODE:
IROSENBERG WALTER (408) 506-8613- ILB 200 AMP PANELS, MCC 1.00 PAN 38.85
19710 LEMON AV I TOTAL FEES 111.15
ARCD 910077868 I IDESCRIPTION F WORK
1ELECTRICAL FOR KITCHEN, BATHROOMS REMODEL AND UPGRADE
SERVICE 200 AMP
APPLICANT: TEL. NO: 1
IDONOVEL (626) 233-7594- I I
1498 VAN BUREN DR. 1 ISPECIAL CONDITIONS: 1
IMONTEREY PARK 91755 1 1
I I 1 1
I I
CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
I
1ADORA BILT HOMES (626) 233-7594- 1 I 1
1498 VAN BUREN DR. LIC. NO I ITEMPORARY POWER POLE I I I
IMONTEREY PARK, CA 91755 753875 I 1 11 1
1 1UNDERGROUND CONDUIT
I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 LIFER GROUND ( D I
1 LIC. NO: 1 1ROUGH CONDUIT ((WNN F1 1 1
1 1 1ROUGH WIRING per_ 1 1
e
1 1 IMAIN WATER LINE
I IPLASTIC Y/N METAL Y/N
I I I I I I
1 1UTILITY COMPANY NOTIFIEDII I
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1 I* ADDITIONAL DATA ON FILE
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1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 I 1 1
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