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76A663•CE80h 8-62 APPUC � IMN FOR E E IJ ��� � uUN u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING >/
BUILDING AND SAFETY DIVISION ADDRESS 7// %%. 4,,
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST J
,
'C CROSS ST.
NO. EACH FEE ^� I
RECEPT. TOTAL J_/J �' r
F; OUTLETS , FIRST 20 rr o $2O $ OWNER' r/G -
�' LIGHT �� / y '^'� C MAIL
ADD'L y/ ADDRESS
OV
SWITCH. ER 20 / ' .10 IV
TOTAL r CITY TEL. NO.
LIGHTING FlasT 20 �` .20 � �O
FIXTURES /t, I ADD'L 10 ELECTRICIAN
6vFR 20 �+ n
RANGES ) CLO.DRYERS "WTM HTRS. 1.00 ADDRESS 26 -
41 GARB.DISP./ STA.COOK . � .�'
CITY L Pp�d✓ ��/I'$EL.NO. c3 c5-/xSI'
DISHWASH. AUTO.-WASH. STATE
' SPACE HTRS._-
TA.APP.(y�H.P.MAX.) .50 d LICENSE NO.
' MOTORS: OVER NOT OVER H.P. DISTRI T NO. GROUP ,.Z NE P q CESSED BY
0 1 1.00 �� v i y
i 3 1.50 INSPECTION RE
- 3 B 2.00
8 - 15 2.50
15 50 3.00 }
O_
50 100 5.00 0
NO.TRANS-
SIGNS: NO.LAMPS - rO
SERVICE 0.60OV•NOT OVER 200A. I 1.00
W
SERVICE 0-60OV-OVER 200 A. 2100 a
H
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 /:z &o '
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT. IHAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
+s'" AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I
.I WITH, ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. , WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR yq��, j'
LICENSED AS REQUIRED BY LOS ANGELES.COUNTY AND STATE OF FIXTURES
eB ePt^ ,. .n,& .�•..
CALIFORNIA OR THAT I A THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL O RTY POWER ) _-y
SIGNATURE UTILITY CO.NOTIFIED �. p57_._..� �,�� m -
OF PERMITTEE FINAL i�4'"1s: - .a;'Td ,,e.,�. ,�',v'' •
LIDATION . AR OUFVIC. VEIT £
K , MO CASH SUPERVISING ELECTRICAL ENGINEER
t. _ i _ t} r',t'3 4 2 D 1 l
-
76A663C-:'CE606B 12,75 UHU: U �O�YJW���LIV ODU L7���l�UU�t%l/-U� U �LIULIUII� ll
BUILDING AND SAFETY DIVISION
.FOR APPLICANT TO FILL IN JOBp
New Residential Bldgs. &.Pools EACH NO. FEE ADDRESS - / / AL,, Ll
1 &2 Finaily Sq.-Ft. $ — $ LOCALITY T r- A L 45
Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools. CROSS ST.OWNER OR
' FIRM NAME p �+ ,, ��. CO,
Outlets: Light,Switch&ReceptacleADDL S G. /
First 20,
Cr
Additibnal CI IY L Tel. No.
PL. N CHECK
AP LICANT
Lighting Fixtures
First 20 AD RESS -
Additional
• CITY Tel. No,
PERMIT
Fixed Appliances Not Over 1 HP APPLICA
Range Heater_ D.W.
ADDRESS
Oven Dryer VV.M.
Top FAU W.H. CITY Tel. No.
Hood Fan LICESE OR
REG.NNUMBER 3 3' 0 0:�2 _ Class. o
Disp.- A.C.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Q
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLI
Size&,Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. N
U_ to 1 Incl.
P 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT IAM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDE�LTInAL PROPERTY. `
Over 50 to 100 Incl. PERMITEE /�///�_
Over 100 SIGNATURao A-
Services L/
DISTRICT NO. PR CESPD BY
0-200 Amp. Under 600 V v '
201 - 1000 Amp. Under 600 V APPROVALS D T SIGNATURE
INSPECTOR'S
Over 1000 Amp.or Over 600 V
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL , `e—
PERMIT ISSUING FEE 4/— NOTES
TOTAL FEE. S
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATIO CK. M.0. A�_)
® 1 .
31, 2."*-AG 192 .. -
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
-
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904070015
BUILDING AND,SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 6561 LT: 505 UN: .00.2 _ I 1 9711 LIVE OAK AV i
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802526 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18587-023-029 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I 1G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 I I
(TENANT: IG2 LIGHTING FIXTURES 4.00 LGT 7.80 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
TOTAL FEES 39.45 104/07/09 SR 10/04/09
I I I I
(OWNER: TEL. NO: 1 IFINAL DAT FINAL BY: CODE: 1
ICHU, WINSTON (626) 215-8068- r, I
19711 LIVE OAK AVE. I
(TEMPLE CITY CA 91780 IDESCRI IO OF WORK 1
1 1 (ELECTRICAL FOR 2 BATHROOMS REMODEL
I I I I
(APPLICANT: TEL. NO: I I I
IZONGZHI (626) 822-1555- 1 1 1
110641 RUSH STREET ISPECIAL CONDITIONS: 1
IEL MONTE CA 91733 1
I I I I
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
(EASTERN HARDWARE (626) 401-0382- 1 1 1
110641 E. RUSH LIC. NO ITEMPORARY POWER POLE I I I
IS. EL MONTE CA 91733 789774 B I I I
I (UNDERGROUND CONDUIT I I
I J I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I - IUFER GROUND I 1 1
LIC. NO: IROUGH CONDUIT I
IROUGH WIRING
I
1 1 IMAIN WATER LINE 1 1 1
PLASTIC YIN METAL YIN I
I (UTILITY COMPANY NOTIFIEDI I .
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1 IREPORT ID: DPR265 ROUTE TO: ES0508 1 I I I
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