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76A66JCE8061't68 APPLICATION FOR ELECTRI I � , 'fl
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION
ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING -LOCALITY
NEAREST i
FOR APPLICANT TO FILL IN CROSS ST
NO E A C HI FEE
S S OWNER
RECEPT MAIL
LIGHT/ TOTAL FIRST 20 :a) 20 ADDRESS
SWITCH L OVER 20 10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 V,61APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR.— CITY TEL NO
STA COOK_DISP �F.A U — CONTRAC T'OR
SPACE HTR AIR COND ADDRESS
CLOTHES WASH _DISHWASH._ CITY• 7 TEL. NO. �7� oL.
FA N_0THER 1 00 LICENSE NO p J �S`J CLASS. C - tJ
MOTORS TRANSFORMERS RATING -
IND HEATERS, ETC HP KW KVA IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT BIAM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5 00 RESIDE IN, THE ABOVE DESCRIVED RESIDENTIAL PROPERTY 0.0.
SIGNATURE V
50 - 100 10 00OF PERMITTEE " � 0C
100 - soo 15 00 D ICT NO G P C SSED BY G
SIGN GAS. S IGN AND ONE CIRCUIT 3 00 W
TUBE, OR _ 0.
MARQUEE ADDITIONAL CIRCUITS 1 00N
NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, & APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNAT URE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT IF
PERMIT FEE (SUB TOTAL) WIRING
IROWER
IXTURES
PLAN CHECK FEE (50% PERMIT FEE)
AUTHORIZED
PERMIT ISSUING FEE 200 TILITYCONOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 INALTOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CD
M o CASH
2 0 9 2NOV 26 2 0 2.80-
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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'176A663-CE&OI, X65 - Ap� TION FOR 211 E(Clu C L ERn,��iT
'COUNTYOF LOS ANGELES �C�LL,Ca� G`i1 U`7u u
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUtLDING,AND SAFETY DIVISION ADDRESS M
JOHN A. LAMBIE, COUNTY ENGINEER �I
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
a .t _ tr NEAREST
oov—
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO EACH FEE
11 OUTLETS I FIRST D$20 $ (h7 OWNER
LIGHT 1 MAIL /–
SWITCH �c�QJQ ADD'L 1O ADDRE3 G..11/
—A',/ ' OVER 20 I Z�
TOTAL FIRST 201 .20 ID CITY I TEL NO.
LIGHTING 1 FIXT RES
FIXTURES Jr ADD L - CONTRACTOR,
OVER 20 .10
RANGES DRYERS WTR HTRS 100 ADDRESS
GARB DISP. STA COOK
CITY
DISHWASH AUTO-WASH STATE
SPACE HTRS STA. ADPL. ,gp LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO 1GROUP1 ZONE P OC S D BY
O 1 1.00 O
1 1 3 1 so INSPECTION RECORD a
r O
3 8 200 u
8 15 2.50 /y y /' / p
15 50 300 /J/ U
CL
50 100 500 N
Z
SIGNS NO.TRANS i
NO LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00 -
SERVICE 0.60OV-OVER 200 A. 200
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 1200
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE s
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT ON UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT ( � .�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
• WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES C UNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG,kL OWN R OF, AND INTEND TO POWER
RESIDE IN,THE ABO ESC-R_IBE�D R,ES/I�DEN AL PROPERTY
SIPERMITTEE GNATURE
OF ./ i'v/�/ [ UTILITY CO NOTIFIED 117 '
FINAL
VALIDATI JOSEPH C. ROOHAN
CK MO CABH SUPERVISING ELECTRICAL ENGINEER
jAo3 1 3 1 JUN 28 2 D 6.9 0-
76A663-CE806 1-68-
APPLICATION
-6B; APPLICATION FOR ELECTRICAL PERMIT
ytOUNTY OF LOS ANGELES
UEPAOtMENT OF COUNTY ENGINEER BUILDING
BUILDING ANd SAP&Y DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST J
FOR APPLICANT TO FILL IN CROSS ST
NO EACHI FEE
$ S
RECEPT _1 OWNERMAIL
LIGHT—)`TOTAL FIRST 20 20 ADDRESS O
SWITCH_ OVER 20 10 CITY TEL. NO-
PLAN'
O.
PLA CHE
LIGHTING TOTAL FIRST 20 20 APPLI CAN
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR.— CITY TEL NO
STA COOK_DISP _F.A U CONTRAC 1"OR -l ;•� •/
SPACE HTR AIR COND ADDRESS
CLOTHES WASH —DISHWASH CITY TEL. NO.
FAN—OTHER 1 00 LICENSE IJO CLASS.
MOTORS,TRANSFORMERS RATING
IND HEATERS, ETC HP KW KVA I HEREBN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE EGAL qWNER OF AND INTEND TO D.
10 - '50 5 00 , RESIDE IN, THE ABOVE DE RIP, RESIDENTIAL PROPERTY O
SIGNATURE (J
50 - 100 10 00 OF PERMIT T OC
100 - 500 15 00 O
AS DISTRICZI G Z E PR D (j
TUBE,GOR SIGN AND ONE CIRCUIT 3 00
MARQUEE ADDITIONAL CIRCUITS 1 00 _ N
NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 LCL'
SERVICE OVER 600 VOLTS OR 200 AMP 5 00 '
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNOERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UV` UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENG
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
.00SELeo 4,2 2, la APR 2 D 4.00-
SEE
E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
'76A663-'CLQ6 3�4' . APPLICATION FOR ELECTRICAL PERMIT
-,,.COUNTY OF.LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING O
BUILDING-AND SAFETY DIVISION y ADDRESS /
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
-r, NEAREST /
FOR APPLICANT TO FILL IN CR oeB ST.
s TOTAL NO. EACH FEE
RECEPT. OWNER
OUTLETS FIRST 20 20 S
LIGHT MAIL
ADD'L 10 ADDRESS I L7 �/A '4
SWITCH OVER 20
LIGHTINGF-Tr
FIRST 20 .20 CITY TEL. NO.
FIXTURES OVDR20 .10 ELECTRICIAN
S
RANGES CLO DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS, STA.APP.(v,H.P.MAX.) .50 LICENSE NO.
Y
- MOTORS: OVER NOT OVER H.P DISTRICT N G Z E PRO SS BY
O 1 1.00 �`r
1 s 1,so 8_65_
INSPECTION RECRD
13-
3 8 2.00 C� GSI l�� A// J � . O
S 15 2.50
�mO
1s 50 3.00 aSs.0O 0
O TRANSZSIGNS- N �
NO.
LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00
�w
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
d
PERMIT ISSUING FEE 2.00
SUPPLEMENTAFtY PERMIT ISSUING FEE 1.00
1 1n
TOTAL FEE s
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATA INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HERESY 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 O NER OF THE ABOVE /
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE r
_ FINAL /
VALIDATI AR HUR C. VETT
CK MO _ABH SUPERVISING ELECTRICAL ENGINEER
LACo8233FES _3 2 D 3.20-
'COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 - ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0506060014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 5904 LT. 253 6141 LOMA AV
FEE DESCRIPTION QUANTITY UOM- AMOUNT TEMP CA 917801633
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN
5384-010-018 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP - 3.00 OUT 5 85
TENANT G2 LIGHTING FIXTURES 16 00 LGT 31 20 ISSUED ON PROCESSED BY PLAN BY: EXPIRES ON
H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 06/06/05 JK 12/03/05
H3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 -
OWNER TEL NO H4 RES RANGE RDS LT 3HP 1.00 HOO 10 95 FI,9jAL DATE FINAL BY
LIAO, ANDY (626) 221-8412- H5 RES WASH MACH LT 3HP 1 00 WAS 10 95
6141 LOMA AV TOTAL FEES 108 60
TEMP 917801633 DESCRIPTION OF WORK
ELECTRICAL FOR KITCHEN REMODEL
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
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
- y
REPORT ID DPR265 ROUTE TO ES0508