HomeMy Public PortalAbout6221 LOMA AVE_Electrical__ APPUCQMNl FOR finOC AL pERft�dli T
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING n
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR
APPLICANT—TO FILL IN CROSS ST
I T E M NO. EACH Fr.E
OUTLETS• IRST 20) $ $ OWNER
LIGHTS p
ECEPT.•\I `S W. '2O h " `� MAIL
OUTLETS: (ADD'L UNITS) -�� + 10 f a-0 ADDRESS
LIGHTS RECEPT. SW. �.L�
LIGHTING FIXTURES: (FIRST 20) ,20 CITY TEL.NO
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICI
RANGES CLO.DRYERS WTR HTRS. 1.00 ADDRESS 1
GARB DISP STA COOK
CITY TEL NO. -
DISHWASH AUTO-WASH. STATE
SPACE HTRB. STA.APP.(yy H.P.MAX.) .SO O LICENSE NO
MOTORS OVER NOT OVER HP. DISTRI GROUP NE P ESSED BY
0 1 1.00
1 3 1.50 /INSPECTION-RE ORD
3 8 12.00
13 50 300 �` O
a
SIGNS: NO.TRANS.
NO LAMPS Z
SERVICE 0.60OV-NOT OVER 200A 1.00of
SERVICE 0-600V-OVER 200 A. 2.00 I MfI ('�,.,t,_,S :•f /Q�
SERVICE OVER 600V 5.00 ! J T f—
MISC. rr
PERMIT ISSUING FEE 2.00 old r.yHc vo.%v,yfo_7
SUPPLEMENTARY PERMIT ISSUING FEE 1100 0 G 9M.7. ` �F Q 43
TOTAL FEE $
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATI N 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
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /
CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF THE ABOVE 1
DESCRIBED RESIDENTIAL P PE ' POWERJ/J�/I
SIGNATURE UTILITY CO.NOTIFIED Cw I - i1 "'{'/Iii A
OF PERMITTE
FINAL (7
Y
LIDATION ARTHUR C. VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
2 5" 8:4 w AUG 6 . 2 D 1 3.4.0 W
041t_�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1202130005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID BUILDING ADDRESS 1
ITR 5904 LT 247 I 6221 LOMA AV 1
I IFEE DESCRIPTION QUANTITY. UOM AMOUNT 1 - TEMP CA 917801635 1
(ASSESSOR INFORMATION NUMBER I - I NEAREST CROSS STREET LONGDEN 1
15384-009-023 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl
I ILA 100 AMP PANELS, MCC 1 00 PAN 38 80
ITENANT I TOTAL FEES 66.60 (ISSUED ON PROCESSED BY PLAN BY I
_ 102/13/12 SR I
I I ) I I
I OWNER TEL NO I I FINPL-Dj.TE FINAL BY CODEIGAY, KEN IFINA [y^v1^J 1
1444 NAOMI AV I I
(ARCD 910077310 IDESCRIPTION OF WORK
(UPGRADE 100 AMP METER SERVICE
I
(APPLICANT- TEL NO
IAMELEC CO (626) 446-8167- 1 1
1 ISPECIAL CONDITIONS 1
I I I I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
IAMELEC CO (818) 280-8318- I 1_ I
19422 E NAOMI AVE LIC NO I ITEMPORARY POWER POLE I I I
IARCADIA, CA 91007 519503-C10 *I I- I I
j (UNDERGROUND CONDUIT I I
ARCHITECT OR ENGINEER TEL NO JUFER GROUND
LIC NO IROUGH CONDUIT I
IROUGH WIRING I I '
1 I (MAIN WATER LINE I I I
IPLASTIC YIN METAL YIN I I I
IUTIIITY COMPANY NOTIFIELI I I
I I I I I I
I I I I I I
I I I I I I
I i I I I I
I I I I I I
I I I I I I
I I I I I I
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I* ADDITIONAL DATA ON FILE I I I I
I I I I I I
I REPORT ID DPR265 ROUTE TO BS0508 I I I
I I I I I I