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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS top, 411401-
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JOHN A. LAMBIE, COUNTY ENGINEER ;0
WILLIAM A JENSEN, SUPT OF BUILDING - LOCALITY /
e'�•. NEAREST
OR APPLICANT TO FILL IN I CROSS ST.
RECEPT TOTAL NO EACHI FEE I -
LIGHT
OUTLETS FIRST 20 / $20 $ OWNER
l� , S//p MAIL
ADD•L ADDRE f
SWITCH OVER ZO .IO
LIGHTING P
FIRST IRST 20 �f .20 CITY d TEL. NO.
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FIXTURES ADD'L ELECTRI AN ✓ �/r
111 OVER 20 .10
RANGES CLO.DRYERS WTR HTRS. 1.00 AD DRESS
GARB DISP. STA COOK `
CITYTEL.NO. /sw
DISH WASH / AUTO.-WASH STATE JJ
SPACE HTRS STA.APP ('/t H P.MAX ) .50
LICENSE NO. (JJ
ol
MOTORS. OVER NOT OVER H P. DISTRICTAloG P Z PFjo D B
O 1 1.00 c
1 '3 150 INSPECTION RECORD r
3 8 2.00 D.
8 15 2 50
3 99
. 15 50 3.00
50 100 500
SIGNB� NO.TRANS.
NO.LAMPS
SERVICE 0-60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00 '
SERVICE OVER 600V - 5.00
MISC.
d`—SUPERMIT ISSUING FEE 1200 19,11—
SUPPLEMENTARY
PPLEMENTARY PERMIT ISSUING FEE 1100 -
-TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPE OR' SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT J `
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
ELECTRICAL WIRING
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED LOS ANGE COUNTY STATE OF T FIXTURES
CALIFORNIA OR THAT A E LEG OW �R THE ABOVE
DESCRIBED RESIDENTIA R RTY % POWER
61GNATURE r + UTILITY CO.NOTIFIED
OF PERMITTEE
- FINAL
ATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
(5LI
CASH
0873 0 C T 1 2. 0 17.40~
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ' 7ELECTR1CAL—P,ERMI.T
} DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS �'` `EL—:=0508-97-1'2020029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL EE L - S :
TR: 5904 LT: 269 BL: .001 �776224uLOMA2AV: -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ``TEMP3CAs917801634—�
SS OR ON NUMBER: NEAREST CROSS STREET:
5384-011-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CTIY
G1 OUTLETS—LGT,SW,RECP 4.00 OUT 7.80
TENANT: TOTAL FEES 35.55 ISS PROCESSED BY: PLAN .
12/02/97 UT 12/02/98
OWNER: TEL. NO: I FINAL D TE FINAL BY: .
STECK DOLORES R TRUSTEE (818) 285-4785-
6224 LOMA AV /` -- 7
TEMP 917801634 DESCUMON OF WORK
4 GFIC'S FOR HOUSING REHAB
APPLICANT: TEL.
AMPB CONST. (626) 284-3260—
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
AMPB GENERAL CONSTRUCTION (818) 284-3260-
1600 ORANGE STREET LIC. NO TURF61FA2 R POLE
ALHAMBRA, CA 549061B
UNSOUND CONDUI
ARCHITECT 0 ENGINEER: TEL. NO: ® ROUND
LIC. N0: ROUGH CONDUIT
111111
FP UBU C W O RK S MAIN WATER LINE
PLASTIC Y/N METAL Y/N
0 O IUTILITY, COMPANY NOTIFIED
61 0
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REPORT ID: DPR265 ROUTE TO: BS0508
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