HomeMy Public PortalAbout9366 LOWER AZUSA RD_Electrical__ r
DBS.SA3.55 °APPLICATION FOR ELECTRIC PERMIT 1"
DMSIbN'OF BUILDING AND SAFETY. j
Depailment of County Engineer
County of Los Angeles BultOING
WM.J.FOX,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT-TO FILL-IN NEAREST `
PERMIT FEES CROSS ST.
KU BER EACH FEE 1
FRECEPTACLES
ETS Amer OWNER
MAIL ++��
ADDRESS 43AM
HES
TOTAL OUTLETS 5¢ $ CITY L.NO.
ELEC.RANGES 25 ELECTRICIAN
_ELEC.HEATERS 25 ADDRESS
KW EACITY TEL.NO.
FIXTURES S- LICENSE NO.
NUMBER OF LIGHT CIRCUITS � t �
`DISTRICT-NO.- I GROUP • C�N�Ej READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS .3 /
MOTORS
NUMBER I HORSEPOWER FEE , INSPECTIQN RECORD
NEW MVD. HP OVER INC. EACH
12&LESS $ .25
1/2 2 .50 4-
2 5 1:00
5 15 1.50
15 50 2.50
50 200 '5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH.PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .SO APPROVALS"
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THISAPPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C .1- .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 1C) c
ELECTRIfAL WIRING.
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS .REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG OWNER OF THE ABOVE POWER
L
RIBEDRESID IAL PR P T ATUREUTILITY CO.NOTIFIEDPERMITTEEFINAL
Y V
FI NAL
WILLIAWJ:FOX.COUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
ljo 7 7 1 SEP 12 2 5.9 Qfn
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1002030014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEG ON FILE 1 FEES PAID I 9366DADDRESS:
LOWERING RD
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917804217
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18592-003-040 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1
(TENANT: I TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
i 102/03/10 SR 02/03/11 1
II
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE:
IBLAYNEY, JERRY (626) 443-8288- 1 1
4700-A MILLER DR. 1
(TEMP 917804217 (DESCRIPTION OF WORK 1
I (ELECTRICAL PANEL UPGRADE 200 AMP
I 1 I
(APPLICANT: TEL. NO: I I I
MENDEZ (626) 926-9215- I 1-
11 ISPECLAI, CONDITIONS:
1311 N. RAYMOND AVE.
(PASADENA CA 91103 I I 1
ICONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURE
I
IMENDEZ ELECTRIC (626) 926-9215- I 1 1
11311 N RAYMOND AVE LIC. NO I ITEMPORARY POWER POLE I 1 1
[PASADENA CA 91103 872291 C10 I I
I (UNDERGROUND CONDUIT I 1 1
1[ARCHITECT OR ENGINEER: TEL. NO: I IIIFER GROUND I 1
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LIC. N0: 9 IROUGH CONDUIT
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}O1� to;� 5n
e��. IROIIGH WIRING I 1 1
1 MAIN WATER LINE I I 1
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� (PLASTIC Y/N METAL Y/N 1 1 I
1 ' (UTILITY COMPANY NOTIFIED( I 1
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IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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