HomeMy Public PortalAbout9376 LOWER AZUSA RD_Electrical__ 76.0663-r,E80610/7 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS ��_
BUILDING AND SAFETY DIVISION
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FOR APPLICANT TO FILL IN ST.
OUTLETS N0. EACH FEE WNER OR
FIRM NAME
RECEPT.� S MAIL
FIRST 20ADDRESS /v
LIGHT TOTAL /
OVER 20 CITY TEL. N
SWITCH, .10 PLAN CHECK
LIGHTING FIRST 20 APPLICANT
TOTAL
FIXTURES -9.- OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TE,4 NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND: CITY v TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER. TO
_ I HEREBY CERTIFY THAT I dM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Y
CALIFORNIA OR THAT 1 AM THE LEG OWNER OF THE ABOVE p�
1 — 1O 3.00 DESCRIBED RES ENTIAL PROPERTY. Q
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PERMI10 — 50 5.00 SIGNATEE ��.n� C3
SIGNATURE (•�„�
50 — 100 10.00 DISTRICT NO. PROCESSED BY W
L1.
100 - 500 15.00 A Z
SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS DATE 01
INSP CTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 140 TEMP. POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 2-- c7 —7
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FJNAL
PERMIT FEE (SUB TOTAL) NOTES �tsT IWg
PLAN CHECK FEE �✓
i
PERMIT ISSUING FEE
TOTAL FEE
sb
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
3 0 7NnFr: 15 2 1 2.6 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /�/ /
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0807140020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: ]
ON FILE I I 9376 LOWER AZUSA RD 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804217 1
(ASSESSOR INFORMATION NUMBER: I I I NEAREST CROSS STREET: 1
18592-003-038 IAl PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, Cl
I,LA 100 AMP PANELS, MCC 1.00 PAN 38.85 I
(TENANT: TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I 107/14/08 SR 01/10/09
(OWNER: TEL. NO: I 1 L DATE FI CODE: 1
1JENNIFER LEE THAI +�I ^�J(J I
19376 LOWER AZUSA RD 1 I ` {�
ITEMP 917904217 1 1DESCRIPTION OF WORK I
I I 1UPGRADE SERVICE PANEL TO 100 AMP 1
1APPLICANT: TEL. NO: 1 I I
IYEE (626) 215-8283- 1 1 1
13242 KELBURN AVE. 1 ]SPECIAL CONDITIONS: 1
IROSEMEAD, CA 91770 I ] I
ICONTRACTOR: TEL. NO: ]APPROVALS DATE INSPECTOR SIGNATURE 1
IJOHN YEE (626) 572-7862- 1 1 I
13242 KELBURN AVE LIC. NO ITEMPORARY POWER POLE I I I
IROSEMEAD, CA 91770 741290 C10 I I I I
]UNDERGROUND CONDUIT I I I
1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I
1 LIC. NO: ] ]ROUGH CONDUIT I 1 I
IROUGH WIRING I I I
1 ] ]MAIN WATER LINE 1 I 1
I ] IPLASTIC Y/N METAL Y/N 1 I
]UTILITY COMPANY NOTIFIED( ] I
I I I I�I�I
I I I I I
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I I I I I I
1 REPORT ID: DPR265 ROUTE TO: ES0508 I I 1
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