HomeMy Public PortalAbout9419 LOWER AZUSA RD_Electrical__ 'SA663-CES,0610-ez' APPLICATION FOR ELECTRIC. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEFT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OWNER i
LIGHT �rO MAIL
S ADD'L ADDRESS
SWITCH.
OVER ZOO .1O
LIGHTING
TOTAL Flasr 20 20 CITY TEL.NO.
.
FIXTURES 1 y. ADD'L .1O ELECTRICIAN
OVER 20
RANGES CLO.DRYERS NRR.HTRS. 1.00 ADDRESS c
ARB._0185-1-1STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
;PACE HT A.APP.(:.H.P.MAX. .50 LICENSE NO. /
MOTORS: OVER NOT OVER H.P. DIST, T N 15?�P Z N IP CE Q Y
0 1 1.00
1 s 1.50 INSPECTION RECORD
s 6 2.00 ar.
s
is 2.50 O
U
1s 50 3.00 P9
s0 100 5.00 10.,
SIGNS: NO.TRANS. 4.
NO.LAMPS H
z
SERVICE 0.600V-N0r OVER 200A 1.00
SERVICE 0.600V•OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP CA ON 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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM Tt!g LEGAL OWNER OF THE ABOV
•DESCRIBED LV LF
RESIDENTI ROP POWER {{
SIGNATURE UTILITY CO.NOTIFIED i � Vj::/A /1
OF PERMITTEE FINAL(:�
/ Iv:':Ua•r
LIDATION ARTHUR C. VEIT y
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L`li;o 1 2 6 IQ OCT 1 0 2 0 13.9 0 H
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9809090009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL S BUILDING ADDRESS:
TR: 13329 LT: 22 BL: .001 9419 LOWER AZUSA RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804220
ASSESSOR INFORMArrOW11WEV.— NEAREST CROSS STREET: CLOVERLY
8590-021-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 17.00 OUT 33.15
G2 LIGHTING FIXTURES 7.00 LGT 13.65 ISSUED 0 . EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.80 09/09/98 UT 09/09/99
JB AC UNITS +3-10HP 1.00 AC 19.80
NE LA 100 AMP PANELS, MCC 1.00 PAN 38.85 FINAL DATE FINAL B .
REAL TOMASA D - TOTAL FEES 144.00 —,Q�A
9419 LOWER AZUSA RD tt
TEMP 917804220 DESCRIPTION OF WORK
ELECTRICAL FOR FAMILY AND REMODEL BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
&lC- 1 .F tQ r,
CONTRACTOR: - APPROVALS DATE INSPECTOR siGNATUVE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: GROUND
LIC. N0: ROUGH CONDUIT
ROUGH WIRING
� e
WN-1WATNER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFM
REPORT ID: DPR265 ROUTE TO: BS0508