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-W'6 -cE806 9-67 APPLICATION FOR ELECTRICA PERMIT {�
• COUNTY OF LOS ANGELES
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DEPARTMENT OF COUNTY ENGINEER BUILDING c�
43UILDING AND SAFETY DIVISION ADDRESS t �!
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
Q NO. EACH FEE'
RECEPg-2 $ $ OWNER
'^ MAIL
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LIGHT TOT L FIRST 20 .20 U ADDRESS
SWITC OVER 20 3fa .10 CITY EL. NO.
LIGHTING iTOT L FIRST 20 .20 CONTRACTOR
FIXTURES 1( OVER 20 .10 ADDRESS Q t I I
RANGE—DRYER—WTR.HTR.— CITY TEL. NO. -�
STA.COOK_DISP.L'f'F.A.UV.—f' LICENSE NO. C
SPACE HTR. AIR COND. 1 HEREBY ACKNOWLEDG A I H VE READ THIS APPLICATION
✓ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH.�DISHWAS WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1.00 Gv 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT 1 A THE LEGAL OWN OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE A DESCRIBED R DENTIAL PROPERTY.
SIZE & TYPE OVER TO
SIGNATURE �
0 - 1 1.00 OF PERMITTEE ffa
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1 - 10 3.00 DISTRICT btQ.1 GRO P WZ DS U
1.0 — so 15.00 . m
O
50 - 100 10.00 NOTES G
W
100 - 500 15.00 (7 a'
tq
SIGN,GAS
TUBE, OR SIGN AND ONE CIRCUIT 3.00 t /
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 �1V►
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT ,
WIRING
ISSUING FEE 2.00 D t
FIXTURES i
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL -H-90-62 �FIi
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECCIJRA�CAL ENGINEER8.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (( .OK! ) M.O. CASH
U 1 .6 7 6-% SEP 3 2 D 18.4.0 �
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - ✓�./ r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1002080017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
1BK: 20 PG: 48 PC: 2 I 1 5910 MUSCATEL AV N I
I -IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( SGAB CA 917752621 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15386-011-073 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 I
(TENANT; TOTAL FEES 66.60 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
102/08/10 SR 02/08/11
(OWNER: TEL. NO: (FINAL DAU FINAL Y: CODE: I
IYOSHIDA GLENN
15910 MUSCATEL AV I I
ISGAB 917752621 I IDESCRI ION OF WORK
I [ 1200 AMP SERVICE UPGRADE
I
[APPLICANT: TEL. NO: I I I
[IMUTA (323) 283-6317- I I I
1531 S. ATLANTIC BLVD ISPECIAL CONDITIONS: I
(MONTEREY PARK 91754
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE [
IG & S ELECTRIC (323) 283-6317- I I I
1531 S ATLANTIC BLVD LIC. NO I TEMPORARY POWER POLE 1 1 I
IMONTEREY PARK CA 91754 248057 C10 I I I I I
I [ (UNDERGROUND CONDUIT [ I I
(ARCHITECT OR ENGINEER: TEL. NO: - 1 IUFER GROUND
II LIC. NO: [ IROUGH CONDUIT I I
(ROUGH WIRING
I 1MAIN WATER LINE I I I
(PLASTIC Y/N METAL Y/N I J
(UTILITY COMPANY NOTIFIED(
I I I I I I
I I I I I
I I I I I I
I i 1
IREPORT ID: DPR265 ROUTE TO: BS0508 I I [
I I I I I I