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IA868-CE808 10-81 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER [ADDRESS
UILDING
BUILDING AND SAFETY bIVISION JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING OCALITY /YEARESTFOR APPLICANT TO FILL IN ROSS ST.
'1 T E M NO. EACH FEB
OUTLETS, (FIRaT 20) -�. �•$,20 $ b.O 4,44
OWNER r 1
LIGHT8 i- RECWT. SW. MAIL
OUTLETS: (ADD'L UNITS) .10 ADDRESS
LIGHTS
LIGHTING FIXTURES: (FIRST 20) go CITY TEL.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN[[ (p_�
RANGES CLO.DRYERS WTR.HTRIL 11.00 1 ADDRESS Jt
GARB.DISP. STA.COOK
CITY t TEL.NO.
DISHWASH. AUTO.-WASH. STATE -70 34
SPACE HTRS.4-- STA.APP.(%H.P.MAX.) .50 �O LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N GR P 7 E P OC BY
O 1 1.00
I s 1.50 INSPECTION RECORD }
o_
s S 2.00 O
s 1s
2.50
U
m
1 s 50 8.00 O
50 100 5.00 IIJ
d
SIGNS: NO.TRANS. h
s
NO.LAMPS
SERVICE O-SOOV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ C3
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS / DATE INSPECTOR'&BIGNATURE
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 I AM R
PR PERLY REGISTERED AND/Olt
LICENSED AS REQUIRED BY 1.08 AN LE COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT THE WNER OF THE ABOVE /,/'
DESCRIBED RESIDE R P POWER
SIGNATURE UTILITY CO.NOTIFIE . 11.1I
1 J
OF PERMI E r y !
FINAL I 1 •
VALIDATION
A%11 U C. VEIT
SU S
ERVIINO ELECTRICAL ENGINEER
CK MO CASH
.CD 2 6 8 6.joAU98 2 D 3.9 0- Q
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 0804300017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 LT: 338 UN: .002 I 1 6029 OAK AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802030 1
(ASSESSOR INFORMATION NUMBER: INEAREST CROSS STREET:
15385-005-008 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I IF2 208, 277V LGT BR CKT 2.00 BR 54.60 1 1
TENANT: IHA FAD LESS 3HP 1.00 FAU 10.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
IJB AC UNITS +3-10HP 1.00 AC 19.65 104/30/08 SR 10/27/08
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 I
(OWNER: TEL. NO: I TOTAL FEES 151.801F�NAL TE FINNDLLB(Y: CODE: 1
1WEEKS JEANNB M (626) 286-8705- I I/�" Il
16029 OAK AV 1 .iT�\
ITEMP 917802030 I DESCRIPTION OF WORK I1
(UPGRADE ELECTRICAL PANEL TO 200 AMP RUN 230V FOR A/C [
(APPLICANT: TEL. NO: I 1 I
(AIR TRO (626) 357-5311- 1
11630 S. MYRTLE AVE ] ISPECIAL CONDITIONS: 1
IMONROVIA, CA 1
I I I
I [
]CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE ]
(AIR TRO INC. (626) 357-5311- ]
11630 S. MYRTLE LIC. NO 1 ITEMPORARY POWER POLE I I I
[MONROVIA, CA 91016 258228 C10 *1
1 i (UNDERGROUND CONDUIT i [
ARCHITECT OR ENGINEER: TEL. NO: - i 1UFER GROUND n
I-
LIC. NO: I IROUGH CONDUIlr1 I
I I
1 I (ROUGH WIRING I I
IMAIN WATER LINE I I I
] I IPLASTIC YIN METAL YIN I I I
I I ]UTILITY COMPANY NOTIFIED ] I
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[ 1 I I I I
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[ i* ADDITIONAL DATA ON FILE
I ]REPORT ID: DPR265 ROUTE TO: BS0508 I I I
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