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76AG63-CES06 9-64 APPLICATION FOR EL 5CTRICAL PERMIT
IT
COUNTY OF LOS ANGELES
DEPARTMENT OF .COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A..LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP'T.. OF BUILDING LOCALITY or
NEAREST
FOR APPLICANT TO FILL IN. CROSS ST.
RECEPT. TOTAL , NO. EACH FEE
LIGHT OUTLETS FIRST 20 $.20 $ OWNER >Ei -
_
MAIL p -
ADD'L .10 ADDRESS
SWITCH. OVER'20 �y� ,
LIGHTING OTAL I FIRST 20 ,20 _CITY a71/ d1 TEL.NO.
FIXTURES _ ADD
OVKR 20'L .10 ELECTRICIAN _
111
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 6v� 7
B. Z _
GARDIBP. STA.cooK CITY {� TEL.NO. l 15 +
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vz H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST_I71CTrRIO. GROUP P SSED BY E
O 1 1.00 Alot
I s 1.50 INSPECTION REC RD
s s 2.00 a
O
8 fs 2.so � CJ
15 so 3.00
s0 100 5.00 O
SIGNS: NO.TRANS. VW
NO.LAMPS - r�
N
Z
SERVICE 0.600V-Nar OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 �p
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURB
ANCI STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 1 ,✓ sE
WITH ALL•COUNTY ORDINANCES AND ,STATE LAWS REGULATING _
ELECTRICAL WIRING. / r'`�
WIRING .�1.'r /� r�'��>•>tP;.��W
I HEREBY-CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES r ,� ,�6J
LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF /' * ~�, C
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN,THE ABOVE SCRIBED REST NTIAL`PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED / 'r
OF PERMITTEE.-
FINAL
ERMITTEE FINAL
OKMOLIDATION JOSEPH`C. ROOHAN
. CASHSUPERVISING ELECTRICAL ENGINEER
MO � CASH
LSO 0 5 3G MAR29 2 D 4.00-
SA 25M HIM 2-47
APPLICA
0
DEPART1 ENT OF BUMDING AND SAFFM , . �"a®1Qt FOR PERi�'�
4COUNg'Y OF LIDS ANGELES ELECTRIC
IC
WM. J. FOX CHIEF ENGINEER
_S NAME DISTRICT NO: GROUP ZONE PERMIT NO.
U ADDRESS
READY FOR
_ _
CITY /" TEL.NO. EIV D BY FIRST INSPECTION DATE ISSUED
CERT.NO. EXPIRES COUNTY r7- ELS 9
APPLICANT FILL IN HEAVILY/OUTLINED PORTION ONLY
DESCRIPTION OF WORKADDRESS 1
NUMBER OF OUTLETS ON CIRCUITS LOCALITY C.—
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS F17[T CROSS ST.
CIRCUIT A B C D E F G N M NAME
Z
MAIL
.= ADDRESS e7 mss/
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGE_I.ES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM TM&EGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE$ p�pn/ 1 t < /
/moi,. OWNER.
CORRECTIONS
0
J
Q
a
0
TOTAL (�
NO. OF OUTLETS S $� APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OV—RXN aES.OR HEATERS E FIXTURES
MISCELLANEOUS $ POWER J
PERMIT FEES LI
TILITY CO.NOTIFIED ' /h 1 ��
TOTAL FEE 0 ° id INAL --I V'
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0705170003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ON FILE I 1 6140 OAK AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801653 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
-15385-010-011 JAI PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
JG1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.50 I I
ITENANT: JG2 LIGHTING FIXTURES 40.00 LGT 66.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
JHA FAU LESS 3HP 1.00 FAU 10.95 05/17/07 SR 11/13/07
1 1H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95 I 1
JOWNER: TEL. NO: JH2 RES GRBG DISP IT 3HP 1.00 DIS 10.95 F FI CODE: 1
1SERRANO JOAQUIN;JUANA D (626) 287-7256- JH3 RES DISHWASHR IT 3HP 1.00 DIS 10.95 I I
6140 OAK AVE JH4 RES RANGE HDS IT 3HP 1.00 HOO 10.95 1 1
ITEMPLE CITY CA 91780 JH5 RES WASH MACH IT 3HP 1.00 WAS 10.95 IDESCRIPTION OF WORK 41
JJB AC UNITS +3-10HP 1.00 AC 19.65 JELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE PANEL I
J ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 [TO 200 AMP J
JAPPLICANT: TEL. NO: I TOTAL FEES 270.45 J I
IKEN FANGT (909) 569-2069- I 1
124321 CLAYWOOD DR. i ISPECIAL CONDITIONS:
IDIAMOND BAR CA 91765
I I I
ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE I
ISERRANO JOAQUIN (626) 287-7256- 1 1 1
16140 OAK AVENUE LIC. NO I ITEMPORARY POWER POLE
ITEMPLE CITY, CA 91780 NONE 1 I J 1
1 1 JUNDERGROUND CONDUIT I 1
JARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I
I LIC. NO: 1 IROUGH CONDUIT I I I
1 I IROUGH WIRING I J
I I I i I I
I 1 IMAIN WATER LINE
1 1 (PLASTIC YIN METAL YIN I 1 1
1 1 (UTILITY COMPANY NOTIFIED r 1 I
I I I I I I
I 1 I J 1 I
I I I I i I
I I I J I I
I I I 1 I I
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I I I I I I
1 1REPORT ID: DPR265 ROUTE TO: BS0508 1 1 I I
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