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76A663-CE606 8-62 APPLICATION FOR ELECTRICAL 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 L. 1
NEAREST
FOR APPLICANT TO FILL IN +CROSS.ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST ZO 8� S.Lp $ �, OWNER. `�
LIGHTtip +G MAIL
ADD'L 1h .10 •ADDRES8
SWITCH. `1� �' OVER 20 J / ,
TOTAL CITY j, TEL.NO.
LIGHTING i FIRST 20 � .20
FIXTURES 1 ADD'L ,1O ELECTRICIAN
OV R 20
RANGES CLO.DRYERS. NRR.HTRS. 1.00 (/�/ ADDRESS
GARB.DISP. STA.COOK n
CITY � TEL.NO. !
DISHWASH. AUTO.-WASH. STATE
SPACE.HTRS. STA.APP.(Vs H.P.MAX.) ,9v` :s0 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTR T NO GR .U.P NE P OC ED'BY
O 1 1.00
1 a 1.50 INSPECTION RECORD
s 8 2.00
8 is 2.so 1
1s so 3.00 C
so 100 —' S..00 O
SIGNS: NO.TRANS.
NO.LANPS
�O�-.
SERVICE O.000V-NOT OVER 200A 1.00 1U
SERVICE O.800V-OVER 200 A. 2.00 d
^ N
SERVICE OVER 600V 5.00 f ?
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE i I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIAPPROVAL'S 'DATE INSPECTOR'S SIGNATURE
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO•COMPNDUIT
WITH ALL COUNTY ORDINANCES•AND STATE LAWS•REGULATIN
ELECTRICAL WIRING. - RING ,fig: • .!
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ •v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE XTURES '
CALIFORNIA OR THAT I AM THE'LEGAL OWNS OF-THE ABO -
DESCRIBED RESIDENTIAL PROPERTY. WERSIGNATURE ILITY CO.NOTIFIED
OF PERMINAL
VALIDATI ARTHUR C. VEIT
CK IMO' CASH SUPERVISING ELECTRICAL-ENGINEER
LiiLo 4 08 0-1-0 JAN 6 2 0 1 6..9 Or q
3
r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1406110051
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 10333 OLIVE ST 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:j TEMP CA 917802861 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18586-028-039 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
I IJB AC UNITS +3-10HP 1.00 AC 19.70 I
ITENANT: TOTAL FEES 47.50 ISSUED ON: PROCESSED BY: PLAN BY: 1
1 I 106/11/14 SR
TOWNER: TEL. NO: FI Y: CODE: 1
IURIOSTEQUI, DIANE - I I
110333 OLIVE ST I I
ITEMP 917802861 I JD2SCRIPTIdN OF WORK 1
(INSTALL NEW A/C SYSTEM ON SIDE YARD. INSTALL NEW DUCTING
(APPLICANT: TEL. NO: I I
ICONTRERAS, CARA (626) 286-3157- 1 _
14931 N ENCINITA AVE I [SPECIAL CONDITIONS:
(TEMPLE CITY CA 91780 I 1
CONTRACTOR: TEL. NO: 1 JAPMVALS1 DATE INSPECT&M SIGNKTURE '
ICONNOR AIR CONDITIONING (626) 286-3157- 1 1
14931 N ENCINITA AVE LIC. NO 1 (TEMPORARY POWER POLE I I I
ITEMPLE CITY CA 91780-3706 403735 1 1 I I
I I 1UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND
_ I I
1 LIC. NO: I (ROUGH CONDUIT I I I
I IROUGH WIRING "1
I I IMAIN WATER LINE I I 1
I I 1PLbSTIC Y/N METAL Y/N
I I (UTILITY COMPANY NOTIFIE5
1 I I
I
I I I
I i i I
I I I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508