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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0111140021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL .
G .
TR: 11290 LT: 01 10668 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780
ASSESSOR 0 0 NEAREST CROSS STREET: EL MONTE
8585-031-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 42.00 OUT 68.70
T G2 LIGHTING FIXTURES 20.00 LGT 39.00 S S .
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 11/14/01 JK 05/13/02 .
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 FINAL DATE FINAL BY: CODE:
LEE, SALINA (626) 442-2223- H5 RES WASH MACH LT 3HP 1.00 WAS 10.95
10668 OLIVE ST. H7 RES EXHAUST FANS 3.00 EX 32.85 -
TEMPLE CITY, CA JB AC UNITS +3-10HP 1.00 AC 19.65 DLSCRiPTION
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 ELECTRICAL FOR ADDITION/REMODEL
TOTAL FEES 270.60
APPLICANT: TEL. 0:
SAME AS OWNER -
�� SPECIAL CONDITIONS:
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CONTRACTOR: TEL. NO:
SAME C-+
SAME AS OWNER _ /�r JyAPPROVALS DATE INSPECTOR SIGNATURE
LIC. NO / 1,A ! �Sj N\ TEMPORARY POWER
r
�/ � � •4 1 __c;\ ,� UNDERGROUND CO D I
ARCHITECTOR ENGINEER: 7EE.ME
LIC. NOt, -- I ROUGH CONDUIT
- - �
ROUGH WIRING
1,',(7 �� MAIN WATER LINE—
PLASTIC Y/N M
ETAL Ni -a-rJ
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-- — UTILITY C P F D
REPORT ID: DPR265 ROUTE TO: BS0508
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A A663
BS.SA B.SB APPLICATION FOR ELECTRIC PERMIT
DIVISION OF BUILDING AND.SAFETY
Department of County Engineer
County of Los Angeles BUILDING °
WM.J.FOX,COUNTY ENGINEER 'A DDRESS.
NAS 1?
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY /
FOR APPLICANT TO FILL IN
PERMIT FEES NEAREST
CROSS ST. p !/
NUMBER EACH FEE OWNER `✓� D
LIGHT OUT
RECEPTACLES .'MAIL
WALL SWITCHES
TOTAL OUTLETS 5¢ $ CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN ce y43
_ELEC.HEATERS 25 .ADDRESS N /
KW EA CITY TEL.NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRI!T . I GROUP I ZON� READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS S GR TY7P
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW M.VD. HP OVER INC. I EACH
1A&LESS . 8 .25
I/2 2 .50
2 5 1.00 .
5
is f.50
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS. '
"
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 D
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S v DATE INSPECTOR'S SIGNATURE
1' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
� I/ ry
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 11ho / I %�I---
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGIS RED AND/OR FIXTURES �$
LICENSED AS REQUIRED LOS ANGEL_ C TY D STATE OF '
CALIFORNIA OR THAT M A LEG E 0 ABOVE POWER
DESCRIBED RESIDENTIAL OPER?0: UTILITY CO.NOTIFIED
SIGNATURE 7
OF PERM ITT c FINAL 3�T/I
WILLIAM J.F .COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
r ACo4 O 3 2L.Z;_ JAI-10 2 3.8 0 �
0