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76A863-CE806 9-87
APPLICATION FOR ELECTRI PERMIT -�
COUNTY OF LOS ANGELES'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
JAUD7DRE
..
JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY /FOR APPLICANT TO FILL IN .
NO. EACH FEE
RECEPT._
$ S OWNER
MAIL
LIGHT TOTAL - FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO
LIGHTING �TOTAL FIRST 20 .20 CONTRACTOR
FIXTURES OVER 20 .10 ADDRESS S^Q
RANGE—DRYER-eWTR.HTR._ b CITY /STEL. NO.
STA.COOK_DISP.—F.A.U._ LICENSE NO. 7
SPACE HTR. AIR GOND. I HEREBY ACKNOWLEDGE. THAT I HAVE READ THIS APPLICATION
AND.
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISH WAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
MOTORS,TRANSFORMERS RATING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I
CALIFORNA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE
1 - to 3.0o DISTRFCT N G PR C BY U
10 - 50 5.00
50 - 100 10.00 N OT ES:
W
100 - 500 15.00 O.
N
SIGN,GAS SIGN AND ONE CIRCUIT 3.001.
TUBE, OR .
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
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
ISSUING FEE 2.00
.00 WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED
PERMIT FEE UTI LI TY CO.NOTI FI ED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE d0 JOSEPH C. R OHAN
SUPERVISING ELE AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
(AD 1 9 7 :2% DEC 1 2 D 5.0 QM 14
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
i
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC
DIVESION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN n.L / ROM Pf Z!_
,ter CEI -ED B READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY 0 TEL.NO.
COUNTY LICENSE NO. EXPIRES BUILDING ��
FEE
33
PERMIT FEES
71-
ADDRESS
•
NUMBER EACH LOCALITY Ap
LIGHT OUTLET$ •- + NEAREST L.. i B
RECEPTACLES CROHS ST.
O r
WALL SWITCHES V OWNER �/y� L / MIJC L JA
TOTAL OUTLETS 5c $ MAIL
ELEC. RANGES 25
ADDRESS / � Z ' /s
S 9 v 4. /a 45.
y
ELEC. HEATERS r/ 215. CITY cs TEL NO. 7--lo790
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE. VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW Mw. HP OVER INC. EACH OF THE RESIDE L PROPERTY DESCRIBED ABOVE.
%2 & LEBB $ .25 ` 9
SIGNATURE O UZ
V2 2 ,50 PERMITTE
a
a s 1.00 INSPECTION RECORD
5 15 1.50
is 50 2.50
SO 200 5.00'
200 SOO 10.00 •J
BOB 1000 15.00' 4
OVER IOOO 20.00 M
M.G. BET/FREq. CHANGER-HP 0:
WELDERS,AC-KVA 13
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of Own.)
MOVED MOTORS (75% of Own.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT, DATE INSPECTOR99 NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 Ba WIRING / Z.
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE s UTILITY DO.NOTIFIED
FINAL
75A553 DBB*5A 2-5.3
COUNTY OF LOS ANGELES • TEMPLE CITY # 0508 ELECTR.IBAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9906110001
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALID: FEES PAID BUILDING-ADD-REW-
ON FILE 9333 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803128
ASSESSOR OR 0 B R: NEAREST CROSS STREET: CLOVERLY
8588-029-012 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 15.00 OUT 29.25
G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: CESSED BY: PL R S .
TOTAL FEES 64.80 06/14/99 UT 12/ 9 .
OWNER: TEL. 0: FINAL DATE FINAL BY CODE:
CHANG CHI TSEN P (626) 309-9843-
9333 OLIVE ST
TEMP 917803128 RIPTIOW OF WORK
ELECTRICAL FOR ADDITION
APPLICANT: T .
SAME AS OWNER -
SPECIAL CONDITIONS:
ANGELES CG
CONTRACTOR: TEL. NO: OS ��/,. APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT ENGINEER: . 0: R G O D
1
LIC. N0: wROUGH CONDUIT Al
ROUGH WIRING
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UTILITY COMPANY 0
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REPORT ID: DPR265 ROUTE TO: BS0508