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76A669-CE606 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT ILDING
BUILD NG AND SAFETY DIV DIVISION ADDRESS-31 X/ 4--co S/
JOHN A. LAMBIE. COUNTY ENGINEERA J �y
WILLIAM.A.:ENSEN,SUP'T OF BUILDING LOCALITY 77Cmel `rd
FOR APPLICANT TO FILL IN CROSSSSTT. x0p.4 ,;wl-9 $
RECEPT. TOTAL NO. EACH FEE '
OUTLETS FIRST 20 $.20 $ OWNER �1/ J• 69 r ✓ CJ
LIGHT • MAIL E �� �®P a
ADO'L ADDRESS �/�
SWITCH. OVER 2O .10
LIGHTING TOTAL Fltist 20. 20 CITY ✓F!!!3 x• -� ' EL.NO.
FIXTURES AOD'L 1C ELE.CTRICIAN
111
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWA6H: AUTO.-WASH.. STATE
SPACE HTRS. 'STA.APP.'(V.H.P.MAX.) ,SO
LICENSE NO.
MOTORS: OVER NOT OVER H.P. .. P O qSSp BY
O 1 11.00 '�5V
r gpA
1 a 1:so INSPECTION RECORD r
8 s 2.00
B 18 2.50 '
1s 50 3.00 >-
d
so 100 5.00 O
SIGNS; NO.TRANS. ,. ' Im
NO.LAMPS 0
SERVICE O•SOOV-NOT OVER 200A 1.00 ov bW
SERVICE.O.6oOV-OVER 200 A. 2:00 a
SERVICE OVER 600V 5.00
MISC.
1 '
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE _ X1.00
TOTAL FEE $
1'HEREBY ACKNOWLEDGE THAT 1 NAVE.READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT J I. . ..✓/I
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING ,�tt �f/,/ •� "
ELECTRICAL WIRING. WIRING d/(J!(j 7 Jt��'1.I/
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR "
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE 1,99AL OWNER OF THE: ABOVE
KNTIPPETYDESCRIBED RESIDPOWER a �✓-lse
`SIGNATURE UTILITY CO.NOTIFIED
�.
OF PERMITTE ppe�rr �j F r i r�
FINAL
VALIDATION--.,, ARTHUR C. VEIT
CK MO tSN . SUPERVISING ELECTRICAL ENGINEER
812 13 2.D
J I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
" DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0009250032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA ID: FEES PAID BUILDING ADDRESS:
TR: 13935 LT: 24 5621 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802809
ASSESSOR 0 0 BER: NEAREST CROSS STREET: DAINES
8573-001-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 2.00 BR 34.50
TENANT: G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.95 09/25/00 UT 03/25/01
TOTAL FEES 84.90
OWNER: TEL. NO: FINAL DATE FINA Y: CODE:
READ THEODORE R;MARIE (818) 442-8517- QII��-a
5621 PERSIMMON AV G� VI
TEMP 917802809 DESCRIPTION OF WORK
ELECTRICAL FOR HOUSING ,EHAB PROJECT
APPLICANT: TEL. 0:
G.FELIX CONSTRUCTION (626) 401-1391-
4924 N. HALIFAX RD SPECIAL CONDITIONS:
TEMPLE CITY, CA
ANGELES Co
CONTRACTOR: TEL. NO: �OcJ �/�A� APPROVALS DATE INSPECTOR SIGNATURE
G FELIX CONSTRUCTION (818) 401-1391-
4924 N HALIFAX RD LIC. NO TEMPORARY POWER POLE
TEMPLE CITY CA 91780 449477 B
` UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TE 0: - F GROUND
LIC. NO9 � 1111111 ROUGH CONDUIT
_ ROUGH WI RING
U
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S INWATER LINE
\,v'/� luteus PLASTIC Y/N METAL Y/N
TI ITY COMPANY NOTIFIED
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El
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Elpts
Service 7hat�
REPORT ID: DPR265 ROUTE TO: BS05O8