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°" °°'°°° APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERDIVISIONBUILDING ��^! ��3, ���
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITYT
FOR APPLICANT TO FILL!N cRoss s CROSS 74W f4O' (f1
PERMIT FEES
ITEM NUMBER EACH FES OWNER •�T L��!/Y!rI
eov
OUTLET $ .10 S d MAIL
LIGHTS RECfiPT. SW.
ADDRESS
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS
ELECTRICIANSWC-Lm-4 4
4 9-d-r
WATER HEATERS .50 ADDRESS " "/
ELEC.SPACE HTRS. DISHWASHERS CITY / l -f VJ14 L/T- TEL.N&At-70't IS
GARBAGE DISPOSERS AUTO.- STATE /v7to f f, lei
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DIST!F NO. G U ZONE P C SED BY
O— 1/2 .28
1/a— 2 .50 3-d Yb'*'` ? INS-
2—
si ECTION CORD <�1:�•f✓
2— 5 1.00 /��� `
C %`f/• r, , r/
5— IS 1.50 / � r
�'1.�e-:' - a .- 1moi.r r'
Is— So 2.50 � r
50-200 5.00 f- /
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
k
' SERVICE OVER 600V 5.00
MISC.
WIRINGPERMIT 1.00 80
FIXTURE PERMIT 1.00 QQ
SUPPLEMENTARY PERMIT so
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SICd;NATUR
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY rr ''!!� // r� //J'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �r vy" Lr/f' /- e t-ev' 'k'
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AN LEGAI OWNER OF THE ABOVE
DESCRIBED REBID L R POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PER MI
FINAL
15r VALIDATIPM ARTHUR C.VETT,
CK MO l/6l.►e-JH/ SUPERVISING.ELECTRICAL ENGINEER
D320Ro ;!1Y 4 2 A ?.SIJ
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308290005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D• FEES PAID BUILDING S:
TR: 13935 LT: 19 5651 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802809
ASSESSOR OR ON R: NEAREST CROSS STREET: LIVE OAK
8573-001-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 1.00 SR 17.25
TENANT: G1 OUTLETS-LGT,SW,RECP 26.00 OUT 47.10 ISSUED ON: PROCESSED E P R S N:
G2 LIGHTING FIXTURES 12.00 LGT 23.40 08/29/03 JK 02/2V64
TOTAL FEES 115.50
OWNER: TEL. NO: F NAL TE FINAL BY: CODE:
PETERS;RANDY L (626) 445-1827-
5651 PERSIMMON AVE
TEMPLE CITY 91780 DESCRIPTION OF WORK
ELECTRICAL FOR GARAGE
APPLICANT: TEL. 0:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO EMPO R P R OL
UNDERGROUND CONDUIT
ARCHITECT OR 5NGIN59R: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH R
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY 0 D
REPORT ID: DPR265 ROUTE TO: BS05O8
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0404160019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SA D G ADDRESS:
TR: 13935 LT: 19 5651 PERSIMMON AV
FEE DESCRIPTION: AUANTITY: UOM: AMOUNT: TEMP CA 917802809
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8573-001-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
EN LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 ISSUED OW.__PROCESSED B AN EXPIRES 0 :
TOTAL FEES 105.45 04/16/04 VG 10/13/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
PETERS;RANDY L (626) 445-1827- 9
5651 PERSIMMON AVE -`
TEMPLE CITY 91780 DESCR PT ON OF WORK
RELOCATE MAIN SERVICE TO GARAGE AND INSTALL SUB-PANEL IN
THE HOUSE
APPLICANT: TEC.-N0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMP Y NOTIFIED
REPORT ID: DPR265 ROUTE TO: SS0508