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7GA663-CES06'468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT.OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGADDRESS �� r re 1/I Q
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. eL
NO. AC FEE
RECEPT._ $ $ OWNER e�'
MAIL /'
LIGHT TOTAL FIRST 20 .20 ADDRESS -6 21 N. C2�LC (J
SWITCH__Ll_. OVER 20 .10 CITY vc ° TEL. NO.
PLAN CHECK
LIGHTING �TOTALI 'FIRST 20 .20 APPLICANT
FIXTURES OVER 20. •10 ADDRESS
RANGE_DRYER—WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP._F.A.U._
CONTRACTOR <
SPACE HTR. AIR CON'D.r_ ADDRESS 3? U+ ai c i `C .-,
CLOTHES WASH._DISHWASH._ CITY V .{ -7.1l e j TEL. NO.ZQ O- Z. I
.FAN—OTHER 1.00 LICENSE IJO. 2-� `Z CLASS. ��-C
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
'- 0 0 - I 1.00 �
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 -RESIDE IN, THE ABOV OESCRIBED/riESIDEN I OPERT
SIGNATURE /(/i V
50 - 100 10.00 OF PERMITTEE
O
100 - 500 15AS - .00
DISTRICT GR P Z E PR ESSED BY
TUBE,GOR SIGN AND ONE CIRCUI.T 3.00 N
MARQUEE Z
ADDITIONAL CIRCUITS 1.00 NOTES:
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
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
2.0
PERMIT ISSUING FEE 0 2 Q0 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE 120. JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 0
M.O. CASH
L&07 3 2 .0% WVj 9 2 0 3.2 QN q
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ���
73ABBaC&B°- 9°&� APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT"OF COUNTY ENGINEER BUILDING pp
BUILDING AND SAFETY DIVISION ADDRESS (�_
JOHN k. LAMBIE. COUNTY ENGINEER
COLLI UV. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. AC FEE
RECEP $ $ OWNER
MAIL
LIGHT
TOTAL FIRST 20 ® 20 ADD :ZFZ 20
RESS
SWITCH �Q�L OVER 20 .10 a CITY, TEL. NO.
LIGHTING TOTAL FIRST 20 .20 CONTRACTOR
FIXTURESJOVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP.-/--F.A.U.I-- ( LICENSE NO. & —C 10
SPACE HTR. AIR COND. I HEREBY ACKN LEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH.1—DISHWASH./— WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
jj /�'•/ ELECTRICAL WIRING.
FAN OTHER 1.00 „j VrC/ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
,j.ND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE D R111 0 RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE 1
0 - 1 1.00 OF PERMITTEE
r 1 - 10 3.00 DISTRICT IJO, GRD O PR U
10 - 50 5.00 O
�4 a 50 - 100 10.00 NOTES: G
LU
` 100.- 500 15.00 N
SIGN,GAS
TUBE, OR SIGN AND ONE CIRCUIT 3.00
MARQUEE AD;jITIONAL CIRCUITS 1.00
SERVICE NO'-.ER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 60.0 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT q
ISSUING FEE 2.00 &D WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE O JOSEPH C. ROOHAN
SUPERVISING EL7CK.
L ENGINEER
PLAN CHECK VALIDATION CK. .M.O. CASH PERMIT VALIDATIONM.O. CASH
UlLo 2 4 2 a,s JAN 3 2 D 2 0.6 0
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEbARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1409050004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ]
ITR: 5904 IT: 59 UN: .003 I 1 6262 RENO AV
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:I TEMP CA 917801534 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15384-003-003 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
I IJB AC UNITS +3-10HP 1.00 AC 19.70 1- I
TENANT: I TOTAL FEES 47.50 JISSUED ON: PROCESSED BY: PLAN BY:
1 109/05/14 SR
(OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE: I
IK&C ELITE LLC (626) 689-5883- 1 1 r�
2410 RIDGEWAY I
ISAN MARINO CA 91118 1 IDESCRIPTION OF WORK 1
1 IREPLACE ONE A/C UNIT I
APPLICANT: TEL. NO: I I I
THAI, BILL (626) 213-4535- I I ]
12141 RAMONA BLVD I ISPECIAL CONDITIONS:
IEL MONTE CA 91732 I 1
I I I
CONTRACTOR: TEL. NO: I IA"'R(O��" 'DATE— INSTECTOR SIGNATURE
JB&T AIR CONDITIONING (626) 213-4535- I 1 1
12141 RAMONA BLVD LIC. NO I ITEMPORARY POWER POLE I 1 I
JEL MONTE CA 91732 954263 1 1 I ]
I I (UNDERGROUND CONDUIT ] I ]
ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
I LIC. NO: I IROUGH CONDUIT I 1 I
I IROUGH WIRING 1
1 I IMAIN WATER LINE I
1 1 ]PLASTIC YIN METAL YIN 1 I 1
1UTILITY COMPANY NOTIFIEDI
I I I I I I
I I I I I I
I I I I I
] I I I ]
I I I ] I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 I I
I I ] I I
tCOUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
bEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1409110048
B&LDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS:
ITR: 5904 LT: 59 UN: .003 1 6262 RENO AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917801534 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
15384-003-003 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 I I
TENANT: i TOTAL FEES 66.70 i09/11/14N: PROCESSSED BY: PLAN BY: [
SR
]OWNER: TEL. NO: I IFINAL DATE FINAL Y: CODE: ]
IK&C ELITE LLC (626) 689-5883- 1 1 1
12410 RIDGEWAY I I 1
ISAN MARINO CA 91118 I ID SCR ION OF WORK 141
I [UPGRADE METER TO 200 AMP [
]APPLICANT: TEL. NO: I I I
IWONG, DAVID (626) 523-1561- I I 1
11426 EUCLID AVENUE I ISPECIAL CONDITIONS: ]
[SAN GABRIEL CA 91776 [ [ 1
I I I I
]CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ID AND T ELECTRIC (626) 523-1561- 1 1 1
11426 EUCLID AVE LIC. NO ] ITEMPORARY POWER POLE I I I
]SAN GABRIEL, CA 91776 547182 * I 1 1-1 1
I ] (UNDERGROUND CONDUIT I I I
[ARCHITECT OR ENGINEER: TEL. NO: - [ [LIFER GROUND 1 [
I LIC. NO: 1 IROUGH CONDUIT 11
[ TROUGH WIRING [ I 1
I 1 [MAIN WATER LINE I 1 1
1 (PLASTIC Y/N METAL Y/N ] I 1
I 1 ]UTILITY COMPANY NOTIFIED I
I 1 I ] I
I I I I I I
] [ [ I I I
I I I I I I
] I I I I I
I I ] I I I
I I I I I ]
I ] I I I I
I I I I I I
I I ] ] I I
I I I I I I
I I* ADDITIONAL DATA ON FILE
IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I 1
I I I I I I