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SAG63sCEB06.10-SS APPLICATION FOR ELECTRIC P RMIT 1
BUILDING AND SAFETY DMSION
Department of Couutr Engineer FAD7EDRESS
Countr of Los Angeles JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUP'T OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
qq OWNER
LIGHTS RECEPTACLES L SWITCHES
NUMBER 1 T E M EACH FEE MAIL
-ADDRESS
TOTAL OUTLETS $ .10 8 -4-000
'ELEC. RANGES, WATER HEATERS, CITY TEL.N
CLOTHES DRYERS .50
q ELEC. SPACE HEATERS, STAT'Y. COOK ELECTRICIAN
L
IN 6 UNITS, GARBAGE DISPOSER$, L(f 'ADDRESS
AUTO WASHERS, DISHWASHER .25 l7
LIGHTING FIXTURES 10 CITY i TEL.NO.
MOTORS STATE
LICENSE NO.
HORSEPOWER
H.P. OVER INC. DISTRIyCTrNO. GROUP ZQNE, .READY FOR INSPECTION
V2&LESS .25 1
Ih 2 ' .50 INSPECTION RECORD
2 5 1.00
5 1$ 1.50
15 50 2.50
50 200 5.00
MISC.
SIGNS I NO.TRANS ;
NO..LAMPS
SERVICE O-600V 1.00
SERVICE OVER 60OV 5.00
WIRING PERMIT 1.00 0�
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE $ t9 DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I A ROPERLY REGISTERED AHD/OR FIXTURES / /� �✓s�
LICENSED AS REQUIRED ANGELES COUNTY AVD STATE OF
CALIFORNIA OR TH THE AL OWNER 0 THE ABOVE pOWER
DESCRIBED RESIDE A OPER
SIGNATURE UTILITY CO.NOTIFIED -
OF PERMITTEE FINAL ..�i.n d..
OHN A. LAMBIE. YJ=ATION ARTHUR C. EI
.OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO ,CASH .
�, 2 0.9 6U-1 SEP 10 11 .6 0 i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0511150002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 19043 IT: 25 4866 ROBINHOOD AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804028
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RYLAND
8585-010-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE. 597 GRID: B5 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60
TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HS RES WASH MACH IT 3HP 1.00 WAS 10.95 11/15/05 JK 05/14/06
TOTAL FEES 62.10
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
MCCARTHY JOHN B;JUDITH A
4866 ROBINHOOD AV
TEMP 917804028 MMCK117TION OF WO
ELECTRICAL FOR 2 BATHROOMS
APPLICANT: TEL. NO:
P.S. CONSTRUCTION (626) 442-2764-
5415 PERSIMMON SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
P.S. CONSTRUCTION (626) 442-2764-
5415 PERSIMMON AVE LIC. NO TEMPORARY POWER POLE
TEMPLE CITY CA 91780 431044 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: jo- ROUGH CONDUIT INS
s
i Ao ROUGH WIRING Atcx
2 r
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0511280005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
' PHONE. (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 19043 IT: 25 4866 ROBINHOOD AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804028
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RYLAND
8585-010-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C
RA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 11/28/05 JK 05/27/06
TOTAL FEES 97.20
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
MCCARTHY JOHN B;JUDITH A (626) 443-6496-
4866 ROBINHOOD AV 0
TEMP 917804028 DESCRIPTION OF WORK
200 AMP SERVICE UPGRADE AND A/C HOOK UP
APPLICANT: TEL. NO:
SWEEDEN (626) 858-7122-
1056 EDNA PLACE SPECIAL CONDITIONS:
COVINA, CA 91724
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LIVE WIRE ELECTRIC (626) 858-7122-
1056 EDNA PLACE LIC. NO TEMPORARY POWER POLE
COVINA, CA 91724 804762 CIO
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILI.TY COMPANY NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508