HomeMy Public PortalAbout4875 ROBINHOOD AVE_Electrical__ ,eA645e APPLICATION FOR ELECTRIC PERMIT 1
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DPMION OF IIU=ngG AND SAFETY
DepOztm®at of County Engineer BUILDING
County Of LOS Angeles ADDRESS V
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
nESC OSS ST.
NUMB OWNER '
24 LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
y ALL SWITCHES FEE CITY TEL.NO.
' TOTAL OUTLETS ® s¢ $ ELECTRICI`AN ��� o ,ARG �O
ELEC.RANGES 25 ADDRESS !L wWII/ITs�
ELEC.HEATERS 25 CITY Z TEL.NO //Tl
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STATE
FIXTURES g LICENSEgNO
MOTORS DISTRICT ZONE READY F08 INSPECTION
NUMBER HORSEPOWER FEENEW MVD. HP OVER INC. BACHIO** Oi1J/
6LESS S .25 7i7 BI2 .50 jv
2 s 1.00
s is 1.50
is50 2.50
so 200 5.00 11�al r • . Biu—ri✓ Q `.D 3�
MISC.
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NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 () D
SUPPLEMENTARY .SO AROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING, 1�2 ELECTRICAL WIRING.1 HEREBY CERTIFY THAT I AM PROPERLY REGIS ED AND/OR FIXTURES � ,L
LICENSED.AS REQUIRED LOS ANGE TY D ATE OF
CALIFORNIA OR THAT THE L W ABOVE POWER
DESCRIBED REBID. IA OPERTY UTILITY CO.NOTIFIED A6, -' rr✓LL�G
SIGNATURE
OF PERMITTEE 11 FINAL �f7/%y"i G•��G�
OHN A.LAM .COUNTY ENGI ERATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
C MO CASH
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 0612010003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 19043 LT: 3
4875 ROBINHOOD AV
PER DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804029
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RYLAND
8585-009-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: BS LOCALITY: TEMPLE CITY, C
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
12/01/06 ,TK 05/30/07
OWNER: TEL. NO:
VELASQUEZ, MAC/LIANE (626) 444-6394- mg
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CODE:
4875 ROBINHOOD AV
TEMP 917804029
DESCRIPTION OF WORK
ELECTRICAL METER UPGRADE T3 200 AMP
APPLICANT: TEL. NO:
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. NO: UFRR GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
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REPORT ID: DPR265 ROUTE TO: BSO508