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76A663-CE80619-64 APPLICATION FOR ELECTRIC R
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS A
JOHN A. LAMBIE, COUNTY ENGINEER
,,,CIOLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY TEMPLE CITY
FOR APPLICANT TO FILL IN CROSS ST. GARIBALDI
RECEPT. 20 TOTAL , NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNERGEORGE
LIGHT 7 20 MAIL
A DD'L ADDRESS
SWITCH. 7 �� OVER 20 _ ,f0 1 0 ,
TOTAL CITY
LIGHTING �7 r, FIRST 20 .20 1 0 TEL.NO.
FIXTURES r — ov R 20 .10 ELECTRICIANCiO�pNTLEE & SON ELECTRICRANGES CLO.DRYERS WTR.MRS. 1.00 ADDRESS 1030 17 o GRANDVIEW AVE.
GARB.DISP. STA.COOK cITYSO- SAN GABRIEIEL.NcxkT a 0-200
DISHWASH. AUTO:•WASH. STATE
SPACE HTRS. STA.APP.IVa H.P.MAX.) .50 LICENSE NO. 137567- C-10
MOTORSI OVER NOT OVER H.P. DISTRICT
�� GROUP PR CE BY'
O 1 1.00 1/
I 3 1.50 INSPECTION REEC .RD
s 6 2.00
S 15 2.50 A ' ,� V
18 SO 3.00 119
50 100 5.00 7 f�', �L y`0,
SIGNS: NO.TRANS. ! - -+ `- • 6• „�/f r i Lu
NO.LAMPS Y ( /t/)
SERVICE 0.600V-ND'r OVER 200A 1 1.00 im 00 Z
SERVICE 0-SOOV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.002.
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ 9.80
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
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 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIR Y LOS ANGELES COUNTY AND STATE OF C - `,.
CALIFORNIA OR THA I A THE L GAL ER O AND INTEND TO
RESIDE.IN, THE ADDY DE RIDE ESI EN IAL P PERTY. POWER ppr�r/A syr �.•
SIGNATURE UTILITY CO.NOTIFIED �, T"C,l���' .4 :sPs3Tr +
OF PERMITTEE
FINAL s�Y �:) '✓�• "
(DATION JOSEPH C.ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
06 5-A 7-40 25M APPLICATION FOR PERMIT
DEPARTlIENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION ( QISTRIc T•�o. 'GROUP i zoE P� �o
WIRING FIXTURES SERVICE
By I READY FOR I DAT ISSUE
RANGE F!EATER j POWER___T_ `� ' j r FIRST INSPECTION
SIGNS MISCELLANEOUS�_ f ✓' Z
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
Q ADDRESS
ADDRESS f /-- i< G .T LOCALITY ( T
' !Jl - NEAREST
J CITY TEL N.,7 CROSS ST. y
W I COUNTY -gam,
q CERT. NO._5::! EXPIRES��� lti /-�
NAh.1E
,k DESCRIPTION OF WORD 3 MAIL
NUMBER OF OUTLETS ON CIRCUITS I ADDRESS 7
LOCATION BY ROOMSO_ CITY TEL No. �
LIGHT OUTLETS I SW.1 PLUGS InXT. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS a$
N
CIRCUIT I A I B C I D I E I I F I G ` I ANGELES COUNTY C T .,TE OF QUALIFICATION. A
LIVING ROOM I
MfICTRICMN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED,
_DINING ROOM I ___T ABOVE.
BRFST. RM.
/ OWNER.—
BATH 1 7 CORRECTIONS
ENT. HALL
HALL NO.
FRONT PORCH I _
OUTSIDE
g__KITCHEN /
_SERV. PCH. Q
BORM. NO. z
CLOSET
k:
G
ECRM. NO. i
CLOSET _
I
TOTAL
NO. OF OUTLETS $
APPROVALS
NIO. OF FIXTURES $ DATE !NSPECTOWS NAME
NO. OF MOTORS H. P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS i $ FIXTURES I
1e r�ISCELLANEOUS $ POWER
PERMIT FEE $ `�+ TILrrY CO. NOTIFIED
1
_TOTAL FEE $ �,] FINAL C -
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0209190020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL S PAID BUILDING SS:
TR: 5904 LT: 155 UN: .002 6007 ROSEMEAD BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801539
ASSESSOR 0 0 U R: NEAREST CROSS STREET: LONGDEN
5384-017-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 14.00 OUT 27.30
TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED : PROCESSED : PLAN-BY: EXPIRES
TOTAL FEES 62.85 09/19/02 JK 03/18/03 .
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
TRAN VICTOR D;VUONG AM TO (626) 285-9713- 1-3:-16007 ROSEMEAD BL
TEMP 917801539 DESCRIPTION OF WORK
ELECTRICAL FOR ADDITION/REMODEL
APPLICANT: TEL. NO-
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: ��� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - �.`�'� •' 0R PR OL
LIC. NO �,_ r. •'.
••` `, UNDERGROUND CONDUIT
ARCHITECT OR NGIN E 0: UFER GROUND
LIC. N0: ! _ - - y ROUGH CONDUIT
ROUGH IRING
hNIN TATER LINE (/
! ' PLASTIC Y/N METAL Y/N
- - 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 0210150019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGADDRESS:
TR: 5904 LT: 155 UN: .002 6007 ROSEMEAD BL
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917801539
ASSESSOR INFORMATION NURB R: NEAREST CROSS STREET: LONGDEN
5384-017-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSU50 ON: PROCESSED EXPIRES ON:
10/15/02 VG 04/13/03
OWNER: TEL. 0: FINAL DATE FINAL BY: CODE:
TRAN VICTOR D;VUONG AM TO (626) 285-9713-
6007 ROSEMEAD BL .3—
TEMP 917801539 D SC TIOWT
ELECTRICAL FOR ADDITION/REMODEL
APPLICANT: TE
CHUNG (626) 582-1509-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: ;�, t: �'� APPROVALS DATE INSPECTOR SIGNATURE
CHUNG, BRIAN (626) 582-1509- .b: `��`•�
11662 FOREST GROVE ST. LIC. NO %. ` •, TEMPORARY P0POLE
EL MONTE, CA 91732 652729010 J, •�
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: E . N li d UFER GROUND
LIC. NO:, - - ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LIN
* PLASTIC Y/N METAL Y/N
- - UTILITY COMPANY NOTIF15D
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0210180017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
S PAID BUILDING ADDRESS:
TR: 5904 LT: 155 UN: .002 6007 ROSEMEAD BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801539
ASSESSOR INFORMATION NUM8 R: NEAREST CROSS STREET: GARIBALDI
5384-017-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 3.00 BR 51.75 1
TENANT: F2 208, 277V LGT BR CKT 1.00 BR 27.30 ISSUED - PROCESSED A : EXPIRES ON:
G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 10/18102 JK 04/16/03
G2 LIGHTING FIXTURES 15.00 LGT 29.25 I
OWNER: TEL. NO: H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95 FINALDATE FINAL BY: CODE:
TRAN VICTOR D;VUONG AM TO (626) 285-9713- H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95
6007 ROSEMEAD BL H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 !i
TEMP 917801539 H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 S R gYOR OF WORK
H7 RES EXHAUST FANS 1.00 EX 10.95 ELECTRICAL FOR KITCHEN REMODEL
JF REFRIG CBNT +3-10HP 1.00 REF 19.65
APPLICANT: EL. 0: TOTAL FEES 249.45
SAME AS OWNER -
SPEC AL CONDITIO S:
CONTRACTOR: TEL. NO: APPR ALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
' UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. O: UFER GROUND
LIC. NO: ROUGH CONDO T
----
ROUGH WIRING
MAIN WATER LINE
�• PLASTIC Y/N METAL Y/N
- -- - - - ' UTILITY CORPARY-071FIED
REPORT ID: DPR265 ROUTE TO: BS0508