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76AG6 I-CES06 t APPLICATION FOR ELIE.CTRICA PERMIT-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 6 O 3 3 I'Zo se 4r.�s�d lil.Vd
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE,.COUNTY ENGINEER l e wl `�
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST Ga N, 6a d/
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE, TOTAL No. EACH FEE
` I OUTLET6 FIRST 20 $.20 $ 2 Qlp OWNER R C b e Y' �- , 1�alF• '�
LIGHT J} 1'
SWITCH ' O OVER 20 f0 ADDRESS Io t0 /Z 11J''S,MQ(ri ewdo, lock
TOTAL FIRST 20 .20 I 00 CITY'RQGI G'V►L�q n I•TEL.NO.3 3 O-2�.1
LIGHTING 1 FIXTURES
FIXTURES J ADD L CONTRACTOR �• L o i-e w z. &leC4rlvG
OVER 20 .10
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 152 4 Av'•
GARB.DISP. STA.COOK
CITY SL Milo H-k r` TEL.NO.Q 4 3 S
DISHWASH. AUTO.-WASH. STATE 9 � ' 9 G
SPACE HTRS. STA.APP.I V=H.P.MAX.) .50 LICENSE NO. .:fes L 6
MOTORS: OVER NOT OVER H.P. -DISTRICT NO. G O P ZONE I PRO SSED B
O 1 1.00 'Q 45 4 1 A?_4
1 s 1.50 INSPECTION RECORD
a a 2.00 _ &5
s 1s 2.50 7-
1 s so 3.00 0
so 100 5.00 — 7--7Z�/ U
SIGNS: NO.TRANS... �„ /r
No.LAMPS /7:5•'J/I�/� ~
U
SERVICE 0•600V•NoT OVER 200A I 1.00 wo %� B AA-"
1 r a
h
SERVICE O•SOOV•OVER 200 A. 2.00
SERVICE OVER SOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE) 4
G
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ ®el APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING nn
ELECTRICAL WIRING. WIRING M I .`A
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO POWER
RESIDE IN,THE ABOV ESCRIBE RESIDENTIAL PROPERTY.
SIGNATURES • -f UTILITY CO:NOTIFIED
AZ
OF PERMITTEE �r'jv vv
FINAL U
VALIDATION JOSEPH C. ROOHAN
CK MO CASH' SUPERVISING ELECTRICAL ENGINEER
LA
.6 3. 5 2V OCT 13 2 D 6.00,-- 9,
° COUNTT OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _EL 0508 0004100014
° •BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 I �-
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PA -BUILDING-ADDRESS:
ADDRESS:
TR: 5904 LT: 158 , 6033 ROSEMEAD BL
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917801539
ASSESSOR INFORMATION NUMBER: '-NEAREST CROSS-$TREET: GARIBALDI
5384-017-036 Al PERMIT ISSUANCE FEE 27.75 L.THUMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 9.00 BR 155.25
TENANT: LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ISSUED ON: PROC SSED BY: PLAN BY: EXP RES ON:
TOTAL FEES 221.85 04/10/00 UT 10/07/00
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
DE MARTINI;WILLIAM -
6033 ROSEMEAD BL Q_2ffy
TEMP 917801539 DESCRIP ION�OR
ELECTRICAL FOR ADDITION AND REMODELING
APPLICANT: TEL. NO:
JAIME JAVIER RAYGOZA (562) 869-3035-
7332 FLORENCE AVE. L SPECIAL CONDITIONS:
DOWNEY, CA
�r�GE "ES CO
CONTRACTOR: TEL. NO: �S Ul�T APPROVALS DATE INSPECTOR SIGNATURE
JAIME JAVIER RAYG02A (562) 806-1400-
7332 FLORENCE AVE LIC. NO TEMPORARY-POWER POLE
DOWNEY, CA 90241 619832 B
/ UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND
LIC. Nl:/ 1111111 ROUGH CONDUIT
ROUGH WIRING
�FULBUC
���0�KSMAIN WATER LINE buzzPLASTIC Y/N METAL Y/N
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UTILITY COMPANY NOTIF ED
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Service
REPORT ID: DPR265 ROUTE TO: BS0508