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DES-15A 12.54 APPLICATION FOR ELECTRIC - PERM. IT
DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of LOS Angeie8 BUILDING'
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST /
CROSS ST.
NUMBER EACH FEE
LIGHT OUTLETS OWNER
RECEPTACLES /Q MAIL ADDRESS (C!�1 Al� o/"g E'LC/J
WALL SWITCHES f . t�_ O3
TOTAL OUTLETS 5$ $ CITY _rCTEL. NO. /U
ELEC. RANGES as ELECTRICIAN
ELEC. HEATERS 25 ADDRESS
KW EA
CITY TEL. NO.
FIXTURES 5 LICENSE NO.
NUMBER,OF LIGHT CIRCUITS
NUMBER,OF RECEPTACLE CIRCUITS
DISTRICT NO. GROUP I ZONE I READY FOR INSPECTION
MOTORS
y NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
Y2&LESS S .25
2 2 •50 '/
21 5 1.00 `� -r IU.
1.50
1 o 2.50
5 200 5.00 r
Ae 15401—r7,1611-'z V a L Pe
• �G o
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $L.00 -/-4%a-
FIXTURES
$1.00
SUPPLEMENTARY . .501
APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �:.��•Ii
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY'AND STATE OF
CALIFORNIA OR THAT I AM T POWER E LEGAL OWNER OF THE ABOVE
DESCRIBED
SIGNATURE ESIDENTIA PRO TY. UTILITY CO.NOTIFIED /sill-,? 1
OF PERMITTEE FINAL I L
WILLIAM J.FOX.COUNTY ENGIN&Ir VALIATION
.:.Ilia 0 4 8-FS n F014 2 I. . to
BY'
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7 GAG93 A
DB5.SA 12-54 #%PPLICATION FOR ELECTRIC ,PERMIT
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles 'BUILDING
WM.J. FOX, COUNTY ENGINEER 'BUILDING
CASSATT D.GRIFFIN,SUPT OF BUILDING
013-IM111069=11 1 loll'Ill" LOCALITY TY
FOR APPLICANT TO FILL IN LOCALI
ST
NEAREST
PERMIT FEES �4 CROSS ST.
FEE .
NUMBER EACH .OWNER jc
LIGHT OUTLETS
MAIL
RECEPTACLES I'if -60MMESS
WALL SWITCHES I a-vo
TOTAL OUTLETS fa . TEL. NO.
ELEC.RANGES 5 ELECTR-
ELEC. HEATERS 25 ADDREW
KW EA CITY TEL. NO.
FIXTURES ICENSE NO.
NUMBER OF LIGHT CIRCUITS DISTRICT NO. 1'GROUP READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS ✓
INSPECTION
NUMBER HORSEPOWER FEE RECORD
NEW MVD. HP OVER INC. EACH
a LESS $ .25 3w -
1A 2 .50
2 5 1 1.00
5 IS 1.50
15 50 2.50
11 50 1 200 5.00
cc rz:'o
MISC.
A-1-t
NO.SIGNS NO.TRANS.
6AZf2f
t
NO.SIGNS NO.LAMPS
-01
FOR EACH PERMIT". ArAlla&
WIRING $1.00. 61
FIXTURES $1.00
r r-v
SUPPLEMENTARY -50 APPROVALS 1AW
TOTAL FEE DATE .__ INSPECTOWSSIGN;AT�URE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 6--xr-z
AND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 3- 41
ELECTRICAL WIRING. .. I FIXTURES we--&x 4-ANkn�-Jd�Iw
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oft
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AN HE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTJLAtb)P ERTY. - UTILITY CCI.NOTIFIED
SIGNATURE -.1 10" 0- (' %-f'
S:1? tfj f f
OF PERMITTEE
WILLIAM J.FOX,COUNTY ENGIN EW., VALID W 8 8 7 11AR Fa 25 2 5*55 V
DEPUTY
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 1 EL 0508 1004010029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 18002 LT: 8 I 1 6218 ROWLAND AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801724
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15385-024-026 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
I ILA 100 AMP PANELS, MCC 1.00 PAN 38.85 1 1
ITENANT: 1 TOTAL FEES 66.60 11SSVED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 I 104/01/10 SR 04/01/11 I
(OWNER: TEL. NO: I IFINAL DATE FI Y: CODE: 1
(LEE, HUNG W (626) 278-7131- 1 I cJ 1
6218 ROWLAND AV
ITEMP 917801724 1 IDE C IPTION OF WORK I
(UPGRADE METER 100 AMP
(APPLICANT: TEL. NO: 1 I I
ILUONG (323) 864-3868- I 1 1
110647 OLIVE ST. I ISPECIAL CONDITIONS: I
ITEMPLE CITY CA 91780 I I
ICONTRACTOR: TEL. NO: II (APPROVALS DATE INSPECTOR SIGNATURE I
ITONY TRUNG LUONG (213) 227-5019- 1 1 1
10K MARINE COOL. SYSTEM LIC. NO I ITEMPORARY POWER POLE I 1 1
12675 SICHEL ST. C10 * I 1 1 I I
ILOS ANGELES CA 90031 I UNDERGROUND CONDUIT I I I
I Z II I
1ARCHITECT OR ENGINEER: TEL. NO: I UFER GROUND I
LIC. NO: I [ROUGH CONDUIT 1 1 1
I I I I
I I ROUGH WIRING I I
1 I IMAIN WATER LINE I 1 1
IPLASTIC YIN METAL YIN I
1UTILITY COMPANY NOTIFIED( 1
I I I 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
1 1* ADDITIONAL DATA ON FILE 1 1 1 1
I I(REPORT ID: DPR265 ROUTE TO: BS0508 1 I 1 1
I I I I