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DBSDHSAPPLICATION FOR ELECTRIC PERMIT� 1
SA
DIVISION OF BTUDIING AND SAFETY _
Department of County Engineer•
County of Los Angeles BUILDING
WM.J.FOX COUNTY ENGINEER ADDRESS !J
CASSATT D.GRIFFIN.SUPT OR BUILDINa
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PE OUT FEES CROSS ST.
NUMBER EACH FEE
OWNER
LIGHT OUTLETS
RECEPTACLES MAIL e^
ADDRESS
WALL SW ITCHES
TOTAL OUTLETS 5Q $ CITY TEL.NO.
ELEC.RANGES 25. ELECTRICIAN C
_ �• �t7 _
. ELEC. HEATERS 25 ADDRESS
KW EA CITY TEL.NOE�T
FIXTURES 5 , LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP IAONF�/ I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS c/� ,'f
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
$LESS S .25
2 5 1.00 �. r
�o
5 15 1.50 ��/_ f/I[// P / ��,�si+�.-ice✓ /
15 50 2.50 w
50 200 5.00
M ISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
k WIRING $1.00 E10
FIXTURES $ ..00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEEDATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE. READ THIS APPLICATION ' CONDUITF AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY / ! i•
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ` f•� •y��f'�2��/
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 AMAGAL OWN OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PR E TY.
SIGNATURE "UTILITYCO.NOTIFIED A r,
OFPERMITTEE FINAL +�JI rim � tAsL
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR
' '��05 1 9 6 N APR 8 2 1.2 5 �'
7w►6e3 088 SA 9-50 APPLICATION FOR PERMIT
DEPARTMENT'OF BUI MING AND SAFETY'
COUNTY'OF LOS ANGELES !f. "® �, '�� 1
'WILLIAM.J. FOX, CHIEF'ENGINEER
FOR APPLIC�IVT Tq FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
' ELECTRICIAN � /.�/L3�-;!�?r
ADDRESS ' RECEIVED BY READY FOR D TE 1; ED
r_� FIRST INSPECTION
CITY �/ TEL.NO. ?/
COUNTY LICENSE NO. EXPIRES BUILDING
AD.DRESB
PERMIT FEES. y /J _f
NUMBER EACH FEE L13CALI
LIGHT OUTLETS 11
CROSS ST. �iA�' 6rC�
RECEPTACLES
WALL SWITCHES 74? OWNER.
TOTAL OUTLETS 50. .$ Z11 2it MAIL. ~ U r
ELEC.. RANGES 85 ' ADDRESS
ELEC. HEATERS 25
/ CITY' 'TEL.NO.
FIXTURES A 5 6,�
1 HEREBY -ACKNOWLEDGE THAT 1 HAVE REAL THIS
million //�� CJI. L APPLICATION AND .STATE THAT THE ABOVE IB CORRECT
NUMBER OFILIGHT CIRCUiTB a AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANCE9
NUMBER OF RECEPTACLE CIRCUITS a+' AND STATE LAWS. REGULATING ELECTRICAL WIRING:
MOTORS I CERTIFY THAT -1 POSSEBS.THE ABOVE VALID L09
NI:MBER. HORSEPOWER_ FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVO. HP 'OVER INC. EACH OF THE RESIDE N IAL PROPE DESCRIBEDABOVE.
Va &LEH9 B: .25 9ISNATURE or 1
1/2 9 .50' - PERMITTED` ( ,.fu+'�• "
z s 1.00 UINSPECTION RECORD
5 16 1:50
16 60 2.50. _
60 200 5.00
200 500 10:00 A
600 lOOO 15.00 Z
OVER 1000 20.00 <<�
M.G. GET/FREq.'CHANGER-HP Q'
WELDERS:AC-KVA _ -
O
GENERATORS - KW
TRANSFORMERS - KVA 1'
TEMP. MOTORS (75% of Oa113.)
'MOVED MOTORS X75% OF;ORIo.)
MISC.
SIGNS
NO.. NO.TRANS.
APPROVALS
NO. NO.LAMPS ..
FOR EACH PERMIT: DATE' INSPECTOR'S NAME
WIRING- !$1.00 CONDUIT
FIXTURES $1.06 ` WIRING., ./- ✓'r. .'✓R'r
SUPPLEMENTARY .5O FIXTURE9
:POWER
TOTAL FEE B uTILJTYCO..NOTIFIED �Q�' •
FINAL
r
COU14TY+OF IAS•ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302040004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 16957 IT: 100 5527 RYLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:j TEMP CA 917802724
ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: DAINES
18586-018-022 JAI PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
IG1 OUTLETS-LGT,SW,RECP 35.00 OUT 59.20
TENANT: IG2 LIGHTING FIXTURES 35.00 LGT 59.20 JISSUED ON: PROCESSED BY: PLAN BY:
ILE 200 AMP PANELS, MCC 1.00 PAN 38.90 02/04/13 SR
TOTAL FEES 185.10 1
(OWNER: TEL. NO: I F?• A FI Y: CODE:
YUAN CHI HUANG (626) 872-8987-
15527 RYLAND AV
TEMP 917802724 QDCRI I N OF WORK 1
I REWIRING THE EXISTING HOUSE AND UPGRADE PANEL TO 200 AMP
SERVICE
APPLICANT: TEL. NO:
ICHUEN KUEN KAM (626) 641-3523-
11219 S CALIFORNIA ST 1 1SPECIAL CONDITIONS:
SAN GABRIEL CA 91776
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
IKAM'S ELECTRICAL INC (626) 641-3523-
11219 S CALIFORNIA STREET LIC. NO ITEMPORARY POWER POLE 1 1
SAN GABRIEL CA 91776 939777
1 1UNDERGROUND CONDUIT
1ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND
1 LIC. NO: 1 ROUGH CONDUIT
1 TROUGH WIRING 1
MAIN WATER LINE I 1
1PLASTIC YIN METAL YIN 1
1UTILITY COMPANY NOTIFIEDo IJ /a 1
1 1 1 I 1
1
1 I I 1
1
REPORT ID: DPR265 ROUTE TO: BS0508