HomeMy Public PortalAbout5309 TEMPLE CITY BLVD_Electrical__ APPLICATION FOR PERMIT
DEPARTMENT OFF LOS A G AND SAFETY ELECTRIC�i� o
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHI[r ENGINEER ��ii
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I Z NE PERMIT NO.
ELECTRICIAN RECEIVEDBYBY READY ►OR DAT[ 1 tp
CITY ADDRESS �i 1 TEL.No �IGIu� FIRST/aINBP[OTIDN /— ', .6
CO LINUILDINOCENSE ERICT FEES EXPIRES ADDRESS
NUMBER EACH r[[ LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS BT. LY
WALL SWITCHESO
� WNER
TOTAL OUTLETS ry BO 7 MAIL
ELEC RANGES SS ADDRESS
EIEC HGT[RB ! 46 { CITY
rIXTURES a 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
IBC APPLICATION AND STATE THAT THE ASOVE-IB CORRECT
NUMBER Or LIGHT CIRCUITS l AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS `i AND STATE LAWS REGULATING ELECTRICAL WIRING.
i MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NYMe[R HORSEPOWER r[[ ANGELES COUNTY LIO[NSE, OR 1 AM THE LEGAL OWNER
NEW Mw HP w[a INR [.1QN Or THE RESIDENTIAL PROPERTY DESCRIBED ABOVL
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SSO PERMITTEr
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N NO LAMPS
POR EACH PERMITI DAT[ INSP[OTORM NAM[
WIRING 1 OO J' QO CONDUIT
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SUPPLEMENTARY SO FIXTURES
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS EL 0508 1204100047
BUILDING AND SAFETY / LAND DEVELOPMENT •TEMPLE CITY CA 91780 ,
PHONE (626) 285-0488 ERT
LEGAL ID FEES PAID BUILDING ADDRESS r
ON PILE 5309 TEMPLE CITY BL
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803149
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET OLIVE
16590-006-003 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
IG1 OUTLETS-LGT SW RECP 2 00 OUT 4 00
TENANT 02 LIGHTING FIXTURES 2 00 LGT 4 00 TISSUED ON PROCESSED BY PLAN BY
TOTAL FEES - - 35 60 104_/10/12_ _ SR
TOWNER TEL NO
IQIAN, BEI - (626) 437-8817- IFI DATE FI BY C006
15309 TEMPLE CITY BL
TEMP 917803149
ID CRIPTION OF WORK 1
ADD 2 OUTLETS AND 2 LIGHT FIXTURES
(APPLICANT TEL NO I 1
(SAME AS OWNER -
(SPECIAL CONDITIONS
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I
(CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO (TEMPORARY POWER POLE
UNDERGROUND CONDUIT
I
ARCHITECT OR ENGINEER TEL NO IUFER GROUND I
LIC NO ROUGH CONDUIT
ROUGH WIRING
I MAIN WATER LINE
PLASTIC Y/N METAL YIN
UTILITY COMPANY NOTIFIED(
1 I I
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IREPORT ID OPR265 ROUTE TO 850508
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