HomeMy Public PortalAbout8609 WORTHINGTON DR - Electrical - 2001-09-05 - EL 0508 0109050008 R
° COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTAENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0109050008
BUILDING AND SAFETX / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ADDRESS:
TR: 25341 LT: 2 8609 WORTHINGTON DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752646
0 NUMBER: NEAREST CROSS STREET: BURTON
5386-007-044 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSEDLAN BY: EXPIRES ON:
TOTAL FEES 58.35 09/05/01 UT 03/04/02
OWNER: TEL. NO: INAL T FINAL BY: CODE:
LEDWITZ MARTIN W;ELIZABETH A TRUSTE (
8609 WORTHINGTON DR . d
SGAB 917752646IDE$CPJPTIONOr
CHANGE OUT A/C AND HEATER
APPLICANT: TEL.—W-.—
JAMES WUKMIR HEATING 8 A/C (626) 442-2148-
11500 RAMONA __ _ SPECIAL CONDITIONS:
EL MONTE CA
CONTRACTOR: TEL. NO: ``� * APPROVALS DATE INSPECTOR SIGNATUR
JAMES WUKMIR CO., INC. (626) 442-2148-
11500 RAMONA BLVD. LIC. NOTEMPORARY POWER
EL MONTE, CA 91731 285626 C10 - v.
` ' :t• U DERGRO ND CONDUIT
ARCHITECTOR ENGINEER: . NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY comPARTY577MU
REPORT ID: DPR265 ROUTE TO: BS0508
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / �
BUILDING AND SAFETY DIVISION ADDRESS �Q lJ o,;.2 h
JOHN A. LAMBIE.COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY Al
jM
FOR APPLICANT TO FILL IN NEARESTRs7'. r O
AZ
PERM FEES
ITEM NUMBER I EACH FEE OWNER t
OUTLF,TS: $ $ MAIL
LIGHTS RECEPT. W. .10 ADDRESS �
LIGHTING FIXTURES f0 CI TEL.N s�tr Z
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS AUTO.. STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
fraum 10
MOTORS: OVER INC. H.P. DISTRICTNO. G SUP NE P CESSED BY
0— va .25 M 1
V2— 2 .50 INSPECTION RECORD
2— 5 1.00
s— 1s 1. Iso � -
v
Is— 50 2.50
50-200 .5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-SOOV 1.00'
SERVICE OVER SOOV 5.00
MISC.
WIRING PERMIT 1.00 s
FIXTURE PERMIT 1.00
'C SUPPLEMENTARY PERMIT 50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
k ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING i
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
�. CALIFORNIA OR THAT I AM TtK LEGAL OWN R OF THE ABOVE
DESCRIBED RESIDENTIA PRO POWER
SIGNATURE UTILITY CO.NOTIFIED 3
j OF PERM
FINAL
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MO L TON ARTHUR C.VEIT,
ASH
v SUPERVISING ELECTRICAL ENGINEER
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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 0 /
BUILDING AND SAFETY DMSION ADDRESS lwl e
JOHN A. LAMBIE. COUNTY ENGINEER C
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY A
FOR APPLICANT TO FILL• IN NEAREST
PERM FEES CROSS ST.
1 T E MNUMBER I EACH FEE OWNER
OUTLET MAIL
LIGHTS RECEPi2 SW. .10 -�U
ADDRESS
LIGHTING FIXTURES5 S 10 U CITY TEL.NO.
.ELEC.RANGES CLO.DRYERS ELECTRICJIAM !,Gr '�
WATER HEATERS .60 ADDRESS ,/ i4/
ELEC.SPACE HTRG.),DISHWASHERS CITY (&;&j //'— TEL.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .28 LICENSE NO.
MOTORS: OVER INC. H.P. _ DISTRICT NO. I GROUP I Z P BY
O— 1/a .26 .
va— 2 so INSPECTION RECORD
2— s 1.00
s— 1s 1.80 _
1s— 80 2.80
50-200 8.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-60OV 1.00 (f
SERVICE OVER 600V 8.00
MISC.
WIRING PERMIT 1.00 Ll
FIXTURE PERMIT 1.00 GI
SUPPLEMENTARY PERMIT .80
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION `. APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT$ LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
INCENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ;
DESCRIBED RESIDENT PROP PROPERTY. '-: POWER
SIGNATURE % r ;�,� UTILITY CO.NOTIFIED "°' -'IJ✓•b -his %int ;+
OF PERMITTE r�
FINAL
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