HomeMy Public PortalAbout8624 WORTHINGTON DR - Electrical - 1960-05-13 MA663-CE6063.59 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILo1NG ��aa `,
BUILDING AND SAFETY DIVISION ADDRESS
14 a4-1ry/A/gd:7 1j
JOHN A. LAMBIE. COUNTY ENGINEER __4rCk 11
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST r
PERMIT FEES CROSS ST. t GI
I T E M NUMBER EACH FEE OWNERMAIL
OUTLETS: y- $ ADDRESS
LIGHTS RECEPT. -7 SW. .10 t LS
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS EL EC TR ICIAN� C -Y.!`
WATER HEATERS .50 ADDRES - 'aryl: •7• (J
ELEC.SPACE HTRS:;'DISHWASHERS CITY i9 .S TEL. N
GARBAGE DISPOSERS 1 AUTO.- STAT
WASHERS STA.COOKING UNITS .25 LICENSE NO
MOTORS: OVER INC. H.P. DISTFJ.GT NO. I GROUP ZONE PRO ESSED BY
- O— 1/z 25 w f V(, / R_
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 C)
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 L�
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERM IT .50
TOTAL FEE VT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI TION 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
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM 'PROPERLY REGISTERED AND/OR WIRING J
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES f.•
CALIFORNIA OR THAT f AM THE LEGAL OWNER OF THE ABOVE ,
DESCRIBED RESIDENTIAL PROPERTY. I POWER >/
SIGNATURE , / UTILITY CO.NOTIFIED —LPD .1
OF PERMITTE ,
FINAL
)FDATION ARTHUR C.VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
!. ,0Y34 146 3 2 A 1u.95 "
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706200007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 25341 LT: 5 I 8624 WORTHINGTON DR
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752647
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BURTON
15386-007-047 1A1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: 02 LOCALITY: TEMPLE CITY, CI
IF1 120V, 15/20A BR CKTS 1.00 BR 17.25
TENANT: GI OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: [
HS RES WASH MACH LT 3HP 1.00 WAS 10.95 106/20/07 SR 12/17/07 1
TOTAL FEES 59.85 1 1
IXIM, TEL. N0: V
$i/ FI CODE:
(KIM, EUNICE ( /fy
18624 WORTHINGTON DR.
ISAN GABRIEL 91775 1 IDMCRIPrioN OF WORK [
I I [ADD ONE CIRCUIT FOR THE OUTDOOR LAUNDRY ]
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[APPLICANT: TEL. NO: I I
ISAME AS OWNER - I I
SPECIAL CONDITIONS: [
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
]SAME AS OWNER - I I I
I LIC. NO I ]TEMPORARY POWER POLE I I I
I I I 1-1 I
I I (UNDERGROUND CONDUIT I I I
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[ARCHITECT OR ENGINEER: TEL. NO: I [LIFER GROUND I I I
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I LIC. NO: [ [ROUGH CONDIIIT I
I I IROUGH WIRING
I ] IMAIN WATER LINE 1 I I
I I IPLASTIC Y/N METAL Y/N ] I ]
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I I (UTILITY COMPANY NOTIFIEDI I I
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[REPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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