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HomeMy Public PortalAbout9231 BLACKLEY ST_Electrical__ ® ® �p.}a DBS-5A APPLICATION TION FOR ELECTRIC PERMIT 1 DBS-5A it•8S DIVISION OF BUILDING AND SAFETY - y rn Department Of County Engineer BUILDING 4 Q y �{ � I �-s� County Of L08 Angeles ADDRESS 4 l� f✓ br JOHN A LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST ' PERMIT FEESC Oss sT NUM OWNER ak LIGHT OUTLETS MAIL 00, RECEPTACLES ADDRESS WALL SWITCHES FEE CITY NO TOTAL OUTLETS ® s¢ $ ELECTRICIAN00, ELEC RANGES 219 ELEC HEATERS 25 ADDRESS CITY TEL }CIN E'°' ESTATE FIXTURES g �V LICENSE NO MOTORS DISTRICT NO 1GROUPWONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE aT � NEW MVD �1HP OVER INC EACH LESS $ 25 INSPECTION RECORD 2 so 2 s too s is ISO 15 1 SO 250 50 200 S 00 MISC I , d NO SIGNS NO TRANS NO SIGNS NO LAMPS 4' 1 FOR EACH PERMIT WIRING $t 00 ®B FIXTURES $100 ® SUPPLEMENTARY 50 - APPROVALS TOTAL FEE $ 'f DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 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 PE LEGAL OWNER OF THE OVE POWER DESCRIBED RESIDENTIA RO RTY SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL 2'1 5'TavuAlt ----- JOHN A LAMBIE.COUNTY ENGINEER VALIDATION ARTHUR C.VEIT,CHIEF ELECT. INSPECTOR CK MO CASH 7 9 3 6 t JUL 9 2 3.4 5 IrI r DEIS CA 12 84 APPLICATION FOR ELECTRIC PERMIT E 1 DBS SA t c.-,OIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING . ! cd") V WM J FOX, COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN, SUP T OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PERMIT CA NEAREST I FEE CROSS ST NUMBER EACH LIGHT OUTLETS OWNER RECEPTACLES MAIL /t ADDRESS (//) --- WALL SWITCHES TOTAL OUTLETS 5.1 S CITY TEL N ' ELEC RANGES 25 ELECTRICIAN -+-�C.� ELEC HEATERS 25 ADDRES 9 I .� ✓`JL�'' � KW EA qq CITY 'L TEL NO & FIXTURE5 r V LICENSE NO NUMBER OF LIGHT CIRCUITS vNiffiffiliffm DISTRICT NO GROUP E I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH _ 112&LESS S 25 1/2 2 50 2 5 100 5 15 1 50 15 50 2 50 50 200 500 _MISC NO SIGNS NO TRANS _ NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $1 00 FIXTURES $100 a SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ Y 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 � �� �` / ePA' A•'t "01! WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING l ELECTRICAL WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROTY `//,J� UTILITY CO NOTIFIED SIGNATUR OF PERMITTEE E [� �,i(, FINAL —c WILLIAM J FOX, COUNTY ENGINEER ,. V 10D RN7 1 e s, juN 14 2 2.9 4 "' I BY ^� DEPUTY 0 a `_ DB36SA;234-�� APPLICATION LICATION FO ■ ELECTRIC ■ ERMIT DIVISION OF BUILDING AND SAFETY 'Department of County Engineer County Of LOS y ENGINEER BUILDING WM J FOX, COUNTY ENGI I9 EER ADDRESS .L► CASSATT D GRIFFIN, SUP T OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PERIVIIT FEES NEAREST FEE CROSS ST �� N EACH LIGHT OUTLETS OWNER a g I nn RECEPTACLES �4` MAIL ADDRESSc...+� G / WALL SWITCHES TOTAL OUTLETS 5d S CITY��/yry�t. TEL NO Ay ELEC RANGES 25 ELECTRICU N ELEC HEATERS 25 ADDRESS KW EA 'J CITY TEL NO � FIXTURES 5 J LICENSE NO NUMBER OF LIGHT CIRCUITS DISTRICT NO I GROUP !ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS (J/1 MOTORS T �sGL70 NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH _ 1�&LESS S 25 1/2 2 50 2 5 1 00 5 15 1 50 15 50 250 50 200 1 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING 3100 FIXTURES S1 00 �a SUPPLEMENTARY 50 APPROVALS TOTAL FEE S S DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING q 1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED REST NTIAL PROP RTY SIGNATURE UTILITY CO NOTIFIED �1 ��{� OF PERMITTE FINAL- 'I \ (�y/u..uv... WILLIAM J FOX. COUNTY ENGINEER VALO CW7 5',9,.V,', ,FEB21 2 25-5 BY DEPUTY CITY OF TEMPLE CITY #3907 R 76A663 C�'E eoe(6,79) �APPLICATION FOR'ELECTRICAL PERMIT - COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB FApplionces sidential Bldgs &Pools EACH NO FEE ADDRESS 9231 Blackley Family,Sq Ft $ 025 — $ LOCALITY Temple Cit family Sq Ft 02 — NEAREST Encinita ential Swimming Pools 25 00 CROSS ST OWNER OR A Jaime FIRM NAME A. Rec�QLight —Sw 8 Q MAIL First 20 50 ADDRESS 522 18th 3t. No 17 Additional 30 CIT)Montebello Tel No PLAN CHECK APPLICANT Fixtures First 20 50 1 0 ADDRESS No Additional 30 CITY Tel No I ppliances Not Over 1 HP PERMIT -Conlee�SOn Electric e_Heater D W APPLICANT—Dryer_ W M— ADDRESS 1030 N. Grandview Ave. Top _FAU — W H _ CITYS San Gabriel Tel N9280-2007 Hood_Fan —Other LICENSE OR Disp —Room Air Cond — 2 50 REG NUMBER 242432 Clossc 10 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size Type Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl 5 001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF U Over 10 to 50 Incl 12 50 CALIFORNIA OR AT I AM THE LEGAL OWNER OF HE ABOVE Over 50 to 100 Inc 25 00 DESCRIBED Rr N AL PROPERTY Over 100 4000 PERMIT EE SIGNATURE Services DISTRICT NO PROCESSED BY 0 200 Amp Under 600V 12 50 201 �o D 2 16�e 201 1000 Amp Under 600 V 25 00 _J Over 1000 Amp or Over 600 V 5000 Z. O 1000 9239. 1 A Temp Power Pole&Appurtenances Q Sign with One Branch Circuit 1000 C Additional Sign Branch Circuits 200 Q # 0 0 o o o2 INSPECTION > Misc Conduits&Conductors 1000 INFORMATION � 0 1 ] Q Q Other(See Complete Fee Schedule) ON REVERSE u 0 0 01 7006 SIDE Z 3 0 .1.23-79 PERMIT FEE (Sub Total) C7 o o rV ?t �t OZ o 0 0 (ib PLAN CHECKING FEE (One Fourth Permit Fee) N o 0 0 N o CIA PERMIT ISSUING FEE $7'00 7 C R TOTAL FEE 17.0 v 0 O -O C� O N N G ' INSPECTIO/N/FINALED Uj date �T J/D—�9 By Os / P 7"ee3.cww6 D-DY APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER I BUILDING AND SAFETY DIVISION ADDRESS �� S ''LFICK JOHN A. LAMBIE, COUNTY ENGINEER _ / y CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY 7.G"1l `� �� / FOR APPLICANT TO FILL IN NEAREST LciYrC ��7,9 PERMIT FEES CROSS ST OWNER 1 TEM NUMBER EACH FEE MAIL ` r _ OUTLETS s s ADDRESS LIGHTS RECEPT SW f0 LIGHTING FIXTURES 10 CITYS^/r 6, l `L TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS ELEC SPACE HTRS DISHWASHERS CITY T --� GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC H P DISTRICT NO GFJOUP I ZO EP SSED BY O_ I/z 25 1/2— 2 s0 INSPECTION RECORD 2— 5 100 5— 15 150 13— 50 250 50-200 500 SIGNS NO TRANS NO LAMPS SERVICE 0-600V 100 --r SERVICE OVER 600V Soo MISC WIRING PERMIT too FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE I HEREBY ACKNOWLEDGE THAT I 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 ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P OPERT% POWER rrj SIGNATURE � '/l UTILITY CO NOTIFIED V OF PERMITTE FINA ®R VALIDAARTHUR,C VEIT, CK MO CABH SUPERVISING ELECTRICAL ENGINEER 3 9 4-, 8V':'N) OCT 15 2 _A- 2-50 =� WORKER S'COMPENSATION DECLARATION CE806G (280) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELESC' BUILDING AND SAFETY insure, or a certificate of Workers Compensation Insurance,or /r a kr� 1 0copYt7r7 f f�Sec 3800,La C) '� (p FOR APPLICANT TO FILL IN JOB Policy No Company ''� EACH NO FEE ADDRESS 3/ 1'L,M4" New Residential Bldgs &Pools El Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY 19 Certified co Multi-family Sq Ft — NEAREST �'-a OWNER OR copy �s Bled with the county building inspection Residential Swimming Pools , CROSS ST epartment y�7 �� i FIRM NAME �Q Date Appluant Outlets Rec—Light Svv AMAIL DDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No 44<1^2i 7/ COMPENSATION INSURANCE >_PLAN C ECK d (This section need 'not be completed if the work involved APPLICA O by the permit is'for one hundred dollars ($100) or less) ;Lighting Fixtures First 20 ADDRESS U Total No Additional tY I certify that in the performance of the work for which this,p HP CITY Tel,No 0 Fixed Appliances Not Over 1 permit is issued, I shall not employ any person in any manner I PERMIT ��2j �Q so as to become subject to the Workers' Compensation Laws Range_ Heater_D W APPLICANT Cs W Oven _ Dryer_W M ADDRESS SC�� 'j iy ��� Date Applicant Z Top FAU _W H Hood — Fan _Other_ CITY /���� Tel No $�;SW,� NOTICE TO APPLICANT If, after making this Certificate of Dlsp _ Room Air,Cond_ LICENSE OR Exemption, you 'should become subject to the Workers' REG NUMBERS&32.78 Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCES D BY with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR deemed revoked Up to 1 Incl - FINAL Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl _? VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL J 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 BY �,� ness and Professions Code, and my license is in full force and effect Services 0-200 Amp Under 600 V z License Number' Z'1 Lie Class 201-1000 Amp Under 600 V Contractoro-&ey ! +r Date C.•T b Z Over 1000 Amp or Over 600 V HOME OWNER-BUILDER DECLARATION Temp Power Pole& Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031 5, Busi- Additional Sign Branch Circuits ness and Professions Code) t Misc Conduits&Conductors ;.§-'6 4 6, 2 A I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section - A0 0 0 0 o 2 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 121- - 23,50- I 2a50_I hereby affirm that there is a construction'lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 0.0`0 2350:C5 issued(Sec 3097,Civ C) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 09,27-82 Lender's Address PERMIT'ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and ere nze reps sent is County to enter upon the above-men ned rope y for purposes mat SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature of Permit ee Date !1 \ +►WORKERS' COMPENSATION DECLARATION 2b 0019CPW3/87 APPLICATION FOR ELECTRICAL PERMIT O 1,9iereby affirm that I have 'certificate of consent to self CE"� CE G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C ) Policy No Company ' FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS ICertified copy is filed with the county building inspec- 1 & 2-Family, Scl Ft $ — $ LOCALITYn��� G tion department Multi-family Scl Ft NEAREST Date Applicant Residential Swimming Pools CROSS ST OWNER OR FIRM f �lfU V CERTIFICATE OF EXEMPTION FROM WORKERS' NAME Outlets Rec LightSw MAIL Q _ Q COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First 20 CITYtl the permit is for one hundred dollars ($100)or less ) Total No Additional , Tel Noa� –'73 PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Date Applicant Total No CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over i HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D W — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked j CITiY Tel No Hood — Fan —Other LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond — LICENSE OR Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT O�� P ESSED BY >— and Professions Code,and my license is in full force and effect CL Size &Type HP, KW, KVA, or KVAR / Q License Number Lic ClassU Up to 1 Incl FINAL Over 1 to 10 Incl DATE iZ i� cc: Contractor Date- VALIDATION 0 ❑ Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason Over 100 d Date Services, Swbd , MCC& Panelboards fn Z 0-200 Amp Under 600 V — Signature 201 - 1000 Amp Under 600 V Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's License Sigr T XLaw for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits �C na Professions Code) _7"7 L e{ { q(�I, as owner of the property, will do the work and the Misc Conduits& Conductors 1 IT E � structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ Business and Professions Code) TOTAL 20 - 00 CONSTRUCTION LENDING AGENCY CHECI 20. I hereby affirm that there is a construction lending agency for _ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) '.�I�Il+It7E ail0 (Sec 3097, Civ C ) Lender's Name PLAN CHECKING FEE 13 � Lender's AddressPERMIT ISSUING FEE 3210 1 flit3.c_ I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and ' hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE I Signature of Permittee Date ©s WORKERS' COMPENSATION DECLARATIUF�, r 76Ab63 10/81 r, + APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) 1, Policy No Company FOR APPLICANT TO FILL IN JOB61�� Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 1 & 2-Family, S Ft $ _ $ LOCALITY ,e C� m Certified copy is filed with the county building spec- Y� q 'NEAREST L tion department Multi-family Sq Ft CROSS ST tT,- Date A licant Residential Swimming Pools OWNER OR ', 1 PP FIRM NAME I/UAi,- WOE CERTIFICATE OF EXEMPTION FROM WORKERS' 2 /* MAIL COMPENSATION INSURANCE Outlets Rec Light Sw /�l ADDRESS tV✓�� First 20 � ti (Thissection need not be completed if the work involved by Total No Additional CITY Tel No the permit is for one hundred dollars ($100)or less ) performance of the work for which this PLAN CHECK I certifyJJN that in the p � APPLICANT ✓Gi w-e- permit is issued I shall not employ any person in any manner I -4 d 1 so as to become subject to the Workers;,Clmp sation Laws Lighting Fixtures First 20 ADDRESS / Total No )Additional CITY Tel No Date Applica� `►' f Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate ofAPPLICANT Exemption, you should become subject to the Workers' Range_ Heater D W Compensation provisions of the Labor Code, you must forth- Oven — Dryer �W M — ADDRESS with comply with such provisions or this permit shall be ,Top FAU —W H — deemed revoked Hood Fan --Other— CITY Tel No - LICENSED CONTRACTORS DECLARATION / � LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO �� PROCESSED BY ,and Professions Code, and my license is in full force and effect - CL Size &Type HP, KW, KVA, or KVAR ` O License Number Lic Class Up to 1 Incl FINAL it V Ix Over 1 to 10 Incl DATE VALIDATION 0 Contractor Date Over 10 to 50 Incl FINAL O H ❑ ti V I am exempt under Sec Over 50 to 100 Inc BY CL CL B &P C for this reason Z Over 100 Date Services;Swbd , MCC & Ponelboards 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V r Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole&,Appurtenances _ HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and P fe Bions Code) r22 78 a`] A I, as owner of the property, will do the work and the Misc Conduits&Conductorso oto o, o structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , # 2 7044, Business and Professions Code) 2ra 0 2 2 9 0 CONSTRUCTION LENDING AGENCY s I hereby affirm that there is a construction lending agency for o o a 2 2 9 0 6 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) p (Sec 3097, Civ C ) 111,24-82 - - PLAN CHECKING FEE _. Lender's Name ' PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE - p ` above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mEntioned property for inspection purposes ,y SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ure of Permittee Date t ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306270033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS I ITR 11492 LT 14 BL 001 1 1 9231 BLACKLEY ST I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803137 I (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ENCINITA 1 18590-001-018 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY CAI I IJB AC UNITS +3-10HP 1 00 AC 19 70 1 1 ITENANT I TOTAL FEES 47 50 (ISSUED ON PROCESSED BY PLAN BY I 1 106/27/13 SR I I (OWNER TEL NO FL D E NAL BY CODE I IWOO ARTHUR,ANNA TRS (626) 285-7363- I 1 19231 BLACKLEY ST 1 . I ITEMP 917803137 I ID SCRIPTIO OF WORK 01 ICONNECTION & DISCONNECT FOR A/C I I (APPLICANT TEL NO IPISANO, ROSS (626) 286-1141- 1 1 I 11350 E LAS TUNAS DR I ISPECIAL CONDITIONS SAN GABRIEL CA 91780 ICONTRACTOR TEL NO IAP 0 DATE INA P CT I N UR IBRYANT HEATING AND AIR CONDITIONING (626) 286-1141 I_ 1 11350 E LAS TUNAS DRIVE LIC NO 1 ITEMPORARY POWER POLE I I I ISAN GABRIEL CA 91776 948151 1 1 I I I I 1UNDERGROUND CONDUIT I 1 1ARCHITECT OR ENGINEER TEL NO IUFEP GROUND 1 I LIC NO IROUGH CONDUIT IROUGA WIRING IMAIN WATER LINE 1 I I IPLAFTIC YIN METAL YIN I (UTILITY COMPANY NOTIFIEDI I I 1 i I I I I I 1 I I I I 1 I I I I j i I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE IREPORT ID DPR265 ROUTE TO BSO508 I I I