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HomeMy Public PortalAbout9451 BROADWAY_Electrical__ APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ���� l> COUNTY OFF LOS LOS ANGELES WILLIAM J. FDX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. 5 /Al ELECTRICIAN eJ.a l l 1.1s. RECEIVED BY READY FOR DAT ISSUED ADDRESS /1R .�//� 11// )/e 5/ / tY/ /// FIRST INSPECTION /�/�� DITY TiJrnn// /-.i TEL NO /�� �Q/A!..]•f COUNTY LICENSE NO- 0/41 EXPIRES fa�;���.J l BUILDING /j j/ /", a�rOQ A',!%,Lf ff ADDRESS PERMIT FEES p NUMBER EACH FEE LOCALITY �F.l�rl khp /.♦ /tI , LIGHT OUTLETS 7 NEAREST r v RECEPTACLES CROSS ST. � -1—i WALL SWITCHES 7 OWNER GA A l'-CL)7 n A TOTAL OUTLETS 50 $ _ •/+ MAIL ELEC. RANGES 25 r ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES 4-7— 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS M15C. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO 'COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWB REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUNecR HORSEPOWERPEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER Nsw Mvo. HP ovEw INc. LAeH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. _ V. A Less $ .25 SIGNATURE Z A 1/2 2 .50 PERMITTED 2 5 1.00 INSPECTION RINCORD 5 is I.So 15 50 2.50 j .✓ -4�� L It s❑ zoo S.DD '�/y✓(�? zoo saD 10.00 N __ Soa loon 15.00 , - lQ C Z OVER 1000 20.00 [3 M.G. BET/FRED. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% or ORIO.) MOVED MOTORS (75% of Rl..) _ MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 j�i'd CONDUIT r FIXTURES $1.00 4, 1 �® WIRINO/A4.9 SUPPLEMENTARY ,5❑ FIXTURES' � POWER y' TOTAL FEE ' ®Kw UTILITYCO. NOTIFIED �C/ FINAL ctif®L F C i r y =W go fop �1 ]EAR53-CEB06 10,]2 APPLICATION FOR ELECTRICAL PERMIT LI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER IOB BUILDING AND SAFETY DIVISION - ADDRESS 4,rl cf, SX0,40 W LOCALITY P G NEAREST FOR APPLICANT TO FILL IN CROSS ST. C L0 L11 ' •OUTLETS N0. t-PI . FEE ORM N.. RECEPT.= S $ MAIL LIGHT_ TOTAL FIRST 20 25 ADDRESS OVER 20 CITY TEL, N0. SWITCH .10 PLAN CHEC LIGHTING FIRST 20 25 FIXTURES .ID APPLICANT TOTAL OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY _ TEL, NO. PERM IT RANGE ORYER_WTR. HTR._ APPLICANT T vLAff Lte/ A STA. COOK_DISP. F.A.U. ADDRESS SPACE HTR. AIR CON O. CITY /,r C j TEL. NO.- CLOTHES WASH._OI SHWASH._ LICENSEOR REG. NUMBER (A- Vo CLASS. FAN OTHER 1.00 1 HENEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND, HEATERS. ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AML EGAL OWNER OF THE ABOVE I - 10 300 OESCRl BESIDE LIgL P P RT Y, d O 10'- 50 50 PERMITEE U SIGNATURE r � O 50 - 100 1000 DISTRICT NO. PROCESS 0 BY w 100 - 500 10.00 Z_ SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVA45 DATE INSPECTOR SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING �A 1 TEMP LIGHT OR RECEPT. SYSTEM 3.00 �(� FIXTURES IF �J , u, POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL A 7V ,F1J 00/bP.?Y PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE �'T PERMIT ISSUING FEE 3.00 O TOTAL FEE 00 PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION cK. M.O. CASH 3 2 1AAN 6 2 D 6.0 0 Asa SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ✓/V , 96A663 DBSBA 11-5 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAl RECEIVED BY READYFOR DATE ISSUED ADDRESS /f0 L FIRST IN BPECTION CITY C TEL NO r vp r✓'�^+� C 1 COUNTY LICENSE NO./// EXPIRES D A'DRE58G .�/=r �`AQ./Jj PERMIT FEES �J, NUMBER EACH FEE LOCALITY /P/�N LIGHT OUTLETS NEAREST CROSS By. RECEPTACLES WALL SWITCHESL 1 / _ OWNER�rG�7 U/S/T TOTAL OUTLETS 5C S MAIL v ELEC. RANGES 25 ' C ADDRESS ELEC. HEATERS LL 25 �"a CITY TEL NO. FIXTURES I — 5 Ko —_ 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS M15C. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE I ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER Ni,. Mvo. HP DYER 1Hc. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. s Lese S .25 O SIGNATURE ° 1 1/p 2 .50 PERMITTE 2 s 1'00 PECTION RECORD _ 5 15 1.5D _ is 50 2.50 _ sD 200 5.00 :czcG soD 10.00r�L46 — .ex✓. �, n/C+T-- Q .—010 tpoo 15.00 Z G'o AnOGS'TP_ //t���J OVER 1000 20.00 .� M.G. BET/FRED. CHANGER-HP WELDERS: AC-KVA D GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF aW a.) MOVED MOTORS (75% OF ORIO.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMITI DATE INSPECTOR-8 NAME WIRING DO CONDUIT $I.00 FIXTURES $1.00 / QL) /V r WIRING / i, L- SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $6 5 Q UTILITY CO. NOTIFIED FINAL 76A663-CE606 468 APPLICATION p��By�1P C IE��1pI FOR 1y�1III p/��'I}IIyq�Ey�� /p�� PSE 1���y I/f Y1Y Y �V O/��V®YV Y ®Y\ bL`a�bYY`I /Y'�� Y OAY\YV.,Y/Y ^f'OU�TTY OF LOS ANGELES V DIZF',RTMENT OF COUNTY ENGINEER BUILDING BUILDING AiWF? SAFETY DIVISION ADDRESS DA4 W 1Q,r, JOHN A. LAMBIE, COUNTY ENGINEER J COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSSST NO. AC FEE RECEPT S $ OWNS _ / LIGHT TOTAL FIRST 20 20 ADDRESS y � � ,O -A W p SWITCH 31/0 OVER 20 . .10 CITTEL. NO. PLAN CH CK LIGHTING TOTAL FIRST 20 � .20 .0 APPLICANT FI%TURES .9 OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP. F.A.U.— CONTRACFOR F�R SPACE HTR.—AIR CONO._ ADDRESS VL' CLOTHES WASH.—DI$H y'hSH._ .� l�// / CITY I � TEL. NO. J w�L�qS�S� FAN—OTHER- 1.00 ( LICENSE IJ O. -� CLASS. N -� O MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION __SIZE & TYPE OVER TO AND STATE THAT THE A80VE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 10 3.00 -LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 10 50 5.00 RESIDE IN, THE ABOVE DESCRIP. RESIDENTIAL PROPERTY, - r SIGNATU 50 - 100 10.00 OF PERMIR TEE U U too - 500 ts.00 DISTIB4CT NO 'GROUP Z J P .0 SED B o TUBE.SIGN,GOR SIGN AND ONE CIRCUIT 3.00 --J e j W MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES, CCIL 2 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE. POLE. &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE )SUB TOTAL) WIRING FI%TURES j PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE I.00 FINAL TOTAL FEE _�� G JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER ( Ci(.� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH D7 3 5 4% WJiVV22j12 0 5_.6_0- EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE °° °°°°"°°° APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES - DE BUILDING NT OF COUNTY ENGINEER Buaowc BUILDING AND SAFETY DIVISION ADDRESS lSn Tri JOHN A. LAM SIE. COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST - PERMIT FEES cRoss sr. ITEM NUMBER EACH FEE OWNER MAIL OUTLETS_ /D S f0 S ADDRESS LIGHTS RECEPi. 8W. LIGHTING FIXTURES f0 CITY TEL.NO. ELEC.RANGES CLO.ORYERS ELECTRICIAN HEATERS .50 ADDRESS ELEC.SPACE HTN DISHWASHERS I CITY EL. NO. GARBAGE 015POSERS AUTO.- 1 -STATE WASHERS STp.COOKING UNITS .25 LICENSE NO. (J Morons: ovER INC. H.P. DISTI RIOT Nxp- GROUP I Z E P CESSED BY 25 i— z 50 INSPECTION RECORD 2— s 1.00 /J s— 15 1.50 /O q., FF G�D,en 4 15— 50 2.50 / 50-200 5.00 NO.TRANS. ? T sok�SIGNS: /Al /T t/1.IT /3� O NO.LAMPS SERVICE 0-600V 1.00 1 SERVICE OVER BOOV 5.00 MISC. L I WIRING PERMIT 1.00 ! �i FIXTURE PERMIT 1.00 i SUPPLEMENTARY PERMIT .50 S TOTAL FEE S 1 HERESY 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. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED A9 REQUIRED LOS ANGELES COUNTY AND STATE -411OF FIXTURES JS".{n A P7 +ti �AOs CALIFORNIA THAT 1 AM THE LEGAL OWNER OF THE ABOVE _ DESCRIBED RESIDENTIAL P OPERTY. POWER SIGNATURE UTILITYCO.NOTIFIED �i- OF PERMITTE ... „ FINA /i �.T/)'Ci� ���SIFL//T.(.�LL✓ ®. No 19N—� ARTHUR C.VETT, CK m CK D CASH SUPERVISING ELECTRICAL ENGINEER 1 ;,2 2 2 2 - ,tu;1 14 2 0 3 .8 5 76A663-CEBOG 9-64 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ) JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. CLO c.2 LV RECEPT. TOTAL : _N O. EACH FEEi q OUTLETS FIRST 20 '-$ 20 $ n� OWNER � ( L (J LIGHT d / o' MAIL SWITCH. ov ER 20 .10 ADDRESS CITY TEL. NO. FI LIGHTING TOTAL� 1 FIRST 20 2 .20 XTURES _ ADD'L 20 10 - ELECTRICIAN OV R RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS C.7 e GARB.DISP. STA.COOK CITY 1 C I /T TEL.NO. y OISHWASH. AUTO.-WASH. STATE p� SPACE HTRS. 6TA.APP.(%H.P.MAX., .30 LICENSE NO. 3 6 L �/ MOTORS: OVER NOTOVER H.P. DIS�ICT N UP ZON P E O 1 1.00 1 3 1.50 INSPECTION R CORD Y 3 s 2.00 G- 8 15 2.50 O Is 50 3.00 K so — 100 s.00 - O V NO.TRANS a SIGNS: NO.LAMPS y Z SERVICE O-600V-NOT OVER 200A 1.00 00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 �•C.ib - �-v l/ MISC. PERMIT ISSUING FEE 2400 0 SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING XEREBY.CERTIFV THAT AM PROPERLY REGISTERED >Np/OR FIXTURES LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND.INTEND TO RESIDE N, THE ABOVETOESCRI D RE$IQENTIAL PROP Y. POWER 1 SIGNATURE UTILITY CO.NOTIFIED �._-5 - OF PERMITTEE FINAL �) ,'1/l'LC✓ VCKLIDATION JOSEPH C. ROOHAN MO CASH SUPERVISING ELECTRICAL ENGINEER i I is 4 6 0 1 SEP PJ 2 0 4.60- N, 76A663-DE@0-6 9-67. APPLICATION FOR ELEC'�f�IAL PERMIT � U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BU N13 N13 L1611 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALIT NEAREST /J FOR APPLICANT TO FILL IN CROSS ST. LDI/Pr/YL NO. AC FEE RECEPT._ S S OWNER - '/ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS /- , Jl/ Q SWITCH_ OVER 20 .10 CITY L� / TEL. NO LIGHTING TOTAL FIRST 20 .20 CONTRACTOR FIXTURES OVER 20 .10 ADDRESS Lby3/7 RANGE_DRYER—WTR.HTR.— CITY /iL/.�'• T L. N STA.COOK_OISP.—F.A.U._ LICENSE NO. �/ SPACE HTR.—AIR COND.— I HEflEBT A[IN WLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING FAN—OTHER I.OD ELECTRICAL WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OW R OF, ANDI NT ENO T0, IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DE$ RIBED SI NTIAL OPERTT. •. SIZE & TYPE OVER TO AA�T SIGNATURE 0 - 1 p 1.00 OF PERMITTE d 1 - to 3.0o DIST R, T�1fJ. OUP ZONE PR E 10 - So 5.00 l (�J f 50 - 100 10.000NOTES: 1- W too - soo 15.00 D- N SIGN,GAS TUBE, OR SIGN AND ONE CIRCUIT 3.00 MARQUEE •t' AD0I TIONAL CIRCUITS 1.00 .- SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 21 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT ISSUING FEE Vl/ WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIEO PLAN CHECK FEE (50% PERMIT FEE) , FINAL i 7 7 t. TOTAL FEE JOSE C. ROOHAN SUPE ISJI G ELEC CAL ENGINEER PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VAL ATION ,CK. M.Q. CASH 6 3 ,S :4N JUN 2 _ 2 D 3 8.00•; v SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE \ ' - 76A463'aE 806�r°,]J . APPLICATION FOR ELECTRICAL PERMIT 'D COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB On 13ko4b BUILDING AND SAFETY'DIVISION ADDRESS FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. FEE NEAREST 1 &2 Family,Sq. Ft. $ .025 — $ CROSS ST. MvlNfamily Sq. Ft. .02 — OWNER OR FIRM NAME Residential Swimming Pools 25.00 MAIL -QP 2 q!�/ 1. ' Outlets:Rec r fight Sw.Z�L CITY T.I. First 20 .50 2Z (� Q PLAN CHECK Total No.—q3— Additional ,30 7a -. ) APPLICANT y0 ADDRESS Lighting Fixtures First 20 .50 '� 60CITY Tel, No. Total No. 7/� Additional '30 qp MIT Fixed Appliances Not Over 1 HP ADDRESS �G ,/ Range—HeaterleD.W._ CIT 01 Tel. No. 37 Oven _Dryer_WFAIL ._ LICENSE OR r Top — FA —W.H._ REG.NUMBER Closs.c—io Hood_Fan Other- HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE DI$P. — Room Air Cond. 2'50 MAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORIGIN. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances ' Size&Type HP, KW, KVA,or KVAR IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to l Incl. 2' D THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. � 'Y Over 1 to 101ncl. 5.00 'L O OQ c.a Over 10 to 50 Inc. 12.50 PERMITTE Over 50 to 100 Inc. 25.00 $IGNAiU Over 100 40.00 DISTRI . SS BY d Services ' cam° \ "4' Z 0 200 Amp.Under 600V 12.50 ' .Z AtISPEcTOR'S 201-1000 Amp,Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over.600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK S=Z2;-7 Temp. Power Pole 8 Appurtenances 10.00 ' Sign with One Branch Circuit 10.00 ROUGH CONDUIT ° Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 FIXTURES n Other bee Complete Fee Schedyle) , POWER AUTHORIZED i �fL4x 1. b y i UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub Total) NOTES b'--161 PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $7,00 TOTAL FEE 'u - PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 5'6 2 MAY 22 2 0- 8 0.4 0 dam 5EE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ ' 76A663-C E80611/)0 APPLICATION FOR ELECTRICAL PIT �) COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 04 BU ILDING AND SAFETY DIVISION ADDRESS LOCALITY COLEMAN\W.'UENKI N$,1$UPERINTENDENT OF BUILDMG - - ��- NEAREST FOR APPLICANT TO FILL-IN CROSS ST. OUTLETS N0. EACH FEE OWNER RECEP LIGHT TOTAL MAIL � S $ ! - FIRST 20 25 LIGHT_ �� OVER 20 CITY L TEL. NO.q,/ 6 6 9 SWITCH .10 PLAN CHECK LIGHTING FIRST 20 26 APPLICANT TOTAL FIXTURES OVER 20 10 ADDRESS$ /_X /�l[lN13LLc�p/,�T APPLIANCES CITY <' TEL.TEL. NO. PERMIT RANGE_DRYER WTR. HTR._ APPLICANT 141 _ STA. COOKDISP. F.A.U._ AppRE55,16i W C -e_ SPACE HTR. AIR COND. CITY FQ AJ ♦J TEL. NO. CLOTHES WASH. OISHWASH._ LICENSE NO.Z. (V 3 Y CLASS. c,,6 FAN_OTHER 100 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS FUGULATING IND. HEATERS, ETC. MP. KW, MVA. ELECTRICAL WIRING. STZE B TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PND/OR 0 - I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA 0R THAT I AM THE LEGAL OWNER OF, AND INTEND TO T 1 - 10 300 OQ BESIDE IN, THE AABOVE) DESCRIBED RES10 TIAL PROPERTY. a SIGNATURE / /�F / OV 10 - 50 5.00 Q� OF PERMITTEE V� �^C -��`��� Cd 50 - 100 1000 O OISTRICTNO. CLASS ZONE SSEO BY T- 100 100 - 600 15.00 _ ILL a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: N Z TUBE, OR _ MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP.SERVICE, POLE, &APPURTENANCES 5.00 UNOERSLAB WORK TEMP LIGHT OR REC EPT. SYSTEM 3.00 0 Q ROUGH CONDIUT G� WIRING 3 FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE . - 3 PERMIT ISSUING FEE 3.00 QD FINAL $79 PH C. ROOHAN TOTAL FEE .Q SU ERVI SING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.o. cesH PERMIT ALIDATION cK. M.o. usn I°SCD 1 5.5 zr JUN 7 20 26.00- `' SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 LE-80616/JB1 APPLICATION-FOR ELECTRICAL.PER�AIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS #, �q �r/ OL 13W_-WW19 I &2-Fomily,Sq. Ft. $ .025 — $ v LO`ALIIV �G �•l7- Multi-family Sq. Ft. .02 — NEAREST 1 ° a^ �• ..:�. Residential Swimming Pools 25.00 CROSS STS E. OWNER OR FIRM NAME I . Z1. Wows Outlets: Rec_Light_Sw._ MAIL y First 20 .50ADDRESS41I _ //J/!/ Ll�•' S/ I Total No. Additional .30 CITY .'y COlJ�/t/�'9_ Tel N.4%9TIO-4 PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 ADDRESS. /--W L Additional .30 Total No. CITY Tel.No: Fixed Appliances Not Over 1 HPPERMIT Rcnge_Heoter_ D.W. APPLICANT Oven_Dryer_ W,M.— ADDRESS / DQ Top _FAU — W.H._ CITY Tel.No. Q Hood_Fan —Other— LICENSE OR 2 Disp.—Room Air Cond. 2'50 REG.NUMBER a3 5 / Class. C�Q 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 HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. d Up to 1 Inc. 2.50 �. .� O O HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR V Over 1 to 10 Ind. 5.00 S" d n LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF � Over 10 to 50 Incl. 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE O Over 50 to 100 Inc. 25.00 / O O DESCRIBED RESIDENTIAL PROPERTY. F Over 100 40.00 PERMIT EE 1uy SIGNATUREVZ Q � N Services - DISTRICT NO. 0- 200 Amp.Under 600 V 12.50 /pO 201 1000 Amp. Under 600 V 25.00 J d Over 1000 Amp.or Over 600 V 50.00 - Z O Temp.Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 ° A 0 3 6.9 A Additional Sign Branch Circuits 200 INSPECTION > ° a 0 B a 2 Misc.Conduits&Conductors 10.00 INFORMATION u Other(See Complete Fee Schedule)_ ON REVERSE V 2 0 . 6200 SIDE Z - 62005 6 09,20-78 PERMIT FEE ' (Sub-TOlall PLAN CHECKING FEE (One Fourth Permit Feel O _ r PERMIT ISSUING FEE $7.00 /y Q'a o TOTAL FEE • 0O > INSPECTION FINALED(��[ / _aH 'r Y W date: B s @s ]6A6634cE-Ba6NF8/]8 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY S7: L r s :fHv4 C14 FOR APPLICANTTO FILL IN JOB New Residential Bldgs.S Pools EACH NO. FEE ADDRESS / yS/ E Z R019 Q W'q I &2-Family,Sq. Ft. S' — 8 LOCALITY TE/p GL E Multi family Sq. Ft. — NEAREST CLOT/ CROSS ST. ResidentialSwimming Pools _ _ OWNER OR FIRM NAME.STAR tI-.SONS -S//OWS Outlets:Rec_Light'_Sw._ MAIL First 20 - ADDRESS .3�4.Z S .rOf) VFN 9 Total No. Additional CITY C D.Virv,4eq y/-7.,)pTel.No 3J.2 i0 PLAN CHECK r-j APPLICANT O e / S 2`K Lighting Fixtures First 20. ADDRESS_?gdR N S09 V/'Ai 2 Total Na. Additional CITY GD U%N C Tel-No.?3;) 08 Fixed Appliances Not Over 1 HP PERMIT _ APPLICANT W LL B EL EC t G Range_Heater_ D.W. Oven—Dryer_W.M._ ADDRESS V 7 WVfN DO rY Top _FAU —W.H._ CITY 11,4U. S G Tel. No.780-,35 Hood—Fon _Other_ 'LICENSEOR Disp.—Room Air Cond. REG.NUMBER yS 7 Class.C_/o 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 HP, KW, KVA,or KVARCOMPLYWITH ALL COUNTY ORDINANCES AND STATE LAWS I REGULATING ELECTRICAL WIRING. G Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 1_(1� Over 1 to 101nd. �' >(F �C� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V Over 10 to SO Ind. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 0 DESCRIBED RESIDENTIAL PROPERTY. /Oo GEN Over 50 to 100 Inc. PERMITEE Over 100 - _ SIGNATURE 6 N Services DISTRICT NO. PROCESSED BY Z 0-200 Amp, Under 600 V 201 1000 Amp. Under 600V v L f-" Over 1000 Amp.or Over 600 V - ,Z O Temp. Power Pale&Appurtenances Q Sign with One Branch Circuit Additional Sign Branch Circuits INSPECTION > INFORMATION Misc.Conduits&Conductors - ON REVERSE S Ot er 1 ee Complete Fee Schedule) SIDE u $0 3 3,5 A E $ F_N Z Q '�# e e e 6 -.- 2 2'e •.6200 PERMIT FEE ISub Total) !✓ Z e o 6 62005 PLAN CHECKING FEE Ione-Fourth Permit Feel O ' 05, 14-80 PERMIT ISSUING FEE Q TOTAL FEE > INSPECTION FINALED date: q1— �� By S'-1 CL ®s 76A663-CE60610/72 APPLICATION FOR ELECTRICAL PERMIT � . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB Oil;11 BUILDING AND SAFETY DIVISION ADDRESS / LOCALITY _9i r FOR/APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS vo. EACH FEE OWNER NAME LEC EP T.=� S S MAIL LIGHT TO -' �`TAL FIRST 20 25 ADORES G CITY TEL. N � SWITCH OVER 20 .10 PLAN CHECK _ FIRST 20 25 FIXTURES .10 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS 6�. iJLG/Y ��� RESIDENTIAL APPLIANCES CITY /T( �r�/j�f�.- TEL. PERMIT RANGE_DRYER_WTR. HTR._ APPLICANT jig f3vF U7 1 STA. COOKDISP._F.A.U._ ADDRESS SPACE HTR. AIR GOND. CITY nA/ y' TEL. NO. CLOTHES WASH. OISM WAS H._ LICENSE EG. NUMBER p S CLASS.C_ FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. S1EE & TYPE OVER TO �l I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR D - 1 100 L �l y LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V CALIFORNIA DR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 3.00 �J. DESCRIBED RESIDENTIAL PROPER Y. O r CD PERMITEE 10 - 50 500 SIGNATURE 50 - 100 1000 ~ o d DISTRICT N0. RO SSEO B LOT 100 - 500 ,boo .--[ /j " z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS (• DATE IxSPfG •551GNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 300 PLD TOTAL FEE PLAN CHECK VALIDATION cX. M.O. CASH PERMIT VALIDATION c,K.^11,,....0. CASH 5 8 3 A 4 2 D 2 9.0 0 vy3 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - - 76A663 CE-BC6 NF 6/78 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES BUILDING AND SAFETY -5--r Lv s C c FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS Sys/ Fi READ W a2-Family,sq. Fr. v — a ocnury 6i7)PG6 G "r GA9i7 Multi family Sq. Ft. - NEAREST Residential Swimming Pools CROSS ST. V L FOI RMNAME�'7'A SQ-�IN� et eSN w Outlets`Rec—Light_Sw._ MAILADD5330 .✓ 'd0 GiU First 20 kjQ- Total No. Additional CITY G'Uvi,vA ef y/72Tel. PLAN CHECK f APPLICANT Lighting Fixtures First 20 ADDRESS' �Q -SfIAI �O U r� Total No. Additional CITY Gell 7/;') LNo. ,6 p Fixed Appliances Not Over 1 HP PERMIT APPLICANT L r- G G Range—Heater—D.W. Oven—Dryer— W.M.— ADDRESS 16AV r?,f Tap _FAU —W.H._ CITY 0 Y S e4 TeL No. V Hood_Fan —Other_ LICENSE OR Disp.—Room Air Card. I REG.NUMBER Class.G-/D 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances KWKVAor KVAR TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, , , COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. y Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O Over 1 to 10 Ind. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V Over 10 to 50 Ind. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE O /n� c,' ESCRIBED RESIDENTIAL PROPERTY. u/+�Vpr'50 to 100 Inc. ~ Over 100 PERMITEE SIGNATURE le��' N Services -- DISTRICT NO. PR EBBED Z 0-200 Amp. Under 600 V 201�1000 Amp. Under 600 V - Over 1000Amp.orOver 600V Z Temp. Power Pale&Appurtenances W c- Q / U .5 Sign with One Branch Circuit Additional Sign Branch Circuits INSPECTION > Mist.Conduits 8 Conductors INFORMATION u ;?66 1�a A Other ISee Complete Fee Schedule)_ ON REVERSE u Al SIDE Z # , 2 ap ((/ y 'q 2 O O 7 0 0 0 [ER FEEBub Tarall s s o 720056 Z HECKING FEE (One-Fourth Permit Fee) 0 Q 9, 1 2-7 9 ISSUING FEE FEE .i. d7 INSPECTION F AL D 7 W date: � �/ B ps 76AM3 CE-806(1) /78) APPLICATION FR ELECTRICAL PER- V-I7 - - -- �- - COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB '� New Residential Bldgs.&Pools EACH NO. FEE ADDRESS _ B reL - 1 &2 Family,Sq. Ft. S .025 - 8 LOCALITY Multi family Sq. Ft. .02 NE - AREST Residential Swimming Pools 25.00 CROSS ST. - OWNEROR FIRM NAME 1 r V I C 1446'94/V Outlets:Rec_Ligm_Sw._ _ MAIL - _ - First 20 .50 - ADDRESS Total No. Additional .30 CITY - ._... TeL No. PLAN CHECK APPLICANT ... Lighting Fixtures First 20 .50 ADDRESS Additional .30 Total No. CITY Tel.No, Fixed Appliances Not Over 1 HP ,t PERMIT - ^- - - -- Range_Heater_ D.W. _ - -- 'T. APPLICANT L,fGG 7`- Oven_Dryer_W.M. - ^ ADDRESS Top —FAU — W.H.— _ ;CITY ' c _- Tel.No. ' Hood_Fan —Other— t -• - LICENSE OR Disp.—Room Air Cond. 2050 REG,NUMBER 1/d Closs.C—/Q 36 _ s'f I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances _ t TION-AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T "COMPLY WITH ALL COUNTY ORDINANCES AND STATE' LAWS 'D" ype HP, KW,K X.,K .A, - REGULATING ELECTRICAL WIRING. Q Up td I Incl. .2.50,. r, 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -' U Over 1 to,10 Incl. 1 5.00 t 'j 'i1C'ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 0 Over 10-tp 50 In21 '- 12.50 CAU FORMA SI i UA AM E LEGAL OWNER OZT � OVE Over 50 to 100(nc. -25.50'`_ _ - DESCRIBED OR IAL PR TY. 0 PERMII EE Ove'-10c. - _•,i4D:DD.- „ SIGNAruRE N Services- - -- - - - - DISTRICT NO. SED BY 0 200 Amp. Under 600 V 12.50 r✓ 201�1000 Amp. Under 600 V -25.00 Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 -Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION u Misc.Conduits&Conductors 10.00 ON REVERSE i Other(See Complete Fee Schedule)_ SIDE. V 2 2 6 6 Q 2 A Q PERMIT FEE (Sub Total) Q 0 O PLAN CHECKING FEE (One Fourth Permit Feet o 0 0 1 �•Q 0 F PERMIT ISSUING FEE57.00 0 0 9. 1 2-79 TOTAL FEE U > INSPECTION�F yALED date: By � oaWr ' Gs APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ._. DEPARTMENT OF COUNTY ENGINEER "00TORESS _1 BUILDING AND SAFETY DIVISION A LtIfI FOR APPLICANT TO FILL IN CROSS ST. C.[.. OUTLETS s,- NO. EACH FEE OWNER OR S $ FIRM NAME �vA OAU RECEPT._ MAILADDRESS /�•� LIGHT_ TOTAL FIRST 20 25 OVER 20 CITY TEL. NO,X16 SWITCH_ .10 PLAN CHECK FIRST 20 Ey APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES .10 1 RESIDENTIAL APPLIANCES clry � qC TEL. NO. / IT RANGE_DRYER_WTR. HTR._ APPLICANT f A /'A �� L �� STA. COOKDI SP. F.A.U._ ADDRESS SPACE HTR. AIR GOND. CITY tj Ai Aly TEL. N0. Q3 LICENSE OR ( / CLASS. C- / O CLOTHES WASH,_DISHWASH._ REG. NUM9ER 3.410 L -j FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS HATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRINGERT IF. SIZE & TYPE" OVER TO I HEREBY CREQUIR THAT AM PROPERLY REGISTERED ANO/OR Q — 1 / 100 D LICE NSEO AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LE AL OWNER OF THE ABOVE } 1 — 1Q 300 O D DESCRIBED RESIDENTIAL PROPERT PERMITEEbL CC 10 — 50 5.00 UD SIGNATURE I-- 50 — 100 1000 DISTRICT NO. PROCE SED BY w 100 — 500 15.00 � 9 (/C/ If Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALSDATE GSPECT SSIGNATURE TUBE, OR MARQUEE AODITIONAL CIRCUITS 1.00 TEMP. POWER,POLE SERVI CENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3,00 DD FIXTURES �� ��GHY�..S POWER AUTHORIZED ul UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 (/J� TOTAL FEE D(/ PLAN CHECK VALIDATION CK. M.6. cAsH / PERMIT VALIDATION 2K. M.0. CASH 35 i 7 2D 24.00As8 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CES06 4-68 APPLICATION FOR ELECTRICALPERMIT � - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONNEER gooRE55 .(�OLLJA JOHN A. LAMBIE, COUNTY ENGI COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY : FOR APPLICANT TO FILL IN NEAREST _ NO. AC FEE CROSS ST. // 1 RECEPT._ $ $ OWNER S 7-/ MAIL LIGHT_ TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEL NO. PLAN CHECK LIGHTING lTOTAL FIRST 20 .20 APPLICANT , FIXTURE$ /( OVER 20 .10 ADDRESS RANGE_DRYER_WTR.HTR,_ CITY TEL. NO. STA.COOK—DISP._F.A.U._ CONTRACTOR %j, -J , L,LCl h SPACE HTR. AlR COND.—ADDRESS CLOTHES WASH._DISHWASH._ CITY T. I TEL. NO. -% ` FAN—OTHER 1.00 LICENSE 110. CLASS. MOTORS,TRANS FORMERSRATING IND. HEATERS. ET0. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'S2E 6 TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 .00 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR 1 10 3,00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I M TXE G4L'OW NER OF, AND 171T EHD i0 10 — $O 5.00 RESIDE IN, THE AB E Of IBED RESIDE NTIgL P OPERT Y, SIGNATUe 50 — 100 10.00 OF PERMIR TEE U- ' 100 - Soo 15.00 - DISTRICT ROUP Z-0N PRO CESSE BY+ 0 SI GN,GAS U TUBE. OR SIGN AND ONE CIRCUIT 3.00 x MARQUEE ' CL ADDITIONAL CIRCUITS 1.00 NOTES: h SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 0. Z/ ` m SERVICE OVER 600 VOLTS OR 200 AMP 5.00 5�;/m C f TEMP SERVICE, POLE, &APPURTENANCES 3.00 AP ROVALS DATE INSPECTOR'S SIGNATURE 41n TEMP. POWER POLE UNDERSLAB WORK '�� TO O ROUGH CONDUIT I WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50; PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 O O UTI LITY CO.NOTI FIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL //?•E/iib p ALJ c� TOTAL FEE ;OQ - JOSEPH C. ROOHAN : 7� SUPERVISING ELEC AL ENGINEER PLAN CHECK VALIDATION CK. M.O. cgsH PERMIT VALIDATION CK. M.O. CASH R EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A6663-CE606 466 APPLICATION FOR ELECTRICAL/PERMIT COUNTY OF LOS ANGELES.. DEPARTMENT OF COUNTY ENGINEER BUILDING ap BUILDING AND SAFETY DIVISION ADDRESS �S IJ JeO{0 OG•R� JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ,GF'LL. IP Q FOR APPLICANT TO FILL INEAREST N caosssr. RO'DDCkOJg'ek NO. ACF FEE _ RECERT._ S $ OWNER I "AH.S iloLw Es I MAIL / lI G H T_ TOTAL FIRST 20 .20 ADDR E(S�S ���� 11 �)L / /Il .µ r�"/�/V/1A/ '� 2 SWITCH OVER 20 .10 CITY J JN VR( 6L TEL. NO. P771- T' PLAN CHECK EOVER ING lTOTAL FIRST 20 .20 APPLICANT URES 1( OVER 20 .10 ADDRESS E—DRYER—WTR,HTR._ (CITY TEL. NO. COOK_DISP._F.A.U._ CONTRACTOR nl 1 wl3 \ rt�� r E HTR—AIR COND.— ADDRESS (p I L \�� I$ A o . HES WASH._DISHWASH._ CITY n 'T V 11 TEL. NO. -74-s34 T OTHER 1.00LICENSE IJO. 2 7f CLASS.S,TRANSFORMERS RATING HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ZE & TYPE OVER TO AHDSTATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / OQELECTRICAL WIRING. 0 - S 1.00HEREBY CERTIFY TNAT 1 AM PROPERLY NTY AERE0 ATE OR 1 10 3.DD LICENSED AS RE HATI BY L06 ANGELES COUNTY ANO STATE OF, CALIIORNI4 OR TH4T 4M THE LE L OWNER OI, AND INTEND TO Y(! J o - so ( s.00 3 OORESIDE IN. THE ABOVE DESCR EO BESI NTJAL PROPERTY. SIGNATURE50 - 100 10.00 OFPERMITTEE OC100 - 500 15.00 UDIST ICT NO. GROUP ZONE P O E SED BY. OR SIGN ANO ONE CIRCUIT 3.00 LCIAtU EE ADDITIONAL CIRCUITS 1.00NOTES: E NOT OVER 600 VOLTS OR 200 AMP 2.00E OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE. POLE. &APPURTENANCES 3.00 ♦PPROVALS PATE INSPECTOR'S SIGNATURE TEMP. POWER POLE " ' UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) a WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 Z �a UTILITY C O.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL �. TOTAL FEE U JOSEPH C. ROOHAN SUPERVISINGELEC AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH E t� 2 5 82 9 y E D 1 0.01-0 ;a WE SACK OF APPLICATION FOR•COMPLETE FEE SCHEDULE f. '� j,FA.tP�e GIT 76ASE:-CE9D51/TD APPLICATION FOR ELECTRICAL PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY C ; COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST n FOR APPLICANT TO FILL IN CROSS ST. LJA OUTLETS NO. EAU, FEE OWNER RECEPT._ S S MAIL LIGHT_ TOTAL FIRST 20 20 ADDRESS OVER 20 CITY TEL. NO. SWITCH_} .l0 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIX .10 OVER 20 ADDRESS TURES APPLIANCES CITY TEL. NO. RANGE PERM WTR. HTR._ APPLIIT ANT H1,I Ij 1 LH ELa`c STA. COOKDISP. F.A.U._ ADDRESS P A SPACE HTR. AIR CONE). CITY T C' TEL. NO. CLOTHES WASH. OISNWASH. LICENSE NO. 3 O CLASS C-( FAN_OTHER 1'00 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE B TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR D - I I.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER 0F, AND INTEND TO 1 - 10 300 RESIDE IN, THE ABOVE DE RIBED RESIDENTIAL PROPERTY. SIGNATURE 500 / O 10 - 50 OF PERMITTEE 1 V 50 - 100 10.00 D19 TRI<T NO. CL GROUP ZONE �) PRESSE Y OL 100 - 500 15.00 .r �Q ILC.�•.-y(�4� V SIGN. GAS SIGN AND ONE CIRCUIT 3.00 NOTES: S TUBE, OR yt MARQUEE ADDITIONAL CIRCUITS IAD Z SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 5.00 TEMP.POWER POLE TEMPSERVICE,POLE, &APPURTENANCES 3.00 TEMP LIGHT OR RECEP T. SYSTEM 3.00 3 Q 0 UNDERSLAB WORK ROUGH CONDIUT L WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT'FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 FINAL _ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. RO TOTAL FEE R 0-0 SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CX. M.O. CASH PERMIT VALIDATION cK. M.o. CASH j Cl (cA urF j' -191 I nr 0 5 4 1r JUN 3 2�E)� 5.0 0. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /� ,T'BAB:i-G$BOo 9-67 APPLICATION FOR ELEC4RlPE��4 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY G{r NEAREST FOR APPLICANT TO FILL IN CROSS ST. no R �J12�L.' NO. AC FEE S - 6 OWNER /j ECEPT._ MAIL ,, LIGHT_ TOTAL FIRST 20 .20 ADO R E SS V[[O ryry SWITCH_ OVER 20 .10 CITY, e;r' TEL. NO.`C- g, LIGHTING , TOTAL FIRST 20 .20 CONTRACTOR - y�Jt1�1�-5� �tfT� C,�•p�- FIXTURES 1 OVER 20 .10 ADDRESS'5'V<9-F RANGE—DRYER—WTR.HTR.— CITY IV L' ��TnE L. NO. STA.COOK_DIS P.—F.A.U.— LICENSE � �Q SPACE HTR.—AIR COND.— I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CLOTHES WAS H._DISHWAS H._ ELECTRICAL WIRING. FA N_OTHER 1.00 1 FNEBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSEDAS REOU TED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR_THAT I AM THE LEGAL OWNER,OF, AND INTEND TO IND. HEATERS. ETC. HP. KW. KVA. RESIDE IN, THE ABO E;/DES p S ENT AL PpOPE Y. SIZE & TYPE OVER TO SIGNATURE 0 - 1 1.00 OF PERMITTEE a t - to 3.00 (p DI SS,ROCNO. G OUP ZO O ESSED BY L) 10 - 50 S.DD j,D ' a' 0 50 - 100 10.00 NOTES: G W 100 - 500 15.00 N SIGN,GAS TUBE, OR SIGN AND ONE CIRCUIT 3.00 ? MARQUEE ADDITIONAL CIRCUITS 11.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, & APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING I ISSUING FEE 2.00 7 6) FIXTURES SUPPLEMENTARY ISSUING FEE I.00 POWER AUTHORIZED PERMIT FEE UTILI TYCO.NOTIFIED PLAN CHECK FEE I50% PERMIT FEE) FINAL -�/ TOTAL FEE2� C7O JOSEPH C. RO HAN SUPERVISING ELECTRICAL ENGINEER /CKy PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH , I C) 3 .6 8R M 0 2 D 2 1.00^' SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CESOG 9-67 APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING p — BUILDING AND SAFETY DIVISION ADDRESS S �s �lD�AOW9 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /T FOR APPLICANT TO FILL IN NEAREST CRp55 ST, G4.OUlg/2L NO. EACFFEE RECEPT._ $ S OWNER /J/� - fii/S .S1S�L�t7S 14' MAIL �/ �,.T LIGHT TOTAL FIRST 20 .20 ADDRESS ' !' /r ALO�Y/�v��d -ST SWITCH_ OVER 20 .10 CITY eWT EL. /IN 0.�(� ✓�� LIGHTING lTOTAL FIRST 20 .20 CONTRACTOR FIXTURES 1( OVER 20 .10 ADDRESS+ LG9/�6/ RANGE_DRYER—WTR.HTR.— CITY ` /(A-� T L. NO. Off/ �l STA.COOK_OISP.—F.A.U._ LICENSE NO. SPACE HTR.—AIR GOND. IHEREBY AC N ILEO E THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN—OTHER 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUIRED BY LDS ANGELES COUNTY AND STATE OF MOTORS.TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LZ[pGA- OWN R OF, ANO IXT END TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE VE DES ttIBEO IAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE 0 - 1 1.00 OF PERMITTE a 1 - l0 3.00 1 40 v DISTRICT O. G OUPZQNE PR D to - so 5.00 Mhj, O JM 50 - 100 I0.00 NOTES: F" W 100 - 500 15.00SIGN,GAS d N TUBE, OR SIGN AND ONE CIRCUIT 3.00 MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, & APPURTENANCES 3.00 A q/� APPROVALS DATE INSPECTOR'S SIGNATURE Me) �/� I--v zr e TEMP. POWER POLE UNDERSLAS WORK ROUGH CONDUIT p� ISSUING FEE 2.00 ll V WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 I POWER AUTHORIZED PERMIT FEE UTILI TY CO.NOTIFIED PLAN CHECK FEE 150% PERMIT FEE) FINAL 1,/" ,F TOTAL FEE JOSEPH C. RO HAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.D. CASH � q(a524 .OR JW 4 2 D 21.00 p TEE BACK OF APPLICATION FOR COMPLETE FEE'SCHEDULE 76ASGIC- C9806B 13/75 APPUMOO FOR MUQO K pEG°3C1v �� BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs. & Pools EACH NO. FEE ADDRESS - 1 &2 Finaily Sq. Ft. $ - $ LOCALITY '� - Multi-family Sq. Ft. - NEAREST Residential Swimming Pools CROSS ST. OWNER OR � FIRM NAME Outlets: Light, Switch & Receptacle MAI L First 20 ADDRESS Additional CITY PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PER Fixed Appliances Not Over 1 HE APPL[IICANT 1 S Range— Heater_ D.W. ADDRESS pl2 Oven Dryer _ W.M. // Disp. A.C. Top FAU W.H. CITY -t(J Tel. No. _ - 6db Hood Fan REG BE MBER o'-l G Class. O I HEREBY ACKNOWLEDGE THAT I HAVE READ z AGREE T O Power Apparatus& Large Appliances ROINANCE6 AN. STATE LAOSR..LIATIN t- Size&Type HP, KW, KVA,or KVAR `a`Ta C.`.... 'o w Up to 1 Incl. CERTIFYHEREBY T NoloR Over 1 to 10 Incl. Fo.�""a OR THAT I AMTHE LEGALL.AE» of THE TAn ABOVE Over 10 to 50 Incl. DE:CA aEo RESIDENTIAL A NTY. (ger 50 to 100 Incl. �� PERMITS E Over 100 SIGNATURE DISTRICT NO, PROCESSED BY Services 0-200 Amp. Under 600 V 'J 201 - 1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V TEMP. POWER POLE SIGNATURE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING p FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Feel FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 859fiSEP 15 2 D 2 8.5 0 76A653-CE806 10/72 APPLICA TI® FORS'ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES �( DEPARTMENT OF COUNTY ENGINEER ADDRESS .� 4. BUILDING AND SAFETY DIVISION �J LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS IA. C ao I;rd CROSS ST. JZ 0 DL OUTLETS NO. EACH FEE OF N NAOR ME S G RECEPT._� S S MAIL y LIGHT_ TOTAL FIRST 20 25 ADDRESS li (�1. % 6Q CITY S".: aJ 0':L(/B TEL. NO. SWITCH_ OVER 20 .10 PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL, NO. PERMIT RANGE_ORYER_WTR. HTR._ APPLICANT L k A-13t /_��,L feSTA. COOK_DISP._F.A.U._ ADDRESS L SPACE HTR. AIR GOND. CITY ' N^A / v `' TEL. NO. 1 CLOTHES WASH. WAS H, SE OR REG T N UMBER .t�C] - Vr CLASS. �. O FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE B TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - I b 100 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER DP THE ABOVE 3.00 DES CPIRED RESIDENTIAL Pfl0 TY. O PERMITEE U 10 - 50 'Z 5.00 SIGNATURE CD 50 - 100 10.00 DISTRICT NO. PPR CES BY y� 100 - 500 15.00 �� Qe •�tiT>✓ y s i Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALSAT INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTSOR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PER ISSUING FEE 300 TOTAL-FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH 250-% 8.50 ASS I 1 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKER'Shave a certificate DECLARATION 260663 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT 0-001 I hereby affirm that I have a certificate of consent to sell insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab.C.) - I C '� / Policy NO Company FOR APPLICANT TO FILL IN gDORESS 5/ [. lN� Certified copy is hereb furnished. EACH NO. FEE Y - New Residential Bltlgs.&Pools LOCALITY ❑ Certified co Is tiled with the count building inspection 1 8 2-Family,Sq.Ft. $ — $PY. y g p NEAREST department. Multi-family Sq.Ft. CROSS ST. .` Dale Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Fee. Light_Sw. I _ FIRM NAME OR COMPENSATION INSURANCE First 20 MAIL volved by the (This section need not be completed it the work in permit is for one hundred dollars($700)or less.) ' Total No. Additional ADDRESS t I certify that in the performance of the work for which this permit CITY C� �' T.I.No. , is issued, I shall not employ any person i any manna o as to become subject to the Workers'Compens n Laws Lighting Fixtures First 20 q PLICANTK Q,•l Total No. Additional Date //� Applicant ADDRESS NOTICE TO APPLICANT: If, after a Ing s Certifi ate of 150R 20A,120V BRANCH CIRCUITS` CITY Tel.No. Exemption, you should become subject to the W kers' Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH - PERMIT l� r - APPLICANT ( -G /C �U provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION - - - ADDRESS ? Y I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 27LIGHTING EACH '2 "/ZY G_ (commencing with Section 7000) of Division 3 of the Business and CITY (-()VI Tel.No. 9Y9_ `�? O Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR ccn Power Apparatus 8 Large Appliances REG.NUMBER 4yU Class c� V License NumberLic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO, PR ED BY O 7 / CLQ ~ �,, Up to 3 Inc]. . d/ MAe"G.(ly W Contractor A/{(C J/z�/5&,6- r Date �I-9Z Over 3 to 10 Ind. NAIL DATE - (n ❑ Over 10 to 50 Incl. Z ZZ VALIDATION I am exempt under Sec. Over 50 to 100 Incl. NAL 100 FI BAP.C.for this reason Over FI BY Services,Swbd.,MCC 8 Panelboards ' Date: 0-200 Amp.Under 600 V Signature 201 -1000 Amp.Under 600 V ❑ - Over 1000 Amp.or Over 600 V - Exemption for Reg.Maim.Elect. i SINGLE FAMILY Temp.Power Pole 8 Appurtenances } a r;. HOME OWNER-BUILDER DECLARATION - r7_CC =r I hereby affirm That I am exempt from the Contractor's license Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits - 'UI HU -1r Code): ITEM-_ ❑ I.as owner of the property,will do the work and the structure Misc.Conduits 8 Conductors _ A/rr __ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) I Lt_I AL ,�_ __9 and Professions Code). D (:JF(� -`I' r-, _ vF CONSTRUCTION LENDING AGENCY 1 1-49), CHECK c u-' T" I hereby affirm that there is a construction lending agency for the „)_I1 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE - (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name - 9144- PERMIT ISSUING FEE r�� '2914c- Lender's - - - Lender's Address n I certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represent of this County to enter upon the above-mentioned propeif o inspecti ase SEE REVERSE FOR EXPLANATORY LANGUAGE SIG U OF APPLI OR AOEt DATE {/ ”`L WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRI -ERMIc'f �1 IJ I hereby affirm that I have a certificate of consent to self insure, 76A663- , or a.certificate of Worker's CoWensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof_(Sec. 3800 11 .� _ - Policy No Company - _ FOR APPLICANT TO FILL IN _ JOB - ❑ ADDRESS Certified copy is hereby furnished New Residential Bldgs.&Pools NO. EACH FEE LOCALITY R!'- ' ecopy is filed with the county building inspection 1 &2-Family,Sq.Ft. department. - NEAREST - depp artmrtm ent. - Multi-family Sq.Ft. CROSS ST. DateApplicant- _ Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS'- OWNER OR COMPENSATION INSURANCE Outlets:Rea.,Light. Sw. Flats NAME (Thsecticrt.need Dot be completed if the work involved by the First 20 is MAIL permit'is for one hundred dollars(5100)or less.) Total No. Additional ADDRE65 I certify that in the performance of the work for which this permit CIN — mss T.I.No. Is Issued,'I shall not employ any persori'm'anymanner'so as to PLAN CHECK become sublecf.to the Workers'Compens n Laws. Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date 3! a�9 3 Applicant .RESIDENTIAL APPLIANCES NOT OVER 3 HP. \ NOTICE TO APPLICANTI'li after making Is Certificate of CITY 'Tel.No: Exemption,yes should become subject to the W Era' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Cotle, you mustforthwithcomply with such _ PERMIT provisions or this permit shall be'deemec`revoke'd.• Power Apparatus&Large Appliances APPLICANT d v` ' ' LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA.or KVAR ADDRESS I hereby•affirm that I am licensed under provisions of Chapter 9 O , (commencing with Section 7000) offDivision 3 oHthe Business and Over 390 10 Ind. CITY Tel.Na ,GT Professions Code, and my license is in full'force and effect. Over 10 to 50 Incl. - Over 50 to 100 Incl. ? LICENSE REG.NUMBS ER Class. d 'l License Number V0 7 Lic.Class C�� _ Over 100 'DISTRICT NO. OQ PV Services;Swan., MCC&Panelboards � 0-393 Amp. Under 600 V DATEFINAQ Contractor ` Date _9�_ - DATE F-1 ,�-{�Z;� F_am exempt u 400-1000 Amp. Under 600 V er.Sec. VALIDATION LU _- Over 1000 Amp.or Over 600 V W. B.&P.O,for this reason FINAL AL d BRANCH CIRCUIT FEES U) Date: 15A,or 20A, 12OV,Lighting or Recept. Z - 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits - ❑ 41 Or More Branch Circuits Exemption for Reg.Maim.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances _ HOME OWNER-BUILDER DECLARATION -Sign with One Branch Circuit a I hereby affirm that I am exempt from the Contractor's License Law - .1 H.CT.a for the following reason (Section 7031 5, Business and Professions _Additional Sign.Branch Circuits __ Code): 3307 343.05 ❑ I,as owner of the property,will do the work and the structure - Misc.Conduits&Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) -© TOTAL J ` and Professions Code). a-J- m-0 5 CONSTRUCTION LENDING AGENCY D�/O CHECK J43.O I hereby affirm that there is a construction lending agency for the CHANGE .0 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE, (Sub-Total) 17 _ .00 Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE - - Lender's Address • 17294 1 AN i �'e 6311 1 certify that I have read this application and under penalty of perjury state TOTAL FEE 3 O that the.above information incorrect. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this Co my to nter upon the above-mentioned property - - for in to n purp e - SEE REVERSE FOR EXPLANATORY LANGUAGE °1 - SIGN /RE OF PER E OATS WORKER'S haveCOMPENSATION DECLARATION 260019 DPW(12-9p APPLICATION .FOR ELECTRICAL PERMIT I� I he�feby affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT, OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Seo. 38150 Ea-b.C.), Policy No. Company FOR APPLICANT TO FILL IN JOB ❑ ADDRESS o! CertifieC copy is hereby furnished. New Residential Bldgs.&Pools NO.1 EACH FEE Eli. _ $ S LOCALITY �� `•, Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. department. Multi-family Sq.FL NEAREST CROSS ST. yY/ Data '1% Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL . CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw.- OWNER OR COMPENSATION INSURANCE g FIRM NAME (This section need not! 1 completed it the work involved by the First 20 MAIL /� A permit is for one hunt ollars(8700) or less.) Total No. Additional ADDRESS I certify that in the perfoance of the work for which this permit CITY iei.No. is issued, I shall not employ any person in any manner so as to N CHECK Of become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date* " Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO.APPLICANT: It, alter making this Certificate of - CITY Tel.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORSDECLARATION - Size&Type HP.KW,KVA,or KVAR ADDRESS I hereby affirm that I am'licensed under provisions of Chapter 9 Over 3 to 101nc1 (commencing with Section 7000) of Division 3 of the Business and . CITY TeL No. Professions Code,and my licenseis in full force and effect. Over 10 to 50 Incl. Over 50 to 16o IML LICENSE OR Cless. d REG.NUMBER Over 100 DISTRICT NO. PROCESSED BY Q License Number Lic.Class U Services,Swbd..,MCC&Panelboardscc - Contractor Date 0-393 Amp.Under 600 V FINAL O am exempt under Sec. DATE p F 400- 1000 Amp.Under 600 V �'Z-')- • VALIDATION U Over 1000 Amp.or Over 600 V FINAL- ll.l B.&P.C.for this reasonBRANCH CIRCUIT FEES Ill BV d Date: 15A,or 201 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ _ Exemption for Reg.Maint Elect. 15A,20A,208V To 27T Lighting Br.Circuits 41 Or More Branch Circuits Al(_T.t SINGLE FAMILY Temp.Power Pole&Appurtenances 3307 _ _ 45.75HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit i ,nO I hereby affirm that I am exempt from the Contractor's License Law 1 IT_I rO for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): TOTAL 45 -75 I,as owner of the property, will do the work and the structure Misc.Conduits&Conductors O � is not intended or offered for sola (Section 7044, Business S -0me CHECK r�. c and Professions Code). CHANGE nrL CONSTRUCTION LENDING AGENCY J I hereby affirm that there is a construction lending agency for the ' 1,''ll nn i performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) 0000-oogl i/ 7/93 Civ:C.) _ PLAN CHECKING FEE 1 9094 i AM C8.I=' Lender's Name PERMIT ISSUING FEE ' Lender's Address TOTAL FEE I certify that I have read this application and under penalty of purjury,state � that the above information is correct. I agree to comply with all County ordinancesand Statelaws regulating Electrical wiring,and herebyaulhorize ' representatives of this County to enter upon the above-mentionetl property for inspectigl purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE GNA FI PERMITTEE DATE WORKER'S COMPENSATION DPLRATION 20-0019 DPW 9189 I hereby affirm that I have a certificate o/conser)`t to self insure, 76A6(k3 APPLICATION FOR ELECTRICAL PERMIT ' or a certificate of Worker's Compensaticfd: InsuranrCe, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab.C.) �\'1 I , Policy No.I - 2 F Company —+Z/F /AISl FOR APPLICANT TO FILL IN JOB "ADDRESS C „/�O yl w ❑ Certified copy is hereby furnished. EACH NO. FEE 9 ` r7 New Residential Bldgs.&Pools _ LOCALITY r ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ F clispamnignt. F/ - //.��/� Mulli4amily Sq.FL _ NCROSS EARESST. Date y /? + �' Ap Icant Sr 2vyc: r Gla U� Residential Swimming Pools ' ASSESSOR , MAP BOOK / PAGE PARCEL •- CERTIFICATE OF EXEMPTION FROM WORKERS' g _ OWNER RME7D1 W. /1')e lVci L COM nr� COMPENSATION INSURANCE Outlets:Rau_Light_Sw. FIRM (This section need.not be completed if the work involved by the First 20 'MAIL ll /� /� permit Is for one hundred dollars($100)or less.) Total No. Additional - 'ADDRESS J 3/S� O n 11hA x11I-�p./Z PL 7 I certify that in the performance of the work for which this permit — CITY rN1 -11SS69� is issued, I shall not employ any person In any manner ae as to I PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 - APPLICANT Total No. Additional r ADDRESS Date Applicant 15 OR 20A,120V BRANCH CIRCUITS N OTICE'�TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should became subject to the Workers' Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH - PERMIT provisions or this permit shall be deemed revoked. APPLICANT E/Z lit C It 3 lT 41 OR MORE BRANCH CIRCUITS EACH LIS-)f �V J OW�N J a LICENSED CONTRACTORS DECLARATION - ADDRESSU I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH (commencing with Section 7000) of Division 3 of the Business and _ CITY l; 0)J ���'�d� 0 Professions Code,and my license is in full torte and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR CI.-.-./orf ` Power Apparatus&Large Appliances REG.NUMBER U 5 Z� ""l, U 0 a����"7 CG Size 8 Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY License Number Lic.Class V .1�C �`'f r Up to 3-Incl.' ' - - 1,11 W /�+'—I Jrn4/C5 ��UP 7 �7 Q� Over 3to 10 Ind. FINAL a GO Contractor Dale Over 10 to 50 Incl. DATE _ Z ❑ I am exempt under Sec. Over 50 to 10.0 Incl. — VALIDATION 100 :J FINAL B.&P.C.for this reason Over BY Services,Swbtl.,MCC 8 Panelbcards _ ��- , Date: 0-200 Amp.Under 600 V , Signature 201-1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. — SINGLE FAMILY Tem Power Pole&A urtenances t "�' d 'TT s HOMEOWNER-BUILDER DECLARATION p 7p P. - - - mf"� 'T I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ")17 ;r _nn for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits `• - �^7'J Code): !QO S'U Aj p0Le C 1 Fig S ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL ITaL8 s is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ ' 90 and Professions Cade). - D - r,A314 7� tj j l HfiiJuE CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the I performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE - (Sub-Total) Civ.C.) Oi illjl-OCi01 91'1-7 7= PLAN CHECKING FEE t - `11 1 AMO:O-6 Lender's Name PERMIT ISSUING FEE a Lender's Address 1 certify that I have read this application and state that the above TOTAL FEE 0 information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned properi.y for inspecti pu Ses. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF APPLICANT OR AGENT y j0ATE WORKERS'COMPENSATION DECLARATION 20-0019 3 W 3/87 APPLICATION FOR ELECTRICAL PERMIT O I�here�ry affirm that have a certificate of consent to self CE.8 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a cerified copy thereof (Sec 3800, Lab. C.) Ldl� S Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS Fz/S/ E7 ❑Certified co is filed with the count building inspec- 1 8 2-Fomil 5 Ft. LOCALITY PY Y 9 P y' q' S — $ C� Icon department. _ Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. Dale Applicant OWNER OR FIRM NAME OJ 1211 TQ fU/!f/�'/� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec—Light_Svv._ MAIL �O B�OX S- COMPENSATION INSURANCE ADDRESS 5-0 (This section need not be completedFirst 20 if the work involved by Total No. Additional CITY�(1D)yl/ T.I. . } the permit Is for one hundred dollars ($100)or less.) PIAN CHECK 1 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 ` -s— Applicant Total Nci CITY Tel, No. NOTICE TO APPLICANT: If, afte king this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater—D.W. _ APPLICATION . ` ff-S -mmA Compensation provisions of the Labor Code, you must forth- Oven _ Dryer —W.M.— ADDRESS S, /LOADW4 with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other_ CITY In (C` ` Tel. No.�$7.Q473 LICENSED CONTRACTORS DECLARATION Dista.. _ Room Air Cond. _ LICENSE OR H I hereby affirm that 1 am licensed under provisions of Chapter 9 REG. NUMBS A) CN �1�Cz' 2 V( (commencing with Section 7000)of Division 3 of"the Business Power Apparatus 8 Large Appliances DISTRICT NO. PSED BY >_ and Professions Code,and my license is in full force and effect. Ma- Size 8 Type HP, KW, KVA, or KVAR License Number Lic. Class �,QO / =�2 U Up to 1 Incl. 6 L 0 FINAL Over I to 10 Incl. DATE 9 VALIDATION • cc Contractor Date / !! 66 O ❑ Over 10 to 50 Incl. FINAL am exempt under Sec Over 50 to 100 Inc. 02Y OD By K, � LU B.BP.C. for this reason Over 100 / / d Services,.Swbd., MCC 8 Ponelboords D U) Date: 0 _200 Amp. Under 600 V Z Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V t SINGLE FAMILY Temp. Power Pole 8 Appurtenances _ HOME OWNER-BUILDER DECLARATION -- i I hereby affirm that I am exempt from the Contractors License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 37_l7 Professions Code): I_may_ Misc. Conduits &Conductors 1 '-11__ 1, as owner of the property, will do the work and the structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— D Tr 1f� 13S . 00 Business and Professions Code). 4sT_t V� :)IJ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHANGE •()Ft the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) UO (Sec. 3097, Civ. C.). PLAN CHECKING FEE d'0 l il'7 il]-I II_Il1 /-tz c 1 Lender's Name ._ PERMIT ISSUING FEE 139 v0 6194 Lender's Address I certify that 1 have read this application and statethat the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon II abov - entione property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 5 at of Permittee Date �' ION Wm that I have a certificate of consent to 76-663 ,p,e, APPLICATION FOR ELECTRICAL PERMIT - {� ' •I hereby affirm that I have a certificate of consent to self insure, CE-e06G or a certificate of Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES ' BUILDING AND SAFETY copy thereat(Sec.3800.Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN ,"' ' ' JOB" q ❑ Certified copy is hereby furnished.,. NewResidential Bldgs.&Pools EACH NO. FEE ADDRESS 4657Q�(. 'r ❑ Certified copy is filed with the •building inspection 1 8 2-Family,Sq.Ft. $ — $ _ LOCALITY d - . depaartment. Multi-family Sq.FL NEAREST , Residential Swimming Pools CROSS ST V!v/GG GG Date . -Applicant 1 +T - - OWNER OR' CERTIFICATE OF EXEMPTION FROM WORKERS: ,� 1Y'V y.�') FIRM NAME MAIL O� t L.0 L�Es 'COMPENSATION INSURANCE Outlets.Rae Light,— Sw. 1 s\_ r ADDRESS /415 /�✓ (This section need not be completed if the work involved by the First 20' /,�/ permit is.for,one hundred dollars ($100) or less.) Total No. Additional CITY 040-yr // T Tel'NO. I certify that in the performance o1 the work'for which,this permit - _ PLAN CHECK is issued, I shall not employ any person in 3 APPLICANT" rry.manner so`as to become subject to the Worke p tion Laws. Lighting Fixtures First-20 - - ADDRESS ' _GG' 1 Additional Y d"aO Total No. CITY - - Tel.No. Date I If, of Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT:. If, after making_this Certificate of PERMIT - ' .Exemption;you should become subject to the Workers Compensation Range_ Heater_ D.W. APPLICANT QZI E� GE���G . .. provisions of.the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ - ADDRESS 60X /•8q9 ..provisions or this permitshall be deemed revoked. .Top _ FAU _ W.H.._ - - CITV -Tel.No. LICENSED CONTRACTORS DECLARATION � Hood — Fan _ Other_ '. /�N�'� C�rY I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR pQ ` (commencing with Section.7000)of Division 3 of the Business and 'Disp. Roam Air Condi' REG.NUMBER 3�S. -7p Class.G`O Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances DISTRICT NO. P 5 DRY _ Size 8 Type HP KW,KVA,or KVAR' � Q License Number Lia-0lass Up to 1 Incl. " FINAL - 8 �,/� T �_-- �•f8 Over 1 to 10 Ind. DATE o ContractaLJtt��7•WG Date �Z�^o" "- �G v VALIDATION . 0 . Over 10'to50]not. F i I am exempt under Sec.. Over 50 to 100 Inc. y W BAP.C.for this reason - Over 100 d Services, Swbd.,MCC 8 Panelboards ' Z Date: 0-200 Amp.Under 600 V :29426A Signature 201 - 1000 Amp.Under 600 V ❑ yOver 1000 Amp.or Over 600 V ° 02 Exemption for Reg.Maint.Elect. " 2550 SINGLE FAMILY Temp.Power Pole B Appurtenances - ° 0025505 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law ,. Additional Sign Branch Circuits- 0 4.2 O:r 8 8 for the fallowing reason(Section 7031.5,Business and Professions Code): - '7L7�f, n2A'fI�CYtE� ❑ I,as owner of the property,will do the Work and the structure Misc.Conduits 8 Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION'LENDING AGENCY •' I hereby affirm that there is a construction lending agency for the performance of,he work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) - - Civ.C.). PLAN CHECKING FEE - - - - - Lender's Name , L s Address 'PERMIT ISSUING FEE certify - , I certify that I have read this application and state that the above TOTAL FEE ... information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize _ - re es of this County to enter upon the above-mentioned - property, for in pectidp pu o - SEE REVERSE FOR EXPLANATORY LANGUAGE zo d Signature of Permittee Date - Wm that I havea'COMPENSATION DECLARATION 76-669 10/81 APPLICATION FOR, ELECTRICAL PERMIT {j, I hereby affirm that I have a certificate of consent to self insure, 76CE-606G LJ or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy there/off(Sec.3800,La1L f Policy Nof -L� CCo//mpany S1-I/Yy e .YV I✓D FOR APPLICANT TO FILL IN JOB EJCertified,copy is hereby furnished. New Residential Bldgs.8Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — $ LOCALITY . department. - - Multi-family Sq. Ft. — NEAREST _ Date Applicant Residential Swimming Pools owNEa oa V �- s / - - CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets:Rec—Light _ Sw. — - ADDRESS - 66 QyJ.4 (This section need not be completed if the work involved by the First 20• CITYl N Total Additional Permit is forone:hundred dollars ($100)or less.) ToL ` _ ,4L@. C// Tel.No. + 1 certify PLAN CHECK issethe performance of the work for which this permit - - APPLICANT ' 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 1 HP PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT >° D C r G provisions of the Labor Code, you must forthwith comply with such •Oven Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top FAU _ W.H.•_ - CITY I� �G Tel.No. • LICENSED CONTRACTORS DECLARATION Hood Fan _ Other_' I hereby affirm,that-I am licensed under provisions,of Chapter 9 LICENSE OR Disp.- Room Air Cone, Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER C- Q - Professions Cade,and my license is in full force and effectDISTRICT NO. ' �� PRO ESSEO BV Power Apparatus& Large Appliances' Size& Type HP KW KVA,or KVAR 0 License,Number-1-6-1.2 2 g Lia Class Up to 1 Incl FINAL / U Over 1 to 10 Incl. DATE Contractorsc/x2rQ/OR /'� i! pate �6'" t^'l Q VALIDATION Over 10 to 50 Incl. FINAL - ❑ am exempt under Sec. - Over 50 to 1001nc� BY _ U ' B.&P.C. for this reason Over 100 i d _. Services,Swbd.,MCC& Panelboards - D - - N .Date: - Z 0- 200 Amp.Under 600 V Signature 201- 1000 Amp.Under•600 V . . El Over 1000 Amp.or Over 600 V - y Exemption for Reg.Maint.Elect ' SINGLE FAMILY Temp.Power Pole& Appurtenances _ Nr.!.T,3 ' HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits - 6',U{ for the following reason(Section 703 1.5, Business and Professions. - Code): 1 llEt'Ie ❑ ,I,as owner of the property,will do the work and the structure Misc.Conduits&-Conductors s 10 i5 not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). - L-HE - ' + t4.11 CONSTRUCTION LENDING AGENCY ,. - - CHAINGE' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT -Total) - - Civ.C.). FFEE (Sub G1300-13(60I t i • PLAN CHECKING FEE 't `/ Lender's Name O` -T 7 (�; F� PERMIT ISSUING FEE .. -- Lender's Address , I certify that 1 have read this application and state that the above .TOTAL FEE information is correct. I agree to comply with all County ordinances antl State Mating Electrical wiring, and hereby authorize represent I ihi gun to enter upon the ova-mentioned '- er f P's s SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of rmittee Date � , Wm that I havea COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT CE-806G I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers' Compensation Insurance, or led COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof (Sec. 3800,Lab.C:) Policy No. Company FOR APPLICANT TO FILL IN JOB ^ M n- Certified copy is hereb nished. EACH NO. FEE ADDRESS(�„V V`�sL- New Residential Bldgs.8 Pools LOCALITY—f Certified cop filed with'the county building inspection. 1 & 2-Family,Sq.Ft. - $ — $ departme Multi-family Sq. Ft. - — NEAREST /1 Uwe w e Oa� CROSS ST. Li 1. Residential Swimming Pools ST. LUvEs C Date Applicant >• 1 OWNER OR '��..• •`\ � ','\ 1 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' t v1,'v MAIL - .COMPENSATION INSURANCE Outlets:Rae_ Light Sw7 ADDRESS (This section need not be completed if the work involved by the First.20 permit is for.one hundred dollars ($100)or less.) Total No. Additional CITY Tel.No. I certify that in the performance,of the work for which this permit PIAN CHECK Is Issued, I shall not employ any person in any manner so as to APPDCANT become subject to the Workers' 6e 'e1r Lighting Fixtures First 20 ADDRESS , ♦� q 'Additional 7�GQ♦ Total No. - CITY Tel.No. Date '7 Appli n NOTICE' TO'APPLICANT: If, after making this Certificate of FixedAppliances Not Over 1 HP PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer _ W.M. _ ADDRESS V::;(D \'_Z9 provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ LICENSED CONTRACTORS DECLARATION CITY'Hood Fan Other_ Tel.No. �lS ZO •_ I hereby affirm that J am licensed under provisions of Chapter 9LICENSE OR t� A (commencing with Section,7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER J 7 Z - Class. G Professions Code,and my license is in full force and effect. DISTRICT NO. P ES D BY Power Apparatus 8 Large Appliances _ q Size& Type HP,KW,KVA,or KVARC D2 License Number �6S 2 7 Lia Class G I fl - V Up to 1 Incl FINAL "'GG� Lem*? .eete 41^`0^" r Over 1 to 10 Ind. DATE l VALIDATION Contractoro0 ❑ U Over 10 to 50 Incl. FIN I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 AJAXN Services,Swbd.,MCC& Panelboards - - Z Date: 0-200 Amp,Under 600 V en Signature 201 - 1000 Amp.Under 600 V ❑ X - Over 1000 Amp.or Over 600 V Exemption fot.Elect.LE FAMILY Temp.Power Pole&Appurtenances ,�HOME UILDER D LARATION Sign with One Branch Circuit I hereby affirm that pt fro a Contractor's License LawAdditional Si n Branch Cirwitsfor the following reaen 31.5,Business and Professions g Code): Mist.Conduits 8 Conductors - i T I,as owner ofrty„will do the work and the structure ? +7t�lb is not intended for sale (Section 7044, Business Other(See Complete Fee chedule) Aj and Professi ” Ij-i1L15 - 50 NSTRUCTION LENDING AGENCY - - _ 5LI I hereby at m-that there is a construction, agency for the CHANE Il)� perform a of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ. PLAN CHECKING FEE, - ender's Name - �t.l;l�f--` 11 4/1 L� • PERMIT ISSUING FEE ysr Lender's Address• - - �' All 7'1Z I certify that I have read this application and state that the above TOTAL FEE information is correct.I agree to comply with all County ordinances •, +S�regulating Electrical and hereby authorize re� pre enta atiivves or�Is Count to er u above-mentioned property f r ins W+bn pUrpos s. ��y SEE.REVERSE FOR EXPLANATORY LANGUAGE of Signature Permittee Date ES15'COMPENSATION DECLARATION 764663 IO/BI p, 1�P0 C yL TM FOR f�0 ECTROC yf, 0 PERMT I ere y affirm That I have o certificate of consent to self CE-Bo6G /lUlr LL &a L'U 0C1 IS LL Ill V4a d'Y IS LS OHO 0 insure, ar a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB a TJ Certified copy is hereby furnished. Nev,Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS F-1Certifiedcopy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR / FIRM NAM CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Re<�Li // L K,E Ll i�Gld COMPENSATION INSURANCE ght�$w. 6 DDRESS 7_!; (This section need not be completed if the work involved byFirst 20 the permit is for one hundred dollars ($100)or less.) Total No. Additional CIT 1 C� Tel. No. P AN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person ' ny manner so as to be esu 'ect t the Work tion Lows. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel. No. Dote/� Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE OAP (CANT: If, offer making this Certificate of Exemption, you should become subject to the Workers' Range_ Heater—D.W. APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M.— ADDRES with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. CITY Tel. No./� 3 LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ G/ LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMB Z fO�S Clos0—/0 (commencing with Section 7000) of Division 3 of the Business power Apparatus 8 large Appliances DISTRICT NO, PROC 5 BY Y and Professions Code,and my license iy in full force and effect. Size& Type HP, KW, KVA, or KVAR L D O License Numb T/SL� Lic. Class ! O V Up to 1 Ind. FINAL f /O Over 1 to 10 Incl. DATE / /L VALIDATI ContractorDate Over 10 to 50 Incl. FINA l '77 ` ❑ am exempt under Sec. Over 50 to 100 Inc. BY W B.BP.C. for this reason Over 100 yds Services, Swbd., MCC 8 Ponelboards Date: 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Mainz. Elect. z 0 9 2 9 A SINGLE FAMILY Temp. Power Pole 8 Appurtenances # o e o 0 0 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License ( a o l x Q o Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): o 0 0 I a00,0 ❑ I, as owner of the property, will do the work and the Mi,sc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— D ( Q 1 9-84 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 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) (Sec. 3097, Civ. C.). PLAN CHECKING FEE , Lender's Name PERMIT ISSUING FEE Lender's Address O 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 hereby authorize representatives of this County to enter upon AW-m ned property for inspection urpos / /A / � SEE REVERSE FOR EXPLANATORY LANGUAGE AW ignature of Permittee !I to WORKERS'COMPENSATION DECLARATION '10-WI9 oPw 3i87 I hereby affirm that I have a certificate of consent to self . p PP CATI®N FOR E 2bTMIC W S P2RHS CE-8G O insure, or•o certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF BIC ORK or a certified copy thereof (Sec. 3800, Lab. C. Policy No. Company. FOR APPLICANT TO FILL IN JOB s Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS ovoR Certified copy is filed with the county building inspec- 18 2-family, Sq. Ft. $ — $ LOCALITY 7a r/f fLc C, tion department. Multi-family Sq. Ft. — NEAREST �ry CROSS ST. l/ Residential Swimming Pools l Date Applicant 'WN FIRM NAMES ♦ V 65 G4\)9-0+ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_LightSw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section 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.) PIAN 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 NCITY Tel. No. NOTICE TO APPLICANT: If, after king this Certificate of Fixed Applliances Not Over 1 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. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION Dis — Room Air Cond. LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 P REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PRQ�ESSED BY >_ and Professions Code,and my license is in full force and effect. x F d Size 8 Type HP, KW, KVA, or KVAR G/ !�fiL«—L-w Q License Number Lic. Class Up to 1 Incl. FINAL / Contractor Over 1 to 10 Incl. DATE Date VALIDATION p OOver 10 to 50 Incl. FINAL // 'GG,z f F I am exempt under Sec. Over 50 to 100 Inc. gy Q) W B.BP.C. for this reason Over 100 d D Date: Services, Swbd., MCC 8 Ponelboards U)Z 0-200 Amp. Under 600 V Signature 201 - IODD Amp. Under 600 V ❑ Exemption for Reg. Moint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances OWNER-BUILDER DECLARATION ` r' I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit yi.t_{ ,i Low for the following reason (Section 7031.5, Business and A itional Sign Bran Circuits `-1 i iv j1`1 Professions Code): U = t f `iL ,�(t��•� i FTE�f I, as owner of the property, will do the work and the Misc. Conduits 8 C uctors structure is not intended or offered for sale(Section 7044, Other ee Complete e�c dule)_ D TOT i T Al 20 m 50 Business and Professions Code). `� �_I CONSTRUCTION LENDING AGENCY i�NECK 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) (Sec. 3097, Civ. C.). PLAN CHECKING FEE - -- Lender's Name PERMIT ISSUING FEE /� O Lender's Address bi`.>ii 1 0 11 A24 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 , hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ElWature of Pemmttee IDate os A I ..reby WORKERS't I have a cerN DECLARATION 76WI9DPW 3/B) APPLICATION FOR ELECTRICAL PERMIT O s 'I hereby affirm Ihat have o certificafe•of consent to self CE�G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a celtified copy thereof S'j�380D Lab. C. Poll y No. y pant `VV-a5"*Lr, FOR APPLICANT TO FILL IN JOB ADDRESS t7 IJ^-Yy LCJ�� Certified copy is hereby furnished. New Residential Bldgs. & Pools MNOF11 Certified copy is Filed with the county building inspec- I & 2-Family, Sq. Ft. $ LOCALITY tion department. l R�NCFL Multi-family Sq. Ft. NEAREST 3_I,- 9Z Gg I �T / Residential Swimming PoolsCROSSST. F Date A Lica of �• L. L�CA.S`T. 9OWNER OR FP FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec J Light�Sw. MAILCOMPENSATION INSURANCE ADDRESSq(chis section need not ba completed I!the work Involved by hFirst 20CITYthe permit Is for one hundred dollars (5100)or less.) Total No. AdditionalC y✓/BC/Z C/ Tel. No. 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 O CITY Tel. No. Total No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — �A _ Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M._ ADDRESS 9// WA," 1*1F with comply with such provisions or this permit shall be Top — FAU —W.H. — ^l-, CIN t (r 9'�'�'f Tel. No. y72-3103 deemed revoked. Hood Fan —Other— LICENSED CONTRACTORS DECLARATION p LICENSEOR cl J�O .UO Dis — Room Air Cond. REG. NUMBER 7 ! Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. P ESSED BY d and Professions Code,and my license is in full force and effect. �7 n Size& Type HP, KW, KVA, or KVAR // • LL�el� 0 License Nur*jbgr iILffL7 11 0 Lic. Class`/0 Up to 1 Incl. FINAL 0 FR K L q CC 7 # CAa 3 Over 1 to 101nt1. DATE VALIDATION 0 Contractor r..LreTiP! C Date 7' ❑ Over 10 l0 50 Incl. � � FINAL ~ I am exempt under Sec. Over 50 to 100 Inc. BV W B.&P.C. for this reason Over 100 d ervic�s5v{f3dyC Panelboards r� / q D S (10r{t�1 Yj CJ / Z Date: GG } A n er V � Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole & Appurtenances ` HOME OWNER-BUILDER DECLARATION _ I hereby affirm that I am exempt from the Contractor s,License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits & Conductors structure is not intended or offered for sale Section 7044, Other (See Complete Fee Schedule)_ D sg -s Business and Professions Code). -_ - CONSTRUCTIONLENDINGAGENCY __- '- I hereby affirm that there is a construction lending agency for ! ! yly; _ y;:j_ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). Q PLAN CHECKING FEE Lender's Name 2 '/ --- - - ��'/ !-"r- PERMIT %PERMIT ISSUING FEE Lender's Address '- - Fath LS'.T I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply. omply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the veveneci roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 3 Signature of Permittee Date WORKER'S COMPENSATION DECLARATION 200019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT IJ I hereby affirm that I have a certificate of consent to sell insure, 6A663 or a certificat&of Wgrker's C"pensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy.theredl(Sec. 3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN ADDRESS I Q�J �.� Certified copy is hereby furnished. New Residential Bldgs.8 Pools NO. EACH FEE ❑ _ S S LOCALITY M Certified copy is filed with the county building inspection. i &2-Family,Sq.FL department. Multi-family Sq.Ft. — GROSS ST. Cha VCG2L ITW^� Data Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR�� `U E �^ C /`iu yT/' COMPENSATION INSURANCE Outlets:Rec.—Light Sw. FIPM NAME 1"� \f7".�` First 20 MAIL (This section need not be completed It the work Involved by the Total No. Additional ADDRESS 9 45 I permit is for one hundred dollars(5700)or less.) 1n I certify that in the performance of the work for which this permit CITY �c p'CA `C �� T.I.No. d°l l—S90 is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: It, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size 8 Type HP,KW.KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 101nc1 (commencing with Section 7000) of Division 3 of the Business and . CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. Over 5010 100 IOCI. REG.NUM ER Class. d Over 100 DISTRICT NO. P CESSED BY O License Number Lic.Class U Services,Swbd.,MCC&Panelboards .�� Q Contractor Date 0-399 Amp.Under 600 V FINAL O ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V DATE _ VALIDATION U Over 1000 Amp.or Over 600 V FINAL W B.BP:C.for this reasonBRANCH CIRCUIT FEES By Cn Date: 15A,or 20A, 120V,Lighting or Recall Z 1 To 10 Branch Circuits Signature11 To 40 Branch Circuits El Exemption Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 2M Lighting Br.Circuits ,d SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION it h Ci B with One Branch Circuit A ^-s I hereby affirm that I am exempt from the Contractor's License Law Sign wI'TA Y f - _a 0 for the following reason (Section 7031.5. Business and Professions Additional Sign Branch Circuits Cede): CHECK :T7.1111 ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors °Ijl l is not intended or offered for sale (Section 7044, Business r(See Com le}@VFge c du ) D and Professions Code). M OL CONSTRUCTION LENDING AGENCY 11_1'{I_(—I l}>.i� ¢I f—I I hereby affirm that there is a construction lending agency for the ra = performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) AN. I Civ. C.) a (� Lender's Name Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property tor'"spec, purposes. r( Q SEE REVERSE FOR EXPLANATORY LANGUAGE ATV EOSWINF PERMITTEE DATE WORKER'S veaceSATIONDECLARATION 2DDD19DPW(t2-91) LICATION FOR ELECTRICAL PERMIT 6A663 I hereby affirm that I have a certificate of consent to self insure, or a certificale.of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copyJhereof(Sec.3800 Lab.C.) P❑OIIty No. Company FOR APPLICANT TO FILL IN JOB ADDRESS J G Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ❑ $ S LOCALITY `� C Certified copy is filed with the county building inspection 1 &2-Family,Sq. FL NEAREST department. Multi-family Sq.FL CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. ht_Sw.—Lig _ OWNER OR COMPENSATION INSURANCE FIRM NAME SST mac. First 20 (This section need not be completed If the work involved by the MAILTotal No. Additional ADDRESS permit is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which this permit CITY i5 issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Com sat, n Laws Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Data Applica NOTICE TO APPLICANT: If, alter making his Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITY Tel.No. Exemption,you should become subject to the Yorkers'Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions of the Labor Code, you must forthwith com with such PERMIT CII (TOic— pp y Power Apparatus 8 Large Appliances APPLICANT f provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS ' ^7 Z I hereby affirm that I am licensed under provisions of Chapter 9 / (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 incl. /..CITY l� LVI TeI.N Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. Over 50 to 100 In . O D LICENSE ORREG.NUMBER Cts' d -79 Over 100 DISTRICT NO. P SSE0 BY O License Numb Lie Class v U 7 (((( Services.Swbd..MCC&Panelboards P A IZ Coniracto Date0-399 Amp.Under 600 V DIATE ❑ 1 am exempt and r SOc. 400-1000 Amp.Under 600 V - li LIDATION W Over 1000 Amp.or Over 600 V FINAL LU B.&P.C.for this reason BRANCH CIRCUIT FEES SY Of) Date: 15A,or 20A, 120V,Lighting or Recept. z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. ISA,20A,208V To 277V Lighting Br.Circuits _ SINGLE FAMILY Temp.Power Pole&Appurtenances ti--T'`h('(' HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit _7 . _777`l for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits `i- Code): 1 ITEIM', ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors _ t --. is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D I OTAL `' 3 i'F`' and Professions Cade). t I--.L, '�-' "j I C F(:.. 43 CONSTRUCTION LENDING AGENCY '..HaNl3t .00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) 6 Civ. C.) PLAN CHECKING FEE A�pOLI00-001111 L121 1/94 Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 3. 3� that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize rep entatives�%IsCy t0 enter upon the abovemanti0netl property f in pacti n SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE MITTEED' ATE �0019 WORKER'S haveCOMPENSATIONcertificate DECLARATION 76A663 DPW 9/89 APPLICATI'O'N POR ELECTRICAL PERMIT 6A663 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB OBRESS Certified copy is hereby furnished, New Residential Bldgs.&Pools EACH NO. FEE LOCALITY ❑ Certified co Is filed with the count building inspection 1 &2-Family,Sq.Fl. $ — $ copy y 9 p department. Multi-family Sq.FL NEAREST CROSS ST. QIT Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK TPAGE 'PAARRCEELL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. OWNER NAME \ J ` y tom' COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by the MAIL permit is for one hundred dollars($100)or lase.) Total No. Additional ADDRESS I certify that in the performance of the work for which this permit ITY /G� Tel.No. 0 q is issued, I shall not employ any person in any manner so as to PLAIN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT: It, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACHPERMIT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH APPLICANT LICENSED CONTRACTORS DECLARATION ADDRESS } I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH EL (commencing with Section 7000) of Division 3 of the Business and CITY Tal.No. 0 Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR pa« Power Apparatus&Large Appliances REG.NUMBER O License Number Lic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROs S6ED BY F— Up to 3 Incl. Ci���^-�`� W Contractor Date Over 3 to 10 Incl. FINAL d C7 Over 10 to 50 Incl. DATE 7n,� ❑ I am exempt under Sec. Over 50 to 100 Incl ` -Z I _ L VALIDATION Z B.&P.C.for this reason Over 100 elyAL Services,Swbd.,MCC&Panelboards / Dale: 0-200 Amp.Under 600 V Signature 201 -1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. 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 Law = for the following reason (Section 7031.5, Business and Professions Atl ional Sign Branch Cs -«'-17 rrT F+ Code): i 1!ii - ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductor s.[ is not intended or offered for sale (Section 7044, Business 1See C mpl$$te Fe Schedule) and Professions Code). L:-r'1 K f�- D f` `I+r_ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the 1 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE ;ll]f'-tll"_i�, 4j 74 Lender's Name -- PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for illspechon cposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNA A LI AN R AULNI DATE WORKER'S haveCOMPENSATIONcertificate DECLARATION 260019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 6A6& I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3600 Lab. C.) � Policy N ompQ any 5P, lH a. FOR APPLICANT TO FILL IN gOORESS 5 I V�rCLa�' gp Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE �� , 1 &2-Family,S Ft. — $ $ LOCALITY Certified copy is filed with the count it ing inspection y' 9'ily Sq.Ft. _ NEAREST d p�alQm nQt. Multi-faz / Residential Swimming Pools CROSS OR Date I1 "" a 1•/ Applicant �'a✓ MAPASSEBOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR COMPENSATION INSURANCE FIRM NAME First io MAIL (This section need not be completed if the work involved by the Total No. FirstAddi0 MAILADDRESS permit is for one huntlratl dollars($100)or less.) ry I certify that in the performance of the work for which this permit CITY r—E -� T.J.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compen ti h Laws. Lighting Fixtures First 20 APPLICANT —SIG, INC__ �} I - / Total No. Additional Date I' Q3 Applicant �✓ ADDRESS 1414s p^ P„ NOTICE TOA PLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITY Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT M G LICENSED,CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind.(commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. } 22 Over 5010 100 IndREG.NUMLICENSE ORBER 3 O p3 Class I O Q. License 3 _ Over 100 DISTRICT NO. Q . a b Services,Swbd.,MCC&Panelboards �• 0 _ Contractor pate �' 3 0-393 Amp.Under 600 V FINAL O ❑ DATE '/ I am exempt under Sec. 400-1000 Amp.Under 600 V 7 VALIDATION V Over 1000 Amp.or Over 600 V FINAL i W B.&P.C.for this reason BRANCH CIRCUIT FEES By Date: 15A,or 20A, 120V,Lighting or Recept. I Z Signature 1 To 10 Branch Circuits 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Rag.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits _? SINGLE FAMILY Temp.Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ' Code): Conductors d on 8 C ts i u d on C Misc.Mi1 TTEN rht 41.)�I I, as owner of the property, will do the work and the structure t s?0 ii�� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D TOTAL 42 s and Professions Code). CHECK r _r-�1f CONSTRUCTION LENDING AGENCY �'�l x•L(''rt i?.7(} I hereby affirm that there is a construction lending agency for the CHANGE ,10111 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) / nyiv.C.) i ii Lender's Name PLAN CHECKING M1001-0001M1001-0001M1001-00011y✓.: n7�!,(7� PERMIT ISSUING FEE .&40 '_7 E, 1 Ahs nr:7.C, Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 2-90 that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property for insp t o urposes. 7��/r� SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE I CAT WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of con sent,to soli (xsure. 6A663 pr a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) Policy N0. Company FOR APPLICANT TO FILL IN JOB ADDRESS 7 Certified co is hereby furnished. NO. EACH FEE PY� Y New Residential Bldgs.&Pools _ $ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. — CROSS ST.. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rte.—Light Sw. OWNER OR / COMPENSATION INSURANCE FIRM NAME First MAIL (This section need not be completedthe work involved by the Total No. Additional ADDRESS permit is for one hundred dollarsrs(S1(51000)or less.) I certify that in the performance of the work for which this permit CIT Tel.No. is issued, I shall not employ any person in any manner So as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tal.No. Exemption,you should became subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP, provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that 1 am licensed under provisions of Chapter 9 Over 3 to 10 Incl.(commencing with Section 7000) of Division 3 of the Business and CITY Tel,No. Professions Code, and my license is in full force and effect. Over 10 to 50 Ind. LICENSE OR } Over 50 to 100 Incl. REG.NUM ER Class, d Over 100 DISTRICT NO. OCESSEO eV O License Number Lic.Class p V Services,Swbd.,MCC&Panelboards �a0 Ir ContractorDate 0-399 Amp.Under 600 V FINALp O DATE❑ am exempt under Sec. 400-1000 Amp. Under 600 V Q —� /—�� VALIDATION Over 1000 Amp.or Over 600 V FINAL CL --//� __// d BAP.C.for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A, 120V.Lighting or Recept. — 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or Mare Branch Circuits Exemption for Reg.Maint.Elect. 1SA,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances 7 HOME OWNER-BUILDER DECLARATIONSign with One Branch Circuit ACCT. 4T 1 hereby affirm that exempt from the Contractor's License Law T for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code) 3303 48.LO LI{ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors I ITEMSc� is not intended or offered for sale (Section 7044. Business Oth `(See Complete Fee Schedule) D TOTAL � 431' - 60 and Professions Code). fj CHECK 4 .60 CONSTRUCTION LENDING AGENCY n I hereby affirm that there is a construction lending agency for the CHANGE .00 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE 0000-0001 4/15/96 Lender's Name PERMIT ISSUING FEE c2 ' a 5871 1 AM 10,`9 Lender's as certify that at Ihave read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to Comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property far inspect n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE qlon� 51 RtiERM EE T —� PATE r Ain/ EE#1 ION f iN that I have a certificate DECLARATION 76A663 DPW(12 51) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, yr a certificate of Worker's Compensation Insurance. or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB r n ADDRESS Certified co Is hereby furnished. NO. EACH FEE )� PY� Y New Residential Bltlgs.8 Pools _ $ $ LOCALITY ,PiYI•In�+G C —� ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST department. Multi-family$q. Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light_Sw._ OWNFIRM NAME COMPENSATION INSURANCE First C uP_o rst 20 MAIL (This section need not be completed the work Involved by the Total No. Additional ADDRESS /� E. permit Is for one hundred dollars($100)or less.) 13 I certify that in the performance of the work for which this permit CITY T,,,,I?l� C_ Tel,No, is issued, 1 shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT y Total No. Additional /y` 9L ADDRESS Date D Applicant NOTICE TO APPLICANT: If, atter making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITY T.I.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT , provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT _ l LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ? ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 101nc1. ✓� (commencing with Section 7000) of Division 3 of the Business and �� CITY Tel.No, Professions Code,and my license is in full force and effect. Over 10 to 50 Ind /�/ } Over 50 to 100 Ind. - f REGNNUMBER4- j, 7ti Class. 1O License NumberLia Class /© �NppG�6 Over 100 DISTRICT NO. PSSED BY O ?i0/ / rD� tl Services,Swbtl.,MCC 8 Panelboartls dA Q FINAL vv "`CCC 0-399 Amp.Under 600 V Q Contractor at¢ DATE —/ —9� ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION V Over 1000 Amp.or Over 600 V FINAL W B.&P.C.for this reasonBY BRANCH CIRCUIT FEES (. Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits 7 Exemption for Reg.Maint.Elect. 15A,20A,.2OBV To 277V Lighting Br.Circuits SINGLE FAMILY Temp, Power Pole&Appurtenances AC:CT.4 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit JOOJ e05.40 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 1 ITEMS IS Code): 13 1, Conduits&Conductors TOTAL 305 . 40 I, as owner of the property,will do the work and the structure �i� t is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D CHECK 305.40 and Professions Code). CHANGE .OD CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the �� O performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) 0000_0001 4/19/96 Civ. C.) PLAN CHECKING FEE 5967 1 AM 8:54 Lender's Name n PERMIT ISSUING FEE oc 7 Q Lender's Address _ I certify that at Ihave read this application and under penalty of purjury state TOTAL FEE 6 O that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County 10 enter upon the above-mentioned property for ctien Wiposes. SEE REVERSE FOR EXPLANATORY LANGUAGE h'-iS 94 SIGTIATUREOFPEHMITTEE HATE , WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 0-001 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGEL-ES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sed.3800 LaIt. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB .RESS❑ Certified copy is hereby furnished. NO. EACH FEE LOCALITY 4 1 , New Residential Bldgs.&Pools LOCALITY ❑ 1&2-Family,Sq.Ft — $ $ Certified copy is filed with the county building inspection . NEAREST d department. Multi-family Sq.Ft. CROSS ST. Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rea Light-It—Suv. OWNER OR COMPENSATION INSURANCE FIRM NAME First 20 MAIL ' (This section need not be completed if the work involved by the Total No. �� Adtlitional ADDRESS permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY T.I.No. is issued, 1 shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' mpensation Laws. Lighting Fixtures First 20 APPLICANT 1 TO No. Additional .1 ADORES Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. J NOTIC T PLICANT: I(, of making this Corti licate of CITY o. _ Exempti ,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. prov Ions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP.KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind.(commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. 1 ! Over 50 f0 100 Incl. RICENSE OR EG.NUMBER Class. EL License Number 6 7 6 zLL Lic. ss Over 100 DISTRICT NO. SEED BY O 30/Services,Swbd.,MCC 8 Panelboards 1ij(7C/F.�C.GJ Q 0-399 Amp1 7- .Under 600 V FINAL O Contractor Date DATE A //y F ❑ I am exempt unde cc. 400-1000 Amp.Under 600 V �( 6 ( (� VALIDATION w Over 1000 Amp.or Over 600 V FINAL d B.&P.C.to Is reason By / BRANCH—CIRCUIT _ / fO Date: 15A,or 20A, 120V.Lighting or Recept. ��'VVV Z 1 To 10 Branch Circuits ignature 11 To 40 Branch Circuits F] - 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances ? HOME OWNER-BUILDER DECLARATION s I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit a for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ,Jy�I_ =r4.!IF Code): I, as owner of the property, will do the work and the structure Misc.Conduits&Conductors 1 C�tO is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) D '�I1 H!. a:-'FF >e 15 and Professions Code). r'`__.`. 54- . lti�<.ix .l�a .LS CONSTRUCTION LENDING AGENCY 't t r I hereby affirm that there is a construction lending agency for the CHA IGE 'CQ performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Q Civ.C.) PLAN CHECKING FEE 0900-00,311, 6.11=`j _ Lender's Name — i •y,1 - PERMITISSUINGFEE �°=' 1 AN Lender's Lender's Address I certify that I have read this application and under penalty of purlury stale TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws 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 F• 2 23-9S SIGNATURE OF PERMITTEE DATE WORKER'S haveCOMPENSATIONcertificate DECLARATION 76A663 (12-91) APPLICATION FOR ELECTRICAL PERMIT fJ 0-001 I hereby affirm that I have a certificate of consent to self insure, or a certificate of worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Codified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ Certified copy is filed with the county building inspection 1 8 2 Family,S9.FL $ $ department. Multi-familyS Ft. NEAREST 9� CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCE CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._LightSw._ DwNER OR COMPENSATION INSURANCE FIRM NAME L First 20 MAIL permit Is fon need not be comps [S1 0 the work involved by the / permit Is for one hundred dollars(3100)or less.) Total No. Additional ADDRESS I certify that in the performance of the work for which this permit CIT Tel.No. is Issued, I shall not employ any per p 10 any manner s0 as to PLAN CHECK become subject to the Workers'Co en anon aws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS T� Date LI Applic t RESIDENTIAL APPLIANCES NOT OVER 3 HP. 1`NOTIC TO APPLICANT: If, a?making Certificate of CITY Tel.No. Exemption,you should become subject to the WorkersCompensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Cade, you must forthwith comply with such P MIT / L�7� provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances PPLICANT LICENSED CONTRACTORS DECLARATION Size&Type FIR KW,KVA,or KVAR pp ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Incl. •n CITY Tal.No. Professions Cade,and my license is in full force and effect. Over 10 to 50 Incl. q Over 50 to 100 Incl. LICENSE B /�O 7 / Class. /v a ^ REG.NUMBER �7 {,,� Over 100 DISTRICT NO. PROCESSED BY Q License Num V —71 Lic.Class O '7 Services,Swbd..MCC&Panelboards Q Centra or ate � 'r` 0-399 Amp.Under 600 V FINAL 0 400-1000 Amp.Under 600 V / 0 ❑ I am exempt under Sec. 7"_Z VALIDATION LU Over 1000 Amp.or Over 600 V FINAL ` Q. B.BP.C.for this reason — BRANCH CIRCUIT FEES BY Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El41 Or More Branch Circuits Exemption for Reg.Maid.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 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 Law -1l••.: a: for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits n' Cade): ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors I i(EIS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) H1 m � D a^- and Professions Code). CONSTRUCTION LENDING AGENCY , I hereby affirm that there is a construction lending agency for the IN".��IlE ,1}4} 3 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) .:. Civ.C.) PLAN CHECKING FEE Lender's Name 7J PERMIT ISSUING FEE 99�:q 1 PM .rl%I Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize rep entatives of this County to enter upon the above-mentioned property f i pectin purp � SEE REVERSE FOR EXPLANATORY LANGUAGE E DATE WORKER'S haveCOMPENSATIONcertificate DECLARATION 20-0018 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT LI fiA663 I hereby affirm that I have a certificate of consent to self insure. or a ce:tif icate of Worker's Compensation Insurance, or a certifietl COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab.C.) Policy NO. Company FOR APPLICANT TO FILL IN JOB ADDRESS NO. EACH FEE Certified copy is hereby furnished. New Residential Bldgs.8 Pools LOCALITY G ❑ Certified copy is filed with the count building inspection 1 &2-Family,Sq.Ft. — $ $ department. y g p Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' pullets:Rea—light Sw. FIROWNER OR G'J COMPENSATION INSURANCE First NAME (This settlor need not completed the work involved by the Total No. Additional MAIL ional ADDRESS permit Is for one hundredd dollars(5100O)or less.) I certify that in the performance of the work for which this permit CIN T.I.No. 04 is issued, I shall not employ any person in any manner 50 as t0 PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 MP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT p LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. >_LICENSE Class. Over 50 to Incl. REG.NUMBB ER d Over 100 DISTRICT NO. R ESSED BY O License Number Lic.Class 0 Services,Swbd.,MCC&Panelboards W Contractor Date 0-399 Amp.Under 600 V DATE Q ❑ I am exempt under Sec. 400 1000 Amp.Under 600 V VALIDATION U Over 1000 Amp.or Over 600 V FINAL LU B.BP.C.for this reason BRANCH CIRCUIT FEES BY 0. 1;0 Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑- 41 Or More Branch Circuits Exemption lar Reg.Mamt.Elect. 15A.20A,208V To 277/Lighting Br.Circuits SINGLE FAMILY yV'L'( ET Temp.Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION -f I hereby affirm that I am exempt from the Contractor's license Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits T Mr Code): , as owner of the property, will do the work and the structure Misc.Conduits&Conductors 1011 s9L —3" _ 8-4 is not intended or offered for sale(Section 7044, BusinessOPERMIT'fEE See Complete Fe Schedule) hy_I 47 e 5 and Professions Cade). (ASH1111 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, (Sub-Total) i nc PLAN CHECKING FEE 99 7 0 h Lender's Name r r" PERMIT ISSUING FEE 5;;7 Lender's Address 1 certify that I have read this application antl under penalty of purjury StateTOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above mentioned property for inspection puripSEE REVERSE FOR EXPLANATORY LANGUAGE 4-�7-9s SIUOF PERMTT� DATE MA] V�EN I A NCE 9 WOfiA663RKER'S COMPENSATION DECLARATION 260019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT ll I hereby affirm that I have a certificate of consent to self insure, or a Geri ficate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.5800 Lab. C.) Policy Nd C1 1293MR10sny Trance o rf of i On FOR APPLICANT TO FILL IN JOB OORESS 9451 E. Broadway Certified copy is hereby furnished. Insurance .CO. New Residential Bldgs.B Pools NO. EACH FEE LOCALITY Temple City ® Certified copy is filed with the y uilding inspacti 1 &2-Family,Sq.FL — $ $ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date 2/2/93 Applicant Residential Swimming Pools ASSESSOR MAP BOOK Pi GE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' . OWNE N NM COMPENSATION INSURANCE Outlets:Rec.9Q Light IL-Il Sw.s.0 2 1..70 34. 00 (This section need not be completed if the work Involved by the 300 First 202K 1 -16 _124 NooRESs 1531 We St 9th Street permit is for one hundred dollars(5100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY LOS Angeles T.I.N213 251-3 M is Issued. I shall net employ any person in any manner so as to 201..70 34. 00 PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT John Bartlett ASSOC. Total No?�-0 Additional 90 - 1 16 220 40 ADDRESS 2SO West Colorado Blvd. #290 Data Applicant • .� , NOTICE TO APPLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3,HP. CITY Te �" Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. Arcadia, CA BIB 445-0035 provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus 8 Large Appliances 1 APPLICANT , LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR 1I ADDRESS• I hereby affirm that I am licensed under provisions of Chapter 9 , 10 17.45 174 50 , (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10Incl. CITY // '' Tei.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. 3 41.03 123 -09 fr' d� LICENSE OR Over 50 to 100 Incl. REG.NUMBER I? 266749 C-10 Over 100 a License Number Lic.Class DISTRICT NO. p P SSED BV Q Services,Swbd.,MCC&Panelboards - �eO ¢. o-393 Amp.Under 600 V 6 34-•80 208 80 FINAL p ContractorTHE GIDDENS COl�,yj�. 2/x./93 DATE ❑ 400-1000 Amp. Under 600 V t o—Z — VALIDATION U' am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL IJLI d B.&P.C.for this reason ii BY BRANCH CIRCUIT FEES Fn Date: /5A,or 20A. 120V,Lighting or Recept. Z' 1 To 10 Branch Circuits �z.f Signature 11 To 40 Branch Circuits �3 ❑ Exemption for Reg.Maim.Elect. 15A,20A,208V To 277VOghting BSS.Circuich ts41 F i SINGLE FAMILY Temp.Power Pale 8 Appurtenances " -- y HOMEOWNER-BUILDER DECLARATION �a_�(�— 3 AL.t.T.. I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit �j � _ for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3307 1356.6i Code): 1 ITEMS F1I, as owner of the property, will do the work and the structure Misc.Conduits 8 Conductors ... � ,� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ -- - TOTAL 135='.Oi and Professions Code). D CHECK 1.:56.67 CONSTRUCTION LENDING AGENCY s�----++�ra.�e�ww {.RANGE .OLf I hereby affirm that there is a construction lending agency for the $aT9''T�l performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total)PLAN CHECKING FEE 1 331 92 Civ. C.) 0000-0001 2/ 5/i?, Lender's Name N/A 9058 1 AN10:0_` PERMIT ISSUING FEE 24 75 Lender's Address TOTAL FEE 1',356.67 I certify that I have read this application and under penalty of purjury state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to ler upon the above-mentioned property f ssp-a"I0, ses. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PE 9lTEE DATE WORKER'S thatIhaveCOMPENSATION DECLARATION 200019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT IJ 0.001 I hereby affirm that I have a certificate of consent to self insure, .r a hertificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3 00 Lab. C.) ,^K�I�1`11 1 •f//I �.1 L./'' ) Qn''�''j� Poll NO. Company 1'– �� ��'y`� � Irvl FOR APPLICANT TO FILL IN gDDRESS aCertified copy is hereby furnished. �– / 7 I New Residential Bldgs.&Pools NO. EACH FEE_ S Certified copy is tiled with the county building' speer n 1 &i--Family,Sq.Ft. LOCALITY d 8 rr ,, department. I Multi-family Sq.Ft. CROSS ST. Date pplioant.. Residential Swimming Pools ASSESSOR MAPBOOK � p / PAGE Gn 7 PARCEL CERTIFICATE OF EXEMPTION FROM WORKE ' Outlets:Rea Light 1-Sw. OWNER COMPENSATION INSURANCE FIRM NAME W4 �/j, First 20 MAIL G. 1 (This section need nd be comps($1 0 the work Involved by the Total No. P6 Additional ADDRESS ✓� v� �y permit is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which this permit CITY lel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE APPLICANT: after making this Certificate of CITY Tel.No. Exemption..you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. _ provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoketl. �����q Power Apparatus&Large Appliances APPLICANT (Oq((o LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS Y1Tf ` I hereby affirm that I am licensed under provisions of Chapter 9 cd Over 3 to 101nc1. ' 1 , ^ (commencing with Section ]000) of Division 3 of the Business and CITY N.� Nr-- Tel.No. S Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. } Over 50 t0 100 Ind. LICENSE OR REG.NUMBER Class'G."�Q d ,t]� ,,AA�� Over 100 DISTRICT NO. P 0 SSED BY Q License Number– 2A Lia CIa &LO / II � Services,Swbd MCC 8 P nab rds KK ly1 � /J���� ��__ 0 n1V J 49'0FINAL O Contractor f�L{A Date pATE 0 ❑ 400- 1000 Amp.Under 600 V I am exempt under Sec. VALIDATION V Over 1000 Amp.or Over 600 V W FINAL B.&P.C.for this reason BY a. BRANCH CIRCUIT FEES Date: 15A,or 20A, 120V.Lighting or Recept. Z 1 To 10 Branch Circuits Signature 1 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A.20A,208V To 277V Lighting Br.Circuits I SINGLE FAMILY Temp.Power Pole&Appurtenances y, HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits .3.303 _`1�re2G Code):EJ IT TE11,,��f 1 S� 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors i �c is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) 'r_ D TOTAL fTNL 2 1— ® 20 and Professions Code). CHECK 114.moi] CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency For the �.`-Hr1N1�F '(LI performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Q Civ.C.) 14, Lender's Name (yrlt' rl I /j PLAN CHECKING FEE 1-3000-13001 /– PERMIT ISSUING FEE �Cf� Q ZaSb 1 AN %YE. Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE Al-_ that the above information is correct. I agree to comply with all County ordinances and State laws re Iating Electrical wiring,and hereby authorize representatives o this Coun to enter upon the above-mentioned property I in act n o Wrnonu poses. SEE REVERSE FOR EXPLANATORY LANGUAGE 5IGNA URE OF PERMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY - A 0508' ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0603150001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91700 PHONE: (626) 285-04BB EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917B02455 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS-TUNAS 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JY MOTORS, SHP 2.00 MOT 39.30 TENANT: JZ MOTORS, 10HP 3.00 MOT 58.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: JO MOTORS, ISHP 5.00 MOT 230.25 03/15/06 JK 09/11/06 J1 MOTORS, 20HP 2.00 MOT 92.10 OWNER: TEL. NO: TOTAL FEES 448.35 FINAL DATE FINAL BY: CODE: ROMAN CATHOLIC ARCHOBISHOP OF LA - ��/�` / /7 1531 9TH ST L LOSA CA 90015112 -4& SCRIPTI N OF WORK ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2006 APPLICANT: TEL. NO: J. A. SLASH SHOW (909) 902-1032- 12501 VERDUGO PL SPECIAL CONDITIONS: CHINO CA 91710 CONTRACTOR: TEL. NO: _ APPROVALS DATE INSPECTOR SIGNATURE STEVEN SWARTWOOD (909) 902-9834- 12656 CARISSA LIC. NO - TEMPORARY POWER POLE CHINO CA 91710 542397 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: OPEN GROUND LSC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED A 1 REPORT ID: DPR265 ROUTE TO: BSO508 t ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703080022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0486 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ON FILE I 9451 BROADWAY IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:I TEMP CA 917802455 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS - 18588-004-018 1A1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 1 1 1 J MOTORS, SHP 2.00 MOT 39.30 1 (TENANT: IJZ MOTORS, 10HP 3.00 MOT 58.95 TISSUED ON: PROCESSED BY: PLAN BY: ,EXPIRES ON: IJO MOTORS, 15HP 5.00 MOT 230.25 103/08/07 JK09/04/07 J1 MOTORS, 20HP 2.00 MOT 92.10 1 I (OWNER: TEL. NO: I TOTAL FEES 448.35 IFINAL DATE FINAL BY: CODE: 1 ROMAN CATHOLIC ARCHOBISHOP OF LA - 1 VD 11531 9TH ST I 1 LOSA CA 90015112 1 DESCRI PTIbN1013 W I ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2007 I I I I 1APPLICANT: TEL. NO: I 1 IJ. A. SLASH SHOW (909) 902-1032- 1 1 I 112501 VERDUGO PL I (SPECIAL CONDITIONS: ICHINO CA 91710 I . Itr � I I CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1 STEVEN SWARTWOOD (909) 902-9834- i— - I 1 112656 CARISSA LIC. NO _ TEMPORARY POWER POLE ICHINO CA 91710 542397 C10 (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: _ UFER.GROUND LIC. N0: IROUGH CONDUIT I I IROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN I I I 1UTILITY.COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I REPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0506 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508 0903100019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID _ BUILDING ADDRESS ON FILE 9451 BROADWAY L I IFEE DESCRIPTION: QUANTITY: OOM: AMOUNT: - TEMP 'CA 917802455 IASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS, 8588-009-018 1A1 PERMIT ISSUANCE FEE 27.95 THOMAS PAGE: 596 GRID: J4` LOCALITY: TEMPLE-CITY I IJY MOTORS, SHP 2.00 MOT 39.30 TENANT: JJZ MOTORS, 10HP 3.00 MOT 56.95 ITSSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I IJO MOTORS, 15HP 5.00 MOT 230.25 103/10/09 _ SR 09/06/09 I J1 MOTORS, 20HP 2.00 MOT 92.10 1. 1 TOWNER: TEL. NO: TOTAL FEES 498.35 iFIIJ ATE FINAL Y: CODE: I ROMAN CATHOLIC AACHOB IS HOP OF LA 5 531 9TH ST ao JLOSA CA 90015112 IDESCRIPTION1OF WORD iELECTRICAL FOR FIESTA CARNIVAL RIDES - 2009 (APPLICANT: TEL. NO: IJ. A. SLASH SHOW (909) 902-1032- I 112501 VERDUGO PL - SPECIAL CONDITIONS: ICHINO CA 91710 - CONTRACTOR: TEL N0: APPROVALS DATE INSPECTOR SIGNATURE STEVEN SWARTWOOD (909) 902-9834- - � 112656 CARISSA LIC. NO +ITEMPORARY POWER POLE ICHINO CA 91710 542397 C10 (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO:II IUFER GROUND 6GROUND�� LIC. N0: 'ROU(ROUI HCONDU IROUGH WIRING ' IMAIN WATER LINE IPLASTIC YIN- METAL YIN (UTILITY COMPANY NOTIFIED 1 1 I I I I I 1 I I I I I I I I I I I I I I \ I I I I I .� a4• ,� �;�.1_J\ iREPORT ID: DPR265 ROUTE T0: BSO508 n COUNTY OF IAS ANGELES TEMPLE CITY q 0508 ' ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL, 0508 1004140030 BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY.CA 91780 c PHONE: •(626) 265-0488 EXT: (LEGAL ID: FEES PAID I - BUILDING ADDRESS: ON FILE I ,`I; 1^•`19451 BROADWAY (FEE DESCRIPTON: _ ( QUANTITY: UOM: - AMOUNT: I TEMP CA 917802455 ' (ASSESSOR INFORMATION NUMBER: I I` - NEAREST CROSS STREET: LAS TUNAS I 18588-009-018 JAI PERMIT ISSUANCE FEE ,27:75 CJ, - THOMAS PAGE: 596 GRID: S4 LOCALITY: TEMPLE CITY ?O'TRANSFORMERS, 25 KVA - 5.00 XFM 230125 I - ITENANT: 1JY MOTORS, 5HP 2.00 MOT 39.30 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: IJZ MOTORS, 10HP 3-.00 MOT 58-.95,. 109/14/10 SR 04/14/11 I IJ1 MOTORS, 20HP 2.00 MOT 92.10 I' TOWNER: TEL. NO: I TOTAL FEES 448.35 (FINAL DATE FINAL Y: CODE: _ ROMAN CATHOLIC ARCHOBISHOP OF LA - 11531 9TH ST - J�)''�LI b ILOSA CA 90015112 - -IDE CRIPTION OF WORK 1 _ '.1ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2010 1APPLI CANTTEL. NO: 1 IJ. A. SLASH SHOW (909) 902-1032- 112501 VERDUGO PL ICHINO CA 91710 1 ISPECIAL CONDITIONS: 1 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISTEVEN SWARTWOOD (909) 902-9834- 1 - 112656 CARISSA LIC. NO iTEMPORARY POWER POLE ICHINO CA 91710 542397 C10 (UNDERGROUND CONDUIT I 1 ARCHITECT OR ENGINEER: TEL. NO: - - IUFER GROUND ZP� LIC. NO: IROUGH CONDUIT ' (ROUGH WIRING IMAIN-WATER LINE . i PLASTIC YIN METAL YIN .(UTILITY COMPANY NOTIFIEDI I I 6 I I I I I I I I I I (REPORT ID: DPR265 ROUTE TO: 850508 I I I ' COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204120045 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: I LEGAL ID: FEES PAID 1 BUILDING ADDRESS: I ON FILE 9451 BROADWAY . FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I TEMP CA 917802455 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LAS TUNAS 18588-004-018 1A1 PERMIT ISSUANCE FEE 27.80 ( THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY I IJO TRANSFORMERS, 25 KVA 5.00 XFM 230.50 1 ITENANT: 1JY MOTORS, SHP 2.00 MOT 39.40 (ISSUED ON: PROCESSED BY: PLAN BY: I JJZ MOTORS, 10HP 3.00 MOT 59.10 104/12/12 SR 1 J2 MOTORS, 25HP 2.00 MOT 92.20 IOWNER: TEL. NO: I TOTAL FEES 449.00 1FINAL Dy�Tc FINAL BY: CODE: 1 ROMAN CATHOLIC ARCHOBISHOP OF LA - /'�I� I 1 i � ` 11531 9TH ST 4 1 /� ILOSA CA 90015112 DESCRIPTION OF WORK ELECPRICAL FOR FIESTA CARNIVAL RIDES - 2012 (APPLICANT: TEL. NO: J. A. SLASH SHOW (909) 902-1032- 112501 VERDUGO PL SPECIAL CONDITIONS: CHINO CA 91710 I CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 I STEVEN SWARTWOOD (909) 902-9834- 1_ 112656 CARISSA LIC. NO ITEMPORARY POWER POLE CHINO CA 91710 542397 C10 I I I (UNDERGROUND CONDUIT IARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I LIC. NO: ROUGH CONDUIT Vl/ I I (ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL YIN (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I REPORT.ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 1103100033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 265-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE j 9451 BROADWAY (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I TEMP CA 919802455 (ASSESSOR INFORMATION NUMBER: 1 _ NEAREST CROSS STREET: LAS TUNAS 8588-004-018 lA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JO TRANSFORMERS, 25 KVA 5.00 XFM '230.60 (TENANT: JJY MOTORS, SHP 2.00 MOT 39.40 11SSUE0 ON: PROCESSED BY: PLAN BY: IJZ MOTORS, IOHP 3.00 MOT 59.10 103/10/11 SR 101 MOTORS, 20HP 2.00 MOT 92.20 1 1 OWNER: TEL. NO: TOTAL FEES 449.10 FINAL DATE FINAL BY: CODE: (ROMAN CATHOLIC ARCHOBISHOP OF LA - - 11531 9TH ST �LOSA CA 90015112 (DESCRIPTION OF WORK (ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2011 1APPLICANT: TEL. NO: 1 1 IJ. A. BLASH SHOW (909) 902-1032- 1 112501 VERDUGO PL SPECIAL CONDITIONS: ICHINO CA 91710 1 1 1 I I I CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE (STEVEN SWARTWOOD (909) 902-9834- 112656 CARISSA LIC. NO (TEMPORARY POWER POLE ICHINO CA 91710 542397 C10 UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: 15FER GROUND 1 - 11 I � I I I LIC. NO: TROUGH CONDUIT IROUGH WIRING I I I MAIN WATERLINE PLASTIC YIN METAL YIN I I I 1 1UTILITY COMPANY NOTIFIED( I EXPIRED 3 '/e/a (REPORT ID: DPR265 ROUTE TO: B50508 COUNTY OF LOS ANGELES TEMPLE CITY q 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0503 1404210049 BUILDING AND SAFETY / LANE) DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE T 9451 BROADWAY (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917802455 (ASSESSOR INFORMATION NUMBER INEAREST CROSS STREET: LAS TUNAS 18588-004-018 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY ID2 CARNIVL DISPLAY LGT 2.00 DIS 32.40 (TENANT: JY MOTORS, 5HP 6.00 MOT 118.20 JISSUED ON: PROCESSED BY: PLAN BY: IJO MOTORS, 15HP 4.00 MOT 184.40 104/21/14 SR III MOTORS, 20HP 2.00 MOT 92.20 1 TOWNER: TEL N0: IJ3 MOTORS, SOHP 3.00 NAT 138.30 1FIIIINAL DATE FINAL BY: CODE: 1ROMAN CATHOLIC ARCHON IS HOP OF LA - TOTAL FEES 593.30 I �I y�I, y`I� 11531 9TH ST ,A�[1fTI_1 w --- ILOSA CA 90015112 1D 1 PTIO1 OF TWORI (ELECTRICAL FOR FIESTA CARNI AL RIDES AND GENERATOR 2014 APPLICANT: TEL. N0: , GERALD (JERRY) BAQUE (909) 902-9834- IPO BOX 2417 1 5 PECIF,L CONDITIONS RANCHO CUCAMONGA : I I I � 1 CONTRACTOR: TEL. NO: JPPPRCVALS DATE INSPECTOR SIGNATURE STEVEN SW.ARTWOOD (909) 902-9834- 1 1 112656 CARISSA LIC. NO ITEMPORARY POWER POLE I I 1CHINO CA 91710 542397 1_ 1 UNDERGROUND CONDUIT I (ARCHITECT OR ENGINEER: TEL. NO: 1 1pFER GROGND 1 ( I LIC. NO: ( ROUGH+CONDUIT IROUGH WIRING NAIN WATER LINE (PLASTIC YIN METAL YIN I_ I 1 I (UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9711200049 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASS SOR IN AT ION NUMBER: NEAREST CROSS STREET: 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRES ON: 11/20/97 UT 11/20/98 OWNER: - TEL. NO: FINAL DATE FINAL BY: ODE: ROMAN CATHOLIC ARCHBISHOP OF L A - 1531 9TH ST `z/z - LOSA 900151112SCR T'IOON Ur WUKK ELECTRICAL FOR MARQUEE SIGN APPLICANT: EL. 0: SAME AS OWNER - SPECIAL CONDITIONS: P�GELES CoCi CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNA URE SAME AS OWNER LIC. NO � qTEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: O U R OUND T LIC. NO: ROUGH CONDUIT WOUGH WIRING PUBLIC ,'fVA^6LiJLIC W® MAIN WATER LINE J PLASTIC Y/N METAL Y/N UTILITY C PAN NO ED 0CIDj . � 00 r ' �,. 0 0 0 0 REPORT ID: DPR265 ROUTE TO: BSO5O8 ' 1 1 J �sM COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9704140006 BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA PHONE: (818) 285-0488 EXT: I-EGALES PAID BUILDING ADD ON FILE 9451 BROADWAY - FEF. DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: - 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY D2 CARNIVL DISPLAY LGT 1.00 DIS 16.35 TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRES ON: 04/16/97. LC i 04/16/98 OWNER: TEL- O: - FINAL DATEt/ Q FINAL BY: CODE: ROMAN CATHOLIC ARCHBISHOP.OF L A 1531 9TH ST (U LOSA 900151112 6� RIP 0 0 WORT. ^I� ELECTRICAL FOR FESTA IL 0: �J SAME AS-OWNER SPECIAL CONDITIONS: c CONTRACTOR: TEL. N0: / APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - ���/� "`�' 0 00 >\ LIC. NO ' s{ 0 � TEMPORARY POWER POLE SN U®O H 9 0 ll G n� UNDERGROUND CONDUIT ARCHITECTENGINEER: L. ROUND LIC. N0: ROUGH CONDUIT - w ut ROUGH RIN ( MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY (COMP NY NO IED - REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 4 0506 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304150001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE I 9451 BROADWAY IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917802455 1ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET: LAS TUNAS 18588-004-018 1A1 PERMIT.ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 1 I IDB BOOTH LGT, SYSTEM 2.00 BOO 32.40 1TENANT: - 1JY MOTORS, SEP 6.00 MOT 118.20 11SSUED ON: PROCESSED BY: PLAN BY: IJO MOTORS, 15HP 4.00 MOT 184.40 104/15/13 SR IJ1 MOTORS, 20HP 2.00 MOT 92.20 1 1OWNER: TEL. NO: IJ3 MOTORS, 50HP 3.00 MOT 138.30 FINAL�DAT)E FINAL BY: CODE: ROMAN CATHOLIC ARCHOBISHOP OF LA - i TOTAL FEES 593.30 1 - 1 11531 9TH ST �'/' 'In r I LOSA CA 90015112 IDR PTION OF WORK ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2013 1APPLICANT: TEL. NO: 1 'I GERALD (JERRY) BAQUE (909) 902-9834- 1PO BOX 2417 1 1SPECiAL CONDITIONS: 1 :RANCHO CUCAMONGA I I I I CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE :STEVEN SWARTWOOD (909) 902-9834- 1 1 12656 CARISSA LIC. NO q TEMPORARY POWER POLE CHINO CA 91710 542397. 1 I 1 1UNDERGRO'JND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND I I LIC. N0: _ ROUG'cCONDUIT - ROUGH WIRING MAIN WATER LINE_ I I iPLASTTC YIN METAL YIN I I I ' (UTILITY COMPANY NOTIFIED I I I I. 1REPORT ID:, DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT 'DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9704180004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA - PHONE: (818) 285-0488 EXT: LEGAL S P BUILDIWG ADDRESS: ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JX MOTORS, LT 3 HP 5.00 MOT 77.25 TENANT: JY MOTORS, 5HP 2.00 MOT 39.30 ISSUED : PROCESSED : PLA 0 : J2 MOTORS, 10HP 2.00 MOT 39.30 04/18/97 TC 04/18/98 O J3 MOTORS, 50HP 1.00 MOT 46.05 OWNER: TEL. NO: TOTAL FEES 229.65 FINAL DATE FINAL BY: E: 153ROM9THTSTLIC ARCHBISHOP OF L A LOSA 900151112 SCRIP ONWOE ELECTRICAL FOR CARNIVAL RIDES APPLICANT: TEL. NO: ARCHIE'S ELECTRIC (818) 919-0622- /� p \ SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: (' ARCHIE ELECTRIC (818) 919-0622- Sa l� rr APPROVALS DATE INSPECTOR SIGNATURE 1307 THACKERY STREET LIC. NO iA,P�ij-,.� Q p OR P POLE WEST COVINA, CA 440179010 s)i u o V w°a.d�}n s n d UNDERGROUND CONDUIT ARCHITECT R GIN L. GROUND LIC. NO: U ROUGH CONDUIT ROUGH uuu U ING r MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIME3 REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT. DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ELt0508`9904090007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID DING ADDRESS: ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASS SSORORMA 0 NU ER: NEAREST CROSS STREET: CLOVERLY 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.35 TENANT: TOTAL FEES 44.10 ISSUED N: PROCESSED Y: PLAN BY: EXPIRES ON: 04/09/99 UT 04/09/00 OWNER: TEL. NO: FINAL DATE FINAL BY: ODE: ROMAN CATHOLIC ARCHBISHOP OF L A - 1531 9TH ST - G -' LOSA 900151112 D SCRIP ON OF WORK BOOTH LIGHTING FOR-FIESTA APPLICANT: TEL. O: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: V0S PNGELES coAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE / UNDERGROUND CO DUIT ARCHITECT OR ENGINEER: EL. NO: / - RGROUND UI LIC. NO:� 1111717 ROUGH CONDT `(►J-)I- ROUGH NG u D U C �n n o ln M MAIN WATER LINE l V l� u\'�' PLASTIC Y/N METAL Y/N LI COMPA NOTIFIED p O ®10 �pt`ti Service Thai aw3 REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0004120035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: EES PAID BUILDING ADDRESS: ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917802455 ASSESSOR INFORMATION NUM-BER. NEAREST CROSS STREET: 8588-004-018 AT PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JY MOTORS, SHP 2.00 MOT 39.30 TENANT: J2 MOTORS, 1OHP 3.00 MOT 58.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: JO MOTORS, 15HP 5.00 MOT 230.25 04/12/00 UT 10/09/00 J2 MOTORS, 25HP 2.00 MOT 92.10 OWNER: TEL. N0: TOTAL FEES 44835 FINAL DATE FINAL BY;el ROMAN CATHOLIC ARCHBISHOP OF L A 1531 9TH ST -z LOSA 900151112 DESCRIPTIO OF WORK I `/ ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2000 APPLICANT: TEL. NO: STEVEN SWARTWOOD (909) 902-1032- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: 5 PNGE LE S ``OWN APPROVALS DATE INSPECTOR SIGNATURE STEVEN SWARTWOOD (909) 902-9834- 12656 CARISSA LIC. NO TEMPORARY POWER POLE CHINO CA 542397 C1O / UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NU: / UFR GROUND LIC. NO:� 11�I111 ROUGH CONDUIT ROUGH WIRING G�11 11(71 (1 C n /l OOR(1// � MAIN WATER LINE U IIJ�ILI� \1�JII\\VI! lll�((�1 PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED G6�7c o< Sery ice Tha�� REPORT ID: DPR265 ROUTE TO: BSO5O8 •COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0004120001 BLILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 B00 16.35 TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 04/12/00 UT 10/09/00 OWNER: TEL. N0: FINAL DATE FINAL BY: n j CODE: ROMAN CATHOLIC ARCHBISHOP OF L A 1531 9TH ST –� LOSA 900151112 DESCRIPTIO OF–Z�W RK BOOTH LIGHTING FOR FIESTA - 2000 APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: 5 PNGE LE S Co APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO / TEMPORARY POWER POLE / UNDERGROUND CONDUIT ARCHITECT OR-ENGINEER: TEL. NO: / UFER GROUND LIC. NO:� _ 111111 ROUGH CONDUIT `�►,J—L ' ROUGH WIRING G�n �l O �l �C 1T /1 p0�IN ((� MAIN WATER LINE U 111 U11V!/ In//, N\1J PLASTIC Y/N METAL Y/N UTI ITY COMPANY NOTIFIED O 0 ,11, O ❑ 'G'+ f, i•, 0 0 ® ®y G6/7c Service Tha��ot REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL .PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL`0508.9903300023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -"' —• PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING-ADDRESS: ON FILE 9451.aBROADWAY - FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA'917802455 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JY MOTORS, 5HP 2.00 MOT 39.60 TENANT: JZ MOTORS, 10HP 3.00 MOT 59.40 ISSUED ON: PROCESSED BY: PLN BY: EXPIRES ON: JO MOTORS, 15HP 5.00 MOT 230.25 03/30/99 UT 03/30/00 J2 MOTORS, 25HP 2.00 MOT 92.10 OWNER: TEL. NO: TOTAL FEES 449.10 FINAL DATE FINAL BY: ROMAN CATHOLIC ARCHBISHOP OF L A 1531 9TH ST LOSA 900151112 DESCRIPTION OF WOR ELECTRICAL FOR FIESTA CARNIVAL RI VES APPLICANT: EL. NO• STEVEN SWARTWOOD (909) 902-1032- SPECIAL CONDITIONS: NGELES CO CONTRACTOR: TEL. N0: OS PNT APPROVALS DATE INSPECTOR SIGNATURE STEVEN SWARTWOOD (909) 590-7592- ti y 5775 RIVERSIDE LIC. NO TEMPORARY POWER POLE CHINO CA 542397 C10/ / UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: ER GROUND LIC. NO 1111111 ROUGH CONDUIT UGH WIRING HIN U Su L�O W OR u U S PLASTIICTER Y/NLINE METAL Y/N c MLITY COMPANY FIE 0 ServOe Thta � REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0803240027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID ADDRESS: I ON FILE 9451BROADWAY 9451 BROADWAY 1 (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917802455 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LAS TUNAS '8588-004-018 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY- JY MOTORS, SHP 2.00 MOT 39.30 (TENANT: IJZ MOTORS, 10HP 3.00 NAT 58.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 IJO MOTORS, 15HP 5.00 MOT 230.25 103/24/08 SR 09/20/08 J1 MOTORS, 20HP 2.00 MOT 92.10 (OWNER: TEL. NO: I TOTAL FEES 448.35 (FINAL DATEEXPIRED: CODE: (ROMAN CATHOLIC ARCHOBISHOP OF LA 11531 9TH ST LORA CA 90015112 IDESCRIPTION OF WORK (ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2008 (APPLICANT: TEL. NO: IJ. A. SLASH SHOW (909) 902-1032- 112501 VERDUGO PL (SPECIAL CONDITIONS: 1 CHINO CA 91]10 (CONTRACTOR: TEL. NO: ` (APPROVALS DATE INSPECTOR SIGNATURE ISTEVEN SWARTWOOD - (909) 902-9834- 1 112656 CARISSA LIC. NO 1 (TEMPORARY POWER POLE ICHINO CA 91710 542397 CIO 1 (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND I I LIC. NO: (ROUGH CONDUIT - ROUGH WIRING I I I (MAIN WATER LINE (PLASTIC YIN METAL YIN f� +: IpTT-LITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I � I 1 I I 1 1 I I I I I (REPORT ID: OPR265 ROUTE TO: BS0508 (I' • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0104040012 BUILDING-AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDINGADDRESS: ' ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASSESSOR INFORMATFON NUMBER: NEAREST CROSS STREET: 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JY MOTORS, 5HP 2.00 MOT 39.30 TENANT: J2 MOTORS, 10HP 3.00 MOT 58.95 ISSUEDPROCESSED BY: PLAN EXPIRES . JO MOTORS, 15HP 5.00 MOT 230.25 04/04/01 UT 10/01/01 J2 MOTORS, 25HP 2.00 MOT 92.10 OWNER: TEL. N0: TOTAL FEES 448.35 FI NA DATE FINAL BY: CODE: ROMAN CATHOLIC ARCHBISHOP OF L A - n�,�I �'� 1531 9TH ST LOSA 900151112 DES(IRiprroN 0F WORK ELECTRICAL FOR FIESTA NIVAL RIDW- 2000 APPLICANT: EL. O: STEVEN SWARTWOOD (909) 902-1032- SPECIAL CONDITIONS: PNG E LE S SOEVENCSWARTWOOD TEL. N902-9834- SOC, C�U�P� APPROVALS DATE INSPECTOR SIGNATURE 12656 CARISSA LIC. NO ` TEMPORARY POWER POLE CHINO CA 542397 C10 / f 5' \ UNDERGROUND CONDUIT ARCHITECT OR GIN L. NO: +� r ✓�-.I, � _ ��1 U GROUND � 1 LIC. NO://, _ ' _ 1 ROUGH CONDUIT I•I LL '<.I.LI ��\ ,�` ROUGH WIRING I -= ter - •� �� ;r{, r• ,-q� MAIN WATER LINE PLASTIC Y/N METAL Y/N —_ --- - . - - -.- -_- -_ -__ _ UTILITY COMPANY NOTIFIED -`O O 1 5 NOtY- c Service Th5�j REPORT ID: DPR265 ROUTE TO: DS0508 COUNTY OF-LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0104030064 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL FEES PAID BUILDING-ADDRESS: ON FILE 0451 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY TENAD3 BOOTH LGT, SYSTEM 1.00 800 16.20 NT: TOTAL FEES 43.95 ISSUED ON: PROCESS BY: PLA Y: EXPIRES ON: 04/03/01 UT 09/30/01 OWNER: TEL. NO: FIN#L DAJE FINAL BY: CODE: ROMAN CATHOLIC ARCHBISHOP OF L A - 1531 9TH ST LOSA 900151112E I ON OF WOR BOOTH LIGHTING FOR F A PLICA L. NO: SAME AS OWNER SPECIAL CONDITIONS: CQ CONTRACTOR: TEL. NO: /�j APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - tib. LIC. NO / 2 -� \ TEMPORARY OWE OL ,�J/� q"��y✓�')" �� UNDERGROUND CONDUIT ARCHITECT OR N NEER: TEL. NO: / 7 iJ V;� t �; \ UFER GROUND i UC. N0: (_�`_7 ` �I� ROUGH CONDUIT LI ROUGH WIRING MAIN WATER LINE ' PLASTIC Y/N METAL Y/N - - - - -- - - UTILITY COMPANY NOTIFIED Cl U ' •,I:li � 0 C gervuI0 -Tha4�ce REPORT ID: DPR265 ROUTE TO: 850508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT Of PUBLIC WORKS 9701 LAS TUNAS EL 0508 0303030026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ES PAID BUILDINGADDRESS: ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JY MOTORS, 5HP 2.00 MOT 39.30 TE J2 MOTORS, 10HP 3.00 MOT 58.95 ISSUED ON: PROCESSED BY: P ON: JO MOTORS, 15HP 5.00 MOT 230.25 03/03/03 JK 08/30/03 J2 MOTORS, 25HP 2.00 MOT 92.10 OWNER: TEL- N0: TOTAL FEES 448.35 FINAL DATE FINAL BY: COD ROMAN9CATHOLIC ARCHOBISHOP OF LA - p L LOSA CA 90015112 D SCRIP ON 0 ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2003 AP TEL- NO: J. A. BLASH SHOW (909) 902-1032- 12501 VERDUGO PL SPECIAL CONDITIONS: CHINO CA 91710 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE STEVEN SWARTWOOD (909) 902-9834- 12656 CARISSA LIC. NO TEMPORARY POWER TenJ CHINO CA 91710 542397 C10 G,(,y..MSI^25' �J ,/, UNDERGROU CONDU T ARCHITECT ENGINEER: T M. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY OMP REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0204050009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10: FEES ON FILE - D - NG . 9451 BROADWAY FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA, 917802455 NEAREST CROSSSTREET: SS R FOR N 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY - JY MOTORS, 5HP 2.00 MOT 39.30 TENANT: JZ MOTORS, 10HP 3-00 MOT 58.95 ISSUED ON: PROCESSED BY: PLAN B P ON: JO MOTORS, 15HP 5.00 MOT 230.25 04/05/02 JK 10/02/02 J2 MOTORS, 25HP 2.00 MOT 92-10 OWNER: EL- N0: TOTAL FEES 448.35 FINAL DATENA BY: CO : ROMAN CATHOLIC ARCHBISHOP OF L A u 1531 9TH ST LOSA 900151112 DESCRIPTION 0FWO'RK - ELECTRICAL FOR FIESTA CARNIVAL RIDES - 2002 APPLICANT: TEL. STEVEN SWARTWOOD (909) 902-1032- SPECIAL CONDITIONS: PNGELES CO CONTRACTOR: EL- N0: pS ��/�, APPROVALS DA SPECTOR SIGNATURE STEVEN EN SWASWARTWOOD (909) 902-9834- �. _ }- 12656 CARISSA LIC. NO TEMPORARY OW POLE CHINO CA 542397 C10 UNDERGROUND CONDUIT ARCHITECTOR GI EL. 0: UFER GROUND LIC. NO: 111111 ROUGH CONDUIT ROUGH WIRING = MAIN�]O MAIN WATER LINE WOWPLASTIC Y/N METAL Y/N kR LY C ANY NOTIFIED ----- --- ob/i� Servii a Tt% '10 REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0504050032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: S. ON FILE BUILDING DD S: 9451 BROADWAY ASSESSOR INFORMATION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 NEAREST'CROSS STREET: LAS TUNAS 8586-004-018 Al PERMIT ISSUANCE.FEE - - 27.75 THOMAS.PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JY MOTORS, 5HP 2.00 MOT 39.30 ENA JZ MOTORS, IOHP 3.00 MOT 58.95 ISSUED : PROCESSED B L R SON: JO MOTORS, 15HP 5.00 MOT 230.25 04/05/05 JK 10/02/05 J1 MOTORS, 20HP 2.00 MOT 92.10 If ROMAN CATHOLIC ARCHOBISHOP OF LA NAR: TEL. NO: TOTAL FEES 448.35 FINpL D E FINAL BY: --CODE: 1531 9TH ST L� LOSA CA 90015112 S OFWORK EL CTRICAL FOR FIESTA CARNIVAL RIDES - 2005 APPLICANT: O: J. A. BLASH SHOW (909) 902-1032- 12501.VERDUGO PL SPECIAL CONDITIONS: CHINO CA 91710 CONTRACTOR: TEL. NO: APPROVALS DA INSP TOR SIGMA URE STEVEN SWARTWOOD (909) 902-9834- 12656 CARISSA LIC. NO TEWORARY POWER POLE CHINO CA 91710 542397 C10 UNDERGROUND CONDUIT ARCHITECTEL. 0: _ UFER GROUND LIC. NO: ROUGH CONDUIT 0 G N MAIN WAT R LINE PLASTIC Y/N METAL Y/N UTILITY COMPANYI REPORT ID: OPR265 ROUTE TO: BS0508 t. • COUNTY OF LOS ANGELES _ TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ EL 0508 0404150003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 .EXT: L.GAL - FE A .-.. . - - LD ADD SS-- - . - ... ON FILE - 9451 BROADWAY FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: ,TEMP CA 917802455 ' ASSESSOR INFORMATION U BER: - _ NEAREST CROSS STREET: LAS TUNAS '' 8588-004-018 Al PERMIT ISSUANCE FEE - 27..75 THOMAS PAGE_: 596 GRID: J4 LOCALITY: TEMPLE CITY TE JY MOTORS, 5HP - 2.00 MOT 39.30 A : _ J2 MOTORS, 10HP 3.00 MOT 58.95 ISSUED 0 OCE : PLAN B EXPIRES ON: JO MOTORS, 15HP 5.00 MOT 230.25 04/15/04VG 10/12/04 J1 MOTORS, 20HP 2.00 MOT 92.10 - - _.L OWNER: TEL. N0: ROMAN CATHOLIC ARC HOBISHOP OF LA TOTAL FEES 448.35 FINAL DATE FINAL - /f' /1, 1531 9TH S7 Gf-/ 1 l� LOSA CA 90015112 D S 10 OF RK ELE TRI CAL FOR IESTA CARNIVAL RIDES - 2004 APPLICANT: J. A. BLASH SHOW (909) 902-1032- 12501 VERDUGO PL CHINO CA 91710 SPECIAL CONDITIONS: CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE STEVEN SWARTWOOD (909) 902-9834- - 12656 CARISSA LIC. NO TEMPORARY POWER POLE CHINO CA 91710 542397 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. NO: ROUGH CONDUIT OOGH RIN MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFI D REPORT ID: DPR265 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9804130041 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL S PAID BUILDING -ADDRESS: ON FILE 9451 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802455 ASSESSOR INFORMATION NUMBERt NEAREST CROSS STREET: CLOVERLY 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 .GRID: J4 LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 B00. 16.35 TENANT: TOTAL FEES 44.10 ISSUED N: PROCESSED : PLAN PI N: 04/13/98 i UT 04/13/99 OWNER: TEL. NO: FINAL DATE) FINAL BY DE: ROMAN CATHOLIC ARCHBISHOP OF L A - 4._l . 1531 9TH ST I ll LOSA 900151112 UMMMON OF WOR BOOTH LIGHTING FOR FIESTA APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: ✓�f APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - i^ LIC. NO TEMPORARY POWER POLE / UNDERGROUND CONDUIT ARCHITECT ENGINEER: TEL. NO: / II I II `� \�. ER GROUND LIC. N0: ROUGH CONDUIT ROUGH WIRING 1 17O� �� �� [� MAIN WATER LINE C L� `OS�J C JU J�lJ1 PLASTIC Y/N METAL Y/N --- -- UTILITY COMPAN7-W5TrFfYD- Ll 10� REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 �EL'ECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9077 LAS TUNAS EL_0508_9803270027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID B LDING- SS: ON FILE 09451 BROADWAY ASSESSOR INFORMATION NUMBER: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA'917802455 NEAREST CROSS STREET: 8588-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY JY MOTORS, 5HP 2.00 MOT 39.30 TENANT: JZ MOTORS, 10HP 3.00 MOT 58.95 ISSUEDPROCESSED B LAN EXP N: JO MOTORS, 15HP 5.00 MOT 230.25 03/27/98 UT 03/27/99 J2 MOTORS, 25HP 2.00 MOT 92.10 OWNER: TEL. N0: TOTAL FEES 448.35 FINAL DATE FINAL BY: DE: ROMAN CATHOLIC ARCHBISHOP OF L A 1531 9TH ST Y' f LOSA 900151112 ESC- „ ON OF_WURK ALL ELECTRIC_A FOR-FIESTA-(RIDES) APPLICANT: L. NO: STEVEN SWARTWOOD (909) 902-1032- SPECIAL CONDITIONS: P�IGELES C CONTRACTOR: TEL. NO: 05 APPROVALS DATE INSPECTOR SIGNATURE STEVEN SWARTWOOD (909) 590-7592- V J. 5775 RIVERSIDE LIC. NO TEMPORARY POWEROLE CHINO CA 542397 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: L. NO: UFER GROUND LIC. NO:� 1111,11 ROUGH CONDUIT ROUGH G MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILIT Y 0 FIE / / \ 7111) Z- REPORT ID: DPR265 ROUTE TO: BS0508