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Home My Public Portal About9664 BROADWAY_Electrical__ 16A 663-CERB6 5-62 APPLICATION yySIC TI® V P RST 6yylTR16AL 'PERMIT E \ yIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL .0 IE.CH FEE OUTLETS (FIRST 20 .7 $-20 S /' OWNER tIEHi I` 0- MAIL ADDRES SWITCH. {L. OVER VER'L 2 10 GHTING I FIRST 20 L .20 TOTAL CITY L. NO. I1 FIXTURES ADVIL .Ip EL ECTRICIA _ ov R 20 ZZ-6; J // _ //� '� RANGES CLO.DRYERS WTR.HTRS, 1.00 ADDRESS f Q; e- ,.G LIQ GARB.DISP. STA.COOK A CITY GG TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APR.11/t H.P.MAX.) .50 LICENSE NO. / MOTORS: OVER NOT OVER H.P. DISTRICT N G UP ONE P ESSED BY 0 1 1.00 �� L I 3 1.50 INSPECTION RECORD 3 B 2.00 8 Is 2.50 a O 18 50 3.00 u 50 100 5.00 w O SIGNS: NO.LAM LAMP9 W L N SERVICE 0.600V-NOT OVER 200A 1.00 Z SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 6 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOWSSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIOENTIA PROPERTY. POWER SIGNATURE �n OF PERMITTEUTILITY CO.NOTIFIED 2 �'�l`"�"�'� pp FINAL VALIDATIfl 1 ARTHUR C. VETT - - ' SUPERVISING ELECTRICAL ENGINEER NEER MO CASH X7842% DEC 4 2 D 4.40- ' i / 7BA063-CESOS_3_37 /APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES .. DEPARTMENT OF COUNTY ENGINEER FE ILDING BUILDING AND SAFETY DIVISION ADDRESS ESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUP'i of BUILDING CALITY AREST p /Z CLA FORAPPLICANT TO FILL IN oss sr.PERMIT FEESNER �E A1ENI(/ ADUEA17/f-'CLIGHTS RECEPTACLES SWITCHESNUMBER ITEM. EACH FEE AIL DRESS TOTAL OUTLETS $ .10 $ _ ELEC. RANGES, WATER HEATERS, CITY C17-7 TEL.NO. CLOTHES DRY E RS .50 ELEC. SPACE HEATERS, STAT-Y. COOK- ELECTRICIAN p Ll J('�tI -LL /HDU f?R iP /l6 ING UNITS, GARBAGE DISPOSERS, ADDRESS .7.Z ` Vl1>%AJ��JrJ.LI D AUTO.WASHERS. DISHWASHER .25 LIGHTING FIXTURES .10 CITY ON a- TEL.'NO. STATE MOTORS LICENSE NO. IfQ HORSEPOWER DISTRICT NO. G UP' ONE ron H.P. OVER INC. _ •. 'y&LESS .26 V2 — 2 .50 INSPECTION RECORD 2 5 1.00 i 5 16 1.50 . ./ 15 — 50 2.50 50 — 200 5.00 / 7�/T 147- IS- misc. AT /-L(/O. 114!//✓ 19A01J/L/U NO.TRANB ./YAAll SIGNS /]�yq NO.LAMPS KF /�'1/! /L KI/7•�. SERVICE 0-600V 1.00 /V SERVICE OVER 600V 5.00 // WIRING PERMIT 1.00 !f� y ��Fr• A�cOC /p�L U�1 /CN,�;W/ _ FIXTURE PERMIT1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE s I1 APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP KATION DAT INSPECTOR' SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT . en WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING Ili I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/ FIXTURES LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. / UTILITY CO.NOTIFIED ' OF PERMITTE � v / , ( FINAL � � JOHN A.LAMBIE. VALIDAT�SN ' ARTHURC.VEIT, '=• COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER CH: No LPICo 7 3 4 1 5 MAR 7 2 A 4.4!'0 ,�, e:: 7 'V0-r � ]6A063,CEBUO 9-6T AyySICAT ®RtLECpRIV Z PRMITn i . ,Lfl COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS �b//O � p JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDIN G EOCALITY /1614 NEAR EST / FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE � RECEPT. $ $ OWNER MAI L LIGHT---L TOTAL FIRST 20 .20 ADDRESS SWITCH /.?- J1L� OVER 20 .10 CITY �+ /fi.• +/ TEL. NO.f(J^ 7 LIGHTING- TOOTAL FIRST 20 .20 CONTRACTOR FIXTURES � 4 OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY f f // � l(i TEL. � INO. STA.COOK_1DISP._F.A.U.— LICENSE NO. 1<f.f/' SPACE HTR.IAIR COND. THEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ITN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CLOTHES WASH._DISHWAS H._ ELECTRICAL WIRING. FAN I-OTHER 1.00 C91 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REDUIIED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RgTINGCALIFOq NIA OR THAT AM THE LEGAL OWNER OF, AND INTEN TO IND. HEATERS, ETC. P. KW. KVq, BESIDE IN, THE DESCRIBED REST TIAL PROP RTY. SIZE & TYPE OVER TO SIGNATURE q 0 1 LOO OF AT +d L + a U I - 10 3.0o DIST CT NO. G&BtJP NE P ED BY U 10 - 50 5.00 / .s 0 50 - 100 10.00 NOTES AIC / W 100 - 500 15.0o o. h TUBE,OAS 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, 6 APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK I ROUGH CONDUIT ISSUING FEE 2.00 WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER.AUTHORIZED PERMIT FEE UTILI TY CO.NOTI FI ED PLAN CHECK FEE (50% PERMIT FEET FINAL TOTAL FEEy �[) JOS PH C. ROOHAN SUPERVISING ELECTRICAL EN GI JSEPLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.D. CA Lt'`iLO56 3 62. JUL25 D. 860- iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE A 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Bull DING y BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY NEAREST ' FOR APPLICANT TO FILL IN - CROPS,sr. -RECEPT. TOTAL NO. EACH FEE -� FIRST 20 6 20 6 OWNER �-"- OUTLETS MAIL LIGHT SWITCH. ADD'L 1O ADDRESS DVER 20 TOTAL CITY TEL. Y. LIGHTING FIR ST 20 .20 FIXTURES ADO'L ,10 ELECTRICIAN 2'v OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1 11.00 ADDRESS 19 2 S GARB.DISP. STA.COOK CITY / EL. NO. T fl DISHWASH. AUTO.-WASH: STATE SPACE HTRS. STA.APP.(Hy H.P.MAX.) .50 LICEN ENO. S3 MOTORS: OVER NOT OVER H.P. I Dl5"T.RI T N 'R ZON P O D 0 f 00 t 3 1 1.50 INSP ION RECORD 3 8 2.00 8 15 2.50 15 50 3.00 r a 50 100 5.00 O V NO.TRANS- BIGNB: NO.LAMPS O SERVICE 0"600V"NOT OVER 200A 1.00 G LU SERVICE 0"600V"OVER 200 A. 2.00 0- SERVICE OVER 600V 5.00 MISC. PERMIT I6 UING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 6` 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR-8 SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT •' //p A .0e I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,�y��•��/(� ELECTRICAL WIRING; WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELS COUNTY AND STATE OF FIXTURES Y CALIFORNIA OR THAT I AM THE EG OWNSF THE ABOVE - DESCRIBED RESIDENTIAL E POWER /,/[ Q /1 SIGNATURE UTILITY CO.NOTIFIED,. /La C 1 /. OF PERMITTE /FINAL Wil 7 II VALIDATI ARTHUR C. VEITI w CK MO CASH SUPERVISING ELECTRICAL ENGINEER _ LAC,o 1 9 3 AR 11 2 D 3.6 n �i✓['7=��/moi'✓V _ 76A663;E Q6n',/]T APPLICA+TION FOR ELECTRICAL PERMIT L� , i COUNTY OF LOS ANGELES •DEPARTMENT OF COUNTY ENGINEER JOB / i OZ • BUILDING AND SAFETY DIVISION ADDRESS 10 FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. FEE NEAREST 1 &2-Family,Sq.Ft. $ .025 — S CROSS ST. I_ Multifamily Sq OWNEROR Ft. .02 — FIRM NAM Residential Swimming PoolsMAIL 1 25.00 ADDRESSs aV C Outlets: Rec-6--Ligh Sw. CITY - Tel. No. First 20 .50 PLAN CHECK Total No. Additional .30 0 APPLICANT ADDRESS Lighting Fixtures First 20 .50 10 60 CITY Tel.No. Additional .30 PERMIT oa Total No. APPLICANT Fixed Appliances Not er 1 HP ADDRESS "� O Range_Heotery D.W. CITY `o_ Tel.No. 2 �^ 55 Oven —Dryer—W.M. LICENSE OR ��vv Top —FAU —W.H._ 7 REG-NUMBER QL, p LS - Class.c —len Hood_Fan _Other_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Dlsp. — Room Air COnd, 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP,KW, KVA,or KVAR 1 HEREBY LCIHAT I AM PROPERLY RE AND/ LICENSED AS RFOUIRED BY l05 LES COUNTY AND STAT OF CAO NIA OR THAT AM Y Up to 1 Incl. 2'50 THE LEGA OW HE F HE ABOVE DESCRIBED NTIAL PR PERTY. Over 1 to 10 Ind. 5.00 -,S' 0c, 1 •6.0 Over 10 to 50 Incl. 12.50 PERMITTEE Iz SIGNATURE Over 50 to 100 Inc. 25.00 v Over 100 40.00DISTRICT NO. PRO SSED BY y Services 0 200 Amp.Under 600 V 12.50 INSPECTOR'$ 201 1000 Amp.Under 600 V� ' 25.00 CO APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pale&Appurtenances 10.00 Sign with One Branch Circui10.00 ROUGH CONDUIT t 2 00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED ' UTILITY CO.NOTIFIED FINAL O PERMIT FEE (Sub-Total) Co 90 NOTES !//67S>' /.vGD �d%✓7y2• �� ti PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 94 3 w APR '17 2 0 9 1.9 0 e9a 94.51, R =17 2 1) 5.00A5s E BACK OF APPLICATION FOR COMPLETE SCHED ULE i. - DBS-5A11.55 APPLICATION FOR ELECTRIC PERMIT � DIVISION OF BUILDING AND SAFETY Department of Lo A Engineer BUILDI"G &I/ /F � �� WWII✓ - COAM Of LOS Angeles , ADDRESS /o )` JOHN A. LAM E. COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER jr OWNER _ L7 4YT11� =fl LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL. NO. - TOTAL OUTLETS @ 50 5 4ELECTRICIAN 4.1.1 v✓/�✓ ELEC. RANGES' 25 ADDRESS :Z!2 — ELEC. HEATERS 25 KW EA CITY / /q' - TEL. NO 7 STATE H FIXTURES 5 �� LICENSE NO. ✓• S� ' MOTORS DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION NumeER HORSEPOWER FEE P' J /AY NEW MVD. HP OVER INC. EACH LESS s .zs _ I INSPECTION RECORD V2 2 .50 4 1 `1 2 5 1.00 5 15 1.50 15 50 2.50 W1, 50 200 1 5.00 M ISC. NO.SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING 51.00 FIXTURES $1.00 O ' SUPPLEMENTARY .50 APPROVALS TOTAL FEE ® DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ON AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. - - WIRING - I ZPrISZ �i f`A.11i. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES F LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM-T LEGAL OWNER OF THE ABOVE POWER A DESCRIBED RESIDENTIAL RO ERTY // UTILITY CO.NOTIFIED- OF FIED•> SIGNATURE 7 "--' OF PERMITTEE / FINAL JOHN A.LAMBIE,COUNTY ENGINEER // MALIDATION ARTHUR C.VEIT,CHIEF ELECT.INSPECTOR •K) MO CASH !,A O4 2 1 63,-, ,JAN 16 2 1 3.4 0 v 965A IL55 APPLICATION FOR ELECTRIC PERMIT DIVISION OF BUILDING AND SAFETY Deportment of Cou Rty Engineer BUILDING / COnaty of Los Angeles ADDRESS F ( i JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAReST PERMT FEES c oss sr. NUMBER OWNER G� L� LIGHT OUTLETS MAIL f. RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL. NO. TOTALOUTLETS @ 52 S O ELECTRICIAN ' / ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY / — TEL. N KW EA STATE / FIXTURES 5 LICENSE NO. FC MOTORS - DISTRICT ,O. GROUP ZONE READY FOR INSPECTION. ` NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC EACH Y2 a LESS $ .zs INSPECTION RECORD 2 .50 2 S 1.00 5 15 1.50 IS 50 2.50 SO 200 5.00 J 1 MIS NO. SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT, ' WIRING 51.00 - FIXTURES $1.00 APPROVALS SUPPLEMENTARY .50 APPROVALS TOTAL FEE DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION .AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ', FIXTURES LICENSED AS REQUIRED BY L ELES COUNTY ND STATE OF CALIFORNIA OR THAT 1 A THE LGA" OWNE k THE ABOVE POWER illy DESCRIBED RESIDENTIAL POP RTSIGNATURE I/ UTILITY CO.NOTIFIED OF PERMITTEE FINAL JOHN A.L AMBLE,COUNTY ENGINEER VALIDATIGK ARTHUR C.VEIT,CHIEF ELECT,INSPECTOR CK NO 161-V 91 5 1 5�., Au22, 2 1 .1.0 w 76A663,FSE6068.62 APPLICATION FOR ELECTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING (�0. BUILDING AND SAFETY DIVISION ADDRESS C1 JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN. SUPT OF SUILo1NG LOCALITY FOR APPLICANT TO FILL IN NEARESTCROSS ST. RECEPT.S.2 TOTAL NO. EACX FEE u 'S� YC•', OUTLETS FIRST 20 $2O $ - t/ OWNER S'eve 1►L 'bo-v LIGHT J 1/ (• MAIL •fff ADD'li*f .1O ADDRESS u_ lw0. SWITCH.9k .3aL5 OVER GHTING L ,,{{ TOTAL Ftasr 20 .20 I CITY G d 7 TEL NO. I + e FIXTURES �3 ADD'L ,1O ELECTRICIAN S Q C 1 Y t S- 7 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �} /J l.� a GARB.DISP. STA.COOK AA CITY R 1 Oti TEL.N0.2177-Mo DISHWASM. AUTO.-WASH. 4 STATE /'- SPACEHTRS. STA.APP.I%M.P.MAK.) .50 LICENSE MOTORS: OVER NOT OVER H.P. DIS RI T O. GR9-UP ZONE P13oCESSED_ BB O 7 1.00 7 — s Ls0 INSPECTION RECORD 9 S Y.00 S 15 2.50 - - f5 50 9.00 a 50 f00 5.00 O SIGNS: NO.TRANS. NO.LAMPS Y O H SERVICE O•e00V-NOT OVER 200A 1.00 w SERVICE O-GOOV•pVER 200 A. 'e. 2.00 h SERVICE OVER GOON 5.00 Z MISC. PERMIT ISSUING FEE 2.00 _ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE % $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP &CATION APPROVAL$ DAT! INSPECTOR'H SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT "T ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -._. ELecrRswt Wlalxc. WIRING - r� l.I I HEREBY CERTIFY THAT I AM PROPERLY flEGISTERED ANOIOR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIOENT!�%?PERTY. ` POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE .� FINAL � MO CASH LIDATION ARTHUR C. VEIT CK SUPERVISING ELECTRICAL ENGINEER /5" COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0303250018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL-IT.- FEES PAID BUILDING ADDRESS: ON FILE 9664 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803206 - ASSESSOR INFORMATION NU NEAREST CROSS STREET: TEMPLE CITY BLVD 8588-023-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY JA HEAT PUMPS +3-10HP 2.00 HT 39.30 TENANTi JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUE ON: PROCESSED BY: LAN BY: EXPIRES ON: LD 400 AMP PANELS, MCC 1.00 PAN 76.05 05/06/03 JK 11/02/03 TOTAL FEES 162.75 OWNER: TEL. N0: FINAL DATE FINAL BY: CODE: SO CAL ASSN OF 7 DAY ADVENTISTS (909) 830-6382- 2 1535 CHEVY CHASE DR V b3 n� GLEN 912064107 DESCRIPTION OF WORK UPGRADE 200AMP TO 400AMP SERVICE APPLICANT: TEL. O: ROGER WELTY (909) 694-4114- 27450 YNEZ RD SPECIAL CONDITIONS: TEMECULA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BROOKSTONE CONSTRUCTION (909) 694-4114- 27450 YNEZ ROAD LIC. NO TEMPORARY POWER POLE TEMECULA, CA. 92593 7115918 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFM * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0301030003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: CcLL fir-- fit:-72-"z- LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9664 BROADWAY FEE DESCRIPTION: QUANTITY: UOM; AMOUNT: TEMP CA 917803206 ASSESSOR INFORMATION NU NEAREST CROSS STREET: TEMPLE CITY 8588-023-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY JS TRANSFORMERS, 50 KVA 1.00 XFM 46.05 TENANT: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 ISSUED ON: PROCESSED B PLANEXPIRES ON: CINGULAR WIRELESS TOTAL FEES 112.65 01/03/03 JK 07/02/03 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: SO CAL ASSN OF 7 DAY ADVENTISTS (818) 546-8400- N 1535 CHEVY CHASE DR GLEN 912064107 DESC PTION OF WOR INSTALLATION OF EQUIPMENT OF CELL SITE IN CONCEALED RM AT BASEMENT LEVEL & NEW ANTENNA INSIDE EXISTING TOWER APPLICANT: TEL. NO: JACKSON (323) 938-2336- 5670 WILSHIRE #1600 SPECIAL CONDITIONS: LOS ANGELES 90036 CONTRACTOR: TEL N0: S PNGE LE S Cot APPROVALS DATE INSPECTOR SIGNATURE BROOKSTONE TELECOM (909) 694-4114- ,yo Ty 27450 YNEZ ROAD, SUITE 300 LIC. NO TEMPORAR W POL TEMECULA CA 711591 B / UNDERGROUND CONDUIT ARCHITECT OR ENGINttK: TEL. NO: r/ . UFER GROUND W E JACKSON CORPORATION (213) 938-2336 5670 WILSHIRE BLVD, SUITE 1600 LIC. NO- � �11111 ROUGH CONDUIT LOS ANGELES, CA 90036 C9857 'I , ll-J— ROUGH WIRING 3 y y_ Gln o 1 � ^ 1Y n nO � `7 /� MAIN WATER LINE Ilvl' IIL` ('�Vj- V\7\J// �lllJJv111`SSS�LIK(u N`\J PLASTIC Y/N METAL Y/N _ UTILITY COMPANY NOTIFIED 1 O ❑ SPI, O 0 A 0y /c Serviicce 'fhat�eL REPORT ID; DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 EL'ECTR ICA L7 PERM I;T_ DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508`9702070006' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDINGADDRESS: ON FILE - 9664 BROADWAY FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917803206 - ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8588-023-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:.- TOTAL :,TOTAL FEES 31.65 02/07/97 TC 02/07/9 OWNER: TEL. NO: FINAL DATE FINAL BY: ODE: SO CAL ASSN OF 7 DAY ADVENTISTS (818) 546-8400- 1535 CHEVY CHASE DR �_' ""! GLEN 912064107 DESCRIPTION OF WORK ELECTRICAL FOR LIGHTING ABOVE OUT IDE DOOR APPLICANT: TEL. N0: G P ROLLIN CONSTRUCTION (818) 353-4155- SPECIAL CONDITIONS: / CONTRACTOR: TEL. NO: ]�1® O O � APPROVALS DATE INSPECTOR SIGNATURE G P ROLLIN CONSTRUCTION (818) 355-4155- r� x.40.,�1. Q o%351 N. GROVE ST. LIC. NO vJ "�,v_' `� 9 p ,TEMPORARY POWER POLE SIERRA MADRE, CA 91024 692168 B �N'��ll„®m of-1 e n d UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: N UFER GROUND LIC. NO: `� O ROUGH CONDUIT ROUGH WIRING 0 B MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 33-1 REPORT ID: DPR265 ROUTE TO: BS0508 WORKER S`COMPENSATIONDECLARATION CE8 (280) '.. 63 '0 APPLICATION .FOR ELECTRICAL PERMIT {� CE 806G, LJ I hereby affirmthat [ haver a certificate of cgnsent So self' •COUNTY OF LOS ANGELES' G AND SAFETY • ' ' insure, or a certificate.of Workers'Compensation.Insurance,or. - -a certified copy.thereof(Sec,3800 Lab Ci),. - - - ' �r�,�r��•tp �Qq/� "� ' - _FOR APPLICANT TO FILL IN, JOB Policy N'0&'LYW—a'COM pant EACH .1NO. F E ADDRE S - New Residential Bldgs. &Pools -�/ ' -F- Certified copy'is hereby"furnished. 1 &2 Family;Sq. Ft. - $ $ 'LOCALITY _bi / L� s y Multi family Sq. Ft. NEAREST • X Certified copy'is filed with the county building inspection - CROSS ST Residential Swimming Pools' �� department. ^ - OWNER-0R - ` ' ''f y i FIRM NAMEiMbleAlT ;7,064 �� . Outlets'Rec._Light_ Sw MAIL - + " _ First Sw.20 - ADDRESS- - CERTIFICATEOF EXEMPTION FROM WORKERS' Total No. Additional. '• CITV, - Tet No�,r�j•- T, t. COMPENSATION.INSURANCE, PLAN CHECK d (This section need not be completed if the work involvedU APPLICANT ly-,the permit-is' for one-hundred..dollars ($100).or .less.)' Lighting Fixtures First 20 ADDRESS Total No. Additional _ O . 1 certify that in the-performance of the work for which this - - CITY - - Tel No. Fixed Appliances Not Over 1 HP. permit is issued;'I'shall nor employ anv person m any manner, - PERMIT - W' so as,to become subject Lottie Workers' Compensation Laws. 'Range_.Heater_.D.W. APPLICANT d • Oven Dryer_W.M._- •ADDRESS , E� Q V) Date - Applicant _ - Top FAU- _W.H, - - - 'Hood Fan —'Other_ - CITY; :0 ' Tel No NOTICE TO APPLICANT: le, after making thisCertificme of Disp. Room-Air Cond-_,• LICENSE-0R /V Exemption you-should 5ecome subject to the Workers' REG. NUMBE R'7 7V�Clzss C/ Compensation provisions sof the Labor Code, you musf'forth- ,Power.Apparatus& Large Appliances DISTRI C TNO. ' P E O BY , with comply with -such, provisions or this permit shall be Size&Type HP,KW KV A,or KV AR .deemed revoked.. Up cl to 1 In . '•�� - ' � � FINAL - `l /'Over 1 to 10 Incl. O --'f DATE `'� -2..18 VALIDATION LICENSED CONTRACTORS.:DECLARATION .. - Over 10 to 50 Inc]. - O I hereby"affirm that I am licensed under provisions of'Chapter �Z-6i+—�Af�4ar 50 to 100 Inc. FINAL eL- 1%"' By 9 (commencing with Section 7000) of Division 3'of the Busi- - , � '��`.•.�. ness and Professioas Code,.and;my license;is in full force and Over 100 effect. r -. Services - •. be . -0200 Ampde6V < / l 7 License�Numberr-/ f Lic Clas ��' Op _ 201-1000 Arnp.Under 600 V, Contractor- Date '•' Over I000'Amp..or Over 600 V e ' h _ HOME OWNER-BUILDER DECI:'ARATION Temp,Power Pole&Appurtenances _ _ •.. ., - - I hereby affirm 'that'I am exempt from Sign with One Branch Circuit ,the Eon tractor's Additional Sign Branch Circuits License Law Tor the following reason (Sec[ion'.7031.5, Busi / ness'and'.Professions Code): ' : - r .. , - . Misc:.Conduits&Conductors • ', , I, as,owner of the,eroperty,, willdo the,work-and the Other (See'Compiete.Fee Schedule)— structure•is, not intended or offered for sale '(Section - •.': • �� . - • .. - "-� 522.5 A 7044, Businesrand Piofessions,Code). - CONSTRUCTION LENDING AGENCY - # e e'ee n,2 1 hereby affirm•.that there is a construction lending.agency ` for the perform an ce'of'the work Tor which this permit is . - - PERMITFEE (Sub-Total) - .. ..,2 • • 420'0 issued (Sec. 3097,Civ.G). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee( ' s i a •'o 4 2.0 0,5 Lender's Address • P17 ERMIT ISSUING FEE • - 0 f•'- `' ,Q a 1 2i-$ 1 s L, . lcertify that I'havc read this application and state that the. TOTAL FEE • _ 7 Q .. t.above information is correct. I agreeto comply with all County. - .- ordinances and State laws regulating Electrical wiring, and _ hereby authorize representatives of this County to;.enter upon I _ the above-mentioned ?operty for inspection purposes. t - r ' SEE'REV ERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date _ - TION WORKERS't I havNSATI�LAf corse _ C'-806 10/8I APPLICATION FOR ELECTRICAL PERMIT he eoy affirm that I have a certificate of consent to self C'-806G P9rlr \r P9 n}ure, or a certificate of Workers' Compensation Insurance, - COUNTY OF LOS ANGELES BUILDING AND SAFETY - i or occertifi yfccopy thereof�((SSee�c 3800 Lab. C.) p�ojK•ty rr�/�tlMpcm, FOR APPLICANT TO FILL IN IXI .Certified copy is hereby furnished. fl s New Residential Bldgs. B,Pools EACH NO. .. FEE ADDRESS Certified copy is filed with the county building'inspec- 18 2-Family, Sq. FL $° _ $ LOCALITY'y.yr- 4l�� 'NEAREST ld( do depar menl. • Multi family Sq. Ft. CRo55 ST. ' 4i f � Residential Swimming Pools OF OR�'� Date App io p FIRM NAM CER FICATE OF EXEMPTION FROM WORKERS' - Outlets Recld-Light'�+ Sw� ' ` ' - OI 'MAIL 6 /• i A COMPENSATION INSURANCE U ADDRESS (This section need not ba completed if the work involved by First 20, the permit is for one hundred dollars ($100) or less:) Total No. Additional Q CITY L F Tel. Noy' 3. Q I•cerff that in the Performance of the work for'which J this - - PLAN CHECK - Y hP - " APPLICANT so as t be o m subject t to th Woloy any person in any manner D so as to become subject to the Workers Compensation Laws. Lighting Fi itures� First 20 ADDRESS , Total No. Additional Date Applicant - CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over I HP PERMIT Exemption, you should become'subject to the Workers' Range' Healer_D.W. APPLICA 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. - - - CITY /S,4` Tel. No. 3 V LICENSED CONTRACTORS DECLARATION Hood Fan _Other_ q Dis _ Room Air Cond. 2 Q :LICENSE M y-� q � I hereby affirm that I am licensed under provisions of.Chopter 9 p REG. NUMBE J �— Class. LJ (commencing with Section 700D) ofDivision 3 of the BusinessDISTRICT NO. - PROCE ED BY and Professions Code, and mylicense isin full force and effect. Power Apparatus,& Large Appliances _ } f � Size &Type'HP, KW, KVA, or.KVAR' V / 0 Lice'ns/e Numbeer.Q` -�� Lic Class Up to 1 Incl FINAL' V CYM 4of4 �s W COY-.1�� Dated Over I to 10 Ind. DATE �7_ 2, ._ VALIDATION - ❑ A•QOver TO to 50_Incl. FINAL/ ✓ I am exempt under Sec. Over 50 to 100 Inc. BY t_ B.&P.C. for this reason Over 100 . #All 430 N Services, SWbd.,:MCC& Ponelbodrds D .. e e e e e ? Date: 0 - 200 Amp. Under 600 V Si gnaiure - 201 - 1000 Amp. Under 600 V - ❑ Over 1000 Amp. or Over 600V .. _ ._ . ;J;•.e 4.1.50. Exemption for Reg. Maint. Elect, SINGLE FAMILY 'Tem Power Pole & Appurtenances ' _ HOMEOWNER-BUILDER'DECLARATION - p. - FP - -;0 is 41.505 Sign with One Branch Circuit :I hereby affirm that'I am exempt from the Contractor's License Additional with Sign Branch Circuit Circuits - ' - ,0 1,2 9 8 5 Law for the following reason (Section 7031.5, Business and Professions Code): , ❑ - as owner of the property, will do-the and the Misc. Conduits& Conductors ;structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D - '7044, Business and Professions Code). ' CONSTRUCTIOWLENDING AGENCY -. - I hereby affirm that there is a constructionfending agency for , the performance of.the work for which this permit is_issued PERMITTEE (Sub- (Sec. 3097, Civ:G). PLAN CHECKING FEE .. Lender's'Nome - h PERMIT ISSUING FEE V r Lender's Address - I ' 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- ,ordino s and 5 to lows r luting Electricbhviiring, and - er outhonz Ives f this County to.ant rbpon above- ed arty inspection carpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE - J Signa ure o P ",a ate _ -