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HomeMy Public PortalAbout5322 BUTTONS AVE_Electrical__ COUNTY'OP LO§ ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0708130003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE I 5322 BUTTONS AV IFER DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917803103 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: OLIVE 18590-004-028 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, CI ITENANT: IG1 OUTLETS-LGT,SW,RECP 24.00 OUT 44.40 G2 LIGHTING FIXTURES 9.00 LGT 17.55 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H1 RES SLED OVEN LT 3HP 1.00 OVE 10.95 108/13/07 SR 02/09/08 IH2 RES GREG DISP LT 3HP 1.00 DIS 10.95 1 TOWNER: TEL. NO: IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 IFINAL DATE FINAL BY: CODE: IJIEN, MING-LEN (626) 309-9285- IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 15322 BUTTONS AV IH7 RES EXHAUST FANS 1.00 EX 10.95 1TEMP 919803103 ILA 100 AMP PANELS, MCC 1.00 PAN 38.85 IDESCRIPTION OF WORK TOTAL FEES 183.30 (ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE PANEL I CITO 100 AMP( APPLICANT: TEL. NO: IJIEN (626) 309-9285- 15322 BUTTONS AVE ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 1 U6L'ft (Ja,'d6 C psa 5 i CONTRACTOR: TEL. N0: I (APPROVALS DATE INS PECTO IGNAT RE ISHIN SHIN CONSTRUCTION (626) 261-8699 133 E. VALLEY BLVD. #215 LIC. NO I (TEMPORARY POWER POLE ALHAMBRA, CA. 91801 858568B I UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND IDANTAN CORPORATION, 909 5988858 (909) 598-8858- I 1 1-1- 120548 VEJAR ROAD LIC. NO: I IROUGH CONDUIT IWALNUT, CA 91789 C47140 IROUGH WIRING MAIN WATER LINE /[ 1 PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEDI 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 1 1 I 1 I IREPORT ID: DPR265 ROUTE TO: SS0508 I I I I I I OB 5-A 12-45 25M APPLICATION FOIi PERM'I'T` DEPARTMENT OF BUILDING AND SAFE'T'Y COUN'T'Y OF LOS ANGELES EY.,E%(�,�' ,IC WN. J. FOX. CHIEF ENGINEER e NAME DISTRICT NO. GROUP ZONE PERNIIT NO. U CITY ATEL.NO. ♦� RECEIVED BY READY FIRST INSYX+P,FOR O1T,IUN � —9'-44DATE ISSUED W CERT.to O. EHPIREy Y , _ —�� APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY JOB IDESC€ WT'ION OF WORK , ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIX, CROSS ST. CJS CIRCUIT A B IC D E F - G 1H D ADDRESS D ---�_ CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE A:OVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. EL£CII ESC ! AN THE"GAL OWNER OF THE PROPERTY DESCRIBED I � � ABOVE OWNER. CORRECTIONS J Q Z D TOTAL O NO. OF OUTLETS $ 00 APPROVALS NO. OF FIXTURES $ DATE `INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT .NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANE US $ POWER PERMIT FEE $ Zj UTILITY CO.NOTI PIED TOTAL FEE Z FINAL ]BAGB9.LEBDB-,D.BG APPLICATION FOR ELECTRIC PERMIT a BUILDING AND SAFETY DIVISION Department of County Engineer - SU ILD NG -A County Of LOS Angeles ADDRESS. �Jp( � I/ iQ 7 JOHN A. LAM BIE. COUNTY ENGINEER ,, (/��/� . CASSATT D. GRIFFIN. SUPT OF BUILDING ' LOCALITY � /J/(/iT /J / i( NEAREST FOR APPLICANT TO FILL IN CROSS ST. A ., PERM FEES OWNER LIGHTS RECEPTACLES SWITCHES- VMAIL Z73 NMeER ITEM EACH FEE I �f OC ADDRESS J TOTAL OUTLETS S .10 S - •SLA // / /y�,'//. ELEC. RANGES, WATER HEATERS, CI TT /�-iN�.I �2/. TEL. NO.//1 OQO T CLOTHES DRYERS .50 ELEC. SPACE HEATERS, STAT Y. COOK- ELECTRICKIN 41- IHG UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER WASHE0. .25 LIGHTING FIXTURES ,10 CITY TEL NO. MOTORS STATE LICENSE NO. HORSEPOWER DISTRICT NO. GROUP Z[[[���NE READY FOR INSPECTION H.P. OVER INC. I/z &LESS .50 INSPECTION RECORD 2 5 00 5 5 1.50 'S50 2.50 50 200 5.00 MISC. d SIGNS I NO,TRANS NO.LAMPS i SERVICE O.500V 1.00 SERVICE OVER 500V 5.00 - - WIRING PERMIT 1.00 - FIXTURE PERMIT .0011 11 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING i HEREBY CERTIFY THAT I AM PROPERLY, REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY 105 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTYJ SIGNATURE —�� JUTILITY CO. NOTIFIED OFFIERMITTEE -Aw - _ FINAL JOHN A. LAMBIE. VALIDATION ARTHUR C. VEIT. COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER CK MO. CASH - .z o`1. 3 5 21:; AM 2'0 2 70A663.CE606.10-06 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer BUILD'NSG County of Los Angeles JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUP-T OF BUILDING LOCALITY /J NEAREST //7�// I 61rI FOR APPLICANT TO FILL IN ceoss T PERMIT FEES OWNER E-- O� //7� LIGHTS RECEPTACLES IF SWITCHES by NUMBER ITEM EACH FE E / MAIL �� ""� ' S $ / 0 ADDRESS 5 - _ TOTAL OUTLETS ,IO /� F - �WO r,^ n ELEC. RANGES, WATER HEATERS. CITY/ �. N�^Y' TEL. NG. Xd '/ CLOTHES DRYERS .50 ELEC. SPACE HEATERS, STAT-Y. COOK. ELECTRICIAN^ I INT 0UNITS, GARBAGE ANTWASHERS. DISHWASHER .25 ADDRESS Jap LIGHTING FIXTURES .10 CITY TEL. NO. MOTORS STATE LICENSE NO. HORSEPOWER M.P. OVER INC. DISTRIC?O. GROUP OIY E HEADY FOR INSPECTION %x a LESS .25 h - 2 .50INSPECTION KfCOBD 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS" NO. LAMPS SERVICE 0-600V 1.00 _ SERVICE OVER SOOV 5.00 _ WIRING PERMIT 1.00 �d FIXTURE PERMIT 1.00 SUPPLEMENTARY PER .50 APPROVALS TOTAL FEE 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE ICORRECT AND AGREE COMPLY CONDUIT WITH ALL COUNTY ORDINANCES S AND STATE LAWS REGULATING �I ELECTRICAL WIPING. WIRING /- I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGA OWNER 0 THE ABOVE POWER DESCRIBED RES L PROPE Y. 1% SIGNATURE UTILITY CO. NOTIFIED OF PERMITTEE FINAL JOHN A. LAMBIE. 4.-51 ARTHUR C.VEIT, `mss COUNTY ENGINEER (/\cK Mo CASH SUPERVISING ELECTRICAL ENGINEER 'ZjCo 1 0 6 9 AUG 13 2 1 .3 5 Off. GG���i 76A683-CE8063-69 APPLICATION FOR ELECM�E&T" "COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / /•)� BUILDING AND SAFETY DIVISION ADDRESS OI JOHN A. LAMBIE, COUNTY ENGINEER /"' COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY j j (� 17 FOR APPLICANT TO FILL IN NEAREST Y L CROSS ST. NO. EACH FEE $ $ OWNER RECEIPT._ MAIL �+ n �/u ADDRESS J I PO LIGHT TOTAL FIRST 20 .20 gl- SWITCH_ OVER 20 ,1p CITY H (,/ TEL.NO PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NO. STA. COOK_DISP. F.A.U._ CONTRACTOR ba, A SPACE HTR._AIR COND. ADDRESS CLOTHES WASH. OISHWASH._ CITY TEL.NO. FAN OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE $ TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. D - 1 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF } I - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN. THE ASO V ESCRISEO RESIDENTIAL PROPERTY. O 10 - 50 5.00 V SIGNATURE 50 - 100 IOAO OF PERMITTEE O V 100 - 500 1500 DIST I R.LT NO. GRovR sED Br uJ SIGN,GAS SIGN AND ONE CIRCUIT 3.00 © -� '72TUBE, OR _66 P H MARQUEENOTES: AO OITIONAL CIRCUITS 1.00 l� 7� SERVICE NOT OVER 600 VOLTS OR 200 AMP ' 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 11 .` TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DA4 / INSPECTOR'S SIGNATURE . TEMP, POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED G SUPPLEMENTARY PERMIT ISSUING FEE 1.00 r NAL TOTAL FEE !JO JOSEPH C. ROOHAN SUPERVISING ELECT L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 6 O 5f2 MAY 6 2 D 4.0 0'fq- Q SEE BACK OF APPLICATION FOR COMPLETE FF.E SCHCQULF /� V�I//✓t'��'� 75A563-GER0610„2 TEMPLE CITY APPLICATION FOR ELECTRICAL PERMIT �. COUNTY OF LOS ANGELES - DEBPUILDKING ANENT DD SAFETY DIVISION ADDRESS 22 N Button - I LOCALITY Temple Cit NEAREST Oli Ve FOR APPLICANT TO FILL IN NCROSS EAREST. OUTLETS N0. EACHI FEE OWNER OR S S FIRM NAMEUnrierhill RECEPTIQ MAIL- T T,SO TLLAL FIRST120 25 ADDRESS qgMp LI GH4 00 SWITCH} 1( OVER 20 - CITY TEL. NO. ,G��.�' 10 PLAN CHECK LIGHTING l FIRST 20 25 APPLICANT 1 Jy TOTAL IiO ADDRESS FIXTU RES � OV ER.20 16 RESIDENTIAL APPLIANCES CITY•. TEL. NO. ` RANGE PERMIT DRYER WTR. HTR. APPLICANT Warr i Electric STA. COO KDISP. F.A.U._ ADORESS15834♦i�7orkman St SPACE HTR. AIR GOND. CITYLa� Puente .TEL. NO. 918BE , CLOTHES WASH. DISHWASH._ - FEG.N NN 5 ER 208 - CLASS. G-lO FANOTHER 100 I 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. S1ZE & TYPE OVER TO I HEREBY CERTIFY THAT I,AM PROP PLY REGISTERED.AND/OR 0 _ 1 100 LICENSED AS REQUIRED BY S ANGEL 5 COUNTY AND STATE OF CALIFORNIA OR THAI A HE L)EGL OWNER OF THE ABOVE 1 - 10 300 DE5C.RI CEO RESIDENT A P PERTY a CD I 10 - 50 5.00 51 GNA O 50 - 100 1000AZLBU4�r J4. PROCES ED BY W 100 - 500 1500 � O I '� N ✓/ _Z SIGN, GAS SIGN AND ONE,CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR, MARQUEE ADDITIONAL CIRCUITS 100 ' TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3,00 UNDERSLAB WORK SER'✓ICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVI CE,.POLE, &APPURTENANCES 5.00 WIRING ,� .^7��I'� TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED �! �/ q,, FINAL .' 7 / /'/1�/// Y PERMIT FEE (SUB TOTAL) 1, 150 NOTES; - PLAN CHECK FEE . _ 1 PERMIT ISSUING FEE 3.00 3 OO TOTAL FEE 7.00 PLAN CHECK VALIDATION CK. M.Q. -CASH PERMIT VALIDATION DK. M.O. CASH '17.� OJ� L SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER < NAME _ . DISTRICT NO., GRO P ZONE PERMIT NO. 5 9 U ADDRESS K U CITY TEL.NO.' �I ✓ RECEIVED BY FIRST INSPECTION DY FOR D���UE� Nj COUNTY CERT.NO. �� �Q EXPIRES 6 A ./`L/f./yary L `t/ APPLICANT FILL INHEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK nooRESs NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS BT. CIRCUIT A- -B I C I D E I F IG JH I K I NAME / 2 I MAIL ADDRESS CITY TEL.NO. f / 1 AM THE LEGAL POSSESSOR,OF THE ABOVE LOS ANGELEB'COUNTY CERT�E Oj UALIFICATION.. I ELECTRICIAN. - ABAM eTHE LEGAL OWNER OF THE PROPERTY DESCRIBED OWNER. CORRECTIONS J Q Z p E TOTAL S NO. OF,OUTLETS $ 9a APPROVALS NO. OF FURUREB $ hJ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING -�Q � �� ✓<rl S NO. OF RANGES OR HEATERS $ FIXTURES r MISCELLANEOUS $ POWER PERMIT FEEOI �� $ UTILITYCO.NOTIFIED TOTAL FEE 0i ' 7' FINAL ' COUNTY OF LOB ANGELES APPLICATION FOR PERMIT DSof County Engineer DIVISIONION OF OF BUILDING & SAFETY WILLIAM J. FOX. County Engineer FOR APPLICANT TO FILL IN DIST ICT NO. GR-101 ZONE I PERRMIIT�T NO. ELECTRICIAN De r (y .Y Lt'JYI I RECEIVE BY READY FOR DA E IBBUEO ADDRESS v i '�71 ,F'Z FIRST INSPECTION CITY CJ C STEL. NO. ,�// �/ a /53 COUNTY LICENSE NO. F/h 161/0 E%PIRE9 BUILDING (� f_, J- PERMIT FEES FEE ADDRESS NUMBER EACH _ LOCALITY r� /P /4 LIGHT OUTLETS NEAREST CPO 90 ST. RECEPTACLES WALL SWITCHES OWNER 1�00 I Je!! /Zj I O /! /1 TOTAL UTLETS 5c $ ADDRESS 1 4'('! �/ ELEC. RANGES 26 tt //I A ELEC. HEATERS 29 CITY/J/P L Z/ FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS X AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NuweER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER New MYC. HP Ov.q wc.IEACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. _ I/p s use S .25 SIGNATURE OF I/ 1 .50 PEWMITTE 2 5 1.00 INSPECTION RECORD _ S 15 LSD _ 15 50 2.5014A _ 50 200 5.00 zDo 5Dm 1o.mm ry n (' timQQ _ soO loom 15.00 1 )� OVER 1000 20.00 !G'ewA1d/waA u S 9� g n J.� N .F'ZY i O M.G. SET/FRED. CHANGER-HP IWAcAl/-TcO 1. bf,✓ Lire. WELDERS: AC-KVA 7,o /Q4"'W0.0--q4"'W0.0-- nl1/L _ O GENERATORS - KW TRANSFORMERS - KVA -- TEMP. MOTORS (7S% OF MOVED MOTORS (75% OF DRIG.)_ MISC. SIGNS NO. NO.TRANS. NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 / CONDUIT FIXTURES $1.00 0 WIRING /�Z.6 �'Sy 2Y'.L L=wrr rfLs.✓ SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $� urn.ITv co. NOTIFIED +1 /C� eC�/ i��c. FINAL v 76A663 DBS# 5A 4-52 D.B.S.SA 25M SETS 10-47 APPLICATION 4.�Ayf Py��1MIT ,DEPARTMENT OF BUILDING AND SAFETY HC � l� l ELECTRIC Vl G11�11Y COUNTY OF LOS ANGELES FOX. CHIEF NAME DISTRICT NO. GROUP ZONE PERMIT NO. U RECEIVED BY READY FOR DATE ISSUED U CITY TEL NO .NO. /I�V� FIRST INSPECTION COUNT l 09 N CERT.NO. L EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY, DESCRIPTION OF WORK A- DRES92-6 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS Isw. PLUGS IFIxT CROSS 9T. CIRCUIT A B C D E F G H X NAM i z MAI AO 68 O CITY TEL.NO. 1 AM THE LEGAL MSSESgO OF THE ABOVE LOS ANGELES COUNTY C TIF TV' QUALIFICATION.. ALIFICAT'ION.. ELECTRICIAN. I AM THE LEGAL.OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q Z C7 R' O To No. oP ouTLETe S Z APPROVALS ' NO. OF PIXTURES S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. S WIRING -�_J 6-Y/' v ¢ r,, NO. OF RANGES OR HEATERS S FIXTURES MISCELLANEOUll S / POWER PERMIT FEE $ L 21� UTILITY CO.NOTIFIED 'Y' �-3 `Y 1� TOTAL FEE 4. Va FINAL DB H.A IO.CI E!M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �������� COUNTY OF LOS ANGELES ' WM.//J. FOX. CHIEF ENGINEER 1 NAME Q. ./�/ xC���l"�,d./A d }y.�_, I DISTRICT NO. GROUP ZONE PERMIT NO. A0DRESS��l'l O CITYt[1§` 1 cPl;•nr{ TEL.NO. RECEIVED BY READY FOR DATE ISSUED M FIRST INSPECTION IO'NI �j WCOUNTY ` A� ,.}� — Y`F V �7'�I�, CERT.NO.L v. .✓ C: EXPIRESZQ APPLICANT FILL IN HEAVILY OUTLINED PORTION L1 ONLY DESCRIPTION OF WORK ADDRES NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS I V NEAREST LIGHT OUTLETS SW. PLUGS FlJ[i CROSS ST. 1 -f� CIRCUIT A B C D E F G H K NAME OF 4.f.�.(IJJ•t_ AIL � 3 ADDRESS ti!l r O Ls�d. CITY TEL NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. e HLHCTRICIAN. ' 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS z rc 0 TOTAL ) Z NO. OF OUTLETS S APPROVALS NO. OF FIXTURES �{ S DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. S WIRING J NO. OF RANGES OR HEATERS S FIXTURES 1 MISCELLANEOUS S POWER PERMIT FEE S d � ." J UTILITY CO.NOTIFIED TOTAL FEE -a FINAL I