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HomeMy Public PortalAbout4949 CLOVERLY AVE_Electrical__ 76A663 CE 6068 10/77 APPLICATION FOR ELECTRICAL PERMI COUNTY OF LOS ANGELES DEPARTMENTIOF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS y �u FOR APPLICANT TO FILL IN LOCALITY AA /1 New Residential Bldgs &Pools EACH NO FEE CNEAREST ROSS ST SWC ,, 2 1 &2 Family Sq Ft $ 025 — $ OWNER OR ��++ Multi family Sq Ft 02 — FIRM NAME SLA �( { Residential Swimming Pools 2500 MAIL r ADDRESS 6Yr Outlets RecLight_y__Sw 50 CITY v Tel No First 20 / PLAN CHECA Total No�— Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 -,50 q cqz�,CITY Tel No Additional 30 PERMIT Total No APPLICANT r+ Fixed Appliances Not Over 1 HP ADDRESS$;�&rr, Range_Heater—D W CITY, / Tel No f/ Oven —Dryer—W M_ LICENSE OR Top —FAU —W H REG NUMBER Class Hood_Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp _ Room Air Cond 250 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFOR IA OR THAT I AM Up 10 1 Ind 2 50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P ERTY �O Over 1 to 10 Incl 500 v Over 10 to 50 In1 2 50 PERMITTEE i Over 50 to 100 Inc 2500 SIGNATURE t Over 100 4000d NP PROC BY d Services 0 200 Amp Under 600 V 12 50 INSPECTOR 201 1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATUR Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenorces 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT �7( 2 00WIRING U Additional Sign Branch Circuits Misc Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedules POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE y (Sub Total) NOTES PLAN CHECKING FEE (One Fourth Permit Feel 0 0 0 0 0 PERMIT ISSUING FEE $700 [ o o TOTAL FEE ,h 0 0 PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK 0 ARC? a CCASH 041 '6=80 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE � d 76A663-CE806 9-64 APPLICATION FOR EL CTRI I L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 9 Cloverl JOHN A LAMBIE COUNTY ENGINEER City COLEMAN W JENKINS SUPT OF BUILDING LOCALITY Temple Cit NEAREST FOR APPLICANT TO FILL IN CROSS ST Lower Azusa FRECEPT 2 TOTAL IN EACH FEEOUTLETS FIRST 20 $ $ / O WNER Palmer GHT V MAILi A00'L ADDRESS4949 CloverlWITCH 1 OVER 20 10 TOTAL CITYTem le City TEL NO LIGHTING FIRST 20 20 FIXTURES F ADD'L OVER 2O 10 ELECTRICIAN & Son RANGES CLO DRYERS WTR HTRS 1 00 ADDRESS , O O 1V• Grandview) Ave• GARB DISP STA COOK CITYS San Gabriel TEL No 280-2007 DISHWASH AUTO WASH STATE SPACE HTRS STA APP I'/.H P MAX) S0 LICENSE NO 137567 7 C—10 MOTORS OVER NOT OVER H P DIS��RICT p G jQ-UP ONE PR CE ED BY 0 1 +oo i D -/- - 1 3 150 INSPECTION RECORD 3 S 200 O S 15 250 V is 50 300 Of O H 5o foo 500 U W SIGNS NO TRANS d NO LAMPS N Z SERVICE O 600V NOT OVER 200A foo SERVICE O 600V OVER 200 A 200 SERVICE OVER 600V Soo MISC PERMIT ISSUING FEE 200 SUP LEMEN TABY PERMIT ISSUING FEE 1 00 1 0 FEE_ Z 6S 1 6 I HEREB ACKNOWLEDGE AVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING &Y qtr.9 r 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY L05 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE AB!ZIBED RESIDENTIAL ��ERTY POWER SIGNATURE UTILITY CO NOTIFIED A __ L _—.LA OF PERMITTEE111/991" � �l FINAL ccl IDATICIN SUPERVISING EECTRICAL ENGINEER MO CASH , AC0,1 8 1 3,G MAY 19 2 D 1.60- - 4 l 76A663-CE806 8/63 APPLICATION FOR ELECTRICAt PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LL9 9 Cloverl JOHN A. LAMBIE, COUNTY ENGINEER /v WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 20 16 s,20 $ 20 MAIL Palmer ADD'L ADDRESS SWITCH. L l`� OVER 20 .10 TOTAL CITY TEL. NO. LIGHTING FIRST 20 20 60 FIXTURES 3 ! ADD'L10 ELECTRICIAN R L Conlee Son OVER 2O RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 1030 N. Grandview -Ave. GARB.DISP. STA.COOK CITY San Gabriel TEL.NO.280-200 DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.ly ��s H.P.MAX.) .50 LICENSE NO. Z 6 C-10 MOTORS: OVER NOT OVER H.P. DISTRICTr. I GR E P B O 1 1.00 1 3 1,50 INSPECTION R C RD 3 8 2.00 } CL 8 15 2.50 15 50 3.00 50 100 5.00 O _ W SIGNS: NO.TRANS N NO.LAMPS Z SERVICE 0.600V-NOT OVER 200A 111.00 1 O0 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 2 00 SUPPLEMENTABY PERMIT ISSUING FEE 1.00 TOTAL FEE a h 80 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE 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 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDEN OPERTY POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL IDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER I TEMPLE CITY ISAE3CE806460 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN SUPTOF BUILDING LOCALITY Try NEAREST FOR APPLICANT TO FILL IN ' "OS,sT PERMIT FEES OWNER IRA I T E M NUMBER EACH FEE MAIL l FLIGHTS7s s s ADDRESS OUTLETS— SW 10 11 LIGHTING FIXTURES 10 CITY E NO g ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS ELEC SPACE HTRS DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC H P DISTRICT G Z NE ED O — 1/2 25 r V2 — 2 50 INSPECTION RECORD z — 5100 7 a s — 15 Iso O U 1s — so 250 l ��(r �O 50 200 500U,4/G[ I ,-e '%OV LU SIGNS NO TRANS r _ NO LAMPS 'F� - in SERVICE O 600V too v / SERVICE OVER 600V Boo MISC WIRING PERMIT // 100 r / a yam/ R FIXTURE PERMIT 1 00 SUPPLEMENTARY PERMIT so TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ! (! ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/0- LI CENSED ND/ORLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM T E LEGAL OW THE ABOVE DESCRIBED RESIDE O lTY POWER SIGNATURE UTILITY CO NOTIFIED !! OF PERMITTE .t n FINAL v 'r/� VALIDATIO AR HUk C VEIT CK Mo cases SUPERVISING ELECTRICAL ENGINEER 'L�Cn 2 1 5 SCP 7 2 D 2 .0 0 76A66C-CE. '006 5-61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS fid. JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT of BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER f.'l" 1 T E M NUMBE EACH FEE MAIL OUTLETS: $ S ADDRESS LIGHTS 'i RECEPT.. SW. •1O CITY TEL. NO. LIGHTING FIXTURES ,10 ELEC. RANGES CLO. DRYERS ELECTRICIAN A WATER HEATERS .50 ADDRESS 1 ELEC.SPACE HTRS. DISHWASHERS CITY ;' TEL NO. GARBAGE DISPOSERS AUTO.- .STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. GR Z NE P D B O— 1/z 2 5 �� i 1/2- 2 .50 INS ECTION RECORD \-7- 2— 5 1.00 d --- O 5— 15 1.50 U 9x 15— 50 2.50 O 50— 200 5,00 W NO TRANS. 0. SIGNS: N NO.LAMPS Z SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 C FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING J 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED :..i t OF PERMITTEE t FINAL VALIDATIPN---� ARTHUR C. VETT CK mo cnsH SUPERVISING ELECTRICAL ENGINEER -WORKERSCOMP�NSATLON#DECLARATION 200019 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm tMl tt 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(Sec 3800 Lab C) - - - 4. �� Policy No Company r FOR APPLICANT TO FILL IN JOB ADDRESS ` Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE ❑ ' F _ $ $ LOCALITY Certified co Is filed with the count building inspection 1 &2 Family Sq Ft 'copy y g p NEAREST department Multi family Sq Ft — CROSS ST Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK 1 PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERSOutlets Rec � �G OWNER OR b4✓t t _ COMPENSATION INSURANCE Light First 20 FIRM NAME V i � O � O MAIL (This section need not be completed If the work Involved by the Total No Additional ADDRESS 9 No CLPLIZ✓L permit is for-one Hundred dollars($100)or less) I certify that in the performance of the work for which'this permit CITY G , To No 7• y Is issued I shall not'employ any person'm 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 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&Type HP KW KVA,or KVAR ADDRESS I hereby affirm that'l 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 Incl >_ Over 50 t0 100 Incl LICENSE Class REG NUMBER Q. License Number LIC Class Over 100 DISTRICT NO p P SED BY O Serrviicee,spSw d ~C&Par�Ib�coaards ��d ��iC� 0 FINAL Contractor Date Amp Un e�r 60Q Vf�1R?� DATE O t 4 0 1000 Amp Under 600 V V I am exempt under Sec VALIDATION LU Over 1000 Amp or Over 600 V FINAL fl B&P C for this reason BRANCH CIRCUIT FEES BY U) Date 15A or 20A 120V Lighting or Recept z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg Mamt Elect 15A 20A 208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATIONSign with One Branch Circuit i"T.;: I hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 20" Code) t� I as owner of the property will do thework and the structure Mlsc Conduits&Conductors 7 Is not Intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) I!I f�rL 6�-r and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the `-HANGS performance of the,work for which this permit is Issued (Sec 3097 PERMIT FEE (Sub Total) CIV C) PLAN CHECKING FEE 1-2 Fj(!:-•,SEI f i ,'i _ Lender's Name PERMIT ISSUING FEE p �� y�4r124r14, 1 t11` r�er_ 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 for Ins n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SI AT RE OF PERMI DATE WORKERS'COMPENSATION DECLARATION CE 8069 (2 80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that P have a certificate of consent to self - COUNTY OF LOS ANGELES � T-, � BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or tifwd,cppy t er ofc 3800, La 1LC•�` r FOR APPLICANT TO FILL IN JOB P y No Co pany ADDRESS - New Residential Bldgs &Pools EACH NO FEE Certified copy is hereby furnished 1 &2-Family,Sq Ft $ $ ' LOCALITY ; Multi family Sq Ft Certified co — NEAREST py is filed with the county building inspection CROSS ST Residential Swimming Pools department � � OWNER OR FIRM NAME Date Applicant Outlets Rec Light Sw MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CI ) Te COMPENSATION INSURANCE &px IL PLAN CHECK APPLICANT � 0 (This section need not be completed if the work involved U by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS Total No Additional Ii O 1 certify that in the,performance of the work for which this Fixed Appliances Not Over 1 HP CITY , 'Tel No U 1 W permit is issued, I shall not employ any person in any manner PERMIT r so as to become subject to the Workers"Com pensation Laws Range_ Heater_D W APPLICAN LU Oven _ Dryer_W M _ ADDRESS N Z Dat `[Applicant f Top _ FAU„_W H _ Hood _ Fan _Other_ CITY Tel N NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond_ LICENSE OR Exemption, you should become subject to' the Workers' REG NUMBER A MClass Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCES ED BY with comply with such provisions or this permit shall be ' deemed revoked Size&Type HP,KW, KVA,or KVAR Up to 1 Incl ' _ FINAL Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATIONOver 10 to 50 Incl VALIDATION FINAL I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc ! ) 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 BY ness and Professions Code, and my license,is in full force and r f k effect Services 0 200 Amp Under 600 V S License 201 1000 Amp Under 600 V I ContractN e Lic Class ate ' Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's additional Sign Branch Circuits ✓ License Law for the following reason (Section 7031 5, Busi - ness and Professions Code) Misc Conduits&Conductors O'0 O A ❑ I, as owner of the property, will do the work and the Other�(See Complete Fee Schedule)— structure is not intended or offered for sale (Section _ #lo oto o 'a 2 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY / 2 0'0 3 2,0 0 1 hereby affirm that there is a construction lending agency 1 for the performance of the work for which this permit is PERMIT FEE (Sub Total) .ls 0'o yo 3 2 0 Q issued(Sec 3097,Civ C) _ Lender's-Name PLAN CHECKING FEE (One Fourth Permit Fee) 016'2 2'-8 1' Lender's'Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE i Jill above information is correct I agree to comply with a111County 1 1 ordinances and State laws regulating Electrical wiring, and h y authorize representatives of this County to enter upon t e ab menti a operty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ' V re of Perini + Date ,J J ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0807260017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID I BUILDING ADDRESS 7 ITR 11454 LT 14 4949 CLOVERLY AV FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803811 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LOWER AZUSA 8590-022-005 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl I ILB 200 AMP PANELS, MCC 1 00 PAN 38 85 e I ITENANT ITOTAL FEES 66 60 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON 107/28/08 SR 01/24/09 OWNER TEL NO VAL ATE FIN CODE INEVAREZ RUBEN (626) 287-3974— 1 4949 CLOVERLY AV (TEMP 917803811 SCRI TION OF WORK ELECTRICAL PANEL UPGRADE TO 200 AMP APPLICANT TEL NO ISAME AS OWNER — ISPE(.IAL CONDITIONS (CONTRACTOR TEL NO � I / _ � + (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER — LIC NO (TEMPORARY POWER POLE � I � (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER TEL NO IUFER GROUND LIC NOI ROU, GH CONDUIT ROUGH WIRING IMAIN WATER LINE IPLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED( ,� REPORT ID DPR265 ROUTE TO BS0508 a �s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0809160034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 11454 LT 14 I 4949 CLOVERLY AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803811 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18590-022-005 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY Cl I IG1 OUTLETS-LGT SW,RECP 1 00 OUT 1 95 I TENANT JHA FAD LESS 3HP 1 00 FAU 10 95 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON IJB AC UNITS +3-10HP 1 00 AC 19 65 109/16/08 SR 03/15/09 TOTAL FEES 60 30 OWNER TEL NO IFI4AL DAIE FI BY CODE I INEVAREZ RUBEN (626) 287-3974- I4949 CLOVERLY AV TEMP 917803811 IDE RIPTI N OF WORK ELECTRICAL FOR HVAC APPLICANT TEL NO IPELL AIR & HEATING, INC (866) 646-8499- 1 11495 W 9TH ST 201 ISPECIAL CONDITIONS UPLAND, CA 91786 CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE IPELL AIR AND HEATING INC (866) 646-8499- I 11495 N 9TH ST #201 LIC NO ITEMPORARY POWER POLE I I UPLAND, CA 91786 848196 I (UNDERGROUND CONDUIT I I � ARCHITECT OR ENGINEER TEL NO , IUFER GROUND I LIC NO TROUGH CONDUIT ROUGH WIRING 17 IMAIN WATER LINE ' (PLASTIC YIN METAL YIN (UTILITY COMPANY NOTIFIEDI 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 I I I I I I t I I I I I I I IREPORT ID DPR265 ROUTE TO BS0508 I I I I I I i