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76A669_CESOS-9 57 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 5605 �TO e Cloverl Dr,
BUILDING AND SAFETY DIVISION ADDRESS y
JOHN A LAMBIE COUNTY ENGINEER TemTJle City
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY XXA L
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES
ITEM NUMBERI EACH FEE OWNER
OUTL
5:1 MAIL
LIGHTfil9RECEPT 8 SW 2110 p
ADDRESS
LIGHTING FIXTURES 119 10 11.90 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN G. DE E. Corbin
WATER HEATERS 50 ADDRESS P 0 BOX 335
ELEC SPACE HTRS ISHWASHERS
GARBAGE DISPOSERS AUTO- CITY Rosemead 44 ��''11 TEL NO cu33
WASHERS STA COOKING UNITS 25 n25 STATE 1132 l/ lO
LICENSE NO
MOTORS OVER INC H P '7
DISTRICT�IO GROUP Z READY FOR INSPECTION
Fan s 0 — 1/2 7 25 18 75 � ,
Vi — 2 50
2 — 5 100 INSPECTION RECORD
5 — 15 ISO
15 — 50 250
50— 200 500
SIGNS NO TRANS +
NO LAMPS
SERVICE 0-600V too
00
SERVICE OVER 600V 500 '
MISC
7
WIRING PERMIT 100
h
FIXTURE PERMIT 100 1 0 00
SUPPLEMENTARY PERMIT 5o
TOTALFEE $3 70 APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR S-SI-G.NATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT C-mou
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
ELECTRICAL WIRING WIRING !/VTCB ko?
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED A /OR
LICENSED AS REQUIRED BY LOS ANGE �CDUN$Y-AND ST OF FIXTURES
CALIFORNIA OR THAT I AM THE oUWNER OF) TH OVE POWER r
DESCRIBED RESIDENTIAL PROP A .`
(SIGNATURE UTILITY CO NOTIFIED OF PERMITTE FINAL �4/
VALIDATION
ARTHUR C VETT,
CK 610 CASH SUPERVISING ELECTRICAL ENGINEER '
MI-4 m FEB 24 2 A- 3 8.7 0 M
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FOASSS CES06 10 60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY ✓ �/GtP� G/T�
NEAREST
a/�
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNER , 4 v le,6 v C
I T E M NUMBER EACH I FEE MAIL
OUTLET $ $ ADDRESS
LIGHTS RECEPT SW 1O D CITY TEL NO
LIGHTING FIXTURES 10 Q
ELEC RANGES CLO DRYERS ELECTRICIAN (o Il T /.=.LEJrG T
WATER HEATERS SO ADDRESS 9,9"? 1-), (f / Qry'�p
ELEC SPACE HTRS DISHWASHERS CITY .d TEL NO
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DISTRICT NO GROUP -Z NE I PROCESSED BY
0--1/2 25
1/2— 2' 50 / I,NSvPEEC,,TIION�t/RECORD
2— 5 100 l f27t i tai'''Y /J X71 /f�j �J�� o
5— 15 150 /d V
15— 50 250 ✓ O
50— 200 500
SIGNS NO TRANS ay'
NO LAMPS L
SERVICE 0-600V 100
SERVICE OVER 600V 500
MISC
WIRING PERMIT 1 00
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE $
IHEREBY 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 JJ
ELECTRICAL WIRING WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR )�
LICENSED AS REQUIRED 13Y LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L PROP TY POWER
SIGNATURE UTILITYCO NOTIFIED
OF PERMITTEM
FINAL R/aq// /T6T
/VALIDATION ARTHUR C VEIT
- MO CASH SUPERVISING ELECTRICAL ENGINEER
�r' O 3 2.3 " .°#PP 2 2 0 f 7.`7 0to
76A66C CE.#806 S 61
APPLICATION FOR ELECTRICAL PERMIT LLL...111
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING �J
BUILDING AND SAFETY DIVISION ADDRESS ",049- , j-
JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY - C
NEAREST
5 FOR APPLICANT TO FILL IN CROSS ST ,( Q
PERMIT FEES OWNER
I T E M NUMBER EACH FEE MAIL
OUTLETS 4/ �J $ $ ADDRESS
LIGHTS RECEPT SW 3 10 CITY TEL NO
LIGHTING FIXTURES f 10
ELEC RANGES CLO DRYERS ELECTRICIAN ,E.L FLIT
WATER HEATERA 50 ADDRESS , U
ELEC SPACE HTRS DISHWA HERS
CITY TEL NO
GARBAGE DISPOSERS Auto- STATE
WASHERS STA COOKING UNITS 25 LICENSE NO 9
MOTORS OVER INC HP DIST_RICT NO GR P ON P CESSED B
0— 1/2 25 Ozt 4142
1/2— 250 /INSPECTION EC RD ` -
2— 5
1003/7,7��7 n/ci7v�°v]1 � j 7 /-� do
5— 15 150
is— 50 250 cc
50— 200 Boo dd W
NO TRANS f 1 d
SIGNS NO LAMPS
SERVICE 0 600V 1 00
SERVICE OVER 600V 5 00
M ISC
WIRING PERMIT 1 00
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 17/`
ELECTRICAL WIRING WIRING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REOUIRCD BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF E ABOVE
DESCRIBED RESIDENT L PROP TY POWER
SIGNATURE UTILITY CO NOTIFIED /
OF PERMITTEE FINAL
VALIDATIO ARTHUR C VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO GASH
S . r
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7GAG63-CESOG-9.5, APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES mmmow
DEPARTMENT OF COUNTY ENGINEER BUILDING 5605 No. Cloverl
BUILDING AND SAFETY DIVISION ADDRESS y
JOHN A LAMBIE COUNTY ENGINEER Temple City, alif.
CASSATT D GRIFFIN SUP T OF BUILDING LOICALITY
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST Broadwav
PERMT FEES
1 T E M NUMBER1 EACH FEE OWNER St. Lukes Church
OUTLETS
MAIL
LIGHTSRECEPT2 SW 10 $ 20 ADDRESS
LIGHTING FIXTURES f0 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN Corbin Electric
WATER HEATERS 50 ADDRESS P Q BOX 335
ELEC SPACE HTRS DISHWASHERS
GARBAGE DISPOSERS AUTO- CITY Rosemead C al l f& NO Cu33526
WASHERS STA COOKING UNITS 25 STATE 1132 .4 C 10
LICENSE NO
MOTORS OVER INC H P
0 — I/z 25 G�
DISTR�+ N�. GROUP LONG READY FOR INSPECTION
I/2 — 2 50
2 — 5 100 INSPECTION RECORD
5 — 15 1 50
15 — 50 250
50— 200 Boo
SIGNS NO TRANS
NO LAMPS
SERVICE 0-600V 100 QQ
SERVICE OVER 600V Boo
MISC
WIRING PERMIT 100 1 QQ
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 50
TOTAL FEE s 2 2O APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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
I HEREBY CERTIFY THAT I AM P L£R Y REGIST D AND/OR
LICENSED AS REQUIRED BY LOS S COUNji STATE OF FIXTURES
CALIFORNIA OR THAT I AM L OWNER �HE ABOVE POWER .s
DESCRIBED RESIDENTIAL OP
SIGNATURE �/ UTILITY CO NOTIFIED _
OF PERMITTE FINAL
VALIDATION ARTHUR C VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
Il 1.9 8 OR' Fn 132 A 2.2 0 -
WORKER S COMPENSATION DECLARATION 20 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT
76A663
I hereby 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(Sec 3800 Lab C)
Policy No Company FOR APPLICANT TO FILL IN JOB
ADDRESS
Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE
$ $ LOCALITY
F-1Certified copy,is filed with the county,bwlding inspection 1 &2 Family,Sq Ft
department Multi famil S Ft NEAREST
(�P�, Y q CROSS ST r�
Date 7) ,LC L Applicant Pa Jos�. Residential Swimming Pools ASSESSOR PAGE PARCEL a22
/t MAP BOOK
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec,`� Light S. �/ OWNER OR
COMPENSATION INSURANCE First 20 70 /w �y FIRM NAME
(This section need not be completed If the work Involved by the MAIL
permit is for'one hundred dollars($100)or less) Total No Additional ADDRESS 1
I certify that in'the performance of the work for which this permit CITY QIll Tel No
is issued I shall not employ any person in any manner so as to CHECK
PLAN /�
become subject io the Workers' Compensation Laws Lighting Fixti res First 20 APPLICANT . \7S C�
t
Total No Additional
'- ADDRESS SyX a� �� V���Y�
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP
NOTICE,TO APPLICANT If, after making this Certificate of CITYTel No 2—Z�lij
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 ADDRESSIM-
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl 1
(commencing with Section 7000) of Division 3 of the Business and CITY Tel No Z
Professions Code and my license is in full force and effect Over 10 to 50 Incl y
!!l Over 50 t0 100 Incl LICENSE OR Class
REG NUMBER Li �1 O
Over 100 DISTRICT NO PROCESSED BY
License Number ` ` Lic Class U
P `(��•• ^ Services Swbd MCC&Panelboards Cr
Contractor �+�ST Date, `��i� `-- 0 399 Amp Under 600 V F NAL DATE /y O
❑ I am exempt under Sec 400 1000 Amp Under 600 V —1 Z-�3 VALIDATION w
Over 1000 Amp or Over 600 V FINAL lL
B&P C for this reason BRANCH CIRCUIT FEES BY (n
Date 15A or 20A 120V Lighting or Recept Z
�r 1 To 10 Branch Circuits }
Signature 1 r"1R 11 To 40 Branch Circuits
❑ 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
�t�T $
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ng
for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 3307 �1n �
Code) t T Z f P
❑ I as owner of the property will do the work and the structure Misc Conduits&Conductors 1_ _ ENIS
is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) ® TOTAL :146 ®01
and Professions Code) .91
G 14-6.91
7
CHECK 6
CONSTRUCTION LENDING AGENCY L 1
I hereby affirm that there is a construction lending agency for the CHANGE
performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total) /a
Civ C)
PLAN CHECKING FEE
Lenders Name 00170-0001 12/1EI/42
PERMIT ISSUING FEE 76T6996 1 ile i„t
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
a
pection pur oses� py SEE REVERSE FOR EXPLANATORY LANGUAGE
ZKh
NKg[rurm OT rImITTEE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0604100009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 ERT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5605 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET CLOVERLY
8588-004-022 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
E2 TEMP DIST SYSTEM 1 00 TMP 21 60
TENANT TOTAL FEES 49 35 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
04/10/06 JK 10/07/06
OWNER TEL NO FINAL DAT XPIREU BY CODE
ROMAN CATHOLIC ARCHBISHOP OF L A (818) 291-5900-
1531 9TH ST
LOSA 900151112 DESCRIPTION OF WORK
BOOTH LIGHTING FOR FIESTA
APPLICANT TEL NO
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO UFER GROUND
LIC NO ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
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REPORT ID DPR265 ROUTE TO BS0508
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COUNTY OF LAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704060009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID 1 BUILDING ADDRESS
ON FILE I 1 5605 CLOVERLY AV I
FEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802540
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET CLOVERLY I
18588-004-022 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY I
I IE2 TEMP DIST SYSTEM 1 00 TMP 21 60 I I
ITENANT I TOTAL FEES 49 35 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
04/06%07 JK 10/03/07 I
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OWNER TEL NO 1 (FINAL DATE p��� FINAL BY CODE I
IROMAN CATHOLIC ARCHBISHOP OF L A (818) 291-5900- ��A �I I
11531 9TH ST I I p
ILOSA 900151112 DESCRIPI"17 OW' vMiaLzaer 1
IBOOTH� LIGHTING FOR FIESTA 2007 I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904060020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS I
ON FILE I I 5605 CLOVERLY AV 1
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET CLOVERLY 1
18588-004-022 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY 1
I IE2 TEMP DIST SYSTEM 1 00 TMP 21 60
(TENANT I TOTAL FEES 49 35 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
104/06/09 SR 10/03/09 I
(OWNER TEL NO I IFI AL DATEFINAL BY CODE I
IROMAN CATHOLIC ARCHBISHOP OF L A (818) 291-5900- I 1 r ��
11531 9TH ST 1 IPTION 0 WORK I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0804040012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
5605 CLOVERLY AV
ON FILE IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET CLOVERLY
18588-004-022 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
1E2 TEMP DIST SYSTEM 1 00 TMP 21 60
ITENANT I TOTAL FEES 49 35 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1004140003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID BUILDING ADDRESS I
I ON FILE I 5605 CLOVERLY AV I
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COUNTY OF LOS ANGELES TEMPLE,CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204090023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
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1 1FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET CLOVERLY
18588-004-022 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1104110032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ,
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID BUILDING ADDRESS I
ON FILE 5605 CLOVERLY AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET CLOVERLY
18588-004-022 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY 1
IE2 TEMP DIST SYSTEM 1 00 TMP 21 60
(TENANT I TOTAL FEES 49 40 (ISSUED ON PROCESSED BY PLAN BY I
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IREPORT ID DPR265 ROUTE TO BS0508 1 I I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1404080024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ,
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5605 CLOVERLY AV
1FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET CLOVERLY
18588-004-022 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
ID3 BOOTH LGT SYSTEM 1 00 BOO 16 20
ITENANT I TOTAL FEES 44 00 11SSUED ON PROCESSED BY PLAN BY
I 104/08/14 SR
(OWNER TEL NO FI LL DATE FI BY CODE
(ROMAN CATHOLIC ARCHBISHOP OF L A (818) 291-5900-
11531 9TH STI Iy&� `�'
1LOSA 900151112 1 lugo RI TIO OF WORK 1
I I IBOOiH LIGHTING FOR FIESTA 2014 1
1APPLICANT TEL NO 1 I
SAME AS OWNER
ISPECIAL CONDITIONS 1
I 1 VAL DATE INSPECTOR SIGNATURE
1CONTRACTOR TEL NO i 1APPF0 S I
ISAME AS OWNER - I 1 1 I
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I I 1UNDERGROUND CONDUIT 1 1
1ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND 1
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1ROUG-I WIRING
I 1 MAIL` WATER LINE 1
I PLAEPIC Y/N METAL Y/N
1UTILITY COMPANY NOTIFIEDI I I
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1 I I I I I
I I I I I I
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508 1 1
I I I I I 1
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COUNTY OF LOS ANGELES- TEMPLE CITY # 0508 , ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304010044
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 +
PHONE (626) 285-0488 EXT '
ILEGAL ID I FEES PAID BUILDING ADDRESS
ON FILE I I 5605 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802540 I
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET CLOVERLY 1
8588-004-022 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY I
I ID3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 I I
ITENANT I TOTAL FEES 44 00 (ISSUED ON PROCESSED BY PLAN BY 1
104/01/13 SR I
(OWNER TEL NO 1 IFIINA[L�DAT - INAL BY CODE
ROMAN CATHOLIC ARCHBISHOP OF L A (818) 291-5900- 1 �7�/1
11531 9TH ST _ I
ILOSA 900151112 IDESCRIPTION OF WORK
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IREPORT ID DPR265 ROUTE TO BSO508 I I I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0404070018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
E L ID FEES PAID B DI G ADDRESS
ON FILE 5605 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET CLOVERLY
8588-004-022 Al PERMIT ISSUANCE FEE 27 75 THOMAS_ PAGE: 596 GRID J4 LOCALITY TEMPLE CITY
E2 TEMP DIST SYSTEM 1 00 TMP 21 60
TENANT TOTAL FEES 49 35 ISSUED ON PROCESSED BY PLANY EXPIRES ON
04/07/04 VG 10/04/04
OWNER TEL NO FIN L 5 FINAL BY CODE
ROMAN CATHOLIC ARCHBISHOP OF L A B(� q
1531 9TH ST
LOSA 900151112 D OF WORK
BOOTH LIGHTING FOR FIESTA
APPLICANJ TEL NO
SAME AS OWNER
SPECIAL CONDITIONS-
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY 0 t POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO UFER GROUND
LIC. NO ROUGH CONDUIT
ROUGH ING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY TIFIED
REPORT ID DPR265 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE Ci-TY " ,# 0508 -ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL-0508 0007170037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID ' BUILDING ADDRES§
ON FILE , 5605 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
ASSESSOR INFORMATION-NUMBERNEAREST CROSS STREET BROADWAY
8588-004-022 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
G2 LIGHTING FIXTURES 2 00 LGT 3 90
TENANT G3 POLE MOUNTED LIGHTS 2 00 POL 4 50 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 36 15 07/17/00 UT 01/14/01
OWNER TEL NO FINAL DATE FINAL BY
ARCHDIOCESE OF L A EDUC (213) 388-8101 ,ZQ � IN6�2�
1531 9TH ST ` oko
LOSA 900151112 DESCRIPTION OF WORK
INSTALLATION OF TWO LIGHT POLES (161) WITH FIXTURES
APPLICANT- TEL NO
P AND P ELECTRIC CO (626) 309-0734-
P 0 BOX 1020 SPECIAL CONDITIONS
TEMPLE CITY, CA 55
CONTRACTOR TEL NO c� f//LA� APPROVALS DATE INSPECTOR SIGNATURE
P AND P ELECTRIC CO , INC (626) 309-0734-1
P 0 BOX 1020 LIC NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 569956C10
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REPORT ID DPR265 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0203200024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING
ON FILE _ 5605 CLOVERLY AV:
FEE DESCRIPTION QUANTITY UOM: AMOUNT: TEMP CA-917802540
ASSESSOR NEAREST CROSS STREET CLOVERLY
8588-004-022 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE- 596 GRID J4 LOCALITY. TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1 00 BOO 16.20
TENANT TOTAL FEES 43.95 C .
03/20/02 JK 09/16/02
OWNER TEL. NO IN T L BY CODE-
ROMAN CATHOLIC ARCHBISHOP OF L A
1531 9TH ST
LOSA 900151112 DESCRIPTION OF
BOOTH LIGHTING FOR FIESTA
APPLICANT TEL NO
SAME AS OWNER
SPECIAL CONDITIONS
��GELES Co
CONTRACTOR TEL NO - ��� ��A� APPROVALS DATE INSPECTOR SIGNATURE
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P E L ATER
PLASTUC Y/NLINE METAL Y/N
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REPORT ID DPR265 ROUTE TO: BS0508
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT I
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304100003'
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL D FEES PAID BUILDING ADDRESS
ON FILE 5605 CLOVERLY AV f
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802540
ASSESSORNEAREST CROSS STREET CLOVERLY
8588-004-022 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
E2 TEMP DIST SYSTEM 1 00 TMP 21 60
TENANT TOTAL FEES 49 35 ISSUED ON. PROCESSEDBY EXPIRES ON
04/10/03 JK 10/07/03
OWNER TEL NO FINAL DATE FINAL BY CODE
ROMAN CATHOLIC ARCHBISHOP OF L A
1531 9TH ST
LOSA 900151112 DSC ION OF WORK
BOOTH LIGHTING FOR FIESTA
APPLICANT TEL 0
SAME AS OWNER P—o 1t �-r -
SPECIAL CONDITIONS
(Dale
CONTRACTOR TEL NO - -_\ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC NOTEMPORARY POWER POLE
UNDERGROUND CONDUIT
UFER GROUNDARCHITECT OR ENGINEER
LIC NO 1 ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
iC' PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
C"c'
REPORT ID• DPR265 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0503210018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT-
LEGAL
EBUILDING ADDRESS:
ON FILE 5605 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM• AMOUNT: TEMP CA 917802540
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: CLOVERLY
8588-004-022 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY
E2 TEMP DIST SYSTEM` 1 00 TMP 21 60
TENANT TOTAL FEES 49 35 ISSUED ON PROCESSED BY PLAN BY EXPIRES 0
03/21/05 JK 09/17/05
OWNER TEL NO ILIAL D E FINAL BY' CODE:
ROMAN CATHOLIC ARCHBISHOP OF L A (818) 291-5900-
1531 9TH ST
LOSA 900151112DU�RIPT
ON OF WORK
B H LIGHTING FOR FIESTA
APPLICANT TEL NO
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR APPROVALS DATE INSPECTORA R
SAME AS OWNER -
LIC. NO TEPORARY POWER POLE
UNDERGROUND OD IT
ARCHITECT OR ENGINEER: TEL NO OF ER GROUND
LIC NO02OW CONDUIT
ROUGHG
MAIM WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY T
REPORT ID DPR265 ROUTE TO: BS0508