Loading...
HomeMy Public PortalAbout5918 CLOVERLY AVE_Electrical__ 76A663-CEBV3-69 L✓rJ 1 , APPLICATION FOR ELECTRI AL PERMIT 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 LOCALIT � C FOR APPLICANT TO FILL IN CNEAREST . ROSS ST /�S Z/ NO. EACH FEE .. $ $ OWNER RECEIPT. � MAIL LIGHT_� TOTAL FIRST 20 ,20 ADDRESS_5/� CITY TEL.N0. SWITCF OVER 20 .10 PLAN CHECK - LIGHTING TOTAL FIRST 20 ,20 ��1CJ APPLICANT FIXTURES �/" OVER 20 .10 ADDRESS CITY TEL.NO. RANGE_DRYER_WTR. HTR. _ STA. COOK_DISP. / F.A.U. CONTRACTOR ��1lh��L ,� le t SPACE HTR AIR COND. A D D R E VQ CLOTHES WASH. DISHWASH. FAN_OTHER 1.00 o LICENSE N0. �(QJ <p CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELS O NTY AND STATEOF 1 - 10 3.00 CALIFORNIA OR THAT I AM THE L N F, AND INTEND TO d -RESIDE IN, THE ABOVE DESCRI RE D I L PROPERTY. O 10 - 50 5.00 V SIGNATURE 50 - 100 10A0 OF PERMITTEE DC O 100 - 500 15.00 D��NO. GROUP ZONE _ PR ,C ED SIGN,GAS SIGN AND ONE CIRCUIT 3.00 O N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 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 WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL lmnEi TOTAL FEE A„ JOSEPH C. ROOHAN �/o SUPERVISING ELECT L ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH [fiC 19 9.7-10SEP 2 5 2 D 6-00N Q ; SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / r 76A663-CE806 3-69 APPLICATION FOR FOR ELECTRIC L PERMIT J'- COUNTY OF LOS ANGELES ~DEPARTMENT OF COUNTY ENGINEER BUILDING p-� ,G� BUILDING AND SAFETY DIVISION ADDRESS] C? C_ r G° V/, JOHN A. LAMBIE, COUNTY ENGINEER 101, COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY 1 NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNER i .� .G ,�ti RECEIPT._ MAIL ADDRESS, �- v LIGHT TOTAL FIRST 20 .20 CITY TEL. NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 •20 APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL. N0. CONTRACTOR STA. COOK_DISP. F.A.U. / SPACE HTR AIR COND. ADDRESS/e CLOTHES WASH._DISHWASH. CITY FAN_OTHER 1.00 fq 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 N-) c yy ELECTRICAL WIRING. 1 �J O - 1 1.00OV G.��✓ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } d 1 - 10 3.00 CALIFORNIA OR THAT I AM TH�F,_I" GAL OW//N;ER OF AND INTEND TO > RESIDE IN, THE ABOVE DESCRIBED R SI D EMTI ALiP�ROPERTY. a- 010 - 50 5.00 (J SIGNATURE � 50 - 100 10A0 OF PERMITTEE H 100 - SOO 15.00 DISTRICT NO. G OUP ZON P OC V W SIGN,GAS �AD'IT'ON AND ONE CIRCUIT 3.00 ° ` '- Z TUBE, OR MARQUEE NALCIRCUITS 1.00 NOTES: 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 WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 © UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL � �161/-�, //, v TOTAL FEE �' �� JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK - M.O. CASH 2c-- APR21 2 D 5.00- SEE BACK OF APPLICATION FOR COMPLETE FEF_ SCHEOIII_E �•A,_ I 76A663 DGS 5A 11-49 APPLICATION FOR PERMIT _ DEPARTMENT OF BUILDING AND SAFETY ELECTRIC ���� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT 140. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN r ELECTRICIAN BROST ELECTRIC CO I /�/ ADDRESS 3525 E. 14th, ST. RECEIVED BY READY FOR DATE ISSUED c FIRST INSPECTION L.A. 23 Cal TEL. NO. 3666- .i '�l CITY A COUNTY LICENSE NO. EXPIRES�l .7"Z)` (C/ BUILDING �• PERMIT FEES ADDRE5 rT. CLOURLY AVE. IN- NUMBER I OUTLETS EACH FEE LOCALITY TEYIPLF;�t'CITY O LIGHT Sc S" C� NEAREST CROSS ST. LOS TUNIS (9 RECEPTACLES 5 FIXTURES 5 OWNER TEMPLE CITY MASONIC LopGg WALL SWITCHES 5MAIL EIEC. RANGES 25 ADDRESS TEMPLE CITY CAL.ELEC. HEATERS 25 CITY CAL. TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL APPLICATION AND STATE THAT THE ABOVE 15 CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWERI CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE NEw MVD. HP OVER INC. EACH a ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER �I OF THE RESIDENTIAL,PROPERTY DESCRIBED BO, E. Y2 S LESS $ .25 I/2 2 .50 SIGNATURE OF �� UX 2 5 1.00 PERMITTEEI- > 0 s 's i.50 INSPEO •ION RECORD is so 2.50 _—�s0 200 5.00 j 200 Soo 10.00 500 I 1000 15.00 OVER 1000 20.00 `7 M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA .�. 0 GENERATORS - KW go D TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG•) MOVED MOTORS (7S% OF ORIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS - APPR VALS FOR EACH PERMIT: ATE INBP TO 'S_NAME _WIRING $1.00 r CONDUIT FIXTURES $1.00 WIRING FIXTURES G v 'I:vty SUPPLEMENTARY •50 F /W/ POWER r( TOTAL FEE $ EA �I� UTILITY CO. NOTIFIED It' FINAL - 7GA663 DEIS SA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY go COUNTY OF LOS ANGELES WILLIAM .1. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN yy oq p a ADDRESS t9J bs�j �� 7A 'r. RECEIVED BY READY FOR DATE ISSUED FIA.ST INSPECTION CITYC(Z TEL. NO. / COUNTY LICENS NO. xJ EXPIRES f 3eI /NBUILDING PERMIT FEES ADDRESS NUMBER OUTLETS EACH FEE LOCALITY LIGHT 5c $ o �qq CROSSEST ST. y RECEPTACLES 5 (� FIXTURES 5 A_® OWNER ®['% ®cel `'+ E- WALL SWITCHES 5 49 MAIL iV ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 CITY TEL. NO. MISC. I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH, ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWERI CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE New MVD. HP OVER I INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER %2 & LESS $ 25 ^ OF THE RESIDENTIAL PROPERTY DESCRIBED 90VE. I V2 2 .50SIGNATURE ❑F �yti� 2 5 1,00 PERMITTEE •% 5 15 1.50 50 INSPEC, ON RECORD is s0 2.50 Rh j��s0 200 S.00 2000 s00 10.00 Soo I 1 D00 15.00 I� OVER 1000 20.00 Z _ M.G. SET/FREQ. CHANGER-HP n WELDERS: AC-KVA - GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORICO _ MOVED MOTORS (75% OF ORIG.) _MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: ATE INSP TOR'S NAME WIRING $1.00 ,� }�-� CONDUITS A- 0 FIXTURES $1,00 WIRING a q v / �� / /l SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE -S/—/ UTILITY CO. NOTIFIED FINAL 76A663 OBSSA5-49 lJ `.. APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND S ETY COUNTY OF LOS ANGEL ELECTRIC 1 WILLIAM J. FOX, CHIEF E GINEER FORA PLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. It f ELECTRICIAN t RECEIVED READY FOR DATE ISSUED ADDRESS Z.V FIRST INSPECTION .... � � CITY TEL. NO.0-r O E- '� COUNTY LICENSE NO. �/C� EXPIRES BUILDING PERMIT FEES ADDRESS FEE 1. ? NUMBER OUTLETS. EACH - LOCALITY .rn �,� +,✓ LIGHTS Sc I$ I NEAREST TI h RECEPTACLES 5 ��/ CROSS ST. FIXTURES 5 I OWNER / CI f_WA! t WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25., CITY TEL. NO. MISC. �'0.� I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INS AL ED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING: NUMBER ' HORSEPOWER 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP hVER .INC. EACH - OF THE RESIDENTIAL PROPERT DESCRIBED ABOVE. &LESS $ .25 +/x 2 .50 SIGNATURE O 2 5 1.00 - PERMITTEE / 5 15 1.50 INSPECTION RECORD 15 -50 .2.50 50 200 5.00 200 500 10.00 Soo- 1000 15.00 j / a OVER 1000 20.00 _ M.G. SET/FREQ. CHANGER-HP � WELDERS: AC-KVA. � 0 GENERATORS - KW' - • 11 TRANSFORMERS '- KVA TEMP,. MOTORS (75% OR ORIG.) MOVED MOTORS 75% of ORIG.) r MISC. I �I fl �/r ( i2. SIGNS TYPE: NO. TRANS. TYPE: NO. LAMPS 4PPROYALS DATE INSPECTOR'S.NAME FOR EACH PERMIT: WIRING $1.00 ()4J CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY ,S0 FIXTURES - POWER TOTAL FEE $ /0 UTILITY CO. NOTIFIED 1,,V/ //a_ i ' FINAL WORKERS'COMPENSATION DECLARATION so-019DPW 3 87 APPLICATION FOR ELECTRICAL PERMIT O •76A663 I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a.certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST 7 Residential Swimming Pools CROSS ST. Date Applicant OWNER OR / FIRM NAME �at [� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec ✓ Light Sw. MAIL COMPENSATION INSURANCE First 20 O / 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.) 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 Total No. Date Applicant Additional CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. 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 LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PR.GCESSED BY >_ and Professions Code,and my license is in full force and effect. a- Size&Type HP, KW, KVA, or KVAR } Q License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE (( / VALIDATION cc:Contractor Date Over 10 to 50 Incl. FINAL 4.v O Elam exempt under Sec. Over 50 to 100 Inc. BY U W B.&P.C. for this reason Over 100 a. Cn Services, Swbd., MCC& Ponelboords Z 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 Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION 1 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): ---1 _- 1,-as owner of the property, will do the work and the Misc. Conduits&Conductors i;�i'3`C structure is not intended or offered for sale(Section 7044, Other.(See Complete Fee Schedule)_ ® TO AI -4 s Business and Professions Code). CONSTRUCTION LENDING AGENCY CASH a.'`=ifw 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 J2 PERMIT ISSUING FEE Lender's Address `t'`''6 H 7° I certify that I have read this application and state that the TOTAL FEE v above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby auth Win esent ves of this County to enter upon thy-cybove- pro t or inspection purposes. G SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ermittee Date Rs� WORKERS'COMPENSATION DECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES ! BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. '442586• Company State FIIlRd EACH NO. FEE ADDRESS 5918 CI verl New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Scj. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST cs department. Residential Swimming Pools OWNER OR FIRM NAME!rem Ie' C(t , Masonic Date Q ? Applicant AA COnd. Air..IaC. Outlets: Rec.—Light SW. MAIL First 20 ADDRESS' 5978 47overlu CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE PLAN CHECX 0. APPLICANT 0 (This section need not be completed if the work involved U Additional by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First ADDRESS 1=o • Total No. 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. permit is issued, I shall not employ any person in any manner PERMIT 0 U LU so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT d Oven _ Dryer_W.M._ ADDRESS , to Date Applicant Top _ FAU _W.H.. 6Q Hood _ Fan _Other_ CITY.R-7 Monte Tel No. _ 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 Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES EO BY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR O r/ deemed revoked. �— !J Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE � - VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. °tom I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000 of Division 3 of the Busi- BY ty�� ( g ) Over 100 ness and Professions.Code, and my license is in full force and effect. 385103 CIO Services License Number 293529 Lic.Class C20- 0-200 Amp. Under 600 V Y �� 1 2 6 8 A 201-1000 Amp. Under 600 V Contractor AAA COnd Al-rDate 111-30I$3 Over 1000 Amp.or Over 600 V C o a o a 2 HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances 2'° 1 9,5 0 I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit o c o 1 9 5 License Law for the following reason (Section 7031.5; Busi- Additional Sign Branch Circuits ness and Professions Code): 1201 -83r Misc.Conduits&Conductors ❑ 1, 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 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 PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)' Lender's Address PERMIT ISSUING FEE 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-men ed prgp for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Daniel Crass 1_7 f3DD/B3. Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0111070012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 5918 CLOVERLY AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS DRIVE 8587-013-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35 TENANT: G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 64.80 11/07/01 JK 05/06/02 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: AMIDA SOCIETY/ JASON CHEN (626) 282-3700- f 5918 CLOVERLY - TEMPLE CITY DESCRIPTION OF WORK RESTROOM REMODELING APPLICANT: TEL. NO: WAI-HUNG TSANG - 6455 MAYESDALE AVE _ SPECIAL CONDITIONS: SAN GABR I EL 91775 CONTRACTOR: TEL. NO: ✓nV APPROVALS DATE INSPECTOR SIGNATURE WAI-HUNG TSANG (626) 286-1873- d 6435 MAYESDALE AVE LIC. NO / \ TEMPORARY PONER POLE SAN GABRIEL CA 91775 763313 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: - / ' r \ UFER GROUND LIC. NOE `� 1111111 �' '? ROUGH CONDUIT il;' 011 J 3- f� I ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N ------ -- -- UTILITY COMPANY NOTIFIED ISO REPORT ID: DPR265 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT Y DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9802170022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 5918 CLOVERLY AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802018 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-013-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 TENANT: G2 LIGHTING FIXTURES 11.00 LGT 21.45 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 84.30 02/17/98 UT 02/17/99 OWNER: TEL. NO: FINAL DATE F NAL BY: CODE: AMITABHA PURELAND, INC. (626) 282-3700- 5918 CLOVERLY AV TEMP 917802018 DESCRIPTION 0 WOK ELECTRICAL FO TE ANT IMPROVEMENT APPLICANT: TEL. NO: A B C CONDITIONED AIR (818) 454-1500- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE A B C CONDITIONED AIR (626) 454-1500- 10160-62 VALLEY BLVD LIC. NO TEMPORARY POWER POLE EL MONTE, CA 708118C10 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 NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 -ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 97100900117 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 293 BL: .001 X5918-CLOVERLY AV-' FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA 917802018 ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-013-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY JA HEAT PUMPS +3-10HP 2.00 HT 39.30 TENANT: TOTAL FEES 67.05 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON: 10/09/97 UT 10/09/98 OWNER: TEL. NO: FINAL DATE FINAL CODE: AMITABHA PURELAND, INC. (626) 282-3700- 5918 CLOVERLY AV TEMP 917802018 DESCRIPTION OF RK ELECTRICAL FOR INSTALLATION 0 HEAT PUMPS APPLICAN TEL. 0: A B C CONDITIONED AIR (818) 454-1500- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: A� '; - - APPROVALS DATE INSPECTOR SIGNATURE A B C CONDITIONED AIR (626) 454-1500- 10160-62 VALLEY BLVD LIC. NO TEMPORARY OWER POLE EL MONTE, CA 708118010 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: FERPOUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508