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COUNTY OF LOS ANGELES CCYY c �(
DEPARTMENT OF COUNTY ENGINEER UNAME
BUILDING AND SAFETY DIVISION ' •i f6 Qjli jJ:
FOR APPLICANT TO FILL IN OUTLETS NO. EACH FEE SN
NEC EPT. _ MAIL
h�T FIRST 20 AODRE55 _ !L•
LIGHT-92, TOTAL 25 OO CITY TEL. N0.{
SWITCH OVER 20 ,10
PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTAL
OVER 20 ADDRE55
FIXTURES 7 .• .10 7
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGEDRYERWTR. HTR._ APPLICANT 1411 Is Z
STA. COOK_DISP,. F.A.U._ ADDRESS
SPACE HTR. AIR COND. CITY 'TEL. NO.
LICENSE OR
CLOTHES WASH. DISHWASH. REG. NUMBER CLASS.
FAN OTHER 1.00 1 HE.9EBY 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.
SIZE 6 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR.
0 - 1 1.00 - LICEN5EOAS REOU19ED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOV
1 - 10 3.00 DESCRIEED RESIDENTIAL PROPERTY.
O
PERMITEE
10 - 50 5.00 SI6NATURE-P�Z� ✓ � �
- O
50 - 100 1000 DISTRICT NO. PROC SED BY ~
W
1
100 - 500. 500 L� l8 Y 1 c',
J 0 z_
SIGN. GAS SIGN AND ONE CIRCUIT SAO APPROVALS DATE 1NSPE[ •S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CE NOT OVER 600 VOLTS OR 200 AMP 3.00 QD UNDERSLAB WORK
SER'41 CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES' 5.00 WIRING ��%r.'y �• W�An)
TEMP LIGHT OR'RECEPT. SYSTEM 3.00 FIXTURES (�7L/ K
POWER AUTHORIZED '
UTILITY CO. NOTIFIED
• FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 d [1 '
TOTAL FEE
PLAN CHECK VALIDATION CK. M,0. CASH PERMIT VALIDATION cK. M.D. CASH
7 4 41V 1APR 29 2 D 8.5 0 A�i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 1312190030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 10898 LT: 1 BL: .001 UN: .00410948 DAINES DR
I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I( TEMP CA 917802920
(ASSESSOR INFORMATION NUMBER: II NEAREST CROSS STREET: SANTA ANITA
18573-018-026 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
ILE 200 AMP PANELS, MCC 1.00 PAN 38.90
TENANT: ILN OTHER PNL 0-399 AMPS 1.00 PAN 38.90 ((ISSUED ON: PROCESSED BY: PLAN BY
( : III
TOTAL FEES 105.60 12/19/13 SR
OWNER: TEL. NO: FI AL DATE FI AL Y: CODE:
WU, LE KUW (626) 636-0390-
11525 OAK GROVE AVE
SAN MARINO, CA 91108 DESCRIPTION OF WORK
1 (1) REPLACE OLD ELECTRIC SERVICE PANEL WITH 200 AMP &
1 (2) REPLACE OLD SUB-PANEL 70 AMP
APPLICANT: TEL. NO:
ISHIH, HSIAO (626) 377-1033-
11439 EASTLEIGH AVE. (SPECIAL CONDITIONS:
HACIENDA HEIGHTS
IIII 111 III CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
(GRAND PALACE CONSTRUCTION, INC. (626) 377-1033-
11439 EASTLEIGH AVENUE LIC. NO ITEMPORARY POWER POLE
IHACIENDA HEIGHTS CA 91745 678049 1 11
UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
I LIC. NO: ]ROUGH CONDUIT
] IROUGH WIRING
I I I
] ]MAIN WATER LINE -
(PLASTIC YIN METAL YIN
I I I
Ili (UTILITY COMPANY NOTIFIED / I`
I- `� I
I I I I I ) I
11 I I I I I
111 I I I I 11
I I
I 11111 11111 111] I 1111
I I I I 1
IREPORT TD: DPR265 ROUTE TO: 890508 f
I I I ]I
COUNTY OF LOS ANGELES- TEMPLE CITY $ 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306220058
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 10898 LT: 1 BL: .001 UN: .004 1 10948 DAINES DR
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917802920
+ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: SANTA ANITA
18573-018-026 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 12.00 OUT 24.00
ITENANT: IG2 LIGHTING FIXTURES 12.00 LOT 24.00 (ISSUED ON: PROCESSED BY: PLAN BY:
IH2 RES GREG DIED LT 3HP 1.00 DIS 11.00 108/22/13 SR
IH4 RES RANGE HIS LT 3HP 1.00 HOC 11.00 1
TOWNER: TEL. NO: IHS RES WASH MACH LT 3HP 1.00 WAS 11.00 (FINAL DATE FINAL BY CODE:
T WU, LE KUW (626) 636-0390- IH7 RES EXHAUST FANS 1.00 EX 11.00 1
11525 OAK GROVE AVE I TOTAL FEES 1 /Q.19.80 cf
TSAN MARINO, CA 91108 DESCRIPTION OF WORK
112 OUTLETS, 12 LIGHT FIXTURES, GARBAGE DISPOSAL, DISHWASHER T
RANGE HOOD, WASHING MACHINE AND EXHAUST FAN
(APPLICANT: TEL. NO:
ISHIH, HSIAO (626) 377-1033-
11439 EASTLEIGH AVE. I (SPECIAL CONDITIONS: I
(HACIENDA HEIGHTS
I 11 I
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
(GRAND PALACE CONSTRUCTION INC (626) 377-1033-
11439 EASTLEIGH AVENUE LIC. NO ITEMPORARY POWER POLE I I I
IHACIENDA HEIGHTS CA 91745 678049 1 1
I (UNDERGROUND CONDUIT
1
(ARCHITECT OR ENGINEER: TEL. N0: T IIFER GROUND I I I
I
I LIC. NO: I TROUGH CONDUIT 1 I I
IROUGH WIRING —
MAIN WATER LINE
(PLASTIC YIN METAL YIN
I I I 11 I II
(UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I 11 I 11 I 11
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
I I I I I I
I I I I I 1111
I I I I I 111
111 I 11 I 11 111
IREPORT ID: DPR265 ROUTE TO: BS0508 111 111
COUNTY OF LOS ANGELES TEMPLE CITY g 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 1308220059
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITS: 10896 IT: 1 BL: .001 UN: .004 10948 DAINES DR 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802920
(ASSESSOR INFORMATION NUMBER I
A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID11 NEAREST CROSS STREET: SANTA AKITA
185] 3-018-026 1 : D3 LOCALITY: TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 6.00 OUT 12.00
(TENANT: IG2 LIGHTING FIXTURES 6.00 LGT 12.00 11SSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 51.80 108/22/13 SR
IQWNER: TEL. N0: IFI AL DATE FINAL BY: CODE:
1WU, LE KUW (626) 636-0390- '`J FINAL
11525 OAK GROVE AVE
(SAN MARINO, CA 91100 IDESCRIPTIO�F WORK
16 OUTLETS, 6 LIGHT FIXTURES FOR GUEST HOUSE
IAPPLI CANT: TEL. NO:
ISHIH, HSIAO (626) 3]]-1033-
11439 EASTLEIGH AVE. (SPECIAL CONDITIONS:
HACIENDA HEIGHTS
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GRAND PALACE CONSTRUCTION INC (626) 3]]-1033-
11439 EASTLEIGH AVENUE LIC. NO TEMPORARY POWER POLE
(HACIENDA HEIGHTS CA 91745 676049
1DNDERGROUND CONDUIT
I I I
1ARCHITECT OR ENGINEER: TEL. NO: i IUFER GROUND I I
I
I LIC. NO: IROUGH CONDUIT -
1 I
11 TROUGH WIRING
11 (MAIN WATER LINE I I
(PLASTIC YIN METAL YIN
I I I
1 1UTILITY COMPANY NOTIFIED(
I I I
I I 111 1111 11111 111
1
1 I I I 11
I I I I I
I I I I I 1
1 111 1111 11 11 I
111 I I 111 1111 I
IREPORT ID: DPR265 ROUTE TO: 950508
I I I I I I