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]DEPARTMENT OF COUNTY f LOS
ANGELES
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COUNTY 8 � 1N.7 t'11VV1Ci'S��J g
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DISTRICT NO GROUP ZONE PERMIT NONAME
7
U ADDRESS
CITY TML.NO RECEIVED B//Y READY FOR 1 DATE ISSUED
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� V FIRST
COUNTY INSPECTION
CERT NO sou-IRFAi
L��/'�gy-AyF�'PLICAN'I'®d��.g�IN HEAVILY OUTLINED POWnON ONLY (/,�/y
DT�.T.,�IlE Y 1tO1'1 OF WORK ADDRESS 3 5 a S � IT I LI
NUMBER OF OUTLETS ON CIRCUITS LOCALITY if-1 NO
O
LOCATION BY ROOMS
LIGHT OUTLLT8 SIOV PLUW FIXT NEAREST ST c Sr.
L
CIRCUIT' A_113 C ( D E F (3 H m NAME a��t�^ a� [�_ . f
( j aaoamss .3,
O CITYr��e i�f�' TEL NO
1 AN THS LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
ELECTRICIAN
1 Ali'1 HU L2QAL OWNER OI+TH6 PROPF�FLEC D C-]AN FJ)
AJbOVX
7 - OWNER
CORRECTIONS
J
Q
Z_
O
O
1 1
NO OF OUTLETS $ APPROVALS
NO OF FIXTURES f ffi O ATE INS ECTOR S NAME
NO OF MOTORS H P ffi CONDUIT
NO OF SIGNS TRANS ffi WIRING
ANO OF RANGES OR HEATERS ffi FIXTURES
-MISCELLANEOUS J POWER
PERMIT FEE $ / UTILITYCO NOTIFIED / �,p
FIN (� d{7 l f i1101 f
/ 1
76A§63 CE806 168 APPLICATION F;R-ELEC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETrY DIVISION ADDRESS Off/
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGNEAREST LOCALITY
FOR APPLICANT TO FILL IN CROSS ST
7RECE1-
NO AC FEE$ $ OWNER
MAIL
TOTAL FIRST 20 20 �) ADDRESOVER 20 10 CITY C TEL 400 a
PLAN CHE(?fK
LIGHTING �TOTALFIRST 20 20 I APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGEDRYER—WTR HTR — CITY TEL NO
STA COOK_DISP F A U — COI4TRAC TOR
SPACE HTR AIR COND
ADDRESS
CLOTHES WASH —DISHWASH CITY TEL NO
FAN—OTHER 1 00 LICENSE IJO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT,AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
I - 10 3 00 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO d
10 - 50 5 00 RESIDE IN THE ABOVE DESCRIPED RESIDENTIAL PROPERTY O
SIGNATURE V
50 - 100 10 00 OF PERMITTEE 9X
too — soo 15 oo DIST C/T GRO P Z E PROCESSED BY r)SIGN GAS SIGN AND ONE CIRCUIT 3 00 (1 1� W
TUBE OR CL
MARQUEEADDITIONAL CIRCUITS 1 00 h
NOTES Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE 8: APPURTENANCES 3 00 APPROVALS DATE INSPECTOR 5 SIGNATURE
TEMP POWER POLE
UNDERSL`AB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED ,r� �
I / �p�qJ�-'�
PERMIT ISSUING FEE 2 00 04
1I UTILITY CO NOTIFIED �yJ
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE
JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M 0 CASH
L&O4903,S JUA 3 2 D 380
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE I`
7
,
(f- / ry 0 /-- 7� °�"�� (,- 7-V
76A663 CE806 168 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 6
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
RECEPT $ $ OWNER _
MAIL
LIGHT ,(TOTAL FIRST 20 20 ADDRESS
SWITCH_/ OVER 20 10 CITY TEL NO .j�
PLAN CHECK
LIGHTING �TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER r WTR HTR _ CITY TEL NO
STA COOKOISP F A U _ COi4TRAC TOR
i
SPACE HTR AIR COND
l ADDRESS
L
CLOTHES WASH DISHWASH _ CITY TEL NO
FAN—OTHER- 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
10 - 50 5 00 RESIDE IN THE ABOVE DESCRIPED .RESIDENTIAL PROPERTY O
SIGNATURE V
50 - 100 10 OO pF PERMITTEE 99
100 - 500 15 00 mmomiiiiiiiid o
DIST CT NQ GROUP gN* PR�ESSEI� BY
TUBE SIGN
A SIGN AND ONE CIRCUIT 3 00 jf _
MARQUEE ADDITIONAL CIRCUITS 1 00 N
NOTES Z
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
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (507 PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 n UTILITY CO NOTIFIED
-71
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINALIV
TOTAL FEE n JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CAsd
lnLc 6 5 2 0 SEP 2 3 2 D 4 P 0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
/I
7GA663 CE606 rO 69 APPLICATION FOR ELECT; PERMIT 1
v COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNARE
G A
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING Y G
FOR APPLICANT TO FILL IN PERM FEES T
OWNER
ITEM NUMBER EACH FEE MAIL
OUTLETS $ $ y ADDRESS
LIGHTS RECEPT SW 10
LIGHTING FIXTURES f r 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN R
WATER HEATERS 50 ADDRESS 8923 F.Broadyvay
ELEC SPACE HTRS DISHWASHERS CITY TEL NO At-7-0539
GARB �T y- STATE 178987,
WASHERSS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P Dl! ICT NO I IWPZ NE PR CESS D BY
O— 1/2 25I I
1/2— 2 so INSPECTION RECORD
2— 5 100
5— 15 150
15— 50 250
50—200 500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 100 t1 u
SERVICE OVER 600V Soo
MISC
WIRING PERMIT 100 j BO
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50
TOTAL FEE t ff
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /' r7 Ad
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE -FINAL
®PDATION ART URC VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LI _c, � 1J
WORKERS' COMPENSATION DECLARATION 20-0019 DPW 3/87 CAPPLICATION FOR ELECTRICAL PERMIT O
I hereby affirm that I have a certificate of consent to self E eobG
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
FICertified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO, FEE ADDRESS
El Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY —/,7E/tJA/_fi C r
tion department. Multi-family Sq. Ft. — NEAREST J__
/
Residential Swimming Pools CROSS ST.OWNER OR
Date Applicant FIRM NAME ( C 7
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL y
COMPENSATION INSURANCE First 20 ADDRESS Sfl fs 4 4-4k6 O
(This section need not be completed if the work involved by Total No. Additional CITY f- �iZ Tel. No. S
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
Additional
Total No. CITY Tel. No.
Date Applicant�� Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of 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. PRO SSED BY
and Professions Code,and my license is in full force and effect. �� �-�- O
Size &Type HP, KW, KVA, or KVAR
License Number Lic. Class Up to 1 Incl. FINAL
Contractor Date Over 1 to 10 Incl. DATE -�/! i// VALIDATION cr
❑ Over 10 to 50 Incl.
FINAL U
I am exempt under Sec. Over 50 to 100 Inc. BY -� W
B.&P.C. for this reason Over 100 a
Services, Swbd., MCC& PanelboarL7 ® Z
Date: 0- 200 Amp. Under 600 V 40 Z
Signature 201 - 1000 Amp. Under 600 V
ElExemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY Temp. Power Pole &Appurtenances
HOME OWNER-BUILDER DECLARATION
I herebyaffirm that I am exempt from the Contractor's License Sign with One Branch Circuit _.
P Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and 9
Professions Code):
I, as owner of theproperty, will do the work and the Misc. Conduits& Conductors _
structure is not intended or offered for"sale(Section 7044, Other (See Complete Fee Schedule)_
Business and Professions Code). 1is'':L 3 3 00
CONSTRUCTION LENDING AGENCY
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 P3 t' { ? •.`",:;_)
I 4
`
Lender's Address PERMIT ISSUING FEE / -'='�` � A'# -,23,
�•_F IN
TOTAL FEE certify that I have read this application and state that the - � � �d
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.inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Os
Vnature of Permittee Date
D
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL_PERMIT,
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9704040019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL ID FEES PAID BUILDING
TR 11497 LT 13 BL A X5025,=FARAGO-AV-
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803526
ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET FREER
8574 008 035 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY
G1 OUTLETS LGT,SW,RECP 2 00 OUT 3 90
TENANT HA FAU LESS 3HP 1 00 FAU 10 80 ISSUED OW--ROCESSED BY PLAN BY EXPIRES
JB AC UNITS +3-10HP 1 00 AC 19 65 04/04/97 TC 04/04/98
TOTAL FEES 62 10
OWNER TEL NO FINAL DATE FINAL BY
SEIBERT MARY E (818) 579 3709
5025 FARAGO AV
TEMP 917803526 DESCRIPTION OF WORK
ELECTRICAL FOR NEW HEAT/AIR COND SYSTEM
APPLICANT ,
AIR TRO INC (818) 357 5311
SPECIAL CONDITIONS
� t
--
CONTRACTOR TEL NO �\�0� _ '` APPROVALS DATE INSPECTORSIGNATURE
AIR TRO, INC (818) 357 5311
1630 S MYRTLE AVE LIC NO 0 POWER POLE
MONROVIA, CA 258288C 20 * ✓� � �� ��
UNDERGROUND D I T t
ARCHITECT G ✓ UFER GROUND
LIC NO ��� 1 _� ROUGH CONDUIT
ROUGH
1Jl�C��114AIN R I E
L PLASTIC Y/N METAL Y/N
10, UTILITY COMPARV-OTTM15
UPJ F�
�0� U U ❑ 0-
ADDITIONAL
ADDITIONAL DATA ON FILE
REPORT ID DPR265 ROUTE TO BS0508