HomeMy Public PortalAbout8603 GARIBALDI AVE_Electrical__ f rT-
,,,XvDi icERs'cm-a" tktd. DECLJIFWT10fV 7U663 '0'B1 APPLICATION F Q R� EL CTRICAL PERMIT
14,ereby affirm that I hive a,bprtiflogte t( ---it to beif hy°rer. 1 .�-8084
or a oerttM1oate of ykd%ws' Co�on fnburwx:a% or a certtW G`QUNTY OF IROS ANGELelg:�2�L48L 'fl .
BUILDING AN15 SAFETY
copy thereof(Sen 3800,Lab.C.)
Po&,y No- Comperry. ' #oR APPUC.AN7 308
14-�JI Certffled cbpy-Is hereby fumlehed. New Reatdentlal EWd Poole EACH Nb. FEE
Fj '"GA-r t copy ie flied with the t7WIFQ hlnpeotion 1 S 2-Femliy,Sq.Ft S $
departrrrent. M A-faml)y Sq.Ft NEAHE3T
Date Reajdart}al Swlmmt V Pools pyRMOR
,
f FFM NA)&
CEJMFF ATE'DF P-nQN FROM.WORKERS' -�.
COM (N,SURANCE artiatm Rao iJQht 3w. �� ADD 88
(fhb escitlon.n�d_ FonrpirAtrrd f1-the work Wmbtvrrd,by the Pkst 20
per"t.tb�one red c�pllan(=i00),qI Total No. Adrfitloral CITY r�. XeI.No.
I owttfy�thaOn performa{ioe ef.the,yro*,fo! which tills-permit AppLrIANT
ALAN CHECK
is bmu I not,fry aF!Y frr any manner eo as to
beg— to the Worlmf& I awl tT1G " •, Flrst 20Ad
ADDFi�SS
Total No. " C47Y Tei,No.
Data WC Fixed Appl)arwea Not Over f RP ppuFr
NOTI( - TO .APPi,-ANT; Ifo. 'rnaidng .thla Ceitti5cebe of
Ewempt}ont yqq ahc,l beodme euq)ect to She Workero' age— Hastert D.W.
provblons.of.".Labgr Code.you must fdrtlTwrfh co ,with tt ch Oven Dryer_ WA,6 ADDRESS �!
pravbbne or tttts permit shalt be deemed TevbiaQd Top_ — 13U Wit __. CITY Tel.No.
110ENSED CONTRk&6R;8 PECUARA fOfJ Hood-— Fen Other—
I heroby,ed)'h- i that I am IlC�tieQd Uoder,W96*ne'of Chppter 8LKAaM OR
(oorrvnen wtth'Sob5m 7000) of flhiMlbn 3 of the BuMneas gnd n Air Gond. RE im
RdeeakM CO*and#rt?I10 nse.le In full farad and effectT Fewer ApQarghta S.(arse APPUe�a SGT N0. BY
L los W fi�y IShe h Type HP,KW,'fC .a tCaCAI�
7, too.Ctesa tk to i'fncl,` ►� «<y---.j{{{
beer 1 tq 101na. DATED6JA �
Over 10,to 60 Ind.
- -
RNAL
I-am mmpt under Seo. Over 50 to 100 Inc gY
l � _- 'r:��y
BAP.C.for this reason Over 100
i y,
f` SeNbee,Swbd..MCC S Panalboerde CO
0-200 Amp%Under 6q0 V
Sihrre 201'- 1Q00 Amp. Under,B00 V
Over 1000 Amp.or,OVW e01V V
Exernptbn for,Reg.%WnZLY
SING TNhp,power'Pole d,Appurtenanoea 3307
HOME ONTER� R DEC_A TION
I hereby afihm that I em �fi from the contractors tJcenee Law 'wtth one Srer,oh grouH
for the b9owIng reeson edigr 7031.6,Bua1ness.ari4 Piu4eesibfie ° 9lgn Brach Grouftn .1i]
code):
1,ap owner the property,'wlll do-the work and the atri�re A,aeacoaaulte a Conductors. 3 ITEI15
b not• or offered for sale (Seorion 70,44, Rue�iees bt—(��p��Fee Sohedule) —
and ;Code? .
DOTAL . .....22 v 00
Ufa(
CONSTRUCTION LENDNG AGENCY ' .r
t heretry that,there Is a conBtuction lending agency fat tha [# _1,00
of the work for.whkc thlq permit le beued(Sea 3097, PERMFr FEE (Sub•Totai)
Civ.
PLAN CHEClQNG FFE ry�y�r��yrlt�
Lehdees Name �'o 1 fir/ 4190
PERMIT I$SMNO FSE 7477 ..1 A. I:4-0
�ehder`e Address
I certify to have reed V* apriloatbn and state tfrat.'the above T01 L FEE
rm
hfoafion fe correct f agree to'cornpiy wfth ell Courtly ordfiancee
and Stets iewa requieting Eled7i wiring, and hereby authort:9
repreesrtatN— of this County to enter Lpon the abore'mentloned
ME REVERSE FOB EXPLANATORY LANGUA13E
Si�ahpb Qf Dete
PENSA
W }cF I heYM_mt57oNof 6mA doN APPLICAnON FOR ELECTRICAL PERMIT-' ',
I hereby �? tt�it l have oerti?icate d Consent to eQtf tenure,
« q oerfffloa d Wbrkera' Compensation Irmrwio%.«ti oerUffed COUNTY OF LOS ANGELES BUILDING AND'SAFETY.
oopt lt*&e pf(Seo.3800,Lab.C.),
Fuky pyo., y. FdR ADPL rANT TO FILL IN .1OB3 .
Q. EACH NO. ADDFtE ,q
�w Ceftffled Dopy b hereby furr�4et�¢ - tJew Resyderr#1af B S fbole LOC.AlJ7YC
Cer`ttW 'copy IiT fined with the.County' buBdlftp bapecdien 1 fL 2 FernN,S4 Ft�— /FL LCA
.fit. Multi-famlty ScIFt - O U .rD
1r FFtar NMS,go-Lf
CERT1F)CAGE OF EXl MPTION FROM WORKERS' a e&Rao
- CoMPENSFFbN INSWRANCE= . Flret 2a'
{Title aectbn nabd not be cornpMtid#f the irbdr Invotvmd by the Total No _ Additional CIFY. Tel.No;
-
pormit to!or ane hundred tkAlara($100)or{ata.).
['certify that hi the pwfwbw-oe d the work ft?ir wbloh." permft PtAN C1 =IK
1e teaued;I ahall not empty any.portion In any manner ao as, to
beoorw sub)ebt to the Workers'Corhpernaiiorr t_ewe Llghtlrig Fbduree Faret 20' AbDRES$
._ Total No. _ Additf«iel Cllr`( - Tel.No.
We ., Appkarn .T 4 ,
NOTICE ,TL7 APPLCANT: If, after d aAFQ thfa.C ie of '�Not over 9 11P r Will W!L� 1 1}✓{�
,Exemption,you shckk bec«ne su4}eot.!O,&-Ykd-r&Gorrpenaathn � � --R.w:
prpvbbrn of the Labor,Coder you nxo,tor� +th wco"with auoh Ow � tlryer_ WM._ ADDRESS E
proyW"or tt*permft she ba deemed revoked, Top FALI � WR... �_ -
LICENSED.CONTRACTORS DECLAAAIION ' Hood Fan other_
I h0"by of nn VW.I am aoeneed Ljr¢ ,WNWono of ChRptar 9 D�-_ Room.Jr-Cond. r OR ' Cies
AUEJR
(oomTwxArtp with Section 1000) ofAlvialon 3 of the Rmhneee and REb.'N
PrpfeeeiortQ Code,and rrty Ibenee le•ln fL4 force,and effect Poyw 3 J_ar e,Appltarnoea ��T
Stze a bPe FP,KW,K4 or KNAR.
Lbenae Lb.CVeaa Up to 1 Ind.. RNAL _
1.tR 14Ind: bATE fib• tx
Date. 4Uer.10 to 50 Ind
FINAL;.
! '
1'em exempt order S. -4 ,.._�� Over 60 to 100 h1a., gy.• r;
____q
¢3P.C_f«this reason
Over 100
$ervtcbe,Swbd,M=& PanNboerde o Z -
0 200 Arrp.Under 900 V i _ t
S�re 201-- f 00 Amp.Under 800 V .f -� - - -
_ _ over 1boo,Amp.or Over Boo v
LJ for Rep.Maim EJeat
SINOL�FAfvIrLY Tenp.Power Pole d AppUrte(ranc9e
Ii6M�QMER-BUILDER DECLARETOf4 Sign wfth Orie Branch Clroutt
I hereby afron 3h8t l-am exfrtpt irbm the Contrac�e'LJcarm L9w T -�L. bon Sten Branch Ci oalts � ��T•#r _
for th6 fdllbwfng mi bon(t,oobo,7091.5,Bu$tneaa arld FSrofeeal«ra 7 17.50
C00e):.,
Mfeo,CorKOW a conductors MEMS
I;As owner'd tine property;wEl do tine work end the atnide Other'(See Cohlpia6e Fee Sahedlile) T
b net totended « oferea f« Bale(seer 704+, Buetr,eee _ , .-- TOTAL- .. J.-7ib 50
�t�roiesetone Code)., - ,. �+��
& $TRUCTUN LF_N[7N.G'AGENOY �CASLH� 17,5
I hweby afflrm•tf pi there Is a.0or>strix;t riGer�Y for the Linz M1L . .
perf«mpnbe of tho wdric for WNoh,thio permit Is ($eC X067, PERMIT FEE (Nb-Total)
Ctv.C,)r
PLAN CNECKiNG FEE
Lendoes Nam-' tM 1{ �/17J 7u
15ERMfr ISSUING
FEE, .. `. _ 1' AM 7921
LwxWs Addreae
I owftfy that t hheye read tt* applloation and Aboa thatthe above" Ta�kl_EEE
WonnaUon b correct I agree to corrpty wfth alt County ordYlencen
arid Stud 0" re9uliattnp Electrical wlrtrlp,,a71d hereby authortre _
repreoentelfyes-of{this Cotntybo the above-merrboned
XFLANI{
Pprop"for
Inepeatiorl SEE REVERSE FOR E `ORY l.ANOLIAGE 1. ..
a WORKERS'COMPENSATION DECLARATION 7&6.663 1081 APPLICATION FOR ELECTRICAL PERMIT
�I hefeby'afflrm that I helve a certificate of consent to self CE-806r, �j
4 Insure, or a'certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY ILII
nr a certlhed copy thereof (Sec. 3800, Lab. C.)
Policy No• Company FOR APPLICANT TO FLL N }06
Certified copy Is hereby furnished. New Resldentlal Bldgs. 8 Pools �`CH NO. FEE ADDRESS 1
❑ 1 8 2-Famll Ft. LOCALITY
Certified copy Is filed with the county building Inspec- Y• Sq.
tion department. Multi-family Sq. Ft. — NEAREST
Date Applicant ASST
Residential Swimming Pools
t62OR t
OWFIRMNAME
CERTIFICATE OF EJ0 MPTION FROM WORKERS' Outlets: Rec Light w._ MAIL ` 6
COMPENSATION INSURANCE First 20SADD 55
(This section need not be comp6ted ff the work Invohr*d by Total No Additional CITY Tel. No.
the perm"Is for ors*hundred dollars ($100)or less.)
I certify that In the performance of the work for which this PLAN CHEOc
permit Is Issued, I shall not employ any person In any manner
APPLKA W
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional
t L_LI Ail 1C CITY No.
Date Applicant ��� Fixed Appliances Not Over 1 HP FERMii
NOTI TO APPLICANT: If, aftef making this Certificate of A RJYJT NT
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. —
deerned revoked. Hood _ Fan _Other_ CITY oe Tel. No.
LICENSED CONTRACTORS DECLARATION Room Alr Coed.
_ LKMNU OR
hereby affirm that I am licensed under provisions of Chapter 9 Dlsp. REG. NUMBER Clan.
(commencing with Section 7000) of Division 3 of the Buslnen Power Apparatus 8 Large Appliances DISTRICT NO. BY
and Profenions Code,and my license h In full force and effect.
Size 8 Type HP, KW, KVA, or KVAR J l
License Number I Ic. Chas Up to 1 Incl. FINAL
ContractorDate Over 1 to 10 Incl. DATE / z
vwuDAn .
Over 10 to SO Incl. FI
❑ I am exempt under Sec. Over 50 to 100 Irrc. BY
B.BP.C. for this reason Over 100 NZr
Services, $wbd., MCC 8 Panelboords
—Date: 0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp. or Over 600 V
Exemption for Req. Malnt. Elect. 2 4 4 3 6 A
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
# o o 'o 0 0 2
HOME OWNER-BUILDER DECLARATION Sign WithOne Branch Circuit
I hereby afflrm that I am exempt from the Contractors License Additional Sign Branch Circuits I o 0 2 5
La for the following reason (Section 7031.5, Buslneu and
eulons Code): o 0 0 2 �J�0
Mlsc. Condults 8 Conductor
I, as owner o the property, will do the work and the her See Complete Fee Schedule)— , t
structure It not Intended or offered for sale (Section � ( P, ) � � � (� 8 6
7044, Business and Profeulons Codey
CONSTRUCTION LENDING AGENCY
I hefeby affirm that there Is a construction lending agency for
the performance of the work for which this permit Is Issued PVZMIT FEE (Sub-Total) U
(Sec. 3097, Cly. C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Addreu
I certify that I have read this application and state that the TOTAL FI:E IRS ks
above Informatlon 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-mentlonad rty for Inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
S gnoture of Pe ee to
' VORKERS'COMPENSATION DECLARATION 764.663 10/81
b 4 hereby affirm that I have a certtflcate of consent to self CE-&)6G APPLICATION FOR ELECTRICAL PERMIT
Insdre, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certlfibd copy thereof (Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO RLL IN JOB I +
❑ Certified copy Is hereby furnished. New Residential Bldgs. 8 Pools
EACH NO. FEE ADDRESS
❑ Certified copy Is filed with the county building Inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALfTY
tion department. Multi-family Sq. Ft. — NEPl2E5T
CROSS ST, t t
Date Applicant Residential Swimming Pools OWNER OR `
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL , !t
COMPENSATION INSURANCE ADDRESS
(This section rM*d not b*completed If the work Irrvolwd bl' First 20
the pwmlt Is for one hundred dollars($100) or less.) Total No Additional CITY_ I or
Tel. No
I certify that in the performance of the work for which this PL'AN CHECK
permit Is Issued, I shall not employ any person In any manner APPLICANT
to as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Additional
� q t n Total No. CITY o
Date ppllcankJI l�+Fn 42CUb
Fixed Appliances Not Over 1 HP PERMIT
NOTICE kO ICANT: If, after making this Certificate of AP�KANf
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. tyo.
LICENSED CONTRACTORS DECLARATION Dlsp. Room Air Cond. DCE?, E OR Class
hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER
(commencing with Section 7000) of Division 3 of the Business DISTRICTNO.� BY
and Professlons Code,and my Ilcerne Is In full force and effect. Power Apparatus& Large Appliances vy
Size &Type HP, KW, KVA, or KVAR'
License Number I Ic. Class Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE VA TFON
Contractor Date Over 10 to 50 Incl. FINAL
IDI am exempt under Sec. Over 50 to 100 Inc. BY
B.BP.C. for this reason Over 100 Z
Services, Swbd., MCC& Panelboards poll. 2351.8A
—
Date: 0 -200 Amp. Under 600 V r
Signature_ 201 - 1000 Amp. Under 600 V # 0 0 0 0 0 2
❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V ° 0 2-5 5 0
SINGLE FAMILY Temp. Power Pole 8 Appurtenances ° ° ° 2 5 5 0 Ft
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I �,2 0—8 5
I hereby affirm that I am exempt from the Contractors License Additional Slgn Branch Circuits
Law for the following reason (Section 7031.5, Buslneu and
Professions Code):
I, as owner of thero the work arod the Mlsc. Conduits&Conductors
ff
structure Is not Intended or offered for sale (Section Other (See Complete Fee Schedule)—
,
7041, Buslneu and Profeulons 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 Issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING EEE
Lender's Name
PERMIT ISSUING FEE
Lenders Address
I certlfy that I have rood this application and state that the TOTAL FEE S S
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 or Inspection purpo
;?,—_ , SEE REVERSE FOR EXPLANATORY LANGUAGE
Ig nature of POTO I nee Do
F_
WORKERS'that
CI have cert) DECcafe of TIONcorse 1&&.W Dor �e7 APPLICATION FOR ELECTRICAL PERMIT O
I hereby affirm that I have a certificate of consent to self '
Insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLI WORKi$� 1 r
or a certified copy thereof (Sec. 3800, Lab. C.) s Q
I� Pgllzy No Company FOR ArPLIUNr TO FLL IN JOB
❑Certified copy Is hereby furnished. New Residential Bldgs. &Po-o4 EACH NO. FEE ADDRESS _
❑Certified copy Is filed with the county building Inspec- 1 & 2-Famlly, Sq. Ft. $ -- $ LOCALITY
tion department. Multi-famlly Sq. Ft. — NEAREST �-
Residential Swimming Pools CROSS ST.
Date Applicant OYINFR OR
RM NAME
CERTIFICATE OF IDTAU ION FROM WORKERS' MAIL
COMPENSATION INSURANCE Outlets: Re{ Light Sw._First20
ADDRESS
(This section need not be completed if the work involved by CITY Tel. No.
the pormtt Is for one hundred dollars (;100)or less.) Total No. Additional
c>1EC1c
I certify that In the performance of the work for which this APPIJCANT
permit Is Issued, I shall not employ any Person In Qny manner Lighting Fixtures First 20 ADDRESS
to as to become subject to the Workers Compensation Lawi.
Additional
Total No. CITY Tel. No.
Date L App II.n Fixed Appliances Not Over 1 HP PERMIT
NOTJKE TO PLICANT: If, after making this Certificate of APPLICATION
Exe ptlon, you should become subject to the Workers' Range— Heater—D.W. —
Compensatlon 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. CITY Tel. No _G3r
deemed revoked. Hood — Fan —Other—
LICENSED CONTRACTORS DECLARATION Dlsp. — Room Air Cond. — UCB�UMBER �' Chas �-�
I hereby affirm that I am licensed under provisions of Chapter 4 REQ.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCESSE O}..
and Professions Code,and my license Is In full force and effect.
� ') Size &Type HP, KW, KVA, or KVAR O
License Numbele 113P71/2 Llc. Clanl V Up to 1 Incl. FINAL l O
Over 1 to 10 Ind. DATE VAUDATION
Confracta, ��-rt Over 10 to 50 Incl. FINAL O
❑1 am exempt under Sec Over 50 to 100 Inc. BY U
Over 100 LLJ
t1
B.&P.C- for this reason a_
Services, Swbd., MCC& Panelboards0111. �8 0 a 4 A Z
0-200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V # o a o e a 2
❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V 4 o a 2 2 0 0
SINGLE FAMILY Temp. Power Pole &Appurtenances o o o 2 2 0 0 TT
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Slgn with One Branch Clrcult Q a 3-90
Law for the following reason (Section 7031.5, Bwlnew and Additional Sign Branch Circuits
Professions Code):
Ell, as owner of the property will do the work and the Mlsc. Condultz&Conductors
structure Is not Intended or offered for sale(Section 706", Other (See Complete Fee Scheduled
Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency fa
the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total)
(Sec. 3097, Clv. C-).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lenders Address
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 represen flues of this County to enter upon
the abovo- entlo for Inspection
pu SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of P Ittee I Date ms
COUNTY OF LOSNGBI_ &S TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1210290015
BUILDING AND SAFETY / LAND DEVELOPMENT TExPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAi, ID: FEES PAID BUILDING ADDRESS:
TR: 5903 LT: 14 8603 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAAB CA 917752615
)L9SES9OR INFORM?1=ON NUMBER: NBARR4T CROSS STREET: BURTON
5386-007-032 Al PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: G2 LOCALITY: TE24PLE CITY CA
F1 12OV, 15/20A BR CLTS 2.00 BR 34.60
TE?UU7r: GI OUTL.HTS-LGT,SW,RECP 9.00 OUT 18.00 ISSUED ON: PROCESSED BY: PIAN BY.
G2 LIGHTING FIXTURES 6.00 LOT 12.00 10/29/12 SR
TOTAL FEES 92.40
OMBER: TEL. NO: FINAL DATE F BY: CO
ROUSH WILLIAM E;}0\R.JORIE J (626) 286-3889-
8603 GARIBALDI AV 3
SGAB 917752615
OF WORK vi
INSTALL OVERHEAD LIGHTS, CAR PORT LIGHTS, CROUTE DOOR LIGHT,
APPLICANT: TEL. NO: 1 OUTSIDE CGFI RRCEPTIAL AND 9 DUPLEZ RECEPTIAL4
SAME A9 OWNER
SPECIAL CONDITIONS:
CONTR,NCI'OR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME A9 OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR E TNFM: TEL. NO: UFRR GROUND
LIC. NO: ROUGH COR®UTT
ROUGH WIRING
MAIN NATER I
PLASTIC Y/N METAL Y/N
UI'II,I'PY
03HPANY NOTIFIED
REPORT ID: DPR-265 ROUTE TO: B90508
?. COUNTY OF LOS ANGELES TEMPLE CITY a8 ELECTRICJIL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS , EL D508 98055050017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5903 LT: 14 8603 GARIBALDI AV
FEE DESCRIPTION: QUlAJNTITY: UOM: AMOUNT: S&AB CA 917752615
ASSES33M IMF NEAREST. CROSS STREET: URTON
5386-007-032 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW RECP 2.00 OUT 3.90
G2 LIGHTING FIXT5kS 1.00 LGT 1.95 ISSUED ON: PROCESSED BT: PLAN BY: EXPIRES ON:
TOTAL FEES 33.60 05/05!98 UT 05/05/99
OWNER: TEL. NO: FINAL DATE FI CME:
ROUSH WILLIAM E•MARJORIE J (626) 286-3889-
8663 GARIBALDI AV I2-1gA
SGAB 917752615 DE 5UPTION OF WORK
ELECTRICAL FOR BATHROOM REMODEL
APPLICANT: -TEL. NO:
SAME AS 06N ER -
SPECIAL CONDITIONS:
5_r�G�co\
CONTRACTOR: TEL; NO:
SAME AS OWNER t /�'Q ✓ �r\`
APPROVALS DATE INSPECTOR SIUWTURr—
LIC. NO �� � TEMPORARY POWER POLE
LIC. N0: --_ 11111111
PLASTIC Y/W METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: B30508
COUNTY OF LOS ANGELES T134Pr.E CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0910200014
BUILDING AND SAFETY / LAND DEVELOPMEDTT TEMAT.F' CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDIRG ADDRESS:
TR: 5903 LT: 14 8603 GARIBAT.nI AV
FEE DESCRIPTION: QUA.N=: UOM: AMOUNT: 9GAB CA 917752615
ASSESSOR INFORMATION NUMBER: NRAR=
CROSS STREET:
5386-007-032 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G2 LACALITY: TEMILE CITY, C
JB AC UNITS +3-10HP 1.00 AC 19.65
TlnU+NT: TOTAL FEES 47.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/20/09 SR 10/20/10
ONNER: TEL. NO: F CODE:
ROUSH WILLIAM E;W\RJORIB J (626) 286-3889-
8603 GARIBALDI AV
SCAB 917752615 DES OF MORS
A/C-HEAT SYSTEM CHANGE OUT
APPLICANT: TEL. NO:
CARRA CODTTRERAS (626) 286-3157-
4931 N. ENCINITA AVE SPECIAL CONDITI0NS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. 190: APPROVALS DATE INSPECTOR SIGNATURE
CONNOR ASR CONDITIONING (626) 286-3157-
4931 ENCINTTA AVE LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 403735 CRO
UND13iEUND COIDDI'T
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO. ROUGH CON=
RODGA WIRING
MIDI MATER LINE '
PLJ1=C YIN METAL YIN
UTJIITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BSO50B
I
COUNTY OF LOS ANGELES TEMPLE CITY NM 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0504260637
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LErmkL •
FEES PAID BUILDING ADDRESS:
TR: 5903LT: 14 8603 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UUM: AMOUNT: SGAB CA 917752615
ASSESSOR INFaRMATION NUMBER: NEAREST CROSS STREET: BURTON
5386-007-032 Al PEIMIT ISSIUUNCE FEE 27.75 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGTSW RECP 15.00 OUT 29.25
G2 LIGHTING FIki5kES 3.00 LGT 5.85 .
TOTAL FEES 62.85 04/26/05 JK 10/23/05
UW%tK• TEL. NO: r
•KtIE J -3889- V7 FINAL BY: CODE:
ROUSH WILLIAM E
8603 GARIBALDI AV
SGAB 917752615 DESCRIPTION OF WORK
RE-WIRE KITCHEN 8 DINING
APPLICANT: TEL. NO:
IRSCO INC. (818) 504-1965-
7764 SAN FERMANDO RD SPECIAL CONDITIONS:
SUN VALLEY, CA 91332
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIMTLJRE
IRSCO INC. (818) 504-1965-
7764 SAN FERNAN00 ROAD 04 LIC. NO TEMPORARY PCWER POLE
SUN VALLEY, CA 91352 5659058
UNDERGROUND CONDUIT
ARCHITECT OR TEL.—liffi— LIFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRINr_(
MAIN WATER LINE
PLASTIC YIN METAL Y/N
REPORT ID: DPR265 ROUTE TO: RS0508