Loading...
HomeMy Public PortalAbout9440 GIDLEY ST_Electrical__ 76A663-CE8061-67 APPLICATION FORECTRICA�C PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION `ZJOHN A. LAMBIE, COUNTY ENGINEER -yCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING[=BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT, TOTAL No. EACH FEE {,, 11 OUTLETS FIRST 20 $.20 $ OWNER I1�1' Z LIGHT 1 MAIL SWITCH ADD'L 10 ADDRESS OVER 20 TOTAL FIRST 20 .20 CITY TEL.NO. LIGHTING 1 FIXTURES n FIXTURES I ADD'L CONTRACTOR J OVER 20 .10 RANGES DRYERS WTR,HTRS. 1.00 ADDRESS sl-'-j I b GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .50 LICENSE NO. ` MOTORS: OVER NOT OVER H.P. DIS 71 NO. G UP ZONE P D BY O 1 1.00 (J G ' 2 1 3 1.50 INSP TION R CORD 3 6 2.00 8 15 2.50 15 50 3.00 CL 50 100 5.00 Ov NO.TRANS SIGN NO.LAMPS SERVICE 0.60CV-NOT OVER 200A 1.00 tJ W SERVICE 0.600V-OVER 200 A. 2.00 a N SERVICE OVER 600V 5.00 Z OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTORS SIGNATURE TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONtFIXTURES AB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT I AM THE LEGAL OWNEAND INTEND TORESIDE IN,THE ABOVE DESCRIBED RESID TI SIGNATURE 1 UTILITYCO.NOTIFIED OF PERMITTEE FINAL IV IIDATION JOSEPH C. ROO CK MO CASH SUPERVISING ELECLEC TRICAL ENGINEER 8 Z- sLe 14 0 0)lzllt'� Ncv c "kUcsb U 76A663-CE806 11/70 APPLICATION FOR ELECTRICAL ZEJRMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 9440 Gidle Street COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYTem le City, Calif. NEAREFOR APPLICANT TO FILL IN CROSSNEAREST Temple City Blvd. OUTLETS NO. EACH FEE OWNER Natter Manufacturing Corp. RECEPT._ $ is AMAIL DDRESS 9440 Gidley Street LIGHT TOTAL FIRST 20 .P9, OVER 20 CITY Temple City TEL. NO.443-4171 SWITCH_ .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES .10 OVER 20 ADDRESS APPLIANCES CITY TEL. NO. PERRANGE DRYERWTR. HTR. APPLIIICANT Giles Electric STA. COOK DISP. F.A.U. ADDRESS P.O. BOX 626 SPACE HTR. AIR COND. CITY Montrose. Ca. TEL. NO.684-2773 CLOTHES WASH. DISHWASH. LICENSE NO. 260526 CLASS.0-10 FAN OTHER 1.00 1 HEREBY 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 & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS RED U IR Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THA I THE LEGALOF, AND INTEND TO �- 1 - 10 3.00 RESIDE IN, THE AB E DESCR B R 51 ENTIAL PROPERTY. D_ O SIGNATURE u 30 Amp weldor 10 - 50 1 5.00 5100 OF PERM171TE , OL 75 KVA welder 50 - 100 2 1o.00 20 .00 0 DIST ICTNO. CLASS77-1- PROCESS D B H 100 - S00 15.00 < ;o5 �- - a SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: N Z TUBE, OR - MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING -` ! FIXTURE'S .. POWER AUTHORIZED PERMIT FEE (SUB TOTAL) 25 00 UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 30o JOSEPH C. ROOHAN TOTAL FEE 7m-uu SUPERVISING ELE ICAL ENGINEER, PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH r6 2 v 2 8.0 0 . SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 D66 SA 7-51 APPLICATION FOR PERMIT IMPARTMENT OF BUIf,DING AND SAFETY �������� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. y^ ELECTRICIAN s=- ADDRESS �. .,�� RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION _ CITY � TEL NO 2-jr, COUNTY LICENSE NO. �3 EXPIRES �" :$46—Sj BUILDING j PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES _ WALL SWITCHES OWNER704 TOTAL OUTLETS 5C $ 1 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 n ^ CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS i AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES I NUMBER OF RECEPTACLE CIRCUITS ;AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS i NUMBER HORSEPOWERFEE i ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER New MVD. HP OVER INC. EACH IOF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 & LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTEE 2 s .50 INSPECTION RECORD 1.50 s 1s .so 15 50 2.50 50 200 5.00 200 500 10.00 � J 500 1 000 15.00 Q Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIGJ MOVED MOTORS (75% OF ORIG.) _ MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: ` DATE INSPECTOR'S NAME WIRING $1,00 ®Q CONDUIT FIXTURES $1.00 ��✓d WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE S �f 5 �/' UTILITY CO.NOTIFIED - FINAL 41,1 All �, ✓i [... PV 76A663C- CES06B 12,75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY VISION FOR APPLICANT TO FILL IN JOB' ADDRESS New Residential Bldgs. & Pools EACH NO.' FEE 1 & 2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST_ r r t,€a,,r. r OWNER OFF^ FIRM NAM Outlets: Light, Switch & Receptacle MAIL ESS j ADDROf 1 First 20 _ 11 Additional CITY eI No. �. PLAN CHECK APPLIC Lighting Fixtures ANT First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT !7 Range_ ? Heater D.W. ADDRESS r /, Oven _ Dryer W.M. a 0 Top FAU W.H. CITYI/ j 6 6 Aj, Tel. N �^ v Hood _ Fan LICE SE OR � REG. NUMBER r Class. "r Disp. A.C. // �- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION } AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. O Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR W _ Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF F� CALIFORNIA OR T4T I AM THE LEGAL OWNER OF THE ABOVE -- _._Over 10 to 50 Incl. DESCRIBED RESIDf.NTIAL PROPERTY. Over 50 to 100 Incl. PERMITEE /! —. Over 100 SIGNATURE, Services DISTRICT NO. I/ PRQCESSED BY 0-200 Amp. Under 600 V i 201 - 1000 Amp. Under 600 VAPPROVALS DATE IN#'ECSIGNATOORE Over 1000 Amp. or Over 600 V TEMP. POWER POLE Temp. Power Pole& Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES ]POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLACHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE e NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 76A663-CE8061-67 APPLICATION FOR ELECTRICAL PERMIT' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JrA UILDING. BUILDING AND SAFETY DIVISION DDRESSJOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING OCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. / >G•-c RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER . LIGHT MAIL SWITCH ADD'L 10 ADDRESS OVER 20 _ i TOTAL FIRST 20 .20 CIT ' TEL. NO LIGHTING 1 FIXTURES FIXTURES I ADD'L1O CONT CTOR OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. O. DISHWASH. AUTO.-WASH. STATE ��yy SPACE HTRS. STA. APPL. .50 LICENSE NO. Ll MOTORS: OVER NOT OVER H.P. DISTRI T r. GROUP 1 . ONE I P CE DB 17 O 1 1.00 A ° t7 1 3 ' 1.50 INSPECTION RECORD 3 S 2.00 8 15 2.50 15 50 3.00 CL 50 100 5.00 0 SIGNS: NO.TRANS- NO.LAMPS O H SERVICE 0-60OV-NOT OVER 200A 1.00 W SERVICE 0.60OV-OVER 200 A. 2.00 N Z SERVICE OVER 600V 5.00 - OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE $ C UNDERSLAB WORK 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP I TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIR D BY LOS ANGELS COUNTY AND STATE OF CALIFORNIA OR THAT 1 A THE L ALNER RIND INTEND TO POWER RESIDE IN,THE ABO SCB RES L P PERTY. SIGNATURE - UTILITY CO.NOTIFIED OF PERMITT E _ FINAL ALIDATI JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER LhW 9 0 9 3 JUL 19 22 D 1 3.0 0 76A663-CE806 1-67 APPLICATION FOR ELECTRICAL PERMIT J41zlD COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING D BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY t NEAREST / FOR APPLICANT TO FILL IN CROSS ST. WMA RECEPT, TOTAL NO. I EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHT MAIL SWITCH ADD'L 10 ADDRESS _ OVER 20 TOTAL FIRST 20 .20 CITY TEL. NO. LIGHTING 1 FIXTURES FIXTURES I ADD'L CONTRA OR OVER 20 ,10 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK 57 / CITY � � ' TEL. DISHWASH. AUTO.-WASH. STATE O1 Al- SPACE HTRS. L STA. APP .50 LICENSE NO. CJ MOTORS: OVER NOT OVER H.P. DISTRICT GROUP ON� WE J i O 1 1.00 1 3 , '� 1.so INSPECTION RECORD 3 6 2.00 r I B 15 'S 2.50 15 50 3.00 ' �c 50100 5.00 SIGNS: NO.TRANS - O NO.LAMPS SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 N v Z SERVICE OVER 600V 5.00 — OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR•E BIGNATURE TOTAL FEE $ Q UNDERS LAB WORK 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING AlQ ELECTRICAL WIRING. WIRING `7 ✓ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRE BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT A THE LEG L O ER O ND INTEND TO POWER RESIDE IN,THE ABOV CRI SI NT P PER Y. SIGNATURE UTILITY CO.NOTIFIED OF PERMITT LJ ` A DATION JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER C MO CASH i_fu,o © 9 2 1 Sr:,i'1 8 2 0 4.( i 76A663-CE806 12-65 APPLICATION FOR ELECTRICALE IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rNEAREST UILDING / BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGOCALITY FORAPPLICANT TO FILL IN ROSS ST. RECEPT. TOTAL NO. EACH FEE LIGH1MAIL OUTLETS�IRST 20 $.20 $ OWNER I U r I SWITCH J OVER I 10 ADDRESS VER 20 TOTAL FIRST 20� .20 CITY TEL. NO. LIGHTING I- ADD-L FIXTURESFIXTURES 1O CONTRACTOR / /- /.:✓r OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS 6&V/4- d� [� GARB.DISP. STA.COOK J CITY =,L p, T? itt TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRJ.CT NO. GROUP ZONE PR/&EE D,BY O 1 1.00 1 '7 !/ } 1 3 1.5o INSPECTION RECORD 0- 3 /8 2.00 � V t Qom, � 8 15 2.50 O I- 15 50 3.00 V W 0- 50 100 5.00 N Z SIGNS: NO.TRANS NO.LAMPS SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DAT[ INSPECTOR'S SIGNATURE TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES LRESIDE NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FORNIA OR THAT It/AM&TEGIAL WNEfd OF, AND INTEND TO POWER IN,THE ABOVE PROPERTY. NATURE i // UTILITY CO.NOTIFIED "� � YPERMITTEE _ FINAL ° ^ VALIDATION JOSEPH C. ROOHAN CK MO / CASSUPERVISING ELECTRICAL ENGINEER r _iFuo 6 7 5=o JIN 19 2 X L: 0 76A - CEa06B ,z,75 APPLICATION FOR ELECTRICAL PERMIT L Z BUILDI AND SAFETY VISION FOR APPLICANT TO FILL IN JOB New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY / Multi-family Sq. Ft. — NEAREST CROSS ST. Residential Swimming PoolsOWNER o FIRM NAM Outlets: Light, Switch & Receptacle MAI L �(f 00 ADDRESS First 20 Additional 'J' ' CITY I. Ndi o. PLAN CHECK Lighting Fixtures APPLICANT First 20 0 1 X0 6�19I ADDRESS Additional CITY Tel. No. PERMIT Fixed Applii nces Not Over 1 HP APPLICANT Range! Heater D.W. C� Oven Dryer W.M. ADORES 44* Top FAU W.H. CiTY7,4111V Tel. N dg6 Hood Fan LICE SEO / O Disp. A.C. REG. NUMB IR CAS 3 Class. /o U I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r~., Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LU Size&Tpe HP, KW, KVA,or KVAR ELECTRICAL WIRING. N Up to 1 Incl. A 5V 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQU ED BY LOS ANGELES COUNTY AND STATE OF 1 CALIFORNIA ORT T I AM THE LEGAL NER OF THE ABOVE Ili Over 10 to 50 Incl. DESCRIBED RES ID T AL OPERTY.y Over 50 to 100 Incl. PERMITEE Over 100 SIGNATUR DISTRICT NO. V CZ:S ED Y Services 0-200 Amp. Under 600 V 201 - 1000 Amp. Under 600 VAPPROVALS DATE I PECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE j TEMP. POWER POLE I` Temp. Power Pole&Appurtenances UNDERSLAB WORK i? Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) FINAL -3,5p-7 PERMIT ISSUING FEE NOTES I u' e,nr�.`y jd�v ""J,- TOTAL TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH U 3 5.�--) 76A653-CE9e(�'4.68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS / �Ll= COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYJ` IIIIIIIII NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE p RECEPT. $ $ OWNER - MAIL _ I LIGHT_ TOTAL FIRST 20 .20 ADDRESS O / /sLl SWITCH OVER 20 .10CITY TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_ORYER WTR.HTR._ CITY TEL. NO. STA.COOK_DISP. F.A.U._ CONTRACTOR IV.C, /z/1 SPACE HTR.-,;V—AIR COND. , QQ i) ADDRESS J/-'// CLOTHES WASH,_DISHWASH._ CITY (• TEL. NO. FAN—OTHER 1.00 LICENSE IJO. ,� CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY 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. O - 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 CALIFORNIAOR THAT I AM THE GAL OWNER O , AND INTEND TO >- -�� 10 - 50 5.00 �� RESIDE IN, THE ABOVE 1) AIFED REST NTIAL PROPERTY. O SIGNATURE 50 - 100 10.00 OF PERMITTEE •/ O 100 - 500 15.00 DISTR ICT NO.1 GROUP ZONE P OCESSED BY w SIGN,GAS SIGN AND ONE CIRCUIT 3.00 S O b ��- �Z� ��/^//✓/['� � TUBE, OR Cn MARQUEE Z 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 O UTILITY CO.NOTIFIED 4,1 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSE H C. ROOHAN SUPERVISING ELEC AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION GK. M.O. CASH Uf x77699 AN 8 G a 20.1. 0— SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE i F_ / �l_ 76A663-CE806 8/63 APPL,I FO ELECTRI CPERMIT , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �- BUILDING AND SAFETY DIVISION ADDREss JOHN A. LAMBIE, COUNTY ENGINEER / WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY ��((; C- NEAREST FOR APPLICANT TO FILL IN JCROSSST. RECEPT. TOTAL NO. EACH FEE _ LIGHT OUTLETS FIRST 20 S 20 $ OWNER AIL ADD'LC� 10 ADDRESS SWITCH.�i� OVER 20 / —TOTAL CITY TEL.NO. LIGHTING F1Rsr 20 ( .20 �C FIXTURES 7 ADD'Lt0 ELECTRICIAN t = OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS f t �• (J Lll�/1/j'�/ ��Y i`- GARB.DISP. STA.COOK .. CITY �jQ �_ TEL.NO.� DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.('/.X.P.MAX.) .50 U`y LICENSE NO. n C. ` ,1 '� MOTORS: OVER NOT OVER H.P. DISTRICT KO. GT UP ZONE P C ED B o t 1.00 1 3 1.50 - INSPECTION RECORD 8 15 2.50 15 50 3.00 , tY I 50 100 5.00 i NO.TRANS 9L SIGNS: NO.LAMPS - _.�' •-� :�'/,. to /' Z SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. if S. _ ►z_� / PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 8 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 ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM T E LEGAL OW R OF THE ABOVE DESCRIBED RESIDENTIAL PR RTY. POWER SIGNATURE /� UTILITY CO.NOTIFIED OF PERMITTEE 2 r'yG� FINAL / -M ATION ARTHUR C. VETT CK O CASH SUPERVISING ELECTRICAL ENGINEER L�,o 7 2 9 6' FEB 2 3j 2 D 9 5.8--0- 4Q `• ► , COUNTY OF LOS ANGELES TEMPLE CIT' # 0508 ELECTRICAL PERMIT' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0010030004 BUILDING AND SAFETY-/ LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-04$8 .EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9440 GIOLEY ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: Tt P G 917804211 ASSESSOR INFORMATION NLMER: NEAREST CROSS STREET: TEMPLE CITY BLVD 8592-003-049 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY F2 208 277V LGT BR CKT 4.00 BR 1D9.20 G1 OUTLETS-LGT,SW RECP 59.00 OUT 91.65 . G2 LIGHTING FIXT5kES 158.00 LGT 225.30 10/11/ UT 04/10/01 IA N-RES EX FANS LT 3HP 2.00 EX 30.60 LAM tK TEL. NO: JB AC UNITS +3-10HP 4.00 AC 78.60 . B.F.H. TRADING (213) 488-0760- LC 225 AMP PANELS, MCC 2.00 PAN 77.70 C� 1150 E. PICO BLVD. TOTAL FEES 64-.80 cq LOS ANGELES, G DESCRI TION CLF WORK ELECTR GL FOR TENANT IMP T APPLICANT: TEL. NO: B.F. H. TRADING (213) 488-0760- 1150 E. PICO BLVD. SPECIAL CONDITIONS: LOS ANGELES, G CONTRACTOR: P�r,ELES CO APPROVALS DATE INSP LUIS F AGUILAR (818) 982-7904- �,�� �Tf► 13141 RUTLAND STREET LIC. NO TEMPORARY POWER POLE NORTH HOLLYWOOOD, G 91605 505379 B ARCHITECT OR ENGINEER: OLFATI, ALI (562) 986-431 5199 E. PACIFIC COAST H`WY.f320 LIC. 111111 LONG BEACH, G 90804 C22217 ROUGH WIRING RNTFUTER LINE �RUBMC W0 lLF--)la K S PLASTIC Y/N METAL Y/N - UTILITY CCMPKWT-WDT'= 0 0 .046, rot�� � t� SQ vice a REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0102200073 BUILDIlfG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9440 GIDLEY ST FEE DESCRIPTION: QUTANTITY: UOM: AMOUNT: TEMP CA 917804211 NEAREST CROSS STREET: TEMPLE CITY BLVD. 8592-003-049 AY PC CITY $109.35 MIM 593.57 574.14 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY Al PERMIT ISSUAINCE FEE 27.75 JT TRANSFORMERS, 75 KVA 2.00 XFM 172.50 ISSUED ON: PROCESSED BT: PLAN BY: JV TRANSFORMERS 15DKVA 1.00 XFM 142.33 02/21f 1 UI 08/20/01 . J5 OTHER PULAR AP6 LT 3HP 5.DO PWR 76.50 MINER: TEL. NO: J6 OTHR PMR APP +3-10HP 14.00 PYR 275.10 'Fl!f DATE FINAL BY: OWE: VIP - LB 200 AFP PANELS, MCC 2.00 PAM T7.TO Q� 9440 GIDLEY ST LD 400 AMP PANELS, MCC 1.00 PAN 76.05 9 TEMP 917804211 TOTAL FEES 1,422.09 DE TION ELE CALF PRINTS SF D PANELS TRAM GUAN:ELECTRIC AIR Nx1ND i HTG, (626) 285-5943- 4108 BARTLETT AVENUE SPECIAL CONDITIONS: ROSEMEAD CA 91770 _ �U�!\� Q DATE INSPE, TRAM OUTAN ELECTRIC A, C AND HTN (626) 285-5943- 4108 BARTLETT AVE. LIC. NO /;', ' `.'• TEMPORARY POWER POLE ROSEMEAD, CA. 91770 649827 • �` UNDERGROUND MnUTT ARMiITECT OR ENGINEER: TEL. UFER GROUND I L LIC. ` i \ t MO. 1 ROUGH COKI)UIT MAIN WATER LINE ll J'r �,y PLASTIC Y/M METAL Y/M * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 I r COUNTY OF LOS ANGELES TEMPLE CITY NR 0508 ELECTRICAL PERMJT Z DEPARTMB]iT OF PUBLIC FORKS 9701 LAS TUNAS EL 0508 0101290002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDI ON FILE 9440 GIDLEY ST FEE DESCRIPTION: QUANTITY: UQM: AMOUNT: TEMP G 917804211 ASSESSOR FNF NEAREST CROSS STREET: TEMPLE .CITY 8592-003-049 AW PC CITY $109.35 MIN 146.27 126.84 THOMAS PAGE. 596 GRID: J5 LOCJILITY: TEMPLE CITY Al PERMIT ISSUANCE FEE 27.75 G1 OUTLETS-LGT,SW RECD 13.00 OUT 25.35 . VIP APPAREL GROUP G2 LIGHTING FIXTL�IES 26.00 LGT 47.10 Q1 01 LT _ 07/28/01 .. IA N-RES EX FANS LT 3HP 2.00 EX 30.60 OWNER: TEL. NO: JA HEAT PtlPS +3-10HP 1.00 HT 19.65 . NATTER MANUFACTURING CORP - JE WATER HEATER +3-10HP 1.00 WTR 19.65 G 9440 GIDLEY ST LC 225 AMP PANELS, MCC 1.00 PAN 38.85 TEMP 917804211 TOTAL FEES 335.79 WURK ELE I GL OR NEW EMPL E OLMGE-AN ROOM APIPL I CANT: TEL. NO: LUIS AGUILAR (818) 982-4432- 13141 KARTLAND ST SPECIAL CONDITIONS: N.HOLLYWOOD, CA U CONTRACTOR: TEL. NO: co P�('jELES L 13 S 41 F AGUILAR HARTLAND STREET (818) 9LIICC. NO TEMPORARY POWER POLE NORTH HOL-LYW0000, G 91605 505379 BARCHITECT C TEL. NO: UFER GROUND UNDERGROUND CONDUIT FOX JAMES G (562)806-133 { DOWNEY, CA 9904 LNONE111 ROUGH WIRING � n n/�� WATER LINE vc RJ D" L�f{ `1N 0 C� I�`( PLASTIC Y/N METAL Y/N L� �� � "'VVV"' LLLJJJ 11 / �g U i c serViCe i REPORT ID: DPR265 ROUTE TO: BS0508 WORKER'S COMPENSATION DECLARATION DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that I have a certificate of consent to self insure, 76A663 0or 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 El Certified &2-Family,Sq.Ft. $ $ LOCALITY — Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq,Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAPPAGEOR PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.—Light Sw. FFIIRM NAME COMPENSATION INSURANCE First 20 AIL (This section need not be completed if the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption, you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions comply of the Labor Code, you must forthwith com I 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 ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. >_(commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. a Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. O LICENSE Class Over 50 t0 100 Incl. REG.NUMBER .ER V Over 100 DISTRICT NO. PROCESSED BY Ill License Number Lic.Class J_ Services,Swbd.,MCC&Panelboards LL Contractor Date 0-399 Amp.Under 600 V FINAL DATE } ❑ 400-1000 Amp.Under 600 V Q I am exempt under Sec. VALIDATION Over 1000 Amp.or Over 600 V FINAL icc B.&P.C.for this reason BRANCH CIRCUIT FEES BY d Date: 15A,or 20A, 120V,Lighting or Recept. 1 To 10 Branch Circuits UJ Signature 11 To 40 Branch Circuits ~ F-141 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,207k,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ' 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 issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 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 for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE WORKER'S I have acaSAoate Df consent 6°�"(12-eI) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certlflaate of consent to Bell Insure, or a aerdflcate of Worker's Compensation Insurance, or a certlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. oopy therer(Sec-JV Lab.C.) PoOcy NoA Compe-ry FOR APPUC M T TO nLL IN JOB ❑ Alm CerttM1ed Dopy Is herby fumfahed. New Residential BIdQa S Pools NO. EACH FEE �y ❑ — i $ LOCALITY Q. l C-to¢SPY 19 filed wRh the county bullring lrupectlon 1 8 2-FamRy,3q.Ft — depertrnerrt Muf MamLly Sq.Ft t�088 BT. fZ DaisResidendal Swlmming Pooh A88ES80R YAP BOOK PAGE FAFICB. ` CERTIFICATE OF EXEMPTION FROM WORKERS' COM PEN8ATK)N INSURANCE l _OutletOutlets:Rec."r rl LlgM-�7-Sw. f PZ) �G � T �N� (This seiDUon need not be oompisted 11 the wort Involved by the First 20 t MAL permit Is for one hundred dollars($100)or Is".) Total Nor . Additional I oertlty that In the performance of the work for which this permit 10�� CITY TW No Is Issued, I shall not employ any person In any manner so as to 9 PLAN CHEa become suNeot to the Workerrr'Compensation Laws. Whig fochiree FLret 20 AF PLIGWT Totif W. AddTddo(W ADDRESS Data NOTICE TO APPLICANT: If, after making this Certifloate of RESIDENTIAL APPLIANCES NOT OVER 3HP. Cn-Y TOL No. Exwnpticn,you should beocme subject to the Workers'Compenaatlon OTHER APPLdANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such r J proylslons or this permit shall be d6emed revoked. Power Apperehie S Large Apptiancee LICENSED CONTRACTORS DECLARATION $Lze S Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 0 Over 3 to 10 Ind. (commencing with Section 7000se) of Dlytalon 3 of the Business and CITY TeL Na Professions Code,and my licenla In full force and effect. Oyer 10 to 50 Ind. LICENSE bR Over 50 to 100 Ind. BEA OISMIa LJoenes Number 52-j Lk,Cl ase "' 0ye-r 100 NSTRICT NO. p' BY O Com` h a�` n e BervFcee,0-39,MCC 8 Pei r 6W V a FW Q 0 „�,�- h 0-386 Amp.Under 800 V � }moo, ❑ I am exempt under Seo 400-1000 Amp.Under 600 V � �' VALIDATION �+ Over 1000 Amp.or Over 600 V FtNAL LL B.BP.C.for this reasonBy CL BRANCH C1RCUff FEES (n Date: 16A,or 20A,120V,Lhpdng or Recept Z 1 To 10 Branch araft Signature 11 To 40 Branotr Circuits F-141 Or Nora Branch Chuita Exemption for Reg.Maim SOOL 161 20A,MOV TO UN Br.Ckvjb i SINGLE FAMILY Temp.Power Pole S Appurtenances {' T HOMEOWNER-BUILDER DECLARATION tt`C 'T n with One Branch Cln�h I herebyaffirm arm that I am exempt from the Contractor's License Law Slg ,f���I for the following reason (Sectlon 7031.6, Business and Professions Addltior"Slgn Branch Circuits AL code): I ITD3 ❑ I,as owner of the r Misc.Condults a Ccnducbxa I I 8 00 property,will do the work and the structure '�_-� 'amu Is not Intended or offered for sale (8ectlon 7044, Business Other(See Complete Fee Schedule) {� and Professions Code). r_�Gl_ 121•L'�7 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 (Sec. 3087, PERMIT FEE (Sub-Total W Civ.C.) "�JLrJI 4/11/94 94 PLAN CHECKING FEE Lender•Nems 4741 1 r f M 1 5'-'2 4 PERMFI ISSUING FEE (� L&rKWa Address I oertffy that I have reed this applkxtion and under penalty of purjury state TOTAL FEE that the above In-formation Is oorrecL I agree to oompty with al County ordlnancae and BUde Tawe regufating Electrical wiri ,and hereby autltortTe mpresantaitvee of this County to upon the sed property for Inapeoto purpcees. ' ` SEE REVER9E FOR EXPL A ATORY LANGUAGE MIMTURE OF DATE I hereby airmmtthatat II bavveMa a off consentEato self Insure, 7e OM DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT or a certiflQate of Worker's Compensation Insurance, or a certlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereef(Seo: 3800 tab.C.) Policy No. cKI`/673-9.?� `z� D I FOR APPLICANT TO PILL INADDRESS D Certified copy Is hereby ftrrnls.W. New Re6deM}aJ Bldgs. .Poole NO. EACH FEE j L OCALJIY Dopy Is filed with the I buMng hapeotfon 1 2�emlfy,3q.Ft ^ I MuftM mlly Sq.PL CFI ST. !`i`� Data Applk�nnt e Paokl rtial Swimming Pooh A83Eg90R MAP BOOP( PAGE PARCEL CERIIF}CATE OF EXEMPTION FROM WQR}¢Fi8' Outyey:Rec.—LIgM Sw. ��E RG �D tYt/S7j2I COMPENSATION INSURANCE (This section Reed not be completed 11 Addtti«al the work Involved by the A2fl X88 permit Is for one hundred dollars(8100)or less.) Total No. dd I certify that In the performance of the work for which this permit CrIY Te.No. Is Issued, I shall not employ any person In any manner so as to PL.ANC-i. become subject to the Workers' Compensation Laws. UgMng Fbctureo First 20 APPUCANr Total No. Add}tlonal ADDRESS Dei• Applkbnt RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CTTY T'L No. Exemptlon, you should become subjeot to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. AGS , provisions of the Labor Code, you must forthwith comply with such Power Large Placer C�j'�—"'T L provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Sire A Type HP,KW,KVA,or KVAR ADDRE88 I hereby4HIrm-that I am licensed under provisions of Chapter 8 Over 3 to 10 Ind. ,p /�I` (,� (commencing with Section 7000) of Dfvlelon 3 of the'Bualness and CITY �(�vVl �� N. YG YW Professions Code, and my license Is In full force and effect. Over 10 to 60 Ind. LKXJIM (y�y nJ // I Over 60 to 100 Ind. Rs.NOtABER 7 JF�L 1�I / b a' Ucvnee Number "` l�� Lb.Gess �.-4U Over 100 I Dt8TR1C'T NO. /�I /'/ Sery ,Swbd.,MCC S Panetboards 'O v r 4 �[ Contractor IY►-i'(� E^ I"" Date -,%G�Amp.Under eco V Amp,Under 600 V DTE AL j1_IT 103 � $� ❑ I am exempt under Sec. O�� over 100o Amp «Deva 6W — t� I IDATIofI 1�J';.4'S W RY B.BP.C.f«this reason BRANCH CIRCUIT FEES (.-tTtl'i .� Dab: 16A,«20A,12OV,Lighting or Recept ,/ i- Z 1 To 10 Branch Circ ufts Signature 11 To 40 Brandi Circuits 1 4/12J94 El41 Or Mon Branch Clrcuib Exemption for Reg.MalnL . ,1�Eloo16200V To 277V Br.Circuits SINGLE FAMILY Temp.Power Pole S Appxurbww-,oss HOME OWNER-BUILDER DECLARAT10N Sign with One Branch Clradt i I hereby affirm that I am exempt from the Contractor's Uoense Law Y for the following reason (SeotJon 7031.6, Buelneaa and Profeeslone Addtlonal Sign Branch Clrculte AUT•T Code): 3 336.1` ❑ I,as owner of the property,will do the worn(and the structure Mim Gondufts-S Conductors I ITE Is not Intended or offered for sale (Section 7044, Business b , ITEM u and Professlone Code). TOTAL 410- 10 CONSTRUCTION LENDING AGENCY (#�CY� 41U.1Cj 1 hereby affirm that there Is a construction lending agency for the rLLttII,LLll,,�� •h��� performance of the wort(for which this permit Is Issued (Sec. 3087, PERMIT FEE (Sub-Total) Ctv. C.) PLAN CHECKING FEE Lender's Name /t^2• tGU-LRR�1 Of 1/tf 4 PERMIT ISSUING FEE J J co r ,�,y,r '7 t, Lenders Address 1 H 1 I:443 I owtfty that I have reed tile applloatlon and under penalty of purjury state TOTAL FEE that the above Infomiaifon Is correct. I agree to comply with all County ordinances and State Iawe regulating Elactioel wlrtW,and hereby audwft9 repregerqattvoo of this County to enter upon the above-mentl«tied property for Ir(1Z_ rA,.j SEE REVERSE FOR EXPLANATORY LANGUAGE apwTLNIE OF PEFeaTTEE CIATE .