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Home My Public Portal About5234 GOLDEN WEST AVE_Electrical__ DBAPPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFE TY' COUNTY OF LOS ANGELES ELECTRIC . WM. J. FOX CHIEF ENGINEER _Q NAME I DISTRICT NO. GRO/UP ZONE PERMIT NO. U ADDRESS !r CITY RECEIVED BY READY FO�t FIRST INSPECTION DATEISSUED .J COUNTY y / W CERT.NO. EXPIRES APPLICANT FALL IN HEAVILY OUTLANED PORTION ONLY JOB DESCRIPTION OF WORK - ADDRESS � I `/. CrIp !�vl T�' \ ✓t P NUMBER OF OUTLETS ON CIRCUITS LOCALITY r LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. a CIRCUIT A B C D E F G H Q NAME _ Y n 4 f zy- 3 O TEL.NO. 1 AM THE LEG POSSESS R OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION., ELECTRICIAN. 1 AM THE LEGAL OWNER OF TH P OPE,RTY DESCRIBED ABOVE _ ..awl.=.. OWNER. CORRECTIONS J Q Z_ 0 a TOTAL NO. OF OUTLETS $ `� I APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ l CONDUIT NO. OF SIGNS TRANS. $ , WIRING NO. OF RANGES OR-HHEATERS $ O FIXTURES rMISCELLANEOU � �/t" $ �° Q� POWER.` `PERMIT FEE $ UTILITY CO.NOTIFIED TOTAL FEE ,� FINAL THULE CITY, 76A663-CLs60610/72 APPLICATION FOR ELECTRICAL PERMIT antony .,,COUNTY OF LOS ANGELES _ 'DEPARTMENT OF COUNTY ENGINEER JOB PUILDING AN,D SAFETY DIVISION ADDRESS 5234 N. ' Golden West . \ LOCALITY Tem le Cit NEAREST FOR APPLICANT TO FILL IN CROSS ST 1� OUTLETS No EACH I FEE OWNER OR 6' S FIRM NAME Harold Piggott 7� RECEPT _ MAIL p ADDRESS as •OU LIGHT 1 TOTAL FIRST 20 2 25 $0 _ - � CITY TEL Nc286—$7$9 SWITCH OVER 20 x'10 PLAN CHECK LIGHTING TOTAL FIRST 20 1 - 25 40 APPLICANT )(l FIXTURES J 1 OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE DRYER WTR HTR. APPLICANT Cobine Electric Co. STA COOK ' DISP F A U ADDRESS Alhambra '1607 Chestnut Ste SPACE HTR. AIR COND CITY TEL N0282-0315 CLOTHES WASH. DISHWASH LICENSE OR REG. NUMBER 7984 22A0/.7 CLASS C-10 FAN OTHER 100 1 HEREBI ACKNOWLEDGE,THAT 1 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 I IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1z7� CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1- lkH \ 1 - 10 1 300 4 O DES�RII'ED RESIDENTIAL PR OS ERTY pr., 10 -.50 500 PERMITEE C-> SIGNATURE �� = O 50 - 100 1000 DISTRICT NO. OCE EO BY C.> LLJ 100 - 500 1500 S O SIGN', GAS SIGN AND ONE CIRCUIT 500 APPROVALS DA •INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS - 100 TEMP POWER POLE SERVICENOTOVER 600VOLTS OR200AMP 300 UNDERSLAB WORK ^q+�d SERVICE OVER 600 VOLTSOR20OAMP, 1000 ROUGH CONDUIT ' 1 TEMP SERVICE,POLE, &APPURTENANCES 5D0 WIRING , TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES - POWER AUTHORIZED t UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) 5 70 NOTES PLAN CHECK FEE PERMIT ISSUING FEE 3.06 y �1 TOTAL FEE 1O 2O PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH 45 P.R 21 2 D 1 0.2U � SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 764663-CFa806 12/75 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES �7 DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS -&.Zy5 N. Golden West-1 e e FOR APPL CANT TO FILL IN LOCALITY Temple City New Residential Bldgs & Pools EACH NO. FEE NEAREST 1 & 2-Family, Sq Ft. $ .025 — $ CROSS ST. OWNER OR Multifamily Sq Ft ' •02 — FIRM NAME Har O d Piggott Residential Swimming Pools 20.00 MAIL ADDRESS as job I Outlets Light, Switch & Receptacle CITY Tel.No- 286-8789 First 20 •50 PLAN CHECK Additional .30 APPLICANT ADDRESS Lighting Fixtures CITY Tel.No: First 20 .50 Additional .30 PERMIT APPLICANT Cobine Electric Co. Fixed Appliances Not Over 1 HP ADDRESS 1607 Chestnut St. Range_Heater D W. CITY Alhambra Tel.N.. 282-0315 Oven_Dryer—W.M._ LICENSE OR n O 1 Top _ FAU _W H. REG. UMBER 229847 Class.C�10 Hood_ Fan ___ 2.00 I HENEeN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Dlsp—A.C. ___ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&'Large Appliances Size & Type HP, KW, KVA, Or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ` LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF r Up to 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE Q, Over 1 to 10 Incl. 5.00 DESCRIrED RESIDENTIAL PROPERTY 0 Over 10 to 50 Incl 10.00 PERMITEE Over 50 t0 100 Incl. 20.00 SIGNATURE Over 100 30.00 DISTRICT NO. P SSED BY 0 Services FL 0- 200 Amp. Under 600 V 12.50 v INSPECTOR'S q, 201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE H Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE UNDERSLAB WORK Temp Power Pole& Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED ]FINAL PERMIT FEE (Sub-Total) NOTES -L � � 11/" PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $600 �- TOTAL FEE 011 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CFC: MO. CASH f 8 5 1. 2 2 0 9.0 0 '&'c SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -�V COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN Y` f-C' r) L5- -:Z 4-1 y /#7/ / RECEIVED BY READY FOR DATE ISSUED ADDRESS 11 R/ , r. P n 7— ,_ .M- � FIRST INSPECTION ' CITY � ,�/� r�y TEL N0. COUNTY LICENSE_NO _. / EXPIRES 1'7, ] ,o PERMIT FEES ADDRESS -� (/yl- 1I� o In/� �)S! /7 J( NUMBER EACH FEE LOCALITY /� /p ( -V l �. 11� LIGHT OUTLETS, NEAREST / p/ V RECEPTACLES I CROSS ST. /� / YI fD N•P1 WALL SWITCHES OWNER yle4 S 1 ' h b >"� >0-5'D h TOTAL OUTLETS 5c $ MAIL �"^� _; ' ` n, f° �� ',(z -A A ELEC. RANGES 85 '�s ADDRESS L '�/�^!q•L P (��} f P ELEC. HEATERS ��•• 25 CIT. �� 1i/�/rl V TEL. NO. FIXTURES B 1 HEREBY ACKNOWLEDIAE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 6 LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE 2 s 1.00 INSPECTIONRECORD S is 1.50 r ( � - 1 5 50 2.50 So 200 5.00 zoo Soo 10.00 500 1 000 15.00 OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP � ✓/-+ _ �� ` _� '�"'^""'� Uj Q' WELDERS: AC-KVA �'--J,¢ I�J�1 �3/� O GENERATORS - KW TRANSFORMERS - KVA _ /d TEMP. MOTORS (7S% DF DRIO•) (7 / �'��t�w/ GC.c-•L�%r MOVED MOTORS (75% of DRID.) MISC. a SIGNS NO. NO.TRANS. APPROVALS NO. ND. LAMPS FOR EACH PERMIT: DATE INS ECTDR'B NAME WIRING $1,D0 �Q� CONDUIT / (� FIXTURES $1.00 D0 WIRING L /` /� LL��G / BUPPi,EMENTARY .50 FIXTURES / /f POWER TOTAL FEE $� V UTILITY CO.NOTIFIED AW FINAL � /� h � ^ 16A663 DBS#SA 2-53 DBS APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES / �L�CTELECTRICM. J. FOX. CHIEF ENGI EER a NAME DISTRICT NO. GROUP I ZONE PERMIT NO. ADDRESS �® 114 CITY T11.NO. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION j COUNTY W CERT.NO. EXPIRES ` 1 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS ..►/G. S. g OcL� +� SLSt Ago NUMBER OF OUTLETS ON CIRCUITS LOCALITY p ry, n / 1 LOCATION BY ROOMS NEAREST l , LIGHT OUTLETS SW. PLUGS FIXT CROSS ST CIRCUIT A ��B{{' C D E F G H IY NAME P d NIS' 1 i.` `ft b-h ILI MAIL 7..j� B 3 ADDRESS rat O CITY/ TEL.NO. G } ' 1 AM TH L&GAL POSSES§6R OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. Alk tjA ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROP If RIBBOY$ IINERCORRECTIONS..J R P J a — z n D FP OTA A NO. OF OUTLETS s d APPROVALS 1 NO. OF FIXTURES B _55 DATIEf INSPECTOR,rSNAME NO. OF MOTORS H.P. f CONDUIT p s 8p NO. OF SIGNS TRANS. B WIRING ° NO. OF RANGES OR HEATERS FIXTURES MISCELLANEOUS $ POWER 6 PERMIT FEE �i -. �� l �} UTILITY CO.NOTIFIED _'2-0 TOTAL 1 d l FINAL v WORKER S'COMPENSATION DECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT ' 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,orj (� a c r i r of(Sec 3800,Lab C) Y��+�Jv,v/ /� FOR APPLICANT TO FILL IN JOB Policy No Company Ca. Casualty lndem EACH NO FEE ADDRESS 5234 N. Goldf�nl�es New Residential Bldgs &Pools ❑ Certified copy is hereby furnished. 1-&2-Family,Sq Ft $ — Is LOCALITY -Temple City ❑ Multi-family Sq Ft — NEAREST X Certlfled copy is filed with the county building inspection Residential Swimming Pools CROSS ST Las Tdnas .Dr'i Ve department �RMN WNERME Mr. and Mrs. Harrold Pi of Date 12':9-M Applicant E. L. PAYNE COMPANY Outlets Rec—Light_'Sw AIL 0 ADDREss 5234 N. Golden west First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional COMPENSATION INSURANCE CITY Temple e C 1 ty Tel No286-8]89 } PLAN CHECK 356-6630. d (This section need not be completed if the work involved APPLICANT O Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or less.) ADDRESS Additional - Total No. ` � I certify that in the performance of the work for which this CITY Tel No Fixed Appliances Not Over 1 HP h ' permit is issued, I shall not employ any person in any manner I PERMIT U so as to become subject"to the Workers' Compensation Laws Range_ Heater_D W. APPLICANT d i - Oven _ Dryer_W M. ADDRESS 1.66 W. Live Oak Avenue • z Date' - Applicant Top _ FAU W H' Hood _ Fan _Other_ 1 CITY Arcadia Tel No 446-6118' NOTICE TO APPLICANT If, after making this Certificate of, Disp _ Room Air Cond._ 2 50 LICENSE OR o Exemption, you should become subject to the Workers' REG NUMBER 120228 Class C-20 Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCESSED B-Y with comply with such provisions or this permit shall be /1 deemed revoked. Size&Type HP,KW, KVA,or KVAR C1 Up to 1 Incl. - FINAL Over 1 to 10 Incl. DATE ,f LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Incl ! -� �� ® 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- Over 100 BY `--� ness and Professions Code, and my license is in full force and effect. Services License Number 20E28 Lic Class C-20 0-200 Amp Under 600 V 201-1000 Amp Under 600 V Contractor E. L. PAYNE Date 12-9-8o Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp Power Pole& Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031 5, Buse; Additional Sign Branch Circuits ness and Professions Code)- , Misc Conduits& Conductors -2-339.7 A- I, 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 # o o o•o o 2 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY ,L o 0 1'Q O Q 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) x o 0 0 1 Q issued (Sec 3097,Civ C) i Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 121.1 -80 Lender's Address PERMIT ISSUING FEE ] 00 I certify that I have read this application and state that the TOTAL FEE 11 0 00 ' k above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and herebyor ze representativ of this County to enter upon �th�be�-mtioned proper r inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE' 2-g-80 gnature of Permitti5e Date ` WORKERS'COMPENSATION DECLARATION 76A663 CE-606G (2'B0) APPLICATION FOR ELECTRICAL PERMIT 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•y/SSec 3800,Lab C) /��i dA�'j/� FOR APPLICANT TO FILL.IN SOB Policy No -��—Com an4 /�-j �7 �Y d � p EACH NO FEE ADDRESS New Residential Bldgs & Pools a Certified copy is hereby furnished 1 &2-Family,Sq Ft. ) $ — $ LOCALITY Fj Certified'copy is filed with th ounty bNEAREST ing inspect,o Multi-family'Sq Ft CROSS ST r ' depar$-eity Residential Swimming Pools OWNER OR > FIRM NAME �660 DatApphcan_t Outlets Re Light Sw MAI•L1 01 First 20 ADDRES CERTIFICATE EXEMPTION FROM WORKS S' t Total No Additional CITY I(�� Tel No ra COMPENSATION INSURANCE PLAN CHECK 0 APPLICANT (This section need not be U .completed,,if,the work involved /,LX/ by the permit is 'for one hundred dollars ($100) or less.)" Lighting Fixtures` " First 20 ADDRESS Additional ccO - Total No ,I certify that in the performance of-the work for which this CITY Te o Fixed Appliances Not Over'1 HP U permit is issued, I shall not employ any person jn-any manner PERMIT Uj so as to become subject to the ikers' Co ensation Laws Range_ Heater_D W )_ I APPLICANT d , 1 �r Oyen Dryer_W M ADDRES z Top FAU _W H _ Dat Applican CITY f�n ", Tel No' Hood _ Fan _Other NO':: CE TO APPLICANT If, after making this Cert.f� to of Disp _�Room,Air Cond•_ •�" LICENSE OR e/ Exemption, you should become 'subject 'to the Workers' REG NUMBER 17 7 Class Compensation 'provisions of the Labor Code, you'in ust forth- Power Apparatus& Large Appliances DISTRICT NO PROC ED BY with comply with such provisions or this permit shall be ' Size&Type HP, KW, KVA,or KVAR deemed'revoked Up to 1 Incl Over 1 to,10 Incl FDATE INAL LICENSED CONTRACTORS DECLARATION• Over 10 to 50 Incl /^ 'w VALIDATION FINAL I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100,Inc 9 (commencing with Section 7000)of Division 3 of the Busi- Over)00 BY ness and Professions Code, and my license is in full force and 011 effect. Ser6ces 0-200 Amp Under 600 V , License Nu { LiClass 201-1000 Amp Under 600 V Contract ate Over 1000 Amp or Over 600 V HOME OWNER-BUIL ER DE',VA � �i /� Temp Power Pole,&Appurtenances v I hereby affirm' that I am exempt from the Contractor's Sign with One Branch,Circuit License Law for the following reason (Section 7031 5, Busi-, Additional Sign Branch Circuits li ness and Professions Code). 5,316;6 A Misc.Conduits&Conductors I, as owner of the property, will,do'the work-and the Other (See Complete Fee Schedule)— # s-0'0•0 0 2 structure its not intended, or offered fur sale (Sectibn 7044, Business and Professions Code). J 2'.0 .o ,5 O CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 1 J for the performance of the work 'for which this permit:is , o/o o ,5 Q F issued(Sec 3097,Civ PERMIT FEE (Sub-Total)C) - Lender's Name PLAN CHECKING FEE (One-Fourth Permit tee) Lender's Address PERMIT ISSUING FEE , I certify that I have read this application and state that the TOTAL FEE above iriformation is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and i ` hereby authorize represent at es of this County to enter upon the ab* e-mentioned prope for in pectio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature Perm ttee ate -COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207090021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488- EXT ILEGAL ID FEES PAID BUILDING ADDRESS ITR 12830 LT 13 I 5234 GOLDEN WEST AV I IFEE DESCRIPTION QUANTITY UOM _AMOUNT I TEMP CA 917803246 1 (ASSESSOR INFORMATION NUMBER I 1' NEAREST CROSS STREET 18589-009-005 - IP2 PC RES PV,10KW 153 90 I - THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl I 1A1 PERMIT ISSUANCE FEE 27.80 I • - 1 ITENANT IP3 INVRTR RES-PV<lOKW 27 90 11SSUED ON - PROCESSED BY PLAN BY - I I TOTAL FEES _209 60 108/01/12 SR - TOWNER TEL NO IF NAL DATE FINAL BY CODE (CHEER, COLIN (323) 493-7590- I - 15234 GOLDEN WEST AVI�- (TEMP 917803246 ID S IPTION OF WORK I IROOF MOUNTED PHOTOVOLTAIC - 11 PANELS WITH MICROINVERTERS _ 12.23 KW (APPLICANT TEL NO ICREPHOLT, TOM - (714) 373-8545- 1 I ISPECIAL CONDITIONS: I I I I I I (CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE IKILLION ENERGY, INC. (714) 373-8545- I 1 115261 CONNECTOR LANE LIC- NO ITEMPORARY POWER POLE I I IHUNTINGTON BEACH, CA 92649 97166OC10 1 11 I I 1UNDERGROUND CONDUIT f I I (ARCHITECT OR ENGINEER TEL NO _ IUFER GROUND I I I LIC. NO i - TROUGH CONDUIT �I 1 I IROUGH WIRING I IMAIN WATER LINE I 1 1 I IPLASTIC Y/N METAL Y/N I (UTILITY COMPANY NOTIFIEDI I I I I 1 1 I I I I I I I I I (REPORT ID- DPR265 ROUTE TO - BS0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207090023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID - _ FEES PAID 'I BUILDING ADDRESS ITR. 12830 LT 13 - - 'I 5234 GOLDEN WEST AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803246 1 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET _ 18589-009-005 1A1 PERMIT ISSUANCE FEE - 27 80 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl ILB 200 AMP PANELS, MCC 1.O0 PAN 38 90 I ITENANT I TOTAL FEES 66 70 (ISSUED ON PROCESSED BY PLAN BY 107/09/12 SR (OWNER - TEL NO- (FINAL TE FINAL BY CODE 1 (CHEER, COLIN (323) 493-7590- I 15234-GOLDEN WEST AV I I �/ /�� I ITEMP 917803246 - I ID CRI TION OF WORK 1 IPANEL UPGRADE 200 AMP I I (APPLICANT TEL. NO ICREPHOLT, TOM (714) 373-8545- I I I _ I _ ISPECIAL CONDITIONS 1 (CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE IKILLION ENERGY INC (714) 373-8545- I 115261 CONNECTOR LANE - LIC NO _ -ITEMPORARY POWER POLE - IHUNTINGTON BEACH, CA 92649 - - 971660CIO (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER TEL NO 1 - IUFER GROUND I I I LIC NO I IROUGH CONDUIT I - IROUGH WIRING -I MAIN WATER LINE I I - I I IPLASTIC Y/N METAL Y/N (UTILITY COMPANY N0TIFIEDI1 1 I I F 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 IREPORT ID. DPR265 ROUTE TO BS0508 I I I I I I I I I I