HomeMy Public PortalAbout6164 / 6168 HART AVE_Electrical__ `876A663-CE80C-10/74 APPUCAMN FOR ELEMMAL PERMV
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
' LOCALITYNEARE ` ' ry-y,���h '�`-rr.'
FOR APPLICANT TO FILL IN CROSS SST. �Wq Do L)
OUTLETS NO. EACH FEE OWNER ORI',
FIRM NAME �JS��T �� JV✓I��Sa�
RECEPT.� $ $ MAIL
LIGHT TOT//AL FIRST 20 b ADDRESS
SWITCH i!� OVER 20 CITY Lgam0ILC(D4 Ci-C4
TEL. NO.Z�7��"
GJC-
IIp
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY EL. NO,
PERMIT
RANGE DRYER_WTR. HTR._ APPLICANT
STA. COOK DISP.-I.—F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO,
CLOTHES WASH. DISHWASH. LICENSE OR
S REG. NUMBER CLASS.
FAN L OTHERi•:60 -I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
7' C•� 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
1 HEREBY CERTIFY THAT I &N( N
R ED AND/OR
O - 1 100 LICENSED AS REOU IR Y L D STATE OF r
CALIFORNIA OR TH I M THE ABOVEi - 10 3.00 DESCRIFED RES? NTI P 0O
U
PERMITEE X
10 - 50 5.00 SIGNATURE O
I--
50 - 100 10.00 Icy
DISTRICT NO, ROC ED BY a
100 - 500 15.00 ',
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP.. POWER POLE
SERVI CENOT OVER 660 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR20OAMP 10.00 ROUGWCONDUIT®fir
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED '
UTILITY CO. NOTIFIED
FINAL ZZ s -7
PERMIT FEE (SUB TOTAL) NOTES: d�WW 'Q a!� �� �S .WGYL}g1'%4'_-
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE O
PLAN CHECK VALIDATION CK. O. CASH PERMIT VALIDATIONCK. 0. CASH
2 2 dr,App 8 2 U 7. 0 Ari
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - '
WORKERS'COMPENSATION DECLARATION 76-806 loisi /ny f�fl�Sjp CAMON OOITU L�LECTIf ICA PjL�lf�ulN T
14i 4bAlrm that I have a certificate of consent to self insure,
CE-806G GW I�I�L� I� L� If"
or a certificate of Workers' Compensation Insurance, or a certified' COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof•(Sec.3800.Lab.C.)
Policy No. •e Company FOR APPLICANT TO FILL IN JOB -�
❑ Certified-co is hereby furnished. -EACH NO., FEE ADDRESS
pY Y New Residential Bldgs.& Pools r
❑ Certified-copy is filed with•.the county building inspection
1 & 2-Family„Sq.Ft. $ $ LOCALITY Cf-.
department. Multi-family Sq.Ft. NEAREST {
CROSS ST.
Date'' Applicant Residential Swimming Pools OWNER OR
_ -
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' )• MAIL
Outlets:Rec Light _ t 2
ADDRESS
COMPENSATION INSURANCE
This section need not be corh leted if•the work involved b the First 20
( P Y CITY Tel.No.
permit is for one hundred dollars ($100)or less.) Total No. Additional
I certifytfiat in the performance of the work for which this permit ^ PLAN CHECK
' P APPLICANT
is issued, I shall not employ any person in any anner so as to
become subject'to'the Worker's'Comp s t' n ws. Lighting:Fixtures "First.20 ADDRESS
Additional,,
Total No. CITY Tel.No.
Dat _ ApplicIr
Fixed Appliances Not Over 1 HP PERMIT �A
NOTICE TO APP•LICANT:` If,., ma ing •this rtificate of
Exemption,.you should become subject to the Workers' ompensation Range_ Heater_ D.W APPLICANT
provisions of the Labor Code, you,must forthwith comply with such Oven - Dryer W.M._ ADDRESS`
provisions or this permit shall be deemed revoked. Top - FAU W.H.
.LICENSED CONTRACTORS DECLARATION• CITY Tel.No.
Hood Fan Other_
I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR
Disp. - Room Air.Cond. Class.
(commencing with Sectiori 7000)of Division 3 of the Business'and REG.NUMBER
Professions Code,and my license is in full force and effect. DISTR�NO. PROCESSED Y
Power•Apparatus& Large,Appliances
Size.& Type HP,KW,KVA,or.KVAR ^, Q
,License Number Lic.Class Up to 1 Incl.• FINAL-
Over.1 to 10 Incl.
,+ DATE 0
Contractor 1 Date ���iii VALIDATION
❑ Over 10 to�50 Incl. U
FINAL
I am exempt under,Sec. Over 50 to 100 Inc. BY W
B.&P.C.for this reason Over 100, N
Serwces,-Swbd.,,MCC& Panelboards
Date: 0-200 Amp. Under 600 V
Signature •201 - 1000 Amp:Under 600 V
❑ Over 1000 Amp.or Over 600 V^
Exemption for Reg.Maint.Elect.
( `SINGLE FAMILY Temp:Power Pole& Appurtenances 6
HOME OWNER-BUILDER"DECLARATION "
Sign with One Branch Circuit v
Thereby 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
0
q
Code): I S�64N
Misc.Conduits.& Conductors
I,as owner of the property,will do the work and!the structure
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOTAL
and Professions Code). • - '
9
CONSTRUCTION LENDING AGENCY p�
WICK 14M
I hereby affirm that there is a construction lending agency for the ; oVL►
performance of the work for which this permit is issued(Sec.3097, '
P P PERMIT-FEE,- - (Sub-Total) -
Civ.C.):
PLAN CHECKING FEE. �RfiiSflLhY`f1t- 1 6 '89
Lender's Name �LL.•�U:: ��
PERMIT ISSUING FEE .......
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE' V
information is correct. l agree to comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authorize
rept tative f this County to enter.upon the above-mentioned
pi
per eeetier�poses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature "Permitt Date
WORKERS'COMPENSATION DECLARATION C -663 10/81 -IPPA RCAMON FOR L�LL��11�T1111� /a L� PERNT �7
I hereby affirm that I have a certificate of consent to self insure,
CE-806G I�r l�.11 /Ya (t+� �F/ll
or a,certificate of.Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3a00,Lab. C.jf�T
Policy N.?1.216-6 `'_ � � FOR APPLICANT TO FILL IN, JOB
Certified copy,is hereby furnished. New Residential Bldgs.& Pools
'EACH NO. FEE ADDRESS' '
department copy'
is filed with county building i tion 1 & 2-Family, Sq.Ft. — "
Certified $ $ LOCALITY
- ..
Multi-family Sq.Ft 'NEAREST,
CROSS.ST.. .
Date ��a~=M*% ?� Residential Swimming Pools _
PP i a OWNER.OR �by'� �¢ n
- FIRM NAME'��'L4[+ �• /
`CERTIFICATE OF EXEMPT FR WORKERS' ,� AIL
Outlets:Rec Light Sw. ADDRESS
r. COMPENSATIO INSURANCE /3
This.section,need not be completed if the work involved b the First 20
( P Y Total No. Additional CITY-7e � Tel.No.. .
permit ix for.one hundred dollars($100),or less.).. ,
I certify that in the, erformance of-tne work.�for•whichwthis permit PLAN HECK
• Y P P , APPLICANT :•
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
NOTICE TO APPLICANT: If, after;:. making this Certificate of PERMIT
Exemption,you should become subject to..the Workers'Compensation Range_ Heater_ DW.. APPLCAN
provisions of the Labor,.Code, you.must.forthwith comply with such Oven Dryer _ W.M. ADDRESS
,provisions or this permit shall be deemed revoked. Top FAU •W.H. y���
LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ CITY Tel.No. ;
F hereby affirm that-I am licensed under,provisions of Chapter 9 LICENSE OR �p
Disp. — Room Air Cond. Class
(commencing with Section 7000) of Division 3,of the Business and REG.NUMBER i."
Professions Code,and my license is in full force and effect. DISTRICT N.C. - PROCESSED BY
Power Apparatus& Large Appliancesp
Size& Type HP,KW KVA,or KVAR �O cel 0
License Number '� Y Lic.ClassUp to 1 Incl FINAL U
� Over 1 to 1 O.Incl DATE J_/J 5
Contract br�',/h�s VS��LDate� - �` Z VALIDATION-. F_
Over 10 to 50 Incl F_
FINALU
0. I am exempt under Sec. Over 50 to 100 Inc. gY W
CL
B.&P:C.for this reason Over 100 i N
ServiceSwbd„MCC&;P Z.
.'
Date: 0 200 Amp.UndeAr
Signature' 201 1000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V
Exemption for;Reg.Maint.Elect.
SINGLE FAMILY Temp.Power Pole&.Appurtenances,
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that f am exempt from the Contractor's License Law tiC t a a
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code): ti>>�#�;, •~F.�i��r
Conduct
I,as owner of the property,will do the work and the structure Misc.Conduits &
_ ors...- �.k T=Ml
iM'
is not intended or offered for, sale (Section 7044, Business Other.'(See Complete Fee Schedule)
and Professions Code).
TO i _AL' -5m35
CONSTRUCTION LENDING AGENCY r'i1_t
w€+
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) C�_' 301 +_I
Civ.C,).
PLAN CHECKING FEE
Lender's Name J0 l
PERMIT ISSUING FEE
Lender's Address C., i n y`r
I certify that I have read this application and state that the above TOTAL FEE 3
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 en r upon the above-mentioned
'property for inspection purp es.
-SEE REVERSE FOR EXPLANATORY LANGUAGE
na ur P mi ee Date
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91)
76A663 I�APPL�Il�9A�� N FOR ELECT A LL, �Idu^ERNT
� �f
I,hereby affirm that I have a certificate of consent to self insure,
or 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��A 60�� 7 Company �!�! L FOR APPLICANT TO FILL IN JOB /3
ADDRESS 6 v�
❑ Certified copy is hereby furnished; New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ']� n
— $ $ / c t.
Certified copy is filed with the county building inspection 1 &2-Family;Sq.Ft.' _ NEAREST
department.. Multi-family Sq.Ft. CROSS ST.
Residential Swimming Pools ASSESSOR
✓Date Applicant MAP BooK
PAGE PARCEL
CERTIFICATE OF EXEMPTION FR WORKERS' Outlets:Rec.—Light Sw. °IPM NAME
COMPENSATION INSURANCE
First 20 MAIL
(This section need not be completed if the work involved by the Total No. Additional ADDRESS ✓
permit is for one hundred dollars($100)or less.)' P
I certify that in the performance of the work for which this permit CITY G Tel.No..Z 7_ b
is issued, I shall not employ any person in'any manner so as to' CHECK
become subject to the Workers' Compensation Laws.. Lighting Fixtures First 20 PLANICANT
9 9 APPLICANT
Total No. Additional
ADDRESS
Date, Applicant RESIDENTIAL'.APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tei.No.
Exemption,you should become subject to the.Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such PERMIT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT VhAf GD S Y
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS " --4
o0s �. �
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 Vl 6_44 I�j��� Tel.No. 2 _ 6a
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR
Over 50 to 100 Incl. REG.NUMBER 3 28 Class.
a
Over 100 DISTRICT NO. SSED BY Q
License Number DD L• Lia dR Class � n Q (�
Services,5wbd.,MCC&Panelboards IZ
Contractor I�✓ ( Date. v 0-399 Amp.Under 600 V DATE 0
❑
I am exempt under Sec. .400-1000 Amp.Under 600 V +'Z^�• VALIDATION V
Over 1000 Amp.or Over 600 V ,, FINAL d
B:&P.C.for this reason BRANCHCUIT FEES BYCD
D 31f 7 15A,0 20A 120V,Lighting or Recept Z_
1 To 10 Branch Circuits
/-Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
Exemption for Reg.Main. lect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION `'I'Ir
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit _:-_
-`I i
for the following reason (Section 7031.5, Business and Professions Additional S-ign Branch.Circuits .561J.5.-I .
Code): t r (L
El 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors OTA" 4�z'90
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
w
and Professions Code). D f_-ASH7}i,';!.ry s
CONSTRUCTION LENDING AGENCYHl (s
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 IJI I iJ— 11_01 ... ....,L+7 y;!=•`i; .
Lender's Name / _ j[L`_s si ; 4 i 1
PERMIT ISSUING FEE (O
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 he above-mentioned property
for inspection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE
SIdNAUAE OF PER ATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508' ELECTRICAL PERMIT
.. DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703280024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 FEES PAID 1 BUILDING ADDRESS: 1
ITR: 5904 LT: 229 I I 6164 HART AV 1
I IFEE DESCRIPTION: _ QUANTITY:,UOM: AMOUNT: ( TEMP CA 917801628 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
15384-010-010 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 2.00 OUT , 3.90 1 1
(TENANT: IG2 LIGHTING FIXTURES 1.00 LGT 1.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 33.60 103/29/07 JK 09/25/07
(OWNER: TEL. NO: I IF NAL DAT FINAL BY: CODE: 1
ICHU, MING RONG (6.26) 446-3586- 1
11120 S. 3RD. AVE
IARCADIA, CA 91006 I (DESCRIPTION OF WORK
i 1ELECTRICAL FOR SECOND BATHROOM
I I I
(APPLICANT: - TEL. NO:
ICHU . (626) 446-3586- I I
11120 S. 3RD.*AVE 1 (SPECIAL CONDITIONS: - 1
ARCADIA, CA 91006 I I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE
IMING RONG CHU (626) 446-3586- 1
IMING EING CHU - LIC. NO I ITEMPORARY POWER POLE I I I
11120 S. 3RD AVENUE NONE I II I I
ARCADIA, CA 91006 (UNDERGROUND CONDUIT
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND I I
ICHU, MING RON (626) 446-3586- I - 1 I I
11120 S 3RD AVE LIC. NO: 1 (ROUGH CONDUIT I I
ARCADIA, CA 91006 S2926 1 - I 1
/ 1
I TROUGH WIRING I
- 6-
I IMAIN WATER LINE I I I
I IPLASTIC YIN METAL YIN
1 1 (UTILITY COMPANY NOTIFIEDI I
I I I I I I
I I I I I I
I I I I I I
I (REPORT ID: DPR265 ROUTE TO: BS0508 1 1 I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 f ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706130012
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 _ •
PHONE: (626) 285-0488 EXT: --
i
ILEGAL ID: I FEES PAID 1. BUILDING ADDRESS: 1
ITR: 5904 LT: 229 I .._I.' 6164 HART AV I
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:'I,' TEMP CA 917801628 I
(ASSESSOR INFORMATION NUMBER: 1' `.*I... . : NEAREST CROSS STREET: 1
15384-010-010 IA1 PERMIT ISSUANCE FEE - 27.751 ", THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
IE1 TEMP' SERV POWER POLE 1.00 TMP 43.65 :1'= I
(TENANT: ITOTAL FEES 71.40� I ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 106,/13/07 SR 12/10/07
(OWNER: TEL. NO: I 'I.FI AL AT FI CODE:
IJCYA CORP. (626) 285-3001- 1 1,..` i- l
1113 W. LAS TUNAS DR. 4 1 !
ISAN GABRIEL CA 91776 (,DESCRIPTION OF WORK
-" .. (:TEMPORARY POWER POLE (100 AMP)
I
(APPLICANT: TEL. NO:
IBOBIE (818) 735-7876-
15858 DOVETAIL DR. I (SPECIAL CONDITIONS:
IAGOURA HILLS 91301
I I I I
I
ICONTRACTOR: TEL. NO: ,I (APPROVALS DATE INSPECTOR SIGNATURE
IS AND S RENT-A-FENCE (800) 622-2244- 1
123648 PINE ST LIC. NO 1 - ITEMPORARY POWER POLE I 1
INEWHALL, CA 91321 456208 C10 I - I._ I I I
I I:UNDERGROUND CONDUIT II .
1ARCHITECT OR ENGINEER: TEL. NO: I ,IUFER GROUND 1 I
I - I _.. 1 1 1 t
I LIC. NO: I .1ROUGH COND T
I (ROUGH WIRING
I I IMAIN WATER LINE
ILASTIC YIN METAL YIN I I !
I I 1UTILITY COMPANY NOTIFIED(
I I 1
I I II I I
I
11IREPORT ID: DPR265 ROUTE TO: BS0508 1
I II I I I j
I
'--, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703190019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
JTR: 5904 LT: 229 6164 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801628
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
5384-010-010 jA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65
TENANT: IG2 LIGHTING FIXTURES 1.00 LGT 1.95 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 43.35 03/19/07 JK 09/15/07 -
OWNER: TEL. NO: IFINAL DATE 7 FINAL BY: CODE:
CHU, MING RONG (626) 446-3586- '' X
1120 S. 3RD. AVE I � � CJ
IARCADIA, CA 91006 IDESCRIPTION OF WORK
- ELECTRICAL FOR DETACHED 3 CAR GARAGE
APPLICANT: TEL. NO:
ICHU (626) 446-3586-
11120 S. 3RD. AVE (SPECIAL CONDITIONS:
IARCADIA, CA 91006
ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE
MING RONG CHU (626) 446-3586-
MING SING CHU LIC. NO ITEMPORARY POWER POLE
1120 S. 3RD AVENUE NONE
IARCADIA, CA 91006 JUNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND
CHU, MING RON (626) 446-3586- 1
1120 S 3RD AVE LIC. NO: (ROUGH CONDUIT
ARCADIA, CA 91006 S2926
IROUGH WIRING
. IMAIN WATER LINE
(PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIEDI I
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703190020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 5904 LT: 229 1 1 6164 HART AV i
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801628 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
I
15384-010-010 lAl PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
B2 1 OR 2 FAMILY DWELL 640.00 SQ 67.20 1
(TENANT: TOTAL FEES 94.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 1 103/19/07 JK - 09/15/07 1
(OWNER: TEL. NO: ( 1FJNAL DATE FINAL BY: CODE:
ICHU, MING RONG (626) 446-3586- I 1
11120 S. 3RD. AVE I 1 -3-� 17-P 1
IARCADIA, CA 91006 - IDESCRIPTION OF WORK 1
1 (ELECTRICAL FOR 2ND: UNIT
1
(APPLICANT: TEL. NO: 1
ICHU (626) 446-3586- 1
11120 S. 3RD. AVE 1 (SPECIAL CONDITIONS:
IARCADIA, CA 91006
I I
I I
1
(CONTRACTOR: TEL. NO: 1 (APPROVALS1
DATE INSPECTOR SIGNATURE
(MING RONG CHU (626) 446-3586- 1 1 1
(MING EING CHU LIC. NO ITEMPORARY POWER POLE 1 1
11120 S. 3RD AVENUE NONE I 1 1 1
IARCADIA, CA 91006 1UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I
ICHU, MING RON (626) 446-3586- 1 1 I 1
11120 S 3RD AVE LIC. NO: 1 (ROUGH CONDUIT 1
1ARCADIA, CA 91006 52926 I 1 I
1 1 ROUGH WIRING
IMAIN WATER LINE
1 (PLASTIC YIN METAL YIN -
I I 1
1 1UTILITY COMPANY NOTIFIED( ,l/
I 1 I I I I
I 1 I I I I
1 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 1 I I I I
I I I I I I
1 (REPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY .# 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703190026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID J BUILDING ADDRESS: 1
ITR: 5904 LT: 229 I I 6164 HART AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801628 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 1
15384-010-010 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 34.00 OUT 57.90 1 1
(TENANT: JG2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 JHA FAU LESS 3HP 1.00 FAU 10.95 103/19/07 JK 09/15/07 I
I IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 1 I
OWNER: TEL. NO: JH4 RES RANGE HDS LT 3HP 1.00 H00 10.95 (FINAL DATE FINAL BY: CODE: 1
ICHU, MING RONG (626) 446-3586- JH5 RES WASH MACH LT 3HP 1.00 WAS 10.95 1 /
11120 S. 3RD. AVE ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 I 1
JARCADIA, CA 91006 1 TOTAL FEES 172.20 (DESCRIPTION OF WORK I1
I JELECTRICAL FOR MAIN HOUSE AND UPGRADE SERVICE PANEL TO 1
I 1 1200 AMP. 1
JAPPLICANT: TEL. NO: I I
ICHU (626) 446-3586- 1 I I
11120 S. 3RD. AVE 1 (SPECIAL CONDITIONS: J
JARCADIA, CA 91006 1 I I
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(CONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE 1
(MING RONG CHU (626) 446:3586- 1 1 I
(MING EING CHU LIC. NO I (TEMPORARY POWER POLE I I
11120 S. 3RD AVENUE NONE 1 I I I 1
JARCADIA, CA 91006 1 JUNDERGROUND CONDUIT I I 1
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JARCHITECT OR ENGINEER: TEL. NO: I JUFER GROUND I I I
ICHU, MING RON (626) 446-3586- I 1 I I I
11120 S 3RD AVE LIC. NO: 1 (ROUGH CONDUIT I I I '
JARCADIA, CA 91006 52926 1 1 1 1 I
1 I (ROUGH WIRING J
1 1 (MAIN WATER LINE I I I
I 1 1PLASTIC YIN METAL Y/N I I I
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• IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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