The URL can be used to link to this page

Home My Public Portal About5011 HELEO AVE_Electrical__ 7 6 AS63-`ES06 IG"A- APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ADORESSz�'qj/BUILDING AND SAFETY DIVISIONFOR APPLICANT TO FILL IN OUTLETS ND. EACH FEES 5REGEPT._ LIGHT_ TOTAL FIRST 20 25 .ADDRESS OVER 20 CITEL N0. SWITCH_ '10 PLAN CHECK GHTING TOTAL LFIRST 20 ,25 APPLICANT FIXTURES .10 I OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE_DRYER_WTR. HTR._ APPLICANT STA, COOK DISP. F.A.U. ADDRESS L-^4-44 O'-Q ' p SPACE HTR, AIR COND� CITY •' TEL. NO. /F(0 CLOTHES WASH. DISMWAS H._ REGEN UMBER SE OR CLASS. FAN OTHER 0" "` - —1-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION "YkD;TATE 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 6 TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1,00 LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI 1 AM THE LEGAL OW ER Ov THE ABOVE d 1 - 10 1 3.00 DESCRIBED RESIDENTIAL PROPERTY. CD l U 10 - 50 5.00 PERMITEE SIGNATURE CD H 60 - 100 1000 DISTRICT NO. V SEC BY W CU 100 - 500 15.00 i{ Z SIGN, GAS SIGN AND ONE CIRCUIT 5A0 APPROVALS V DATE INSPE OWS SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS L00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED - UTILITY CO. NOTIFIED / FINAL PERMITTEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.CrPERMIT VALIDATION CK. M.D. CASH 7 2 1'. P 18 2 D 9.17 0 a9 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7GA6 E3 -CEBOG 10"4 • APPLICATION R EL TRIC P MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO, EACH FEE OWNER OR 5 5 FIRM NAME RECEPT,-�!-6 MAIL // ILqE! S til ADDRESS LIGHTS TOTAL F10.0T 20 O�0 S WITC O OVER 20 738 10 ?J OO CITY TEL. NO, PLAN CHECK LIGHTING TOTAL FIRST 20 +� ,Z5 ��' APPLICANT FIXTURES. OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO, PERMIT - RANGE_DRYE0._WT}i. HTR. APPLICANT .� cqt4STA. q-- COOK_OISP.i -F,A.U._ ADDRECCS��S"Z SPACE HTR, AIR CONO. CITY 'Zp. TEL. NO. I �/7TT�J CLOTHES WAS H,Z DISHWASH._ REG NUMBER 25 CLASS. C/V FAN l,�/_OTHER 1.00 HERESY AC B NOWLEDOE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORD, TflANS IOAM CPS AA TIRO WITH ALL COUNTY ORDINANCE! AND STATE LAW! REGULATING INO. HEATERS, ETC. HP. KW, KVA, ELECTRICAL WIRING, SIZE S TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OF 0 - 1 100 CALIFORNIA1 LICE AS RE THAI I A LO! ANGELES COUNTY ANO !TATE OF Y CA LIIR NOR THAI AM TH[ LEO AL OW ER OI THE ABOVE Cl- 1 - 1Q 9.00 DESCPIAED RESIDENTIAL PROPERTY. CD U 10 - 60500 PERMITEE SIGNATURE O H- SO - 100 10.00 DISTRICT N0. 100 - Soo 15.00 PROC SED BY I''I �� d _ 1xl z cl SIGN, GAS SIGN AND ONE CIRCUIT 5,00 APPROVAL! DATE INSPEC 'S 514NA77 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP, POWER POLE SERVICENOTOVER600VOLTSOR200AMP 3,00 3 d'L7 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10,00 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 !IRI �� TEMP LIGHT OR RECEPT. SYSTEM SOO FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL _) PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 3 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, /M.G. CASH 1 98nAUG 25 2 22.8 U_ ,i-�& SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE// 76 A663-C ES 0611/D0 APPLICATION FOR ELECTRICAL PERMIT IILJII COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER AUILDIN SQ BUILDING AND SAFETY DIVISION COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO, EACH FEE OWNER RECEPT._ S S MAIL LIG HT_ TOTAL FIRST 20 25 ADDRESS SWITCH OVER 20 CITY TEL. NO. .10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT TOTAL OVER 20 ADDRESS FI%TURES .10 APPLIANCES CITY TEL. NO, PERMIT RANGE_DRY ER_WTR. HTR._ APPLICANT STA. COOK_OISP. F.A.U._ ADDRESS 9,p SPACE HTR, AIR COND. CITY . C TEL. NO. Y I (o CLOTHES WASH. DISHWASH. LICENSE NO. � SO �' CLASS. C ) D FAN—OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATIN G WIT N ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. MVA, ELECTRICAL WIRING. SIZE B TT PE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - I 100 LICENSED AS RED UIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. D- - 10 300 O 10 - 50 SODfAR ATURE U ERMITTEE C 50 — 100 1000 RICT NO. CLASS ZONE CES 0 BY O 100 — 500 15.00O S �I uLU CL SIGN, GAS SIGN AND ONE CIRCUIT 5.00ES: h Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 P.POWER POLE TEMPSERVICE,POLE, &APPURTENANCES 5.00 5 ER SL AB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 GH CON DIUT 'Io IY� ING URESER AUTHORIZEDPERMIT FEE )SUB TOTAL) ITY CO. NOTIFIEDPLAN CHECK FEEL PERMIT ISSUING FEE 3.00 JOSEPH C. RO A 14TOTAL FEE � SUPERVISING E' CTR) L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID ON cK. M.D. CASH '6 2`5i AL 24 2 .� 8,0 0 ego SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE J6A6fi3C - CES06B 1205 APPLICATION FOR ELECTRICAL PERMIT BUILDiNAFETV D. SION FOR APPLICANT TO FILL IN JOB l/�D EACH NO. FEE ADD New Residential Bldgs. & Pools ADDRESS / 1 &2 Finaily Sq. Ft. S _ 1$ LOCA LI TY 71 0 Multi-family Sq. Ft. — NEAREST CROSS ST. Residential Swimming Pools OWNER OR FIRM NAME /VAC Outlets: Light, Switch& Receptacle 00 MAI RESS First 20 Additional / 77+ CITY Tel. No. PLAN CHECK ��>> Lighting Fixtures At APPLICANT ✓t First 20 r0 ADDRESS Additional — CITY T.I. No, PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS Oven Dryer W.M. Top _ FAU W.H. CITV Tel. No. Y Hood Fan LICENSE OR O Disp. A.C. REG. NUMBER Class. V O vc REA U Power Apparatus& Large Appliances ORDINANCES AND STATE AN.LAWS REGuunN w Size&T e HP, KW, KVA,or KVAR ELECTRICAL WIRINC. G o_ ti Z '_ _• Up to Incl. .S• NGroR — O H Over 1 to 10 Incl. y STATE DF Over 10 to SOIncl. CALIFORNIA ERM aEo RESEo „"`s` p eR oR THE .,00T Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE Services DISTRICT NO. PROCESSED BY 0-200 Amp. Under 600 V 201 - 1000 Amp. Under 600 V APPROVALS DATE INSPECSIGNATOR'S 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 0-� FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Feel FINAL .� •$� 1Y v�� PERMIT ISSUING FEE U NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4s � 9 2 21.05 !G WORKERS'COMPENSAT[ONpECLARATION 76A663 (2-B0) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm'that I have a certificate consent to self COUNTY OF LOS ANGELES , BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) FOR APPLICANT TO FILL IN JOB Policy No. Company New Residential Bldgs.&Pools EACH NO.1 FEE ADDRESS Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multifamily Sq. Ft.' — NEAREST Certified copy is filed with the county building inspection department. ST %} department. Residential Swimming Pools OWNER OR J y�' /l FIRM NAME U/ P �J {x ba /42- Date Applicant Outlets: Rec.--Light—Sw. MAIL J First 20 ADDRESSe—Ao CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional COMPENSATION INSURANCE a PLAN CHECK O APPLICANT (This section need not be completed if [s work involved U Li htin Fixtures first 20 .by the permit is for one hundred dollars ($100) or less.) g g Additional ADDRESS Q Total No. - p l certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. H permit is issued,.I shall not employ any person in any manner PERMIT }� /r W so as to become subject to the rkers' Compensation Laws. Range. Heater—D.W. APPLICANT Oven ,_ Dryer_W.M._ ADDRESS `� /✓•/ '� r Uate �•_-T�-pelican[ Top — FAU —W.H. _ Z Hood _ Fan _Other_ CITY J � Tel NoZ Q NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ LICENSE OR / ` Exemption, you should become subject to the Workers REG.NUMBER 9 74� Class / Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PR E D B with comply with such provisions or this permit shall be —/ Size&Type HP,KW, KVA,or KVAR deemed revoked. I Up to 1 Incl. FINAL Over 1 to 10 Ind. DATE 7 9 LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. _3 p ¢ VALID ON I herebv affirm that 1 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. ServicesSUL License Number 2I Lic. Class " — / 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V _ Contractor Date 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. Busi- Additional Sign Branch Circuits ;2 4 07 O A ness and Professions Code): ° Misc.Conduits& Conductors 2 . . 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 2'-'- 4 3,5 0 7044, Business and Professions Code). CONSTRUCTION LENDING AOFNCY °'O ° 4 3 5 OZ I hereby affirm that (here is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 06.20=-82 issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 nd State laws regulating Electrical wiring, and - hereby thorize re sentatives of this County to enter upon the ah a-me `tio d roperty for inspection purp�ose�s/. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date - WORKERS'COMPENSATIONDECLARATION 63 CE-806G 12-801 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELEST BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or / � a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company EACH NO. FEE ADDRESS New Residential Bldgs.&Pools ❑ Certified copy is hereby furnished. 1 &2-FamilY,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST .L ) Z. Certified copy is filed with the county building inspection CROSS ST A department. Residential Swimming Pools OWNER OR / FIRM NAME tr-,4tt Date Applicant Outlets: Rec Lignt_ / ADDRESS T Firrstst 20 CERTIFICATE COMPENSATION INSURANCE _EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. '"��a✓�/ T COMPE PLAN CHECK �'/ y � O (This section need not be completed if the work involved APPLICANT %t% J�- _ by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS �. y-r Ir Total No. Additional _ O I certify that in the performance of the work for which this CITY Tel Na. U permit is issued, I shall not employ an person in an manner Fixed Appliances Not Over 1 HP P P Y Y P Y PERMIT �• �- W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT 92 d to Oven _ Dryer_W.M. ADDRESS z I,�•�fI(_'f/rM•c�� — —W.H. — ate i;'P[pplicant -7Z Top FAU CITY Tel No. Hood _ Fan _Other_ NOTICE TO APPLICANT: I , fter making this Certificate of Disp. _ Room Air Cond.— LICENSE OR Exemption, you should be. ome subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE46ED BY with comply with.such provisions or this permit shall be - deemed revoked. Size&Type HP,KW, KVA,or KVAR Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE Over 10 to 50 Incl. VALIDATION I hereby affirm that 1 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 r ness and Professions Code, and my license is in full force and effect. Services License Number Lic. Class 0.200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole& Appurtenances I hereby affirm that 1 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 ness and Professions Code): ' Misc.Conduits&Conductors 943 1.7 A I, as owner of the property, will the work and the Other ISee Complete Fee Schedule)— structure is not intended or offerere d for sale (Section 7044, Business and Professions Code). Al o:o.e e ° 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 °.° 1 270 for the performance of the work for which this permit is PERMIT FEE ISub-Total) 12706 issued (Sec. 3097,Civ.C.). Ill ,° ° ° Lender's Name PLAN CHECKING FEE (one-Fourth Permit Fee) - _ OQ09-82 Lender's Address PERMIT ISSUING FEE It 1 certify that 1 have read this application and state that the TOTAL FEE above information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon pthebove mentinned pro erty fnr inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE gnature of Pe on ttee Date ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 `ELECTRICAL DEPAR7MEN'( OF PUBLIC WORKS 9071 LAS TUNAS EL_0508_961d200032, BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: E A I : FEES TUD BUILDING-ADDRESS: BK: 2 PG: 48 PC: 2 C�:5011-HELEO-AV_ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803825 ASSESSORINFORMATION NUB : NEAREST CROSS STREET: LA ROSA 8590-023-038 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED --PLAN- Y: EXP ES ON: TOTAL FEES 39.45 11/20/96 TC 1 20/97 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: NGO PHONG T;TRAN 5011 HELEO AV TUYET 7 (818) 286-6554- I TEMP 917803825 DESC I T ON OF RURKk ALTER ROOF STRUCTURE, NEW PORCH 8'1-//, OPEN PATIO 19'X14' APPLICANT: TL. 0: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �� Gd TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENG N ER: EL. O: - .� �� ' � UFER GROUND LIC. N0: ROUGH CONDUIT ROUGH R NG MAIN WATER LINE PLASTIC Y/N METAL Y/N 1� UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY.OF LOS ANGELES TEMPLE CITY # 0508 (ELECTRICAL PERMIT, DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9612160035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL D: FEES PAIDLDII - DRESS: BK: 2 PG: 48 PC: 2 ]501.1_HELEO-AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803825 ASSESSOR INFORMATION BER: NEAREST CROSS STREET: 8590-023-038 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 WANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PL Y: EXP IR ES 0 TOTAL FEES 35.55 12/16/96 TC 12/16/97 OWNER: TEL. NO: FINAL DATE FINAL BY-- - / CODE: 5001 PHOG TUYET T (818) 286-6554- � 1$ � - 1 `e( TEMP 917803825 AV SCRIP 0 190E WUK& 2 ADDITIONAL LIGHTi FOR PATIO AD TION PLIC . NO: SAME AS OWNER - SPECIAL CONDITIO S: CONTRACTOR: TEL. N0: /, APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �� LIC- NO ld� � 6� TEMPORARY POWER POLE UNDERGROUND CONDUIT .1 ARCHITECT OR ENGINEER: TEL. NO: �' I—..,Y(1yy '\ FER GROUND LIC. NO: � I � � I I 1 ..—a1 ROUGH CONDUIT - - ROUGH WIRING - MAIN WATER LINE PLASTIC Y/N METAL Y/N r UTILITY COMPANY OTIF REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0506290014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: BK: 2 PG: 48 PC: 2 5011 HELEO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803825 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8590-023-038 Al PERMIT ISSUANCE PSE 27.15 THOMAS PAGE: 596 GRID: G5 LOCALITY: TEMPLE CITY, C LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 06/29/05 VG 12/26/05 OWNER: TEL. NO: FINAL DBTE_ FIN Y: CODE: ONGOWN PRONG T;TRAN TUYET T (626) 286-6454- /yam 5011 HELEO AV TEMP 917803825 DESCRIPTION OF WORK UPGRADE ELECTRIC SERVICE TO 200 AMP APPLICANT: TEL. NO: TANG (626) 695-8338- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TANG, SHING CHOI (626) 695-8338- 5644 HELEO AVE. LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 744194 C20 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFI • ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508