HomeMy Public PortalAbout5216 KAUFFMAN AVE_Electrical__',s"efi'.`EB APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER 1
WILLIAM A. JENSEN, SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES
OWNER
OUTLETS:
I T E M NUMBER EACH FEE MAIL
$ $
LIGHTS RECEPT. SW. .10 ADDRESS
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WA TE R H EATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
� CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DIST ICTO. GRQUPNE ESSED B
0 - �/� .25
'i2 - 2 ,50 INSPECTION RECORD
2 5 1.00
CL
5 - 15 1.50 O
V
15 50 2.50 0
50 200 5.00 ~
V
w
SIGNS: NO TRANS.
NO. LAMPS N
Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO. NOTIFIED
OF PERM ITTE
FINAL
VALIDAT< ARTHUR C.VETT.
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
�. 7 9 7 0 0 FEB 6 4: U 1 .4 O r
;*X L�
I ——C=/ry
76A663-GES
6-It1�74 APPLICATION F6R ELECTRICAL PERMIT
Aa COUNTY OF LOS ANGELES
• DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. -
OUTLETS NO EACH FEE OWNER OR "yam
$ FIRM NAME
RECEPT. MAIL '
LIGHT TOTAL OVER 20
FIRST 20 ADDRESS
CITY TEL. NO.;),&`�-w
SWITCH y 10 PLAN CHECK '
LIGHTING FIRST 20 APPLICANT
TOTAL
TOTAL
OVER 20 ADDRESS
FIXTURES f0
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT O
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK A DISP. / F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY So TEL. N0. 7s
CLOTHES WASH. DISHWASH. LICENSE OR S70 CLASS:GSD
REG. NUMBER
FAN OTHER I 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE, ABOVE a-
1 - 10 300 DESC17•I P.ED RESIDE NTI PROPERTY V
PERMITEE [ � �
ccL
10 - 50 500 SIGNATURE .-mac. - w
U
50 - 100 1000 DISTRICT NO. �/ PROC SED BY a
100 — 500 1500 �� � ' �
i C
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER600VOLTSOR200AMP 300 UNDERSLAB WORK
SERVICEOVER600VOLTSOR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING �' r
TEMP LIGHT•OR RECEPT. SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED A
FINAL >r ��g ya.-'�-v
PERMIT FEE (SUB TOTAL) NOTES: v
PLAN CHECK FEE
PERMIT ISSUING FEE V
TOTAL FEE 13 - (�
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M 0. 1 CASH
° .
01 6rasjj.q 30 2 0 1 3.3 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE y
TEMPLE CITY
6A666-CE6066-60 APPLICATION FOR ELECTRICAL RERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS✓
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SuP'T OF BUILDING LOCALIT
-i
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES
OWNER
`1 T E M NUMBER EACH FEE MAIL .
OUTLETS, $ $ ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY TEL.NO
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER H EATERS .90 ADDRESSIZ/ yy
ELEC.SPACE HTRS. DISHWASHERS CITY
GARBAGE DISPOSERS AUTO.. STATE
LICENSE NO. ! {7
WASHERS STA. COOKING UNITS .25
MOTORS: OVER INC. H.P. DISTRI T N GROUP Z E PRCES BY
O 1�2 .25
2 .50 INSPER.-
2 -
2 — 5 1.00
5 — 15 1.50 0
15 — SO 2.50 O
50 — 200 5.00 U
W
� SIGNS; NO TRANS, d
NO. LAMPS N
Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ Q
iHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUITII
)eJ
ELECTRICAL WIRING. WIRING V4% ��/Jy,
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT RO TY. POWER
SIGNATURE UTILITY CO. NOTIFIED
OF PERM ITTE 6 _
FINA � 6�?
LIDATION ART URIC.VEIT,
C MO CASH SUPERVISING ELECTRICAL ENGINEER
( , 8800 FEB 26 2 D 2,50 ;R
QvG '?/
76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT
II COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
$ $
MAIL I
RECEPT.
LIGHT_ TOTAL FIRST 20 ADDRESS
�� ,
CITY TEL. NO.
SWITCH ! OVER 20 PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERWTR. HTR._ APPLICANT -
STA. COOK_ DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES WASH. 01SHWASH. LICENSE NO. CLASS. y.
FAN OTHER1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V
AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. H..
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �j..
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF I=CALIFORNIA OR THAT-1 AM THE LEGAL OWNER OF, AND INTEND TO
1 - lO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0
10 - 50 SIGNATURE
OF PERMITTEE LLJ
F�
50 - 100
DISTRICT NO. �CLASSz ONE PROCESSED BY
100 - 500
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
`j & ....,✓ vim
7SA668-CE8067-96 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING i
BUILDING AND SAFETY DIVISION ADDRESS L dFF An/ ti[r
JOHN A. LAMBIE, COUNTY ENGINEER �1
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMT FEES CROSS S •/{)
I T E M NUMBER EACH FEE OWNER 'I\ O 64M—
OUTLETSi $ $ MAIL a.
LIGHTS RECEPT. SW. G..+ .10 1 ADDRESSYZf'-
LIGHTING FIXTURES .10 ) CITY —'�/WPLG? (',p,7`h' TEL. NO.A'1" k b �P
ELEC. RANGES CLO. DRYERS ELECTRICIAN /iCof
WATER H EATERS .50 `ADDRESS 5AMO
ELEC.SPACE HTRS. DISHWASHERS -
CITY TEL. NO.
GARBAGE DISPOSERS AUTO.-
• STATE
WASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P.
DISTRICT NO. GROUPI ZONE PROCESSED BY
0— 1/2 .25 _ •/
v2— 2 so INSPECTION RECORD
2— s 1.00 r�
5— 15 1.50
is— 50 2.50
so—zoo 5.00
NO. TRANS. .�
SIGNS: NO. LAMPS
SERVICE 0-600V 1.00 +
SERVICE OVER 600V 5.00 '
MISC. -
WIRING PERMIT 1.00 I
FIXTURE PERMIT 1.00 E
SUPPLEMENTARY PERMIT .50TOTAL FEE 's ' APPROVAU
F HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP (CDATE INSPECTOR'S SIGNATURAND STATE'THAT THE ABOVE ISCORRECT AND AGREE TO COUITWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULELECTRICAL WIRING. NGIHEREBY CERTIFY THAT 1 AM PROPERLY REGI8TERED ANLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATRESCALIFORNIA OR THAT 1 AM THE LEGAL OWNER O T�.. ADESCRIBED RES[DENTIAL� PROPERTY. 1RSIGNATURE Il'� TY CO.NOTIFIED
OF PERMITT HHH L
VALIDA� ARTHUR VEIT,SUPERVISING ELECTRICAL ENGINEER
. CK IMO CASH
I I •
LA�7 0 3 9 NOV 2 g 2 A 3.8 t7 M
-
- I .
11EMPLE, crry
76A663-CE606 4-60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS > -`�
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP•TOF BUILDING
LOCALITY' �`-�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. -�
PERMIT FEES
OWNER
ITE NUMBER EACH FEE 7. MAIL
OUTLETS: T, / $ S _ ADDRESS
LIGHTS RECEPT.— SW. d"y /c,/
.10
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC. RANGES CLO. DRYERS ELECTRICIAN `z
WATER HEATERS .50 ADDRE$ ,vi'" '� . 1 d/f
ELEC.SPACE HTRS. DISHWASHERSCITY
GARBAGE DISPOSERS AUTO.- STATE ( / / 'I �
WASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT,,NQ, G 11P Z NE PROCESSED lQY
0 — '/a .25
1/z - z .50 > INSPECTION RECORD 0
2 5 1.00 V
W
5 15 1.50 '1
LL
15 — 50 2.50 >-
50 — 200 5.00
SIGNS: NO TRANS. O
NO. LAMPS <
LL!
1.00
SERVICE 0.600V ~
SERVICE OVER 600V 5.00 III
misc.
WIRING PERMIT 1.00 -
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S -�
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE - '���� UTILITY CO. NOTIFIED
OF PERMITTEE
FINAL
VALIDATION ARTHUR C.VEIT.
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
76A663A-CJV1*O6A 4/72 APPLICATION FOR .ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
" DEPARTMENT OF COUNTY ENGINEER euILDING'
BUILDING AND SAFETY DIVISION ADDRESS
' r e
LOCALITY
NEAREST G ,
FOR APPLICANT,TO FILL IN CROSS ST. '
OUTLETS NO. EACHI FEE
OWNER
RECEPT. 2 • $ $ MAIL
ADDRESS �)
LIGHT TOTAL FIRST 20 ��,. .
CITY TEL. NO.
SWITCH _� OVER 20
` PLAN, HECK
LIGHTING FIRST 20 •APPLICANT - -
TOTAL ADDRESS
FIXTURES a, OVER 20 _
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR: HTR. APPLICANT i
STA. COOK__T_DISP. F.A.U. • ADDRESS 0
SPACE HTR. AIR COND. CITYS0. TEL. NO.
CLOTHES WASH. - DISHWASH. LICENSE NO. CLASS. G U
FAN OTHER 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 V
IND. HEATERS, ETC HP KW. KVA. ELECTRICAL WIRING
SIZE & TYPE OVER TO O
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR T M TH OWNER PF, AND INTEND TO a
1 - 16 RESIDE IN, T ABO E DE CRI R D NTIAL PROPERTY. N
Z
SIGNATURE
10.- 50 OF PERMITTEE
50 - 100
DISTRICT NO. CLASS ZONE OCES BY '
190 - 500 Q d 1 IIX-/ »(j
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM _
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO.'NOTIFIED
PLAN CHECK FEE
JV S� FINAL
PERMIT ISSUING FEE
TOTAL FEE 0.00
PLAN CHECK VALIDATION CK M 0. CASH PERMIT VALIDATION cic M 0. CASH,
4 �,2Ii3U 22 2 . : 3'0 g
' 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
ora 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 ADDRESS �
Certified copy is hereby furnished New Residential Bldgs &Pools NO. EACH FEE
❑ ; _ $ $ LOCALITY
Certified co Is filed with the building inspection 1 &2-Family,Sq Ft
PY 'county 9 P NEAREST
department Multi-family Sci Ft CROSS ST1.41
Date Applicant Residential Swimming Pools I ASSESSOR
PAGE PARCEL
CERTIFICATE OF,EXEMPTION FROM WORKERS' Outlets RBC Light—� OWNERFIRM OR
COMPENSATION INSURANCE ME
pirst 20
(This section need not be completed If the work Involved by the ADDRESS _:5—a/4
permit Is for one hundred dollars or less.) Total No. Additional
I certify that in the performance of the work for which this permit CITY /. o
59
Is issued, I shall riot employ any person in an ner_ so as to PLAN.CHECK
become.sublect io the Wor,kers',Compensatio aw Lighting Fixtures First 20 APPLICANT
Total No Additional
'/ C}^l ADDRESS
Date/� 144 /C Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT, If, after making this Certificate of CITY Tel No
Exemption,you should become.sublect to the Workers';Compensation OTHER APPLIANCES NOT OVER 3 HP.
rovisions of the Labor Code, you must forthwith comply with such PERMIT
P •. P Y Power Apparatus&Large Appliances• APPLICANT
provisions or thlg permit shall be deemed revoked '
LICENSED CONTRACTORS DECLARATION Size.&Type HP,KW;KVA,or KVAR ADDRESS
1 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 ?3-S-k744
Professions Code, and my license is in full force and effect. Over 10 to 50 Incl r
LICENSE OR Class
'``� ,Over 50 to 100 Incl. REG NUMBER CJ al?
License Number K/ 99f/ LIC Class Over 100 DISTRICT NO PROC SSED BY O
r
Services,Swbd.;MCC&Panelboards ��� L� L
��� a We Date �y 0-399 Amp Under 600 V O
Contractor G� /y �� DATE
El
400-1000 Amp.Under 600 V �'"�,—� VALIDATION W
I am exempt under Sec.
Over 1000 Amp--or Over 600 V FINAL a
B&P.C.for this reason BRANCH CIRCUIT FEES BY U)
Date 15A,or 20A,120V,Lighting or Recept Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Cir
E] 41 Or More Branch CIcuits,
I.Is r
Exemption fog Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 7y
SINGLE,FAMILY Temp. Power Pole&Appurtenances r-')^^t
HOME OWNER-BUILDER DECLARATION
I hereby affirm that.I am exempt from the Contractor's License Law Sign with One Branch Circuit ^i
for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits `
Code): ;% l
ED Misc.Conduits&Conductors
I, as owner of the property,well do the work and the structures
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) f i,4 150 I
and Professions Code)
CONSTRUCTION LENDING AGENCY � C
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 r(Sub-Total) p �j
Civ. C
PLAN CHECKING FEE 3" 3C1
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and under penalty of purlury state TOTAL FEE
that the above Information Is correct. I agree to comply with all County
ordinances and State law gulating Electrical wiring,and hereby authorize
representatives of s Co ty to enter upon the above-mentioned property
for inspectio urpo SEE REVERSE FOR EXPLANATORY LANGUAGE
SIG URE Or PERMITTE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL• PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1011090007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
ILEGAL ID: - FEES PAID BUILDING ADDRESS:
ITR: 15683 LT: 25 5216 KAUFFMAN AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803947
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18589-010-025 IS3 ADDTNL ELECT PLAN CK 1.00 HOU 109.40 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
IAl PERMIT ISSUANCE FEE '27.80
ITENANT IJX MOTORS, LT-3 HP 1.00 MOT 15.40 (ISSUED ON: PROCESSED BY:, PLAN BY:
TOTAL FEES 152.60 101/26/11 SR
OWNER: TEL. N0: (FI���NAL7TE, FIN /,,$J��/ CODE.
15216 K, JEFF (626) 674-1001- � � I �/ (h
5216 KAUFFMAN AV T 1
TEMP 917803947 [DESCRIPTION OF WORK
I
PHOTOVOLTAIC SOLAR SYSTEM I
(APPLICANT: TEL. NO: 1
ICURTIS, JUSTIN (714) 373-8545-
115261 CONNECTOR LN ISPECIAL CONDITIONS: I,
IH B. CA 92649 I
I
I
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE I
IGALKOS CONSTRUCTION INC. (714) 373-8545- I I
115261 CONNECTOR LANE LIC. NO I (TEMPORARY POWER POLE I I I
1HUNTINGTON BEACH CA 92649 49271SBC17 1 I I I I
(UNDERGROUND CONDUIT II '
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
LIC. NO. I (ROUGH CONDUIT 1 I
IROUGH WIRING I�
I I I
I I IMAIN WATER LINE I .
(PLASTIC YIN METAL YIN I I
1 I (UTILITY COMPANY NOTIFIED( I
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I I I I I I
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IREPORT ID. DPR265 ROUTE TO- BSO508 I•
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