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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 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 I I I I I I I I II I I II I I I I I I I I I I I I I I II I I II I I I I I I I IREPORT ID. DPR265 ROUTE TO- BSO508 I• I I I