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Home My Public Portal About10520 KEY WEST ST_Electrical__ 1� • 1 76A68D-cee0e s_eo APPLICATION FOR R E L E TRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS /OS�YD JOHN A. LAMBIE, COUNTY ENGINEER T CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY / ` FOR APPLICANT TO FILL IN NEAREST PERNIIT FEES CROSS ST OWNER E O 1 T E M NUMBER EACH FEE rEL�ECTSRf6IAN AL ?; OUTLET $ $ DRES LIGHT3 ECEPT SW 10 LIGHTING FIXTURES 10 , ITY" TEL NO ELEC RANGES CLO DRYERS WATER HEATERS 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 DISTRICT N GROUP=�RD' CE7EDY O— 1/z 2S '� 2 .50 INSPECTIO 2— 5 too 5— 15 150 15— SO 250 50-200 Soo SIGNS: NO TRANS NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V Soo MISC. WIRING PERMIT too FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 1 HEREBY,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, I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER O HE ABO DESCRIBED RESIDENTIAL PERTY. POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTE FINAL e6l eiLl ®E MO(;K3N) ARTHUR-C Y I ECT ` CK CK mo CASH SUPERVISING ELECTRICAL ENGINEER ! ' 1826- Jui 6 2D 3 .15 tn r r6A663-CE806 6-62 APPLICATION FOR ELECC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS S JOHN A. LAMBIE, COUNTY ENGINEER �.� WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY NEAREST / FOR APPLICANT TO FILL IN CROSS ST RECEPT TOTAL NO EACH FEE OUTLETS FIRST 20 $20 $ (�"�} OWNER LIGHT " MAIL ADD'L 10 ADDRESS S SWITCH OVER 20 TTOTAL C►TY TEL NOLIGHTINGFIRST 20 20 FIXTURES ADD'L f0 ELECTRICI N OVER 20 RANGES CLO DRYERS WTR HTRS 100 ADDRESS GARB DISP STA COOK CITY TEL NO DISHWASH AUTO-WASH STATE SPACE HTRS STA APP (l/.H P..MAX) 50 LICENSE NO MOTORS OVER NOT OVER HP 'DI RICO. G UPKNE PROSSED 0 1 too / 1 3 Iso INSPECTION RECORD 3 8 200 8 15 2 50 d 15 50 300 u SO 100 Soo 0� O SIGNS NO TRANS F- NO LAMPS W CL SERVICE 0.60OV-Nor OVER 200A too N Z SERVICE 0.600V OVER 200 A 200 SERVICE OVER 600V Soo MISC PERMIT ISSUING FEE 200 SUPPLEMENTAPY PERMIT ISSUING FEE 1 00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE FIXTURES CALIFORNIA OR THATAM THE LEGAL OWNER THE VE DESCRIBED REBIOEN A PROPERTY. POWER �Y^� SIGNATURE UTILITY CO NOTIFIED a I OF PERMITTEE FINAL LIDATIO ARTHUR C. VEI CK MO CASH SUPERVISING'ELECTRICAL ENGINEERt, ' :3, 5 :7"2AUG 2 8 2 D 3.8 0~ 1 76AS63.CE80610-61 APPLICATION FELE TRICAL PERMIT O C COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS (Jj ev 5 JOHN A. LAMBIE, COUNTY ENGINEER /J WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY Q `� . NEAREST FOR APPLICANT TO FILL IN CROSS ST. 1 T E M NO. EACHFEE -�319 OUTLETS IRST 20) 20 $ OWNER m LIGHTS RECEPT. MAIL y D OUTLET19: (ADD'L UNITS) 10 ADDRESS 6 LIGHTS RECEPT. SW. LIGHTING FIXTURES: (FIRST 20) 20 CITY TEL. NO. LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN {� __Z&NGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. BTA.APP.(%a H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRI T GROUP ZO P SED By O 1 1.00 I a 1.50 INSP CTION RECORD r 8 S 2.00 d O 8 15 2.50 u 15 50 8.00 rO 50 100 5.00 v W SIGNS: NO.TRANS. \ Z NO.LAMPS SERVICE 0-60OV-NoT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 11.00 TOTAL FEE ffi IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING n — ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY D STATE FIXTURES .CALIFORNIA OR THAT M THE LEGAL OWNER F HE A VE DESCRIBED RESIDENT., OPERTY. POWER SIGNATURE UTILITY CO.NOTI*TED OF PERMITTE r FINAL VALIDATIARTHUR C. VETT CK MO CAS SUPERVISING ELECTRICAL ENGINEER 17 1 TB DBS-SAS-5A 3 35 APPLICATION FOR ELECTRIC PERMIT 1 DMSION OF BUILDING AND SAFETY W Deportment of County Engineer County of Los Angeles BUILDING / ��D �y WM.J. FOX, COUNTY ENGINEER CASSATT D.GRIFFIN. SUPT OF BUILDING LOCALITYhv- FOR APPLICANT TO FILL IN NEAREST--- PERMIT FEES CROSS`ST • t�Ar NUMBER EACH FEE OWNER N r 1?I RIO LIGHT OUTLETS MAIL RECEPTACLES ADDRESS B Crud mss' ' WALL SWITCHES �"'D TOTAL OUTLETS 5¢ S ♦ CITY ® �' �� b TEL NO ww ELEC RANGES 25 E L E C T R I C I A ♦ • vf�C `'-ydgA • _ELEC HEATERS 25 ADDRESS L-11✓'� L t, KW EA CITY Y>^ �� TEL NO '40YN FIXTURES -27 5 LICENSE NO NUMBER OF LIGHT CIRCUITS - DISTRIC OGRO �P Z NE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I I �I MOTORS ��VJJ NUMBER I HORSEPOWERFEE INSPECTION RECORD NEW MVD HP OVER I INC EACH I1/2&LESS S 25 1/2 2 so 2 5 1 00 5 15 1 50 15 50 250 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT I WIRING •S1 00 FIXTURES SI 00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE S 3 /0 DATE INSPECTORS SIGNATURE -�1 HEREBY ACKNOWLEDGE THAT-I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1.HEREBY CERTIFY THAT 1 'AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER=F THE ABOVE POWER DESCRIBED RESIDENT L OP � SIGNATUREPE UTILITY CO NOTIFIED qq / OF PERMITTE FINAL WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR 9 1 9 L AUG 13 3.1 0 �' WORKERS'COMPENSATION DECLARATION 76A663 10/81APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) JOB Policy No Company _ FOR APPLICANT TO FILL IN ADDRESS�� C Lt 7 . Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE --. 1 & 2-Famil S Ft $ — $ LOCALITY j(� Certified copy is filed with the county building inspec- Y- q NEAREST tion department Multi-family Sq Ft CROSS ST a /'�[ Date Applicant Residential Swimming Pools OWNER OR FIRM NAME Q CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets Rec Light Sw COMPENSATION INSURANCE . I ADDRESS QSl`.O First�20 ' (This section need not be completed if the work involved by Total No Additional CITY –Te e_ C't Tel No Z 1 the permit is for one hundred dollars ($100)or less ) ,PLAN CHECK I certify that in the performance of the work for which this r.-` Is)' APPLICANT permit is issued, I shall not employ any person in any manner , so as to become subject to the W kers'Compens L s Lighting Fixtures First 20 y ADDRESS I Total No Additional CITY � Tel No Date – Applicant ' Fixed Appliances Not Ov6r 1 HP PERMIT NOTICE TO APPLICANT If, after ma ng this Certificat of APPLICANT Exemption, you should become su lett to the Wo ers' Range_ Heater_D W — Compensation provisions of the Labor Code, you must orth- Oven _ Dryer —W M _ - ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked Hood Fan _ Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION Disp Room Air Cond LICENSE OR Class I hereby affirm that I am licensed under provisions of,Chapter 9 _ REG NUMBER (commencing with Section 7000) of Division 3 of the BusinessDISTRICT NO PRO C BY Professions Code, and my license is in full force and effect Power Apparatus& Large Appliances >_and 12. 1 - r Size &Type HP, KW, KVA, or KVAR �i J 0 License Number Lic Class Up to 1 InclV FINAL Over 1 to 10 Incl _DATE ?o ` 0 CK Contractor Date ( VALID ION F-1 Over 10 to 50 Incl O FINAL I am exempt under Sec Over 50 to 100 Inc. BY w CL y B&P C for this reason Over 100 � Services, Swbd , MCC & Panelboards Date' 0 -200 Amp Under 600 V d� Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect ;2 2 2 a 8 A SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit #,0 0 0 0 0 2 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits ,( 2 S 5 Law for the following reason (Section 7031 5, Business and � o'o 5o - Professions Code) ® Misc Conduits &Conductors 0 0 0 2 5 5 Q �- I, as owner of the property, will do the`work and the _ structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) , PLAN CHECKING FEE Lender's Name Q 4 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE 51,5-1) e1) above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize repres tatives of this County to enter upon rtLbove-mentioned pert o inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Permittee Date WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT TV yaffiLm that 1 have a certificate of consent to selfCE-8066 por a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY rtified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS G u ;F q ST El — Certified copy is filed with the county building m 1 & 2-Family,y' S 9 Ft $ $ LOCALITY Tr t4 9)_f: C I Ty NEAREST tion department Multi-family Scl Ft CROSS 57 1L Residential Swimming Pools OWNER OR " Date Applicant n FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec LightSw MAIL KEY E COMPENSATION INSURANCE ADDRESS10s7_0G F.3 This section t be completed First 20 T ST ( on neenot if the work involved b y Total No Additional CITY ML C_1l Tel No 4qOG � Z "' ' the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the W kers'Compensa La Lighting Fixtures First 20 ADDRESS Total No;— Additional W45 sf� !T CITY Date / Applicant u, Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after ma ng this Cer"fic e f APPLICANT Exemption, you should become su jecI to the W rkers' Range_ Heater_D W Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS S with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked Hood Fan _ Other_ CITY P �) Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PRO SE BY and Professions Code,and my license is in full force and effect Size &Type-HP, KW, KVA, or KVAR O License Number Lic Class Up to I Incl FINAL V Over 1 to 10 Incl DATE VALIDATI 0 Contractor Date Over 10 to 50 Incl FINAL 6 ~ I am exempt under Sec Over 50 to 100 Inc BY d B&P C for this reason Over 100 H Date Services, Swbd , MCC & Panelboards , 8 119 A � 0 - 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V #,o•o 0 o o 2 ❑ Over 1000 Amp or Over 600 V . Exemption for Reg Maint Eject o o 1 S,Q 0 SINGLE FAMILY ' ? HOME OWNER-BUILDER DECLARATION Temp Power Pore &Appurtenances ,o 0 Sign with One Branch Circuit x o 1 S,Q Q v I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits' �, `� 5,,-, Law for the following reason (Section 7031 5, Business and , Professions Code) ® Misc Conduits& Conductors ' •' 1• I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for_ the performance of the'work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) � PLAN CHECKING FEE Lender's Name /t PERMIT ISSUING FEE V _ Lender's Address 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 and State laws regulating Electrical wiring, and hereby authorize repre ntatives of this County to enter upon rtLbove-mentic,necl r pert r inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu a of Permittee Date V,� i3KER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) �f I hereby adfir at I have a certificate of consent to self insure, 76A663 APPLICATION FOR ELECTRICAL PERMIT or a ceittficat of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof,( ec 3800 Lab C) Policy NO Company ' FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished ADDRESS �D Z� f Py y New Residential Bldgs &Pools NO EACH FEE ❑ ,• _ $ $ LOCALITY � C Certified copy is filed with the county building inspection 1 &2-Family,Sq Ft department Multi-family Sq Ft CROSS ST )( Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Outlets Rec —Light Z Sw z— FIR FIM NAME (This section need not be completed If the work involved by the First 20 Additional ADDRESs MAIL G�.S --7permit'is for one hundred dollars($100)or less) ` Total No I certify that in the performance of the work for which this permit CITY � 7 Tel Ni'V Ta� 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 PLAN CHECK 1 P g 9 APPLICANT Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of CITY Tel 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 APPLICpermit-shallPower Apparatus&Large Appliances PERMIT �Tj%�J/�// provisions or this perm 'shall be deemed revoked _ LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESSa� I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 InclIF (commencing with Section 7000) of Division 3 of the Business and CITY — �'E @� Tel No Professions Code,and my license is in full force and effect Over 10 to 50 Incl } OR Over 50 t0 100 Ind REG LICENSENUMBERClass d Over 100DISTRICT NO PROCESSED BY 0 License Number Llc Class �� Services,Swbd,MCC&Panelboards Contractor Date 0-399 Amp Under 600 V_ DATE FINAL 0 El am exempt under Sec 400-1000 Amp Under 600 V VALIDATION W Over 1000 Amp or Over 600 V FINAL d B&P C for this reason BRANCH CIRCUIT FEES BY C/) Date 15A,or 20A,120V,Lighting or Recept Z 1 To 10 Branch Circuds Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION h C B with One Branch Circuit Ihereby affirm that I am exempt from the Contractor's License Law Sign IV( t T as ' for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits _ Code) (('�� a` ❑ I # � fi#� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 1 I,as owner of the property,will do the work and the structure Misc_Conduits&Conductors �t tt and Professions CodeTOTAL CONSTRUCTION LENDING AGENCY X / CHECK. 27oCL I hereby affirm that there is a construction lending agency for the t performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) 3 CHANGE •��# Civ C) - PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE �� i � '4L, Lender's Address 7. 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 a above-mentioned property for inion purposes � SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PER ITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207170025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL TR: 11290 LT: 1 BL: .001 UN: .002 10520 KEY WEST ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803462 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HALIFAX 8585-024-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY 82 1 OR 2 FAMILY DWELL 2500.00 SG 262.50 TENANT: TOTAL FEES 290.25ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES . 07/17/02 JK 01/13/03 . OWNER: TEL. N0: FINAL DATE FINAL BY: . HENSLY; JOHN 10520 KEY WEST ST TEMP 917803462 DESCjP - ELECTRICAL FOR NEW SFR APPLICANT: TEL. NO: TERRY FOLEY ELECTRIC INC - 3233 ENGLISH RD SPECIAL TION : CHINO HILLS 91709 CONTRACTOR: TEL. 0: ��:: 4,1'., �'�� , TERRY FOLEY ELECTRIC, IGNATUffff INC. .��!� ': APPROVAL DATE INSPECTOR S (909) 590-3391- 3233 ENGLISH ROAD LIC. NO / ✓" �� L CHINO HILLS CA 533448 C10 i�/ ��1 � .� � �� UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND SUNSHINE DESIGN ASSO (626) 289-6300- 301 89-6300 301 N. ROSEMONT BLVD. LIC. NO: ROUGH CONDUIT SAN GABRIEL, CA 91775 NONE r - ( j l Ij illill i, - iROUGH WIRrNG MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY, # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206120003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES D BUILDING ADDRESS: TR: 11290 LT: 1 BL: .001 UN: .002 10520 KEY WEST ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803462 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HALIFAX 8585-024-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY E1 TEMP SERV POWER POLE 1.00 TMP 43.65 TOTAL FEES 71.40 I S . 06/12/02 JK 12/09/02 OWNER: TEL. NO: FINAL DATE FINAL Y: CODE: HENSLY; JOHN - 10520 KEY WEST ST a&Z' TEMP 917803462 DESCR I PT I 5p-6F TPP APPLICANT: O: SIEMPRE CONSTRUCTION INC (626) 792-3727- 1827 SAN PASQUAL ST SPECIAL CONDITIONS: PASADENA 91107 CONTRACTOR: TEL. NO- TMOVALS DATE INSPECTOR S GNATURE SIEMPRE CONSTRUCTION, INC. (626) 792-3727 1827 SAN PASQUAL STREET LIC. NO ��/ �� - �� POWER POLE PASADENA, CA 91107 805704 B �� UO-ERGROUND CONDUIT ARCHITECTG N KUFMFGROUND SUNSHINE DESIGN ASSO (626) 289-6300- 301 N. ROSEMONT BLVD. LIC. NO: ' __ ROUGH CONDUIT ` SAN GABRIEL, CA 91775 _ NONE__ ROUGH IRI MAIN WATER LINE PLASTIC Y/N METAL Y/N - - UfM TY COMPANYNOTIFIED \ i *.tl'IT REPORT ID: DPR265 ROUTE TO: BS0508