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Home My Public Portal About9156 LA ROSA DR_Electrical__ 76A663-CE806 9-64 APPLICATION FOR ELECTRIC L PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT, TOTAL NO. EACH FEE _ OUTLETS FIRST 20 $20 $ OWNER LIGHT MAIL ADo'L10 ADDRESS SWITCH. OVER 20 TOTAL CITY TEL. NO. LIGHTING i FIRST 20 .20 FIXTURES _ I ADD'L 10 ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS OG GARB.DISP. STA.COOK CITY � TEL. NO. / DISHWASH. AUTO.-WASH. STATE 6/ C� SPACE HTRS. STA.APP.(1/y N.P.MAX.) ,50 LICENSE NO. F^✓ v MOTORS: OVER NOT OVERH.P. DISTRICT NO. I GROUP Z NE PROCFASED BY O 1 1.00 _T" O 1 3 1.50 INSPECTION RECORD 3 8 2.00 n s 15 2.50 VO 15 50 / 3.00 oe O so 100 5.00 •� SIGNS: NO.TRANS NO.LAMPS N SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTA@Y PERMIT ISSUING FEE 1.00 TOTAL FEE $ 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 ELECTRICAL WIRING. WIRING - `1 r i I -HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEO OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RE I ENTIA PROP RTY POWER SIGNATURE l Y UTILITY CO.NOTIFIED i OF PERMITTEE �— / FINAL Ilk IDATION JOSEPH ELECELEC CK MO ' CASH SUPERVISING TRICAL ENGINEER 5"2 0 1 o OCT 10 2 D 4.0.0 City of _ 78A883-CE808 3-84 APPLICATION FOR ELECTRICAL PE I 7T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �7 BUILDING AND SAFETY DIVISION ADDRESS /9 TZc�1 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY ` NEAREST /%�G' FOR APPLICANTTO FILL IN CROSS ST. RECEPT. Z/' TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 20 y 20 >S d OWNER AIL A DD'L ADDRESS SWITCH. OVER 20 .10 LIGHTING TOTAL FIRST 20 .20 CITY SO. El Mont'EL. NO. ' .- FIXTURES ADD'L 10 ELECTRICIAN Rush Electric Co. OVER 201 RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS 10124 E . Rush Street GARB.DISP. .STA.COOK CITY SO. El . Mont 448-8911• �EL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRB. STA.APP.I ya H.P.MAX.) ,80 LICENSE NO. 137586 C-10 MOTORS, OVER NOT OVER H . DISTRICT NO. I GRO!J.P ZONE PR ESSED RIY O 1 1.00 1 42 1 31.5o INSPECTION RECORD CL 3 a 2.00 O L) 8 15 2.50 Dc 15 50 3.00 0 u 50 100 5.00 UJ D_ N SIGNS: NO.TRANS NO.LAMPS SERVICE 0-600V-NOT OVER.200A 1.00 p SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. (f PERMIT ISSUING FEE 2.00 00 SUPPLEMENTASY PERMIT ISSUING FEE 1.00 TOTAL FEE �p LNA BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE TE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT LL COUNTY ORDINANCES AND STATE LAWS REGULATING CAL WIRING. WIRING EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR D A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES NIA OR THA AM THE LEGAL OWNER OF THE ABOVEED REBIDEN IAL ROPERTY. POWER URE �� UTILITY CO.NOTIFIED MITTEE FINAL (DATION ART UR C. VLIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lfl�,o 2 D . 3.4 Q~ 1 6 4 4 APR 2 9 ' a . I 7BA663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING S� - 1 BUILDING AND SAFETY DIVISION ADDRESS QSf1 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY E, / NEAREST J NT TO FILL IN CROSS ST. NO. $AC $ FEE OWNER Q Q7) 57)?0 G� FsWIT7CH—..70VER MAIL // 1 ST 20 .20 ADDRESS S71SIC/ �� QS 20 10 CITY' TEL. NO. - LIGHTING 1 TOTAL FIRST 20 20 CONTRACTOR' FIXTURES Jj OVER 20 1.0 ADDRESS RANGE—DRYER—WT R.HTR._ CITY - TEL NO. !P STA.COOK_DISP. F.A U._ LICENSE NO. 171,132— SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FANOTHER 1 00 .1-'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND HEATERS, ETC HP. KW. KVA. RESIDE IN, THE ABOVE DE C IBED RESIDENTIAL OPERTY, SIZE & TYPE OVER TO SIGNATURE .� O - 1 1 00 OF PERMITTEE ^ w 1 - 10 3 00 FES: O. GROUP ZONE PR CESSED Y 0U 10 - 50 s 00 ix 50 - 100 10 00 W 100 - 500 15 00 H TUBE, A SIGN AND ONE CIRCUIT 3 00 MARQUEE ADDITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMf SE VICE, POLE, &A PURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT ISSUING, FEE 2 00 r• WIRING' FIXTURES SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE �- JOSEPH C. ROOHAN SUPERVISING ELEC CAL ENGINEER PLAN CHECK VALIDATION CK M 0. CASH PERMIT VALIDATION CK. M.0 CASH - - L&_2.6 3 8JAN 17 2 D 1 1.00- 3EE BACK OF A//1PPLICATION FOR COMPLETE FEE SCHEDULE „t/o _ ,�..:-► 76A663-CEBO6 9-67 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / 741 BUILDING AND SAFETY DIVISION ADDRESS Sf(p S JOHN A. LAMBIE, COUNTY ENGINEER r (- COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY L� NEAREST +�- FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE OWNER RECEPT._ MAILS-A LIGHT TOTAL FIRST 20 20 ADDRESS el--Ix W SW-I-TCH __OVER_20__ .10 CITY el TEL. NCO-. LIGHTING1 TOTAL FIRST 20 20 CONTRACTOR �ii� '/�f-+��y/'Cil��..� FIXTURES )j 5- OVER 20 10 ADDRESS Q /y �L�G °'t J` , RANGE_DRYER—WTR.HTR._ CITY T �el PP-7TEL. NO. STA.COOK_DISP. F.A U.— LICENSE NO. / J� SPACE HTR. AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WAS H._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND HEATERS, ETC. HP. KW. KVA RESIDE IN, THE ;AUBOE RESIDENT RTY SIZE & TYPE OVER TO C” /!/ SIGNATURE 0 - 1 1 00 OF PERMITTEE 4. O 1 - 10 3 0o DIST CT NO. GROUP ZONE PROCESSED BY U 10 - 50 5 00 Y Z °C O 50 - 100 10 00 NOT S: r Lu 100 - 500 15 00 N TUBE, A �SjGNAND ONE CIRCUIT3 00MARQUEE DITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 - APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAS WORK ROUGH CONDUIT /J WIRING J- oJ.U�R ISSUING.FEE 2.00 - i - FIXTURES SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED pp A PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE S Q�Q JOSEPH C. ROOHAN SUPERVISING ELECT ICAL ENGINEER PLAN CHECK VALIDATION CK M.0 CASH PERMIT VALIDATION CK. M.O. CASH .2 S':1- 2- JAN 2 6 2 Y n 5.0 0 a A�.: SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76a563_CEQboy.10/72 APPLICATION. FOR ELEC - ICAL PtRMIT l� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'o" DRESSAND SAFETY DIVISION ADDRESS LOCALITY oft ` NEAREST FOR APPLICANT TO FILL IN CROSS ST, 'f OUTLETS NO EACH I FEE OWNER OR FIRM NAME RECEPT,.q— $ $ MAIL FIRST 20 25 ADDRESS LIGHT TOTAL � CITYTEL. NO « - SWIT --- CH - -- OVER 20 _ 10 -PLAN- HECK-- ----- ------------ - LIGHTING TOTAL -- FIRST 20 25 D APPLICANT FIXTURES OVER 20 10 / ADDRESS , RESIDENTIAL APPLIANCES CITY TEL NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA, COOK DISP. F.A.U. ADDRESS _ SPACE HTR. AIR COND. CITY AIC TEL. NO .. _ CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER CLASS. FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y 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 � I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 100 D Q LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE d 1 - 10 jw 300 OESCRIPED RESIDENTIAL PROPERTY. 0 PERMITEE U 10 - 50 500 SIGNATURE O F- SO - 100 1000 DISTRICT NO. ROCESS D BY LL 100 - 500 1500 /1 N CJ SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTO SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED 1 UTILITY CO. NOTIFIED FINAL Jmf. PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE J PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION CK. M.0 CASH 3 1 4 61 SEP 12 ? D 2 2 .0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76X663 CE-806(11 /78) EL - w- APPLICATION' R ELECT CAL PONT' COUNTY_ OF LOSANGELES. . - . BUILDING AND'SAFETY FOR APPLICANT TO FILL IN "LL JOBS, n I New Residential Bldgs-&Pools ' EACH NO• FEE ADDRESS 1,&2-Family,'Sq Ft $ 025 $ i I LOCALITr-7,' o + Multr-family Sq Ft . 02 — NEAREST ' 25 00 CROSS ST m Residential Swiming,Pools _ -- _ OWNRMER-OR '\ r . NAM �Y)U D -Vl-�• S`(�- O,utlets .R@c/0 -FILight SwMAIL First 20' 50 -�- ADDRESS- / /..:.L' �•d 1! ...Total No Additional -• 30. CITY p,�, _ Tel No:,_.; PLAN CHECK APPLICANT- Lighting,Fixtures First'20 50 ' ADDRESS Additi6nal"� 30' _, ,. .,- _ - -- - Total No CITY, Tel-N6 Fixed Appliances Not-Over•'1,HP... -_ PERMIT- - APPLICAt�N,�/O.�\ ,G: Range_Heater_D W Ove`n`=Dryer=W N1 'ADDRES�J Top _FAU ._ W H Tel Hood_Fan _Other LICENSE OR' ~ Disp --Room Air Cond _�__ 2.5.0 _ REG NUMBE r I HEREBY ACKNOWLEDGUTHAT I HAVE READ-THIS AP.PLICA- ^ Power Apparatus&Large Appliances b• TION AND STATUTHAT THE ABOVE'•,IS.CORRECT AND AGREE TO Size&'T COMPLY WITH-ALL COUNTY ORDINANCES`;4ND'STATE"'L'AWS ype HP, KW, KVA,,or KVAR REGULATING ELECTRIGAL WIRING Up to 1'Incl 2 50 ;. �b n 0 IHEREBY CERTIFY T AT-I AM'PROPERLY REGISTERED AND/OR "(� Z Over 1'to 10 Incl '5 00 LICENSED,AS REQUIRE LOS ANGELES,COUNTY AND STATE OF - - Over-i"0•to 50 Incl _1,2 50, CALIFORNIA•OR T, I AM,THE.LE L;O OF TH ABOVE- . 0 25 00 DESCRIBED-RA. AL PROP J Y,` ` Ovef 50;to.100 Inc -". '""- - r„•�11 40 00 P-ERMITEE Over-100 SI�NATLIR Services - -DISTRICT-NO=” �. W Y -0--200 Amp Under 600 V72-50 .i �a 3 201' 1000 Amp Under 600 V 25 00 � •-�---• - 5000 Over 1600'Amp or Over 600,VZ Temp.Power Pole&Appurtenances'„ _1000 Sign with One Branch Circuit 1000 C Additional Sign Branch Circuits2 00,AINSPECTION, > - ' INFORMATIONS Misc.Conduits&Conductors , 1'0`00 ' ON•REVERSE _ Other(See Complete Fee Schedule) ' 'SIDE _. v . ,.- , '•- #10,010 0.0 2 ` PERMIT FEE t'' '(Sub-Totoll 0,0 PLAN CHECKING FEE (One-Fourth Permit Feel O ZZ 7 005 PERMIT'ISSUING FEE $7 00: CS1 `4-79 TOTAL FEE > , 4 INSPECTION FINALE pF .W date y B fi« Os C;T� m r- li ,.,y/,r e '•76A663-CE806 3-64 APPLICATION FOR -ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING as �e rl� BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER /y r WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITYl.- NEAREST FOR APPLICANT TO FILL IN CROSS ST. ' f'..} RECEPT. 2_ TOTAL NO. EACH FEE ' OUTLETS FIRST 20 f OWNER ` it'get, Vic; C LIGHT 90 .20 SIC OU MAIL ' ADD'L .� ADDRESS SWITCH. fQ z OVER 20 .� .10 -v .. - TOTAL CITY TEL. NO. ...LI.GH.T.ING___ ��. F)RST..20 gip. 20 �,_ .. _ _-O. —•---- _-- _ FIXTURESADD'L ELECTRICIAN ' .3 OVFR 20 f .10 RITSTT ELECTRIC r RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 10124_-E.- RUSH -ST. GARB.DIBP. BTA.COOK C Tr. TEL.NO. GI 8-8911 DISHWASH. AUTO.-WASH. STATE �7 p SPACE HTRS. STA.APP.(yp H.P.MAX.) ,50 LICENSE NO. - 137586 586 C-10 MOTORS: OVER NOT OVER H.P. DIST O. 1 GROUP ZONE I PROCESSED BY 0 1 1.00 1 s ,21 1.50 INSPECTION RECORD r a s 9 2.00 O u 8 is 2.50 15 50 3.00 ' U 50 ' 100 5.00 LV D_ N 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 Qp SUPPLEMENTA13Y 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 IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING _ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES t CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI OPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FI NAL (DATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER ko .1".-8 3 34:4 MAY 6 -2, D 20-50 76A /CE- (1';x-78) APPLICATION ELECTRICAL•.P�ERIV"IT COUNTY'OF LOS.ANGELES BUILDING' AND SAFETY' `a FOR APPLICANT'TO-F ILL'IN JOB New Residential Bldg's •&'Pools'. -EACH'„••NO ��FEE'• -ADDRESS Y; 4 $: 025 —: $ LOCALITY 1 '&2-•F&mil S Ft /vluiti'famil'ySq_:Ft' 2` = f NEAREST" '�Reside'ntlahSwimmin Pools —25.00CROSS ST OWNER.OR- J FIRM NAME-27 Outlets ,Rec ig ht Svv � •` MAID e_, , r First'20 -50 ADDRES ^� YF �• 30', _CITY Tel No Total.No Addrtionol. N� PLAN CHECK f Al APPLICANT_ n. Lighting;F,xtures FiPst 20: - '50' ADDRESS Additional 3Q Total No, CITY Tel No 7 r. Fixed Applionces.Not.Over1,HP _. ,'t.- tt•' .PERMIT-. APPLICANT Range_Hedte�— .-OD tW'her` - e -ACIDTDY RES/-.�7///� Top —FAU, WHv_ odFao _C-F9Tel i7_ C �ti ` � LICENSE OR Disp_--Room Air.Cond ' 2 510 REG NUMBERZ223,. Cla"ss�;,,+! ~' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA.r, Power Apparatus&,Large App'I lances.r ,� TION AND•STATE,THAT THE ABOVE IS CORRECT AND.AGREE•;TO. r-^•-'•-.' I - -- COMPLY"WITH 'ALL 'COUNT,Y�ORDINANCES'-AND-STATE-L'AWS _� I Size&Type•HP, KW, KVA;:dr KVAR REGULATING ELECTRICAL.WIRING' UP-to l Incl -. ,_2 50" • .O 5 00' `I HEREBY'CERTIFY THA�T'I'AMVROPERL'Y REGISTERED AND%OR' Over 1 to•10 Incl LICENSED-AS REQUIRED BY LOS;ANGELES COUNTY^ANDSTATE OF dr -Oyer=10 to•50 Inch 12 50 CALIFORNIA OR TH IAM;THE LEGA ,OW7 R_OF` F,ABOVE- '.. DESCRIBED RESID AL PROPERTY' p ' Over 50 to 100 Inc 25 00, PERMITEE_' k, Over'100` 4006 - S16NATURE Services _ a _.b1 �Z .. }' DISTRICT.NO" "` ' ' ` PR SSED ` 0- 200 Amp Under 600 V. 12 50 201-;l 00Q Amp Under 600 V ,.•-., 25.00 Over 1000 Amp.,or Over 600 V;- 50 00 Z Temp PowenPole'&Appurtenances r10-00- `� =y{-Q Sign wrth'One Branch Circuit 1000" Additional Sign Branch Circuits. ., r,2 00 xl Q- , ....._. g _'•Y. - INSPECTION .� �iio oo' INFORMATION , Misc Conduitsr&Conductors ;ON REVERSE' _ Other&e'Complete'Fee Sched'ulel SIDE- u _ F .a :: r. } o �- i '�r7.3 3� A •.. z r?. r Pi I - f .., -, PERMIT FEE• -(Sub=Total).. PLAN CHECKING FEE (One-Fourth Permitjee) �' _~ .' 'O l'O 2 -PERMIT ISSUING FEE $7 00 rI• " _ C p;o ° 0 TOTAL FEE _ L �' . / > t n 22 9 INSPECTIONFINALEO date -27r: WORKERS'COMPENSATIONDECLARATION CE-806 APPLICATION FO LECTRICAL PERMIT I hereltiy affirm that I have a'certificate of 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,La .C. J FOR APPLICANT TO FILL IN JOB Policy No. Compan �" ADDRESS a B a— New Residential Bldgs.&Pools EACH NO. FEE. " 1 ❑ Certified copy is hereby furnished. ' 1 &2-Family,Sq'. Ft. $ — $ LOCALITY /e, G��f ❑ Multi-family Sq. Ft. NEAREST, Certified copy is filed with the county budding ins ction CROSS ST G department. Residential Swimming Pools OWNER OR Date_ - �J FIRM NAME ei ✓ E_Z `!Applicant Outlets Rec_Light / Sw. �� MAIL First 20 ADDRESS �i� CERTIFICATE OF EXEMPTION FROM WORKERS Total No� Additional CITY / Cif{ Tel No. >. .COMPENSATION INSURANCE PLAN CHE d APPLICANT O (This section need not be completed if the work involved Lighting Fixtures First 20 0 ADDRESS U by the permit is for one hundred dollars ($100) or less.) Additionalcc Total No. 7 O I certify that in the performance of the.work for which this CITY Tel No.'Fixed Appliances Not Over 1 HP permit is issued, I shall,not employ,any person in any manner PERMIT ` W so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W._ f APPLICANT /T /de./ 2 1 U) Oven _ Dryer_W.M. ADDRES s' / U f # S Z Date ' Applicant, Top _ FAU _W.H. Hood _ Fan _Other_ CITY- V I� Tel No. O NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG. NUM BER l0Class Compensation provisions of'the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. ! PROCESSED BY with comply with such provisions or this permit shall be . I ' I., Jar/ deemed revoked. Size&Type HP,KW, KVA,or KVAR Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1-to 10 Incl. DATE �O l� VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL ��rr 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. Services / 0-200 Amp. Under 600 V License Number /�� ic.Class /� 201-1000 Amp. Under 600 V Contractor e7 (� % ��- 2 Over 1000 Amp.or Over 600 V HOME OW R-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 ness and Professions Code): 1-1 Misc.Conduits&Conductors❑ 1zy 4 3 3 A , 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 # o.•o.0 0 o2 r 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 12 0,0 1 9.30 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). d 0 0 0 1 9,3'0"P Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 06.09-82 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'and State laws regulating Electrical wiring, and, ` hereby author' a repres ntatives o is County to enter upon the above-m tione p operty fo spection purposes. , 1 SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ature o = ermittee Date LJ WORKERS'COMPENSATION DECLARATION CE 806G (2.801 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of 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.) L /. � Scl.,/�e� 'I FOR APPLICANT TO FILLN JOB Policy N /'iCompany�nn�/HEACH NO. FEE ADDRESS New Residential Bldgs.&Pools ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ $ LOCALITY Certified copy is filed with the count building Multi-family Sq. Ft. – — NEAREST _ \ , y g inspection CROSS ST, / n7 department Residential Swimming Pools OWNER OR - FIRM Applicant �f /p �y� FIRM NAME `� `� Outlets. Req'C1Light_ Sw. MAIL �J First 20 ADDRESS " CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.CAdditional CITY Tel N 3 } COMPENSATION INSURANCE PLAN CHECK d APPLICANT (This section need not be completed if the work involved - �U Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or less.) � ADDRESS Total No� Additional cc0 I certify that in the performance of the work for which this CITY Tel No. permit is issued, I shall not employ an y Fixed Appliances Not Over 1 HP p p y person in an manner PERMIT / / W' so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT t de/J-s• a " Oven _ Dryer_W.M._ ADDRESS N O ,� z Date Applicant Top FAU _VV.H. Hood Fan _Other_ CITY v /^ Tel No NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond.— LICENSE O Exemption, you should become subject to the Workers' REG. NUMBE Ol Class je Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY with comply'with such provisions or this permit shall be , , deemed revoked. Size&Type HP;KW, KVA,or KVAR ,per Up to 1 Incl. Over 1 to 10 Incl. FINAL DATE LICENSED CONTRACTORS DECLARATION ) �9J„ VALIDATION. Over 10 to 50 Iricl. I I _ Ihereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL , 9 (commencing with Section 7000) of Division 3 of the Busi- ness and Professions Code, and my license is in full force and effect. Services License Numbe /�� Lic.Class 0-200 Amp. Under 600 V �+ ^ ` 201-1000 Amp. Under 600 V Contractor t/1 ji2 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 y ; License Law-,for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits #'o oro 0 0'2_ ness and Professions Code). > Misc.Conduits&Conductors :2,0 .•3 S 7 0 I, as owner of the'property, will do the.work and the3 ,� O Other (See Complete Fee Schedule)— • x structure is not intended or offered for, sale (Section � Zo 0 o � 7044, Business and Professions Code). !CONSTRUCTION LENDING,AGENCY Q O 3-8 2 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.-C.).- oe o�� Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel ,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 and/State laws regulating' Electrical wiring, and ; hereby authorize,representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ;'.� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306030047 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: ---TEES BUILDING TR: 28317 LT: 3 PAID - 9156 LA ROSA DR ADDRESS: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803016 ASSESSOR OR NEAREST CROSS STREET: ENCINITA 5388-009-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 9.00 OUT 17.55 G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED 0 S ON: KP GARMENT INC TOTAL FEES 53.10 06/03/03 JK 11/30/03 OWNER- TEL. NO: FINAL DA E CODE: KWONG;ALLEN (626) 292-7386- 9156 LA ROSA DRIVE TEMPLE CITY 91780 DESCRIPTION OF WORK ELECTRICAL FOR OFFICE L. XUE PEI HU (626) 379-9770- 1522 ACACIA STREET SPECIAL CONDITIONS• ALHAMBRA 91801 CONTRACTOR: TEL. N APPROVALS DATE INSPECTOR SIGNATUR XUE PEI HU (626) 282-7988- 1522 ACACIA ST LIC. NO TEMPORARY POWER POLE ALHAMBRA CA 91810 91755 764228 UNDERGROUND CON ARCRI-TECT OR O: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN '4ATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIN REPORT ID: DPR265 ROUTE TO: BS0508