The URL can be used to link to this page

Home My Public Portal About9048 LAS TUNAS DR_Electrical__ 76AG63 DBS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRINO. 13ROUP I ZONE PERMIT f. FOR APPLICANT TO FILL IN 15— 4 ELECTRICIAN Dunbar Neon l'laintenanc e -- t� ,,]] RECEIVED BY READY FOR DATE IBBLZED ADDRESS 6625 Santa Monica Blvd- lye FIRST INSPECTION CITY L, A. TEL NO.H ]-2221 ' 45 _ COUNTY LICENSE NO. A5()—P, EXPIRES 13UILDIN13 ADDRESS �01,_A R- Las Tunas Dr. PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST 9T. RECEPTACLES CROSS WALL SWITCHES OWNER Samuel J. Cohen _ TOTAL OUTLETS sC $ MAIL ELEC. RANGES 25 ADDRESS QoLX E. Las Tunis Dr. ELEC. HEATERS 25 CITY TPmnl P City TEL. NOH. t-66-202 FIXTURES 5 = 1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS 1\ MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER 1ND. EADH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/p 6 LEBB $ .25 SIGNATURE OF / f t/ 2 .50 PERMITTEE��g 2 5 1.00 INSPECTION RECORD s 15 1.50 is 50 2.50 50 201) 5,00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 Lo M.G. HET/FRED. CHANGER-HP ii WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIB.) MOVED MOTORS (75% Or ORIO.) misc. S113NS NO. NO.TRANS. 3 APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE 8� �® UTILITY CO. NOTIFIED / FINAL �� APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER z NAME DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS ' f' ` RECEIVED BY READY FOR DATE ISSUED W CITY — TEL.N FIRST INSPECTION J COUNTY �j d W CERT.NO. 302.' EXPI RES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS MBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. A B C D E F G H W NAME Z MAIL ADDRESS � O CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. 1 4 7:7 ELECTMC1AN. I AM THE"GAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. ! CORRECTIONS a z 0 TOTAL, O I NO. OF OUTLETS 3 $ 1 APPROVALS NO. OF FIXTURES 37 $ C DATE INSFF.CTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ O FIXTURES MISCELLANEOUS $ 1 POWER PERMIT FEE $ I 15 UTILITY CO.NOTIFIED TOTAL FEEs 4 rT�jFINAL 78A663 0139 9A !-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR'APPLICANT TO FILL IN DISTRr NO. GROUP ZONE PERMIT NO. FADDRESS AN / �, i //�� RECEIVED BY READY FOR DATE ISSUED C� C / �`h {' 9 ,�� FIRST INSPECTION o y� /gyp CITY � � TEL NO. 'rib�SK l,4 COUNTY LICENSE NO. 17 EXPIRESBUILDING L rf� AlS� PERMIT FEES ADDRESS NUMBER OUTLETS EACH FEE LOCALITY =A-4 LIGHTS 5c Is NEAREST CROSS ST. RECEPTACLES 5 E FIXTURES S OWNER WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. MISC. _ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NuMbER HORSEPOWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OVER NEW MVD. HP I INC. EACH N OF THE RESIDENTIAL PROPERTY OF—SCRIBED ABOVE. y,a LESS $ .25 '=A 2 .50 SIGNATURE OF - '* 2 5 1.00 PERMITTEE ro, 5 15 1.50 INSPECTION RECORD 15 50 2 50 50 200 5.00 200 500 10.00 Soo 1000 15.00' J Q OVER 1000 20.00 Z M G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS 75% OF ORIG.) MISC. SIGNS TYPE: 1�� jy ®® NO. TRANS. —7 TYPE: NO. LAMPS C� APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE 7 UTILITY CO. NOTIFIED FINAL .�,� DBS S-A 6-46 APPLICATION FOR PERWr DEPARTMENT OF BUILDING AND SAFE'T'Y ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER Q NAMES DISTRICT NO. GROUP I ZONE PERMIT NO. U ADDRESS U CITY T L.NO. LEEIVED BY READY FOR DATE ISSUED W FIRST INSPECTION J COUNTY W CERT.NO. E 6 APPLICANT FILL `HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS 4 l"g VMnr2A NUMBER OF.OUTLETS ON CIRCUITS LOCALITY , • LOCATION BY ROOMS NEAREST rid IV A LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST CIRCUIT A B IC D I E F G H lz NAME Z MAIL 3 ADDRESS II � Q O l 4C CITY ,{,� TEL.NO 1 AM THE LEG POSSES R OF THE ABOVE LOS ANGELES• COUNTY'CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. 1 AM 'III$IeECiAL OW OF THE PROPERTY BED ABOVE A,4 41A yliwwl v - OWNER. ' CORRECTIONS J ol 0 TOTAL NO. OF OUTLETS $ U APPROVALS 1 NO. OF FIXTURES /� $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P.fS+ $ CONDUIT � v NO. OF SIGNS TRANS. ffi WIRING NO. OF RANGES OR HEATERS ffi FIXTURES MISCELLANEOUS 5ld-A� $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TOTAL FEE S G7� FINAL 1- 'QA663-CE804 10-60 APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS C9 �¢, Tv KPtS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNERC— I T E M NUMBER EACH FEE MAIL OUTLETS, s s ADDRESS o'lot, Y LIGHTS RECEPT. SW. .10 1 CITY TEL. NO. LIGHTING FIXTURES .10 ELEC. RANGES CLO. DRYERS ELECTRICIAN i OV4f- k OC- WATER HEATERS .50 ADDRESS flcQ H� ELEC.SPACE HTRS. DISHWASHERS - `f�� CITY w 1 GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITE ;2s LICENSE NO. 0 1� MOTORS, OVER INC. H.P. DISTRICT O. GROUP ZONE P ESSED Y 0— 1/2 .25 1/2— 2 .50 INSPECTION RECORD 2— 5 1.00 0 O 5— 15 1.50 V Ckg Is— 50 2.50 O s0— 200 5.00 SIGNS. NO TRANS. O' NO.LAMPS w� SERVICE 0-600V too SERVICE OVER 600V 5.00 M ISC. WIRING PERMIT 100 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 5o TOTAL FEE 6 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGRE O COMPLY CONDUIT WITH ALL COUNTY ORDINANC AND STATE LA GULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THA M PROPERLY R ISTER AND OR - LICENSED AS REQUIRED Y S A LES CO TY A STA OF FIXTURES CALIFORNIA OR THAT AM HE G OW ER O THE OVE DESCRIBED RESIDENTIA OPER POWER / SIGNATURE UTILITY CO.NOTIFIED / /1 OF PERMITTE FINAL A DATION ARTHUR C. VEIT- CK SUPERVISING ELECTRICAL ENGINEER L''a s 0 o n ,�I�rt 2 2 2 D 2.6 a , WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT ' i I,hy affirm that I have a certificate of consent to self Insure, 76A663 or a 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 JOB ADDRESS Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE $ $ LOCALITY ❑ Certified copy Is filed with the county building Inspection 1 &2-Family,Sq Ft NEAREST department Multi-family Sq Ft CROSS ST Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets Rec Light Sw First 20 +f0 dr FIRM NAME O (This section need not be completed If the work Involved by the MAILTotal No Additional ADDRESS Q� permit Is for one hundred dollars($100)or less.) I certify that In the performance of the work for which this permit CI Tel No Is Issued, I shall not employ any person In any manner so as to LAN become subject to the Workers'Compensation Laws Lighting Fixtures First 20 q PLICANTK 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 PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 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 Professions Code,and my license is in full force and effect Over 10 to 50 Incl LICENSEClass Over 50 t0 100 Incl REG NUMBER f2 Over 100 DISTRICT NO P SSED BY O License Number Lic Class +O/ V Services,Swbd,MCC&Panelboards VL, cc Contractor Date 0-399 Amp Under 600 V FINAL ATE I O El I am exempt under Sec 400-1000 Amp Under 600 V Over 1000 Amp or Over 600 V FINAL ill VALIDATION d B&P C for this reasonBRANCH CIRCUIT FEES BY Date 15A,or 20A,120V,Lighting or Recept Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 2T7V Lighting Br Circuits 2 SINGLE FAMILY Temp Power Pole&Appurtenances ,. HOME OWNER-BUILDER DECLARATIONJL Slgn with One Branch Circuit �'�T'JL I hereby affirm that I am exempt from the Contractor's License Law tt for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 3303 35.30 Code) 1 ITEMS ❑ I, as owner of the property,will do the work and the structure Mlsc Conduits&Conductors Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL 35. 30 and Professions Code) CHECK 35.30 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHANGE oO0 00 performance of the work for which this permit Is Issued (Sec 3097, PERMIT FEE (Sub-Total) goo Civ C) PLAN CHECKING FEE 0000-0001 11 9196 Lender's Name Q 4171 1 AM 10 n e9 PERMIT ISSUING FEE Lender's Address A 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 Elec wiring,and hereby authorize representatives of this C ty to Pon the above-mentioned property for ins ur es / SEE REVERSE FOR EXPLANATORY LANGUAGE SIG e)rURL OF PER DATE`/O WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, ora certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a'certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE 1 & 2-Famil S Ft $ — $ LOCALITY Certified copy is filed with the county building inspec- y- q tion department Multi-family Sq Ft — NEAREST Residential Swimming Pools CROSS ST Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First 20 Total No Additional the permit is for one hundred dollars($100)or less.) l CIT Tel No I certify that in the perform of the work for which this PALPpNGgNTK permit is issued, I shall not em oy person in any manner so as to become subject t e kers ompensation Laws Lighting Fixtures First 20 ADDRESS t Total No Additional Date — pplicant CITY Tel N NOTICE TO APPLICANT If, a er m i this ertificote of Fixed Appliances Not Over 1 HP PERMIT Range_ Heater_D W APPLICANT(-w, Exemption,, you should be ome subj t to t Workers' Compensation provisions o the Labor o e, you ust forth- Oven _ Dryer W M __ ADDRESS �� y with comply with such ovisions o this rmi shall be To — FAU —W H — deemed revoked Hood _ Fan _Other_ CITY Tel N Q� LICENSED CON ACTO DECLARATION LICENSE IOR Disp _ Room Air Cond Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER v 6+5 (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROCESSED-BY f1. and Professions Code,and my license is in full force and effect /) U Size& Type HP, KW, KVA, or KVAR �J r se r Lic Classfit Up to 1 Incl FINAL �— �4s_ Over 1 to 10 Incl DATE VAL ATION (-- Contractor Date aS� Over 10 to 50 Incl ❑ F14NL7 OW I aoxempt (Sec Over 50 to 100 IncE 8n Over 100 Date Services, Swbd , MCC & Panelboards 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect ;06096A SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # o o o • o 2 1 hereby off irm that I am exempt from the Contractor's License Additional Sign Branch Circuits a * 2S50 Law for the following reason (Section 7031 5, Business and Professions Code) Misc Conduits 8 Conductors e o e 2 5 5 0 6 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)_ ► ( 21 0 t 8 6 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 0_46;5� PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address ,1 I ertif that I have read this application and state that the TOTAL FEE SSS abov ation is correct I agree to comply with all County ordinances a e laws regulating Electrical wiring, and authonz a tatives of this County to enter upon the abo -mentio r for inspection purposes SMREVERSE FOR EXPLANATORY LANGUAGE Si natur of Permitt —1 C�DateC� WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT - CE-806G (2-80) 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) FOR APPLICANT TO FILL IN ,JOB Policy No Company EACH NO FEE ADDRESS (J Hl—CM/S New Residential Bldgs &Pools Certified copy is hereby furnished. 1 &2-Family,Sq Ft $ — $ LOCALITY Multi-family Sq. Ft — NEAREST Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST department OWNER OR FIRM NAME 1U0 it Date Applicant Outlets RecA&Light Sw Q ADDRESS �7� First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No —1.C1— Additional CITY Tel No COMPENSATION INSURANCE ? PLAN CHECK d (This section need not be completed if the work involved APPLICANT 0 by the permit is for one hundred dollars ($100)_or less.) Lighting Fixtures First 20 ADDRESS Total No Additional cr_ I certify that in the performance of the work for wh this CITY Tel No Fixed Appliance's Not Over 1 HP U permit issued, I shall not employ any person in an anner PERMIT LU so as to become subject to the kers' Compensa aws Range_ Heater D.W APPLICANT t1 Oven Dryer_W M. ADDRESS Z Date w Applicant Top _ FAU _W H Flood _ Fan _Other_ CITY Tel No7/ 53V Z2f NOTICE O APPLICANT If, after making this Certificate of Disp _ Room Air Cond-_ LICENSE OR �7 Exemption, you should—become subject to the Workers' REG NUMBER Class 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 !I 6' Up to 1 Incl. FINAL .J—7 LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE —C� VALIDATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions o£Chapter Over 50 to 100 Inc FINAL BY ..r� 9 (commencing with Section 7000) of Division 3 of the Busy- Over 100 , ness and Professions Code, and my license is in full force and effect. Services License Number 6 7 Lic Class 0-200 Amp. Under 600 V N 201-1000 Amp Under 600 V Contracto ' 6 Date w Over 1000 Amp or Over 600 V HOME OWNER-BUILDER DECLARAT ON, 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) o Misc Conduits&Conductors 0 9A b A I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— # 0'00 0 0 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code). 2'o•0 2 Q,5 0 , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit isPERMIT FEE (Sub-Total) 0 0,0 2 Q,5'0,Q issued(Sec 3097,Civ C) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 0 4r—8 2 Lender's Address PERMIT ISSUING FEE 0 I certify that I have read this application and state that the TOTAL FEE Q �1 above information is correct.I agree o comply with all County ordm and State laws regu ng Electrical wiring, and he y a1-mentioned orize representative th ounty to enter upon t abov p erty r in coon purjys SEE REVERSE FOR EXPLANATORY LANGUAGE ignature f Permitte Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904290035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ti LEGAL ID FEES PAID BUILDING ADDRESS: ITR 12157 LT 9 9048 LAS TUNAS DR �I I IFEE DESCRIPTION QUANTITY UOM: AMOUNT TEMP CA 917801834 A` I ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET SULTANA _ 15387-029-008 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID H3 LOCALITY TEMPLE CITY, Cl ILA 100 AMP PANELS, MCC 1.00 PAN 38 85 1 (TENANT- I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY: PLAN BY. EXPIRES ON 104/29/09 SR 10/26/09 TOWNER• TEL NO i iFINAL DATEFINAL�Y. CODE AT & T (818) 997-5803- L/�fp►•',f�J+ �/�1V1 114709 VANOWN ST. I I ' IVAN NUYS, CA 90504 I IDESC IPTION bF WORK I1 1 I IPLACING 100 AMP,SERVICE PANEL (APPLICANT: TEL NO I IVCI TELCOM INC (714) 289-1948- 1 1 11921 W 11ST I ISPECIAL CONDITIONS _ I (UPLAND, CA 91786 1 1 I I I I ICONTRACTOR TEL NO I IAPPPOVALS DATE INSPECTOR SIGNATURE IVCI TELCOM, INC (909) 946-0905-251 I 1 11921 W 11TH STREET LIC NO I ITEMPORARY POWER POLE I I I (UPLAND CA 91786 765716ACIO I 1 11 1 1 (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER TEL NO I IUFER GROUND 1 4465:11- LICI NO I ROUGH CONDUIT I I I I I I I I IROUGH WIRING I I 1 I I I I I I 1 I IMAIN WATER LINE I I I 1 I 1PLASTIC Y/N METAL Y/N 11�1jr�j�I 1 I 1UTILITY COMPANY NOTIFIED/( /V�TTI 1 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 1 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 f 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 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 1 IREPORT ID DPR265 ROUTE TO BS0508 1 1 1 1 I I I I I I