Loading...
HomeMy Public PortalAbout9117-9119-9121 LAS TUNAS DR_Electrical__ 76ASS3 DSS SA 25M SETS 11-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC ; 1 WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN �/- C-2 a p ELECTRICIAN A Q RECEIVED BY READY FOR DATE ISSUED ADDRESSV � FIRST INSPECTION _ 7 � CITY L? TEL. N , LICENSE NO. EXPIRE r B® D ADDRESS DESCRIPTION OF WORK /fir / NUMBER I OUTLETS EACH FEES LOCALITY CROSS T LIGHTS Sc $ STREET RECEPTACLES S FIXTURES s .OWNER ofQ I�Z O Al WALL SWITCHES 5 MAIL - ADDRESS ELEC. RANGES 25 I ELEC. HEATERS 25 CITY TEL. NO. MISC. 1 CERTIFY THAT I POSSES T AS E VAID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE LIGHTS RECEPTACLES ov MOTORS ELECTRICIAN. NUMBER HORSEPOWER FEE 10 NEW Mvo. HP OVER INC. EACH I AM THE LEGAL OWNER OF THE RESIDENTIAL ROP- I/2 s LESS $ .25 ERTY DESCRIBED ABOVE. %2 2 .50 2 5 1.00 OWNER. 5 is 1.50 INSPECTION RECORD 15 50 2.50 50 200 S.00 -- 2 0 .00200 500 10.00 500 1000 15.00 J Q OVER 1000 20.00 _Z M.G. SET/FREQ. CHANGER-HP I L7 Q� WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% .OF ORIG.) MISC. SIGNS TYPE: �'j,dt NO.TRANS. TYP NO. LAMPS v (Tv APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES $1.00 I WIRING WITH FIXTURES 1.25 FIXTURES SUPPLEMENTARY .50 -'\ POWER TOTAL FEE $ \ UTILITY CO. NOTIFIED FINAL J ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1111210026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID BUILDING ADDRESS: I ITR: 5905 LT: 23 BL: .001 1 9119 LAS TUNAS DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801904 .1 (ASSESSOR INFORMATION NUMBER: I - NEAREST CROSS STREET: HART I 15387-016-020 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.50 I 1 (TENANT: IG2 LIGHTING FIXTURES 8.00 LGT '15.50 (ISSUED ON: ' PROCESSED BY: PLAN BY: I ILI'S BALLET STUDIO I TOTAL FEES 58.80 111/21/11 SR 1 I I I I 10WNER: TEL. NO: I IFINALDATE - FINAL BY: CODE: I IZHANG, LI (626) 285-5258- 1 I���� I 15948 N. DEL LOMA AVE I I I ISAN GABRIEL CA 91775 1 ID SCRIPTION OF WORK I I IRELOCATE 4 (E) FLORECENT LIGHTING, INSTALL 8 OUTLETS AND 4 I 1 IEXIT LIGHT SIGNS 1 1APPLICANT: TEL. NO: I I IZHAO, ZHI QUAN (626) 285-5258- 1 1 I I ISPECIAL CONDITIONS: 1 I I I I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IB AND K HOMES, INC. (626) 712-4841- 1 1 I 1208 W SAXON AVENUE LIC. NO I - ITEMPORARY POWER POLE I I ISM GABRIEL CA 91776 753595 B I I I I I I I (UNDERGROUND CONDUIT I I 1 I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I' LAU, KEI (626) 456-2318- 1 1 1-1 I 1672 BARNUM WAY LIC. NO: IROUGH CONDUIT I I I IMONTEREY PARK, CA'91754 _ NONE 1 - I 1 1 IROUGH WIRING I i I - IMAIN WATER LINE LL 1 IPLASTIC Y/N METAL Y/N 1 I I 1 1UTILITY COMPANY NOTIFIEDI 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 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 1 I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I Des 5-A 12-44 1 _ APPLICATION FOR. PEP-mr DEPARTMENT ®F BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER a NAM / DISTRICT_NO., GROUP ZONE PERMIT NO: U ADDRESS O f!3 I'r `. •� UN CITY TEL.N - s C READY FOR DATE ISSUED J COUNTY / t//' E�{[c7 FIRST INSPECTION W CERT.NO. - EXPIRES//30-�7",/�d V t •�-J + � '/ ' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB (DESCRIPTION OP'WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS (/ LOCALITY % LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FUIT CROSS ST CIRCUIT A B C D. E F Jr. H NAME Z MAIL ADDRESS D O 5 CITY TEL:NO: I AM THE LF, AL POSSESSOR OF';-THE ,ABOVE LOS y ANGELES COU CERTIFI- AT F IFIICATION.. I� g ELECTRICIAN. v •7 I AM THE LEGAL OW ER OF THE PROPFRTY.DESCRIBED- ABOVE OWNER. CORRECTIONS _Z O !Y O TOTAL 13 V O NO. OF OUTLETS ffi / / APPROVALS NO. OF FIXTURES DATE INSPECTOR'S N ME NO. OF MOTORS H.P. $ CONDUIT i NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES-OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE / Q E / "_'- CO.NOTIFIED] n j TOTAL FEE FINAL �� Er f'P /'�� {tom" 76A663 SA 25M BETS"7-48 AQPUCATION FOR P DEPARTMENT OF BUILDII�TG AND SAFETY aya a a+avca �`a1� FOR �`1 COUNTY OF LOS ANGELES . ELECTRIC 1 ' WF CHIEF ENGINEER Z NAME �-' DISTRICT NO. GROUP ZONE /PERMIT NO. U ADDRESS D• AeS READY FOR CITY TEL.N & AV* FIRST INSPECTION DATE ISSUED LICENSE NO. EXPIRE -610- /_�/ r APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORD ADDRESS U,;t1h NUMBER OF OUTLETS ON CIRCUITS LOCALITY r45 W AOZ o LOCATION BY ROOMS NEAREST LIGHT OUTLETS lsw. PLUGS I FIZT -CROSS ST. CIRCUIT A B C D E I F IG IH m - NAME Al 2 MAIL . ADDRESS O CITY TEL.NO. 1 AM THE LEGAL POSSES ¢ TIlW ABOVE LOS ANGIELES COUNTY CERTIFIC U FICATION.. ELECTRICV.Ali: 1 AM THE LEGAL OWNER OF THE PROPF,RTY DESCRIBED ABOVE (� OWNER. CORRECTIONS ' J Q _Z • O R - O TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ - DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS 11 TRANS. $ 0 10 WIRING ` NO. OF RANGES OR HEATERS $ FIXTURES M ISCELLANEOUS $ POW ER PERMIT FEE 001 UTILITY CO.NOTIFIED /> TOTAL FEE 0 o FINAL 1 _ f 98A689+CE6D6_I,��; APPLICATION TFOR., ELECTRIC PERMIT ,.1. COUNTY OF LOS ANG_ELES DEPARTMENT OF COUNTY ENGINEER BUILDING. BUMDING AND SAFETY DIVISION - ADDRESS - t! JOHN A.L IE County Engnear t CIM D. GEIEFIN;'Supt'of WIding LOCALITY NEAREST FOR APPLICANT TOFILL IN CROSS ST. 'PERMIT FEES 'I T E M _ _ NUMBER ,-EACH FEE "OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. . - C.10' � .Q ADDRESS, - - LIGHTING FIXTURES O . .10 :Q CITY TEL..NO. ELEC.RANGES _'CLO.DRYERS `' ! ELECTRICIAN' ': Zi. cr Le/ WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS.. DISHWASHERS GARBAGE DISPOSERS AUTO.- : CITY TEL.NO. WASHERS STA.COOKING UNITS ,Q$ - `STATE c �� LICENSE NO. 224, MOTORS: OVER INC. .. H:P. _ - o — Ii2 25 C DISTRICT'NO. I GROUPZONE READY FOR INSPECTION I/z — 2 - .50 ' 2 — 5' 1.00 1 .INSPECCTTIION RECORD + 5 — 15 1.50 �: s t. '� @c tLac : 15 — 50 2.50 ) !�a _/. ft m_ 1 k 50— 200 5.00 es.tL �L r,e ,... ':�i. QL, SIGNS: NO.TRANS.* NO.LAMPS SERVICE 0-600V ,1.00 " _ c SERVICE OVER 600V � _ 5:00 M 1 S G 7 WIRING PERMIT 1.00' FIXTURE PERMIT' 1.00 - - j)(9 '_"K lldlla.7A'C!9�'� _ A2AI*Z_ SUPPLEMENTARY PERMIT .50' TOTAL FEE /y ys APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE,READ"THIS APPLICATION DATE c INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT - - WITH ALL.COUNTY ORDINANCES AND STATE LAWS REGULATING - RR ELECTRICAL" WIRING. ,. WIRING IN . � r i.. I HEREBY CERTIFY THAT I AM"PROPERLY REGISTERED AND/OR. - LICENSED AS REQUIRED BY LOS.-ANGELES COUNTY AND STATE OF FIXTURES ,.� AA CALIFORNIA - CALIFORNIA OR THAT-I_ AM THE, LEGAL OWNER'OF THE. ABOVE - �` j7�s DESCRIBED RESIDENTIAL PROPELy. '" POWER •... r _SIGNATURE UTILITY-CO.NOTIFIED OFPERMITTEE LIDATION SUPERV R C.VETT, . SUPERVISINC3 ELECTRICAL EIVBIN6ER " - C - MO CASH _. 2 A1 2.2 5. . dr . ® i SLE � gry�� p/.q� _."PER 1y.�q, {g�q.ppy p4. 71 76AS63-CES06-.11-SAP LIC TION FOR SLEET SIC tl E ® Bog Y -COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY`ENGINEER BUILDING, BUILDING AND SAFETY DIVISION.' - aopRE55 JOHN A.'LAMBIEr Coun# F.ngineei CASSA'1T D. GRIFFIN.. Supt of Building LOCALITY -77 el NEAREST +•. :. FOR'APPLICANT TO FILL-IN CROSS ST. i+/LrIV/TSS PERMIT FEES ITEM NUMBER EACH .FEE OWNER O .OUTLETS:- .: g '$ MAIL LIGHTS RECEPT. 5W. '.10 -ADDRESS LIGHTING,FIXTURES .10 CITY TEL.NO. - ELEC.RANGES CLO.DRYERS. ELECTRICIAN s 1 d,/ 6,;eek141) 'WATE.R HEATERS .50 - ' ELEC..SPACE HTRS. DISHWASHERS - - ADDRESS / �`y�0�1 �riL7.�LL� GARBAGE DISPOSERS 'AUTO.- • CITY GGllfl1A TEL.NO. �Z l_ ' WASHERS STA.COOKING UNITS .25 STATE +3�� �J ` - LICENSE NO. J o MOTORS: OVER INC. H.P.• ' DISTRICT NO. GROUP- •ZONE READY FOR INSPECTION, 0 — .•1/2 .25 `INSPECTION-RECORD 2 _ 5 1,00 O®' 5 — 15 1'S — 50 2.504 L� Q✓ �r D1.t4a ftir•. 50— 200 1 5.00 SIGNS:' NO.TRANS. - .'�.l C`�.it�.� -: 1,eIM� NO.LAMPS SERVICE 0-600V 1,00' SERVICE OVER,600V .5.00 WIRING PERMIT 1_00 DO - FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT :50' TOTALFEE APPROVALS I HEREBY ACKNOWLEDGE THAT 1.HAVE READ THIS APPLICATION 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED .AND/OR / K LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA' `OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPE SIGNATURE O 'UTILITY CO:.NOTIFIED OF PERMITTE FINAL wXALWATION' AR ARTFiUR,C.YEIT,' Clc Mo cwsH". --,SUPERVISING ELECTRICAL ENGINEER �:Ao.5 '1`?'o^' sem. 4 -?. A 4'.0 C). ` ��'l '' 76A669-E606.7.56 APPLICATION FOR ELECTRIC PERMIT 1 •, BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County of Los Angeles ADDRESS �! JOHN A. LAMBIE, COUNTY ENGINEER • CASSATT D. GRIFFIN,SUPT OF BUILDING. LOCALITY -NEAREST. FOR APPLICANT TO FILL IN CROSS ST. PERMT FEES NUMB OWNER LIGHT OUTLETS MAIL ADDRESS RECEPTACLES ' WALL SWITCHES FEE CITY /TEL. NOY) TOTAL OUTLETS @ 52. •$ / ELECTRICIAN---2'74 ELEC. RANGES 25 ADDRESS- -C ELEC. HEATERS 25 CITY �lrb 'TEL. NO. •� KW EA STATE i ;: 1 CC' :3 FIXTURES 5 LICENSE NO.. MOTORS DISTRICT NO. I GROUP ZONE READY FOR INSPECTION NUMBER HORSEPOWER I 'FEE ��� ls• NEW MVD. HP OVER INC. EACH 1/[&LESS $ • .25 ,INSPECTION REC RD - 1/Z 2 .50 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 cJ� cl°t" la�rt ���na dal r + aj MISC. � � A, .w..' �!!/ P NO. SIGNS NO. TRANS. l � NO.SIGNS NO. LAMPSc! FOR EACH PERMIT: pub Iblot, V l 7 A WIRING PERMIT $1.00 1 FIXTURE PERMIT $1.00 � (�;...,• ' SUPPLEMENTARY - .50 APPROVALS TOTAL FEE $ rf (J DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUITukjZ1rQ La 'S Lb hUlt -»®_ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I 64r-' �' 7 4.._ nS'�..L..I ELECTRICAL WIRING. ,� g '/// /�_ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES /•-� `� ,iL'� .,�.,. LICENSED AS REQUIRED BY LOS ANGELES Ar"TY -AND-STATE OF POWER. CALIFORNIA OR THAT I AM THE LEGAL WNER OF ABOVE - DESCRIBED RESIDENT R E TY. - UTILITY CO. NOTIFI SIGNATURE !Q r OF PERMITTEE FINAL i JOHN A. LAMBIE. IDATION A14THUR C. VEIT. COUNTY ENGINEER - .SUPERVISING ELECTRICAL ENGINEER 'CK MO' CASH - 11I" 8. 0 3 ? r�X( 10 5.0 Ci vGD /-0 78A869-CE808-1i8y�APPLICATI.O.N FOW-ELECTRIC PE ,MIT- �1.. COUNTY OF LOS XNGELES DEPARTMENT OF COUNTY ENGINEER EIUILDINc / BUILDING AND'SAFETY DIVISION 'ADDRESS rrOIIId'A. LAMBIE,Count Eag�aees CSSSATf D.GRIFFIN.Sup t of S-{fildfnQ' LOCALITY NEAREST , 7FR APPLICANT TO FILL IN.,:. , CROSS ST: PERMT FEES NUMBER EACH 'FEE , OWNER OUT - - $ $ MAIL - - LIGHTS, ' SW. .10 ADDRESS - LIGS' 10 CITY L:NO. I ELECLO.DRYERS- ELECTRICIANA T ER S .SO. ADDRESS •` Ci ELEC.SPACE HTiiS. DISHWASHERS SP DISPOSERS AUTO.- - CITY TELL NO. ^GS3 WASHERS .STA.COOKING UNITS Y .28"- STATE - _ LICENSE.NO. ( _ .MOTORS: OVER.. INC. H.P. " DISTRIC NO. IGROUPIZ N I READY FOR INSPECTION O — 1/2 .25 F— 1/2 — 2 50 2 = 5 / 1.00 ( (y f? INS�P+/ECCnON,aRECPRD 5 — 15 1.50 �,'a[�,.1 �V S3f�✓-y�l,� . 15 50 - 2.50 vl��!so— 200.. 5.00 ✓ / �( 4i..... 'SIGNS: NO.TRANS. • - NO:LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 - FIXTURE PERMIT - - i-00 - SUPPLEMENTARY PERMIT •50' TOTAL FEE $ .4 APPROVALS I HEREBY ACKNOWLEDGE THAT I' HAVEt READ-"THIS-APPLICATION '` -' DATE- -.., .INSPECTTOR>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 FIXTURES - ! LICENSED: AS-REQUIRED BY LOS..ANGELES RUNTY A D STATE OF _ CALIFORNIA OR ,THAT I AM THE LEGA .OWNER 0 THE ABOVE POWER. - -._ / .A DESCRIBEDRESIDENTIAL'PROPERTY. - J. .S16NATURE - UTILITY CO.NOTIFIED OF PERMITTEEFINAL .q '.« '' -.: VALIDATION ARTHUR C.VEIT.. _ SUPERVISING ELECTRICAL ENGINEER CK MOS` CASH LA `5 '1' 5 91T ' SEP 2 4 �`'-• A. 4.5,0'.' � ; 76A663 CE806, I0/::72 :APPLICATI.ON... : R E L tdtltAL •PE.RMIT COUNTY,OF LOS ANGELES DEPARTMENT OF COUNTY'ENGINEER' roe BUILDING ANDISAFETY..DIVISION' NEAREST _- 8` FOR APPLICANT-TO FILL'IN 'CR05SyS.T. OUTLETSN0. EACH FEE ... �� OWNER OR . .FIRM NAME. -' RECEPT MAIL FIRST 20, - fl LIGHT - TOTAL .25' • .).,., . ADDRESS i''✓�., "`CIT.Y'.''.�t3-� .�. ' - TEL. N.0 SWITCH.' _ OVER 20 .10 _ - - _ PLAN CHECK' APPLICANT. - a LIGHTING .-FIRST 20 .25 t TOTAL "ADDRESS I, '.• FIXTURES �oVER 20, 10 ' - RESIDENTIAL APPLIANCES; CITY TELNo PER., IT RANGE DRYERTR.' HTR: e'.. _A'PPL ._WI ANT )STA COOK.* DlSP •'F A U ADDRESS'" f `' x ' SPACE HTR.' .COND. , CITYl .�f_ NO :."J' TEL : } CLOTHES f WASH.. - :OhSHWASH-, _ . . , - LICENSE OR C:REG. NUMBER, I� , LASS., FAN OTHER ` .1'00 A,' HEREBY. ACKNOWLEDGE THAT 11.HAVE;READ THIS APPLICATION - ..' - WAND STATE°THAT THE ABOVE „IS CORRECT AND AGREE TO COMPLY " MOTORS, TRANSFORMER S i. RATTING WITH ALL COUNTY ORDINANCES (AND' STATE.LAWS REGULATING IND. HEATERS`, ETC." 'HP..,KW. KVA.' ,ELECTR'I'CAL WIRING. ,". ,. SIZE & TYPE OVER - TO ,� I-HEREBY CERTIFY- THAT I AM PROPERLY REGISTERED: AND/OR ' LICENSED'AS REQUIRED,BY LOS ANGELES COUNTY AND STATE OF - ' a •� O — '1 „, 1.00 � � . OR THAI'.I.AM`THELE WNER OF THE ABOVE CALIFORNIACALIFORNI OR ENT.I, PROPERTY. - r - — 300 j `U. - - PERM'ITEIE 5!00 .` ,SIGNATURE O 50 — •100 10.00 ------------------- U. • - DISTRICT.NO. � OG SED $Y x W. 160.— 500 i 5.00 7 Inn �`. � i Z - SIGN, GAS.'.,SIGN'AND ONE CIRCUI.T, '5.00 4 APPROVALS DATE INSPECT KS SIGNATURE TUBE,.OR • '_; TEMP. POWER POLE - "�Iv1ARQU.EE- ADDITIONAL CIRCUITS 1.00, - J SERV(CE.NO7OV, ER660VOLTS OR1200AM15 -300 UNDERSLAB WORK S-ERVICEOVER 600VOLTS OR200AMP`" 1.0.00' - 'ROUGH'CONDUIS .. - TEMP SERVICE,.POLE;&'APPURTENANCES. 9.00` WIRING . W 'TEMP LIGHT OR,,RECEPT,!SYSTEM " 300 FI,X•TURES ,. -0WER."AUTHORIZED • - ; .i :: .' UTILITY"CO.. NOTIFIED, - • ' FINAL ' PERMIT FEE - � `. (SUB TOTAL) - NOTES: PLAN CHECK FEE .. ,. - .PERMIT ISSUING FEE ,F. A~ 3.00 TOTAL FEE PLAN CHECK VA LfD`ATION CK, M.O. AsH pERMI'T VALIDATION M.O. CASH SEE.BACK.OF APP.LI.CATION FOR COMPLETE SCHEDULE.. -„ _ .F, 76A663-CES06 9-64 APPLI-CATION FOR ELECTRIC L PERMIT ' COUNTY OF LOS ANGELES e�//�f DEPARTMENT OF COUNTY ENGINEER BUILDING - BUILDING AND SAFETY DIVISION ADDRESS 7-4/)L- JOHN � /Q Aja / v 1 A s- JOHN A. LAMBIE, COUNTY ENGINEERy- COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. G; I REC EP T, , TOTAL NO. EACH FEE � y�-�J -� OUTLETS FIRST 20 $20 $ G�b OWNER' ►-Jz.Atr`E S /45014(H04:&. l! i LIGHT MAIL 'L 10 ADDRESS SWITCH. OVER 20 ' LIGHTING TOTAL ; (FIRST 20I .20 CITY 4P_ Ca: 'TEL. NO. � FIXTURES Aoo'L 10 ELECTRICIAN . OVFR 20 p RANGES CLO.DRYERS WTR.HTRS. 1.00 . ADDRESS / 'y'Vj &qp R. GARB.DISP. STA.COOK /' �1 n S CITY 5 %J. Ga¢ �"' TEL.'NO.!/"�'!j •��`-+T DISHWASH. AUTO.-WASH. STATE / SPACE HTRS. STA.APP.(yz H.P.MAX .SO G LICENSE NO. �J l Y MOTORS: OVER NOT OVER H.P. DISTRICT N G OUP NE P D .�+ O 1 1.00 _ - I 3 1.50 INSPECTION RECORD 3 8 2.00 D_ O 8 15 2.50 V- 1.5 50 3.00 p� O _ 50 100 5.00 'U SIGNS: NO.TRANS- W a NO.LAMPS N Z 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 - SUPPLEMENTAgY PERMIT ISSUING FEE 11.00�Fsi� - TOTAL FEE' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTO 8 SIGNATE UR AND STATE THAT THE ABOVE IS 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 FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A THE UEGAL OWN R OF, N INTEND TO RESIDE IN, THE ABOVE E RISE RESIDENT L PR TY. POWER' SIGNATURE �� - UTILITY CO.NOTIFIED OF PERMITTE FINAL /Y LIDATION. JOSEPH C. ROOHAN ('CK MO• CASH SUPERVISING ELECTRICAL ENGINEER I ',' .9378 FEB 3 2 0 6.40" 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NU. ELECTRICIAN ���/-�y�.SllT�o/ &,-04"�/- J_ �I�j Irrs RECEIVED BY READY FOR DATE ISSUED ADDRESS //i FIRST INSPECTION CITY P/ /y�J TEL NO. . COUNTY LICENSE NO.- r EXPIRESBUILDING PERMIT FEES ADDRE59 NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. ' RECEPTACLES / WALL SWITCHES OWNER I"' �5 TOTAL OUTLETS 5c $ MAIL ELEC. RANGES 25 ADDRESS /'�y/�/� �{/y ELEC. HEATERS 25 CITY TEL. NO.� le �d FIXTURES •5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 LAW REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICE BE, OR LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RES ID OPER DES B ABOVE. _ V2 & LESS $ .25 SIGNATURE %2 2 .50 PERMITTE 2 5 1.00 INSPECTION RECQAIDr 5 15 1.50 _ 15 50 2.50 _ 50 200 5.00 _ 200 500 10.00 J 500 1000 15.00 Q Z OVER 1000 20.00 (� M.G. SET/FRED. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA - TEMP. MOTORS (75% OF owr-) MOVED MOTORS (75% OF ORIo.) MISC. SIGNS NO. NO.TRANS. 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 �j• n $ UTILITY CO.NOTIFIED FINAL -/ 76A663-CE606 3-69 - T' If APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING © BUILDING AND SAFETY DIVISION ADDREss 1_ JOHN A. LA_ MBIE, COUNTY ENGINEER 1 COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY -7- NEAREST NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO, EACH FEE c RECEIPT, _ $ OWNER MA I L / ..✓L//91�s ` ADDRESS ✓[/ LIGHT. .TOTA FIRST 20 .20 - CITY TEL.NO. �SWITCHOVER 20 .10 'PLAN CHECK - - - LIGHTING TOTAL FIRST 20 ,20 APPLICANT - FIXTURES } - OVER 20 •10 ADDRESS - RANGE , DRYER WTR. HTR. CITY TEL.NO. STA. COOK .DISP._F.A.U. - - CONTRACTOR S�/ jP/` � SPACE HTR AIR COND. ADDRESS�Gii� � CLOTHES WASH._DISHWASN. CITY �� TEL.NO^/T_00��/¢g° ,FAN O �7� C� THER - 1.00 LICENSE NO. CLASS. /0 MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL .COUNTY ORDINANCES AND STATE LAWS REGULATING. ELECTRICAL WIRING.I C-SIJ 0 - 1 / 1.00 C)® 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIhED By LOS ANGELES COUNTY AND STATEOF } 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND..TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 - 50 5.00 U SIGNATURE ad O O 50 -' 100. 10.00 OF PERMITTEE 100 --.5700 15.00 DIS��T NQ. GROUP -ZDy � PRO E SED Y z U uj SIGN,GAS SIGN AND ONE CIRCUIT 3.00' a• N TUBE, OR z MARQUEE gDDITIONAL CIRCUITS 1.00 - NOTES: 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 APPROVAL DATE INSPECTOR'S SIGNATURE TEMP. POWE POLE UNDERSLA WORK ,. ROUGH9,6NDUIT W IRI ' PERMhT FEE, (SUB FI URES TOTAL) �� - P WER AUTHORIZED - PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 - UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 i4T F1.NAL TOTAL FEE (/(� JOSE H C. ROOHAN W. SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH .D 4..8 0!-.' SEE BACK OF APPI_ICATION FOR COMPLF_TF. FEF SCHFOIILE � PLE CiTY ]BA869-CE606 10-68 APPLICATION ,>♦PPLICA'TI®ISI -FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE; COUNTY ENGINEER 'WILLIAM A.JENSEN,SUPT OF BUILDING - LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES cRoss sr. 1 T F.M NUMBERI EACH FEE OWNS OUTLETS: $ 'MAIL ".ADDRESS LIGHTS RECEPT. SW. LIGHTING FIXTURES10 - CITY TE ,NO. ELEC.RANGES CLO.DRYERS ,ELECTRICIAN WATER-H E A T E R,S .50 .ADDRESS -�,ry1 C t ELEC.SPACE HTRS. DISHWASHERS CITY t TEL. NO. -V y GARBAGE DISPOSERS AUTO.- - STATE _ WASHERS STA.COOKING UNITS .25 :LICENSE NO. �> MOTORS: OVER INC. H.P. DISTRICT NO. GUP.I. ZONE. IPCESSEDB- 0— 1/2 .25 r2j 7/2— 2 .50 INSPECTION RECORD 2— 5 1.00 - 5— 15 1.50 15— 50 2.50 �j 50—200 5.00 ` NO:TRANS. ,,ry� ,r+G�^�.` �l� SIGNS: NO.LAMPS - /T I �fJV �"d. /y'_b,AP7* .. SERVICE 0-600V. 1.00 SERVICE OVER GOON 5.00A,Crciv, /Z 6 AP, ,.Illi MISC. WIRING PERMIT 1.00 Ai9i-Pk 74 Alam FIXTURE PERMIT 1.00 _ �p SUPPLEMENTARY PERMIT .50 If d Id,�;e 7,-aXr,rwop TOTAL FEE S 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 '�Y .L,C'l � iln a"Y.f;✓Add ELECTRICAL WIRING, d V lJ�✓ �"' /{.VJGv��.^•w---i 1 HEREBY .CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS AN LES COUNTY AND,STATE OF FIXTURES CALIFORNIA. OR THAT 1 HEG OWNER OF THE ABOVE DESCRIBED RESIDE RO POWER - SIGNATURE UTILITY CO.NOTIMEd OF PERMITi FINAL - ®P VALIDATIONARTHUR C.VETT. CK Mo cwsH SUPERVISING ELECTRICAL ENGINEER 663 -76A5A DBS-5A12-54Y ��,�� A CT•9T.ION FOR .,E.L RIC .PE. MI.T - � ■.Y1 ' DIVISION OF BUILDING AND. SAFETY o\./�, ".' Department of.County Engineer c County of Los.Angeles'- ... BUILDING f WM. J. FOX. COUNTY ENGINEER ' ADDRESS / �', fy - CASSATT D. GRIFFIN, SUPT OF BUILDING -FOR APPLICANT`TO FILL IN _LOCAL.ITY PERMIT FEES rJEAREsr CROSS'ST.:_ FEE - - - - - - NUMBER EACH' LIGHT OUTLETS OWNER� � ,- .. •_ , RECEPTACLES - - MAIL - /frit ss�'et� t 7 ADDRESS WALL SWITCHES TOTAL OUTLETS CITY - t "TEL: NO. - ELEC..RANGES 25 _ELECTRICIAN' ELEC. HEATERS.. 25 ... ADDRESS r . KW EA -FIXTU-RES. - -5 _. _ - LICENSE NO.. - NUMBER OF LIGHT CIRCUITS - - - ,_DISTRIC�T�NO. -�GROUP ZONE 'READY FOR INSPECTION NUMBER'OF RECEPTACLE CIRCUITS MOTORS z NUMBER ..HORSEPOWERFEE INSPECTION RECORD NEW MVD. • HP OVER. - INC. EACH - �...`. .2— � ��/ 1�&,LESS' $ .25 2 ;5'.'., 1.00 _ .5 t5 1.50 _:`d,' .moi n DK -.•. %L 1-,-r-C&f_r-e. 15 ' - '.,50 2.50 - - 1..l trams-- �. -1-` � b--�"�` - 5 200 .. 5.00 MISC. - -. NO. SIGNS. NO'. TRANS... -NO. SIGNS NO..LAMPS. - - FOR EACH PERMIT: - WIRING FIXTURES." ; $1.00 . SUPPLEMENTARY - .50. - - APPROVALS • TOTAL FEE - $ - DATE- 'INSPECTOR'S SIGNATURE , 1. HEREBY ACKNOWLEDGE THAT I.'HAVE•READ THIS.4PPLICATION CONDUIT !, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES AND STATE LAWS- REGULATING WIRING. — ELECTRICAL WIRING. - _ -•I 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 -OF THE ABOVE POWER. - ., DESCRIBED.RES I DENT] PZT -UTILITY CO NOTIFIEDSIGNATUR OF PERMITTEE _,a- - FINAL LTJ I `{y-"•�` a3J l?] _ 6< WILLIAM J. FOX, COUNTY ENGINEER VALIDATION 1 ? 5 BY- UTY- 76A663-CE306 3-69 ' APPLICATION FOR ELECTRICAL PE MI✓✓✓TI��- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ,rr�� r� BUILDING AND SAFETY DIVISION ADDREISS i'/j7 /CpS /LJ/l� 6 MM7 JOHN A. LAMBIE, COUNTY ENGINEER r COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY PLS NEAREST FOR APPLICANT TO FILL IN CROSS'ST. NO. EACH FEE �9 $ $ OWNER �`3 L// �P/ A076^1 RECEIPT._ AAIL DDRESS �'.�.2T' LOST 7T'7"'4- LIGHT TOTAL FIRST 20 .20 r SWITCH . OVER 20 ,10 CITY �i�i'B'�!"f✓ TEL.NO. PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NO. STA. COOK_DISP. F.A.U. CONTRACTOR (('L�F. 'T /✓/5���/f y` ADDRESS/,60/ '- Oe SPACE HTR. AIR COND. ��f CLOTHES WASH. DISHWASH. - CITY iA �c/QYTE L.NO FAN OTHER 1.00 LICENSE N0. (%/y 6 CLASS. MOTORS,TRANSFORMERS RATING - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA, _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF I - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ! O 10 - 50 5.00 V SIGNATURE 50 - 100IOAO OF PERMITTEE Q H IDD - SOD 15.00 DISI,�jjT NO. Cy$jYY4 ZO P 5 ED BY - W SIGN,GAS SIGN AND ONE CIRCUIT 3.00 �' ;ovi OR of V V) MARTUBEQUEE ADDITIONAL CIRCUITS 1.00 NOTES: ,7. c� Q//j ,SERVICE NOT OVER 600 VOLTS,OR 200 AMP / 2.00 1a�A_"rl SERVICE OVER 600 VOLTS OR 200 AMP 5.00 r TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED �,� ✓�,� PERMIT ISSUING FEE - 2.00 QO UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL L,, TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION =K. M.0. CASH ! Ai' 35 6 5L`—:� FEB 2, 2 D 4.0 0,: n, SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / / WORKERS' COMPENSATION DECLARATION 76A663 10/81 A - CE-806G PPLICATI-ON..FOR.'ELECTRICAL" PERMIT 1.hereby ahrm that.l'have a certificate,of consent to self insure, or a.certificate of Workers' Comp"ensation Insurance;or a certified _ COUNTY OF L'OS ANGELES. BUILDING AND SAFETY :.;copy thereof(Sec'.3800;Lab.C.): .r•f ' POlicy.NO.�jI �pany• /{ FOR;APPLICANT;TO FILL IN' t JOB •❑ New,' '.2 " - 'ADDRESS'" Certified copy is hereby furnished „! New Residential Bldgs.& Pools : 1 & 2-Family, Sq.Ft ... — G EACH.-,,. NO. FEE Certified copy is filed, with'the county.budding inspection. Al, .department: + Multi-family:'Sq..F,t. — NEOARESTY CROSS St S $ D c'. Swim OWNER OR Residehtia"l,S - ming Pools Applicant— di 2" Applicant r _ FIRM NAME... �.. `. . C RTIFICAT.E:OF}EXEMPTION`FROM'WORKERS" Outlets:Rec Light _ Sw. MAIL. a �/ COMPENSATION INSURANCE ri':J: AODREss " r :,(This section need,not ld&,completedif the work involved'by the a First.20 CITY mTel No perit is for one;hundred dollars•,($100)or less:) Total No. Additional. I'certify that in'the�perfermance'of:,the work;for,which:.this`permit APPLICANTK s;.issued;.l shall not-employ.any person in anytmanner,• so: s to „. become subject.to.the Workers',Compensation Laws.-„ Lighting.Fixtures First 20,r" ADDRESS w., ddionaI ,� �. ,-�• •, ,. : ,;•-• No., 'Tel No Total Ad CITY.'" � Date % Applicanf fixed Appliances Not Over.1 HP PERMIT "NOTICE, 'TO APPLICANT:,,If, ,after making this Certificate of, APPLICANT (�^ Exemption,you should become subject ;to the Workers'Compensation'.• Range_:Neater_ D.W provisions of•'tge,Labor Code;you nust'forthwith comply with`such," Oven'_'Dryer ='W.M ADDRESS' ;provisions or this permit shall be:deemed revoked Top --•FAU W.H.- CITY Tel.No y, LICENSED CONTRACTORS DECLARATION: Hood _ -Fan Othee= , � .,,.I-hereby*;affirm;that I am licensed';under'provisions;':of Chapter 9 4 - Disp:'• Room Air Condi ' Class:- .LICENSE O (commencing with Section 7000);of,Division 3 of the Business and REG.NUMBER p r7 Professions Code,and my,license is.in full force and effect. . ' ra u & Large.Appliances-' - Power Appa t s Size&Type HP;KW KVA;.or KVA.R ;. •; lJ DISTRICT NO SSED BY _ t License Number. -' 0 L'ic.Class. l '�f Up to 1.Incl. FINAL U Over .1 to 10 Incl DATE . VALIDATION Q Contractor s ! ,`Lf tD Date _ J F --r— Over..10 to 50 Incl H" ❑ I am exempt_under'Sec; Over 50 to 100-16c. FINAL , BY � W B.&P.C.for this reason Over 100 Cn C' Service's,Swbd:;MCC&.Panelboards,' Date: -0- 200 Amp.Under 600 V [ha Signature 201 1000 Amp.Under 600 V p Over 1'0-00 Amp.or Over'.600 V �7 Exemption for Reg Maint Elect ` „. t�l`y►�l J SINGLE FAMILY Temp.Power-Pole& Appurtenances li•1$ HOME OWNER-BUILDER*DECLARATION_ i °.i • 1' .AM Sign with One Branch,Circuit I hereby affirm that I,am exempt from,the Contractor's License Law Additional Sign•B'ranch Circuits,- for the following reason'(Section 7031.5; Business and Professions ' Code) , � " ""Mise:'Conduits& Conductors• I,as'owner of the property;will do the;.work andrihe structure • - is not intended'or offered for sale (Section 7044, Business Other(See Complete Fee.Schedule) i 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(Sec.3097, PERMIT FEE "(Sub.Total),", q r civ. C:). t . PLAN CHECKING-FEE - - Lender's Name :. •• PERMIT ISSUING � • " D °'- Lender's Address I certify that I have read this application and state that the TOTAL above FEE. - _ . information,is'correct. I.agree to comply.with all County ordinances and State.laws regulating Electrical wiring, and.hereby authorize w, representatives of this County to enter`upon the above-mentioned ` property for inspection purposes. SEE REVERSE.FOR EXPLANATORY LANGUAGE - Signatureof Per tte Dat : WORKER'S COMPENSATION DECLARATION, 20-0019 DPW(12-91) , ,APPLICATION FOR 'ELECTRICAL PERMIT I hereby 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 tfiereof(Sec. 3800 Lab.,C.) ❑ Policy No. Company FOR,APPLICANT TO FILL IN - JOB- ADDRESS �„ I� �(.. Certified'copy is'hereby furnished. New Residential Bldgs.&Pools NO. EACH - FEE 'LOCALITY v , Certified co is,filed with the,count buildingins ection• 1 &2-Family,Sq.Ft. } .py. . ,y p - - NEAREST- .. j{ department.. Multi-family Sq. Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK •PAGE PARCEL f CERTIFICATE OF EXEMPTION FROM WORKERS'. OWNER OR COMPENSATION INSURANCE " Outlets:Rea Light Sw• �/,1 FIRM NAME (/ JC First 20 Q[/ MAIL (This section need not be completed if the work involved by the ADORE " ' permit is for one hundreddollars(5100)or fess.)' Total No. Additional 7/t 0 �1e I !.certify that'in tlie pe7formance of the work for which this permit CITY Tel.No. O is issued, I shall not employ any person in,any manner so as t0 PLAN CHECK n/ become;_subject to the Workers'Compensation Laws. Lighting Fixtures First.20 O APPLICANT Total No. Additional ADDRESS Date '•'0''!f—'Applicant vRESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO.APPLICANT: If,. after making t s Certificate of CITY Tel.No. Exemption,you should become subject"'to the Wo ers'Compensation OTHER APPLIANCES NOT OVER 3 HP. PE IT pro vision"s of the Labor Code, you must forthwith comply with such AP-PUCANT ` � provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances _ ' LICENSED CONTRACTORS DECLARATION Size&Type HP,KW;KVA,or KVAR ADDRESS j .I 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 6� TeI.No." •(_W1I Professions Code,and my license is in full force and effect: Over 10 to 50 Incl. BOR' Class. REG.. {' n 9ver:50 t0 100 Incl. REG.NUMBER 3 !/ C•yf(� a H 3 t h2 C_i O - Over 100 DISTRICT NO.. R SSED BY O License Number Lic.Class V ' O cc -- A'- Services,Swbdt,MCC&Panelboards �'1V( 'ri tZl G Date 0 0-899 Amp.Under 600 V on7e O Contractor, ❑ 1 am exempt under.-Sec. 400-1000 Amp.Under 600 V W VALIDATION Over 1000 Amp.or Over 600 V FINAL t1 B:&P:C:for-this.reason BRANCH CIRCUIT FEES BY U) Date: / 15A,or'20A,120V,.Lighting or Recept. 1 To 10 Branch Circuits Signature _ 11 To 40 Branch Circuits El 41 Or More Branch Circuits y Exemption for Reg.Maint. lect. 15A,20A;208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5,Business and Professions Additional Sign Branch Circuits f •` v'j 7 i==E Code): .i IEMS 1,as owner of the property,'will do the work and the structure Misc..,Conduits-&Conductors, j is'not intended or offered for sale (Section 7044, Business Other.(See Complete-Fee Schedule) I( L 9 1 0 and Professions Code). CHECK _) _s(j CONSTRUCTION LENDING AGENCY4:Hnh`EiIv GE I tiereby affirm that'there is a construction lending agency for the - performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE' (Sub-Total) i PLAN CHECKING FEE l U Uy Lender's Name / til t 11 :E PERMIT ISSUING FEED. b y Lender's Address 1 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 the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE a ` SIGNATURE-OF PERMI E - DATE - - WORKER'S COMPENSATION DECLARATION20-0019 DPW(t2-91) APPLICATION FOR ELECTRICAL PERMIT ' - ' I herby.-affirm "that I have a certificate of consent to self insure76A663, or a certificate of Worlyer's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof-Sec.3800 Lab. C.), Y. :.. Policy No. Company w FOR APPLICANT TO FILL IN JOB ADDRESS Q•�\`� ' Certified copy is hereby furnished.". New Residential Bldgs.&Pools' NO. EACH FEE � F-1 Certified co is filed with.the count building ins ection 1 &2-Family,Sq.Ft. — $ $ LOCALITY PY Y 9 P NEAREST department. Multi-family Sq..Ft. CROSS ST. Date Applicant. Residential Swimming Pools ASS BOOK _ PAGE PARCEL CERTIFICATE OF EXEMPTION FROM„WORKERS' OWNER O Outlets`Rec. Light $w. R COMPENSATION INSURANCE . _ FIRM NAME First 20 MAIL (This secflom need pot be completed it the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional • I certify that`ih tfie performarice of the work for which this permit CIT Tel.No. .is issued, I shall not employ 'any-person In any manner so as to. PLAN CHECK >� become subject to;the Workers'Compensation.Laws. Lighting Fixtures First 20APPUCANT' Total No. Additional v ADDRESS Z'�( Date-�Z--]-\— L Applicant �� RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after mak' g this Certificate of CITY Tel.No. U3 Exemption,you should become subject to,the.Workers'Compensation OTHER APPLIANCES:N_OT OVER 3 HP.. Y IT provisions of the Labor-Code, you must forthwith comply With such - APPLICANT .- ` t , provisi'nsror this.permit shall be deemed revoked. Power Apparatus&Large Appliances `�LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,.KVA,or KVAR ADDRESS I hereby affirm that I am'licensedunder*provisions'of'Chapter 9 Over 3to 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. LICENSE OR Class. i` �}(I^ /� [/ Over 50 to 100 Incl. REG.NUMBER d V{J' 3� (�r/I 7 Over 100 .License Number LiC.CIaSS�L DISTRICT PR SED BY .Q Services,Swbd.,MCC&Panelboards cc Contractor WuhDate �Z' � �� 0-399 Amp,Under 600 V DATE 0 ❑ 400-1000 Amp.Under 600 V ~ I am exempt under Sec: t VALIDATION V Over 1000 Amp.or Over 600 V FINAL LU B.&P:C.for this reason BRANCH CIRCUIT FEES' BY 15A,or.20A,.120V;Lighting or Recept. A .Z Date' _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits t 41 Or More Branch Circuits ❑ Exemption for Reg..Maint.Elect. 15A,.20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances {9+rirt eJL HOME OWNER-BUILDER DECLARATION Sign with One'Brarich Circuit c t:r9.55 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3307. Code): ❑ 1. ITEMS d &C i d Conuts onuctors I, as owner of the property,will do the'work and the structure Misc. - f ��;+ ®�tC is not intended or offered for sale (Section 7.044, Business Other(See Complete Fee Schedule) � TOM .M and Professions Code). CHECK 59.55 CONSTRUCTION LENDING AGENCY iLIAE1�jE 61�. 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 (Sub-Total) Civ. C.) �n,�t �t��##-,, {{ .� ,; PLAN CHECKING FEE t.RJ�I 0001 1../31/' 2 Lender's Name �� r PERMIT ISSUING FEE o 7363 f 11��` Lender's'Address I certify tfiat 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 is un4enter n theabove-meritioned propertyfor insp tion pur SEE REVERSE FOR EXPLANATORY.LANGUAGE \-•SIGNA OF P R IT E DAT _ _ - WORKER'S COMPENSATION DECLARATION 20-0019 DPW 9/89 76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby aff' hqhcertificate of consent to self insure, or a cert * atompensation Insurance, or a certified COUNTY OF LOS•ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy the f( C.):Policy Noompany � FOR APPLICANT TO FILL IN JOB•,, p _EACH_ NO..; FEE_ ADDRESS Certified cofurriished. j New Residential Bldgs.&Pools LOCALITY 1 &2-Family,Sq.Ft. $Certified coysewith the county building inspection• - _ NEAREST department• �. .�.-,r._ -Multi-family Sq.Ft. CROSS ST. Datered �icanf t Residential Swimming PoolsASSESSORMAPBOOK PAGEPARCEL EXEMPTION.F,ROM WORKERS ' OWNER OR Outlets:Rec._Light` Sw.' FIRM NAME ENSATION INSURANCE First 20MAIL (Thissecte Completed if the work involved by the i ADDRESS permitis'for one hundred dollars($100)or less.) Total No. Additional ZD I certify thal'in the performance of the work for w 'hich this permit - - _ _ CITY ( Te No. :r Z, is issued, I shall not employ any person in any manner so as to PLAN CHECK / n become.subject to the Workers,Comper sation Laws.,- Lighting Fixtures First 20 APPLICANT 1 .0 - Total No. Additional ADDRESS .. Date � ' Applicant ' 15 OR 20A,•120V BRANCH CIRCUITS -i NOTICE'TOaAPPLICANT:.If,;•after making this Certificate of CITY el.No. Exemption,.you should become;subjechto the Workers'Compensation .1 TO 10 INCLUSIVE EACH provisions of the Labor.Code,you must,forthwith comply with such 1VT0'40 INCLUSIVE EACH - - - A?PLIC N7 / provisions or this permit shall be deemed revoked. ;r_ 41 OR MORE BRANCH CIRCUITS EACH } LICENSED CONTRACTORS DECLARATION _ _ _ ._ _ ADDRESS - s I hereby affirm that.I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH (commencing with Section 7000) of Division 3 of the'Business-and _._ _ .•_-__-� ____-•_ _ - CITY eL _ U Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR /' CC Power Apparatus&Large Appliances REG.NUMBER Class. C _ _ License Number Lic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. P��;ED: �- _. - - -- Up to'3 Incl: - - - -�� t11.["� d Over 3 to 10 Incl FINAL ContraCto - Date _ .__- .. -_. _ _ _ _ DATE ❑-- Ov&V10 to 50 Incl.` /0_-ZI 4Z_- Z' I am exempt under Sec. Over 50 to 100 Incl. VALIDATION -' .,. .__.- - L _ .. . B.&P.C.for this reason - ' Over 100 BY Y B Services Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V ~ Signature _201 .1000 Amp.Under 600 V_: Q _ _ e•:r` Over 1000 Amp.or Over 600 V Y ACCTA a Exemption far Reg.Maint.Elect. ACCTA SINGLE FAMILY307_ .9-c Temp.Power Pole&Appurtenances 3 - 59 HOME OWNER-BUILDER DECLARATIONi I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 1 ITEMS for the following reason (Section 7031.5, Business and Professions ' __Additional Sign Branch,Circuits _- � Code): -TOTAL 59. Conduits&Conductors - CHECK _59 SCC I,as owner of the property,will do the work and the structure Misc.- ' is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHANGE .fl and Professions Code). 7 ' CONSTRUCTION LENDING AGENCY _. (1it�yi I'heret y affirm that there is a construction lending agency for the Ol1Gl7TlFVV i ML/92" performance of the work for which this permit is issued (Sec. 3097, ' _PERMIT FEE, . .. ...__... ._ (Sub-Total) � �fy' i" wly 3- 113 -��}I Civ.C. V tilt v• - PLAN CHECKING FEE ,l " Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE t ` . information is correct. I agree to co ply with all County ordinances and State laws regulating Electri 1 wiring, and hereby authorize represen . s of this County t enter upon the above-mentione proper f inspection pu ose SEE REVERSE FOR EXPLANATORY LANGUAGE AAAA 2� ATUR&11f%PPL1CANVNNtPW I TE WORKER'S COMPENSATION DECLARATION 20-0019DPW 9/89 76A663 APPLICATION FORELECTRICAL PERMIT I hereby-iiffisrri that I have a certificate of consent to self insure, 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.) 1 Policy No. Company FOR APPLICANT TO FILL IN - JOB L A ❑ - ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&'Pools EACH NO. FEE LOCALITY $Ft Sq. . — $.. Certified`copy is filed with the county building'inspection 1 &2-Family, _ NEAREST. ,department. Multi-family'Sq.Ft. CROSS ST. _• .. . Residential Swimming Pools ASSESSOR Date Applicant = MAP BOOK... PAGE PARCEL CERTIFICATE OF^EXEMPTION FROM WORKERS: ��( OWNER OR _ COMPENSATION INSURANCE Outlets:Rec.+�Light 1�Sw. FIRM,NAME _ .first 20 . (This section need not be completed if the.work involved by the Total No.- MAIL Additional ADDRESS-,4.3 m g ��(� . ' permit is for one hundred dollars($1.00)or less.) I certify that in the performance of the work for which this permit CITY. �R k Tel.No x,11 3 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 APPLICANT Total No. Additional ozeO' •�'" ADDRESS m Date 71 a Applicant� uj Lei 15 OR 20A,120V BRANCH CIRCUITS NOTICE-TO APPLICANT:'if, after' making this Certificate of CITY Tel.No. Exemption,you should become:subject to•the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code; ou.must forthwith comply with such 11'TO 40 INCLUSIVE EACH PERMIT - provisions Y p.Y � � _ APPLICANT provisions or,this permit_shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH L 'N E- bbe p/.0• LICENSED CONTRACTORS DECLARATION ADDRESS hereby affirm that I'am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH O (commencing with Section 7000) of Division`3 of the Business and PITYTel..No. Q _ y 0 Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR % Power Apparatus&Large Appliances _ _ REG.NUMB7 ER class. License Number a l l.1 1 Lic.Class G Size&Type HP,KW,KVA,or.KVAR DISTRICT NO. PROCESSED BY 0. Up'to 3 Incl. W _ J.f�Q L.c� CL Over 3 1 o 10 Ind. FINAL Contractor ]-1 NJL�f Date / - DATE Over 10 to 50 Incl. V ,] I am exempt under Sec. Over 50 to 100 Incl °j VALIDATION . B.&P:C.for this'reasoh Over 100 BYAL Services,Swbd.,.MCC&.Panelboards_- Date: 0-200 Amp.Under 600 V Signatures t .A� 201 -•1000 Amp.Under 600 V - ❑ _ Over 1000 Amp:or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances d;; s HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I am exempt from the Contractor's License Law Sig •r•- �i�: r i for the.following reason (Section 7031,.5, Business and Professions Additional Sign Branch Circuits 1=A 3 Code): I.{ir.''._ t d &C it d Conus Conductors - y I,as owner of the property,will do the work and the structure Misc., � T r•iT�= Np ����„ _ �^# is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 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 (Sec. 3097, PERMIT FEE (Sub-Total)' Civ.C.) PLAN CHECKING FEE _ _'-( Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this.application and state that the above TOTAL FEE 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. �J SEE REVERSE FOR EXPLANATORY LANGUAGE ' - L GNA RE OF APPLICANT OR AGENT DATA- WORKERS'COMPENSATION DECLARATION CE-806 0 APPLICATION FOR ELECTRICAL PERMIT I hereby naffirm.that'I have a certificate of consent to self COUNTY OF LOS.ANGELES BUILDING ANDSAFETY4!� insure, or a certificate of Workers'Compensation Insurance,or r a certified co y thereof(Sec. 3800,Lab,C 192-7L=380-2 InR APPLICANT TO FILL IN JOB" 9119 Las TUnaS Policy No. Company ds• Co.�'O' EACH • NO. FEE ADDRESS Of` the eS New Residential''Bldgs.&Pools, 0 Certified copy is-hereby furnished.. 1'&2-Family;Sq. Ft. '' $ — $ LOCALITY Tem lei Cit Multi-family Sq. Ft. - NEAREST Certified copy is filed with the county building inspection!- CROSS.ST Hart department. Residential'Swimming Pools OWNER OR FIRM NAME.' Date 4-6-81 Applicant' Edwards Electric Outlets: Rec.—Light— Sw. MAIL • j First-20 ADDRESS . CERTIFICATE OF EXEMPTION FROM WORKERS' Total.No. Additional CITY Tel No. COMPENSATION.INSURANCE PLAN CHECK ti APPLICANT O (This section• need not be completed if the work'involved Li by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS • Additional 0C Total No. I certify that in the performance of the,work for which this Fixed Appliances Not.O,yer.1 HP CITY Te�N'o. permit is issued, I shall'not employ any person in any manner PERMIT U so as. to.become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT CL W Oven _ Dryer_W.M. ADDRESS 2535- S. 3rd Ave z Top FAU-_W.H..Date Applicant Hood Fan _Other_ CITY Arcadia Tel"°' 447-5096 NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air-Cond.— LICENSE OR C7 10 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 Size&Type HP, KW, KVA,or KVAR deemed revoked. Up to 1 Incl. FINAL Over 1 to,10 Incl. DATE LICENSED CONTRACTORS DECLARATION' Over 10 to 50 Incl. �l VALIDATION I hereby affirm that I am.licensed under provisions of Chapter Over 50 to 100 Inc. FINAL LBY. 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ti✓����—^ ness and Professions.Code, and my license is in'full force and effect. Services License Number 257�91 Lic.Class C'-10 0-200 Amp.Under 600 V 201-1000 Amp. Under 600 V Contractor Edwards"Eleetj3&q July 1982, . Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances # o 'o o'® I hereby, affirm that I am exempt from the Contractor's Sign with One Branch Circuit Additional Sign.Branch-Circuits o;®,o,' a ® rn License Law for the following'reason (Section 7031.5, Busi- ness and Professions Code):.- Misc.Conduits&Conductors on0 4, 81 El I, 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 7044, Business and"Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there iso a construction-lending agency for the performance'of the work for which this permit .is PERMIT FEE (Sub-Total) , JP 47 7.A issued (Sec.,3097.,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)- f.o a'o•o'e 2 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE NO Fee 0 4; 1 4—8.1 •. 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 WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL. PERMIT I hereby affirm.that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insufance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof e ..3800 L C.), POIiCy NO. Company, FOR APPLICANT TO FILL IN JOB I (1 ❑ - _ ADDRESS q N (L Certified copy is here furnished. New Residential Bldgs.&Pools NO. EACH FEE „, _ $ $ LOCALITY- `CertifiedFco filed with the count buildin ms ection 1 &'2-Family,Sq.Ft. PY Y 9' P 'NEAREST department. -Multi-family Sq.Ft. CROSS ST. Residential Swimming Pools ASSESSOR Date Applicant - _ MAP BOOK - • PAGE PARCEL CERTIFICAT OF EXEMPTION FROM WORKERS' OWNER OR 'COMPENSATION INSURANCE Outlets:Rec._Light Sw. FIRM NAME - (This section need not be completed First 20 MAIL if the work involved by the Total No. Additional - ADDRESS - permit is for one huA'dred dollars(5100)or less:) I certify that in the'performance of the work for which this permit CITY Tel.No.. is issued, I shall not employ any person iri any manner so as t0 PLAN CHECK become subject'to the Workers'.,Compensation Laws., Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS DateApplicant• RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE,TO APPLICANT: If, after mak.ing 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 suchPERMIT provisions or this permit shall be deemed revoked:' Power Apparatus&Large Appliances' APPLICANT 11J�J l -LICENSED CONTRACTORS DECLARATION Size&Type,HP,KW,KVA,or KVAR ADDRESS. l .. I fiereby•'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 Mfi N � Professions Code,and my license'is in full force and effect. Over 10 to 50 Incl. } LICENSE - Class. Over 50 to 100 Ind. � REG.NUMBB ER a- Over 100 , DISTRICT NO.: PR SSED BY Q License Number !J J Lic.Class tq� _ yB�9 Services,Swbd.,MCC&Panelboards / 0-399 Amp.Under 600 V FINAL Contractor Date DATE _ ❑ 400-1000 Amp.Under 600 V �— V I am exempt under Scc. VALIDATION (� Over 1000 Amp.pr Over 600 V FINAL B:&P:C.for this reason BRANCH CIRCUIT FEES BY Date: 15A,or'20A;120V,Lighting or Recept. Z 1 To 10 Branch Circuits 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 Q '� v 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ; .i. s# a f for the following reason (Section 7031.5,'Business and Professions Additional Sign Branch Cirbuits 35 Tr: Code): s i:t_.�'S Miso: .I,as owner of-the property,will do the work and the structure ' Conduits&Conductors :yi:{r-L 42 _9'L is not intended or offered for sale (Section 7.044,.Business Other.(See Complete Fee Schedule) ® -•: .2 and Professions Code)- �n - CONSTRUCTION LENDING AGENCY ul 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 (Sub-Total) ( CIV. C.) ':..iii�13. .1f PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q s Lender's Address 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 regulatingEI ctrical wiring,and hereby authorize, represents s of this County to ent 'Pon the above-mentioned prop ty for insp tidn purposes. [ SEE REVERSE FOR EXPLANATORY LANGUAGE XF RMITTEE DATE ' COUn`.Y OFLOSANGELES .TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904160012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: I.LEGAL ID: 1 FEES PAID BUILDING ADDRESS: ITR: 5905 LT: 23 BL: .001 T 9119 LAS TUNAS DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: j TEMP CA 917801904 (ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: 15387-016-020 1AI PERMIT ISSUANCE FEE 27..75 THOMAS PAGE: 596. GRID: H3 LOCALITY: TEMPLE CITY, Cl I-K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: - I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I I 104/16/09 SR .10/13/09 TOWNER: - TEL. NO: 1 1F AL DTE FI -+ Y: CODE: (ANCA REALTY 19119 LAS TUNAS DR. ITEMPLE CITY CA91780 - 1 IDE8CRIP ION OF WORK (ILLUMINATED CHANNEL LETTERS (2 WALL SIGNS) (APPLICANT: TEL. NO: 1 I 1AD ELECTRICAL ADVERTISING INC. (626) 448-1166- 19437 VALLEY BLVD. I - ISPECIAL CONDITIONS: 1 IROSEMEAD, CA 91770 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE T IAD ELECTRICAL ADVERTISING, INC. (626) 448-1161- 1 - I I 19437 -VALLEY BLVD. LIC. NO 1 ITEMPORARY POWER POLE I I I IROSEMEAD, CA 91770 927951045 1 I I I 1 (UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I I 1 LIC. NO: IROUGH CONDUIT 1 1 I I I IROUGH WIRING I I I I I IMAIN WATER LINE I I I I IPLASTIC Y/N METAL Y/N I I I I I 1UTILITY COMPANY NOTIFIEDI I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT, DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112120051 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: - .LEGAL ID: - FEES PAID I BUILDING ADDRESS: ITR: 5905 LT: 23 BL: .001, 1 9119 LAS TUNAS DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801904 IASSESSOR, INFORMATION NUMBER: I I NEAREST CROSS STREET: HART 1 15387-016-020: lA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl 1 IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.80 1 1 ITENANT: TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: I. ILI'S BALLET STUDIO 112/12/11 SR (OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: IZHANG, LI (626) 285-5258- 15948 N. DEL LOMA AVE ISAN GABRIEL CA 91775 I IDESCRIPTION OF WORK I I, I (ILLUMINATED CHANNEL LETTER WALL SIGN I 1APPLICANT: TEL. NO: 1 1 1 ICHEN, TONY (626) 733-2960- I I ISPECIAL CONDITIONS: 1 I I I I ICONTRACTOR: TEL. NO: I 1APPROVALS . DATE INSPECTOR SIGNATURE 1 IFARGO ADVENTISING, INC. -(626) 442-8690- I 1 1 12213 SASTRE AVE LIC. NO I ITEMPORARY POWER POLE I 1 [SOUTH EL MONTE CA 91733 932785 - 1 1 1 1 I I IUNDERGROUND CONDUIT I 1 (ARCHITECT OR ENGINEER:. TEL. NO: IUFER GROUND I I I [ LIC. NO: [ IROUGH CONDUIT I I I I I [ I IROUGH WIRING I - 1 1 IMAIN WATER LINE 1 1 1 I I I 1 1 IPLASTIC Y/N METAL Y/N I I 1 1 (UTILITY COMPANY NOTIFIEDI I 1 1 I I I I I [ _ IREPORT ID: DPR265 ROUTE TO: BS0508 I 1' COUNTY OF LOS ANGELES TEMPLE CITY- # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204160011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID -1 BUILDING ADDRESS: ITR: 5905 LT:_ 23 BL: .001 - 1 9119 LAS TUNAS DR- - I - _ IFEE'DESCRIPTION: , QUANTITY: UOM: AMOUNT: ( TEMP CA 917801904 1ASSESSORINFORMATION NUMBER: I I NEAREST CROSS STREET: HART 1 15387-016-020 - - - 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I IJB AC UNITS +3-10HP 1.00 AC 19.70 I ITENANT: , I TOTAL FEES 47.50 (ISSUED ON: PROCESSED BY: PLAN BY: 1 ILI'S BALLET STUDIO 1' _ - 104/16/12 SR - 1 I I I (OWNER: TEL. NO: 1 (FINAL TE FINAL BY: CODE: 1 IZHANG, LI (626) 285-5258- 15948 N. DEL LOMA AVE 1 - I ISAN GABRIEL CA 917751 IDESOIP'. OF WORK A/C UNIT (APPLICANT: TEL. N0: . I I 1DAVIDHONG (818) 625-4227- I I 1821 S. RAYMOND.AVE - '1 ISPECIAL CONDITIONS: 1 IALHAMBRA CA- 91803 1 1 I ICONTRACTOR: TEL: NO- 1 (APPROVALS DATE INSPECTOR SIGNATURE IHI HO ELECTRIC CO. (818) 625-4227- 1 I 1821 S. RAYMOND AVE #31 LIC. NO 1 ITEMPORARY POWER POLE 1ALHAMBRA, CA 91803 - 670353-C10 1 - . - - I I I LUNDERGROUND CONDUIT I (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I 1 LIC. NO: 1 IROUGH CONDUIT 1 I I I I IROUGH WIRING I I I I 1 MAIIN WATER LINE I I I I IPLASTIC Y/N METAL,Y/N I I I I 1UTILITY COMPANY NOTIFIEDI I I I I I I I I .1 1REPORT,ID: DPR265. ROUTE TO: BS0508 1 I I I + I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1203280008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID:. I FEES PAID BUILDING ADDRESS: 1TR 5905' - LT: 23 BL: .001 1 9119 LAS TUNAS -DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801904 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HART 15387-016-020 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 9.00 OUT 18.00 1 TENANT: IG2 LIGHTING FIXTURES 12.00 LGT 24.00 JISSUED ON: PROCESSED BY: PLAN BY: ILI'S BALLET STUDIO TOTAL FEES 69.80 103/28/12 SR (OWNER: TEL. NO: I IFINAL.DATE FINAL Y: CODE: 1 IZHANG, LI (626) 285-5258- 1 1 15948 N. DEL LOMA AVE _ _ I � O ISAN GABRIEL.CA 91775 I IDE CRIPTION OF WORK j1 I I (ADD 9 OUTLETS AND 12 LIGHT IXTURES I I I I I (APPLICANT: TEL: NO: I I I 1DAVID HONG (818) 625-4227- I I I 1821 S. RAYMOND AVE I ISPECIAL CONDITIONS: I �ALHAMBRA CA 91803 1 I I I I CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IHI HO ELECTRIC CO. (818) 625-4227- 1 821 S. RAYMOND AVE #31 LIC. NO 1 ITEMPORARY POWER POLE I I1 1ALHAMBRA, CA 91803 670353-C10 1 I 1 1 I JUNDERGROUND CONDUIT 1 ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I ILAU, KEI (626) 456-2318- 1 1 1 I 1672 BARNUM WAY LIC. NO: I IROUGH CONDUIT I 1 IMONTEREY PARK, CA 91754 NONE 1 I 1 I I IROUGH WIRING 1 I I IMAIN WATER LINE I I I I IPLASTIC Y/N METAL Y/N I I I I I I I 1 (UTILITY COMPANY NOTIFIEDI 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 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 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I