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Home My Public Portal About9670 LAS TUNAS DR_Electrical__ 76A663-`E806 9-F4 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS g670 Las Tunas Dr. - -- JOHN A. LAM BIE. COUNTY ENGINEER T '1 C COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY 1eIJre L�ti� NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 20 $20 s OWNERBenef ficial Finance MAIL AOD'L f0 ADDRESS Same SWITCH. OVER 20 .1. TOTAL CITY y®m, le C�ti TEL. NO. LIGHTING 1 I FIRST 20 .20 X71 FIXTURES 1 ADD .1O ELECTRICIAN Advance p OVER 2O eon SignCoo 2 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 60 N Broadwa GARB.DISP. BTA.COOK CITIi�,ny_q_Qy� ele TEL. NO. DISH WASH. AUTO.-WASH. STATE 21oa6 SPACE HTRS. STA.APP.(�/y H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICrT OUP ONE J:P�MEY_ O 1 11.00 1 3 1.50 INSPEC ON RECORD 3 s 2.00 '7 G O 8 15 2.50 V 15 -- 50 3.00 - Ce SO 100 5.00 V SIGNS: NO.TRANS 6 d 1 NO.LAMPS to Z SERVICE 0-60OV-NoT OVER 200A 1.00 SERVICE 0.600V-OvER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. --- PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE e< 1 HEREBY ACKNOWLEDGE THAT 1 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 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 M TH LEGAL OW R OF, AND INTEND TO RESIDE IN, THE ABOV CRIB D ESIDENT AL ROP ERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE , -- -- FINAL LIDATION JOSEPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER LALO 7 P 0 0 0 FEB 16 2 D 4.t-5 (3- 76A663-0606 11_;1 AppLICATION FOR EC CTRICAL _kRMIT dJ COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER TAD G BUILDING AND SAFETY DIVISION S TY Ei L T FOR APPLICANT TO FILL IN ST. )OUTLETS NO. EACH FEEA OWNER fO^� RECEPT._ $ $ 1 MAIL LIGHT TOTAL FIRST 20 25 ADDRESS r—LWAS OVER 20 CITY ,5M LE C TEL. NO. SWITCH_ f0 PLAN CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT �L RANGE DRYERWTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS , E. SPACE HTR. AIR COND. CITY TEL. N0. 1''e- FCLOTHES WASH. DISHWASH. LICENSE N0. CLASS.ft FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL SIZE & TYPE OVER TO I HERE Y CERTIFY T I AM PROP LY REGISTERED AND/OR 0 - 1 100 LICENSED AS RE UIRED Y OS ANGE COUNT AND STATE OF d CALIFORNI OR T T I T E EG O NER OF, D INTEND TO O 1 - 1O 3.00 L RESIDE I TH ABO E R ESI DEN I PROPERTY. V SIGNATURE 10 - 50 5.00 OF PERMIT 50 - 100 10.00 DISTRICT NO. CL SS ZONE \ PRPeESSED BY L!J 100 - 500 15.00 a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 _ NOTES: TUBE, OR MARQUEE 1ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL j r PERMIT ISSUING FEE 3.00 TOTAL FEE ave L� 1 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA DATION CK. / M.O. CASH o C3 -.7 ,yiC1Y 2" D 8.00- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE APPLICATION FOR ELECT �� AL PERMIT 76A663-CE806 10%72 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER gDDRESS BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACHI FEE OWNER OR NAME &22/ �/ RECEPT. $ Is MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY - TEL. NO. SWITCH_ OVER 20 10 PLAN CHECK LIGHTING 1TOTAL FIRST 20 25 APPLICANT FIXTURES .10 Jy OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. N0. PERMIT ;! RANGE DRYERWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS a 1.7ee ` SPACE HTR. AIR COND. CITY , A` s TEL. NO. CLOTHES WASH. DISH WAS H. LICENSE S CLASS. �v70 REG. NUMBE FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W IT 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 Q — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE r 1 — 10 300 DESf.RIf'.ED RESIDENT I PROPERTY. G/ U PERMITEE 10 - 50 5.00 SIGNATURE ot O 50 - 100 10.00 1 DISTRICT NO. OCES D BY W 100 - 500 15.00 ti Z_ SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL 7 PERMIT FEE (SUB TOTAL) NOTES: L K FEE UING FEE 3.00EE PLAN CHECK VALIDATION CK. M.O. CASH PEjRMIT ALIDATION CK._"/M.O. CASH 7 7 s 2 V JUN 16 2 ® 1 2.0 p .mss SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 4-65 APPLICATION FOR E ECTRICAL �6,MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 7 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPTACLE TOTAL NO. EACH FEE / OUTLETS FIRST 20 $.20 $ OWNER 71 LIGHT MAIL / SWITCH ADD'L .t0 ADDRESS G d OVER 20 TOTAL FIRST 2020 CITY TEL. NO. LIGHTING FIXTURES , FIXTURES ADD'L to CONTRACTOR OVER 20 RANGES CLO.DRYERS WTR.NTRS. 1.00 ADDRESS O J GARB.DISP. STA.COOK CITYI TEL.NO. DISHWASH. AUTO.-WASH. STAT SPACE HTRS. STA.APP.(I/&X.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST CT GROUP ZONE P ESSED Y O 1 1.00 Ir , 7 I s 11.5o INSPECTION RECORD s S 2.00 8 15 2.50 } - a 15 50 3.00 Q so too 5.00 U SIGNS: NO.TRANS - O NO.LAMPS W SERVICE 0-60OV-NOT OVER 200A 1.00 D_ -- - - ------- H SERVICE 0.600V-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ ( APPROVALS DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I THE LEGAL OW �tFNDINT N TO ER RESIDE IN.THE ABOVE SCRIBEDRESID PERT - SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE__ - FINAL (DATION JOSE H C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER .. ..... - -. --7n rl, Y - aS s-A 2-46 APPLICATION FOR PERM DEPARTMENT OF F LOS AND SAFETY ��T� COUNTY OF LOS ANGELES 1 WM. J. FOX CHIEF ENGINEER Q NAME D15TRICT NO. GROUP ZONE PERMIT NO. U ADDRESS U CITY . " TEL.P.O. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION .I COUNTY - 47 CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB t t .DESCRIPTION OF WORD ADDRESS NUMBER OF OUTLETS ON CIRCUITSf ' LOCALITY LOCATION BY ROOMS NEAREST LIGHT_OUTLETS Isyl. PLUGS FIXT CROSS ST. CIRCUIT �A R I C I D E F G I H X NAM_E W MAIL 3 ADDRESS o CITY TEL.NO. '1 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS -- �� ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. • ...,r I ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIEED " ABOVE OWNER. A� '> CORRECTIONS i — Q Z — E9 m 0 i TOTALLL _. �L NO. OF OUTLETS ��S $ 'd APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. Y_ $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGFS OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE �.� r?_ $ a� UTILITY CO.NOTIFIED TOTAL FEE 0 FINAL - DBS S-A 6'46 DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER Q NAME DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS J � ✓` � .i. f T .. REC IVED BY READY FOR DATE ISSUED IU CITY TEL.NO 5 / FIRST INSPECTION COUNTY s Kl�r� - �c� —7 CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK. ADDRESS 2 s? rc..4 NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST ' LIGHT OUTLETS Isw. PLUGS FIXT CROSS ST. CIRCUIT A B C D E F G H Of NAME ✓ Z MAIL y +� ADDRESS O , CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QU IFICATION.. ELECTRICIAN. 1 APA THE"GAL OWNER OF THE PROP[,RTY DESCRIBED ABOVE OWNER. CORRECTIONS J of a TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITYCO.NOTIFIED TOTAL FEE FINAL nB a-A 10.41 23M APPLICATION FOR PERNUT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER a NAME DISTR15T NO. GROUP ZONE PERMIT NO. lz ADDRESS .,, ..-- - r �,.;;.. ..P � ;{.; �• U CITY RECEIVED BY READY FOR DATE ISSUED TEL.Nq- It_ FIRST INSPECTION J COUNTY `L W CERT.NO. 1 ,i 7 ge EXPIRES ` APPLICANT FILL IN AVII.,Y OUTLINED PORTIPO/N ONLY OB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCATION BY ROOMS LOCALITY l�.lir` - NEAREST '� ! .•�" LIGHT OUTLETS SW. PLUGS FIXT CROSS ST., �`�C• _- CIRCUIT A B C D E F G H m NAME' Z MAIL �: ADDRESS O CITY TEL NO., I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY, CERTIFICATE OF. QUALIFICATION.; t ELECTRICIAN. I AM THE I.EGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS a z ce, 0 TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE 'J $ UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B.S.SA 2SM SETS 10-47 8^L DEPARTMENT OF BUILDING ATSM SiWET�' LSCA`�ON FOR PEIaDITiT COUNTY OF LOS ANGELESET.-ICTIC 1 M. FO CHIEF ENGI EER Q NAME DISTRICT NO. GROUP I Z NE PERMIT NO. r U ADDRESS ? ^• W CITY h D /.l Pr.? TEL.NO. 4 '� RECEIVED !3Y FIRST INSPECTION READY FOR DATE ISSUED J COUNTY CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS +� NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS N �f NEAREST LIGHT OUTLETS SW. PLUGS FIxT C13OSS ST. CIRCUIT A B C I D E F G I H x NAME Z MAIL y ADDRESS O CITY P " I (=i TFL.NO. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CEP.TIFICATE OF QUALIFICATION.. ELECTRIC111M. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE K OWNER. COME MONS J Q - Z L7 O TOTAL NO. OF OUTLETS iELt APPROVALS NO. OF FIXTURES DATE INSPECTOR'S NAME_ NO. OF MOTORS H.P. DUIT NO. OF SIGNS TRANS. $ WIRING ' NO. OF RANGES OR HEATERS FIXTURES MISCELLANEOUS POWER PERMIT FEE S �� UTILITY CO.NOTIFIED TOTAL FEE ✓L-� FINAL 91 V F 76A663 DUS SA 3-50 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 NO. _ELECTRICIAN , _ _ � . C -!':=2.(' a C-/,� RECEIVED BY READY FOR DATE ISSUED _ADDRESS FIRST INSPECTION CITY TEL. NU, '~'� +• COUNTY LICENSE NO. ' EXPIRES BUILDING PERMIT FEESADDRESS NUMBER EACH FEE LOCALITY / LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. '?iC� /� ''t�',/C/k•''i""1.. WALL SWITCHES OWNER TOTAL OUTLETS 5c $ ' MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS i AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE NEW MVO. HP 0, INC- EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. i/2 6 LESS $ .25 SIGNATURE OF _ I/2 2 .50 PERMITTEE- 2 ERMITTEE 2 s 1.00 INSPECTION RECORD s is 1.50 is so 2.50 50 200 5.00 200 Soo 10.00 J Soo 1000 15.00 OVER 1[300 20.00 0 M.G. SET/FREQ. CHANGER-HP it WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF GRIG•) _ MOVED MOTORS (_75% OF DRla.) _ MISC. SIGNS No. NO.TRANS. APPROVALS No. NO. LAMPS _ _ - FOR EACH PERMIT: DATE IN8 Rl8 NAME WIRING $1.Do n CONDUIT FIXTURES - $1.00 WIRING -l7 i SUPPLEMENTARY .50 FIXTURES ` POWER TOTAL FEE QJ UTILITY CO. NOTIFIED / FINAL ,[ / /7 .s�• �1 6 '6A663-CE80610-62 APPLICATION FOR ELECTRIC L PERMIT 7 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ` ��tvJ BUILDING AND SAFETY DIVISION ADDRESS O 11J JOHN A. LAMBIE, COUNTY ENGINEER "( �'IPL6 C'lT� WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY p NEAREST JK FOR APPLICANT TO FILL IN CROSS ST. FFIXTURES TOTAL NO. EACH FEE OUTLETS FIRST 20 $,2O 8 3 to OWNER — -1C1A1, Ct MAIL 4ADDRESSVER LO .10 NG TOTAL FIRST20 .20 p� CITY TEL.NO. - ES 1 S ADD'L10 ELECTRICIAN ici OVER 20S CLO.DRYERS WTR.HTRS. 1.00 ADDRESSP. STA.COOK //��CITY " TEL.NO. Z4-(OSIS. AUTO.-WASH. STATES. STA.APP.(1/s H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST ICT N G OUPJ Z N �PR :!ISMD O 1 1.00 i s 1.50 INSPECTION RECORD a 1 2.0o O pooF _ �- >a- / � W u1A.C.OMIfis 15 2.50 15 50 9.00 50 100 5.00 SIGNS: NO.TRANS. O_ NO.LAMPS SERVICE 0-60OV-Nor OVER 200A 1.00 t SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. lUTILITY PERMIT ISSUING FEE 2.00 C0SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE it 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR' SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGONDUITELECTRICAL WIRING. IRING1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFIXTURESCALIFORNIA OR TH T 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE AL PROPY. OWER01( SIGNATURE K CO.NOTIFIED OF PERMITTEE FINAL ALIDATION ARTHUR C. VEIT (CK � MO CASH SUPERVISING ELECTRICAL ENGINEER `1,,�c LAuo_6 1 q 1;° Dn 5 2 p 1 1 .80- WORKERS'COMPENSATION DECLARATI N 76A663 1 CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certifica e o co lf. COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensati surance,or a certified copy thereof(Sec. 3800 C.) CL L� FOR APPLICANT TO FILL IN JOB �_ /_ s New Residential Bldgs.&Pools j� Policy No. Compa EACH NO. FEE ADDRESS lJ Certified copy is hereby furnis 1 &2-Family,Sq. Ft. $ — $ LOCAL IT Multi-family Sq. Ft. NEAREST Certified copy is filed with the co uilding inspection CROSS ST de rtment. Residential Swimming Pools OWNER OR FIRM NAME Dat Applicant Outlets: Rec.—Light—Sw. MAI L First 20 ADDRESS CERTIFICATE OF XEMPT F OM WOR KE S' Total No. Additional Cl el No. } COMPE INSUR CE PLAN CHEC d 0 APPLICANT (This section need not be completed if the work involved U Fixtures First 20hting by the permit is for one hundred dollazs ($100) or less.) LigADDRESS � Additional I certify that in the performance of the work for which this Total No. CITY Tel No. Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers' Compensation Laws. Range_ Heater D.W. APPLICANT11Z a N Oven _ Dryer_W.M._ ADDRESS � z Date Applicant Top _ FAU _W.H. Z Hood _ Fan _Other_ CITJ Tel N Gr' NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond.— LICENSE O Exemption, you should become subject to the Workers' REG. NUM _ C/ lass Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT N P�SB:,Y with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE _ p� VALIDATIO Over 10 to 50 Incl. G I hereby 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- Over 100 BY ness and Professions Code, and my license is in full force and effect. �. Services License NumbV Ade Lic.Classc-4!-� 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V 4( / -7(� . Contractor( Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances ` oll— j 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): Misc.Conduits&Conductors 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 is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.Q!1} ty� Lender's Name ( /I ?� PLAN CHECKING FEE (One-Fourth Permit Fee) 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 ordinan State laws regulating Electrical wiring, and hereby aut hMi7eesent s of this County to enter upon the above-mentioned p pert o ' spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signat re of Permittee a e COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1210080003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 6561 IT: 524 I I 9670 LAS TUNAS DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802139 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: KAUFFMAN 18587-021-013 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl IF1 120V, 15/20A BR CKTS 20.00 BR 317.90 I 1 (TENANT: IJA HEAT PUMPS +3-10HP 1.00 HT 19.70 (ISSUED ON: PROCESSED BY: PLAN BY: 1 I IJ5 OTHER PWR APP IT 3HP 4.00 PWR 61.20 110/08/12 SR 1 I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.90 1 1 (OWNER: TEL. NO: I TOTAL FEES 465.50 IFINAL DATE FINAL BY: CODE: I IXIUYING GAO (626) 445-8623- I 1 19670 LAS TUNAS DR I 1 ITEMP 917802139 I IDDESCRIPTI N OF WORK I I I ITENANT IMPROVEMENT TO ACCUPUNTURE FACILITY ELECTRICAL I (APPLICANT: TEL. NO: I I 1 IMARY COOLMAN (626) 285-0835- I I 1 15075 SERENO DR I ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I IALVAREZ CONSTRUCTION (626) 272-8096- 1 1 I 1427 S NEWTON ST LIC. NO 1 ITEMPORARY POWER POLE I I I ICOVINA, CA 91723 866532-B * 1 I I I I I 1UNDERGROUND CONDUIT I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND I I I 1 LIC. NO: 1 1ROUGH CONDUIT 1 I 1 I 1 IROUGH WIRING I � � I IMAIN WATER LINE 1 1 1 IPLASTIC YIN METAL YIN I 1 1 1 I (UTILITY COMPANY NOTIFIED( 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 1* ADDITIONAL DATA ON FILE 1 I 1 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 1 I 1 1 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302060028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 6561 LT: 524 I I 9670 LAS TUNAS DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802139 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: KAUFFMAN 18587-021-013 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 (TENANT: I TOTAL FEES 66.70 (ISSUED ON: PROCESSED BY: PLAN BY: I 1 I 102/06/13 SR 1 (OWNER: TEL. NO: PIPIAL DATE FIN CODE: 1 IXIUYING GAO (626) 445-8623- I I I 19670 LAS TUNAS DR I I I ITEMP 917802139 I IDESCRIPTI N OF WORK I I (UPGRADE SERVICE TO 200 AMP I (APPLICANT: TEL. NO: I I I ILI, CHI HUNG (626) 445-8623- 1 I I 717 E NEWMAN AVE B ISPECIAL CONDITIONS: I IMONTEREY PARK 91755 I I I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IALVAREZ CONSTRUCTION (626) 272-8096- 1 1 I 1427 S NEWTON ST LIC. NO 1 ITEMPORARY POWER POLE I I I 1COVINA, CA 91723 866532-B * 1 1I I UNDERGROUND CONDUIT I I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I _ I LIC. NO: I IROUGH CONnUIT 1 1 I I IROUGH WIRING I I 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 NOTIFIED( 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 1 i* ADDITIONAL DATA ON FILE I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES' TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1204180050 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 6561 IT: 524 I 9670 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802139 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-021-013 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.90 1 1 (TENANT: I TOTAL FEES 66.70 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 104/18/12 SR 1 (OWNER: TEL. NO: 1 IFI AL DATE FINAL BY: CODE: 1 IGEO, OSLIDS 19670 LAS TUNAS DR 1 I V 1 ITEMP 917802139 1 IDESCRIPTION OF WORK 1 I I 1LED CHANNEL LETTER SIGN 1 (APPLICANT: TEL. NO: I 1 1 IQUAN, WEIMAN (626) 625-2800- 18963 GARVEY AVE 1 ISPECIAL CONDITIONS: 1 IROSEMEAD CA 91770 1 1 1 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 1ART SIGNS AND PRINTING, INC. (626) 288-2283- 1 1 1 18963 GARVEY AVENUE LIC. NO 1 ITEMPORARY POWER POLE I I IROSEMEAD CA 91770 965157 11 1 1 I I (UNDERGROUND CONDUIT � I I 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I _ II I 1 1 I LIC. NO: I IROUGH CONDUIT I 1 I I I IROUGH WIRING 1 1 I I I 1 I IMAIN WATER LINE I 1 I 1 1 1PLASTIC Y/N METAL Y/N 1 I 1 1 I (UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE 1 1 1 I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 I I I I