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HomeMy Public PortalAbout9803 LAS TUNAS DR_Electrical__ ' ' 7 r�'It �r /� 76A66�—CEtl061/70 APPLICATION FOR ELECTRIC;CL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ABUILDING DDRESS C ) Yl S BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING �Y\ NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE } OWNER (: & A y f) Y L' I RECEPT. $ $ MAIL LIGHT TOTAL FIRST 20 20 ADDRESS } ')p O it SWITCH OVER 20 10 CITY ATEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT C:, v < F y� 0 FIXTURES OVER 20 10 ADDRESS to 0- APPLIANCES CITY TEL. N0. SVIM PERMIT RANGE DRYER WTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. v� CLASS. G 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 ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 — 1 t00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 — 10 3.00 RESIDE IN, THE ABOVE DESCRIPED RESIDENTIAL PROPERTY. SIGNATURE _ O 10 — 50 5.00 OF PERMITTEE(2 I V 50 — 100 10.00 DISTRICT NO. CLASS GROUP ZONE PROCESSED BY 100 — 500 15.00 SIGN, GAS=SIGN ONE CIRCUIT 3.00 NOTES: Lu CL TUBE, OR N MARQUEE ADDITIONAL CIRCUITS 1.00 Z SERVICENOTOVER600 VOLTS OR 200AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 5.00 TEMP.POWER POLE TEM PSERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 /� JOSEPH ROOHAN TOTAL FEE O 10 SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 7 1 7 29 OCT 14 2 0 7.00- Q SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r LJ 76A053-CE8OE 14/70 APPLICATION FOR ELECTRICAL PERMIT + COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADD EiN. b G' BUILDING AND SAFETY DIVISION R ,9s ��Jr ! JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY p �r COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. -1- 6? N S OUTLETS N0. EACH FEE RECEPT//� $ $ OWNER/-' MAIL ¢ ADDRESS 2_rye> JV, ogo- LIGHT v � TOTAL FIRST 20 2p ��j SWITCH! OVER 20 CITY lI�/}-�� TEL. N0. . 75F 10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT OVER 20ADDRESS FIXTURES y 10 APPLIANCES CITY �j TEL. NO. RANGE DRYER PERMIT _WTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO.77 CLOTHES WASH. DISHWASH, LICENSE NO. /49'Z_-7 CLASS.e !!! FAN OTHER1.00 f �" I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'fiAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. _%171,6TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR • /}� O - 1 1.00 6 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF 1 /2CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 B O RESIDE IN, THE ABOVE DESCRIP.ED RES�ENTCROPERTY. r d. c7 10 - 50 5.00 v JnV SIGNATURE OF PERMITTEE fi;�- � O V 50 - 100 10.00 � ' DISTRICT NO. CLASS GROUP ZONE PROCESSED BY 100 — 500 15.00 L; F— U SIGN, GAS W SIGN AND ONE CIRCUIT 3.00 NOTES: /!� O G �' N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 S ? SERVI CE NOT OVER 600 VOLTS OR 200 AM P 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 5.00 Ov TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT p WIRING C� PERMIT FEE (SUB TOTAL) FIXTURES 4A 0 PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 Z Pn �) SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL JOSIEF5H C. ROOHAN TOTAL FEE 1SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH 3 su 1? 2 0 7 5.10 N Q SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A653-CE8b6 1170 APPLICATION FOR ELECTRICAL 4ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ✓ BUILDING AND SAFETY DIVISION ADDRESS p JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY }� f COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING FOR APPLICANT TO FILL IN NEAREST L CROSS ST OUTLETS NO. EACH FEE OWNER d RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 20 ADDRESS OVER 20 CITY '�� TEL. NO. SWITCH_ 10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES .10 OVER 20 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYERWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS '` SPACE HTR. AIR COND. CITY ti TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. 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 WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSEDAS REQUIRED B ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I T LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE ESCR IPED RESIDENTIAL PROPERTY. f 7 } SIGNATURE D_ 10 - 50 5.00 OF PERMITT ✓ 0 U 50 - 100 10.00 DI STRI CT NO.I"CLASS . GROUP.., ONE PROCESS,jD BY 100 - 500 15.00 i (` C` ` 0 V Lu SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: CL a TUBE, OR N MARQUEE ADDITIONAL CIRCUITS 1.00 Z SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 APPROVALS D TE ECTOR'SSIG TRE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING PERMIT FEE (SUB TO FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 C FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN TOTAL FEE -!F'pp SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. QAJS Ar, 6 7 6 5 R2 SEP 15 2 D 5.0 0 A SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE..t1.06 1/70 APPLICATION FOR ELECT ICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING C. NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER r RECEPT._ MAIL y, LIGHT TOTAL FIRST 20 20 ADDRESS OVER 20 CITY A --N 'm TEL. NO. SWITCH_ .10 PLAN CHECK LIGHTING FIRST 20 20 APPLICANT p q S -L- LIGHTING FIXTURES OVER 20 10 ADDRESS z tet:a APPLIANCES CITY CTEL. NO. 9 PERMIT RANGE DRYERWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. o _ CLASS. G 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 WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA oR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 — 10 3.00 RESIDE IN, THE ABOVE DESCRIFED RESIDENTIAL PROPERTY. SIGNATURE 10 - 50 5.00 OF PERMITTEE /\rte /'i 0 50 - 100 10.00 ; DISTRICT NO. CLASS GROUP ZONE PROCESSED BY 100 - 500 15.00 �8 C SIGN, GAS {1J SIGN AND ONE CIRCUIT 3.00 NOTES: N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 FINAL ! a SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN TOTAL FEE on 0 SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ! Af' 7 1 7 '�P_ OCT 14 2 D 8.0 0~ a SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer ELECTRIC 1 DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL 1N DISTRICT NO. iO GROUP' ZONE PERIA47T NO. s Z ELECTRICIAN < sC E>ec RECEIVED BY READY FOR DATE ISSUED ADDRESS t FIRST INSPECTION CITU (J TEL. NO - % COUNTY LICENSE NO. EXPIRES 8UILDING -- �-�— PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER -AA- TOTAL OUTLETS sc 16 MAIL ELEC. RANGES 25 ADDR SS ELEC. HEATERS 25 CITEL. NO. FIXTURES B I HEREBY ACKNIIWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB 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 1 POSSESS THE ABOVE VALID LOS _NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %2 6 LEBB $ .25 SIGNATURE OFlyz ?n- 2— %2 2 .50 PERMITTEE .—5 1.00 INSPECTION RECORD s 1s 1.so 15 50 _ 2.50 50 200 5.00 1,.(t -JG1 N 7"'!O FO —A- 200 soD 10.00 ` J _ SOO IDDD 15.00 OVER 1131313 A 20.00 1�r� '".Cy(•a./.� 7't'' f ''�J�A-'G�[Oz M.G. SET/FREQ. CHANGER-HP AFF WELDERS:AC-KVA ?� dk-�!" /C ry.r �.4'^/J.�' O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF ORIG.) _ MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS - FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRIND _ $1.00 a-VCONDUIT _ FIXTURES $1.00 WIRING SUPPLEMENTARY _ .50 FIXTURES 7 POWER 1� TOTAL FEE S� UTILITY CO. NOTIFIED 2 C 7 -' usi f FINAL 76A663 DSS,#' SA 2-53 '�� I 11 76A663C- CE8068 12,75 APPLICATION FOR ELECTRICAL PERMIT BUILD G AND SAFETY IV,SION �/10 7 / FOR APPLICANT TO FILL IN JO New Residential Bldgs.& Pools EACH NO, FEE ADDRESS 9=S Tunas 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Temple City Multi-family Sq. Ft. — NEAREST Goldenwest Residential Swimming Pools CROSS ST.OWNER OR FIRM NAME Outlets: Light, Switch&Receptacle MAIL First 20 © ADDRESS 1200 N_ Harbor 'Blud - Additional CITY Anaheim, C-61.Nc92803 PLAN CHECK Lighting Fixtures APPLICANT First 20 0 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS 725 N. Cypress St. Oven Dryer W.M. Top FAU W.H. CITY ge �Or n Cartl714633-3121 } Hood Fan LICENSE OR a 243422 C10 REG. NUMBER Class. $ Disp. A.C. � 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0 ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LJ Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. 0- Up to 1 Incl. 1 z I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REOU I RE V LOS ANGEL S COUNTY AND STATE OF C CALIFORNIA OR TMA 1 AM TH LEG L NER OF THE ABOVE OVQ( 1O LO JO InCI. DESCRIBED RESIDE 1 PROP Y. Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE DISTRICT NO. r0�2CEISED B Services p 0-200 Amp. Under 600 V . (� i6l� 201 - 1000 Amp. Under 600 V APPROVALS DATE INSP CTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES UFA PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Feel LNOTES ` 5 77 �! PERMIT ISSUING FEE TOTAL FEE 74 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 2 6 0 2 $.t C) Aft A COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of Engineer ELECTRIC DIVISION OF BUILDINLDIN G & SAFETY WILLIAM J. FOX, County Engineer FOR Ai' LICANT TO FILLIN DISTRICT NO. j GROUP ZONE I PERmrr NO. ELECTRICIAN " - --_. "— RECEIVED BY READY FOR DATE ISSUED ADDRES ��S FIRST INSPECTION CITY TEL. NO. COUNTY LICENSE NO. EXPIRESNG ADD ADDRESS PERMIT FEE --- ,J -- FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. v WALL SWITCHES OWNER --- TOTAL OUTLETS 5C _$ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. _ FIXTURES 6 1 HERESY 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 LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER _ FEE E$ NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY I ISED ABOVE. I/2 & LESS $ .25 SIGNATURE O I/2 2 .50 PERMITTE� -- ----- --"--- 2 5 _ 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 / � f �� 71 0 200 500 10.0 _ J !� _ e �...._ Q 500 1 000 15.130 OVER 1000 _ 20.00 Z M.G. SET/FREQ, CHANGER-HP WELDERS: AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (7S% OF ORIO•) MOY.fD MO ORS Alh= O O.) MISC i a .W SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS -OR EACH PERMIT: DATE INSPECTOR'S NAME WIRIN13 $1.00 (j CONDUIT FIXTUREH --- $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER_ _ TOTAL FEE S ! �G UTILITY CO. NOTIFIED r'I FINAL 76A663 D©S SA 2-53 L COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY ELECTRIC WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN A DISTRICT NO. GROUP I ZONE PERh4IT NO. ELECTRICIAN aS — RECEIVED BY READY FOR DATE ISSUED ADDRE`S,,S, r FIRST INSPECTION CITY VV T IC../�R TEL`�.1'1P. LS^ ,i-A`.,A(K.�. COUNTY LICENSE u.MXPIRE9 /!Zf �,: BUILDING 0 3 / � r /l'S`�/ E'er _ PERMIT FEES - AD°REg6 tl/ fL� N 4 K/V LJ NUMBER EACH FEE LOCALITY �G �7 A— LIGHT OUTLETS NEAREST CROSS ST. 1 S; 41 P� 'a T' RECEPTACLES �' A _WALL SWITCHES OWNER ysj"/�//7� ®i z _ TOTAL OUTLETS V S' _$� MAIL -7 ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 � CITY TEL. NO. FIXTURES !' S —" - MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER _ �� NEW MVD. HP o' VER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %2 & LEBB $ A-25 O d SIGNATURE OF 2 .50 Q PERMITTEE--------------- --------- .. T 2 5 1.00 INSPECTION RECOFD 5 is 1.50 15 50 2.50 I`- -- 50 - 200 5.00 200 500 10.00 J Q SOO 1000 75.00 a OVER 1000 20.00 _ 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 N0. NO.TRANS. T NO. NO. LAMPS — APPROVALS FOR EACH PERMIT: _-_ ___ DATE _ INSPECTOR'S NAME WIRING $1.00 00 CONDUIT r FIXTURES ------------ $1.00 _�— 0$ WIRING SUPPLEMENTARY .50 FIXTURES �f POWER TOTAL- FEE $ / B UTI LITY CO. NOTIFIED FINAL AC LC' 76AG63 DBS#5A 4-52 WORKER S'COMPENSATION DECLARATION CE-806G 8 6G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby'affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES '�^ BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or / a certified copy thereof(Sec.3800,Lab.C.), FOR APPLICANT TO FILL IN JOB /J � �y Policy No. C EACH NO. FEE ADDRESS �!/� G' New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. $ — $ 1 LOCALITY ❑ Multi-family Sq. Ft. — NEAREST /. Certified copy is filed with the county building inspection CROSS ST ✓ riC/ department. ` Residential Swimming Pools FOWNERIRM OR / XDate M�y Applica/do, Ze Outlets: Rec.—Light Sw.� MAIL [�� �l�r+ C/ I First 20 ® ADDRES moi°' w/� �r/. CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. J= Additional CITY el No. COMPENSATION INSURANCE PLAN CHECK O APPLICANT ee" ZCgg ZWVZ (This section need not be completed if the work involved V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS1Zd� W, ,4 ff4&/t tr Total No. Additional I certify that in the performance-of the work for which this Fixed Appliances Not Over 1 HP CITYO/f/��1 Tel N ."�� permit is issued, I shall not employ any person in any manner PERMIT 7�� W so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT d Oven, _ Dryer_W.M._ ADDRESS Date Applicant Top FAU _W.H.._ Hood ,X. Fan X-Other— CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond._ a2�� LICENSE OR y� Exemption, you should become subject to the Workers' REG.NUMBER &less Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCE SED.@Y with comply with such provisions or this permit shall 'be ' deemed revoked. Size&Type HP,KW,KVA,or KVAR b Up to 1 Incl. FINAL Over 1 to 10 1nc1. DATE , Z— (®..��' VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to,50 Incl. hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL' } BY 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 ness and Professions Code, and my license is in full force and effect. Services License Numbe4�W X/D Lic.Class 0-200 Amp.Under 600 V 1201-1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V OF HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from' the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors a 01 2 b -4 I, as owner of the property; will do the work and the Other(See Complete Fee Schedule) 11 — structure is not intended or offered for sale (Section u o 0 0 0 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY t e u 1 j,2() I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2 0 1 J 2 I� issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) P 2 b—S• I Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE .3 2CJ 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 bove-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE 9 Signature of Permittee Dae � WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self 76A663 CE-806G ifisure, or a'certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB �7v�J AS -7 ^� ❑Certified co is hereby furnished. EACH NO. FEE ADDRESS %0 ri �3As PY Y New Residential Bldgs. & Pools ❑Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw.— MAIL ©O2 B �� COMPENSATION INSURANCE ADDRESS Q 3 (This section need not be completed if the work involved by First 20 CITY Tel. No. Total No. Additionalpg_z the permit is for one hundred dollars ($100)or less.) that in the performance of the work for which this PLAN CHECK I certify P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Wore Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional �_49 l Total No. CITY Tel. No. Dot Applican /V'� NOTICE TO APPLICANT: If, after aking this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become ubject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION Disp. — Room Air Cond. LICENSE OR Class[- x REG. NUMBER Ihereby affirm that I am licensed under provisions of Chapter 9 �V (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PRO ESSED BY >_ and Professions Code,and my license is in full force and effect. f n �/ D_ c C /� Size &Type HP, KW, KVA, or KVAR !i Q (�yZ�sC�fi�cJ o License Number' ��Ov� Lic. Class<2�v yt _ Up to 1 Incl. FINAL V U- q Over 1 to 10 Incl. DATE VALIDATION cc Contractor )VE�1-F�1`l� �dc Date �� ` ❑ Over 10 to 50 Incl. FINAL I- U I am exempt under Sec. Over 50 to 100 Inc. BY / LU B.&P.C. for this reason Over 100 11 Services, Swbd., MCC& Panelboards Z Date: 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. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit y Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ {,..... E Business and Professions Code). Ilk - - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for O the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name _ PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the III TOTAL FEE OD above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereb authorize representatives of this County to enter upon t ve-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE s z*� nature of Permittee Date �' a WORKER'S COMPENSATION DECLARATION 7GA663 DPW(12-91)�rte, ��������®ASI ®® ��p��a�®I�e p �Cpy��� I I I hereby affirm that I have a certificate of consent to self insure, 9�1 B i loll 11""iY 6CA ER LLJJ or Artificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(S�ec.38800®Lab.C.) Policy No.9�. Company ~��� FOR APPLICANT TO FILL IN ,IADDRESS (/OB o ,1 5 ,1-v r ri LY Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY EJ Certified copy is filed with the county buil�! ection 1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. — CROSS.ST. Date Applicant Residential Swimming Pools ASSESSOR PAGE PARCEL. CERTIFICATE OF EXEMPTI. FR M WORKERS' Outlets:Rec._Light Sw. OWNER OR n` COMPENSATION INSURANCE FIRM NAME. � I Ce First 20 MAIL (This section need not be completed if the work Involved by the Total No. Additional ADDRESS &7 ��'Cleat. permit Is for one hundred dollars($100)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 in any manner so as to PLAN CHECK become subject to.the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE.TO APPLICANT: If, after making this Certificate of CITY Tei.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code.,you must forthwith com I with such PERMIT / ® p p y Power Apparatus&Large Appliances. APPLICANT G 0 ! A provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Si .&Type HP,,KW,INA,or KVAR DDRESS 0J&,5 (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 �� tr. T. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. IA4 �. Over 50 to 100 Incl. REG. NSE UMBER Class. D. License Number LIC.Class Over 100 DISTRICT NO. PR BY V Services,Swbd.,,MCC&Panelboards J O Contractor Date 0-399 Amp.Under 600 V DATE V I al.,am t under Sec. ❑ 11 1 400-1000 Amp.Under.'600 V C) Over 1000 Amp.or Over 600 V FINAL VALIDATION LU JIL B,&P.C.for this reason- BY Z BRANCH,IRCUIT FEES Date: i .15A,or 20A,120V,Lighting or Recept. — 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, Sign with One Branch Circuit I hereby affirm that I am exempt from,the Contractor's License Law i for the following reason(Section 7031,5, Business and Professions +Additional Sign Branch Circuits' - Code): ; tt , ei•u{�..•�a a F' ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 45 Is not intended or offered for sale(Section 704.4, Business Other(See Complete Fee Schedule) ` and Professions Code). i �'i•; . I _ . CONSTRUCTION.LENDING AGENCY ; I v rk ' 45-15. I hereby affirm that there is a construction lending agency for the i:' f{ 45.15 performance of the work for which this permit is issued (Sec. 3097, !PERMIT FEE (Sub-Total) �� 7 s ur Civ.•C.) I C 'PLAN CHECKING FEE CHANGEE °[int Lender's Name i 2 PERMIT ISSUING FEE Lender's Address 1 UO3001 `sGCI 1 f4 I certify that I have read this application and under penalty of purjury state !TOTAL FEE �S`L S `I r...7. that the above information is correct. I agree to comply with all County A ordinances and State laws regulating Electrical wiring,and hereby authorize j I representatives of this County to enter upon the above-mentioned property 41nspectlon4ses. SEE REVERSE FOR EXPLANATORY LANGUAGE � � r TEE DATE 1 , 5 1 hereby'laffi WORKER'S I haveMa certificatON e of DECLARATION self insure, 20.0019 DPW(12-91)76A669 APPLICATION FOR ELECTRICAL PERMIT 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 CU.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑ NO. EACH FEE Certified copy is hereby furnished. �d Residential Bldgs.&Pools LOCALITY 1&2-Family,Sq.Ft. _ $ $ r Certified copy is filed with the county i spection NEAREST cLt department. Multi-family Sq.Ft. CROSS ST. Date - �5r� Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. FFIIRM NAME CY COMPENSATION INSURANCE (This section need not be completed if the work Involved by the First 20 MAIL permit is for one hundred dollars($100)or less.) Total No.�� Additional ADDRESS 1 certify that in the performance of the work for which this permit CITY 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 20 APPLICANT A41 ko Total No. Ig Additional ADDRESS ��- ✓ c�Y819 Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: if, after making this Certificate of CITYrel.No. if Le Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of thelabor 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 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 Over 10 to 50 Incl. CITY ,`` Tel.No. e. 3 LICENSE OR Professions Code,and my license is in full force and effect. / a Over 50 to 100 Incl. REG.NUMBER Cless. S 7 Over 100 DISTRICT NO. P ED BY V License Number ` � �V Lic.Class � ////�''' Services,Swbd.,MCC&Panelboards !/O Contractorloe �' 0-399 Amp.Under 600 V DATE 0 ❑ ��400-1000 Amp.Under 600 V V I am exempt under Sec. VALIDATION lL Over 1000 Amp,or Over 600 V FINAL /// n. B.&P.C.for this reason BRANCH CIRCUIT FEES BY co Z Date: 15A,or 20A,1.20V,Lighting or Recept. — 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 2 SINGLE FAMILY Temp.Power Pole&Appurtenances A A T.y HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ,� L I hereby affirm that I am exempt from the Contractor's License Law .I't± 93ov:) for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ' r''`� Code): ❑ I,as owner of the property,will do the work and the structure Misc.,Conduits&Conductors TOTAL ---_ .60 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). ® ;HECK 93.60 CONSTRUCTION LENDING AGENCY CHANGE ,s;'_i 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.) "t 1'2"/. 7 PLAN CHECKING FEE jlr ''S(�I.i r' - dL Lender's Name Dit 1 AM, 9:42'PERMIT ISSUING FEE Lender's Address TOTAL FEE t9 a I certify that I have read this application and under penalty of purjury state r that the above information is correct. I agree to comply with all County ordinances an to I regulating Electrical wiring,and hereby authorize represents' es of unty to enter upon the above-mentioned property for ins Ion p �Z3 SEE REVERSE FOR EXPLANATORY LANGUAGE �L VIIATURE OF PEFWI EE DATE COUNTY OF.LOS ANGELES TEMPLE'CITY #0508 RMAL ERM•IT DEPARTMENT OF PUBLIC WORKS 907.1 LAS TUNAS - EL 8;¢70627-0 08 BUILDING AND SAFETY / LAND DEVELOPMENT .• TEMPLE•CITY CA ' �. PHONEe.(818).285-0488. EXT: LFEES B -ANG ADDRESS• TR: 6561•• •: LT:.74. BL: .001 9803 LAS TUNAS DR FEE DESCRIPTION: ..QUANTITY: UOM: AMOUNT: TEMP-CK 9178022209 ASSESSOR F N N NEAREST- CROSS STREET: GOLDEN WEST 8587-026-015 AW PC CITY- $109.35 MIN 109.35 '109.35 'THOMAS.PAGE:.597 -GRID: A3 LOCALITY: TEMPLE CITY Al PERMIT ISSUANCE FEE 27.75 TENANT: G2 LIGHTING FIXTURES 25.00 LGT • -45.75 ISSUED ON: PROCESSED A EXPIRES ON: CARL'S JR. IC NRES SHOWCASE-LT 3HP 1.00 SHW. 15.45 07/01/97 .-TC .07/01/98 TOTAL FEES- - 198.30 OWNER: TEL. NO: FINAL DATE­ FINAL BY: CO VERMEULEN CHARLES'I CO TR. - 11591 CIELO-PLS'! SCRIPTION OF WORK. NEW:LIGHTING FOR TENANT IMPROVEMENT' APPLICA • TEE. NO: ' - EXPRESS PERMITS (310)'328-6300- ; SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: ��' "� 111_ �� APPROVALS- DATE INSPECTOR SIGNATURE RIVERLAND ELECTRIC (818) 957-2381- b i��_« �,r; 2410 CINCO CASITAS LIC. NO �„ �'f% s- �r� TEMPORARY-POWERP LE LA CRESCENTA CA 91214 ; 524054C-10* /�. "�� ���, �� • _ UNDERGROUND-CONDUIT - ARC TEC 0 G EER: TEL O• I '' ��. .P) I.�� �.}- ? `� ��"�. G U D GILBERT, PHILLIP (714) 443=1820= • � / 4�n'}, iJ `�` 1�+,' 34102 VIOLET LANTERN ' LIC. N0: 1 r i ,I —• ROUGH CONDUIT-: DANA POINT, CA 92629NONE . . � f=='= rr .y H ;. �" �, i, ;� • - i� �I ,�;. � _, -; .. WO MAIN WATER LI E PLASTIC Y/N METAL.Y/N ' 5771 �'�'9 +�' It o A O I I 1 * ADDITIONAL DATA ON FILE " REPORT ID: DPR265' ROUTE TO: BS0508 ' '� COUNTY OF LOS ANGELES TEMPLE CITY # 0508. "'•sT. •'� M•IT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 2 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID TR: 6561 LT: 74 BL: .001 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: iP-C 'i7t3022U9 ASSESSOR . NEAREST CROSS STREET: GOLDEN WEST 8587-026-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 3.00 SIG 116.55 TENANT: TOTAL FEES 144.30 ISSUED ON: PROCESSED - S0 : CARL'S JR. 06/25/97 TC 06/25/98 DWNER: TEL. NO: FINAL DATE FI AL BY: VERNEULEN CHARLES I CO TR - 11591 CIELO PL °A— jb DESCRIPTIUM ELECTRICAL FOR 3 MEW SIGNS APPLICANT: COAST SIGN, INC. (714) 520-91"- SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: - s APPROVALS DATE INSPECTOR SIGNATURE COAST SIGN INCORPORATED (714) 520-9144-229 1345 S ALLEC ST LIC. NO TFAPORARY POWER POLE ANAHEIM CA 92805 CIO UNDERGROUND CONDUIT ARCHITECT OR GINEER: TEL. NO: UFER GROUND LIC. N0: ROUGH CONDUIT ROUGH WIRING MAN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY D * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 POUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1008110018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1 ITR: 6561 LT: 74 BL: .001 1 9803 LAS TUNAS DR I 1 (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802209 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18587-026-015 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I . IG2 LIGHTING FIXTURES ' 23.00 LGT 43..00 I I (TENANT: TOTAL FEES 70.80 11SSUED ON: PROCESSED BY: PLAN BY: I (CARL'S JR. I 108/11/10 VG 10WNER: TEL. NO: 1 IFUiAL DATE F CODE: 1 IMAYSON-COONEY LLC, MARTIN TERRY - I I I 1772 W. TOWN & COUNTY 1 I I (ORANGE, CA ID&URIPTION OF WORK 1 IREPLACE EXISTING LIGHT FIXT S 1 (APPLICANT: TEL. NO: 1 I I INEW WAVE BUILDERS INC (310) 677-9283- I I I I I (SPECIAL CONDITIONS: (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I INEW WAVE BUILDERS INC (310) 677-9283- I 1 240 W. FLORENCE AVE., #A LIC. NO I ITEMPORARY POWER POLEI I INGLEWOOD, CA 90301 930964BCIO 1 (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: - i IUFER GROUND 1 I 1 LIC. NO: I (ROUGH CONDUIT I I 1 IROUGH WIRING I I I I I IMAIN WATER LINE I I IPLASTIC YIN METAL YIN I I 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 REPORT ID: DPR265 ROUTE TO: BS0508 I I I 1 I ,• I I I I I 'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1002180038 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 LT: 74 BL: .001 I 1 9803 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802209 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-026-015 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT 3.00 SIG 116.55 1 I (TENANT: I TOTAL FEES 144.30 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I CARL'S JR. 102/18/10 SR 02/18/11 1 [ 1 (OWNER= TEL. NO: I 1F AL TE FINAL BY: CODE: 1 IMAYSON-COONEY LLC, MARTIN TERRY - 1 1772 W. TOWN & COUNTY I (ORANGE, CA I IDESCR PTION OF WORK ELECTRICAL FOR NEW SIGNS APPLICANT: TEL. NO: BLEND (909) 951-4742- 1 113580 STH STREET (SPECIAL CONDITIONS: [CHINO, CA 91710 I I I I I I I (CONTRACTOR: TEL. N0: 1 (APPROVALS DATE INSPECTOR SIGNATURE I (NATIONAL SIGN AND MARKETING CORP. (909) 591-4742- 1 113580 STH ST LIC. NO 1 (TEMPORARY POWER POLE I 1 ICHINO, CA 91710 745030-C45 UNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: 1 1 - [ I UFER'GROUND [ I I LIC. NO- I IROUGH CONDUIT I [ I I 1 i TROUGH WIRING I I MAIN WATER LINE 1 1PLASTIC Y/N METAL Y/N I I [ i UTILITY COMPANY NOTIFIED 1 I 1 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 1 I I I I I 1REPORT ID: DPR265 ROUTE TO: BS0508 I I I ON TION I herebi0faffi WORKER'S thdt I haveMa certificate lof conseMOto self insure, 20-0019 DPW(12.91)78A683 APP Lam, Ill? /'°'i TigaVo ICA7�ON FOR AL ELECTRICPERMIT 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(Sgc.3800 Lib.C.) PDIICy No..� Company FOR APPLICANT TO FILL IN JOB ADDRESS E3 Certified copy Is hereby furnished. Residential Bldgs.&Pools NO. EACH FEE LOCALITY 1 &2-Family,Sq.Ft. _ $ $ Certified copy is filed with the county i spection NEAREST to: department. Multi-family Sq.Ft. CROSS ST. Date 2_'9� pplicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. OWNER ORIr Jk. COMPENSATION INSURANCE FIRM NAME (,(�/ First 20 MAIL (This section need not be completed if the work Involved by the Total No. Additional ADDRESS p� permit Is for one hundred dollars($700)or less.) L I certify that in the performance of the work for-which this permit CITY Tel.No.. is issued, I shall not employ any person in any manner so as to PLAN CHECK 114 become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS /�f Date Applicant " - ✓ Uy RESIDENTIAL APPLIANCES NOT OVER 3 HP. If 4'X/az ly RA 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 Gr 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 ` Tel.No. s Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE9 Class. Over 50 t0 100 Incl. REG.NUMBER rER 7 f O License Number iCd Lic.Class v Over 100 DISTRICT NO. y�e P ED BY V Services,Swbd.,MCC&Panelboards 1=07/" Contractor v 0-399 Amp,Under 600 V DATE 0 El 400-1000 Amp.Under 600 V I am exempt under Sec. FINAL d Over 1000 Amp.or Over 600 V VALIDATION'J B.&P.C.for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. v 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits F141 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 Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law '7 for the following reason(Section 7031:5, Business and Professions Additional Sign Branch Circuits Code): 1 T�'c4°# ❑ 1,as owner of theproperty,will do the work and the structure Misc.Conduits&Conductors IAL 3 '�I � `�.,�.60 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CHECK :',j.,,0 CONSTRUCTION LENDING AGENCY CHANGE o%i.o 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.) i I -,sr�0u:f+'7 PLAN CHECKING FEE (-tt] -13. Lender's Name PERMIT ISSUING FEE Q 09184 a�- Lender's Address TOTAL FEE I certify that I have read this application and under penalty of purjury state that the above information is correct. I agree to comply with all County ordinances an to I regulating Electrical wiring,and hereby authorize ,press nta' es of unty to enter upon the above-mentioned property for ins Ion p SEE REVERSE FOR EXPLANATORY LANGUAGE 7 —9 & VINIATURE OF PENI I I EE DATE