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HomeMy Public PortalAbout9831 LAS TUNAS DR_Electrical__ 76A883-C€806 10,74 APPLICATION' FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Fj 'RESS ' �" BUILDING AND SAFETY DIVISION �- L S / x ALITYREST FOR APPLICANT TO FILL- IN SS ST /- OUTLETS NO EACH FEE OWNER NAME 't, RECEPT,-3 $ $ MAIL q n �/� j� LIGHT TOTAL r FIRST 20, Od ADDRESS ` S� RUAMS 4)7L. /) CITY 1 �� - TEL. NO. SWITCH— ✓ OVER 20 �1� 75 PLAN CHECK i l LIGHTING TOTAL FIRST 20 ' APPLICANT . ) t � - ��` - T -Y OVER 20 `� ADDRESS FIXTURES Q RESIDENTIAL,APPLIANCES CITY TEL. NO: . PERMIT I �v� / l `RANGE DRYER=WTR, HTR._ APPLICANTILic STA COOK DISP F.A U. ADDRESS /0 e? N bvn1NM V SPACE HTR. AIR COND CITY A)off_7Wo e TEL NO" 3d;?�/ CLOTHES WASH. DISHWASH LICEREG.NUMBER 2(lQ CLASS.C-/Q FAN OTHER 100 1 HERE BY`ACKNOW LEDGE 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 K ELECTRICAL WIRING SIZE & TYPE OVER TO ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF �.., CALIFORNIA OR THAI I AM THE;LEGAL OWNER OF THE ABOVE 1 — 10 300 D,SCRIFED RESIDENTIAL PROPERTY - V 4 PERMITEE 10 - 50 500 SIGNATURE _ 0 C-> 50 - 100 1000 W DISTRICT-NO. P ED BY 0- C/) 100 - 500 15 00 U v ? SIGN, GAS SIGN AND ONE CIRCUIT 500APPROVALS DATE INSPECTOR'S SIG TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING ��- TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL , 7-7-3-79 PERMIT FEE (SUB TOTAL) NOTES ' PLAN CHECK FEE PERMIT ISSUING FEE 300 .5v TOTAL FEE • 3 , D PLAN CHECK VALIDATION• CK M D CASH- PERMIT VALIDATION cK M 0 CASH 14 . a 9 3 9.7 0 .93 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE • 76A663-C 4F , 10/74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER gooREss BUILDING AND SAFETY DIVISION -53' s6 . LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. ' , OUTLETS NO EACH FEE OWNER NAME S $ $ RECEPT._ MAIL LIGHT TOTAL FIRST 20 25 `ADDRESS OVER 20 CITY TEL_NO. SWITCH_ 10 PLAN CHECK I 0 , Zy FIXTURES / APPLICANT LIGHTING TOTAL j 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR, APPLICANT STA, COOK DISP. F.A.U. ADDRESS i ,1 1_0 , SPACE HTR, AIR COND. CITY L GUS TEL. NO. CLOTHES WASH. DISHWASH. REGE NUMBER C 7i CLASS FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY ' MOTORS, TRANSFORMERS RATING" WITH ALL ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICA LfWIR IN BIZE d TYPE OVER TO " _ I HERE Y CERTIFY THAT I AM R PERLY REGI TERED AND/OR 0 — 100 LICENSED'A9 REQUIRE BY LO A ES COUNT AND STATE OF r CALIFOR A OR �T I AM 0, F THE ABOVE [L 1 — 10 300 DE9CRIR D REGI AL P T V 10 - 50 5.00 FERMI SIGNA E of 50 - 100 10.00a DISTRICT NO. ROCES BY 100 - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 500 �' APPROVALSINSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICENOTOVER 600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5,00 WIRING TEMP LIGHT OR RECEPT. SYSTEM, 300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE t 1 300 O TOTAL FEEI I 1y iiii PLAN CHECK VALIDATION CK M O CASH - PERMIT VALIDATION CK M 0 CASH 9'9'•7-110-ift-". 13' 2 D 1 92-0 n?x SEE BACK OF APPLICATION FOR COMPLETE•SCHEDULE v , 76A663-C£&0611-71- APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES p `bEPARTMENT OF COUNTY ENGINEER gDDREISS C7p 3/ L�..S T(//f,/�5 BUILDING AND SAFETY DIVISION J LOCALITY Te%Y� l•� C/ Mi FOR APPLICANT TO FILL IN FOR CROSS ST, OUTLETS No EACH FEE OWNER RECEPT._5 $ $ MAIL i/ // LIGHT TOTAL FIRST 20 I(�7 25 �3 ADDRESS x/0 ZZ y W D O l L N CITY Q LL t W C p TEL NO. SWITCH_ 17 OVER 20 to PLAN CHECK LIGHTING TOTAL FIRST 20 25 `� APPLICANT FIXTURES 10 - J} J OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT / RANGE DRYERWTR. HTR._ APPLICANT STA COOK DISP F.A U ADDRESS 10 OJe SPACE HTR, AIR COND CITY /V0&/#&ICI(pL TEL. No.3&.3027 3 CLOTHES WASH DISHWASH. LICENSE NO �(p' CLASS.C^/O FAN OTHER 100 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 O — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO. 0 1 — lO 300 91- RESIDE IN, THE ABOVE DESCRIBED RESIDENTIALPROPERTY. d/�T V SIGNATURE 10 - 50 500 OF PERMITTEE ix 50 - 100 1000 U DISTRICT NO. CI ASS ZONE PROCESS ED BY W O. 100 - 500 1500 ('� , L� N SIGN, GAS SIGN AND ONE CIRCUIT r 500 Sr 00 NOTES: 1 6 TZ u CJje TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 f� SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 1000 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDIUT WIRING ( (� FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE • PERMIT ISSUING FEE 300 3 �� FINAL TOTAL FEE r O PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH 52 D 17,00- Lrt�o y DC's SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �j' • , 76A663-CE80611.71 APPLICATION FOR ELECTRICAL PERMIT " COUNTY OF LOS ANGELES , DEPARTMENT OF COUNTY ENGINEER BUILDING % y. BUILDING AND SAFETY DIVISION ADDRESS `G LOCALITY ­7�, j/C Cl JNEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO EACH FEE $ OWNER $ RECEPT._ MAIL 2 LIGHT TOTAL FIRST 20 25 ADDRESS ✓ f CITY �� C TEL. NO SWITCH OVER 20 10 PLAN CHECK LIGHTING ) TOTAL FIRST 20 25 APPLICANT )) FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY PERMIT RANGE DRYERWTR. HTR APPLICANT VAIC e 0d STA COOK DISP F.A.U. ADDRESS / 574A IfA SPACE HTR. AIR COND. CITY C•r��( �l�OS TEL NO,5J`4 441 CLOTHES WASH DISHWASH. LICENSE NO. 7 CLASS. FAN OTHER 100 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 PROPE LY REGISTERED AN /OR 0 - 1 100 LICENSED AS REQUIRED BY LOS NGELE C U TY NO STA OF CALIFORNIA OR I AM TH EGAL N F ND INT TO d. 1 - 10 300 ��-1 RESIDE IN, T SIGNATURE E A OVE D CRIBED R I T A ERTY Q RE 10 - 50 500 OF PERMITTE ` O 50 - 100 1000 DISTRICT NOCLASS ZONE PR CESSE 100 — 500 1500 06? h SIGN, GASSIGN AND ONE CIRCUIT 500 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 APPROVALS DATE .INSPECTOR'S SIGNATURE SERVICEOVER 600VOLTS 0R200AMP 1000 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM 300 ROUGH CONOIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 300 31 G�D TOTAL FEE 4 PLAN CHECK VALIDATION C M o CASH PERMIT VALIDATION CK CASH` 7Y L i,o 0 8,r)N DEI7 2 0 6.00- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , 76A663-cE606 9-64 APPLICATION FOR E�LLCTRICAL PERMI �I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �-T BUILDING AND SAFETY DIVISION ADDRESS 3 U Ilei JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUP'T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT TOTAL NO, EACH FEE �1 //�� OUTLETS FIRST 20 $20 $ OWNER -4 �'C LIGHT . MAIL /1 ADD'L 10 ADDRESS SWITCH OVER 20 LIGHTING TOTAL I F1Rsr20l 20 CITY TEL NO. FIXTURES _F — I OV DR 20 .10 ELECTRICIAN �f� RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESSfid A ���`�� GARB DISP. STA COOK +� CITY fl n TEL.NO. L/! DISHWASH AUTO.-WASH. STATE / SPACE HTRS STA.APP (y¢H P MAX.) .SO LICENSE NO. i J MOTORS: OVER NOT OVER H P. DISTR T NO. GROUP O P ESSED BY O 1 1.00 _ �. 1 3 150 INS CTION RECORD 3 s 200 a O 8 15 250 V 15 50 300 OC 50 100 500 NO.TRANSAl w SIGNS L NO.LAMPS r � N SERVICE 0.60OV-NOT OVER 200A / 1.00 ! ? SERVICE 0-60OV-OVER 200 A. 2.00 i I SERVICE OVER 600V 500 ' MISC PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ I 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 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �� .9. CALIFORNIA OR THAT I.A HE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DE RIBED SIDE L PROPERTY POWER SIGNATURE � ♦ UTILITY CO.NOTIFIED OF PERMITTEE FINAL AL DATION JOSEPH C. ROOHAN v SUPERVISING ELECTRICAL ENGINEER CK MO CASH LAW 3 10 8-0 JUN 2 8 2 D 1 6.5 0~ Q TY 76A663-CE806 9-64 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENNINS, SUPT OF BUILDING LOCALITY T NEAREST FOR APPLICANT TO FILL IN CROSS ST Gj Nis RECEPT v TOTAL NO. EACH FEE _ T OUTLETS FIRST 20 $20 $ OWNER MAIL SWITCH4/1 OVER 20 .10 ADDRESS SU N Ste'/ TOTALCITY TEL.NO. FIRST T 20I 20 og 4p FIXTURES ADD'L ELECTRICIAN _ _ OVFR 20 1 .10 0 RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS /370 M GARB,DISP STA COOK CITY SAAfiW D&r.L. NO. - DISHWASH AUTO.-WASH. STATE ��� SPACE HTRS STA.APP (%H P.MAX ) .50 LICENSE NO MOTORS- OVER NOT OVER HP. DISTRICT NO. GROUP �ZONE P OCESSED BY O 1 I v 1.00 �./ y/ F- l_. o 1 3 150 INSPECTION RE LORD 9 8 2.00 �� r QF O 8 15 250 — I V 15 50 300 d Y DL A 0 50 100 5.00 ` d,v� W SIGN$ NO.TRANS a NO LAMPSIn A Z SERVICE 0.60OV-NOT OVER 200A 1.00 ?r/ �Ap JIpIf SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 \i!i sYlYl Z � MISC . PERMIT ISSUING FEE 200 Qd4� SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $�O 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 jI I 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 AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL P52OPERTY POWER Pte' SI PERMITTEE /GNATUR � /V/_d�_1// UTILITY CO.NOTIFIED FINAL ' LIDATION J ISEPrFI C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER �1 u 5 8w FEB 15 0 28.30- v • �v 76A663-CE806 3-64 APPLICATION FOR ELECTRICAL PERMfT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 777,, BUILDING AND SAFETY DIVISION ADDRESS 3 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE ' OUTLETS FIRST 20 $20 !6 OWNER LIGHT - MAIL r��,� ADDADDRESS' 2 .10 J SWITCH. OVER 2O , LIGHTING TOTAL F1Rsr 20 .20 CITY TEL. NO./4/0 FIXTURES } aoo�L 10 ELECTRICIAN OV R 2O RANGES CLO.DRYERS WTR HTRS. 1.00 ADDRESS 7 4 - GARB.DISP. STA.COOK CITY TEL.NO. O ®®v DISHWASH. AUTO,-WASH. STATE �7 9 - A uA SPACE HTRS. STA.APP.('h H.P.MAX.) ,50 LICENSE NO. 15 / / �7 MOTORS, OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PRO �SSED BY O 1 1.00 1 3 1.50 INSPECTION RECORD D_ 3 8 2.00 O V 8 15 2.50 w 18 50 5.00 0 U SO 100 5.00 UJ o_ to SIGNS, NO.TRANS Z NO.LAMPS SERVICE O-SOOV-NOT OVER 200A 1.00 SERVICE 0.60OV•GVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. .� PERMIT ISSUING FEE 2.00 SUPPLEMENTASY PERMIT ISSUING FEE 11.00 TOTAL FEE s I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE L-0FP TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A L COUNTY ORDINANCES AND STATE LAWS REGULATING AL WIRING. WIRING BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR C. '- •' A8 RECUIRED BY LOS ANGELES COUNTY ANIS STATE OF FIXTURES IA OR THAT 1 AM THE LEGAL OWNER O T�H�E/A-�/G//J ` D RESIDENT L F RT Y -- `" J POWER g . URE UTILITY CO.NOTIFIED MITTEE r � FINAL VALIDA(� ARTHUR C. ELECT E CK MO CASH SUPERVISING ELECTRICAL ENGINEER 79881- JAN28 2 D 3.40N a 7- WORKERS' COMPENSATION DECLARATION 520-0019 DPw3,e7 APPLICATION FOR ELECTRICAL PERMIT I herlby affirm that I have a certificate of consent to self CE-8066 O insure, or a cert;'f#cate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a cemified copy thereof (Sec 3800, Lab C•) Policy Nkv MICA Company FOR APPLICANT TO FILL IN JOB t A ❑Certi co is hereb furnished EACH NO FEE ADDRESS PY Y New Residential Bldgs & Pools ertified copy is filed with the county building mspec- 1 & 2-Family, Scl Ft $ — $ LOCALITY •G tion department Multi-family Sci Ft NEAREST Date' ��Applicant Residential Swimming Pools CROSS, OWNEROR CERTIFICATE OF EXEMPTION FROM WORKERS' FIRM NAME °�' Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE j ADDRESS (� First 20 (This section need not be completed if the work involved by Total No Additional CITY �,k`Tel No the permit is for one hundred dollars ($100)or less.) I�certify that'in 'he performance of the work for which this APPLICANT PLALIK permit 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 ADDRESS Additional CITY Tel No Date Applicant• Total No Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICATION S AtG Exemption, you should become subject to' the Workers' Range— Heater—DW Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS - G with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked CITY Hood — Fan —Other_ LICENSED CONTRACTORS DECLARATION Disp _ Room Air Cond — LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER ��� �;t_)L Class (commencing with Section 7000)'of Division'3 of the Business Power Apparatus& Large Appliances DISTRICT NO PRO SSED BY >_ and Professions Code, and my license is in full force on`effect a Size &Type HP, KW, KVA, or KVAR O License Nu Lic Class r s, Up to 1 Incl " FINAL Over 1 to 10 Incl DATE / VALIDATION cr ra ate Over 10 to 50 Incl FINAL l O I am exempt under Sec Over 50 to 100 Inc BY U Over 100 W B &P C for this reason Il Date Services, Swbd , MCC& Panelboards , Z 0-200 Amp Under 600 V — Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect, -Over 1000 Amp or Ovei 600 V 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 r T Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits tl=; _T Professions Code) I ❑ j, 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)_ ' I= r Business and Professions Code) 73 ;i E=• CONSTRUCTION LENDING AGENCY CHECK j-}EC r. _. c- cc I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE Sub-Total (Sec 3097, Civ C ) - ( ) r PLAN CHECKING FEE Lender's Name Lender's Address PERMIT ISSUING FEE -- - � ii��'" �• H� `' -"• I certify that I have read this application and state that the a TOTAL FEE =s' above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and , hereby authorize representatives of this County to enter upon the a pus-waetMreAed •operty for inspection purposes i SEE REVERSE FOR EXPLANATORY LANGUAGE Os Signature of Permittee Date "I I T,= .7 �D;CLARATION pCyg pav�i tip f �_ Z�• !ORKERS' COMPENSATIO 2LICi�►`TION•,F®R ELECTRICAL PERMIT e off con �6nee3 \J r r�rebyAaffirm that I have d certifi nt to self 'ee-eoaa nsure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or#a`certi ied copy thereof (Sec 3800, Lab C ) , Policy No li Company_ _ FOR APPLICANT TO FILL IN JOB f ❑Certified copy is hereby furnished New Residential,Bldgs &-Pools EACH NO FEE ADDRESS `� J .I�Sae�ied copy Is filed with the count lding inspec- -1 &2-Family, Sq Ft $ $ LOCALITY I tion department (� Multi-family Sq Ft NEAREST Residential Swimming Pools CROSS ST , Date Applicant r OWNERORf ( FIRM NAME CERTIFICATE OF EXEMPTIOIV„6 OM WORKERS' Outlets Rec Light Sw_ ' MAIL E� C COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work involved by Total No Additional . CITY Tel No —�' the permit is for one hundred dollars ($100)or less.) PLA I certify that in the performance of the work for which this A PLICANTK permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as'to become subject to the Workers'Compensation Laws _ Total No Additional CITY Tel No Date r Applicant Fixed Appliances Not Over 1 HP PERMIT / NOTICE TO APPLICANT If, after making this Certificate of APPLICATION L Exemption, you should become subject to the Workers' Range— Heater-DW — n Co"mpensation provisions of the Labor Code, you must forth- Oven Dryer —W.M — ADDRESS Ur /j -332- 2— with with comply with such provisions or this permit shall be Top FAU —W H — deemed revoked CITY �/�n— Tel No 1,3:.2 VV 20� LICENSED CONTRACTORS DECLARATION Hood Fan —Other— LICENSE OR Disp — Room Air Cond REG NUMBER S Class e r I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of•Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NOt PROCESS Y >- and Professions Code, and m license is in full force and effect a- rs- Size&Type HP, KW, KVA, or KVAR O License Num er 3// I 1 Class _ /v Up to 1 Incl FINAL U / _ Over 1 to 10 Incl DATE — VA ATION cc Contractor ate ❑ Over 10 to 50 Incl FINAL 01 F- I I am exempt under Sec Over 50 to 100 Inc BY IT U LL B 8P C for this reason Over 100 Date Services, Swbd , MCC& Panelboards ' z 0-200 Amp Under 600 V _ — Signature 201 - 1000 Amp Under 600 V, ❑ Exem ption for Reg Maint Elect Over 1000 Amp or Over 600 V L 0£j/],9 A SINGLE FAMILY tenances u Temp Power Pole &.Appr HOME OWNER-BUILDER DECLARATION # e o"o e a 2- j hereby affirm that I am exempt from The Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits I. o - 2550 Professions Code) 'r e- e'e.2 S 5 0'� ❑ j, as owner of the property, will do the work and the Misc Conduits &Conductors t2,,'5 0,0 o,e�s structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ Business and Professions Code) I.Q'1,0 $8 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name " PERMIT ISSUING FEE ` Lender's Address , I certify that I have read this application and state that the TOTAL FEE i above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby raze representatives of this County to enter upon the b ve-m ri property for inspection purposes ' ^ = SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date � � ©s r ; WORKER'S COMPENSATION DECLARATION 20-0019 DPW 9/89 76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby afftroi 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 �C BUJ DING ANI? DIV copy thereof(See-3800 Lab C Policy GCom-pany �1/�/C - / FOR APPLICANT TO FILL IN JOB' a _ ,� p ADDRESS Cehified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE $ _ $ LOCALITY y' q Ft t 1 &2-Farm) S ❑ �• Certified copyis filed-with tfie cou prnld ing�r�pection _ NEAREST .,departmen t //] �- /qJ n;q/ Multi-family Sq Ft CROSS ST 16p•(�/) /lJ ' ! // Resldentlal Swimming Pools 4 +' ,ASSESSOR Date Applicant ;+, S MAP BOOK PAGE PARC EL I CERTIFICATE OF EXEMPTI FROM WORKERS' i I. t~� y OWNER OR Outlets RBC Light w --ii-- FIRM NAME LL t COMPENSATION INSURANCE MAIL First 20 f>O `' J (This section need not be completed if the work Involved by the Total No Additional ADDRESS- ^(, DC7 U r permit Is for one hundred dollars,(E100)or less;) i I certify that In the performance of the work for which this permit CITY w Tel No yt Is Issued, I shall not employ any person in any manner so as to - Q PLAN CHECK - !/ / become subfect'to the Workers'Compensation Laws Lighting Fixtures First 20 APPLICANT I , . Total No Additional - ADDRESS - - Date Applicarit OR 20A,120V BRANCH CIRCUITS ' (y NOTICE,TO APPLICANT"'If','after making this Certificate of a O CITY Tel No Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH PERMIT, Co- r� provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH APPLICANT W K � VK i l,,f " provisions or this permit shall be deemed revoked 41 OR MORE BRANCH CIRCUITS EACH - LICENSED CONTRACTORS DECLARATION + - ADDRESS 3 3 Z— - -- •I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH 0` (commencing with Section 7000) of Division 3 of the Business and _ .. CITY v (Q ���'� Tel No 3/Q-2otf ILI'rU Professions Code, and my license Is m-f6II force and effect RESIDENTIAL APPLIANCES UP TO 3HP LICENSE ORrl p Cc Power Apparatus&Large Appliances REG NUMBER J D 91 - Class 2 / License Number P,/0 r Size&T e HKW,KVA,or KVAR DISTRICT NO PROCESSED BY F- •J/! -� Lie Class /� _ Up to 3 Incl SQ ems/' C�-�ed�� W G � � Over 3 t0 10 Incl FINAL Q. CentraClO �• Date S _ - - • - DATE Cn ❑ —s� Over 10 to 50 Incl Q Z I am exempt under Sec Over 50 to 100 Incl 1 v VALIDATION - B&P'C for this rea Over 100• FINAL - BY Services,Swbd,MCC&Panelboards _ Da 0-200 Amp Under 600 V Signatur 201 -1000 Amp Under 600 V - - - ❑ Over 1000 Amp or Over 600 V - Exempt) for Reg Maint Elect SINGLE FAMILY Temp Power Pole&Appurtenances K r HOME OWNER-BUILDER DECLARATION I 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 Code) I,as owner of the property,will do the work and the structure Misc Conduits&Conductors El G �•- `f`" Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ".and Professions Code) f CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the l f E)jhi./ ( L �r i W'f 3• �r performance of the work for which this permit is Issued (Sec 3097, PERMIT FEE ._ ,r (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 prop y C17p ("ji n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ATURAPPLICANT OR AGENT E O DATj _ - - �f WORKERS'COMPENSATION DECLARATION .CEA806G.t0/81 APPLICATION FOR ELECTRICAL'PERMIT I hereby affirm that I have a certificate of consent to self "sure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES, BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) J �'Policy No Company�,eE��/yT/ND• ;.;, FOR APPLICANT TO FILL IN JOB i Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESSi _ Certified copy is filed with•the county building inspec- 1 8 2-Family, Sq $ $ LOCALITY Ft — j 1�; tion department Multi-family Sq Ft NEAREST ,��IT� Residential Swimming Pools CROSS ST N Date Applicant OWNER G r FIRM NAME � ����.+� S CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ AMAIL DDRESS O7S� LASTLJiV1��� COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved byTotal No Additional CITY . —�� IT 1 Tel No 2��`�� the'permit is for one hundred dollars ($100)or less.) N CHECK 1 certify that in the performance of the work for which this PLAN permit 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 ADDRESS Total No Additional CITY Tel o. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICANT C_ICT WAC Exemption, you should become subject to the Workers' Range_ Heater_D W ' Compensation provisions of the Labor Code, you must forth% Oven _ Dryer — W M — ADDRESCPV a with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked CITY C.Room Air Cond Tel No Z�7�Z LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ LICENSE OR Z-7 4 Class �1 I hereby affirm that j am licensed under provisions of Chapter 9 Disp _ REG NUMBER C� Q (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROCE ED BY and Professions Code, and my license is in full.force and effect Power Apparatus& Large Appliances d � „L- Size &Type HP, KW, KVA, or KVAR Q License Number Lic Class Up to 1 Incl FINAL �1�� ��� �j��0 �q Over 1 to 10 Incl DATE S VALIDATION 0 Contractor ��LDaYe Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc BY CL B 8P C for this reason Over 100 C h Services, Swbd , MCC& Panelboards ► Dat 0--200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V Q ❑ Over•1000 Amp or Over 600 V Exemption for Reg Maint Eject 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 Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and 1 2,S8 A Professions Code) #`0 ' I, as owner of the property, will do the work and the Misc Conduits & Conductors 0 0 0 ,, ,-o 2 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 12.'-,- 8 5 5 0 7044, Business and Professions Code) .CONSTRUCTION LENDING AGENCY �0 o.o 85,5 0Z I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued Y p P PERMIT FEE (Sub-Total) � � Q 5, 1.'6-8'4 (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 TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and uthonze representatives of this County to enter upon the abo�of ti n for inspection purposes J SEE REVERSE FOR EXPLANATORY LANGUAGE 1 Signatua Date =� WORKERS' COMPENSATI 4 � ATION 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT L N'l'- 76A663 +-I kbrgb� affirm that I have a r :y'::,_of consent to self CE_ ig rfs3i` or a certificate Of Workers-tormpensation Insurance„ COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or o'certified cQo�y thereof (Sec 3800, La t�C�) Policy No W` " Company ` ` co FOR APPLICANT TO FILL IN JOB ADDRESS N�p l �. Li4$ Twj R ❑Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE _ Certified copy is filed with the unty b $ $ LOCALITY TI, Clj i g inspec- 1 8 2-Family, Sq Ft _ i r tion de art nt Multi-family Sq Ft ++ �+ NEAREST1 / CROSS ST ` N 1C Residential Swimming Pools Date �' Applicant OWNER OR11'' L� FIRM NAME NRI S f 0I V_CC C RTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light'_I—Sw A_ MAIL �•'� COMPENSATION INSURANCE ADDRESS%31 L-t?�S 1 U(3 As (This section need notbe completed if the work involved by First 20 Total No 2-0 Additional CITY L C% Tel No the permit is for one hundred dollars ($100)or less.) '- PLAN CHECK -1 certify that in the performance of the work for which this PLANCHET permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws Additional I - Total No 4 CITY Tel No ' Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of Z APPLICATION j Exemption, you should become subject to the Workers' Range— Heater—D W _ I +✓ e_I�- 'Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS with comply with such provisions or this permit shall be Top — FAU —WH — Alf deemed revoked' Hood — Fan CITY /rl1 _ Tel No g1$�Saje LICENSED CONTRACTORS DECLARATIONOther— Disp ' _ Room Air Cond LICENSE R {n'7p Class O o� 0 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCES BY >_ and Professions Code,and my license is in full force and effect Tj t1 f }� Size 8 Type HP, KW, KVA, or KVAR �/ 0 License Number !' G Lic Class Up Up to 1 Incl FINAL U ^ �£G�e�G Date / `� Over 1 to 10 Incl DATE 'L�/T /� VA A Contractor TION 0 ❑ Over 10 to 50 Incl FINAL I am exempt under Sec -Over 50 to 100 Inc JBY U W 100 t1 B 8P C for this r anon Over U)Date I �/ Services, Swbd , MCC 8 Panelboards ® Z 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 0&4'A ER-BUILDER DECLARATION HOME OWNTemp Power Pole 8 Appurtenances I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit # 0 e 010.02 ! Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) I e - 50,50 ❑ I, as owner of the property, will do the work and the Misc Conduits 8 Conductors 0 0 0 5 Q 5 0 5 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— Business and Professions Code) ;') 1,0 41—,8 8 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) t (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 TOTAL FEE S above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authori"roper this County to enter upon the b eIt-menspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Date �s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9912010027 BUILBING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 69 BL: .001 '9831 LAS-TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802209 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-02.6-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65 TENANT: G2 LIUHIING FIXTURES 4.10U LGT 7.80 ISSUED ON: PROCESSED BY: PLAN BY: EXP ES ON: MC DONALD'S JG COOKING EQIP +3-10HP 2.00 COO 39.30 12/01/99 UT 0 29/00 J5 OTHER PWR APP LT 3HP 10.00 PWR 153.00 IOWNER: TEL. NO: TOTAL FEES 241.50 FINAL DATE FINAL BY: CODE: MORRISON TERALEE N 205 LINDENBROOK RD DESCRIPTI J OF ORK ELECTRICAL FOR KITCHEN REMODEL T I. IMPROVEMENT APPLICANT: TEL. NO: PERNECKY 2877 E. FOOTHILL BL SPECIAL CONDITIONS: PASADENA, CA CCNTR�CTOg:-' �� ��� TEL. N0: I ®� �,.' PPPROVPLS GATE INSPECTOR SIGNATURE R J PERFORMANCE (818) 365-0068- � 12767 FOOTHILL BLVD LIC. NO TEMPORARY POWER POLE SYLMAR. CA x1342 BIL 22926 I UNDERGROUND COINDUIT IARCHITEI.r TEL. NO: / LIFER GROUND LIC. N0: 1111111 CONDUITROUGH (ROUGH WIRING �-� WATER LC W0K3 IPLASTICY/NMETAL Y/N UTILITY COMPANY NOTIFIED 4 O .0 0 ® ®y n mod Service lha� * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE T0: BS0508 _ �WOUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207110002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT - LEGAL ID FEES PAID BUILDING ADDRESS ITR 6561 LT 69 BL- 001' - 9831 LAS TUNAS DR I IFEE DESCRIPTION QUANTITY: UOM_ AMOUNT TEMP CA 917802209 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET- AGNES 18587-026-025 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl IF1 120V, 15/20A BR CKTS 6 00 BR 103 80 ITENANT IG1 OUTLETS-LGT,SW,RECP 14 00 OUT 28 00 (ISSUED ON PROCESSED BY- PLAN BY 1 IMCDONALD'S USA, LLC IG2 LIGHTING FIXTURES 105 00 LGT 153 20 107/18/12 SR 1 I IIB N-RES WTR HTR LT 3HP 1.00 WTR 15 '3 0 1 (OWNER TEL. NO IJB AC UNITS +3-10HP 1 00 AC 19 70 IFINAL FINAL BY CODE ISTAMPS, CHRIS . (562) 753-2001- IJG COOKING EQIP +3- 10HP 60 00 COO 1,182 00 13800 KILROY AIRPORT 1 TOTAL FEES 1,529.80 ILONG BEACH CA 90806 1 - 1D CRIPTION OF WORK 1 I I (ELECTRICAL FOR MODIFICATION AND ADDITION TO (E) RESTAURANT 1 1APPLICANT TEL NO 1BICKEL UNDERWOOD- ELAHI, MASOOD (949) 757-0411-28 1 1 1 13600 BIRCH ST #120 _ ISPECIAL CONDITIONS INEWPORT BEACH 92660 1 - I I I I I I I I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I ICRABB CONSTRUCTION, INC (909) 305-2088- I 1 I 15135 VALLEY CENTER AVENUE LIC NO 1 ITEMPORARY POWER POLE I I I ICOVINA CA 91724 677894 B I 1 11 1 I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO 1 •IUFER GROUND I I - I IBICKEL UNDERWOOD, A CALIFORNIA CORP (949) 757-0411- I 1 1 1 I 13600 BIRCH STREET, SUITE 120 LIC. NO- - IROUGH CONDUITI INEWPORT BEACH, CA 92660 NONE I I I I IROUGH WIRING I I I I I I I I I IMAIN WATER LINE I I IPLASTIC YIN METAL YIN .I I I I I I I I 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 j IREPORT ID •DPR265 ROUTE TO BS0508 1 I 1 COUNTY OF LOS •ANGELES TEMPLE CITY 44 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1203140014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285=0488 EXT: (LEGAL ID FEES PAID I BUILDING ADDRESS - 1 ITR 6561- LT: 69 BL .001 I 9831 LAS TUNAS DR 1 I IFEE DESCRIPTION QUANTITY: UOM AMOUNT-( TEMP CA 917802209 1 (ASSESSOR INFORMATION NUMBER. I - I NEAREST CROSS STREET I 18587-026-025 1A1 PERMIT ISSUANCE FEE 27 80 1 THOMAS PAGE 597 GRID- A3 LOCALITY TEMPLE CITY, Cl LF 800 AMP PANELS, MCC 2 00 PAN 152 20 1 1 (TENANT I TOTAL FEES 180 00 (ISSUED ON PROCESSED BY PLAN BY I IMCDONALD'S 103/14/12 SR I I TOWNER TEL. NO (FINAL ATE FIN Y: CODE: IMCDONALD'S CORP (562) 753-200)- I 13800 KILREY AIRPORT 1LONG BEACH CA 90806 1 �4 �t — '� ` _� , ' , ID SCRIPTION OF WORK 1 IRELOCATE EXISTING 800 AMP MAIN SERVICE PANEL c I I 1 I (APPLICANT TEL NO "• i � , IRJ PERFORMANCE INC (818) 365-0068- 112767 FOOTHILL BLVD _ SPECIAL CONDITIONS - 1 SYLMAR, CA 91342 I I CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I IRJ PERFORMANCE INC (818) 365-0068- I 1 I 112767 FOOTHILL BLVD LIC. NO (TEMPORARY POWER POLE I I I ISYLMAR CA 91342 697747C-10 * I I I I I 1UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER- TEL. NO I IUFER GROUND I 1 ' LIC. NO. 1 ROUGH CONDUIT I I I ' (ROUGH WIRING I I I I I (MAIN WATER LINE I I I I 1 1PLASTIC YIN METAL YIN I I I I I 1UTILITY COMPANY NOTIFIED( I I I I I I I Q I I• I I I I I I I I I I I I I I I I I I I I 1 1* ADDITIONAL DATA ON FILE I I I I I I I I I I 1 (REPORT 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 1211210011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE- (626) 285-0488 EXT ILEGAL ID _ I FEES PAID I BUILDING ADDRESS ITR- 6561 LT 69 BL 001 1 I 9831 LAS TUNAS DR 1 I IFEE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917802209 1 (ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET 18587-026-025 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A3 LOCALITY. TEMPLE CITY CAI I IK1 SIGNS, OUTLINE LGT 14 00 SIG 544 60 I I ITENANT I TOTAL FEES 572 40 (ISSUED ON. PROCESSED BY PLAN BY I IMCDONALDS I 111/21/12 SR I I I I OWNER TEL NO I IFINAL DUE, FIN BY CODE I IMCDONALD-S CORP - I I 19831 E LAS TUNAS DR ITEMPLE CITY CA 91780 1 IDES5CRIPTION OF WORK I ISEVEN CIRCUITS FOR BUILDING AND SEVEN CIRCUITS FOR I - (UNDERGROUND I (APPLICANT: TEL NO 1 I I IIADIPADO, STEVE (310) 427-5705- 11700 W ANHAMEIM ST - 1 ISPECIAL CONDITIONS - I ILONG BEACH CA 90813 I I 1 I I I I CONTRACTOR - TEL NO- I (APPROVALS DATE INSPECTOR SIGNATURE I ISUPERIOR ELECTRICAL ADVERTISING (562) 495-3808- 1 11700 W ANAHEIM STREET LIC NO 1 ITEMPORARY POWER POLE I I 1 ILONG BEACH CA 90813 271598 * 1 1 11 I (UNDERGROUND CONDUIT _ I I 1 1ARCHITECT OR ENGINEER TEL. NO I IUFER GROUND I I I I I I I LIC NO I IROUGH CONDUIT I I I IROUGH WIRING I I I I IMAIN WATER LINE 11 11 1 IPLASTIC YIN METAL YIN I I (UTILITY COMPANY NOTIFIEDI 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 I I I I I I IREPORT ID DPR265 ROUTE TO- BS0508 1 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY, # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112140034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ - � . ' PHONE '(626) 285-0488 EXT - LEGAL ID - _ • •FEES PAID - I BUILDING ADDRESS- ITR: 6561 LT 69 BL .001 1 - 9831 LAS TUNAS DR 1 I IFEE DESCRIPTION QUANTITY. UOM AMOUNT- 1 TEMP CA 917802209 I ASSESSOR INFORMATION NUMBER .. - A, I NEAREST CROSS STREET- - 18587-026-025 - IK1 SIGNS, OUTLINE LGT L14 00 SIG 543 20 1 THOMAS PAGE. 597 GRID A3 LOCALITY- TEMPLE CITY CAI I - 1A1 PERMIT ISSUANCE FEE 27 80 • (TENANT 1 ��°'." °� TOTAL FEES 571 00 (ISSUED ON PROCESSED BY PLAN BY I - •• 112/14/11 SRS (OWNER- TEL NO: • 1 - IFINAL JJATE FINAL BY- CODE 1 IMORRISON TERALEE N, 1205 LINDENBROOK RD I , S TION OF WORK 1 I ' ISEVEN CIRCUITS FOR BUILDING AND SEVEN CIRCUITS FOR ' 1 I- I JUNDERGROUND (APPLICANT TEL NO ' ILE MENAGER, WARNER (323) 244-0251- 151-A NO BONNIE AVE _ I _ (SPECIAL CONDITIONS 1PASADENA CA 91106 - - ICONTRACTOR-, TEL NO• I - 1APPROVALS - DATE INSPECTOR SIGNATURE 1 (SUPERIOR ELECTRICAL ADVERTISING (562) 495-3808- 1 „ 11700 W ANAHEIM STREET - -LIC. NO ITEMPORARY POWER POLE . I I ILONG BEACH CA 90813 271598C45 * I _ ' I _ (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER - TEL NO I - IUEER GROUND I I I I I1 1 I 1 LIC NO: I IROUGH CONDUIT - - i - -- IROUGH WIRING I 1 5 IMAIN WATER LINE I - • IPLASTIC Y/N METAL.Y/N - - - 1•UTILITY COMPANY NOTIFIEDI I' - - I • tj a I I• I _ * ADDITIONAL DATA ON FILE rI I I _ • IREPORT ID DPR265• ROUTE TO BS0508 `