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9906-9910 LAS TUNAS DR_Electrical__
76A663-CE606 4-68 APPLICATION FOR ELECTR CAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS C / JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST NO EACH FEE / RECEPT._ $ $ OWNE `` v Int 'rl/ MAIL LIGHTZL TOTAL FIRST 20 20 ADDRESS 5c7/11�i SWITCH OVER 20 10 CITY TEL. NO_ ' PLAN CHECK LIGHTING TOTAL FIRST 20 20 Zvo APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE_DRYER—WTR HTR._ CITY TEL NO STA COOK_DISP _F A U _ CONTRAC rOR , i SPACE HTR AIR COND ADDRESS a /,K% CLOTHES WASH _DISHWASH._ CITY cJ TEL. NO. FAN—OTHER 1 00 LICENSE IJO CLASS. -/Cn MOTORS,TRANSFORMERS RATING IND HEATERS, ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d 10 - SO 5 00 RESIDE IN, THE ABOVE OESCRIPED RESIDENTIAL PROPERTY 0- U SIGNATURE 50 - 100 11000 OF PERMITTEE 100 - 500 15 00 ~ DISICN GROUP ZONE P C ED W SIGN,GAS SIGN AND ONE CIRCUIT 3 00 (3 Q..TUBE, OR T N MARQUEE Z ADDITIONAL CIRCUITS 1 00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE, POLE, & APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE s' kJt UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING _ PLAN CHECK FEE (50% PERMIT FEE) FIXTURES �y POWER AUTHORIZED PERMIT ISSUING FEE 2 001 UTI LI TY CONOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE eJ JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK�VALIDATION Ck M 0 CASH PERMIT VALIDATION CK M O CASH, ff 4 6 1 4 APR 2 2 2 D 2.8 0'";. .";l". AEE BACK OF APPLICATION FOR COMP IE E FEE SCHEDULE �1'�CZ//', 76A663 CE-80dR9/76 ` APPLICATION FOR ItLECTRI AL PERMIT - - •� ,I, -COUNTY OF LOS ANGELES // ��t ^r n DEPARTMENT OF COUNTY ENGINEER ADDRESS /0 �+• rG/T� ^'� Q BUILDING AND SAFETY DIVISION ' FOR,APPLICANTTO FILL IN 'LOCALITY p ` ��77Y 7ResidentialBldgs &Pools EACH NO FEE CNEAREST ROSSSTScl Ft - $ 025 — $ �QQ,,WNER OR Sq Ft 02 — OFIRMNAME �Iimmin Pools 5• V 9 ADDRESS �' r Outlets Rec 'Light CITY Tel No',': _ First 20 S0 PLAN CHECK Total,N6` Addai'anal 30 -� APPLICANT { / ADDRESS ' Lighting Fixtures First 20 50 CITY Tel No t' Additional 30 PERMIT Total No APPLICANT a Fixed Appliances Not Ove''r 1 HP ADDRESS Y Range_Heater_D W CITY ��r'4 Tel No �7 Oven _Dryer,_-W M_ LICENSE OR Top —FAU —W H REG NUMBER 3 ,t Class 0' Hood_Fan —Other r ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond THAT THE ABOVE'IS'CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ' > _ 1 ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&,Large Appliances Size&Type HP, KW, KVA,or KVAR -'' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE'OF CALIFORNIA OR THAT I AM Up to 1 Incl THE LEGAL OWNER OF THE BOVE DESCRIBED RESIDENTLQL PROPERTY Over l.to 10 Incl 5 00 1 >' Over 10 to 50 Incl 2� 5'1 PERMITTEE d Over 50 to b00 Inds' 200IL SIGNATURE V Over 100 4710- DISTRICT NO PR CES BY ' 0, �J r- Services - 0-,200 Amp Under 600 V 1 2 50 ;,'INSPECTOR S %A 20y1 1000 Amp Under 600 V 25 00 APPROVALS SIGNATURE Z Over 1000 Amp cr Over 600 V 5000 TEMP POWER POLE F UNDERSLAB'WORK+ Y Temp Power Pole&Appurtenances 1000 Sign with One Bronch Circuit r 10 00 ROUGH CONDUIT 2 00 WIRING Additional Sign Branch Circuits i0 C-D ' Misc Conduits'&Conductors -fi5�60 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED , FINAL PERMIT FEE (Sub:Total) •' NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE b AOJ TOTAL FEE / QZ PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0- SIV,4- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE •y (• -'AI `3 -®s {' WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT ' I hereby affirm that I have a certificate of consent to self Insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OFLOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec 3800 Lab C) Policy NO 7; _f 7Z: Company /A x /FV/01 FOR APPLICANT TO FILL IN JOB ADDRESS ley ? F] ' Certified copy Is hereby'furnished" New Residential Bldgs &Pools NO EACH FEE LOCALITY 1 &2-Familyj�� ,Sq Ft — $ $ ' ❑•. 'Certified copy is filed with the conn bu ing inspection _ NEAREST depart_ment - Multi-family Sq Ft CROSS ST CT Fr Date '74 A' t' Residential Swimming Pools ASSESSOR MAP BOOK PAGE ' PARCEL CERTIFI ATE OF EXEMPTION OM W E Outlets Rec —Light Sw OFIRM NAMWNER E COMPENSATION INSURANCE :.r^•• _ First 20MAI ' (This section need not be completed if the work Involved by the ADDRESS �. /� permit is for one hundred dollars($100)or less) Total No Additional I certify that In the'performance of the w- ' r which this permit CITY is Issued, I'shall not employ any pe n in ny mariner so as to PLAN CHECK become-subject to the Workers'Com nsat n Laws Lighting Fixtures First 20 APPLICANT, Total No Additional. - ADDRESS Date ' /7pllcant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, afte Ana Ing Is e tificate of CITY Tel No Exemption,you should become subject to the W ke ' ompensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forth Ith m I with such P Y P Y - APPLICANT � � provibio6s"or this permit shall be deemed_rev ed Power Apparatus&Large Appliances - /• O ` LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS94 1 hereby affirm that"I'am`licensed under provisions of Chapter 9 Over 3 to 10 Incl - l (commencing with Section 7000) of.Dlvision 3 of the Business and CITY I O0 . T o Professions Code,and my license is in full force and effect Over 10 to 50 Incl SE OR Over 50 to 100 Incl REG NNUM ER Class Over 100 DISTRICT NO PROC SSED BY O License Number �`/ - Lic Clas's f� Services,Swbd,MCC&Panelboards Q o' f FINAL Contractor Date ^` 0-399 Amp Under 600 V DATE O ❑ I am exempt under Sec 400-1000 Amp Under 600 V 7_Z Over 1000 Amp or Over 600 V FINAL L VALIDATION W B 8P C far this r BRANCH CIRCUIT FEES BY n- Date "` - �>? 15A,or 20A,120V,Lighting or Recept Z_ C, 1 To 10 Branch Clr6u is Signature 11 To 40 Branch Circuits ❑ - 41.Or More Branch Circuits }` " Exemption for Reg Mal F.1 C 15A,20A,208V To 2TN Lighting Br Circuits _ '2 SI�GLE FAMILY P ' l Tem Power Pole&A urtenances r y a HOME OWNER-BUILDER DECLARATION p - PP ` "ANT. o9 :{ I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit f for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits ? ^'I Vic, U- 307i T,� [, ,_ 59.-5-I Code) L ITEMS L, 61�p17 ❑ I,as owner of.the property, will do the work and the structure Misc Conduits&Conductors 1 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ��' -' TOTAL UTA= 59 0 55 and Professions Code) " I CHECK 59.55 CONSTRUCTION LENDING AGENCY Ze- E _ _ aLL 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) K Civ C) PLAN CHECKING FEE ,0000- 1 11/X. 25/92 Lender's Name PERMIT ISSUING FEE p2 6716 -1_. AN 9:4/ Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above ormation is correct I agree to comply with all County ordinanc n tate laws regulating Electrical wiring,and hereby authorize repres ntati s oft s County t=_ent n the above-mentioned property for inspec n p p SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITgE 4X DATE , WORKER'S COMPENSATION DECLARATION20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that I have a certificate of consent to self Insure, or a oertihcate of Worker's Compensation Insurance, or a certified COUNTY OF'LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800(Lamb C) _ P❑bllcy No J �s' 4Company �L/� FOR APPLICANT TO FILL IN e l 30B G�/^ 'ADDRESS �; [.✓ Certified copy'is hereby furnished New Residential Bldgs &Pools NO EACH FEE $ $ LOCALITY ❑ , ,Certified co s.f led with the count building inspection 1 &2-Family,Sq Ft PY Y 9 P NEAREST department Multi-family Sq Ft CROSS ST Residential Swimming Pools ' ASSESSOR ' Date Applicant f 4 MAP BOOK 'PAGE PARCEL {' CRTlOF FICQTE EMFROM ORKEROWNER OR E U,• S' Outlets Rec 7—Light Sw FIRM NAME I''Lwl Ci "COMPENSATION INSURANCE ry, - ,n, _ - First 20 MAIL (This-sectlon n`eed'not be completed rf the work inJolved_by the Total No Additional ADDRESS' ` pefmit Is for one hundred dollars($100)or-less) v I'certify that in the'performance'of the work for'whI h"cthis permit CITY r Tel No Is Issued, 1 shall not employ ar y person'In any manner so a5 t0 PLAN CHECK become subject to,the,Workers' Compensa Ion Laws Lighting Fixtures First 20 APPLICANT - /yy Total No Additional ADDRESS Date r / Applicant a RESIDENTIAL.APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If,, after makingr this Certificate of CITY Tel•No- Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP rovisions,of•the Labor Code, you must forthwith comply with such PERMIT P Y P Y APPLICANT; provisions or this permit shall be_deemed revoked Power Apparafus&I`arge Appliances r LICENSED CONTRACTORS DECLARATION Size&Type HP,_KW,KVA,or KVAR ADDRESS -7 , , I hereby affirm that I am li6ensed'under provisions of-Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the'Business and CITY $/� Tel Professions Code,and my license is In full force and effect Over 10 to 50 Incl LICENSE OR �� / -Glace /—/Z7 a, Over 50 t0 100 Ind REG NUMBER {� C.." 1 C_ O© Over 100 DISTRICT NO P SED BY License Number Lic Class Services,Swbd_,MCC&Panelboards �� 0-399 Amp Under 600 V FINAL Contractor Date El lam -1 000 Amp Under 600 VDATE �f C/�✓ ✓ VALIDATION UJI I am exempt u er Sec Over 1000 Amp Or Over 600 V - FINAL ; 0- -B&P C for this-reason BRANCH CIRCUIT FEES BY U) Date 15A,or-20A, 120V,Lighting or Recept s, _ z 1 To-10 Branch Circuits_ Signature •11 To 40 Branch'Circuits ElEze41 Or More Branch Circuits - rlphon for Reg Maint Elect ' 15A,20A,208V To 277V Lighting Br_Circuits. SINGLE FAMILY _ Temp Power Pole,&Appurtenances' HOMEOWNER-BUILDER DECLARATIONo t t a I hereby affirm that I am exempt from the Contractor's License Law Slgn•with One Branch Circuit r _ti# a•g 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 Mlsc,Conduits&Conductors ITEMS Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) r TO'r' � � 7 40 and Professions Code) 1- t CONSTRUCTION LENDING AGENCY= ftt`tCK- 7'1.,"Ll I hereby affirm that there Is a construction lending agency for the �',- ti•�iYH"itd a-f-r performance of the work,for which.this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) CIV C) ; PLAN CHECKING FEE —con I Lender's ,Name- , o i PERMIT ISSUING FEE _'•�'� 1 i I -Lender's Address I - ' I certify that I have read this application and under penalty of purjury state TOTAL FEE f that the above Information Is correct I agree to comply with all County - ordinances and State laws regulating Electrical wiring,and hereby authorize " representatives of this County to enter upon the above-mentioned property for Inspectio urposes SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATUR DATE WORKER'S COqPENSATION DECLARATION 20-0019 DPW(12-91) t 76A863 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self Insure, of.a cert,ficate of Worker's Compensation Insurance, or a certified - COUNTY OF LOS ANGELES -DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof,(Sec 3800 Lab C) � • .' v POIICy NO -� Company �T7 a FOR APPLICANT TO FILL 1N - = _ AD ' ❑'�= - ' •r` - ' NO EACH -FEE' ADDRESS Certified copy is' ereby furnished New Residential Bldgs &Pools .,. •, - _ $ $ LOCALITY ❑ Certified co filed with the coup uddin Ins action 1 &2-Family,Scl Ft PY 9 P, — NEAREST de rtment e; Multi-family Scl Ft CROSS ST Date i r Applicant' Residential Swimming Pools ASSESSOR' MAP BOOK PAGE PARCEL CERTIF CATS O EXEMPT OM WORKS OWNER OR e^; Outlets Rec Light Sw FIRM NAME COM NSATIO INSI. ANCE First 20 (This sectUo_n'nee'not a complete i he work lnv Wed b the MAIL k ADDRESS permit is for one hundied 8ollars'(31 or less) Total No Additional _- i"- CITY Tel No I certify that in the'perfo" drice'of the work for vAicWthis permit Is issued, I shall not employ any person in any manner so'as to LAN become,subject to the Workers,' Compensation Laws Lighting Fixtures First 20 'A PLICANTK Total No Additional ADDRESS Date' Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE'TO.AP,P-LICANT If, after making this Certificate of CITY ' 7eI'No s C 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 "r Power Apparatus&;Large Appliances APPLICANT ' i' -LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby'affirm that I am Ilcerised'.under provisions of-Chapter 9 Over3 to 10 Incl (commencing with-Section 7000) of Division 3 of the'Business and CITYLO, Aikyto�, Tel No Professions Code, and my license Is In`full force and,effect' _ Over 10 to 50 Incl LICENSE OR Class d Over 50 t0 100 Incl REG NUMBER a_ / ,OJer 100 DISTRICT NO PEO SSED BY License N'U_ml Lic Class C1 - ' Services,Swbd,MCC&-Panelboards Con ctor DatFINAL Oe 0-399 Amp Under 600 V DATE / F= ❑ I am xempt un r ec 400-1000 Amp Under 600 V _ W Over 1000 Amp or Over 600 V FINALCL VALIDATION C-for this r ason' BRANCH CIRCUIT FEES BY Z Date 15A,or 20A,_120V,,,Lighting or Recept z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ;❑ T 41 Or More Branch Circuits " Exemption for Reg Malnt Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances L HOME OWNER-BUILDER-DECLARATION A(.(T a a I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circwt for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits - .-- __ _. .- ,1-t �_-o Vic, Code) - R ❑ Mlsc,Conduits&Conductors ='' I,•as owner of the property, will do the•work and the structure , is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 'TOT AL' 633 y+,r 5 and Professions Code) NEI CONSTRUCTION LENDING AGENCY , r I hereby affirm that there is a construction lending agency for the S_rfANGE of-'i-' performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total).' Civ C) _ PLAN CHECKING FEEi� it t_�t o i f27 `94 Lender's Name j�ti f PERMIT ISSUING FEE [T7 jJ _iu =`}'i 1,=i� Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE- (Q�� that-thea ve information is correct I agree to comply with all County ordinance rid State laws regulat g Elec ncal wiring,and hereby authorize represent sof this County t ante on the above-mentioned p party - for Inspec on purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 10I Wl�iA / SIGN E F PERMITTE' JDA E _ ` 76A66 WORKER'S COMPENSATION DECLARATION 9 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT I,hereby atiirm that•I have a certificate of consent to self Insure, 76A663 or a certrficate of Worker's.Compensation Insurance, or a certified' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING.AND SAFETY DIV copy thereof(Sec 3800 Lab_ C) r/��.7y�' r Cy NO/ Company 5//'r [.r FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnishedNew Residential Bldgs &Pools EACH NO FEE rt - 1 &2-Famil _ LOCALITY El Certified copy Is fled with the county budding Inspection y,'Sq Ft $ � $ NEAREST department + Multi-family Sq Ft t CROSS ST _ -4pP / p 9 Residential Swimming Pools. ASSESSOR Date' IiCant MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec _Light SwFlRM NAME ' COMPENSATION INSURANCE - First 20 MAIL (This section need not be completed,If the work Involved by the _ �t permit is for one hundred dollars($100)or,less.) Total No Additional r ADDRESS ' 43 G 7.• I certify that In the performance of the work for which this permit - CITY j C- Tel NVP_1 is Issued, I shall not employ any person In any manner so as l0 t PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20r APPLICANT Total No Additional _ ADDRESS Date Applicant - 15'OR 20A;120V BRANCH CIRCUITS' NOTICE TO'APPLICANT If, after making this Certificate of CITY Tel No Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code,,you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT- �r � �-� ~ APPLICANT provisions or this permit shall,be,deerried revoked 41 OR MORE BRANCH CIRCUITS EACH S LICENSED CONTRACTORS DECLARATION — ADDRESS > I hereby affirm that 1 am licensed under_provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH a (commencing with Section 7000) of Division 3 of the Business and _ _ CITY �� Te 0 Professions Code-,and my license is in full force and effect RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR y ~ Class Power Apparatus&Large Appliances REG.NUMBER �, 6 Q � �� •- /�` Size&Type HP,KW,KVA,Or KVAR DISTRICT NO P OC SSED BY O License Number Lic Class /h� Up to 3 Incl - - w �cw W Contractor Dat 7/ Over 3 to 10 Incl DATE '/ U) ❑ Over 10 to 50 Incl Z �_' 7 _/T 2 I am exempt under Sec Over 50 to 100 Incl / Z VALIDATION Over 100 •� FINAL-` , B&P C foi this reason BY Services,Swbd,MCC&Panelboards. Date 0-200 Amp Under 600 V Signature 201 -1000 Amp Under 600 V -- ❑ j _, 600 V - Over Over 1000 Amp or Exemption for Reg Maint Elect - SINGLE FAMILY Temp Power Pole&Appurtenances �:-' f• 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 (Seetion 7031 5, Business and Professions Additional Sign Branch Circuits Code) ❑ " ' I,as owner of the property,will do the work and the structure Mlsc-Conduits&Conductors •r•-.-•_ �-�•' is not'intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) - - - - - t � -,•;y ^�zI CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the. performance of the work for which this permit is issued (Sec 3097, PERMIT.FEE _- . .(Sub-Total),, vi Civ C) r PLAN CHECKING FEE Lender's Name ' PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state Ahat the above', TOTAL FEE information Is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize _ representatry s of this County to a ter upon the above-mentioned - property f pecUon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE J , SIGNATOR OF APPLIC O DATE f ` wpRkE1�,S' COMPENSATION DECLARATION z000taDPW 3iaz APPLICATION FOR ELECTRICAL PERMIT h h663 ereby'affirm that I have a certificate of consent to self CE" insure, ora certificate of Workgrs',ComFtensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a ccErfified copy thereo"r (Sec 3800, Lab C ) Policy No' Company FOR APPLICANT TO FILL IN JOB J��+ ��rWS Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 1%1 J �Y/► ❑Certified copy is filed with the county building inspec- 1,& 2-Family, Sci Ft $ $ LOCALITY tion department Multi-family Sci Ft NEAREST CROSS ST /y4 Residential Swimming Pools 'F `,'',OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Li ght S-� 3— w +1 MAIL ,[ J A , tr j� T /��/� L COMPENSATION INSURANCE First 20 VGOD ADDRESS (This section need not be completed if the work Involved by e-NTotal No Additional CITY 4 Tel the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this PPLICANT permit is issued, I shall not employ any perso in any manner so as to become subject to the Workers' o at?W_ Lighting Fixtures First 20 ADDRESSJ� AdditionalTotal No �k3 CITY Tel No Date Appl,cFixed Appliances Not Over 1 HP PERMIT �j /,, ,// /a NOTICE T APPLICANT If, after making this Certi icate of APPLICATIOpf�"' �"1e P-1 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 — ADDRESS 11,%113,6 . with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked CITY � �/� Tel, — 3j LICENSED CONTRACTORS DECLARATION Hood — Fan —Other— Disp — Room Air Cond — LICENSE R � Class L /L0 I hereby affirm that I am licensed under provisions of Chapter 9 , REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROCESSBY >_ and Professions Code,and my license is in full force and effect d Size&Type HP, KW, KVA, or KVAR v O License Number �/�l L,c Cl a 100 � Up to 1 Incl FINAL p U //�,jE OA £ I Over 1 to 101ncl DATE Z �� �O V91 'T6� A O Contractor Date1,147— ❑ Over 10 to 50 Incl FINA ~ I am exempt under Sec Over 50 to 100 Inc BY # 0 0,0,.* 2 3 (� B &P C for this reason Over 100 W 10 .11 IL3 8 Date Z Services, Swbd , MCC& Ponelboards Z 0-200 Amp Under 600V o'e oil 4 38CE) Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V 0609-88 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 Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) ❑ I, as owner of theMisc Conduits &Conductors 9 8.3.4 property, will do the work and the 'A structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— , - # e *,* .G,0 2 Business and Professions Code) CONSTRUCTION LENDING AGENCY 1 '- - 24,87 1 hereby affirm that there is a'construct,on lending agency for the performance of the work for which this permit ,s issued PERMIT FEE (Sub-Total) 0 0 0 2 Q,8 7 (Sec 3097, Civ C ) PLAN CHECKING FEE r L 3 06L9-88 Lender's Name PERMIT ISSUING FEE 1 Lender's Address I certify that I have read this application and state that the TOTAL FEE above information ,s correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and , hereby authorizer resentatives of this County to enter upon the above endo oper fo spec ion purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature a tee Datef es L �r F _ WORKERS'COMPENSATION DECLARATION +20-0019 DPW 3/87 l .76AW APPLICATION FOR ELECTRICAL PERMIT hereby affirm that I have a certificate of,consent to self Ce-eoeG ins'�e,.or'a'cert ificote of Wotmkers"Co' pensation 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 0 711W F-1Certified copy is hereby furnished New Residential Bldgs & Pools EACH, NO •. FEE ADDRESS !T!7?-709 `u/Y ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY NEAREST �+ tion department Multi-family Sq Ft CROSS ST Residential Swimming Pools , OWNER OR Date Applicant S%7Z11 �/ � r+ ���pO'� I`. , a FIRM NAME+�/c y�/Y�/O J �/y CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec/11% Light Sw y 1 MAIL ��yy�� COMPENSATION INSURANCE ADDRESS /Tl/F4D /9 14t First 20 (This section need not be completed If the work Involved by Total No 2> Additional CITY ��� Tel the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in a manner y Lighting Fixtures ��� First 20 ADDRESS so as to become subject to,the Workers' o ion /.�-7�./" Additional Date Applican Total No CITY • Tel No Fixed Appliances Not Over 1 HP NOTICE PERMIT O APPLICANT If, ofter.making this Certificate of Exemption, you should become subject to the Workers' Range— Heater—D W — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS 6 l , ��`✓fid with comply with such provisions or this permit shall be Top — FAU —W H — ^ deemed,revoked J CITY (f /�,V;�/ Tel 0_ 3� LICENSED CONTRACTORS DECLARATION Hood — Fan —Other_ LICENSE /� LL 1 I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBERa//1762 Class G"Q (commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROC SED BY and Professions Code,and my license is in full force and effect d Size &Type HP, KW, KVA, or KVAR �V 0 � p� U License Ni mber Lic ClassL/=�V Up to 1 Incl FINAL ' Ae R 4:hl 7*1W y Over 1 to 10 Incl DATE U V TION � Contractor Date v 0 Over 10 to 50 Incl F-1 FINA U F- I am exempt under Sec Over 50 to 100 Inc. BY Over a 100 W B &P C for this reason N Date Services, Swbd , MCC & Ponelboards 29831 A Z 0-200 Amp Under 600 V , # e o'.o o • 2 — Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V ❑ Exemption for Reg Maint Elect 1 e'1 2 2 7 5 SINGLE FAMILY e HOME OWNER-BUILDER DECLARATION Temp Power Pole &Appurtenances o • 1 22750' 1 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 0 6,Q 9,y 8.8 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)_ Business and Professions Code) CONSTRUCTION LENDING AGENCY 9 8 3.2 A 1 hereby affirm that there is a construction lending agency for # 0 0,0 • e 1 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ c > ,I ,• 1 .3 3,2 5' PLAN CHECKING FEE ' Lender's Name � � � o�0 1 3 3,2 5 PERMIT ISSUING FEE Lender's Address 0609-88 1 certify that I have read this application and state that the TOTAL FEE �ry above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize epresentatives of this County to enter upon the above- en i property r inspection purposes c SEE REVERSE FOR EXPLANATORY LANGUAGE 'gig—nature of erm ee gate ®s WORKERS'COMPENSATIONDECLARATION' ' 76-663 10181 y CE-806G „gpPLICATION ,FOR ELECTRICAL PERMITt I hereby affirm that f have a certificate of consent to self insure, ` or a certificate of Workers' Compensation Insurance_, or a certified COUNTY OF LOS ANGELES/ BUILDING,AND SAFETY copy thereof (Sec 3800,Lab C) �i r • Policy NO' -Company M `" _ ,FOR APPLICANT TO FILL IN!' '` - -• ,JOB - rx Q ❑ CerUfi co is ereb furnished EACH NO FEE_ ADDRESS Melut1 . copy Y New Residential Bldgs &Pools ` Certified copy is filed with•the county-budding inspection« 1 & 2-Family;Sq Ft $ $ LOCALITY �r G department Multi-family Sq Ft NEAREST M (� CROSS ST` Date ` �✓ V�u�`'!/'! ' ' Residential Swimming Pools OWNER OR Applicant ' FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' , MAIL Outlets Rec. Light — Sw , COMPENSATION INSURANCE° =� = ADDRESS ,�� �1 GIS This,section need,not be completed if•the work-involved b the, First 20 ( P Y CITY ' Tel No« permit,is for,one hundred dollars,($100)or less) Total No Additional PLAN- 'A' ' •I-certify_thatiin the performance of the•work fort which this permit; APPLICANT CHECK y�� { h? is issued, I shall not,employ any person in any manrier,,so as to become subject fro th orkers',Compensation Laws „ 'y Lighting-Fixtures First 20 ADDRESS -in - /t r� Total No Additional CITY Tel No Date Applicant 1Aj. ' • Fixed Appliances"Not Over 1 HP PERMIT NOTICE -TO APPLICANT If,,after making this'Certificate of ('N 6 - APPLICANT Exemption;you should:become subject to.the Workers',Compensation `,Range_ Heater_ DW r �4J provisions of the Labor Code, you must forthwith comply with such Oven.-_ Dryer W M ADDRESS � AVF` provisions or this permit shall be deemed revoked Top FAU _.W H CITY, 1Y1C71 -Tei No r LICENSED CONTRACTORS DECLARATION Hood Fa Other_ t,-hereby affirm that I am.hcensed under provisions of'Chapter 9• LICENSE OR Disp — Room Air Cond - Class ' (commencmg•with Section 70,00) of Division-3-of the Business and REG NUMBER Professions Code,and my license is'in full force and eff66t�•'" Power Apparatus& Large Appliances DISTRICT NO PROCESS BY,,- Szd& Type HP,KW,KVA,or KVAR t Cl 0 License Number 9 Lic ClassUp to 1 Incl' FINAL( � - V • � i 9(7 N' Over 1 to 10lncl DATE �JJ DATION Contractor v° Date Over 10 to 50 Incl FIN- i !/ i V 01 , ❑ I am exempt under Sec Over 50 to 100 Inc BY W Over 100 ~ 'BBPC for this reason _ U) � Services;•Swbd-;MCC& Panelboards Z Date 0- 200 Amp'Under 6001V a Signature x 201 - 1000 Amp Urider 600 V Over 1000'Amp or Over 600 V ` Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole& Appurtenarices 3 0'� HOME OWNER-BUILDER DECLARATION ' - . ' Sign with One Branch Circuit f 1 hereby affirm that I am exempt from the Contractor's License Law. y, for the following reason(Section 7031 5, Business and Professions Additional Sign Branch,Qrcuds # o o b,;o 0 2 Code)-, I, = ' 0 ' " ❑ • ' Misc Conduits&;Conductors - . - - 25150 , I,as owner of the property,,will do the,work and the structure is not-intended or offered for sale-(Se6tion 7044, Business' Other'(See Complete Fee Schedule),_ 0 0 o 2 5155 and Professions Code) �'�` CONSTRUCTION LENDING AGENCY 12 6 �8 8• I hereby affirm that there is a construction-lending agency for.the „ performance of;the work for which this permit,is Issued(Sec 3097, , ,, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE Lender's Name r- i PERMIT ISSUING FEE U s Lender's Address , I certify,that I have read this application and state that the above• TOTAL FEE information is correct I agree to comply,with all County ordinances 'and,State laws regulating'Electrical wiring, and hereby,authorize , representatives of this County to enter upon,the above-mentioned property for i pection purp es • � �� �' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee ate , WORKER'S COMPENSATION DECLARATION 9 DPW 9/89 76A663 APPLICATION FOR ELECTRICAL PERMIT 76A66 I hereby affirm,'that I have a certificate of consent to self Insure, or a certificate'of worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec' 3800 Lab C) POMC No Company FOR APPLICANT TO FILL IN "" ' '•'-', - JOB"-• ❑ Y P Y U ADDRESS Certified copy Is hereby furmshei New Residential Bldgs &Pools _'-EACH NO __FEE � "CertifiedV, . , .14. o ! $ — $ LOCALITY .,/h' lr °Li/C ❑!> co Is filed with the, buildingrns action 1&2-Family,Sq Ft PY county, P — i NEAREST department .„ -.,, q Multi-family Sq Ft CROSS ST Date 1•.°�Apphcant L ',�"^' ' Residential Swimming Pools' )� t h ASSESSOR O PAGEPARCE v 4 _ MAP BOOK o �O _ ,• - •v,�` tFs .. J3l'J�.; ,40,1 tq n`, -« ••_•- :CERTIFICATE OF EXEMPTION FROM WORKERS'-,.,,." Outlets Re� Light SW FOIRM NAME_ COMPENSATION INSURANCE - -�� n, First 2C E. '. MAIL` 'h (This section.need not be completed If the work,involved by,the i ADDRESS �• - - u" - ,Total No Additional -+ permit Is forone 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'pe'rson-in any man.1 1' 'as to i :1 Lighting Fixtures First 20 PLAN CHECK become subject to the,Workers'Compensation Laws �,. },s 9 9 - - - -' - -' APPLICANT- Total No Additional ` `ADDRESS Date Applicant• UrQt U _ NOTICE TO APPLICANT If,iafter makingnthls Certificate of BRANCH CIRCUITS- / ,� 3 'CITY Tel No 15 OR 20A-120V Exemption,you should•become sublect to the Workers',Compensation 1 TO 10,INCLUSIVE EACH rovisions of the Labor Code, you must forthwith-coin I with such --11 TO 40 INCLUSIVE EACH-• PERMIT, _i✓r��� , P w Y ,._ P Y, - APPLICANT provision's or this Fermis shall be deemed revoked_ ` 41 OR'MORE BRANCH CIRCUITS EACH �- LICENSED CONTRACTORS DECLARATION __ _ ADDRESS .0-;7e_3G (/� I hereby affirin`tFat I am licensed under provisions of Chapter 9 r �15 OR 20A,208V TO 277V1:1GHTM EACH (commencing with Section 7000) of Division''3 of the Businessland _ _ _ _•_ _ CITY �jJ! Tel No, �73��scf (O Professions Code, and my license Is in'full force and effect t RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR (� Power Apparatus&Large Appliances REG NUMBER Class 43 O License Number 5(, v Lic Class ' J -Size&Type HP,KW,KVA,or KVAR, DISTRICT NO P�oYycg'SSSEED BY U -Up'to 3-Incl - AD.�/ W Over 3 to 10 Incl _ FINAL Contractor Date n /G�c/! � ^ /; DATE_ - Over 10 to 50 Incl- I am exempt under Sec Over 50 to 100 Incl T VALIDATION -" • Over 100 - - '` ' �- - FINAL- B&P C for this reason - - BY Services,Swbd,MCC C&Panelboards�,._ _ Date + 0-200 Amp Under 600 V Signature �— __201_-_1000 Amp Under 600 V -- -- ❑ ,_ ^<,•, ,_ Over 1000 Amp or Over 600 V Exemption far Reg Mainf Elect SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION . - - - - - - - .a_ - I hereby affirm that I am exempt from the Contractor's License Law Sign wrth One Branch Cvcwt +_.{ = for the following reason (Section 7031 5, Business and Professions Additional Sign_Branch Circuits" _ _ - Code) ❑ 1, as owner of the property,will do the work and the structure Mlsc Conduits&.Conductors Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)' and Professions Code) - - ---- - r.. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the _ - -, m. F r;3C}�{=?h=, ! performance of the work for which this permit Is issued (Sec 3097, PERMIT FEE _ �_ (Sub-Total) _ LIP _ Civ C) r - PLAN CHECKING FEE T _ _ _- _ `3;,i si ,_,`; - t'+•• 1'; Lender's Name PERMIT ISSUING FEE4 _ 47S'7 fledi 'gin Lender's Address I certify that I have read this application and state that the above JTOTAL FEE Information Is correct ,I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes- SEE REVERSE FOR EXPLANATORY LANGUAGE i SIGNATURE OF APPLICANT OR AGENT DATE _ WORKER'S COMPENSATION DECLARATION 9 DPW 9/89 APPLICATION-FOR ELECTRICAL PERMIT i 76A66 ` I hereby affirm that,l have a certificate of consent to self Insure, 76A663 or's 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, b C) c + " PO Cy NO Company Silo 7� FOR APPLICANT TO FILL IN JOB JOB. iADDRESS % JV Certified copy Is hereby furnished New Residential Bldgs &Pools -EACH.- NO, FEE $ _ $ LOCALITY ❑S, Certified copy is filed with the county buddi i coon 1,N 2-Family;Sq Ft' _ NEAREST AEK;�__A'�pkc'an Multi-family Sq FtCROSS ST Date Residential Swimming Pools ASSESSOR t - r L• , _. _ - MAP BOOK PAGE PARCEL „ n CERTIFICATE OF'EXEMPTION FROM WORKERS' Outlets Rec _Light SW OWNER OR COMPENSATION INSURANCE F FIRM'NAME - �� � - First 20 - (This section need not be completed if the work involved by the MAIL' n� permit,is for one hundred dollars(5100)or less) Total No Additional ADDRESS Q �L _QA certify that in the performance of the woik for which this permit CITY, - Tel No is issued, I shall not employ any person in any manner so as to become subject-to the Workers' Compensation Lighting Fixtures First 20 PLAN CANT K Total No Additional Ppp� ADDRESS Date �� licant ' 150R 20A,120V BRANCH CIRCUITS NOTICE• O APPLICANT I If;'after makin this Certificate'of CITY " TeI'No-- Exemption,you'should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of'the.Labor,Code, you must,forthwith comply,with,such 11 TO 40 INCLUSIVE EACH - PERMIT' �� APPLICANT provisions.or this permit shall be deemed revoked 41 OR MORE BRANCH CIRCUITS EACH2 p ' /A } LICENSED CONTRACTORS DECLARATION - 'ADDRESS S�J b. 1 VA G I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH ��. /// (commencing with Section 7000) of Division 3 of the Business and __ M,- _ CITY �� _Tel N-Sow -� Professions Code,and my license is In full force,and effect RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR / /�� �- Power Apparatus'&,Large Appliances _ - _ _ REG NUMBER S_6 Fa Cless 0 J_ 63 �—`T� SIzB&Type HP,KW,KVA,or KVAR DISTRICT NO PROCESSED BY U License Number Li'c Class, Up to 3 Incl - � W Over 3 to 10 Incl FINAL a -- Contractor _ Date ---- - - • - DATE •- - Over 10 to 50 Incl (� Z ❑ I am exempt under Sec Over 50 to 100 Incl / ~VALIDATION B&P.C-for this reason _ Over 100 - - - FINAL _Services,Swbd,'MCC&Panelboards — Date 0-200 Amp Under 600,V Signature 201 -1000 Amp Under 600 V y ❑ . _ Over•1000 Amp or Over 600 V i Exemption for Reg M nt Elect Fi_�•I °$ SINGLE FAMILY Temp Power Pole&A_ppurtenan_ces ;- y� HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit �� 94° 1 hereby affirm that I am exempt from the Contractor's License Law q for the following reason.(Section 7031 5, Business and Professions Additional Sign Branch.Circuits _ EM Code) ) 1 I t 94 - 35 ❑ I, as owner of the property,will do the work and the structure Misc Conduits&Conductors - -,5 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHECK ��°1�_t and Professions Code) _ ) ®> iNANGE °Ge CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the '�'�1ti�tt ��yyff,,ii 1 performance of the work for which this permit is issued (Sec 3097, PERMIT FEE- (Sub-Total) r• 5 0on-0-0001'• , 8/15 5 Civ C) PLAN CHECKING FEE _ . . 50Q 1' Aft �� Lender's Name = PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE LJ information is correct I agree to comply with all County ordinances " and State laws regulating Electrical wiring, and hereby authorize representatives of this County t enter upon the above-mentioned J ` property for mspecho urpose j SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF APP ICANT OR AGENT DATE f „- ?JNORKERS'COMP,ENSATION DECLARATION '•r 76A663 10/61• APPLICATION FOR ELECTRICAL, PERMIT"CE-806G I,hereby affirm thafl•have,'a-cergtificate of consent,to self insure,' a ^ - : a or.-a certificate of Workers';Compensation Insuranc , or`a certified COUNTY•OF•LOS 'ANGELES , „ ,,,.BUILDING AND:SAFETY ' copy thereof(Sed '6 Lab',C) , j'.: ' r , Policy No 'Companye ' �� `, ;; ,FOR APPLICANT TO'FIL'L,IN'_ _ -” '''"- JOB .•• Q. ,� ° , _ r ❑ `Certifredc is�nerelif `�ished "e ADDRESS', oPY Y r New Residential'Bidgs & Pools ' .'EACH1 NO FEE },. w, $ — ,'$ LOCALITY.a ❑% Certrfed;copy is,filed;withr-the county building`inspection'•_ I ? ? Family,Sq Ft + — .• departmenf v ;; i.l „ 'Multi-family Sq Ft ) _ CROSS ST " �.. I"ar 4'd Date t A c,ant f' +`'` ResidentiahSwimming Pools "' OWNER OR,�' Y ..•r'�pp _ _ _ r _ t 4w F x CE RTIFICAT,E;OF EXEMPTION FROM WORKERS'^• t - i MAIL Y' 4; - Outlets Rbc Light—�Sw �' ADD elf �1 INSURANCE, KESS �. , �;. • .'s- o .^ >, ,,,,COMPENSATION.� r First 20`'� >. (ThIs,„sectI need not be completed,lf�the work,invol'ved by the Total'No Adddional•� a CITYr � ' Tel'No ZF- permit Is-for one hundr66"dollars,($100),or less.). '.,•t' M. ` -, r - PLAN CHECKr.�' K ;L-certrfy.that,in the perform of•'the4work for which'thislpermrt N` - + , -APPLICANT p{ °• 'a ' y is'Issued, I shall,not"employ,'any person in,any manner so as'to r, "~ ,,a , , �• become subject to:the,.Workers:Compensahon'Laws" = Ltghhng'Ftztures First 20 '• u" ADDRESS r a „ ays. // J) Additional'• c Date applicant r (' 1-1 z L� r Total No CITY N,-`�4 r'`Tel No f7 ,7 ^ t,. r 4" ;Fixed Appliances NOti Ovei,1,HP �ti '= - PERMIT :NOTI- TO•'=AP�PLICANT,,IQ'after makOg -this; Certrficate" of a>> y 4. ; •APPLICANT "� Exemption,you should become'subject to the Workers'Compensation Range_ Heater_;DW, A P c Y provisions of t1ie.Labor Code;you must-forthwrthacomply,' ,i such, Oven Dryers= WM _ ', y ADDRESS ✓1 Fovisions or thi erAt shall'be deemed revoked 4� p s p .i Topp -r FAU —`W H'4_. a ,.` f t> F Tel No y' S LICENSED CONTRACTORS,DECLARATION= t� j V Hood — Fan _",Other_, 4 'CIT,Y' �. C I hereby affirm 'tha't h am=licensed under-provision's of,.Chapter,9, Dis —,Room Air,,.Cond _° REG NSE 0 ,,Class (commencing wifh Sect, n'7000) of Division 3 of the;Busmess and` p; r.� REG NUMBER , tij b, ' ProfessionsCode;and my license is'm'full'force aril effect DISTRICT,NOz ' P, ED,BY� s Power'Apparatus,,&',Large;Appliarices -- �•. ? ,•4 ?: -.e, Stze&-Type;HP,KW,tK,VA,or KVAR O License Number U%Z��3 .� Lic'Class d'` FINAL"-^' r U Up'fo 1 Incl' ✓ Y _ Ja a , Over 1 to-101nc1 z, DATE r Contractor' �^.,'�rs .•r �PC�/�L.Da{e s ; � ./ ' VALIDATION• ❑ Oyer 10'to 50 Incl Y FINA U I am exempt under Sec Over 50 to'100,1 c B B&PC for.this reason% "< Oven 100 Services,Swbd,•MCC&'Panelboards � ;� d,-'2o6 A p Untler 600 V.'Signature l7 < �.; -201- 1000,Amp Under 600 Over 1000,Amp or Over 600 It Exemption for Re6lMaint Elect, •We f`•. ..{� r' �, , t '. �? � ,-':'�"'` � „� W4 • o 1, j� r 't :'t. .e,, , y' • •. 31NGLE,FAMILY gTemp Power Pole BFAppurtenancese I Y. 'HOMEOWNER'BUILDER DECL"ARAT,ION" ^ s, Sign with One Branch Circuit _ • _ I-hereby affirm•,that I am exempt from the Contractor's License.Law" • a+!r , `t �• •° I for the 101owrng.reason'(Sectior,7,031 5, Business and Professioris' Adddronal'Sign Branch_Gircwts ,•t r 5 de) , • '• 'Vi'µ i,- _ , • fir . J Misc Condwts &•Conductors- L ,, - 3 r• - - I;as owner of the property,will do the work and then_structure• ' x. Other (See•Complete Fee Schedule);_ + �'• _ c ; 'is-not intended or,offered for'sale'(Section 7044! Business' -, and Professions*Code) ,r �e, =,n :, a �� ' '':a• 'y^ �: .. x. �„ t f CONSTRUCTION LENDING AGENCY a - �. ' Ltiereby affirm that there ts=a"const?uchon lendtng,agency,for,the' ° r performance'of the'work for"ch this permit is issued(Sec 3097; - ,PERMIT,FEE_ CT.4 civ C PLAN,CHECKING FEE '{' y ,r 3307,:.;,,. 1'Is�'= r,a,•. f} nder's Name' L'eo :,, e u PERMITrISSUING FEE 1 i" ITEMS ' Lender's Address j f AL' I certify,that I have'read this application and state that the•above' LA TOTALVFEE z "'' "{ / 'h'' • R II >: information is corredt (agree to comply with'all County ordinances y .CASH' 14n2•? and State laws regulatmgr Electrical'wiring, and he�ebyf authonze r . 'representatrves"of this'County to enter-up6wthe above_mentioned yA• "' " CHANGE a�ltl property for inspection'_purposes '/ Y a SEE REVERSE FOR EXPLANATORY LANGUAGE "Signature of Permittee - ate r �r-,rJ—UI� 1 /8 , . WORKERS' COMPENSATION,DECLARATION CE-663 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that'I have a certificate of consent to self insure, CE-8o6G or a certificate of Workers' Compensation Insurance,•or a certified 'COU NTY.OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800,Lab C) _ , Policy No = Company FOR APPLICANT TO FILL'IN JOB ^� rtified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS ",.� ;�'jl�.(t Dc " LOCALITY; ' Certrfied copy is filed,,with the county building inspection' 1 &,2-Family;'Sq FtNEAREST $ $ ? department t'.• '' °• Multi-,family,-Sq Ft _ CROSSST Dat r 1 + _ Residential,Swimming Pools Applicant i a OWNER OR �•' _� FIRM NAME Q' CERTIFICATE F"EXEMPTION,FROW WORKE S'' MAIL Outlets Rec— Light — Sw „• �a�• tc�ysCt 3 4 CO ENSATION INSURANCE ,,- ADDRESS. -66 This section need not be coin leted If the work Involved,by the First 20r W ( P CITY " Tel No permit•is for one hundred dollars ($,100)or less.) Total No Additional I certify that in the erformance of the,work for which this permit PLAN C CK Y P I •a •APPLICANT 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 I Total No" �{ CITY Tel No Date APPhcan I i cf ` Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, of er making this,.C i rficate, of APPLICANT Exemption,you should become subject to the Workers'Compensation Range_'Heater_ DW provisions;of,,the Labor Code, you must,forthwith comply with such Oven Dryer W _ ADDRESS provisions o,this permit shall be deemed revoked y, Top ,— FAU W H '°r CITY / Y °Tel'-N LICENSED CONTRACTORS,DECLARATION Hood — Fan Other – I hereby affirm that I am licensed under provisions of Chapter 9' LICENSE O Dlsp — Room-Air Cond Class' - (co'mmenc(ng wdh`SecUon 7000)of Division 3 of,& Business and REG NUMBER Professions Code,and my,license is'in full force and effect DISTRIC C ED BY ; Power Apparatus& Large Appliances Size.& Type HP,KW,KVA,or KVAR. 0 License Number Lic-Class P' Up to 1 Incl FINAL Over 1 to 10 Inch ^ DATE O Contractor Date –7 VALIDATION Over 10 to 50 Incl FINAL ham exempt'under Se Over 50 to 100 Inc BY W B&P C for this reason Over 100 U) Services,Swbd,MCC& Panelboards -, Pj Z- Date 0- 200 Amp Under 600 V Signature 1000 Amp:Under 600 V x �. Over •1000 Amp or Over 600 V Exemption for Reg Mamt Elect ` a SINGLE FAMILY T.QKP 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 Additional Sign Branch Circuits for the following reason (Section'7031 5, Business and Professions „ Code) ' Misc Conduits& Conductors El',•' 1,•as•owner of the property,will do the work and the structure' is not intended or offered for sale (Section 7044, Business Other,(See Complete Fee Schedule) . and Professions Code) h` Ploti tai•t-TA, 15 cd CONSTRUCTION LENDING'AGENCY f ar•�1 , F,!f-' NS I hereby affirm,that there is a.construction.lending,agency for,the f performance of the work for which this permd is issued(Sec 3097, PERMIT FEE• - - (Sufi-Total) jSa." •f ., _ \1 C� C) TOTAL . , 2!!5'"50, � O ,. :PLAN}CHECKING FEE - r. _ u _5 "' Lender's Name D –X . . �•t-tL.CK.� N 25,5�( PERMIT.ISSUING FEE Lender's Address t C1G .,CID I certify,that I have read this application and state that the above TOTAL FEE information is correct ('agree to comply with all County ordinances 4 and State laws regulating Electrical wiring, and hereby authorize T.i "f l][fyt-0013 2,r 3/319 representatives,of this County to enter upon the above-mentioned a ;�e• – propert e�2�UMro.se: "-la - 12U•: Y ',•. /-_ SEE�REVERSE FOR EXPLANATORY LANGUAGE;. s Signature of,PerrfQt Date a fes. WORKERS'COMPENSATION DECLARATION 76A663 10/81 I hereby affirm that I have a certrficate of consent to self insure, CE-806G - APPLICATION,-FOR ELECTRICAL ,PE'R'MIT ora certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY ` copy thereof(Sec 3800,Lab C) _Poli y`NO '. •Company '• - FOR APPLICANT TO FILL IN - - JOB ,•Certihed copy is hereby furnished '.F „ New,Residential Bldgs & Pools EACH'„,NO FEE,;, ADDRESS U (•) - ", $ — $ LOCALITY Certified copy is filed with'the-county,building inspection 1 & 2-Family,Sq Ft - „ Ij department Multi-family Sq Ft NEAREST, CROSS ST n! 1 ,Residential Swimming Pools OWNER OR Date' Applicant �-_11_ 1 .-. FIRM NAME -. CERTIFICATE,OF,EXEMP,TI(DN FROM WORKERS% x , MAIL Rec (g ,— Sw 'ADDRESS INSURANCE- ' /? 'r' This,sectlon need,not be completed If the work involved b the First 20 ( P y Total No Additional; CITY Tel No�� 2 permit is.for one hundred dollars($100)or less,) I certify that In the the work for,which this permit PLAN CHECK , Y P r 'APPLICANT isfissued, I shall not employ any pers n any m ner, so as to i , become subject to fhe Workers'Comp nsa ion La Lighting Fixtures• _ First 20`, - ADDRESS Additional Total No• CITY Tel No Date �� ;Applicant ' NOTICE TO APPLICANT ,If,;. after making',this Certificate° of Fixed Appliances Not Over., HP,., PERMIT - - APPLICANT w �^► / Exemption,you should become subject to the Workers',Compensation Range_ Heater_ D W Aj provisions of the Labor Code, you must forthwith comply,with such Oven Dryer _ W M ADDRESS prowsions'or"this permit shall be deemeb revok4d To FAU W H Top - CITY 'f -Tel No LICENSED�CONTRACTORSDECLARATION_ Hood Fan Other_ I hereby affirm that, I am,licensed under provisions of Chapter 9 LICENSEOR (commenting"with Section'7000) of Division 3 of the Business'and Disp Room,Air Cond, �- _ Class REG NUMBER- Professions Code,and my license is in full force and effectDISTRICT NO PRO E Power Apparatus& Large Appliances _ _ != A <00' Size& Type HP,KW,KVA,or KVAR � �J Q License Number 2 Lic Class 4l—1 Up to 1 Incl FINAL V > Over 1 to 10 Incl DATE t U'/'� tj VALIDATION 0 'Contractor Dafe Over 10 to 50 Incl V FINAL I'am exempt'under Sec Over 50 to 100 IncI BY• ,�J/1 W B&PC for t is'r ason ~ Over 100 0 �.2•,. r, 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. r i Exemption for Reg Man Elect SINGLE-FAMILY Temp Power Pole& Appurtenances , HOMEOWNER-BUILDER DECLARATION • e - I herebyaffirm that I am exempt from the Contractor's License Law' Sign wdh One Branch Circuit p Additional Sign>Branch Circuits "� _ A for the following reason(Section 7031 5, Business and Professions •- ,':- _ s, M, • Misc Conduits& Conductors I,as owner of the property,will do the work and the structureITW is not mtendedr or offered for sale (Section 7044, Business• Otherf(See•Complete Fee Schedule) -, �- and Professions Code) ;,'' x' ' 1M1150 � CONSTRUCTION LENDING AGENCY T.• _ , LfiG41�. 13.50 I hereby affirm that there is a construction lending agency for tKe ( PERMIT FEE, V V performance of the work for which this permit is issued Sec 3097, (Sub Total) �� Cm C) ,; � " •j w .�� 'PLAN CHECKING•FEE , •, � _ _ '..•; • Lender's Name 7fZi�vt - PERMIT ISSUING,FEE„ 0 Lender's Address \ 4M 1 AM 841 I certify that•1 have read this application,and state that the above- • TOTAL FEE 3J o information ret I agree toycomply with•all*County ordinances „ and St law regulating lectncal wiring,,and hereby authorize repres tative of this,C nty,to enter upon the above-mentioned' prope y for i specho rposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Perm e Date - WORKERS-COMPENSATION DECLARATION 7E-806 �,,,4ppLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure; { or a jgertificate of Workers' Compensation Insurance,.or a certified COUNTY OF,LOS ANGELES BUILDINGAND,SAFETY copV.iqhereof (Sec 3800,Lab C)' ' Policy No - -Company ' , FOR APPLICANf,TO FILL IN, JOB •' _ ADDRESS C/• i ,Certified copy,is hereby furnish New Residential Bldgs & Pools° q EACH NO FEE „r n , Yi+ , LOCALITY o ` a❑- Certified is fled the county building inspection 1 &'2-Family, Sq Ft $ — $ , .� +- NEAREST.- • department Multi-family Sq'Ft — n, , u' a CROSS ST;,', Date Applicant Residential Swimming Pools a" OWNER OR _•, �, _ �, , ' FIRM-NAME' W ' CERTIFICATE+OF EXEMPTION FROM.WORKERS' Light, � MAIL . Q/�/ COMPENSATION INSURANCE„ Outlets Rec— g o Sw, + P ADDRESS"�7 O/� v ,• This section neednot be completed if the work involved.t5 the `First 20 1, o P Y CITY ' Tel No, Total No Additional-; J' ' s + perm- is for orie.hundred dollars;($100)or less) , = „PLAN CHECK „{ wti `Ix t, A- $ I,cerbfy.that in the performance of,the work for which this permit ' •'�,,. w APPUCANT �` ff :'�'' s-issued, I shall riot employ any person in any manner•so as to t become subject,,to"the-Workers"Compensation'Laws ; - Lighting Fixtures First-20' ADDRESS` n• _ ' Additional . ,�� ', ' /[�!� �` - „Total No " CITY, Tel N Date Applicant U��+t 74 Fixed Appliances Not Over 1 HP PERMIT: +� f NOTICE TO APPLICANT If, 'after making_this 'Certificate'of Ezemptfon,you'shoul'becomeigubfect to the`Worke*Compensation Range_ Heater�,• DW APPLICANT Q "provisions of the'Labor Code, you must,forthwith'comply;with;such Oven'-_ Dryer'_ WM " `° P -ADDRESS " 1'provisionsor,this'permit•shall be-deemed,revoked '" a' Top FAU WH , LICENSED CONTRACTORSbDECLARATION'' +' CITY �. ._ •- �' - ' -• Tel No Hood Fan- -`Other_' �I hereby affirm tQVI am licensed under'provisionsiof Chapter;'9 Disp — Room Air Cond LICENSE OR^ (� Class f _(commencing with Section'7000) of Division 3 of the,Business,and REG NUMBER �'��,( �:. Professions Code;and my license IS'in full force,and'effect ' DISTRICT Na PR SSED BY , Power Apparatus& Large Appliances 5 0e, ` �///, ^,; ✓ ,�'t ,�` Size•& Type HP,KW, KVA,or KVAR. License Number ® 7."(�/ /'/��.Lic Class, ` "Up,to 1 Incl FINAL U' Over' :1 to 10,'lncl•• DATE' (� 6ontracto'r -`^ Date 0 _�, ' Z—1- ����, -VALIDATION' r_ O 1 f Over 10 to 50 Incl FINAL ' '1 am exempt under Sec Over 50 to 106 Inc BY W, B&PC;for this reason Over 100- �' ,' �-' Services,Swbd,MCC&,Panelboards �° N ; ate' 0 200 Amp,Under 600 V, Signature 201---1000 Amp Under 600 V ' .'' Over 1000 Amp or Over600-V Exemption for Reg'Maint Elect SINGLE FAMILY - Temp Power,Pole',&'Appurtenances , A `' i > HOME OWNER-BUILDER DECLARATION ' Sign with One Branch Circuit a , � P 1°hereby affirm that I am exempt from the Contractor's License Law r'� ' 7 fo"r,the,followmg reason,(Section 7031 5,Busuiess,and Professions Additional,Sigri,Branch Circuits - - . . .511 Code)„ pa ❑ , �, T 1�It£i �,�: Misc Condwts�& Conductors,' -, ',7. � w , I,'as•owner'of the property,=wv ",do the work and the structure ; - Y I V I tA:' 0' isnot in or offered for sale (Section,704"4;,Business Other(See Complete Fee Schedule) , =e, and�E(bfessions Code) tr" = u - », CONSTRUCTION LENDING"AGENCY K �c I hereby affirm.that•there is,a construction.lending agency for the ',' ; j w"•, = performance of the work for which this permit is issued(Sec'3097.,, ` PERMIT;FEE , a, (Sub-Total), rn "� y .� ' ' ;Civ C) ,� q + per' + - PLANzCHECKING FEE` 7/2-0/t37 0000 'Lender's Name,. �taht �rAM���Q� ° k• m` PERMIT ISSUING FEE F ; Lender's''Address I certify that I have read this applicationyand state that the above TOTAL FEE !" information'IS correct I agree to-comply,with all County ordinances and State laws regulating Electrical w(nng, and hereby authorize' representatives of this.County to,enter,upon the above-mentioned' , - r"- - ',-, e r ' prop for'inspection purposes SEE Y b REVERSE FOR EXPLANATORY, a, i J6f Signature of Permittee / ` Date ' r WOF17S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT. I hereby affirm that I have a certificate of consent to self Insure, 76A663 or a„ertlflca:e*of Worker's•Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV, copy thereof(Sec 3800 Lab C) Policy NO Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy Is hereby furnished' New Residential Bldgs &Pools NO EACH FEE y $ $ LOCALITY ��� ❑• Certrfied copy Is fled wdh the county budding Inspection 1 &2-Family,Sq Ft _ NEAREST- 12 department Multi-family Sq Ft CROSS ST Date' Applicant Residential Swimming Pools ASSESSOR PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec —Light Sw OWNER OR COMPENSATION INSURANCE FIRM NAME FIfSt 20 MAIL /7 . �•J� (This section need not be completed If'the work Involved by the - - ADDRESS !J(7 �fCT1 l7 /� ,av permit Is for'one hundred dollars($100)or less) Total No Additional I certify that In the performance of'the work for which this permit CITY , Tel N s Issued, I shall not employ any'person in any manner so as t0PLAN CHECK become subject to the Workers' Compensation Laws •, Lighting Fixtures First 20 APPLICANT 1_� n Total No Additional ADDRESS 0 na/ Dat.,,?-3,o / Applicant ��` ` RESIDENTIAL APPLIANCES NOT OVER 3 HP r NOTICE:TO APPLICANT If, after making this Certificate of - CITY rel No Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP rovisions,of the Labor Code, you must forthwith comply with such _ _ _ PERMIT p p y Power Apparatus&Large Appliances APPLICANT provisions or this permit shall be deemed revoked LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirmthat I am licensed under provisions'of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITYTel No OR Professions Code, and my license is in full force and effect Over 10 to 50 Incl } Over 50 to 100 Incl REG LICENSE ER Class a License Number LIC Class `r Over 100 DISTRICT NO R G SED BY O XU 'Services,Swbd,MCC&Panelboards v01 0-399 Amp Under 600 V FINALe O Contractor Date DATE j U 400-1000 Amp Under 600 V ❑ I am exempt under Sec Over 1000 Amp or Over 600 V FINAL VA ATION Lu, a. B&P C for this reason BRANCH CIRCUIT FEES BY C0 Date 15A,or 20A, 120V,Lighting or Recept1C Z 1 To 10 Branch Clrcurts Signature 11 To 40 Branch Ciruits ED41 Or More Branch Circuits Exemption for Reg Maint lett 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATIONQ ACCT.8 ,1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 115r4To4 for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 3303 bS460 Code) ITEMS 1 i ITEMS❑ ,Mist Conduits&Conductors I, as owner of the property,well do the work and the structure t ,r5 60 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , TIaT�(.• 65® ' and Professions Code) CHECK 65°60 CONSTRUCTION-LENDING AGENCY 00 o CHANGE I,hereby affirm that there is a construction lending agency for the G VV performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) Q Civ C) CJ Lender's Name F1 U 1 PLAN CHECKING FEE a 1U7�-0001 R 1 RY- � ' PERMIT ISSUING FEE , Q Lender's Address / I certify that I have read this application and under penalty of purjury state TOTAL FEE (p that the above information is„correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes (� SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTE DATE - - WORKERS'COMPENSATION DECLARATION 76-806 10/81 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent to self insure, CE-806G LJ or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB q(�/�/ S �AY ❑ iQ Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS ( [(gyp �""t 1 & 2-Family,Sq Ft $ — $ LOCALITY ❑ Certified copy is filed with the county building inspection — department Multi-family Sq Ft NEAREST _ CROSS ST Date Applicant Residential Swimming Pools OWNER OR S � FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec— Light Sw MAIL COMPENSATION INSURANCE ADDRESS 6 (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less) Total No Additional CITY Tel I certifythat in the performance of the wor for'which this permit PLAN CHECK P APPLICANT CIO is issued, I shall note loy any person i ny manner so as to become sub t to t W ke ' ompensa io La Lighting Fixtures, First 20 ADDRESS t/" Additional r r Total No CITY Z os' Date 1 pphcant % NOTICE A LIC T If, afte akin this C rtificat Fixed Appliances Not Over 1 HP PERMIT �) Exemption,you should become subject the Workers'Compen on Range_ Heater_ DW APPLICANT f (/ L provisions of the Labor Code, you must forthwith comply with such Oven Dryer _ W M _ ADDRESS �j ( 3Y Abrl� provisions or this permit shall be deemed revoked Top FAU _ WH _ CITY ` rZ7 LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ or-M *14i I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond LICENSE OR3_2 (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Class — Professions Code,and my license is in full force and effectDISTRICT NO PROCESSED BY Power Apparatus& Large Appliances , • Size& Type HP,KW,KVA,or KVARf n' 0 Lic se Num er Lic Class Up to 1 Incl FINAL U Over 1 to 10 Incl DATE / Contr ' Date ' VALIDATION 0 ❑ Over 10 to 50 Incl FINAL a 'exempt under ec Over 50 to 100 Inc BY W B&P C for this reason Over 100 _ LL Services, Swbd,MCC& Panelboards Z D 0- 200 Amp Under 600 V Poo- •j Signature 201 - 1000 Amp Under 600 V a Over 1000 Amp or Over 600 V !�f• •�=g ❑ Exemption for R aint Elect 3307 :,"" i SINGLE FAMILY Temp Power Pole& Appurtenances 1 ITEMS - OME OWNER-BUILDER DECLARATION Sign with One Branch Circuit Z07 (Ja _,_, I h y affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits TOTAL +��' 04 r the following reason (Section 7031 5, Business and Professions Code) HE�K .L ❑ Misc Conduits& Conductors I,as owner of the property,will do the work and the structure CHANGE is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) CONSTRUCTION LENDING AGENCY Q[fi_liL)-rj[{(J1 11!14P I hereby affirm that there is a construction lending cy for the �°11 r performance of the work for which thi ermit is ed(Sec 3097, PERMIT FEE (Sub-Total) `L© 6 1 F�1�a Civ C) PLAN CHECKING FEE Lender's-Name 2 PERMIT ISSUING FEE �J 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 Stat laws regulating Electrical wiring, and Hereby authorize represe at es f thi County to enter upon the abov -mentio ed property o ins a do purposes \ SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ture 0 Pei D to _ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1009160024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID. 1 FEES PAID I BUILDING ADDRESS 1 ITR 6561 LT 411 BL .001 1 - 1 9906 LAS TUNAS DR 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 TEMP CA 917802200 1 (ASSESSOR INFORMATION NUMBER. I 1 NEAREST CROSS STREET: BALDWIN I 18587-030-028 IA1 PERMIT ISSUANCE FEE 27 80 1 •. THOMAS PAGE. 597 GRID. A2 LOCALITY• TEMPLE CITY, Cl I IG1 OUTLETS—LGT,SW,RECP 3 00 OUT 5"80 ITENANT IT1 NO PERMT OTHER OCCUP 257 00 DOL 257.00 IISSUED ON PROCESSED BY PLAN BY 1 1 I TOTAL FEES 290 60 109/16/10 SR I I I I I I OWNER. TEL. NO 1 1 AL,DATE {''� '�-,FIN CODE• 1 ILOH, JIMMY (626) 233-1598— 1 ,J v 19906 LAS TUNAS DR — (, ITEMPLE CITY CA 91780 1 IDE RIPTION OF WORK4_s , 1 I ITHREE OUTLETS ONLY 1 APPLICANT TEL. NO IZHU, JIANRONG (626) 922-2355— 13033 E VALLEY BLVD - ISPECIAL CONDITIONS IW COVINA, CA 91792 ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 IJIANRONG ZPU (626) 922-2355— I I 13033 E VALLEY BLVD ,1,16 LIC NO 1 ITENPORA"RY POWER POLE 1 1 I IW COVINA, CA 91792 912888 C10 I I (UNDERGROUND CONDUIT I I I I I I I I I (ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I LIC NO 1ROUGH, CONDUIT I I I• I I I I I I ROUGH: WIRING I I I I I I I I MAIN;WATER LINE I• IPLASTIC YIN METAL YIN I I I I I I I I I II (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I 1 I I I I I I �• I I _ I I I I I I I I I I I I I I I• I I I I I It I I I I I I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO. BS0508 I I I I { COUNTY OF LOS ANGELES TEMPLE CITY # 0508ELECTRICAL-PERM IT- DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS '�:_-EL_0508-9802090006' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL AID BUILDING DRESS: TR: 6561 LT: 411 BL: .0019906-L'AS TUNAS DR- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: `TEMP-CA-917802200"- -� ASSESSOR INFORMATION R: NEAREST CROSS STREET: 8587-030-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY K2 ADDITIONAL SIGN CKTS 1.00 CIR 12.75 TENANT: TOTAL FEES 40.50 ISSUED 0 ED BY. PLAN BY: EXPIRES OW-- FARMERS -FARMERS INSURANCE 02/09/98 UT 02/09/99 OWNER: TEL. NO: FINAL DATE FINAL Y CODE: LUI WAI YU ALBERT;LUK WAN YUN 1� 1709 PALM AV `T `lD ALHM 918032925 I-, _ F_ _ C SIGN-CIRCUI-TFOR T.WO_NEW-BOX._SIGNS APPLICANT: TEL. SUCCESS SIGN (626) 280-8932- 820 E. VALLEY BLVD. SPECIAL CONDITIONS: SAN GABRIEL, CA GELES CONTRACTOR: TEL. NO: APPROVALS DATE INSPECT-OR SIGNATURE SUCCESS SIGN (626) 280-8932- 820 E VALLEY BLVD LIC. NO TEMPORARY POWER POLE SAN GABRIEL CA 91776 739177 C45 UNDERGROUND CONDUI ARCHITECT ENGINEER: TEL. 0: LIFER GROUND LIC. N0: I 1111111 \ ROUGH CONDUIT it(`- ---- --'- - -- -I----- --- -} ROUGH WIRING MAIN WATER LINE o ���� �� PLASTIC Y/N METAL Y/N ---- -- - ---------- ---- -/ UTILITY MPAN IED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS `EL 0508-9612260009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: GAL ID: FEES PAID BUILDING-ADDRESS: - TR: UI - SS:TR: 6561 LT: 411 BL: .001 99_08_H_LAS TUNASfDR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 927.802200 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-030-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 T TOTAL FEES 66.60 ISSUED ON: PROCESSEDEXPIRES SATELLITE & SURVEILLANCE 12/26/96 TC 12/26/97 OWNER: TEL. NO: FINAL DATE IAL BY: CODE: LUI WAI YU ALBERT;LUK WAN YUN - d 1709 PALM AV 6 ALHM 918032925 OR /J ELECTRICAL FOR NEW CHANNEL LETTER SIGN APPLICANT: ch7 �/ ITAL SIGN CO. (818) 444-6027 l SPECIAL CONDITIONS: o O CONTRACTOR: TEL. N0: o APPROVALS INSPECTOR SIGNATURE ITAL SIGNS - r Q 1 2651 N. LEE AVE. #3 LIC. NO / o JEMPORARY POWER POLE SO. EL MONTE, CA 91733 C45 OUm ^ �in, , I(j( 1i)^ (d UNDERGROUND CONDUIT ARC TE OR R: �JJUFE GROUND LIC. NO: ROUGH CONDUIT ROUGH I NG MAIN WATER LINE BLASTIC Y/N METAL Y/N UTILITY COMPA9T_W6T= * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9804160002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL D: ---FEES PAID BUILDINGDR TR: 6561 LT: 411 BL: .001 9908 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802200 ASSESSOR 0 IO R: NEAREST CROSS STREET: 8587-030-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TE TOTAL FEES 66.60 ISS N: PROCESSED BY: PLAN BY: EXRRES ON: BKN WEDDING GROUP 04/16/98 VG /16/99 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: LUI WAI YU ALBERT;LUK WAN YUN 1709 PALM AV 3-24-ft ALHM 918032925 D SCRI IO OF WORK ELECTRICAL FOR SIGN L. SHAR (626) 444-6027- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: �� 19� APPROVALS DATE INSPECTOR SIGNATURE SHAR, KYI CHOW (626) 444-6027- 2651 N LEE AVE #3 LIC. NO T A79R RY POWER POLE SO. EL MONTE, CA 91733 652665 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER- L. / ,, \ OF LIC. N0: �� 1111111 ' 1��, ROUGH CONDUIT �r - -- - - - -- -- - --- -- ROUGH f MAIN WATER LINE PLASTIC Y/N METAL Y/N - -- j -- -- ---- - IUTILITY COMPAN7 OTrFM REPORT ID: DPR265 ROUTE TO: BS0508 - COUNTY OF LOS ANGELES .TEMPLE CITY # 0508CTiRlCAU�RMIT ER DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS GH508`9609060011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEG I S PAID BUILDING ADDRESS: TR: 6561 LT: 411 BL: .001 9908 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802200 SS S 0 0 TION NUMBER: NEAREST CROSS STREET: 8587-030-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 TOTAL FEES 33.60 ISS ON: PRO AN EXPIRE ON: BNK WEDDING GROUP _ 09/06/96 TC 09/06/97 OWNER: TEL. NO: FINAL DATE FINAL BY- CODE: LUI WAI YU ALBERT;'LUK WAN YUN - (818) 291-2900- /O 1709 PALM AV ( -110 ALHM 918032925 DESCRIPTION 3 NEW OUTLETS FOR WEDDING SHOP APPLICANT: TEL. NO: STC CONSTRUCTION CORP. (818) 579-6561- • SPECIAL CONDITIONS: ' Cn CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIG ATURE STC CONSTRUCTION CORP. 818 579656 -1 1709 PALM AVE. LIC. NO �jl MPO POLE ROSEMEAD, CA 91770 684954 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING Pl"U C 1J V O F �� MAIN WATER LINE PLASTIC Y/N METAL Y/N •O- 0 '� /� UTILITY COMPANY OTIF Oo ) 0 �® REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308290001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ADDRESS:LEGAL I-D: --rEES PAID BUILDING TR: 6561 LT: 411 BL: .001 9906 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802200 INFORMATIONASSESSOR NEAREST CROSS STREET: AGNES 8587-030-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 TENANT: TOTAL FEES 37.50 ISSUED ON: PROCESSED BY: PLAN X . HANG-TE WU 08/29/03 JK 02/25/04 OWNER: . N FINAL BY: CODE: LUI WAI YU ALBERT;LUK WAN YUN 1709 PALM AV ALHM 918032925 DESCRIPTION OF WORK ADD FIVE RECEPTACLES JEFF WANG (626) 821-0572- 735 W DUARTE RD #203 SPECIAL CONDITIONS: ARCADIA 91007 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MIKE KHO (626) 572-0262- 2510 STRATHMORE AVE LIC. NO TEMPORARY POWER ROSEMEAD, CA 91770 674370 B UNDERGROUND CONDUIT ARCHITECT OR G 0: UFER GROUND LIC. N0: ; ROUGH CONDUIT WIRINGROUGH MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY 0 I D REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309250005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT (LEGAL ID FEES PAID I BUILDING ADDRESS ITR 6561 LT 411 BL 001 1 9906 LAS TUNAS DR I ]FEE DESCRIPTION QUANTITY UOM - AMOUNT TEMP CA 917802200 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18587-030-028 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI 1 IK1 SIGNS, OUTLINE LGT 1.00 SIG 38 90 TENANT I TOTAL FEES 66 70 JISSUED ON PROCESSED BY PLAN BY IZION INSURANCE 109/25/13 SR (OWNER TEL NO I IFINAL DATE FINAL BY. CODE RHR MANAGEMENT (626) 571-1832- 1 1 19040 TELSTAR AVE I I 1EL MONTE CA 91731 1 IDESCRIPTION OF WORK (INTERNALLY ILLUMINATED CHANNEL LETTER FRONT & SIDE AND POLE I (SIGN FACE CHANGE (APPLICANT TEL NO 1 1 1 ICHU, MICHAEL (626) 636-6355- 1 1424 S SAN GABRIEL BL 1 (SPECIAL CONDITIONS- 1 ISAN GABRIEL CA 91776 1 1 I (CONTRACTOR TEL • NO 1APPROVALS DATE INSPECTOR SIGNATURE ISUCCESS SIGN GROUP (626) 444-8181- 1 1 12812 PECK RD LIC NO 1 ITEMPORARY POWER POLE 1 1 1 IEL MONTE CA 91776 896068 I 1UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER TEL NO1UFER GROUND _ 1 I I LIC NO Aro"I E TROUGH CONDUIT IROUGH WIRING 1 1 I MAIN WATER LINE ' (PLASTIC Y/N METAL Y/N 1 1 1 1UTILITY COMPANY NOTIFIEDI I 1 I I I I I I I i I I I I I I I I I I 1 I I I I I I i I I I I 1 I I I I I I I I I I I 1 I* ADDITIONAL DATA ON FILE 1 I 1 1 1 IREPORT ID DPR265 ROUTE TO BS0508 1 I 1 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 1206260028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID 1 FEES PAID I BUILDING ADDRESS ITR: 6561 LT- 411 BL 001 1 9906 LAS TUNAS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802200 (ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET- 18587-030-028 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT 1 00 SIG 38 90 ITENANT ITOTAL FEES 66 70 11SSUED ON PROCESSED BY PLAN BY IJIMMY LOH & SU LIU CPAS 106/26/12 SR I I I (OWNER TEL NO I IFINAL DATE FINAL BY CODE 1 ILOH, JIMMY (626) 607-0234- I I I 19906 LAS TUNAS DR. i ITEMPLE CITY CA 91780 (DESCRIPTION OF WORK I 1 JADD ON LETTERS TO EXISTING ILLUMINATED CHANNEL LETTER (APPLICANT TEL NO I I ICHU, MICHAEL (626) 636-6355- 1 1424 S SAN GABRIEL i ISPECIAL CONDITIONS SAN GABRIEL CA 91776 I ICONTRACTOR TEL NO1 I I I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISUCCESS SIGN GROUP (626) 444-8181- 1 1 I 12812 PECK RD LIC NO ITEMPORARY POWER POLE I IEL MONTE CA 91776 896068 C451IUFER GROUNDI I I I I (UNDERGROUND CONDUIT I EXPIFIE" I I (ARCHITECT OR ENGINEER TEL NO I I I I LIC NO I !_- pIROUGH CONDUIT IROUGH WIRING I I I I (MAIN WATER LINE I IPLASTIC Y/N METAL Y/N I I I (UTILITY COMPANY NOTIFIED( I I 1 1 I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO- BS0508 I I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309260034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID BUILDING ADDRESS ITR 6561 LT 411 BL 001 I 9908 D LAS TUNAS DR I IFEE DESCRIPTION QUANTITY UOM - AMOUNT TEMP CA 917802200 .I (ASSESSOR INFORMATION NUMBER I - NEAREST CROSS STREET 18587-030-028 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE: 597 GRID A2 LOCALITY TEMPLE CITY CAI I IK1 SIGNS, OUTLINE LGT 1 00 SIG 38 90 1 (TENANT- I TOTAL FEES 66 70 (ISSUED ON PROCESSED BY PLAN BY: ISTAR ZONE 109/26/13 SR I I (OWNER TEL NO I IFINAL DATE - FINAL CODE ILUT, ALBERT (626) 571-1852- 1 1 19040 TELSTAR AVE 137 11 IEL MONTE CA 91731 IDESCRIPTION OF WORK IWALL SIGN INDIVIDUAL INTERNALLY ILLUMINATED CHANNEL LETTERS I I I I I (APPLICANT: TEL NO ILI, VINCENT (626) 315-4885- I 12812 PECK ROAD ISPECIAL CONDITIONS IEL MONTE CA 91731 1 I 1 (CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE ISUCCESS SIGN GROUP (626) 444-8181- 1 1 12812 PECK RD LIC NO I ITEMPOP,ARY POWER POLE I I IEL MONTE CA 91731 896068 * I I I I 1 I I (UNDERGROUND CONDUIT I I I I I I I (ARCHITECT OR ENGINEER - TEL NO I IUFER GROUND I I I - I 1 1 I LIC NO I IROUGH �CONDUIT I I I I I I I IROUGH WIRING I I I I I I I IMAIN WATER LINE (PLASTIC Y/N METAL Y/N I I I I I 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 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ! 1 I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE 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 1308070005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT- ILEGAL ID FEES PAID I BUILDING ADDRESS I ITR 6561 LT 411 BL: 001 I 9908 A LAS TUNAS DR I I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802200 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET AGNES 18587-030-028 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI I IK1 SIGNS, OUTLINE LGT 1 00 SIG 38 90 ITENANT ITOTAL FEES 66 70 (ISSUED ON PROCESSED BY PLAN BY IMIN W FINE ART & SCHOOL - 108/07/13 SR I (OWNER TEL NO I IFINAL DATE FINAL Y CODE 1 IRHR MANAGEMENT INC, ALBERT LIU (626) 571-1832- I 1 3 1 19040 TELSTAR SUITE I I &f 1EL MONTE CA 91731 I IDLtCRIPTION OF WORK 1 IRELOCATE EXTERIOR TENANT SIGN FROM UNIT F TO UNIT A I I I I (APPLICANT. TEL NO 1 I ISAME AS OWNER I ISPECIAL CONDITIONS 1 I I I I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - LIC NO ITEMPORARY POWER POLE I I I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO I IUFER GROUND ( LIC NO. TROUGH CONDUIT I I I IROUGH WIRING I I I IMAIN WATER LINE I I I IPLASTIC Y/N METAL Y/N I I I I I I I 1UTILITY COMPANY NOTIFIEDI I I I I I I 1 I I I I I I I I I I I I IREPORT ID. DPR265 ROUTE TO BS0508 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS - 9701 LAS TUNAS EL 0508 1307230040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0468 EXT. LEGAL ID. I FEES PAID I BUILDING ADDRESS: I ITR 6561 LT: 411 BL- 001 I 1 9908 A LAS TUNAS DR I IFEE DESCRIPTION. QUANTITY UOM AMOUNT I TEMP CA 917802200 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET AGNES 1 18587-030-028 1A1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE- 597 GRID A2 LOCALITY TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 5 00 OUT 10 00 1 I ITENANT IG2 LIGHTING FIXTURES 2 00 LGT 4 00 IISSUED ON PROCESSED BY PLAN BY IMIN W FINE ART & SCHOOL I TOTAL FEES 41 80 107/23/13 SR I I I I I (OWNER TEL NO I IF AL DATE FINAL BY CODE- 1 ILUI WAI YU ALBERT,LUK WAN YUN (626) 571-1832- 1 19040 TELSTAR SUITE I , IEL MONTE CA 91731 1 IDESCRIPTION OF WORK 1 I i IINSTALL 4 RECEPTICLES, SEPARATE LIGHT IN STORAGE ROOM, NEW 1 I ISWITCH LOCATION AND CHANGE OUT 24" FLORCENT LIGHT FIXTURE 1APPLICANT TEL NO 1 I I ITC FULTON CONSTRUCTION (626) 482-5117- I I 16475 ATLANTIC #995 1 ISPECIAL CONDITIONS. 1 (LONG BEACH CA 90805 1 I I I I I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ITC FULTON CONSTRUCTION (626) 482-5117- 1 1 16475 ATLANTIC SUITE 995 LIC NO I - ITEMPORARY POWER POLE I I I ILONG BEACH CA 90805 718272 I 1 1-1 I (UNDERGROUND CONDUIT I I I I I I I I - 1ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I - I I I I LIC NO I IROUGH CONDUIT I TROUGH WIRING IMAIN WATER LINE I I IPLASTIC Y/N METAL Y/N I I 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 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID• DPR265 ROUTE TO. SS0508 I 1 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 1010060024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT , ILEGAL ID FEES PAID BUILDING ADDRESS _ ITR 6561 --- -- LT 411 BL .001` - - --- --- -----�- - --_ -- -- - - - --- --- ----- -�- -- _ - 9906 LAS TUNAS DR I IFEE DESCRIPTION: i QUANTITY UOM AMOUNT I TEMP CA 917802200 1 (ASSESSOR INFORMATION NUMBER � I NEAREST CROSS STREET- 18587-030-028 " 1A1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID. A2 LOCALITY TEMPLE CITY, Cl I 1K1 SIGNS, OUTLINE LGT 2 00 SIG 77.60 I 1 1TENANT• I +.TOTAL FEES 105.40 (ISSUED ON. PROCESSED BY PLAN BY 1JIMMY LOH CPA I 110/06/10 SR (OWNER TEL NO 1FINAL DATE FINAL BY CODE: IRAN, RICHARD (626) 571-1832- 19040 TELSTAR AVE - IEL MONTE, CA 1 IDESCRIPTION OF WORK 1 1 (2) WALL SIGNS ILLUMINATED CHANNEL LETTERS I 1APPLICANT TEL NO 1FARGO ADVERTISING INC. (626) 733-2960- I I = I 12213 SASTRE AVE I - _ 1SPECIAL CONDITIONS 1 IS. EL MONTE CA 91733 I - 1 - I I I I I ICONTRACTOR- TEL. NO. 1 (APPROVALS DATE INSPECTOR SIGNATURE I 1FARGO ADVERTISING, INC (626) 733-2960- 1 _ 12213 SASTRE AVE. LIC NO •I - - ITEMPORARY POWER POLE I I _ 1S EL MONTE, CA .91733 932785 C45 1 1 11 1 I I 1UNDERGROUND CONDUIT I I I ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I I 1 LIC NO 1 IROUGH CONDUIT I I` I 1 I IROUGH WIRING I 1 1 I I I I I 1MAIN WATER LINE I 1 - - PLASTIC Y/N METAL Y/N I 1 1 (UTILITY COMPANY NOTIFIEDI I 1 I I I I I I EXPIREU 1 IREPORT ID: DPR265 ROUTE TO. BS0508 I 1 1 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 1110250024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT- LEGAL ID: I 'FEES PAID BUILDING ADDRESS ITR 6561 - LT- 411 BL -001 - - - - 1 - - 1 9908 E LAS' TUNAS DR 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802200 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET I 18587-030-028 IA1 PERMIT ISSUANCE,FEE 27 80 THOMAS PAGE 597 GRID" A2 LOCALITY- TEMPLE CITY, Cl K1 SIGNS, OUTLINEILGT 1 00 SIG 38 80 1 TENANT: I - TOTAL FEES 66 60" TISSUED ON PROCESSED BY: PLAN BY IBRICK KIDS I 110/25/11 SR (OWNER: TEL NO IFINAL DATE FINAL BY CODE I, ITAM, CHRIS 19908 ELAS TUNAS DR 1 I 1 ITEMPLE CITY CA 91780 I IDESCRIPTION OF WORK IONE WALL SIGN (APPLICANT" TEL NO _ I ISIGNS EXPRESS (626) 443-3333- I 11438 SANTA ANITA AVE 1 ISPECIAL CONDITIONS - 1 IS EL MONTE CA I I I I I I I ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE I ISIGNS EXPRESS (626) 443-3333- 1 1 11438 SANTA ANITA AVE LIC NO ITEMPORARY POWER POLE 1 I IS EL MONTE, CA 91733 C45552097 I I I- (UNDERGROUND CONDUIT I I I I I I (ARCHITECT OR ENGINEER• TEL NO, I IUFER GROUND I I I - I I I I 1 LIC" NO IROUGH CONDUIT I I I I I I I I IROUGH WIRING IMAIN WATER LINE I I IPLASTIC Y/N METAL Y/N I I I I I I I 1 (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I J I I I I I I I I I I I I I I I I I I I EXPIRELF) I I I I i I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO BS0508 I , X' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS - 9701 LAS TUNAS EL 0508 1202010034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT (LEGAL ID 1 FEES PAID 1 BUILDING ADDRESS I ITR: 6561 LT 411 BL .001- 1 - - I -9908 C LAS TUNAS DR I IFEE DESCRIPTION QUANTITY: UOM- AMOUNT I TEMP CA 917802200 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET I 18587-030-028 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE- 597 GRID A2 LOCALITY TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT• 1 00 SIG 38.80 ITENANT I TOTAL FEES 66 60 (ISSUED ON- PROCESSED BY PLAN BY- IZION INSURANCE AGENCY 1 102/01/12 SR I (OWNER TEL NO. 1 IFINAL DATE FINAL BY- , CODE- - I IZION INSURANCE AGENCY - II 19808 C LAS TUNAS DR _ _ 1 I�o 0 '� { 1 ITEMPLE CITY CA 91780 1 1 SCRIPTION OF WORK 1 (INSTALL ONE SET CHANNEL LETTER (APPLICANT TEL. NO 1 I I ISUCCESS SIGN (626) 315-4885- 1 I I I ISPECIAL CONDITIONS 1 I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISUCCESS SIGN (626) 315-4885- 1 1 I 12812 PECK ROAD - LIC NO 1 ITEMPORARY POWER POLE IEL MONTE CA 91731 896068-C45 *1 I I I I I (UNDERGROUND CONDUIT 1 I I (ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I I 1 LIC- NO 1 IROUGH CONDUIT I I I I I IROUGH WIRING I I IMAIN WATER LINE I I I IPLASTIC Y/N METAL Y/N I I I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I IREPORT ID DPR265 ROUTE TO: BS0508 I I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1109280018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS ITR 6561 LT 411 BL: 001 1 I 9908 F LAS TUNAS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802200 (ASSESSOR INFORMATION NUMBER I : '' I I NEAREST CROSS STREET AGNES I 18587-030-028 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT- 1 00 SIG 38 80 I I ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY I (MIN W FINE ART & SCHOOL I 109/28/11 SR I I I I I (OWNER TEL NO- I IFIN BY CODE. 1 IMIN W FINE ART & SCHOOL (626) 642-5783- 1 1 U I 19908 LAS TUNAS DR" I I I ITEMPLE CITY CA 91780 1DESCRIP ION O ORK I IONE SET INTERNAL ILIUMINATE CHANNEL LETTER WALL SIGN I I I I I 1APPLICANT TEL NO IYU, ALLISON (626) 336-1616- 116354 VALLEY BLVD I 1SPECIAL CONDITIONS - 1 ILA PUENTE, CA 91744 I I I I I ICONTRACTOR TEL" NO I - (APPROVALS DATE INSPECTOR SIGNATURE 1 IFIRST SIGN CO (626) 336-1616- 1 1 I 116354 VALLEY BLVD LIC NO I ITEMPORARY POWER POLE I I I ILA PUENTE CA 91744 60568BC45 * I I I I I I I (UNDERGROUND CONDUIT I I 1 I I I I I I (ARCHITECT OR ENGINEER TEL NO" IUFER GROUND I I I I - I I I I LIC NO I IROUGH CONDUIT _ _ I I I I I I I IROUGH WIRING I I I IMAIN WATER LINE I I I 1 I IPLASTIC YIN METAL YIN I I 1 I IUTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 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 BS0506 I I I I I I