HomeMy Public PortalAbout9945 LAS TUNAS DR_Electrical__ 7d 60,cE-806(IJ X78) APPLICATION 'F_ O'R•ELECTRICAL PERMIT M
COUNTY OF LOS ANGELES BUILDING AND SAFETY •
' FOR APPLICANT TO FILL IN JOB
New Residential Bldgs&Pools _ --,EACH NO - =•FEE-•- ADDRESS
1 &2,Family,Sq Ft $ 025 — $ LOCALITY C
Multi family Sq Ft 02` - NEAREST
CROSS ST /(J
Residential SwimmingPools25 00, OWNER OR - =-• - - a.
FIRM,NAME p
Outlets-,Rec- MAIL - _n,
First 20, 50-• ADDRESS ,74-
Total No = -- -•Additional 30 CITY
PLAMCHECK '
a AP.P.LICANTj...
Lighting Fixture
's_ � First 20 50 ADDRESS
a ,
TotaLNo 'Additional' 30 -
v CITY Tel .No
Fixed Applionces.Not Over 1 HP PERMIT a
Range_Heater_ D W APPLICANT
'(:Wen'_ Dryer_W M
-
Top---
, FAU'T W'H=-- y -4- w CITY oil
� Q + 17Na z
Hood=Fan T_Other_ LICENSE OR
Disp_Room Air Cond , — 2 50 REG NUMBER „JS _ ' ``� _Class �_,/_•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances ' TION AND STATE THAT,THE ABOVE,IS'CORRECT'AND,AGREE TO
S¢e-&Type HP, KW, KVA,or KVAR 'COMPLY WITH ALL-COUNTY ORDINANCES'-AND'STATE'-rAWS'
2 50 REGULATING ELECTRICAL WIRING
Up to Id
In _„ - I HEREBY CERTIFY'THAT'I'AM'PROPERLY REGISTERED AN_D%Ci R' (�
Over 1-to 10 Incl 5 00 LICENSED AS,REQUIR B LOS ANGELES COUNTY; D•ST T OF �g
•Over-,I0•to-50Ind 12 50 CALIFORNIA OR T_ _ M THEL`EGAL NER _ E VE•
Over 50 to 100 Inc
Over'1'00
25 00 DESCRIBED RESID A ROPErTY
4000 PERMITEE _
SIGNATURE
• 1/1
Services'
DISTRICT NO PROCESS `BY=-
0-200 Amp Under 600 V ” 12 50
25 00 �.
201-1'000 Amp Under 600 V - --
Over 1000 Amp or Over 600 V• 5000 r Z
/ O
Temp' Power Pole&Appurtenances` '" 10,00
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits _ -2-00,
INSPECTION _> '
Mac Conduits f - _ 10 00` INFORMATION-`
&Conductors Lu
•ON'REVERSE" � `x
Other(See Complete Fee`Schedulel _ SIDE u 0.9"A 9-A`
P
EREE ;'(Sub-T6tall �.Z
ECKING FEE (One-Fourth Permrf Feel O
SSUING FEE $7 00 !. { ?.• p EE C. > y t +'
INSPECTION FINALED Ujf
date By rk OS
Q •
WORKERS'COMPENSATION DECLARATION 76A663 io/at
< '
CE-806G • APPLICATION FORELECTRICAL PERMIT'
I hereby affirm that I have'a=sertrficatg of consent to self insure,
or a certificate of`Workers' Compensation In urance , or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec 3800,Lab C) ,, , r
Policy No' ''• Co.• pany FOR APPLICANT TO FILL IN, JOB
i.Certrfied copy is hereb furnished ;
" EACH NO FEE- ADDREss'
Y r New Residential,Bldgs & Pools,
�4 1 & 2-Family,Sq Ft $ — $ LOCALITY ,
Certrfied•copy is`'filed with the•'county�building inspection _
-department' ;'{. Multi-family Sq"Ft` CROSSSST_
Date'y Residential Swimming Pools, wNER OR s.
o .., Applicant ' �
FIRM NAME (
�
s ;
SCERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Re Light _Sw AMAIL
DDRESS ,
COMPENSATION INSURANCE ` 76
First.20 r ~
(This'sectlon need'not be completed•rf the work involved by the. CITY Tel No t
permlt is for-one hundred dollars($100)or less)- 1r. . Total No Additional
PLAN CHECK _
'd certify that in the performance of the�work;for which,this,permit "° APPLICANT.
-is issued_ I shall not employ any,•perso 'm,;any manner so,as to - _ r .,
become su ject to the W kers'Com saUon Laws, Lighting Fixtures . First 20 ADDRESS '
a 'Additional ' Tel No ?
Total,No CITY .
+Date Applican r " '
Fixed,Appliances Not,Over LHP PERMIT
NOT TO PPL`ICANT If, a er, m this ertrficate of -
r'Exemp on,you should become subject to,4he,Workers'Compensation 9 Y APPLICANTY
Range— Heater_ D W
' provisions,of the Labor Code,-you must,forthwith comply with such Oven- Dryer,_,W M ADDRESS,'
provisions or this permit shall be deemed revoked Top —.FAU WH CITY Tei'No"
LICENSED-CONTRACTORS DECLARATION' T Hood —•Fan
I
hereby,affirm.,that,l,am licensed,under provisions.of, Chapter 9 .� _ LICENSE OR o,� • �� "0
Disp Room Air-Cond _ :7 Clas
(commencing with'Section 7000) of,Division 3.of the,Business„and "REG NUMBER
> rFy'° --•'-4` "_� "'"'- '9- k DISTRICT NO PROCESSED BY
•� -Professions Code;and"my license'is in full force and effect Power'Apparatus&-Large Appliances
Size-,& Type HP,KW,KVA,or KVAR• Q
License Number Lic Class/�W OUp to 1 Incl ; Y FINAL V
���,,/ L'Q<�Ci�•,• Over 1 to 10_Incl DATE VALIDATION; 0
Contracto % B�Nate O
Over 10 to 50 Incl . U
FINAL
I am exempt under Sec ` Over 50 to 100 Inc t BY _ 'W
B&PC for.this reason Over 100 N
Services,Swbd,MCC& Panelboards Z ,
Date 0,-x200 Amp Under.600 V
f
Signature ' 201 - 1000 Amp^•Unde`r 600,V
Over,1000 Amp 'or,Over 600'V ` ACCT,
ET Exemption for Reg Maint Elect
330�e �•" {,'
• of , .. ,� - a, 1�0CIO ,
SINGLE FAMILY:, Temp.Power.Pole,.& Appurtenances
"HOME OWNEWBUIL'DER•DECLARATION Sign with One,Branch Circuit = I ITEI'f.�
I hereby affirm that I-am exempt from the Contractor's License,Law Additional Sign Branch Circuits ••�^ - TOTAL 23 m 00
for the following reason (Section 70315, Business and Professions,
Code)'
CHECK_ 43.00
Misc-Conduits & Conductors.
❑ I,as owner,of'the property,will do the work and the structurerFltihE ,{if1'
is not intended or,offered-for sale (Section 7044, Business Other(See Complete Fee'Schedule) _ - _ • ,�•, _ - ..
and Professions,Code)
CONSTRUCTION LENDING AGENCY- " r•���y,�y iq !�1�T Lt{{
-�JJilt �i1li7
I hereby affirm that there is a construction lending agency for the'i i
performance of,the work for which�th permit is issued(Sec 3097,. PERMIT FEE "- ' (Sub-Totaq ' 1�+Q? i '' `��.' °37
Civ',C)
a' •PLAN'CHECKING FEE r r a _ i_,p, P•
-Lender's Name'
1 , • • 1, PERMIT ISSUING FEE
Lender's dress
I certrfyr at I have read this application and state•that the above 'TOTAL'FEE ; i r-t^, �3.,cQr _
Informe is correct I agree to comply with all County ordinances `
and.St laws,regulating Electrical wiring, and*hereby authorize
repr,0',
tatives of this Co my to enter upon the above-mentioned 7l �«=
prop for wisp on se V 5�P
►��C%'/ /SSEE,E,RREEVEEER/SEE FOR-EXPLANATORY LA�NG�UA�G{GEE
k 0A
r o r it e D to ` �-', /L"U '�''v,✓ ,� r•' '."v�/ ° ^i
'.
WORKERS'COMPENSATION DECLARATION C-663 10%81 ? APPLICATION FOR ELECTRICAL''PERMIT''
I hereby affirm that'I have-a certificate of consent'to self insure, E-806G
oi�a certificate of-Workers'-Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING ANQ SAFET� R�
copy thereof(Sec 3800,Lab C) J ��
Policy No Company, FOR'APPLICANT TO FILL IN C JOB ' "
a- Certified copy is hereby furnished New Residential Bldgs & Pools - EACH NO FEE ADDRESS - a
1 & 2-Family, SgtFt' $' $ `LOCALITY C�
Certified copy'is filed"with the county uddmg inspection, ,
de artmen Multi-family Sq Ft — NEAREST' l
OSS,ST
Date Applicant
Gr C1 Residential Swimming Pools " OWNER OR O �%No
i
i CERTIF ATE OF,EXEMPTIO F ORKERS' f :•1 _'r ^� FIRM NAME
COMPENSATION INSURAN E Outlets R Light Sw^ ;.I_ MAIL QADDRESSThis section need not be coin leted if the workInvolved bythe First 20
( P CIT �'
permit'is for-one hundred',dollars ($100)or less.) Total No Additional
PLAWCHECK ,y
,1 ceitrfy:that in the performance of the work for•which this permit. APPLICANT
is issued, I shall not,,employ any person In any manner so as'to
become subject to the Workers'Compensation Laws Lighting Fixtur First 20 ADDRESS
:l
Total No Additional CITY,, Tel No '
Date 'Applicant - Fixed Appliances Not Over 1 HP f PERMIT
NOTICE TO APPLICANT If, after making this Certificate •of APPLICAN
„Exemptlon,.you should become subject to the Workers'Compensation Range_'Heater_ DW, _
provisions of the Labor,Code, you must forthwith comply with such ,:Cyen Dryer_ WM •ADDRES 1,4 S TKgI4 '
provisions or this permit shall be deemed revoked Top _ FAU _ W H•_ M�� +p
LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel N D l .7
I hereby affirm tliat�I am licensed under provisions of Chapter 9 LICENSE O
Disp Room Air Cond _ .._ , ,. Class^P'
(commencing with Section 7000)-of Divlsiori 3'of_the�Busine'ss_andQ __b ro •-, s -- d - - REG-NUMBER—--,--
Professions'Code;and my license is m full force and effect '• DISTRICT NO PROCESS BY
. Power Apparatus& Large Appliances , -
r(� Size& Type HP, KW,KVA,or KVAR 0
License Number Lic Class `� ` " Up to 1 Incl '' FINAL U
_ Over 1 to 10 Incl _ DATE
VALIDATION
racto • Date Over 10'to 50 Incl FIN O
' I am exempt under'Sec Over 50 to 100 Inc B F W
At
B&P C for thi reaso" Over 100` Q.
Services,Swbd,MCC&Panelboards - N
0- 200 Amp Under 600 V "
Signature ' 201 - 1000 Amp Under 600•V
r Over 1000,Amp or,Over 600 V
Exemption or eg Maint Elect
a .-. ' -_.-......-r... ..--,..jam-._... „ ." .• ^__
SINGLE FAMILY Temp Power Pole & Appurtenances
HOME OWNER-BUILDER DECLARATIONSlgn with One Branch'Circuit *, iia •o ,F
I hereby affirm,that I am,exempt from thlg Contractor's License Law
for the following reason(Section 7031 5, Business and Professions Additional Sign Branch Circuits _ fOb1r1 t • I -
Code)
Mlsc Conduits & Conductors
I,as owner of the property,will do the work and the structure
is not intended or offered for sale (Sectjpn 7044, Business, Ot er S e Complete F_peSSchedule) - .
and Professions Code) ' G•• +'_ TOTAL—;L5,
_ ', k�yyr:
CONSTRUCTION LENDING AGENCY * .q - 411 �+!'iJll'
I hereby affirm that there is a construction lending agency for the P1JIl411� .yr
performance of the work for which this permit is issued(Sec 3097, PERMIT FEE (Sub-Total)
Civ C)•
-PLAN CHECKING FEE
Lender's Name , e . 6/22/89
PERMIT ISSUING FEE p� e
Lenders Address �� f 4' .�.; ,rrt111 1:59'
I certify that I have read this application and state that the'above TOTAL FEE - 4
,formatio Is correct I agree to comply with all'County,ordinances
and Stat laws regulating Electrical winng,'and hereby authorize
represe atives of this,Co rity to enter upon the above-mentioned ` I S J p �,
prop for inspec p oses CCC
% A,
SEE REVERSE FOR EXPLANATORY,LANGUAGE
9n u e milt ate
WORKERS' COMPENSATION DECLARATION 20-0019 DPW 3/87 APPLICATION FOR'ELECTRICAL PERMIT O
176A663
I hereby affirm that I have a certificate of consent to self '�� e_eoac
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT UB4IC WORKS T
or jecertified copy thereof (Sec 3800, Lab C )
Policy No Company FOR APPLICANT TO FILL IN JOB
Certified co is hereby furnished EACH NO FEE ADDRESS
PY Y New Residential Bldgs & Pools
Certified copy is filed with the county building inspec- 1,&2-Family, Sq Ft $ — $ LOCALITY
F1
tion department Multi-family Sq Ft NEAREST
(
ST
CROSS jqj )
Residential Swimming Pools OWNER T
Date Applicant OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets- Rec__[_LightZ_1Sw_ MAIL
First COMPENSATION INSURANCE
(This section need not be completed if the work involved by Total No itiADDRESS
Addl onaCITY e T No J
the permit is for one hundred dollars ($100) or less.) PLAN HECK 6�
I certify that in The performance of the work for which this / APPLICANT
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 1 1 ADDRESS
•.
Total No
Date r Additional CITY Tel No plica t Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICA T If, after making this rTificate of APPLICATION
-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
with comply with such provisions or this permit shall be Top — FAU —W H
deemed revoked Hood — Fan —Other— CITY el No
LICENSED CONTRACTORS DECLARATION Hoo _ Room Air C Other
— LICENSE O Class
I hereby'affirm that I am licensed under provisions of Chapter 9 Dispy REG NUMBER
(commencing with Section 7000)of Division 3 of'the Business Power Apparatus& Large Appliances DISTRI CIALO PROCESSED BY >_
and Professions Code,and my license is in full force and effect d
Size &Type HP, KW, KVA, or KVAR / Q
License IN �(N Lic Class` Up to 1 Incl FINAL Q
J - Over 1 to 10 Incl DATE '�,! VALIDATION �
Contra Date `v
❑ Over 10 to 50 Incl FINA
I am exempt under Sec Over 50 to 100 Inc gy _Q
B &P C for this reason Over 100 W
Z
SCL
I Services, Swbd ,-MCC& Ponelboards Z
0-200 Amp Under 600 V —
Signature 201 - 1000 Amp Under 600 V 9 9 9,�2 A
❑ Over 1000 Amp or Over 600 V
Exemption for Reg Maint Elect
o o.e •1e
SINGLE-FAMILY Temp Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am,exempt from the Contractor's License I Sign with One Branch Circuito�e o 1-5,5 0 5
Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits
Professions Code) ) Q 6 2 7,y 8 8
❑ I; as owner of the property, will do the work and the
Misc Cbriduits&Conductors
structure-is not intended or offered for sale(Section 7044,- Other'(See Complete Fee Schedule)_
Business and Professions Code) ®'
CONSTRUCTION LENDING AGENCY S
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 ) a
PLAN CHECKING FEE
Lender's Name
PERMIT_ ISSUING FEE
Lender's Address I
I certify that I have read this application and state that the TOTAL FEE
above info matron is correct I agree to comply with all County
horder n and Stare laws gula ngsEle uncal wrong, and
her horize rep se this unty toenter upon _
th menti pr ty ins p ion p poses SE REVERSE FOR EXPLA A QRY LANGUAGE
Signature of Perm a Date
WORKERS'COMPENSATION DECLARATION 76- 10/81 APPLICATION FOR ELECTRICAL PERMIT {�
LI
I hereby affirm that I have a certificate of consent to self insure, CE-806806G
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
❑ Certified copy is herebyfurnished EACH NO FEE ADDRESS
New Residential Bldgs & Pools
❑ 1 & 2-Family,Sq Ft $ — $ LOCALITY
Certified copy is fled with the county building inspection
OZ C
department Multi-family Sq Ft — NEAREST
- CROSS ST
Residential Swimming PoolsOWNEAs
Date 'Applicant OWNER
OO -51
1r7
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw MAIL
COMPENSATION INSURANCE ADDRESS
(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 CIZTel No
1 certify that in the performance of the work for which this permit PLAN CHECK
APPLICANT
•is issued, I shall not employ any person i any manner so as to
become subject to the Workers'Compe o Lighting Fixtures First 20 ADDRESS
_ Additional
Date pplicant
Total No CITY Tel No
Ac
NOTICE TOO Fixed Appliances Not Over 1 HP PERMIT APPLICANT If, after making this Certificate of APPLICANT
mall
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 M ADDRESS
provisions or this permit shall be deemed revoked Top _— FAU WH Tel T �-
LICENSED CONTRACTORS DECLARATION Hood — Fan Other—
Te
hereby affirm that I am licensed under provisions of Chapter 9 LICESE OR
Disp — Room Air Cond REGNNu BER Classc
(commencing with Sectio n 7000) of Division 3 of the Business and
Professions Code,and my license is in full force and effect DISTRICT No CES ED BY
Power Apparatus& Large Appliances }
/7�/� Size& Type HP,KW,KVA,or KVAR '57�� 1 ' 0
License Number Lic Class c� Up to 1 Incl FINAL �y�/, V
^ � 7 Over 1 to 10 Incl DATE — VALIDATION �
Contractq�P�/ 'l1'i Date
❑ Over 10 to 50 Incl FIN- �
I am exempt under Sec Over 50 to 100 Inc BY W
B&PC for this reasonO Over 100_4V--Q Cl)
�— Services, Swbd,MCC& Panelboards Z
t O- 200 Amp Under 600 V
Signature 201 - 1000 Amp Under 600 V-
Over 1000 Amp or Over 600 V
Exemption for Reg Mamt Elect
SINGLE FAMILYTemp Power Pole& Appurtenances 2 7 3 2 5 A
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # o s'• 0 2
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 ,I o o l 5,5 0
Code)
❑ Misc Conduits& Conductors o•o�o l 5.5 0 5
I,as owner of the property,will do the work and the structure d
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , 0624 a 8 7
and Professions Code)
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit Is issued(Sec 3097, PERMIT FEE (Sub-Total)
--
Civ C)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
1 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 I vis regulating Electrical wiring, and hereby authorize -
represent v f this County t er n the above-mentioned � � �fd
property spection p e SEE REVERSE FOR EXPLANATORY LANGUAGE '��
Si ature of Permittee D e IC✓`/ �iC�k_S / jl �j1gB�1 �1 y
WORKERS'COMPENSATION DECLARATION 76A663 10/81
hereby affirm that I have a certificate of consent to self CE-8066 APPLICATION FOR ELECTRICAL PERMIT,
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES / � BUILDING AND SAFETY
or a certified copy thereof (Sec 3800, Lab -C ) C
Policy No Company FOR APPLICANT TO FILL IN JOB G r
Certified copy is hereby furnishedADDRESS
New Residential Bldgs & Pools EACH NO FEE.
Certified copy is filed with the county butldm6•inspec- 1 8 2-Family, Sq, Ft $ $ LOCALITY
— —�—
tion,department Multi-family Sq Ft — NEAREST
Residential Swimmmg`Pools CROSS,ST
Date Applicant OWNER OR
-CERTIFICATE OF EXEMPTION FROM WORKERS' FIRM NAME,
Outlets ,Rec Light S MAIL
COMPENSATION INSURANCE - ADDRESS
(This'section need not be completed if the work involbed by First 20
Total No Additional CIT Tel No _
the permit Is for one hundred dollars ($100)or less.) f
I certify that in the performance'of the work for which this PLAN
-APPLICANT
permit is issued, I shall not employ a ryany manner ,
so m to become subject to the Wor aT;on, aws Lighting Fixtures First 20 ADDRESS
j Total,No_ Additional CI el No
l Date' Applicant
NOTI TO APPLICANT If, of e making th Certificate of Fixed Appliances Not Over 1 HP PERMI
Exemption, you should become subject to the' Workers' Range_ Heater_D W APPLICANT
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W M ADDRESS
with comply ,with.such provisions or this permit shall be _Top FAU —W H
deemed revoked - CITY / /Tel No
LICENSED CONTRACTORS DECLARATION Hood Fan _ Other_
d Dis _ Room Air Cond LICE GT
_1 hereby affirm that I am licensed under provisions of Chapter 9 p REG NUMBER Class
(commencing with Section 7000) of Division 3 of the Busine
and Professions Code,and ss Power,Apparatus& Large Appliances DISTRICT NO PROCES ED BY
my license is in full force and effect
G-�o Size &Type HP, KW, KVA, or KVAR 0 O
License Number tic Clas �� Up to 1 Inc'I FINAL 0
Contractor." , Dat" l Over 1 to 10 Incl DATE VALIDATION
7 Over 10 to 50 Incl F-
I om exer t under Sec FINAL V
P Over 50 to 100 Inc. BY J. � �W
Over 100 IL
B &P C for this reason W
Date Services, Swbd , MCC & Panelboards ► /(/"
0 -200 Amp Under 600 V 7 7`(f
Signature 201 - 1000 Amp'Under 600 V
Over 1000 Amp or Over 600 V
Exemption for Reg Maint Elect
SINGLE FAMILY Temp tPower Pole &Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 3 1 3,O'A ,
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031,5, Business and Additional-Sign Branch Circuits 'o o•-e-e o 2,-
Professions Code)
I, as owner of the property, will do I 'work and the Mi Conduits&'Conductors ' 2 �'0 1 5 0
- the ,
structure is not intended or offered for sale (Section Other (See Co�mplete Fee Schedule)_ ® r =
7044, Business and Professions Code) [0 0 0 1-5}j 0 5,
CONSTRUCTION LENDING'-AGENCY (a 2/( —8 3
I hereby affirm that there is a construction lending agency for 1-8,3
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
above information is correct I agr e to comply with all County
ordinaqIsand State laws re tin Electrical wiring, and
here�y� horze repre ntat s Co ty to enter uponthe aki menti op fo i e ur ses SEE REVERSE FOR EXPLANATORY LANGUA E
�J t 3
t u r e o Per /Nee Date - _ �" //
<ERS'COMPENSATION DECLARATION ,CE-806G (2-80) APPLICATION' FOR 'ELECTRICAL PERMIT
:firm that I have' a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
a certificate of Workers'Compensation Insurance,or I;
rd copy thereof(Sec 3800, Lab C.) )FOR APPLICANT TO FILL IN JOB
p EACH NO FEE ADDRESS 4
o Com any
1 New Residential Bldgs &Pools
✓'ertified copy is hereby furnished. 1.&2-Family,Sq Ft $ — $ LOCALITY
Multi-family Sq Ft — NEAREST
Certified copy is filed with the county,building inspection CROSS ST +-
department Residential Swimming Pools OWNER OR
FIRM NAME
tz Applicant Outlets Rei, tight w AMAIL
DDRESS -
First 20
r CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY el o }
t COMPENSATION INSURANCE
PLAN HECK- d
APPLICANT O
(This section need not be,completed if the work involvedLighting Fixtures First 20 }" U
by the permit is for one hundred dollars ($100) or less.) ADDRESS
Total No Additional O
I certifythat in the Fixed Applda cA es Not Over 1 HP CITY Tel No �
performance of the work for which this1 . U
permit is issued, I shall not'emplo a p son in any manner - PERMIT LU
so as to become subject to the r rs' tion ws Range_ Heater_D W APPLICANT
� Oven Dryer_W M ADDRES _ z
DateL-2M _fp�icantTop FAU _W H
A Hood Fan —Other CIT �G Tel N
NOTICE TO APPLICANT If, after making this Certificate of Disp _.Room Air Cond.— LICENSE OR f
Exemption; you should become subject to the Workers' REG NUMBER Lk lass
Compensation provisions of the Labor,Code, you must'forth- Power Apparatus& Large Appliances J DISTRICT NO PR CES D BY
with comply with such provisions or this-permit shall be
deemed revoked. - Size&Type HP,KW, KVA,or KVAR
Up to,1 Incl L
FINAL
Over 1 to 10 Incl DATE
LICENSED CONTRACTORS DECLARATION V A L I DA WN
Over 10 to 50 Incl
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL �I
9 (commencing withSection 7000) of Division 3 of the Busr Over 100 BY
ness and Professions Code, and my license is in full force and
effect �} Services -
0-200 Amp Under 600 V
License NumberLic.Class �^�/
201-1000 Amp Under 600 V
ContractoDate `}��= / Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances
I herSign with One Branch Circuit A009. 1 Aeby affirm that I am -exempt from the Contractor's ,Additional Sign Branch Circuits '
License Law for the following reason (Section 7031 5, Busi- - # 0 0 o o o 2
ness and Professions Code)
Misc Conduits&Conductors 2,0 0;� Q Q
El 1, as owner of the property, will do the work and the Other IS Co a Fee Schedule)
structure is not intended or offered for sale (Section "60o o'o 1,0,Q 0
7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY 0 2 5_8 1
hereby affirm that there is a construction lending agency ga� —
or the performance of the'work for which this permit is I(pERMIT FEE (Sub-Total) 32
sued,(Sec 3097,Civ C) 1
nder's Name
PLAN CHECKING FEE (One-Fourth Permit Fee)
der's Address PERMIT ISSUING FEE
tify that I have read this application and state that the TOTAL FEE
information is correct I agree to comply with all County
ane and 'State laws regulating Electrical wiring, and ��
orize represent sof his County to enter upon .r
mentor rop fo spec t ur oses SEE REVERSE FOR EXPLANATORY LANGUAGE
�o~
nature . tee Date
WORKERS'COMPENSATIONDECLARATION 63
CE806G (2-801 APPLICATION FOR ELECTRICAL PERMIT
' � CE 8
I hereby affirm that I have a certificate of consent to,self COUNTY OF LOS ANGELES" BUILDING AND SAFETY r
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec' 3800,Lab C.) 7`
FOR APPLICANT TO FILL IN JOB ^ ---�
Policy No Company Residential Bldgs &Pools EACH NO FEE — ADDRESS-
New -
Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY
Multi-family,Sq Ft NEAREST
Certified copy is filed with the county building inspection CROSS ST,
department. Residential Swimming Pools OWNER OR
/i FIRM NAM
Date Applicant Outlets RecLigh Sw AMAIL
DDRESS oL�
First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY L��• Tel No-
COMPENSATION INSURANCE PLAN HECK d
(This-section need'not be completed if the work involved APPLICANT U
by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS
Total No Additional
I certify that in the performance of a work for which this Fixed Appliances Not'Over 1 HP CITY Tel No' F-
permit is issued,-I shall not employ p n ' any manner PERMIT - _ w
so as to become subject to the W r o sation aws Range_ Heater_'D W: APPLICANT* i LU
Oven _ Dryer_W.M. ADORES N
Date}C licant Top — FAU —W H i�
pp Hood Fan _Other_ CITJ� Tel N 7
NOTICE TO APPLICANT If, after making this Certificate of, Disp Room Air Cond._ LICENSE OR -�
Exemption, you should become subject to the Workers' REG NUMBER ss
Compensation provisions of the Labor Code,*you must forth- Power Apparatus& Large,Appliances DISTRICT NO PROCESSED BY
with comply with such provisions or•this permit shall be
deemed revoked Size&Type HP,KW, KVA,or KVAR �)
Up to 1 Incl. (J
' Over 1 to 10 Incl DATEFINAL /� -
LICENSED CONTRACTORS DECLARATION �z VALIDATION
Over 10 to 50 Incl
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL
9 (commencing with Section 7000)of,Division 3 of the Busi- Over-100 BY
ness and Professions Code, and my license is in full force and
effect / Services C
2 �
License Numb J Lic Class �✓ 0-200 Amp Under 600 V
201-1000 Amp Under 600 V
Contractor Date ; Over 1000 Amp or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp Power Pole&'Appurtenances
I hereby affirm that I am exempt from the Cont'ractor's Sign with One,Branch Circuit
License Law for the following reason (Section 7031 5, Busi- Additional Sign Branch Circuits
ness and Professions Code) -
Misc Conduits& Conductors x4:5,1,0 A
I, as owner of the property, will do the work and the, Other (See Complete Fee S edule)— t
structure is not intended or offered for sale (Section A o o�o o;o 2
7044, Business and Professions Code) + I "
, • I
CONSTRUCTION LENDING AGENCY ;2-o}o-1 2=5'0:
I hereby affirm that there is a construction lending agency,
for the performance of the work fog which this permit is PERMIT FEE (Sub-Total) oioo 2,50 c�i
issued(Sec 3097,Civ C)
Lender's NamePLAN CHECKING FEE (Ocie-Fourth Permit Fee), 0 fi 2 3j-82
Lender's Address PERMIT ISSUING FEE
,I certify that I have read this application and state that the TOTAL'FEE �- J
above information is correct I agree to comply with all County t
ordinances d State laws regulating Electrical wiring, and' '
hereby t Size representati f this4County to enter upon -
the ab enhone Pei r ins tion poses SEE REVERSE FOR EXPLANATORY LANGUAgE
Signature of Permittee Date [f 'te,4
, 41 /`vim-ii
WORKERS'COMPENSATION DECLARATION CE-8066 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent To self CE-806
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec 3800, Lab C )
pany FOR APPLICANT TO FILL IN, - JOB
Policy No Com "
Certified copy is hereby furnishedQq 14
New Residential Bldgs & Pools Jr v
EACH NO FEE ADDRESS
❑ Certified copy is filed with the county building inspec- 1'& 2-Family, Sq Ft $ — $ LOCALITY
tion department •. Multi-family Sq Ft NEARESTT �d CROSS S
Residential Swimming Pools OWNER T
aff
Date Applicant OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL
COMPENSATION'INSURANCE ADDRESS
First 20
(This section need not be completed if the work Involved by Total No Additional CITY el No L '
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 a erson in any nner
so as to ecome subject to the Wo Com ns a ghting Fixtures First 20 ADDRESS
Additional
CITY Tel No
Date AppIICan xed Appliances Not Over 1 HP _ PERMIT
NOT E TO APPLIC IN If, a ter making th Certifi a e o APPLICAN
Exemption, you should become subject to the Workers' Range_ Heater_D W —
Compensation provisions of the Labor Code, you must forth- Oven _ Dry'er —W M — ADDRESS
with comply with such provisions or this permit shall be Top _ FAU —W H —
deemed revoked Hood _ Fan _Other_ CITY �s/ Tel N
LICENSED CONTRACTORS DECLARATION LICENSEOR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER 72Z ClassG
(commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROCES D BY >_
and Professions Code, and my license is in full force and effect
s' Size &Type HP, KW, KVA, or KVAR CLO
License Number Lic Class Up to 1 InclV
FINAL
Contracto Date �— _ 09
Over 1 to 10 Incl DATE .2,�- VALIDATION
❑ Over 10 to 50 Incl YYY �
FINAL
I am exempt under SecOver 50 to 10.0 Inc BY �f d
B&P C for this reason Over 100 y
Services,-Swbd , MCC& Panelboards pop Date 0 -200 Amp Under 600 V
Signature 201 - 1000 Amp Under 600'V
❑
Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V
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 2� 2 2 9,,5 A
Professions Code) I ,
❑ I, as owner of the property, will do the work and the Misc Conduits&Conductors # o,0 0 0 o 2 Schedule Feeete Complete -
structure is not intended or offered for sale (Section Other ( P )— '
7044, Business and Professions Code) 2--,--1, ,5-,`�
CONSTRUCTION LENDING AGENCY _ o 0,0 1 5500
1 hereby affirm that there is a construction lending agency for ; , , k, )te performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 1016,27—84
(Sec 3097, Civ C )
PLAN CHECKING FEE
Lender's Name
L 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
he - - sand State laws r ulating Electrical wiring, and
he y uthoriz rep a es of is Coun y to enter upon
t ve-m rty for spectioa r' urpose SEEREVE SE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
t4 ,WORKERS' COMPENSATION DECLARATION 76A663CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-8066
n'sure;
WORKERS' COMPENSATION DECLARATION 76-oo,vDPW 3,s7 APPLICATION FOR ELECTRICAL PERMIT
l Ferebr•affirm that I have a certificate of consent to self CEA O
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF UBLIC WORKS
or a certified copy thereof (Sec 3800, Lab C )
Policy No Company FOR APPLICANT TO FILL IN JOB
F]Certifiedcopy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS v
❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sci Ft $ — $ LOCALITY
tion department Multi-family Sci Ft NEAREST
CROSS ST
Date Appl cant Residential SwiXh
OWNER OR
FIRM NAME7am t47 11— pZ�2
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec� MAIL
COMPENSATION INSURANCE ADDRESS ffA}(This section need not be completed if the work involved by Total No � �� e `TYTel No-the permit is for one'hundred dollars ($100)or less.) PLAN CHECK
I certify that in•the performance of he work for which this APPLICANT
permit is issued, I shall not employayperson m any mannerLighTmg Fi res ADDRESS
so as to b com subject to the Wor rs'Comp sotio Laws
Additional
(� Total No CITY Tel No
Date v Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO PLICANT If, after ma g s C r ificate o APPLICATION
Exemption, you should become su lett to'the Workers' Range—,Heater—D W —
Compensation provisions of the Labor Code, you must forth- Oven Dryer —W M — ADDRESL�, f
with comply with such provisions or this permit shall be Top FAU —W H — f"
deemed revoked Hood Fan —Other_ CITY Tel No
LICENSED CONTRACTORS DECLARATION Disp, Room Air Cond _ LICENSE OR Y Class —f.
UMBER 7
(commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO
and Professions Code,and y license is in full force and effect �•— PROC SED BY a
��jj Size.&Type HP, KW, KVA, or KVAR ems' ��' Q
License Num r r/L Lic Classes Up to 1 Incl FINAL / U
Contractor to `� Over 1 to 10 Incl DAT E /�j 9f VALIDATION �
❑ Over 10 to 50 Incl FINAL
1 am exe pt nder Sec Over 50 to 100 Inc BY W
1B&P C for this reason Over 100 d
Date Services, Swbd ;MCC& Panelboards Z
J.0 -200 Amp Under 600 V r
Signature 201 - 1000 Amp Under 600 V
❑ Over 1000 Amp or Over 600 V L
Exemption for Reg Maint Eject
SINGLE FAMILY y
HOME OWNER-BUILDER DECLARATION Temp Power Pole &Appurtenances
I hereby affirm thatI am exempt from the Contractor's License Sign with One Branch Grcuit �L.�L. y s
Additional Sign Branch Circuits _
Law for the following reason (Section 7031 5, Business and 9 _
Professions Code) / i•:��I! ✓'�• �' ,;i.S
❑ 1, 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)— ► J, r »—o
Business and Professions Code)
T AL 2, 00
CONSTRUCTION LENDING AGENCY y• �i.. nt;t'
I hereby affirm that there is a construction lending agency for t:HANGEE
,t I:
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec 3097, Civ C )
Lender's Name
PLAN CHECKING FEE
j3
PERMIT ISSUING FEE
Lender's Address }
I certify that I have read this application and state that the TOTAL FEE
above inf rmation is correct I agree to comply with all County
ordinan s and State jaws regulating Electrical wiring, and
hereby uthonze representatives of this Couhty to enter upon
the ab e-mentio d pr perty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ~
S atur of ermitt eIF Date
r � ,
COUNTY OF LOS A,4GcLES TEMPLE CITY # 0508 ELECT� !UAL ;'ERMIT
DEPARTMENT OF PUBL.IC WORKS 9701 LAS TUNAS EL 0508-0406170037
FUILDING AND SAFEIY / LAND DEVELOPMENT TEMPLE CITY CA 91`80
- PHONE: (626, 235'-^,488- EXT: -
- A
LEGAL ID: `FEJ PAID BUILDING ADDRESS: I
__
TR: 6561 LT: 13 BL: .001 9945 LAS TUNAS DR
_ FEE DFSCRIPTION: OUANiIiY: UOM: AMOw- ,TEMP CA 917802201
ASSESSOR INFORMATION B NEAREST CROSS STREET: Rv+ti:AND
8587-032-021 Al PE'MIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20
TENANT- TOTAL. FEES 43.95 ISSUF) N: PROCESSED BY: PLAN BY: PI S ,
CHURCH OF THE NAZARENE, YOUTH DEPT 05/1"04 JK 12/14/04
OIdIrER: TEL. NO: F".:A' E FI 4l- BY: CODE:
TEMr)LE CIiY CHURCH OF THE NA_ARENE 1818) 287-1136-
9953 LAS'TUNAS DR
TEMP 91;802201 �D�SC:I�a -WORK
IELEl xICAL FOR FIREWORKS STAND - 2004 '
ADPL CAtiT: TEL. NO:
K C ELECTRIC (310) 505-0444-
6509 GLORYWHITE SPECI'lL CONDITIONS:
LAKEWOOD 90713
CONTRACTOR: TEL. N0: DATE INSPECTOR Si_i�i+TUR�
K C ELECTRIC (310) 505-0444- I
6509 GLORYWHITE ST LIC. NO TEMPUAIRY POWER POLE
LAKEWOOD CA 90713 699521 C10
UNDERGROUND CONDUIT
ARCHITECT 0; EHIIIEER: EL" 10: UFE�sFOUN
LIC. NO: ffut�j Ulf CONDUIT
` _RC'�GI MRING
MAIN NATER LINE 1
PLAST!C YIN METAL YIN
UIILI:Y COMPANY NOTIFIED
i
REPORT ID: DPR265 ROUTE TO: BS0508
,a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306100021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S PAID BUILDING
TR: 6561 LT: 13 BL: .001 9945 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802201
ASSESSOR NEAREST CROSS STREET: ROWLAND
8587-032-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20
JI GENERATORS +3-10HP 1.00 GEN 19.65 ISSUED 0 SS B .
CHURCH OF THE NAZARENE, YOUTH DEPT TOTAL FEES 63.60 06/10/03 JK 12/07/03
OWNER: FINAL qTE FI:NALE: CODE:
DESCRIPTION WORK
ELECTRICAL FOR FIREWORKS STAND - 2003
APPLICANT:
K C ELECTRIC (562) 972-2706-
6509 GLORYWHITE SPECIAL 0 DITIONS:
LAKEWOOD 90713
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGN T
K C ELECTRIC (310) 867-4447-
6509 GLORYWHITE ST LIC. NO TEMPORARY POWER POLE
LAKEWOOD CA 90713 699521 C10
- UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: GROUND
LIC. NO: ROUGH CONDUIT
WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY OT
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706120031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT.
LEGAL ID FEES PAID BUILDING ADDRESS'
1 TR: 6561 LT 13 BL 0011 9945 LAS TUNAS 11
I 1FEE DESCRIPTION- QUANTITY UOM. AMOUNT. ( TEMP CA 91 80220
ASSESSOR INFORMATION NUMBER i NEAREST CROSS STREET. ROWLAND 1
18587-032-021 1A1 PERMIT ISSUANCE FEE 27 75 1 ; THOMAS PAGE 597 GRID. A2 '-LOCALITY TEMPLE CITY
ID3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 I 1
TENANT I TOTAL FEES 43.95 JISSUED ON PROCESSED BY PLAN BY. EXPIRES ON
CHURCH OF THE NAZARENE, YOUTH DEPT 106/13/07 SR 12/10/07
OWNER TEL NO I FINAL@ATE FIN CODE
ITEMPLE CITY CHURCH OF THE NAZARENE (818) 287-1136- 1 /C/r/�'/ �
19953 LAS TUNAS DR I I I
ITEMP 917802201 1 IDESCRIPTION OF WORK 1
I I (BOOTH LIGHTING FOR FIREWORKS STAND 2007 1
(APPLICANT: TEL NO
IJIMIE NEVAREZ (310) 505-0444- 1 I I
16509 GLORY WHITE ST 1 ISPECIAL CONDITIONS: 1
ILAKEWOOD 90713 1 I
ICONTRACTOR: TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
IK C ELECTRIC (310) 505-0444- I 1 I
16509 GLORY WHITE ST LIC. NO I ITEMPORARY POWER POLE I I I
ILAKEWOOD, CA 90713 699521 C10 I I I I
I UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL NO IUFER,GROUND I I I
1 LIC NO: I IROUGH,CONDUIT I I I
1ROUGH;WIRING I I I
I I IMAIN WATER LINE I I I
IPLASTIC YIN METAL YIN I I I
1 I (UTILITY COMPANY NOTIFIEDI I I
1
I I I
I I I I I I
I I I t v ,
I I I
I IREPORT ID DPR265 ROUTE TO BS0508 1 1 I I
I I I I I I
' 1
COUNTY OF LOS ANGELES TEMPLE CITY #;,0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0606150008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 , -
PHONE (626) 285-0488 EXT- '
LEGAL ID FEES PAID BUILDING ADDRESS
TR: 6561 LT: 13 BL. 001 9945 LAS TUNAS DR
FEE DESCRIPTION QUANTITY: UOM- AMOUNT TEMP CA 917802201
ASSESSOR INFORMATION NUMBER g NEAREST CROSS STREET ROWLAND
8587-032-021 Al PERMIT ISSUANCE FEET-` 27 75 - THOMAS PAGE: 597 GRID: A2 LOCALITY. TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1 00 BOO 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON. PROCESSED BY: PLAN BY: EXPIRES ON.
CHURCH OF THE NAZARENE, YOUTH DEPT 06/15/06 JK 12/12/06
OWNER TEL NO: FINAL DATE FINAL BY CODE
TEMPLE CITY CHURCH OF THE NAZARENE (818) 287-1136- L-2-4--a
„�/f�b/
9953 LAS TUNAS DR V
TEMP 917802201 DESCRIPTION OF WORK
ELECTRICAL FOR FIREWORKS STAND - 2006
APPLICANT: TEL. NO )
JIMIE NEVAREZ (310) 505-0444-
6509 GLORYWHITE SPECIAL CONDITIONS:
LAKEWOOD 90713
CONTRACTOR- TEL NO: _ APPROVALS DATE INSPECTOR SIGNATURE
K C ELECTRIC (310) 505-0444-
6509 GLORYWHITE ST LIC NO TEMPORARY POWER POLE
LAKEWOOD CA 90713 699521 C10
- UNDERGROUND CONDUIT
t
ARCHITECT OR ENGINEER. TEL NO UFER.GROUND
LIC. NO: ROUGH CONDUIT
ROUGH,WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
,
REPORT ID. DPR265 ROUTE TO: BS0508
0
I
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I EL 0508 0506170033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 t
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 6561 LT 13 BL 001 9945 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY UOM AMOUNT TEMP CA 917802201
ASSESSOR INFORMATION NUMBER: ' j NEAREST CROSS STREET ROWLAND
8587-032-021 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1 00 BOO 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
CHURCH OF THE NAZARENE, YOUTH DEPT 06/17/05 JK 12/14/05
OWNER TEL NO F7DWL DATE FINAL $Y CODE
TEMPLE CITY CHURCH OF THE NAZARENE (818) 287-1136-
9953 LAS TUNAS DR
TEMP 917802201 DESCRIPTION OF RK
ELECTRICAL FOR FIREWORKS STAND - 2005
APPLICANT. TEL NO
K C ELECTRIC (310) 505-0444-
6509 GLORYWHITE SPECIAL CONDITIONS
LAKEWOOD 90713
CONTRACTOR: TEL NO APPROVALS DATE INSPECTOR SIGNATURE
K C ELECTRIC (310) 505-0444-
6509 GLORYWHITE ST LIC NO TEMPORARY POWER POLE .
LAKEWOOD CA 90713 699521 C10
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO. UFER GROUND
LIC NO ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID DPR265 ROUTE TO. BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508, ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806200009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-_0488 EXT
(LEGAL ID I FEES PAID -BUILDING ADDRESS- _
ITR 6561 LT: 13 BL ,001 9945 LAS TUNAS DR _
I IFEE DESCRIPTION QUANTITY UOM AMOUNT f TEMP CA 917802201 1
ASSESSOR INFORMATION NUMBER - NEAREST CROSS STREET- ROWLAND
18587-032-021 1A1 PERMIT ISSUANCE•FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY
_ID3 BOOTH LGT, SYSTEM 1 00 BOO 16 20
ITENANT I TOTAL FEES 43 95 (ISSUED ON PROCESSED BY: PLAN BY EXPIRES ON
ICHURCH OF THE NAZARENE, YOUTH DEPT 106/20/08 - SR 12/17/08
OWNER. TEL NO IFI _ DATE FIN Y: CODE
ITEMPLE CITY CHURCH OF THE NAZARENE (818) 287-1136- I I
19953 LAS TUNAS DR I i
ITEMP 917802201 I D CRIPTIO OF WORK
IBOOTH LIGHTING FOR,FIREWORKS STAND 2008
I
1APPLICANT TEL NO 1 I I
ITNT FIREWORKS (310) 505-0444- '`•
16509 GLORY WHITE ST _ ISPECIAL CONDITIONS
LAKEWOOD 90713 ,1
ICONTRACTOR- TEL N0: (I (APPROVALS DATE INSPECTOR SIGNATURE
IK C ELECTRIC (310) 505-0444- 1 ,r 1
16509 GLORY WHITE ST. LIC NO ITEMPORARY POWER POLE I I 1
ILAKEWOOD, CA 90713 699521 C10 I - I I I
1 I 1UNDERGROUND CONDUIT
I I I
1ARCHITECT OR ENGINEER TEL NO IUFEF-GROUND
LIC NO 1 IROUGH CONDUIT
I I I
1 I IROUGH WIRING
I I I
1 1 IMAIN WATER LINE I 1 1
1 1 IPLASTIC YIN METAL YIN
IUTIYITY COMPANY NOTIFIEDI I -
I I I I I I
1
1 I I I I I
1 I I I
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508
I I I I I I
t
t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0906080026
BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE, CITY CA 91780 -
PHONE` (626) 285-0488 EXT
ILEGAL ID- I FEES PAID BUILDING ADDRESS 1
ITR 6561 LT 13 BL 001 I 9945 LAS TUNAS DR
I IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 917802201 1
(ASSESSOR INFORMATION NUMBER I I j NEAREST CROSS STREET ROWLAND 1
18587-032-021 ijAl PERMIT ISSUANCE FEE 27 75 1 'f THOMAS PAGE: 597 GRID- A2 LOCALITY: TEMPLE CITY 1
ID3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 I I
ITENANT - - I - TOTAL FEES 43 95 (ISSUED-ON- PROCESSED BY PLAN BY. EXPIRES ON
ICHURCH OF THE NAZARENE, YOUTH DEPT I 106/08/09 SR 12/05/09 1
I -1 1-1 1
TOWNER TEL NO iF7NODAT$ FINAL BY- CODE
TEMPLE CITY CHURCH OF THE NAZARENE (626) 287-,1136- 6� ,J/'�� /j//►yl/l
19953 LAS-TUNAS DR I I I
ITEMP 917802201 DESCRIPTIOIq OF WORK 1
- (BOOTH LIGHTING FOR FIREWORKS STAND 2009
I I I I
(APPLICANT TEL NO I I
ITNT FIREWORKS (714) 738-1002- I
1555 N GILBERT ST. I ISPECIAL CONDITIONS
IFULLERTON CA 92833 I 1 I '
I I I I
I I I
ICONTRACTOR - TEL. NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
IK C ELECTRIC (310) 505-0444- 1 I 1
16509 GLORY WHITE ST. LIC NO ITEM'-'ORARY POWER POLE
ILAKEWOOD, CA 90713 699521 C10 I I - 1 I 1
_ (UNDERGROUND CONDUIT -
I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND
1 LIC NO 1 IROUGH'•CONDUIT
s
I I IROUGH WIRING 1 1 1
1 I 1MAIN)WATER LINE I I I
1 I (PLASTIC YIN METAL YIN 1 I 1
I 1 1UTILITY COMPANY NOTIFIEDI I I
I I I I I I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508 1006090030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT:
ILEGAL ID I FEES PAID I BUILDING ADDRESS I
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ID3 BOOTH LGT, SYSTEM 1 00 BOO 16.20 1 1
(TENANT- 1 TOTAL FEES 43.95 (ISSUED ON PROCESSED BY PLAN BY: I
CHURCH OF THE NAZARENE, YOUTH DEPT i 106/10/10 SR I
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IK C ELECTRIC (562) 867-4447- 1 1 ' 1
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DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1205290056
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 6561 LT 13 BL 001 1 9945 LAS TUNAS DR
1 IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 917802201
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18587-032-021 IA1 PERMIT ISSUANCE FEE 27 80 1 THOMAS PAGE- 597 GRID A2 LOCALITY TEMPLE CITY 1
ID3 BOOTH LGT, SYSTEM 1 00 BOO 16.15 I I
ITENANT '1 TOTAL FEES 43 95 (ISSUED ON PROCESSED BY PLAN BY I
CHURCH OF THE NAZARENE YOUTH DEP 105/29/12 SR
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105030038
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
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LEGAL ID FEES PAID BUILDING ADDRESS
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8587-032-021 JAI PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1405270080
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT. t
ILEGAL ID. FEES PAID BUILDING ADDRESS
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006260068
BUILDING--AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
I PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 13 BL: .001 9945 LAS TUNAS DR
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ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-032-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: NAZ. CHURCH YO
D3 BOOTH LGT, SYSTEM 1.00 800 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIR N:
06/26/00 UT 12/23/00
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
TEMPLE CITY CHURCH OF THE NAZARENE (818) 287-1136- /' L
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588 LANTANA ST SPECIAL CONDITIONS:
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GOGTHESTER AND SON ELECTRIC (909)N392-4949 ® APPROVALS DATE INSPECTOR SIGNATURE
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0106270035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALD BUILDING
TR: 6561 LT: 13 BL: .001 9945 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802201
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
8587-032-021 Al PERMIT ISSUANCE FEE 27.75 PTHOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
D2 CARNIVL DISPLAY LGT 1.00 DIS 16.20
TOTAL FEES 43.95 ISSUE5 L .
06/27/01 UT 12/24/01
OWNER: TEL. NO: FINAL,,D E FINAL BY: CODE:
SMALDINO LOUIS P;DOROTHY A
13583 WHITTIER BL
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206240012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EX1:
LEGAL ID: -' FEES PATUD_ BU D NGADDRESS-
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8587-032-021 Al PERMIT ISSUANCE FEE 27.75 FHOMAS PAGE: 597 GRID: A2 LOCALITY: NAZ. CHURCH YO
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TENANT:v i� JI GENERATORS +3-10HP 1.00 GEN 19.65 ISSUED ON: PROCESSED 6Y: PLA -BY. EXPIRES ON:
TOTAL FEES 63.60 06/24/02 JK 12/21/02
OWNER: TEL. NO: FINAL DATE FIN BY: CODE:
TEMPLE CITY CHURCH OF THE NAZARENE (818) 287-1136- L
9953 LAS TUNAS DR 4/
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FIRE WORKS STAND - 2002
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RICHARD RAFFAELLI (586) 420-3942-
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REPORT ID: DPR265 ROUTE TO: SS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306030083
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT-
ILEGAL ID FEES PAID BUILDING ADDRESS -
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