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Home My Public Portal About5359 LOMA AVE_Electrical__ 1. '& AZ0 /i D AI COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY L CT WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ,�- qq / e. ELECTRICIAN Ci g�J/ ,c GiU -- A -1 / 's- ADDRESS D I gn�' l" "'-i BY READY FOR DATE ISSUED f-1 FIRST INSPECTION CITY Al TEL. NO. L, to COUNTY LICENSE NO. 41 EXPIRES .S I BUILDING y' —� NUMBER EACH LOCALITY �.�r PERMIT FEES ADDRESS �[.J� / 01r Oiw{� a�/ FEE 1kf/Q-l4r C�'�ii LIGHT OUTLETS NEAREST RECEPTACLES 5 CROSS ST. WALL SWITCHES OWNER .sSICh TOTAL OUTLETS SO $ MAIL /y ELEC. RANGES 2g ADDRESS ✓��^a3_.v ,0"vi� ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIN MISC. APPLICATION AND STATE THAT THE ABOVE IH CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MvD. HP OVER I INC. EACH OF THE RESIDENTIAL IROPERTY DE CRIB BOVE. '/z 6 LE88 .25 SIGNATURE O %z 2 .50 PERMITTE 00 2 5 1.50. 5 15 NSPECTION RECORD is 50 2.50 50 1 200 5.00 200 SOO 10.00 J 500 lDOO 15.00 Q Z OVER 1000 20.00 M.G. BET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF DR113.) _ M ISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTORIB NAME WIRING $1.00 nD CONDUIT FIXTURES $1.00 00 WIRING ,.y.— SUPPLEMENTARY ,50 r FIXTURES POWER TOTAL FEE !`'() UTILITY CO.NOTIFIED FINAL RA I t, tg 50-� 76A663 DBS#SA 2-53 76A663-CE6061-67 APPLICATION [AOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS , JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCAL. NEAREST 1 FOR APPLICANT TO FILL IN CROSS ST. RECEPT, 1 TOTAL NO. I EACH FEE LIGHT JIS OUTLETS FIRST 20 ! $.20 $ �✓� OWNER / MAIL SWITCH ADD L f0 ADDRESS OVER 20 ')C�' 1 TOTAL FIRST 20 .20 CI TEL.NO. / &/a3 I LGHTING l FIXTURES FXTURES Jr ADD'L 7O CONTRACTOR Pa -ly OVER 20 RANGES DRYERS WTR HTRS 1.00 ADDRESS, GARB.DISP. STA COOK City, TEL NO. D DISHWASH. AUTO.-WASH. STATE I SPACE HTRS. STA. ADPL. 550 LICENSE NO. MOTORS. OVER NOT OVER H P. --D!STRICT NO. GROUP - PRO ESSED O 1 1.00 . 1 3 150 / INSPECTION RECORD 3 S 200 s 15 2.50 13 50 300 C 50 100 500 0 SIGNS. NO TRANS OC NO LAMPS GO SERVICE 0.600V-NOT OVER 200A 100 Sj a SERVICE 0-60OV-OVER 200 A 200 N z SERVICE OVER 600V 5.00 - OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1100 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE , O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /J A ELECTRICAL WIRING WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN.THE ABOV E IBED,R SIDENTIAL PROPERTY �J SIGNATURE UTILITY CO.NOTIFIED n / OF PERMITTEE 1 Cl�� LI JOSEPH C. RobHAN CK MOO CASH SUPERVISING ELECTRICAL ENGINEER 863 NOV 24 2D 2.20- . 76A663-CE806 10/72 APPUCAU ON FOP, ELECUROQ%d [PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 11 LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST ^LETS NO EACH FEE OWNER OR p $ $ FIRM NAME ,� RECEPT MAIL FIRST 20 f � ADDRESS LIGHT TOTAL 25 ` CITY TEL NO SWITCH OVER 20 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL No. PERMIT RANGE DRYER_WTR. HTR._ APPLICANT ellC STA. COOK DISP _L_F A U ADDRESS SPACE HTR. AIR COND CITY J. is 014 aTEL NO y?J-`" CLOTHES WASH DISHWASH RECENSE OR G NUMBER Q CLASS. 0-16 FAN OTHER 100I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 000�� ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I A PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REQUIRED BY LO ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI AM HE LEGAL OWNER OF THE ABOVE >,,, 1 - 1O 300 DESCRIBED RE TIAL P OPERTY' O PERMITEE c.> 10 - 50 500 SIGNATURE O 50 - 100 1000 v DISTRICT NO. R SED BY 1y 100 - 500 15 00 SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING 7tl TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL /� '6,(f �f illy//(N�h-r✓ PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 3 ov' TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH 3 7 3 L-I.3X 17 2 ® 8.2 5,6T6 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '� COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN %=-� -- - RECEIVED BY READY FOR DAT ISSUED ADDRESS /� G SIE F_� G/� FIRST INSPECTION CITY TEL. NO. 120fl J/ COUNTY LICENSE NO. EXPIRES Tit/E/9 - BUILDING �} PERMIT FEES ADDRESS z�J'��`__ NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER 47 TOTAL TOTAL OUTLETS SC MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 _ CITY TEL NO. FIXTURES 5 _ T 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS (,i+" AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES I NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID- LOFT NumarR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PRO E Oq DESCRIBED ABOVE. y� %2 6 LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE ---- 1 2 5 1.00 INSP %TIONRECORD 5 15 1.50 _ 15 50 2.50 so 200 5.00 200 500 10.00 - J 500 1000 15.00 G Z OVER 11100 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA 0 GENERATORS - KW TRANSFORMERS - KVA li TEMP. MOTORS (75% or ORIG.) MOVED MOTORS (75% OF CRIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 co CONDUIT $1.00 WIRIN -s—h-4-3 FIXTURES / SUPPLEMENTARY .50 FIXTURES' POWER V A TOTAL FEE S (� UTILITY CO. NOTIFIED FINAL 76A663 DBS#5A 4-52 r WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 u ((r L�Y�r��C�i�9 Y ®� ®� ELEC tl ��i. AL PERM tl �J 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) Policy No Company FOR APPLICANT TO FILL IN JOBV,/ ADDRESSJ1 1,0MIJ , 6 Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE $ $ LOCALITY y�/ C 7� ❑ Certified co is filed with the count building inspection 1 ul i--Family,Sq Ft copy y g p NEAREST department Multi-family Sq Ft CROSS ST L Date 'Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR Outlets Rec _Light Sw FIRM NAMEra COMPENSATION INSURANCE First 20 (This section_need not 66—completed If the work Involved by the MAIL permit is for one hundred dollars(3100)or less.) Total No Additional ADDREss- } ✓ I certify that-in the performance of the work for which this permit CITY Til • & e,,7'v TeI,No — _ U is Issued, I shall not employ any person in ariy manner so as to PLAN&ECK become subject to the Workers' Com tion Laws_ Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO;APPLICANT, If, alter making this Certlf/a,. of CITY Tel No Exemption,you should become subject to the Workers',Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT _ Z ,�/ L ' LICENSED CONTRACTORS DECLARATION Size&Type,HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of-Chapter-9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY �� / hG 6-I No Professions Code,and my license Is in full force and effect Over 10 to 50 Incl LICES SE OR Over 50 to 100 Ind REG NNUMBER / Class /j Q a Over 100 DISTRICT NO PR ED BY C.. O License Number / Lic Class /O U SerDwc� jv�;NJ9 C&Paane hoar s •//O CSL Contractor z /• [ f7a'te� �! GG7/'��3�9(FCm'p Urtder 6D O FINAL DATE .(/ O ❑, I am exempt under Sec 400-1000 Amp Under 600 V X20 G3 VALIDATION W Over 1000 Amp or Over 600 V FINAL a B&P C for this reason BRANCH CIRCUIT FEES BY U) Date 15A,or 20A,120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits 0 Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits 1 •- , SINGLE FAMILY Temp Power Pole&Appurtenances uAGGT°B u HOME OWNER-BUILDER DECLARATION Circuit Sign with One Branch Clt _ � pp CC I hereby affirm that I am exempt from the Contractor's License Law Jr7iJ7 57 a.r5 for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits T p� Code) iT�l l El1, as owner of the property, will do the work and the structure Mlsc Conduits&Conductors — TOTS. n5 Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) MM CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Is a construction lending agency for the •_ Yr __ performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) L� G. ter- Civ C) PLAN CHECKING FEE DLL�—OWI 1/ 6/93 Lender's Name PERMIT ISSUING FEE 4C - y y 740 N 1 - tot 9 04 Lender's Address 1 certify that I have read this application and under penalty of purjury state TOTAL FEE - that the above Information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize repro sentat s of this County to enter upon the above-mentioned property for in poses �EE _&. SEE REVERSE FOR EXPLANATORY LANGUAGE SI UR F r WORKER'S COMPENSATION DECLARATION 200019 DPW g/gg ��®� ®� ��C�� 8� 76A663 I hdieby affirm that�l 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) Policy NO Company FOR APPLICANT TO FILL IN JOB ADDRESS F +� EACH NO Certified copy is hereby furnished New Residential Bldgs &Pools 1 FEE ❑ $ _ $ LOCALITY Certified copy Is filed with the county'bullding Inspection 1&2-Family,Sq Ft departmentMulti-family Sq Ft CROSSSS Date Applicant Residential Swimming Pools - ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec � _Z_ 0 Light ~L Sw y l NER 0' _ COMPENSATION INSURANCE 7 /� P� First 20 MAIL (This section need not be completed If the work Involved by the Total No Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel No Is Issued, I shall not employ any person In any manner so as to i y become subject to the Workers' Compensation Laws Lighting Fixtures First 20 aa PLAN CHECK 9 9 - �� /v � - 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 D provisions,or this permit shall,be deemed revoked APPLICANT P P 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION -ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH O (commencing with Section 7000) of Division 3 of the Business and CITY Tel No U Professions Code,and my license is in full force and effect RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR Power Apparatus&Large Appliances REG NUMBER class Q License Number Llc Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO P OC SED BV O Up to 3 Incl s� �� LU Contractor Date DATE CO 3 to 10 Incl FINAL 06 Over 10 to 50 Incl ❑ I am exempt under Sec Over 50 to 100 Incl _�V/�-4 VALIDATION Z -- Over 100 FINAL - B&P C for this reason By Services,Swbd,MCC&Panelboards Date 0-200 Amp Under 600 V Signature 201-1000 Amp Under 600-V f - ❑ Over 1000 Amp or Over 600 V r Exemption for Reg Maint Elect SINGLE FAMILY , Temp Power Pole&Appurtenances ACC{ n; HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit - rc I hereby affirm that I am exempt from the Contractor's License Law 9 211.7 ?_I for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) I 7 3Ir,tet I t r I,as owner of the property,will do the work and the structure Misc Conduits&Conductors - - TOTAL p� Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) - a and Professions Code) ® CHECK 51,7 j 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 ==c'7 PERMIT ISSUING FEE "I"i Lender's Address I certify that I have read this application and state that the above TOTAL FEE / information Is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned prop rty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Ck��Jy / --- SIGNATURE OF APPLICANT OR GENT DATE TION ON hhe�eby4eArAERS6thI have aAce'rtifita e ofcolnnsent to self CEA� G 10 el APPUCAT fug FOR ELEC7MC ALS FEG°3N7 in'bre, or certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy-thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESSb� Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE Certified copy is filed with e county building inspec- 1 & 2-Family, Sq Ft $ — S LOCALITY tion department Multi-family Sq Ft — NEAREST CROSS ST 7 (o Residential Swimming Pools OWNER.OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTIO "FROMWAKERS' Outlets Recl__Light 7 Sw 10 _ MAIL COMPENSATION INSURANCE y-6, , First 20 ADDRESS (This section need not be completed if the work involved by Total No "' Additional CITY Tel No the permit is for one hundred dollars ($100)or less.) 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 any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No�— Additional CITY Tel No Date Applicant i NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1'HP PERMIT APPLICAN - 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 — ADDRESS1 � with comply with such provisions or this permit shall be Top — FAU WH — deemed revoked CITY, el Nal // Hood _ FanEC Other_ LICENSED CONTRACTORS DECLARATION 9. LICENSE OR b I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Roomi;rcond REG NUMBER (commencing with Section 7000) of Division 3 of the Business. DISTRICT NO PROC E BY and Professions Code, n lids r full force and effect Power Apparatus 8 Large Appliances fYO CId_C36 Size&Type HP, KW, KVA, or KVAR f Q C> License Numb r c Class Up to 1 Incl FINAL / Contractor ate / Over 1 to 10 Incl DATE / VAL ATION O ❑ Over 10 to 50 Incl FIN `/ U I am a mpt and Sec Over 50 to 100 Inc B Over 100 Z:B 8P C for this reason # 4 4 o 0 0 0 3t Q � Date Services, Swbd , MCC& Ponelboards 0 - 200 Amp Under 600 V I o o37.25 Signature 201 - 1000 Amp Under 600 V Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V o o - 3 7.2 5 5 SINGLE FAMILY Temp Power Pole&Appurtenances 04144.686 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 Professions Code) Misc Conduits&Conductors I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name 1V PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE a ave informal n i correct I agree to comply with all County r finances o to laws regulating Electrical wiring, and h eby outh a resentatives of this County to enter upon the r inspection turposes/ SEE REVERSE FOR EXPLANATORY LANGUAGE T (� Signatu a of Permittee ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508 1302120042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 , PHONE (626) 285-0488 EXT - ILEGAL ID FEES PAID BUILDING ADDRESS 1 ITR 11218 LT: 3 BL E 1 1 5359 LOMA AV I IFEE DESCRIPTION _ QUANTITY UOM AMOUNT I TEMP CA 917803002 (ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET OLIVE 15388-007-003 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID H4 LOCALITY. TEMPLE CITY CAI I IHA FAU LESS 3HP 1 00 FAU 11 00 1 1 ITENANT IJB AC UNITS +3-10HP 1.00 AC 19 70 (ISSUED ON PROCESSED BY PLAN BY 1 TOTAL FEES 58 50 102/12/13 SR 1 I I I I (OWNER TEL NO 1 IF AL DATE FINAL BY. CODE I 1NG0, TRACY - I I � 1 15359 LOMA AV I 1 � � 1 I ITEMP 917803002 1 IDESCRIPTION OF WORK 1 I I (ELECTRICAL FOR A/C AND FAU IT I (APPLICANT TEL. NO I I INGUYEN, DUNG I (626) 582-8046- 1 1 I 14218 RICHMOND AVE 1 ISPECIAL CONDITIONS I IEL MONTE CA 91732 I I I �:Y 1CONTRACTOR TEL NO A P OV °S � \ DATE IN!3Pt�OR -91GNATIJRE 1 IDT AIR & HEATING (626) 582-8046- 1 1 I 14218 RICHWOOD AVENUE LIC NO (TEMPORARY POWER POLE I I 1EL MONTE CA 91732 874333 1 1 I 1 I 1 (UNDERGROUND CONDUIT 1 1 I I I I I I 1ARCHITECT OR ENGINEER TEL NO- IUFER GROUND I I I I I I I 1 LIC NO. IROUGH CONDUIT I I I 1 IROUGH WIRING 1 I 1 I I IM?IN WATER LINE 1 1 1 I I 1PLASTIC Y/N METAL Y/N 1 _ 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I =• - I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I 1 IREPORT ID DPR265 ROUTE TO BS0508 1 1 1 I COUNY'Y OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT `DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1301170019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID I FEES PAID BUILDING ADDRESS ITR 11218 LT 3 BL E 1 5359 LOMA AV I IFEE DESCRIPTION • QUANTITY UOM AMOUNT TEMP CA 917803002 1 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET OLIVE 15388-007-003 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 22 00 OUT 41 70 1 TENANT IG2 LIGHTING FIXTURES 7 00 LGT 14 00 (ISSUED ON PROCESSED BY PLAN BY I IH2 RES GRBG DISP IT 3HP 1 00 DIS 11 00 101/17/13 SR 1 IH3 RES DISHWASHR IT 3HP 1 00 DIS 11 00 1 (OWNER TEL NO IH4 RES RANGE HUB LT 3HP 1 00 H00 11.00 IFI AL DATE FINNAL By CODE 1 INGO, TRACY - IHS RES WASH MACH LT 3HP 1 00 WAS 11.00 1 15359 LOMA AV IH7 RES EXHAUST FANS 1 00 EX 11 00 I I ITEMP 917803002 I TOTAL FEES 138 50 IDESCRIPTION F WORK I I I (ELECTRICAL FOR INTERIOR REM DELING 22 OUTLETS, 7 LIGHT FIXTUI IRES, GARBAGE DISPOSAL, DISHWASHER, RANGE HOOD, WASHING MACHII (APPLICANT TEL NO I INE AND EXHAUST FAN I IVAN, VICTOR (714) 724-3681- 1 1 1 110391 BONNIE DR 1 ISPECIAL CONDITIONS IGARDEN GROVE 92843 1 1 I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 INGHIA VAN VICTOR (714) 724-3681- 1 1 1 110391 BONNIE DR LIC NO 1 (TEMPORARY POWER POLE I I 1 IGARDEN GROVE CA 92843 562136 I 1 1 1 1 I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I I LIC NO i TROUGH CONDUIT I 1 1 I IROUGH WIRING I I 1 1 IMAIN WATER LINE 1 I 1 1 (PLASTIC YIN METAL YIN I 1 1 1 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 1 I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I 1 I I I I I IREPORT ID DPR265 ROUTE TO BS0508