Loading...
HomeMy Public PortalAbout9470 LAS TUNAS DR_Electrical__ (2) _ APPLICATION FOR ELECTRICAL PERMIT76A66 `CEE05 68 �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FLOCALITY 7- NEAREST. y� /,Q{ // BUILDING AND SAFETY DIVISION 4•+ �`•!�' 9 '4 JOHN A. LAMBIE. COUNTY ENGINEER , COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING jFOR APPLICANT TO FILL IN CROSS ST NO. EACHI FEE $ S OWNER RECEPT._ MAIL LIGHT ,((TOTAL FIRST 20 .20 � ADDRESS SWITCH ( / OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20y .20qq APPLICANT FIXTURES OVER 20 .10 (le ADDRESS RANGE—DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_OISP. F.A.U._ CONT RACT0Rj - SPACE HTR. AIR COND. ADDRESS �� � �•�-JCA' CLOTHES WASH._DISHWASH._ CITY TEL. NO-�YY�VV , FA N_0THER 1.00 LICENSE IJ O. rJ CLASS.w_._ & MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE IN TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 ' I HEREBY CERTIFY THAT I 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 10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 50 - 10.00 100 SIGNATURE OF PERMITTEE - 100 - 500 115.00 0 DISTRICT NO. G OUP ZONE PRO.ClE�.S�SEDjgY SIGN,GAS SIGN AND ONE CIRCUIT 3.00 .� 'p TUBE, OR _A MARQUEE / N ADDITIONAL CIRCUITS 1.00 NOTES:. SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 6 f I ' SERVICE OVER 600 VOLTS OR 200 AMP 5.00 .� ii TEMP SERVICE, POLE, &APPURTENANCES 3.00 A RO ALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE ' UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED f PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE i.00 FINAL TOTAL FEE J SEPH C. ROOHAN SUPERVISING ELECTRICAL ENGI ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH E ;sO4 u . APR 32 0 1 5.0N SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /��? i �•0'K/l'Y�✓ i 76A663-CE806 8:67 APPLICATION FOR ELECT�AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF'COUNTY ENGINEER BUILDING ,/i BUILDING AND SAFETY DIVISION ADDRESS �/�l/g-S / JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACHI FEE RECEPT $ $ OWNER lJ' /aE � LIGHT � TA FIRST 20 -y .20 eV ADDRESS Q .t SWITCH OVER 20 .10 CITY s ^TEL. NO * � LIGHTING TOT FIRST 20 1/0 .20 CONTRACTOR CONTRACTOR FIXTURES- J39OVER 20 .10 © ADDRESS/61- - t. : RANGE—DRYER—W TR.HTR._ CIT /�-�.-�G�� TEL. STA.COOK_DISP. F.A.U.— LICENSE NO. SPACE HTR. AIR COND. I'-HEREBY ACKNOWLEDGE THAT I H VE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABQaE DESCRIBED ES f1TIAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE �"L 0 - 1 1.00 W"L� OF PERMITTEE -' � �"-'/�' t a 1 — 10 3.00 DIST.$ICT GROUP Z NE P CE D BY OU 10 — so 5.00 50 - 100 10.00 NOTES: G l� f W 100 - 500 15.00 � N SIGN,GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 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 UNDERSLAB WORK ROUGH CONDUIT WIRING ISSUING FEE 2.00 ' FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 �y POWER AUTHORIZED (/r/�rj��QL/ �'-� ._,�•,vq, n PERMIT FEE Iiqv TILITY CO.NOTI FIED J / PLAN CHECK FEE (50% PERMIT F jFINAL /' (✓ TOTAL.FEE JOSEPA C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION ( M.O. CASH id't 4 5 7' 8 D 8.G gy tom' h.L^ Rs" \t�^� f N 9�T a ' r L.I i '4 -5 J s� M Y g ? =1 95U SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - 76A663-CE8O6'1:68 F ELEC`TR AL PER I� APPLICATIONOR COUNTY OF LOS ANGELES fl: DEPARTMENT OF COUNTY ENGINEER BUILDING n BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE J RECEPT._1 $ $ OWNER MAIL r � LIGHT—(1 TOTAL FIRST 20 .20 ADDRESS SWITCH_/ OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING �TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGEDRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP. F.A.U.— CONTRACTOR .f(_ SPACE HTR. AIR COND. - ADDRESS/,69,7 CLOTHES WASH._OISHWASH._ CITY Q117 /9 TEL. NO. JaJ/Zy FAN—OTHER 1.00 LICENSE NO. Q -724 CLASS. CI MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 I HEREBY CERTIFY THAT I 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 10 — 50 5,00 RESIDE IN, THE ABOVE SCRI D RESIDENTIAL PROPERTY. O SIGNATURE l.1 50 — 100 10.00 OF P ERMITt E ce 100 — 500 15.00 0 DISTRICT GRO NE PR CE SED EkY. SIGN,GASS `__ V TUBE, OR IGN AND ONE CIRCUIT 3.00 .21 MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: h Z 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 V"I6 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL)' FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED , PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED "� t'n�J,g � /� �✓Rn SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE APPLICATION FOL ELECTRI L PERMIT 6IJ-,, C�/1I�I1I11 `76A63-c�,8� 0667 6J COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FUING BUILDING AND SAFETY DIVISION S JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGT FOR APPLICANT TO FILL IN T. NO. EACH FEE $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADORESS:3 ll- SWITCH_ OVER 20 .10 CITY TEL. NO.*A LIGHTING �TOTAL FIRST 20 .20 CONTRACTORFIXTURES OVER 20 .10 ADDRESS RANGE_DRYER_WTR.HTR._ CIT TEL. NO STA.COOK_DISP. F.A.U._ LICENSE NO SPACE HTR. AIR COND. I HEREBY ACKNOIk LEDGE TITAT I HAVE READ T I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWASH._ `WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR HA7 IAM T E�GAeONER OF AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, E ABO E0RESID PROPERTY. SIZE & TYPE OVER TO SIGNATUR O - 1 1.00 ,OF PERM[ TEE O 1 - 10 3.00 DISTRICT NO. OUP ZONE P ED BY U 10 - 50 5.00 -S, (I `- 99 O 50 - 100 10.00 NOTES: G W 100 - 500 15.00 h TUBE,SIGN,GA SIGN AND ONE CIRCUIT 3.00 MARQUEE ADDITIONAL CIRCUITS 1.00 Y 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 UNDERSLAB WORK ROUGH CONDUIT WIRING ISSUING FEE 2.00 FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED ) PLAN CHECK FEE (50% PERMIT FEE) FINAL Y TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELEC ICAC ENGINEER PLAN CHECK VALIDATION CK.� M.O. CASH PERMIT VALIDATION CK. M.O. CASH Lko 3 5 9 .5`S 1 5 2 D 1: 2:Q 0~ . iEE BACK-OF APPLICATION FOR COMPLETE FEE SCHEDULE --- APPLICATION FOR CTRIQ L PERMIT 76A 6�r,�-CE806 9=67 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FBILDING BUILDING AND SAFETY DIVISION DRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITYARESTFOR APPLICANT TO FILL IN OSS ST. NO. EACH FEE $ $ OWNER 5 FRECEPT.— MAIL TOTAL FIRST 20 .20 ADDRESS OVER 20 .10 CITY TEL NO LIGHTING �TOTAL FIRST 20 .20 CONTRACTOR _FIXTURES OVER 20 .10 ADDRESS G L C RANGE_DRYER—WTR.HTR._ CITY- TEL. NO. STA.COOK_DISP. F.A.U._ LICENSE NO. ��.� SPACE HTR. AIR GOND. I HEREBY AATL NOW DGE THI HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WAS H._DISH WAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY NO STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM •F� O R O A D INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, TE E L PROPERTY. SIZE & TYPE OVER TO SIGNATU a. 0 - 1 1.00OF PERMITTEE d 1 - 10 3.00 DISTRICT O. GR "UP NE P E D BY O0 10 - 50 5.00 -�CJ - s oL o 50 - 100 10.00 NOTES: r, W 100 - 500 15.00 h TUBE, OR SIGN AND ONE CIRCUIT 3.00 �V MARQUEE ADDITIONAL CIRCUITS 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 UNDERSLAB WORK ROUGH CONDUIT ISSUING FEE 2.00 WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELDCK.-" CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONM.O. CASH LF1Lo-3 5-9 T2 MAR 15 2 D 1 1.0 0 " ;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE "fl APPLICATIO ELECTRICAL PERMIT 76A 663-CE806 10/72 06,1101 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER roe , BUILDING AND SAFETY DIVISION ADDRESS ; L LOCALITY Iti. _ C�, �.• NEAREST �- FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR 'rte S S - FIRM NAME $a p} RECEPT._ MAIL LIGHT TOTAL ' FIRST 20 25 ADDRESS („^ CITY TEL. NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTINGFIRST 20 25 APPLICANT TOTAL ADDRESS FIXTURES OVER 20 10 RESIDENTIAL APPLIANCES CITY TEL' No. PERMIT 11 RANGE DRYER_WTR. HTR._ APPLICANT ' �--Y ,o `'f".�c STA. COOK DISP. F.A.U. ADDRESS d, Las0 SPACE HTR. AIR COND. CITY"( -o,5 CQ:✓ TEL:NO. ..0% CLOTHES WASH. 01SHWASH. LICENSE OR CLASS. REG. NUMBER Q C Q FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 1,001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE L OWNER OF THE ABOVE 1 - lO 3.00 OESCRIF.ED RESIDENTIAL PRO PERMITEE � CC �` V 10 - 50 5.00 SIGNATURE���3 CD 50 - 100 10.00 DISTRICT NO. SED BY W 100 - 500. 15.00 �� a. a- COO` Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 - APPROVALS DATE INSPECTOR'SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING, / rsr7sl_ 17y,lc " TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE J (} PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATIONC� K_'`"� M.Q. �CAH \ 0 4. 01VJUN. c6 2 D 6.0 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE606 10,74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADORE G,J S BUILDING AND SAFETY DIVISION YT FOR APPLICANT TO FILL IN CROSS ST, 0.14,rl f{ OUTLETS N0. EACHI FEE OWNER OR RM NAME RECEPT._ $ $ MAIL �7 LIGHT TOTAL FIRST 20 25 ADDRESS /-•!� OVER 20 CITY ";G. �� 4 TEL. NO. SWITCH t0 PLAN CHE LIGHTING 1FIRST 20 25 APPLICANT )y TOTAL FIXTURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CI TEL. NO. PERMIT RANGE DRYERWTR. HTR. APPLICANT (r`7 STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR REG. .,�U �� CLASS. -! NUMBER i FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }. CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE a' DESCRIBED RESIDENTIAL PROPERTY. C3 1 - 10 3.00 V r- PERMITEE 10 - 50 5.00 SIGNATUR 50 - 100 10.00 DISTRICT 0. P OCES BY W a. l N 100 - 500 15.00 �✓ v "zfJ��tJ Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS D E -INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING .. TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES / POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 6 7. 2 29 2 .W9.0,0 ,►� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -76A663-CE80611_71 APPLICATION FOR ELECTRICAL ERM IJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 7 LOCALITY' —� NEAREST FOR APPLICANT TO FILL IN CROSS ST, OUTLETS NO. EACH FEE OWNER RECEPT._ $ Is MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. N0. . SWITCH OVER 20 '10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT TOTAL ADDRESS FIXTURES OVER 20 10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERRANGE DRYER_WTR. HTR. APPLIICANT / ,LEc STA. COOK DISP. F.A.U. ADDRESS, 7 v [ j SPACE HTR. AIR COND. CITY -7 TEL. NO.,'73 C?: 'le. CLOTHES WASH. DISHWASH. LICENSE NO. 2 CLASS FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM.THE�LAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABO DEBj;D RESIDENTIAL PROPERTY. 0O SIGNATURE (( 10 - 50 5.00ix OF PERMITT O 50'- 100 10.00 ~ DISTRICTNO. C SS ZONE rWbVESSED BY W 100 - 500 15.00 6O 8 (v' Z SIGN, GAS_ SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM 3.00 IDROUGH CONDIUT f WIRING Tepf 7-o rt v / FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C . M.0. CASH tt 6746:4 x+30 2. 0 �� " SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76/:663CE-806R 10/77 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER .JOB RESS �' �� � 7,' o7- BUILDING AND SAFETY DIVISION ADD FOR APPLICANT TO FILL IN LOCALITY `, ,'fM / New Residential Bldgs.&Pools EACH NO. FEE NEAREST 1 &2-Family,Sq. Ft. $ .025 — $ OWNER CROSS ST T Multi-family Sq. Ft. 02 — FIRM NAME`�COR �/ Residential Swimming Pools 25.00 MAIL ADDRES / 0 Outlets: Rec Light_Sw. CITY •7 (2, Tel.No. First 20 .50 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel. No. Additional .30 PERMIT Total No. APPLICANT GoccU� C�y GCY71.1V Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W.— CITY Tel. No. Oven _Dryer—W.M. LICENSE OR cc�� p Top —FAU' —W.H.— REG.NUMBERpr 7 d 6 Ciass.C—/0 Hood_Fan -Other 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN 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. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C Over 1 to 10 Incl. 5.00 U Over 10 to 50 Incl 12.50 PERMITTEE Over 50 to 100 Inc. 25.00 SIGNATU Over 100 40.00 DISTRICT NO�� OCESS BY N Z Services 0-200 Amp.Under 600 V 12.50 INS CTOR'S 201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT 2.00 WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedulei POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE D' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH 2 3 9':.UN 28 2 A SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN , JOB `�,•-� .y-� New Residential Bldgs.&Pools EACH NO. FEE, ADDRESS _-I-1..0 L 9s r-414-.:s 1 &2-Family,Sq. FT., $ 025 •- $ .LOCALITYj�1PL� GlT _ • 'Multi-family Sq. Ft. .02 - NEAREST Residential Swimming,Pools 25.00 CROSS ST. U -24 OWNER OR--- y, - FIRM NAME Outlets: Rec Light, Sw. MAIL First.20 .50 ADDRESS " Total No. -. Additional' .30 CITY �. �' Tel. No. PLAN CHECK , APPLICANT Lighting Fixtures, First^20 .50 ADDRESS .30 _ __.... - _ Total No. - Additional CITY Tel. No. Fixed Appliances Not Over.l HP - PERMIT 4 " Range—Heater—D.W. _ APPLICAI' `j /7 .r -I- Oven I- Oven—Dryer'—W.M.'_ -ADDRESS' 3,30 Top _FAU W.H.— CITY LoS ,4i✓r ,EcS.. Tel. Hood_Fan Other_ LICENSE OR Disp.—Room Air Cond. 2.50 REG.NUMBER 7 -3 8 Class. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO Size&T COMPLY WITH'ALL:COUNTY' ORDINANCES'AND'STATE LAWS T' Type HP, KW, KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING. Up to 1 Incl. 1 HEREBY CERTIFY-THAT I AM PROPERLY REGISTERED-AND/OR U Over•1 to 10 Incl.• 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ps Over.1.0 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF•THE ABOVE- O 25.00 DESCRIBED RESIDENTIAL ROPERTY. 1- L OveOver SO to 100 Inc. PERMITEE r 1'00 40.00- t�L �+ SIGNATURIr Services -- --- fDSTRICTNOROCES D Y0-200 Amp.Under 600 V 12.50 co"201-1000 Amp'. Under 600 V 25.00`Over 1000 Amp.or.Over 600 V 50.00 Z'.OTemp. Power Pole&Appurtenances 10.00Q Sign with One Branch Circuit10.00AdditionalSign Branch Circuits• 2.00INSPECTION > NFORMATION U Misc Conduits&Conductors 10:00 ON REVERSE- z Other(See Complete Fee Schedule) SIDE u ,o97.6 A 2 D D 1, O.'O O PER FEE (Sub-Total) 'o' oo � � OOcX Zi PLAN CHECKING,FEE -(One'-Fourth'Permit Fee) O PERMIT ISSUING FEE 57.00 G &2 6-8 O JP �y J TOTAL FEE %, (.� > INSPECTION FINALED :E �"�, date: ® J By W 76AG63 CE-80616/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 7 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY Multi-familySq._Ft. .02 — NEAREST Residential Swimming Pools 25.00 CROSS OWNER. J C FIRM NAME. T. t t.t Outlets: Rec Light Sw. MAIL First 20 50 ADDRESS Total No. Additional .30 CITY T I. No: PLAN CHECK �`r APPLICANT Lighting Fixtures First 20 S0 ADDRESS Additional .30 Total No. CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT Range—Heater—D.W. _ Oven—Dryer_W.M. ADDRESS ! t3 Top _FAU —W.H. _ CITY� Tel. No. Hood_Fan _Other_ LICENSE OR Disp._Room Air Cond. 2'50 REG. NUMBER AS&& 0 40 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 COMPLY WITH ALICALL COUNT ORDINANCES AND STATE LAWS Size&Type HP, KW, KVA,or KVAR REGULATING ELECTRIN . d Up to 1 Incl. 2.50 / I HEREBY CERTIF HAT PROPER Y� GISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUI f BY ANGEL'€ NTY AN TATE OF U Over 10 to 50 Incl. 12.50 CALIFORNIA OR QT I ,,THE L i NER O HE ABOVE adO Over 50 to 100 Inc. 25.00 PERMDESCRIBED RES11 L P OPE 0 Over 100 40.00 SIGN T UI SIGNATURE VI Services DISTRICT NO. PRO S Y Z 0-200 Amp.Under 600 V 12.50p L 201-1000 Amp. Under 600 V 25.00 0 Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION u Misc.Conduits&Conductors 10.00 ON REVERSE z Other(See Complete Fee Schedule) u 7 Q A SIDE Z 9a aaao2 J , d p o a 1. 000 PERMIT FEE (Sub-Total) 0 0 0 1 0,006 Z PLAN CHECKING FEE (One-Fourth Permit Fee) O 0601 -79 PERMIT ISSUING FEE $7.00 IAG J Q TOTAL FEE (J. 'ro > INSPECTION FINAL D — :E W date: �6 B d ©s 76A663C- CE806B 12,75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB /J �l J n FResidential Bldgs.& Pools EACH NO. FEE ADDRESS 7 I-Are Sq. Ft. $ — $ LOCALITY q. Ft. — NEAREST imming Pools CROSSST �� OWNER M FIRM NAME Outlets: Light,Switch &Receptacle MAI L ADDRESS -Gay�Q]r(3 First 20t. Additibnal CITY 1 T- 'G Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS Oven Dryer W.M. Top FAU W.H. CITY Tel. No. �- Hood Fan LICENSE OR � REG. NUMBER Class. C— o Disp. A.C. � I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. <L_ rn U to 1 Incl. z P I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl. PTE RESIDENTIAL PROPERTY. Over 50 to 100 Incl. E Over 100 -=JW. NO. P CES BY Services � 0-200 Amp. Under 600 V 201 -1000 Amp. Under 600 V ROVALS D T INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE ; WER POLE Temp. Power Pole&Appurtenances AB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ONDUIT h r) fin( FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED h qq PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH s -1.9 ?r"JUN .24 2 ® 9.00 ,I _... Fa 76A663-CE806 II_71 APPLICATION FELF °C ` PERMIT OR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER TNE G � #: BUI °DING AND SAFETY DIVISION ' Cs4 j {J/1l°t� 1. tiY' hf�+CC, rrr TFOR APPLICANT TO FILL IN T.OUTLETS - N0. EACH ,F;EE$ $ OWNEf f /✓�f",C I '7/u'/ RECEPT._ I MAIL ADDRESS L•IGHT� TOTAL FIRST 20 25, CITY - TEL. N0. '- SWITCH OVER 20 .10 - - PLAN CHECK FIRST 20-. LIGHTING Z5 + 'APPLfCANT TOTAL OVER 20 ADDRESS - FIXTURES 1U RESIDENTIAL•APPLIANCES crrY TEL. NO. PERM TRANGE DRYER WTR. HTR.. gPPLIICANT 'fes f,C. _G:.?`/ 1C„ . tJ ��'�"�c STA. COOK DISP. F.A.U. ADDRESS+ /ter �" ,CSC%f,\/ f`"t �r �:. SPACE HTR. AIR COND. CITY ,y„ TEL. N0: CLOTHES WASH. DISHWASH. LICENSE NO. 0_1'916 CLASS. <- l FAN 'OTHER1.00 T HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE*TO-COMPLY MOTORS, TRANSFORMERS RATING - WITH ALL COUNTY ORDINANCES AND'STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. - SIZE & TYPE OVER TO - - - 0. .I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O 0 - 1 100 - LICENSED AS REQUIRED BY LOS ANGELES COUNTYANDSTATE OF CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF, AND INTEND TO V 1 - 1 O 3.00 RESIDE IN, THE ABOVE DESCRIBED RE,S,IDENTIAL PROPERTY. Lu ,���f 10 - 50 5.00 SIGNATUREre� - ; OF/PEER'.''FTEE:-°"''� 501- 100 10.00Q. DISTRICTNO. CLASS ONE PROCESSED BY 100 - 500 t 5.00 r Z SIGN, GAS=ND ONE CIRCUIT 5.00 NOTES: TUBE, OR LY MARQUEE ADDITIONAL CIRCUITS 1.00 ~ SERVICENOTOVER600 VOLTSOR 200AMP 3.00 APPROVALS DATE _ INSPECTOR'S SIGNATURE SERVICEOVER600VOLTSOR200AMP 10.00 TEMP.POWER POLE - - TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK - TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT ' 4 11 i ivtt.� WIRING FIXTURES .... POWER AUTHORIZED PERMIT FEE (SUB TOTAL) ) I, UTILITY CO. NOTIFIED PLAN CHECK FEE } FINAL PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION'"'"'°'CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �� 76"A663-CE&061/70 APPLICATION FOR ELECTRI AL PERMIT IJ - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTL TS NO. EACH FEE $ $ - OWNER, RECEP MAIL FIRST 20 .PO. ADDRESS �Q �> LIGHT TOTAL , CITY , TEL. NO. SWIT H c-" �.� OVER 20 .10 PLAN CHECK " LIGHTING FIRST 20 20 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY ^- TEL. NO. RANGE DRYER_WTR. HTR. APP LIICANT Ip S �/' STA. COOK DISP. F.A.U. ADDRESS i 017 t SPACE HTR. AIR COND. CITY �- _j ll N0. CLOTHES WASH. DISHWASH. LICENSE NO U' CLAS FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORR 7 AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES ATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY P.T ERLY REGISTERED NO/OR 0 - 1 100 LICENSED AS RED D BY ES COUNTY AND ATE OF CALIFORNIA OR T T I A E L OWNER OF TEND TO 1 10 `3.00 RESIDE IN, E ABO' ED RESID PROPERTY. } 10 - 50 5.00 SIGNATUR O OF PER T 50 - 100 10.00 U DIS I T JCLA,SS;�ROUP ZONEPROCESSED BY IX. 100 - 500 15.00 0 U SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: d TUBE, OR to MARQUEE ADDITIONAL CIRCUITS 1.00 Z SERVICENOTOVER600VOLTS OR200AMP 2.00 SERVI CEOVER 600 VOLTS OR 200AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 �j G� UNDERSLAB WORK ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 FINAL ETOTAL ENTARY PERMIT ISSUING FEE 1.001 9 47 16 J EP C. ROOHAN FEE c•(Q SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.0. , CASH PERMIT VALIDATION CK. M.0. CA H .GGaS1 5JU�4 2 9 z D 5.00- SEE EE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 1 0/72 APPLICATION R EL.E&RICAL PERMIT, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR FIRM NAM RECEPT._ MAIL —� LIGHT TOTAL FIRST 20 25 ADDRESS - .. CITY TEL. NO. SWITCH OVER 20 ,10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 _ .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. PERMIT RANGE DRYER_WTR. HTR._ APPLICA T STA. COOK DISP. F.A.U. ADDRESS Z SPACE HTR. AIR COND. CITY TEL. N CLOTHES WASH. DISHWASH. LICENSE O CLASS. REG. NUMBER FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDIN C S AND STATE LAWS R ULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTR ICAC WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY 7 AT/I AM PROPERLYREGIS7 RED A D/OR 0 - 1 100 LICENSED AS REQUIRED BNLOS ANGELES COUNTY A� D STAT OF CALIFORNIA OR THAI �AM THE LEGA OWNER OF THE VE 1 - 10 3.00 DE S CR IRE0 R L PROPER r O PERMITE U 10 - 50 5.00 SIGNATU E O 50 - 100 10.00 DISTRIC N0. PR SS D BY U W 100 - 500 15.00 a \ C � Z SIGN, GAS SIGN AND ONE CIRCUIT 5:00 APPROVALS DATE INSPECTOR' IGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE - SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICEOVER600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 ( WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL ,.'P Aw PERMIT FEE (SUB TOTAL.) NOTES: ' PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. Q. CASH PERMIT VALIDATION CK. M.O. CASH 7 o 4�:JUN 26 2 0� 6.0 0 A"_d SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663_C'E80611-71 APPLICATION OR ELECTRICAL PE IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �j -� BUILDING AND SAFETY DIVISION ADDRESS 74 ® L.45 /Uu/A5 LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE 4 $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT ��O VER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE ORYER_WTR. HTR. APPLICANT - STA. COOK DISP. F.A.U. ADORES ^- SPACE HTR. AIR COND. CI TYe�C'/ TEL. NO ���� CLOTHES WASH. DISHWASH. LICENSE N0. CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTAM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS UIRED BY L S ANGELES COUNTY AND STATE OF CALIFORNIA THAT I AM.TH LEGAL OWNER OF, N INTEND TO O 1 - 10 3.00 RESIDE I , THE A ,VE D SCRIB RESIDE PROPERTY. i V SIGNAT E I= 10 - 50 5.00 OF PER TT O SO 100 10.00 DISTRICT NO. CLAS' ZONE PROLE SED BY u 100 - 500 15.00 " � C. 1 ` a N SIGN, GAS =SIGN ONE CIRCUIT 5.00 NOTES: , ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.001 1 SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 - ROUGH CONDI UT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE - 3.00 G TOTAL FEE 10. 0 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI N CK. M.O. cAsrr SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE80611-71 APPLICATION FOR ELECTRICAL PERMIT i� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 '25' ADDRESS ' CITY TEL. NO. SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYERWTR. HTR._ APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. - CLOTHES WASH. DiSHWASH. LICENSE NO. } -f CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. } SIZE & TYPE OVER TO a I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF U CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Lu J 10 - 50 5.00 SIGNATURE u. OF PERMITTEE 50 - 100 10.00 DISTRICTNO. CLASS ZONE PROCESSED BY Q 100 - 500 15.00 O C. SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR tiJ MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600VOLTS OR200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 1' 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O, CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION 76A663CE-806 10/61 APPLICATION FOR ELECTRICAL .PERMIT I hereby affirm that I have a certificate of consent to self CE-6066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY �or p certified copy thereof (Sec. 3800, Lab C. Tf ( - olic)�o. am pa FOR APPLICANT TO FILL 108 p��, U/C aA ertified copy is hereby furnished. New Residential Bldgs. & PoolsEACH NO. FEE ADDRESS"fi-�� LaS Tunas1 & 2-Famil q. LOCALITY ertified copy is filed with the county building inspec- y, S Ft. $ —" $ Temple Cit - Thrift Parkin tion department. Multi-family S Ft.' — 'NEAREST P Y q CROSS ST. Las Tunas/Cloverly Z� Pec �`����L� Residential Swimming Pools OWNER OR Date Applicant FIRM NAMETem le City YMCA CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec LighT Sw._. MAIL 5926 Rowland -=. COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved b First 20 ( tip Y Total No. Additional CITY Tem le Cit Tel. No. 286-2066 the permit is for one hundred dollars ($100)or less.) I certifythat i' the performance of the work for which this PLAN CHECK at n P 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 Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT F� (: ('r LAG C 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 -LZy fl with comply with such provisions or this permit shall be Top — FAU .--_W.H. -- CITY Tel. No. deemed-revoked. � p� t 2/f{'?� LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Dis LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 p' Room Air Cond. REG. NUMBER Z J O�� Class.4—(d (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESS BY and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances 9L C,O Size&Type HP, KW; KVA, or KVAR' ��e (� License Number 32-57-00Lic. Class Up to.1 Incl. FINAL DATE AaC/-IA C'4 iiCA 6 �? g3 Over 1 to 10 Incl. ` G (t Contractor ate � � VALIDATION El Over 1.0 to 50 Incl. H FINAL I am exempt under Sec. Over 50 to 100 Inc. BY LU B.&P.C. for this reason Over 100 H Date: Services, Swbd., MCC& Panelboords ® �� Z 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V 3 2 IL 0 A Exemption for Reg. Maint. Elect. #'o o o o o 2 SINGLE FAMILY Temp. Power Pole &Appurtenances .2*.o ol 'S,.5,0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit _ I hereby affirm that I am exempt from the Contractor's License g o 0 0 1 5.50 66 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ' Professions Code): 0629-83 ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors 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 1V I 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 /U a Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 59notu a V rmittee Dat WORKERS' COMPENSATION DECLARATION CE 806G 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, or a 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 241-7 0 L4S -rJ A�5 r� Certified co is hereby furnished. EACH NO. FEE ADDRESS y copy Y New Residential Bldgs. & Pools g _ $ LOCALITY T IC G Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. — �� s tion depart ent. Multi-family Sq. Ft. CROSS ST. Date G 2G g� Applicant #,acA C� Residential Swimming Pools OWNER OR PP 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 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 Work rs'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel. No. to Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO A PLICANTi If, aft1r mak' g this Certificate of APPLICANT P.>ticA S?�A L�G LG 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 ZG �� Tel. No.411 7S7SG0 LICENSED CONTRACTORS DECLARATION LICENSE OR 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER 32�D 86 Class.G—(O (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESS BY >_ and Professions Code;and my license is in full force and effect. Size &.Type HP, KW, KVA, or KVARo License Number 3lw!5_09 Lic. Class ���0 Up to 1 Incl. FINAL ��_ f i ZG g Over 1 to LO Incl. DATE VALIDATION Contractor -At� G Date❑ Over 10 to 50 Incl. CJ ( V FINAL I am exempt under Sec. Over 50 to 100 Inc. BY 6++ B.&P.C. for this reason Over 100 Z Date: Services, Swbd.., MCC& Panelboards ► /� /� 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances P2,2 5J,4 HOME OWNER-BUILDER DECLARATION o io 1 o.o o G Sign with One Branch Circuit I hereby affirm that lam exempt from the Contractor's License ; Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 2jo 0 5,50 Professions Code): 0 0 0 1 5,5 o U ❑ 1, as owner of the property, will do the work and the Misc. Conduits & Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)- 01 .0 6,2i6—$'4 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY ® C� I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE O U Q Lender's Address II certify that I have read this application and state that the TOTAL FEE r f f above information is correct. I agree to comply with all County lordinances and State laws regulating Electrical wiring, and. hereby authorize representatives of this County to enter upon Ith ❑bove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Aa 7 Sign re of Permittee D to �. / —ter 4. 3_ 3 `7 WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT �srhe reby affirm that I have a certificate of consent to self CE-806G insure, or a 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 ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS LOCALITY Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ tion department. Multi-family Sq. Ft. NEAREST �l L0 e Residential Swimming Pools CROSS ST. L L Date �� Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL COMPENSATION INSURANCE ADDRESS This section need completed if the work involved b First 20 ( ed not be com p Y Total No. Additiorial CITY Tel. No. the permit is for one hundred dollars($100)or less.) that in the performance of the work for which this PLAN CHECK I certify P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT it — 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. — y dd eemerevoked. Hood Fan _ Other_ CITY ,6 C Tel No.YW 2l/ LICENSED CONTRACTORS DECLARATION LICENSEOR P jet I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER / Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. OCES D BY and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances r 3. Z Size &Type HP, KW, KVA, or KVAR U� 0 License Number 7�✓ Lic. Glassy Up to 1 Incl. FINAL , 4J Over 1 to 10 Incl. DATE /'� VALIDATION 09 Contractor Jo�,s� �� � Date Over 10 to 50 Incl. FI. L �✓v F_ ❑ I am exempt under Sec. Over 50 to 100 Inc. LU Over 100 8.8P.C. for this reason � Services, Swbd., MCC& Panelboards Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION 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): ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY F-7 1Z © 7 2 a 7 A I hereby affirm that there is a construction lending agency for # 0 0 0 ® © 2 the performance of the work for which this permit is issued -PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). • PLAN CHECKING FEE .I o*9 15,50 Lender's Name i 0 0 0 1 5 5 0 xo PERMIT ISSUING FEE Lender's Address 0 619,-87 1 certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above;PAoned pop ty or inspection pu oses �7 SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Permittee ate g u WORKERS' COMPENSATION DECLARATION toiat CE-806G APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806 - insure, or a certificate of Work6irs'Compensation Insurance, COUNTY OF LOS ANGELES . BUILDING AND SAFETY or a certified copy thereof (Sec.- 3800 Lob:C.) Poli No. r +f r Com an i y- FOR APPLICANT TO FILL IN JOB Policy No. P Y '+ ;6 Certified copy is hereby':furnished. New Residential Bldgs. & Pools EACH NO. FEE AUDRES Yd�j f }, 4lJ3 I © — LOCALITY � Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ City -,. rC _ e 20-L tion department. . Multi-family Sq. Ft. NEAREST f CROSS ST. �,aS:f3 ''�"$8,'1�, T C10V101f1.J► Residential Swimming Pools OWNER OR Date Applicant FIRM NAMErt' A V"?af CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL �. COMPENSATION INSURFirst 20 ANCE ADDRESS 592 �. l "R. (This section need not be completed if the work involved by Total No. . Additional CITY I v Tel. No. ,,+ . the permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this PLAN CHECK' APPLICANT permit is issued, I shall not employ any person in any manner sous to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO.APPLICANT: If, after making this--Certificate of APPLICANT 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 4# t t V with comply with such provisions or this permit shall be Top. FAIT —W.H. — deemed revoked. Hood Fan _Other_ CITY Tel. No. a LICENSED CONTRACTORS DECLARATION 'LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Class.;• 1 _' (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY f a Power Apparatus& Large Appliances and Professions Code,and my license is in full force and effect. Size &Type HP, KW, KVA, or KVAR- V License Number Lic. Class U to 1 Incl. FINAL _ , W Over 1 to 10 Incl. DATE VALIDATIONU. Contractor Date s ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY Q BAP.C. for this reason Over 100 i' Q Services, Swbd., MCC& Panelboards , d tL Date: 0 -200 Amp. Under 600 V W Signature 201 - 1000 Amp. Under 600 V ElExemption 1000 Amp. or Over 600 V - Exemption for Reg. Maint. Elect. I ' ar, a �xo � SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit .1 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 r ry Professions Code): IDI, as owner of the property, will do the work and the Misc. Conduits&Conductors 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 PERMITTEE (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 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-mentionedproperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ai Signatuie of Permittee Date WORKERS'COMPENSATION DECLARATION 76A663 oPw3i87 APPLICATION FOR ELECTRICAL PERMIT O ♦ I hereby affirm that I have a certificate of consent to_self 'ces�G irisure, or a certificate of Workers' Compensation Insurance, COUNTY OF'LOS ANGELES DEPT. OF PUBLIC WORKS or a gertified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Q Lis ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ❑Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. LOCALITY $ _ $ I tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. C1 Date Applicant OWNER OR PP FIRM NAME � COZ3C17 NQ//�'�r 'r CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Y, tSw.� MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Tota a• 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 Work Compensation Laws. Lighting Fixtures First 20 ADDRESS LfZ .� Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after aking this Certificate of APPLICATION C.4CJA1A(_ EL._L%�!l Exemption, you should becom subject to the Workers' Range— Heater—D.W. _ Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS 7,966 with comply with such provisions or this.permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY ��Jj�' G�/� Tel. No.301%11,0 LICENSED CONTRACTORS DECLARATION,., LICENSE OR r� 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — REG. NUMBER 6;Z 6A Class. Q (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY a and Professions Code,and my license is in full force and effect. /� Size&Type HP, KW, KVA, or KVAR r/ ZG ��y�a/ 0 License Number S^JLic. Class I� U Up to 1 Incl. FINAL Contractor/¢&0L'�/21-A� ote I ' 9/ Over 1 to 10 Incl. DATE VALIDATION O ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY U O100 L1J B.&P.C. for this reason Over a Z Services, Swbd., MCC& Ponelboards Z Date: 0-200 Amp. Under 600 V loop. 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 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,the property, will do the work and the Misc. Conduits&Conductors .L i)•_M= structure is not intended or offered for sale(Section 7044, Other,(See Com let Fee S hedule)_ , Ta2ju _I L�) ,...1 Business and Professions Code). °– CONSTRUCTION LENDING AGENCY .„ �s t,_. 3. __ _H I hereby affirm that there is a construction lehding agency for a;dul ;1_; 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 ? s.11`sl 1–(_{ PERMIT ISSUING FEE Lender's Address - n I certify that I have read this application and state that the TOTAL FEE � 3 t0 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 th/ab -,mentioned pro rty inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 21' nature rmittee Date ©s WORKERS' COMPENSATION DECLARATION CE-806 I0/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or o certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES ' �`� BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. Policy No. _")r,2"/5� gApany AeOl_ 1AV1 FOR APPLICANT TO FILL IN JOB /^, Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO, FEE ADDRESS 2 a S j� 1 &2-Family, S Ft. $ _ $ LOCALITY lL]k Certified copy is filed with the county building inspec- Y q 'NEA R tion department. Multi-family Sq. Ft. CROSSSST. L 6Nx/ WJWE Residential Swimming Pools OWNER OR 2 Date -Applicant�,�7— FIRM NAME CERTIFICATE OF EXEMPTION FRYM WORKERSP~5r�nMAIL COMPENSATION INSURANCE Outlets: Rec Light Sw._ ADDRESS This section need not be completed if the work involved b First 20 ( P y Total No. CITY Tel. No. the permit is for one hundred dollars ($100)or less.) Additional performance of the work for which this PLAN CHECK I certify11 J that in the p APPLICANT � L!' ,l�Q 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 CITYC It Tel. No. {�a Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT:.If, after making this Certificate of APPLICANT (�C 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 j,q 0 ;r with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked., Hood _ Fan _Other_ CITY `�.Y>1 L Tel. No. (.f It-7 LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER (Q -1 Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCES ED BY and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances CL Size &Type HP, KW, KVA, or KVAR O O License Number!ZGZ7`/0 7 Lic, Class Up to 1 Incl. FINAL tp JO/f�tl(�(7// pE Date 3 Over 1 to 10 Incl. DATE l - �.- VALIDATION cc Contractor Over 10 to 50 Incl. ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY UJ Over 100 B.&P.C. for this reason Date: Services, Swbd., MCC& Panelboards ► Z 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V F-1Exemption 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 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 2 7112 4 A Law for the following reason (Section 7031.5, Business and Professions Code): ro ❑ # 000002 Misc. Conduits&Conductors I, as owner of the property, will do the work and the e structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 2,0 o 1250- 7044, 2,50•7044, Business and Professions Code). - a CONSTRUCTION LENDING AGENCY o 0 0 l 2 5 d v I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). _ PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon ( the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Peri ittee k bate WORKER'S COMPENSATION DECLARATION 9 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT 76A66 1 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 OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) i)tIO I Y �� FOR APPLICANT TO FILL IN - JOB P❑OIiCy N,12 s � Company ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE $ _ $ LOCALITY _ 1 &2-Family,Sq.Ft. Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date / Applicant at', ��3 A 4 Y Residential Swimming Pools ASSESSOR or MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. OWNER OR COMPENSATION INSURANCE First 20 FIRM (This section need not be completed if the work involved by the MAIL No. Additional ADDRESS L �� �I permit is for one hundred dollars($100)or less.) I certify that in the performance of,the work for which this permit CITY , G Tel.No. is issued, I shall not employ any person in any manner so as to PLAN C ECK _ become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional /y ADDRESS / Date T Applicant •� � �� `� �O� �r�'� � 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT: If, after making thi Certificate of CITY 7-6-63:40 Tel.No-7,, _2.11i 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 EACH Q,�✓/2pJ LICENSED CONTRACTORS DECLARATION ADDRESS C/ 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 CITY C OG 3j�Tel.No7`�a��1 — U Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE O �� 0:Power Apparatus&Large Appliances _ REG.NUMBER (!3 2 Class.G License Number Lic.Class C/ �1 5 Size&Type HP,KW,KVA,Or KVAR DISTRICT NO. PROCESSED BY Up to 3 Incl. LLj � id h /""!Q ffS /22A Over 3 t0 10 Incl. FINAL d Contractor Date' DATE Z El Over 10 to 50 Incl. �^t-7t� Z I am exempt under Sec. Over 50 to 100 Incl. VALIDATION FINAL B.&P.C.for this reason Over 100 By Services,Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V Signature 201 -1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. 'i SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION17-1 I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit f'':-•i for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ?a Code): ❑ I,as owner of the property,will do the work and the structure •Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) v m ,E i-• _ s and Professions Code). _ i. •r. f Y•y, 7 CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency for the "3=sN12t performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) / r Civ.C.) PLAN CHECKING FEE Lender's Name , PERMIT ISSUING FEE a K s _ ;=`':.'I ?" i.= Lender's Address e I certify that I have read this application and state that the above TOTAL FEE 9O 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 proper for inspection purposes. f r� SEE REVERSE FOR EXPLANATORY LANGUAGE rb T• 2i/�j A SIG NATURE OF APPLICANfOR AGENT DATE WORKERS' COMPENSATION DECLARATION 76A663 10/81 ln►reby'affirm that I have a certificate of consent to self insure, CE-806G APPLICATION FOR ELECTRICAL PERMIT 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.&I—O'lleS.��pmpany. /4/T FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. � EACH NO. FEE ADDRESS" Q • New Residential Bldgs.& Pools , a 1 & 2-Family,Sq.Ft. $ — $ LOCALITY Certified copy is filed with the county buildin' inspection NEAREST •de art nt. Multi-family Sq.Ft.Date ApCROSS ST. Residential Swimming Pools OWNER T. plic� r FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec-eV Light/—TO— Sw:44 4 MAIL COMPENSATION INSURANCE D First 20 p ADDRESS p .C!J- (This.section need not be completed if the work involved by the CITY Tel.No. ?�3 permit is for one hundred dollars($100)or less.) Total No. Additional O // D C � � -5 I certify that,in the performance of.the work for which.this permit PLAN CHECK ' is issued, I.shall not•employ,any,person in,any manner so as to APPLICANT become subject to the Workers'Compensation Laws, Lighting Fixtures ` First 20 . D 0 D ADDRESS . . Total No. o{ lc Additional l00 D aye la0 Date Applicant CITY Tel.No. NOTICE •TO APPLICANT:. If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject to the Workers'Compensation. Range_ Heater_ D.W. PLICANT i provisions of the,Labor Code, you must.forthwith comply with such .Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed(evoked. Top — FAU _ W.H. _ +^A" LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY VOW04 G1 Tel.N ) I hereby affirm that I am licensed under.provisions of Chapter 9 LICENSE OR Disp. — Room Air Cond. Class (commencing.with Section 7000) of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. -Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY a a, Size& Type HP,KW,KVA,or KVAR �DO 0 License Number Lic.Class IJ �� Up to 1 Incl. °d �3 ` —XI FINAL ° Over 1 to 10 Incl. 5--/7 -43 ( �'�' VALIDATION r Q Contracto Date Over 10 to 50 Incl. 00 00 FINAL r��r 7 u� sV' _ El I am exempt under Sec. Over 50 to 100 Inc. By Ld Over 100 r — 0.' B.&P.C!for this reason _ Services,Swbd.,MCC& Panelboards ir - Z Date: 0-200 Amp.Under 600 V e 0 Signature 201 - 1000 Amp.Under 600 V S < 36'e0 `iKi Over 1000 Amp. or Over 600 V o ° Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances I i!.M. HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit °O / ole 001 L Jam.7 .-r 1 hereby affirm that I am exempt from the Contractor's License Law '' + r{=_ DO it /Zi O h Ci B Sign Branch Circuits ' . for the following reason(Section 7031.5, Business and Professions Additional '•RANK " Code): o::;-f Misc.Conduits& Conductors " 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) , •--i;fHilE �'•� and Professions Code). 90J _ . s1 i 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. Sub Totap-Civ.C.). 'S PLAN CHECKING FEE 7 Lender's Name PERMIT'ISSUING FEE +/` Lender's Address I certify that I have read this application and state that the above TOTAL FEE Al 4111d. 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 properf sp doses. — SEE REVERSE FOR EXPLANATORY LANGUAGE . ._ 4/ ignatur of Pe ittee 7/ate 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 OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.' copy thereof(Sec.3800 Lab. C.) FOR APPLICANT TO FILL IN JOB ffll Policy No. Company ADDRESS � t/ L; S A,�/t .�fvt Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE❑ $ LOCALITY 1 &2-Family,Sq.Ft. Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FOIRM N-NERAME / COMPENSATION INSURANCE 6 S - re16 C �a!"S First 20 MAIL (This section need not be completed if the work involved by the Total No. Additional ADDRESS of G K< Re4 per is for one hundred dollars($100)or less.) ) CITY � Cl /L Tel.No. ��/a certify that in the performance of the work for which this permit �. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT: .If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Cade, you must forthwith comply with such APPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances 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 Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. } LICENSE ORClass. 2 / Over 50 to 100 Incl. REG.NUMBER d License Number ✓�✓ Lic.CIasS G—1 O Over 100 DISTRICT NO. ' yr Al BY 0 ��T �r��� Services,Swbd.,MCC&PanelboardsFINA Contractor Y�'�Q 4rZ Date 0-399 Amp.Under 600 V DATEL O 1 El I am exempt under Sec. 400-1000 Amp.Under 600 V �� - VALIDATION W Over 1000 Amp.or Over 600 V FINAL (L B.&P.C.for this reason BY (n \ BRANCH CIRCUIT FEES 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 Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits i SINGLE FAMILY Temp.Power Pole&Appurtenances --- HOME OWNER-BUILDER DECLARATION ( ' =•i e I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits _L•`F•�j Code): IT ElI,as owner of the property,will do the work and the structure Misc.Conduits&Conductors _3 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) j I = °Q r 0 and Professions Code). r, CONSTRUCTION LENDING AGENCY ;L) . 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 _ �.il4v Lender's Name ::' i PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE �Q 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 f0Afor s on purpose SEE REVERSE FOR EXPLANATORY LANGUAGE i ' � G�°-9 z( SIGNATURE PERMITTEE DATE ' WORKER'S COMPENSATION DECLARATION20-0019 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 OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab.C.) Policy No.JOU 55 (O Company S% '/ /�� FOR APPLICANT TO FILL IN ADDRESS `l Q L 7L/p.1 ft DQ I t!e ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. -EACH FEE ❑ _ $ $ LOCALITY Q Sv Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST department.p Multi-family Sq.Ft. CROSS ST. Date �� `� Applicant ��• Yl4y� K• Residential Swimming Pools ASSESSOR SS gSOR PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FIRMER OR NAME �Pj f ( COMPENSATION INSURANCE First 20 71 MAIL (This section need not be completed if the work involved by the Total No. Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify'that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ'any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ' ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT P Y P YA. provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT Vie—nmL G LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. ��ra (commencing with Section 7000)of Division 3 of the Business and CITY e Tel.t Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 t0 100 Incl. LICENSE OR a Q Class. G / +v >_REG.NUMBER ` L ! d Q'Q �// C _� Over 100 DISTRICT NO. PROC SED BY 0 License Number / ` ! Lic.Class ✓�� 2 Services,Swbd.,MCC&Panelboards /� f$, f� �� 0-399 Amp.Under 600 V FINAL 0 Contractor ate DATE ❑ Sec. 400-1000 Amp. Under 600 V �!,Z�� I am exempt under VALIDATION V Over 1000 Amp.or Over 600 V FINAL W BY U) B.&P.C.for this reason BRANCH CIRCUIT FEES Date: 15A,or 20A, 120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El - 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2 SINGLE FAMILY Temp.Power Pole&Appurtenances q-.- HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 303^'t 3� 45.75 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits :1 Code): El 1,as oi i I EI iS .". wner of the property,will do the work and the structure Misc.Conduits&Conductors _ s not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ;I}Ti ._.. -.a m € -_o and Professions Code). o •.r r. E ., 45 c°-!c CONSTRUCTION LENDING AGENCY - )�') I hereby affirm that there is a construction lending agency for the CHAN�E °'� performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) t1t-1 PLAN CHECKING FEE I.il 0111-01001 6/25/93 Lender's Name 046 n 7 PERMIT ISSUING FEE ii � ��1�-(° Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 5 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 PERMITTEE - DATE WORKER'S COMPENSATION DECLARATION 9 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A66 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 OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thher Sec.t 8800 Lab.C.) T ((�J `33c�7 1341 O O FOR APPLICANT TO FILL IN JOB Policy No. Company 0 La �/6,F.�' ❑ ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY L Y ❑ 1 &2-Family,Sq.Ft. $ $ S Certified copy is filed with the county building inspection — NEAREST department. Multi-family Sq.Ft. CROSS ST. �� 19� �P� ��� Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec:_Light SW. OWNER OR r f krr COMPENSATION INSURANCE g FIRM NAME rJ ��tl C First 20 MAIL (This section need not be completed if the work involved by the ADDRESS G permit is for one hundred dollars($100)or less.) Total No. Additional P2 q"c46 /( I certify that in the performance of the work for which this permit CITY Tel.No. f 7A� 'J is issued, I shall not employ any pe ; e person in any manner so as t0 PLAN CHECK �+v become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. : NOTICE TO APPLICANTIf, after making this Certificate of CITY Ter.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMITIL p p y Power Apparatus&Large Appliances APDL CANT LG} � L provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITYTel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE ® / Class. G � � a Over 50 to 100 Incl. REG.NUMBER �$ Over 100 DISTRICT NO. SSED BY 0 License Number �2`' — Lic.Class G� h P Services,Swbd.,MCC&Panelboards Cc Contractor> � �""'�^• Date v 0-399 Amp.Under 600 V DATE FINAL o ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V I8'3t�� i U VALIDATION Over 1000 Amp.or Over 600 V FINAL (L 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 F] 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 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 I iw.:(Sub:T-otagJ L J C: P-,:I Civ.C.) E,.J l_Jr 3 r r,l PLAN CHECKING FEE _•a1I r_ + :� r_a•—t Lender's Name I_I (� PERMIT ISSUING FEE r"'* rn - 5 Lender's Address 1—a. I certify that I have read this application and under penalty of purjury state TOTAL FEE I— a' that the above information is correct. I agree to comply with all County y,•, ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property _ry for inspecti purposes. / I'•-fu� SEE REVERSE FOR EXPkANp�FDRY LANCsWAGFy� ••j SIGNA RE OF ITTEE DATE •y",1 1:S1 '::'I _„i m I �� WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, ora certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy the''ieof(Sec.,3800 Lab. C.) Policy NO " Company _ FOR APPLICANT TO FILL IN AD ADDRESS / erfWied copy is hereby furnished. New Residential Bldgs.&Pools NO., EACH FEE $ $ LOCALITY Certified co is filed with the count building inspection 1&2-Family,Sq.Ft. PY Y 9 P NEAREST department. Multi-family Sq:Ft. CROSS ST. Date ' Applicant Residential,Swimming Pools ASS gSOR PAGE 1PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rea_Light Sw. OWNER NAME x COMPENSATION INSURANCE First 20 ' (This section need not be completed if the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additionaltit I certify that in the,performance of the work for which this permit CITY Tel.No. s issued,1,shall not employ any person in any manner so as t0 PLAN CHECK become subject to the Workers' Compensation Laws, Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO,APPLICANT: If;,after making this Certificate of CITY 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 ERMIT P Y P y Power Apparatus&Large Appliances APPLICANT � �provision's or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESStZ _ 1 hereby affirm that I am licensed under provisions of Chapter 9 Z. Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the'Business and CITY ` Tel.No. Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. . LICENSE ( Cl Over 50 t0 100 Incl. � REG.NUMBER ass. ER G�� a / 2� Over 100 DISTRICT NO. ESSED BY O License Number Lic,.Class p (� Services;Swbd.,MCC&Panelboards c+ C FINAL C� 0-399 Amp.Under 600 V 0 Contra tor Date �• � DATE ❑ - 400-1000 Amp.Under 600 V I am a empt under Sec. VALIDATION V Over 1000 Amp.or Over 600 V FINAL d B.&P.C.for this reason BRANCH CIRCUIT FEES BY U) Date: 15A,or 20A, 120V,Lighting or Race pt. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br,Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances tsl• •' HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's License Law 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 Misc.Conduits&Conductors ,r 40 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). i 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, ZWRMIT FEE (Sub-Total) Civ. C) _, i f s `sij ylJt`s_ ',r. PLAN CHECKING FEE � � 4 .is g� Lender's Name k- � PERMIT ISSUING FEE I Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE O that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize represent ives of this County to enter upon the above-mentioned property for ins t' n purpos SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE P MITTEE DATE WORKERSCOMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-Bose or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES Bp" �ND 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 Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — $ LOCALITY department. Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light _ Sw. MAIL 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 CITY Tel.No. III I certifythat in the performance of the work for which this permit PLAN CHECK p 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 Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT 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 _ W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Class. } Professions Code,and my license is in full force and effect. .DISTRICT NOPROCESSED BY I" Power Apparatus& Large Appliances O 3 U Size& Type HP,KW,KVA,or KVAR W License Number Lic.Class Up to 1 Incl. FINAL J_ Over 1 to 10 Incl. DATE I VALIDATION Contractor Date Over 10 to 50 Incl. } ❑ FINAL �J I am exempt under Sec. Over 50 to 100 Inc. BY ,/ Q Over 100 B.&P.C,for this reason O Services, Swbd.,MCC & Panelboards Date: 0- 200 Amp.Under 600 V L W Signature 201 - 1000 Amp. Under 600 V �- ❑ Over 1000 Amp.or Over 600 V Exemption for Reg. Maint.Elect. I SINGLE FAMILY Temp.Power Pole& Appurtenances f HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code). ❑ I,as owner of the property,will do the work and the structure Misc.Conduits &Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 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 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 inspection purposes: �I` 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATION DECLARATION CE-806G joist APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, E-8o6G 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 G3�1 . FOR APPLICANT TO FILL IN JOB ❑ ADDRESS Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE Certified copy is filed with the county building inspection 1 & 2-Family, Sq.Ft. $ _ $ LOCALITY cr �C �ERTIFICATE . Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. Date — Applicant OWNER OR FIRM NAME OF EXEMPT FROM WORKERS' Outlets:Rec— Light — Sw. — MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved b the First 20 ( p Y Total No. Additional CITY Tel. No. permit is for one hundred dollars ($100)or less.) I certifythat in the performance of the work for which this permit PLAN CHECK p 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 Total No. Additional CITY Tel.No. nces Not Over 1 Date Applicant Fixed Appliances HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater, D.W. APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer L W.M._ ADDRESS O� V_ provisions or this permit shall be deemed revoked. Top — FAU _ W.H. CITY Tel.No. ^� LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ `- L I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. LICEN EOR a (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NQ. PRO SEDBY Size&Type HP,KW,KVA,or KVAR �/ 0- License Number /(/�� 7 Lic. Class_ Up to 1 Incl. FINAL U Over1 to 10 Incl. DATE Contractor��// Date FINAL VALIDATION O ❑ v- — Over 10 to 50 Incl. I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 d. Services,Swbd.,MCC& Panelboards Date: 0-200 Amp.Under 600 V "a Signature 201 - 1000 Amp.Under 600 V Over 1000 Amp. or Over 600 V ElI` Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances i HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I.hereby affirm that I am exempt from the Contractor's License Lawa for the following reason (Section 7031.5,Business and Professions Additional,Sign Branch Circuits ANCT■s Code): 307 property, Misc. Conduits & Conductors 1 I I,as owner of the ro erty ITEMS will do the work and the structure f '+ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions Code). , 1 TaTAL 3.83 ® 00 CONSTRUCTION LENDING AGENCY j,:}EC.1, 13.eri I hereby affirm that there is a construction lending agency for the �p�� performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) L•HMGE =011 Civ.C.). PLAN CHECKING FEE Lender's Name 13010-111301 6/22/90 PERMIT ISSUING FEE Lender's Address /9, 00 � 144.E 1 AM1i�=•=� 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 laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for in ection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE atu a ermi a Dat WORKER'S COMPENSATION DECLARATION 20-0019 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT hereby affirm-that I have a certificate of consent to self insure, 76A663 or a certificCte_of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3/800 Lab.C.) TnI JOB POIiCy 6o.L QD�v /� Company �/�� ^JD FOR APPLICANT TO FILL IN - ADDRESS �C�S 4I�-�• TU/l.i.�-3 (r LJ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE LOCALITY 1 &2-Family,Sq.Ft. $ _ $ Certified copy is filed with the county building inspection NEAREST department. Q � _/ Multi-family Sq.Ft. CROSS ST. Date 10—p�� ( z Applicant /�• t,/r 7&a L/Li '7Q1• Residential Swimming Pools ASSESSOR PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light SW. FFIWNER OR IRM NAME COMPENSATION INSURANCE First 20 (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 work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner s0 as t0 PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 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 APPLICANT �p,J- (�/CTO LZr-7—It\C provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH ;w LICENSED CONTRACTORS DECLARATION ADDRESS Z 7 W G-4NC0&fJ d 15 OR 20A,208V TO 277V LIGHTING EACH I hereby affirm that I am licensed under provisions of Chapter 9 r Q (commencing with Section 7000) of Division 3 of the Business and CITY TG LLCa Tel.No.-Z. Z I 6 Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR M Power Apparatus&Large Appliances REG.NUMBER T� Class. _f p O Q71t FL-MCC—1 Size&Type HP,KW,KVA,or KVAR DISTRICT NO. P OCESSED BY I"-' License Number I Lic.Class U Up to 3 Incl. �j � e LU z S , Over 3 to 10 Incl. FINAL Contractor ift V f<_rC-t��t-�T> �Lt k. ate i DATE ❑ Over 10 to 50 Incl. J v�7/r`/� Z FINAL I am exempt under Sec. Over 50 to 100 Incl. G-�G [% VALIDATION r - B.&P.C.for this reason Over 100 BY /' Services,Swbd.,MCC&Panelboards Date: �i 0-200 Amp.Under 600 V Signature A /Uc 201 -1000 Amp.Under 600 V El Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. :k SINGLE FAMILY Temp.Power Pole&Appurtenances ~ HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits i Code): T I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _f" and Professions Code). m _ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the '••»I)-;1::_ 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 Z 7 ` '' '`� Lender's Address T 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 2 6, --�z SIGNATURE OF NPPLICANT OR AGENT DATE WORKERS' COMPENSATION DECLARATION 20-0019 DPW 3/87 , I'her'ekry affirm' that have a certificate of consent to self 7E-6�APPLICATION FOR ELECTRICAL PERMIT insure,,or a•'certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or'd ceerttified cop hereof (Sec. 3800/, Lab. C.) P li y'No CompanNV� /aL 07101 FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished''"(r16-J91$1 New Residential Bldgs. & Pools' EACH NO. FEE ADDRESS LOCALITY ' ertified copy is filesLwrt ounty building inspec- 1 8 2-Family, Sq. Ft. $ — $ ei <Z4 iv on department. Multi-family Sq. Ft. — NEAREST i CROSS ST. ( V Y� Residential Swimming Pools OWNER OR Date r �- 7� Applica FIRM NAME CERTIFICATE OF EXEMP1 ROM WORKERS' Outlets: Rec Light Sw._ MAIL ADDRESS 0, �a S � COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars($100)or less.) .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 Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate 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 22� with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY y_ Tel. No..2Z2 1_// LICENSED CONTRACTORS DECLARATION LICEN Disp. — Room Air Cond. — SE OR I hereby affirm that l am licensed under provisions of Chapter 9 3 Class. REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PRO SSED BY a and Professions Code,and my license is in full force and effect. D�! O Size&Type HP, KW, KVA, or KVAR License Number �4,35 � Lic. Class � s Up to 1 Incl. FINAL U DATE J -.- ,—�.,� .���; � ,,��• 1213 •�� Over 1 to 10 Incl ` /7 ! VALIDATION Contractq� ��� Date L r. 0 Over 10 to 50 Incl - ❑ FINAL - � ~ I am exempt under Sec. Over 50 to 100 Inc. BY U t/.r W B.&P.C. for this reason Over 100 t1 Services, Swbd., MCC& Ponelboards , Date: Z 0-200 Amp. Under 600 V clgnat .A _i!-'e .�.._ 201 - 1000 Amp. Under 600 V ' ❑ I Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp`. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION ,T 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): Conduits&Conductors❑ __—„I, as owner of the property, will do the work and the Misc. '1;-g'f'�� 00 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— _ Business and Professions Code). Poo. CHECK �:,) { CONSTRUCTION LENDING AGENCY ,(3 (jt1 =t;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.). _ PLAN CHECKING FEE 1Ji I fl t-;lij[ Lender's Name ;c--; t, =L-• PERMIT ISSUING FEE p� `F•J•��• Art 11 _'•� Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and Zee horize representatives of this County to enter upon x men oned property for inspection purposes.c SEE REVERSE FOR EXPLANATORY LANGUAGE t_2 C) ermittee Date ©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 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 �c� ADDRESS �-s � � - As Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY /14 sIna 4C ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ $ $ department. Multi-family Sq.Ft. NEAREST ,07 �fO V CROSS ST. (� Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL OWNE OR CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FIRM NAME © / �j l 7 COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by the ADD "V ADDRESS Y permit is for one hundred dollars($100)or less.) Total No. Additional tJ S I certify that in the performance of the work for which this permit CITY Tel.No.a is issued, 1 shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY 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 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 affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSEClass. Over 50 t0 100 Incl. REG.NUMBB ER d Over 100 DISTRICT NO. /, J� P C SED BY 0 License Number .�5 ✓ Lic.Class O U Services,Swbd.,MCC&Panelboards cc Contract Date, 0-399 Amp.Under 600 V FINAL 0 DATE ❑ 400-1000 Amp.Under 600 V I am exempt under Sec. 6 VALIDATION V Over 1000 Amp.or Over 600 V FINAL I LU B.&P.C.for this reason BRANCH CIRCUIT FEES BY4d� I Date: 15A,or 20A,120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits PQ ❑ 41 Or More Branch Circuits OIV\ Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2 SINGLE FAMILY Temp.Power Pole&Appurtenances %: 1,g HOME OWNER-BUILDER .DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 15644e ) for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 ITEC F11,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL �� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) t� ` to and Professions Code). ' �.uHgLIL,.�K 482.60 CONSTRUCTION LENDING AGENCY CHANGE =00 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.) 0000-0001 6/26/96 7M A PLAN CHECKING FEE Lender's Name 7 114 1r I°54 PERMIT ISSUING FEE v� Lender's Address I 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 or anc s ancTtate aws regulating Electrical wiring,and hereby authorize r resentativ2sof County to enter upon the above-mentioned property f insp ctii pur ses. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTE DA V1{ORKERS'COMPENSATION DECLARATION 76-663 10/81 0CE-806G APPLICATION FOR ELECTRICAL PERMIT I herettq affirm that I 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 ec..3 Lab. POIIC O � COI an � ^ ,o, FOR APPLICANT TO FILL IN JOB . ❑ Certified copy is hereby furnished. l New Residential Bldgs.& Pools IZ EACH NO. FEE ADDRESS 7/yG� /�3� S n „vr $ — $ LOCALITY //J 6e I.7 I Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. department. Multi-family Sq.Ft. — NEAREST � CROSS ST. Date .'Ap Residential Swimming Pools OWNER OR• FIRM NAME MAIL ^Y r ' CERTIFICATE OF EXEMP FOM WORKERS' Outlets:Rec— Light —.Sw. �/,\ COMPENSATION SURANCE ADDR 6 First 20 CITY (This section need not be completed if the work involved by the Total No. Additional �J0c) L Tel.No. .permit is for one hundred dollars($100)-or less.) I certifythat in the performance of the:work for which this permit PLAN CHECK /� �n P APPLICANT ���f� `•r A+� 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 -7— Total No. Additional CITY Q Uf Date Applicant Fixed Appliances Not Over 1 HP PERMIT ,� .-y��.� /� NOTICE TO. APPLICANT: If, -after making this Certificate of /q /,/ e: (6- Range— Heater_ D.W. APPLICANT Exemption,,you should become subject to the Workers'Compensation - g ,� provisions of the Labor Code, you must-forthwith comply with such Oven Dryer _ W.M._ ADDRESS 2_�� JA G provisions or this permit shall be deemed,revoked. Top -— FAU: W.H. / LICENSED CONTRAlq CTORS DECLARATION Hood '— Fan Other_ CITYL-- A ,130-03i ;e Zz3 L 1•hereby affirm that I am licensed under,provisions of Chapter 9 Dis P�.- REG.NUMBRoom-Air Cond. LICENSE BER �'!5 / 3� Class (commencing.with Section 7000) of.Division 3 of the Business and — Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO.. PROCESSED 0. Size& Type HP,KW,KVA,or KVAR U License Numb _-�,_ Lic.Class Up to 1 Incl FINAL _ // 0: c, , �t �p Over 1 to 10 Incl DATE i _/ GI Q VALIDATION., Q Cont Date✓ y /D Over 10 to 50 Incl. FINAL 0 I am exempt under Sec. Over 50 to 100 Inc. BY LU BAP.C.for this reason Over 100 / Cl) Services,Swbd.,MCC& Panelboards , Z Date: 0- 200.Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V F-1Exemption 1000 Amp.or Over 600 V Exemption for Reg;Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law ACCT.T for the following reason(Section 7031.5, Business and Professions Additional Sign Branch-Circuits - '} Code): 33 D7 ❑ Misc. Conduits& Conductors 1 1,as owner of the property,will do the work and the structure ITEMS is not intended or offered,for sale (Section 7044, Business Other (See Complete Fee Schedule) , and Professions Code). TOTAL. 33..00' CONSTRUCTION LENDING AGENCY CEL'r, 333.00. I hereby affirm that there is a construction lending agency for the (�• •HtfAf performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) � °��i Civ.C.). T PLAN CHECKING FEE ��� �_anl�� c�i3��7(�Lender's Name ` V PERMIT ISSUING FEE 0725 1 AM 7:42 Lender's Address . ./7 I certify that I•have read this application and state that the above TOTAL FEE iT V 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 pur se ` SEE REVERSE FOR EXPLANATORY LANGUAGE S' atu of Permittee D to COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0606150009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 8526 LT: 713 9470 LAS TUNAS DR SCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY _ 8587-009-025 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: . LOCALITY: TEMPLE CITY [AlD3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 - TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TEMPLE CITY NATIONAL LITTLE LEAGUE 06/15/06 JK 12/12/06 OWNER: TEL. NO: FINA/L TE FZ BY: C� CODE: RALPHS SUPERMARKET - 15 DESC IPT ON 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 ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED I+ _ (REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206240013 BUILD?NG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID' ^ _ FEES PAID BUILDING ADDRESS: TR: 8526 LT: 713 9470 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TENANT(: JI GENERATORS +3-10HP 1.00 GEN 19.65 -ISSUED'-ON: Pf20CESSED BY: PLAN BY: EXPIRES ON: TEMPLE CITY LITTLE LEAGUE TOTAL FEES 63.60 06/24/02 JK 12/21/02 OWNER. _ _ TEL. NO: FINaL DATE _ FI L BY: CODE: RALPH'S GROCERY (000) 000-0000 ✓ CIL DES:`RIPTION OF WORK BOOTII LIGHTING FOR FIREWORKS STAND-2002 APPLICANT: TEL. NO: RICHARD RAFFAELLI (586) 420-3942- 28000 S RIVER RD SPECIAL CONDITIONS: HARRISION TWP 48045 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RICHARD RAFFAELLI (586) 420-3942- 28000 S RIVER RD LIC. NO TEMPORARY POWER POLE HARRISON TWP, M1 48045 417812 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUCH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED Ii 1 (REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0009290001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID• FEES PAID BUILDING ADDRESS: TR: 8526 LT: 713 9470 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 TENANT: G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOMRA PACIFIC INC TOTAL FEES 58.95 09/29/00 UT 03/29/01 OWNER: TEL. NO: FI L TE� FINAL BY: CODE: RALPHS MARKET (310) 884-4015- Jai PO BOX 54143 LOS ANGELES, CA D RIP ION OF WORK SMALL 'It ECTIONS RECYCLING FACILITY; 144SF APPLICANT: TEL. NO: RICHARD KERNS (888) 663-1766-X109 SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS f1�L, APPROVALS DATE INSPECTOR SIGNATURE TOMRA PACIFIC, INC (909) 941-0507- 9716 6TH ST LIC. NO TEMPORARY POWER POLE RANCHO CUCAMONGA, CA 91730 N/A UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: / 1111111 ROUGH CONDUIT I !L ROUGH WIRING �1n n D L�C ���O�n/J MAIN WATER LINE !J U �u^U<��J�((� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 17 44P -. ®� � vice REPORT ID: DPR265 ROUTE TO: BS0508 r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9906280034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 8526 LT: 713 9470 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY: D3 BOOTH LGT, SYSTEM 1.00 B00 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: JOB'S DAUGHTERS#179 06/28/99 UT 12/25/99 OWNER: TEL. NO: FIN�TE FINAL BY: CODE: RALPH'S GROCERY (000) 000-0000 _ ® DESCRIPTION,OF WORK BOOTH LIGHTING FOR FIREWORKS STAND-199 APPLICANT: TEL. 0: G. G. NESTER ELECTRIC (818) 287-4755 SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: u APPROVALS DATE INSPECTOR SIGNATURE G. G. HESTER AND SON ELECTRIC (818) 287-4755- 9024 E. GREENWOOD AVENUE LIC. NO r t#�# TEMPORARY POWER POLE SAN GABRIEL, CA.91775: 474648/C10 dl D, UNDERGROUND CONDUIT L ARCHITECT OR ENGINEER: TEL. NO: - �// UFER GROUND LIC. NOc f 'II y1111111 ,`� ROUGH CONDUIT ROUGH WIRING )� U ' MAIN PLASTIC TY/NLIMETAL Y/N — UTILITY COMPANY NOTIFIED Z Z7 I � 3 Coe LJ_ <1'aIrvice_T REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9808210012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 8526 LT: 713 9470 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OAK Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY A5 PLAN CHECK 218.70 DOL 218.70 TENANT: G1 OUTLETS-LGT,SW,RECP 41.00 OUT 67.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 20.00 LGT 39.00 08/21/98 UT 08/21/99 IE NON-RES VENDING MACH 1.00 VEN 15.30 OWNER: TEL. NO: JF REFRIG CBNT +3-10HP 32.00 REF 633.60 FINAL DATE FINAL BY: CODE: RALPHS GROCERY CO - JZ MOTORS, 10HP 2.00 MOT 39.60 1100 W. ARTESIA BLVD J7 0TH PWR APP +10-50HP 1.00 PWR 46.05 COMPTON, CA LB 200 AMP PANELS, MCC 1.00 PAN 38.85., DESCRIPTION-OV WORK TOTAL FEES 1,126.20 ELECTRICAL FOR TENANT IMPROVEME APPLICANT: TEL. NO: COLONIAL ELECTRIC INC (909) 393-3140- 14981 TELEPHONE AVE SPECIAL CONDITIONS: CHINO, CA 91710 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE COLONIAL ELECTRIC, INC. (909) 393-3141- U 14981 TELEPHONE AVE LIC. NO TEMPORARY POWER POLE CHINO CA 91710 447153 C10 001 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: ROUGH CONDUIT 1 � ROUGH WIRING � 1 MAIN WATER LINE LTJ�V W©�� ��S1 PLASTIC Y/N METAL Y/N � UTILITY COMPANY NOTIFIED r CA ITnp REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRI'CAL'PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL'-0508-9806290022) BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING-ADDRESS: TR: 8526 LT: 713 9470 LAS TUNAS DRQ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 B00 16.35 TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: JOB'S DAUGHTERS#179 06/29/98 UT 06/29/99 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: RALPH'S GROCERY (000) 000-0000- _1V i DESCRIPILO _OF WORK - � BOOTH LIGHTING FOR FIREWORKS}STAND APPLICANT: TEL. NO: G. G. HESTER ELECTRIC (818) 287-4755- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE G. G. HESTER AND SON ELECTRIC (818) 287-4755- 9024 E. GREENWOOD AVENUE LIC. NO TEMPORARY POWER POLE SAN GABRIEL, CA 91775 474648/C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: - 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 9071 LAS TUNAS (E„ L 0508_9706260015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FES PAID BUILDING ADDRESS: TR: 8526 LT: 713 �9470TCAS_TUNAS'DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: _TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY E3 TEMP XMAS TREE, ADDT 1.00 TEM 21.60 TENANT: TOTAL FEES 49.35 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON: JOB'S DAUGHTERS#179 06/26/97 TC 06/26/98 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: RALPH'S GROCERY (000) 000-0000- (' 0%1 DESCRIPTION OF WORK BOOTH LIGHTING FOR FIREWORKS STANdV APPLICANT: TEL. NO: G. G—HESTER ELECTRIC. (818) 287-4755- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: ��� APPROVALS DATE INSPECTOR SIGNATURE G. G. HESTER AND SON ELECTRIC (818) 287-4755- 9024 E. GREENWOOD AVENUE LIC..NO TTEMPOURY OWER OLE SAN GABRIEL, CA 91775 474648/C10 % \ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: � / � .1 ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE L J PLASTIC Y/N METAL Y/N d TSS UTILITYCOMPA NOTI IED \ Z.. !: 1 �n���7 (REPORT ID: DPR265 ROUTE TO: BS0508 I k COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1405270076 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1 ITR: 8526 LT: 713 I I 9470 LAS TUNAS DR T I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 91780 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY 18587-009-025 jAl PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY 1 I 1D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 (TENANT: I TOTAL FEES 44.00 11SSUED ON: PROCESSED BY: PLAN BY: 1 ITC AMATEUR SOFTBALL ASSOCIATION 1 105/27/14 SR 1 TOWNER: TEL. N0: I FINA'i, ATE FIN B : CODE: A 1RLPHS GROCERY COMPANY (310) 900-3573- T IPO BOX 54143 ILOS ANGELES CA 90504 IDES 2IPT ON OF WORK T I IFIRE`RORKS STAND LIGHTING 2014 1 (APPLICANT: - TEL. NO: 1 I I ITNT FIREWORKS, BRAD HUDSON (714) 738-1002-1159 1555 N GILBERT ST I ISPECIAL CONDITIONS: T IFULLERTON CA 928330 1 1 I 1 (CONTRACTOR: TEL. NO: 1 TAPPROVALS DATE INSPECTOR SIGNATURE 1 IKC ELECTRIC (562) 867-4447- 1 1 I 16509 GLORYWHITE STREET LIC. NO 1 1TEMPORARY POWER POLE I LAKEWOOD CA 90713 010699521 1 I I 1UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER: TEL. N0: 1 1UFER GROUND I I I I 1 LIC. NO: 1 1ROUGH CONDUIT I I , I I TROUGH WIRING I I I T IMAIN WATER LINE I I i IPLASTIC Y/N METAL Y/N I I I I I I I (UTILITY COMPANY NOTIFIEDI I I I 11 J I I I I I I j I I I I I I I I I I \ I I I I I I YI I I I I I I I 1REPORT 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 1107270042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 8526 LT: 713 I 9470 LAS TUNAS DR I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 91780. ASSESSOR INFORMATION NUMBER: INEAREST CROSS STREET: 18587-009-025 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl JB AC UNITS +3-10HP 1.00 AC 19.70 I I TENANT: ITOTAL FEES 47.50 JISSUED ON: PROCESSED BY: PLAN BY: 107/27/11 SR (OWNER: TEL. NO: AL DAT 9470 FINAL BY: CODE: 1S GROCERY CO. (626) 286-0898- - 9470 LAS TUNAS DR. I I 1 TEMPLE CITY CA 91780 DESCRIPTION OF WORK ELECTRICAL FOR MINI SPLIT SYSTEM I I � � APPLICANT: TEL. NO: SOURCE REFRIGERATION AND HVAC INC. (714) 578-2300- 1800 E. ORANGETHORPE ISPECIAL CONDITIONS: ANAHEIM, CA 92801 � I � I ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISOURCE REFRIGERATION & HVAC (714) 578-2341- 1 1800 E. ORANGETHORPE AVENUE LIC. NO ITEMPORARY POWER POLE ANAHEIM, CA 92801 800678 1 UNDERGROUND CONDUIT � I I ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I 1 1 LIC. NO: 1 IROUGH CONDUIT I I I IROUGH WIRING I 1 I I I IMAIN WATER LINE 1PLASTIC Y/N METAL Y/N 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 I I I I I I I I I I I I I I I I I i I IREPORT ID: DPR265 ROUTE TO: 250508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306030080 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 8526 LT: 713 I 9470 LAS TUNAS DR . 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 91780 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY 18587-009-025 IA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.15 I TENANT: I TOTAL FEES 43.95 JISSUED ON: PROCESSED BY: PLAN BY: ITC AMATEUR SOFTBALL ASSOCIATION 1 106/03/13 SR (OWNER: TEL. NO: 1 IFI/NKJ�' '7 FI/7y,�1��gY: CODE: 1 RALPHS GROCERY COMPANY (310) 900-3573- i v �j�� I PO BOX 54143 (J ILOS ANGELES CA 90504 DESCRIPFFION OF WORK 1 (FIREWORKS STAND LIGHTING 2013 I APPLICANT: TEL. NO: ITNT FIREWORKS, BRAD HUDSON (714) 738-1002-159 ( _. 1555 N GILBERT ST I. (SPECIAL CONDITIONS: IFULLERTON CA 928330 I I (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IKC ELECTRIC (562) 867-4447- I 6509 GLORYWHITE STREET LIC. NO ; ITEMPORARY POWER POLE ILAKEWOOD CA 90713 010699521 (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: I IUFER. GROUND I I I I LIC. NO: I (ROUGH CONDUIT I 1 I (ROUGH WIRING I 1 (MAIN WATER LINE I (PLASTIC YIN METAL YIN 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 IREPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1205290055 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: _ FEES PAID { BUILDING ADDRESS: {TR: 8526 LT: 713 { { 9470 LAS TUNAS DR 1 { .{FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: { TEMP CA 91780 1 {ASSESSOR INFORMATION NUMBER: '{ { NEAREST CROSS STREET: CLOVERLY 1 18587-009-025 {A1 PERMIT ISSUANCE FEE 27.80 { THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY { { _{D3 BOOTH LGT, SYSTEM 1.00 B00 16.15 I_,_ { {TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: { {TC AMATEUR SOFTBALL ASSOCIATION { 105/29/12 SR { {OWNER: TEL. NO: { {FI/NAL DDaTE FIN �]I/,�\BY: CODE: { RALPHS GROCERY COMPANY (310) 900-3573- { PO BOX 54143 {LOS ANGELES CA 90504 1 {D SCRIP ION OF WORK 1 { { 1FIREWORKS STAND LIGHTING 2012 1 {APPLICANT: TEL. NO: { { ITNT FIREWORKS, BRAD HUDSON (714) 738-1002-159 { { { 1555 N. GILBERT ST. { {SPECIAL CONDITIONS: { {FULLERTON, CA 928330 1 { { { { { { { __1 { { {CONTRACTOR: TEL. NO: { {APPROVALS DATE INSPECTOR SIGNATURE { IKC ELECTRIC (562) 867-4447- { { 1 16509 GLORYWHITE STREET LIC. NO { ITF.MPORARY POWER POLE { {LAKEWOOD CA 90713 010699521 { {_ { { { I {UNDERGROUND CONDUIT { { { 1ARCHITECT OR ENGINEER: TEL. NO: { {UFER GROUND { { { LIC. NO: { {ROUGH CONDUIT { { { { IROUGH WIRING { { { 1 { {MAIN WATER LINE { { { { { {PLASTIC Y/N METAL Y/N { { { {UTILITY COMPANY NOTIFIED{ { { { {REPORT ID: DPR265 ROUTE TO: BS0508 { { { 1 i • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105030043 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 8526 LT: 713 9470 LAS TUNAS DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 91780 (ASSESSOR INFORMATION NUMBER: I I' NEAREST CROSS STREET: CLOVERLY 18587-009-025 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.15 1 1 (TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: ITC AMATEUR SOFTBALL ASSOCIATION 1 105/03/11 SR 1 I I I I (OWNER: TEL. NO: I IF AL DATE FIM CODE: I IRALPHS GROCERY COMPANY (310) 900-3573- 1 1 1 IPO BOX 54143 1 1 (LOS ANGELES CA 90504 I ID .,CRFIPTION OF WORK 1 I (FIREWORKS STAND LIGHTING 2011 1 I I I I (APPLICANT: TEL. NO: I I ITNT FIREWORKS, BRAD HUDSON (714) 738-1002-159 1555 N. GILBERT ST. I (SPECIAL CONDITIONS: I IFULLERTON, CA 928330 1 1 1 1 I 1 I (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 JKC ELECTRIC (562) 867-4447- 1 1 1 16509 GLORYWHITE STREET LIC. NO 1 ITEMPORARY POWER POLE I I 1 ILAKEWOOD CA 90713 C10699521 i I I (UNDERGROUND CONDUIT I 1 1 (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I 1 LIC. NO: 1 (ROUGH CONDUIT I I I I I I I I I I 1 (ROUGH WIRING I I 1 I 1MAIN WATER LINE I I 1 I 1PLASTIC Y/N METAL Y/N 1 1 1 I I I I I I 1 I 1UTILITY COMPANY NOTIFIEDI 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 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 1 1 1 I (REPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0506 '` ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1006090031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID 1 BUILDING ADDRESS: 1 ITR: 8526 LT: 713 1 9470 LAS TUNAS DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( • TEMP CA 91780 I (ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: CLOVERLY I 18587-009-025 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY I ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 1 (TENANT: I TOTAL FEES 43.95 11SSUED ON: PROCESSED BY: PLAN BY: IKARE YOUTH LEAGUE 1 106/10/10 SR 1 I I I I OWNER: TEL. NO: I IF;NAL DATE 'FIINAw-,\BY: CODE: 1 �RALPHS GROCERY COMPANY (310) 900-3573- 1 1 1 \�}''(�� IPO BOX 54143 1 1 l�l �a` I ILOS ANGELES CA 90504 I IDESC IPTION OF WORK 1 I 1 (FIREWORKS STAND LIGHTING 2010 I I I I I (APPLICANT: TEL. NO: I I I ITNT FIREWORKS, BRAD HUDSON (714) 738-1002-159 I 1 1 1555 N. GILBERT ST. I ISPECIAL CONDITIONS: I IFULLERTON, CA 928330 1 1 I 1 1 1 I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IKC ELECTRIC (562) 867-4447- 1 1 1 16509 GLORYWHITE STREET LIC. NO I ITEMPORARY POWER POLE I I ILAKEWOOD CA 90713 C10699521 I I I I 1 I .UNDERGROUND CONDUIT I 1 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I I 1 LIC. NO: 1 (ROUGH CONDUIT 1 I 1 1 (ROUGH WIRING 1 I I I I I I I I 1 (MAIN WATER LINE I I 1 I IPLASTIC Y/N METAL Y/N I 1 I 1 (UTILITY COMPANY NOTIFIED( 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 I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 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 0506170034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 8526 LT: 713 9470 LAS TUNAS DR SCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8587-009-025' PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY [AlD3 BOOTH LGT, SYSTEM 1.00 B00 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TEMPLE CITY NATIONAL LITTLE LEAGUE 06/17/05 JK 12/14/05 OWNER: TEL. NO: F D4TEE F AL BY: "CODE: RALPHS SUPERMARKET - /- SCRIPTION OF WOR 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 0906080005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 8526 LT: 713 I_ 9470 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: CLOVERLY 18587-009-025 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: IKARE YOUTH LEAGUE , 106/08/09 SR 12/05/09 OWNER: TEL. NO: - IF AL TE FIN Y: CODE: IKARE YOUTH LEAGUE _Q 19470 LAS TUNAS DR. TEMPLE CITY CA 91780 IIDESCRIP ION 01 WORK I (ELECTRICAL FOR FIREWORKS STAND - 2009 APPLICANT: TEL. NO: IP & P ELECTRIC CO. (626) 945-2990- IP.0 BOX 1020 ISPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE IP & P ELECTRIC CO., INC. (626) 309-0734- I I 1 IPO BOX 1020 LIC. NO .ITEMPORARY POWER POLE ITEMPLE CITY CA 91780 569956 I UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND LIC. NO: IROUGH CONDUIT IROUGH WIRING I I I (MAIN WATER LINE (PLASTIC YIN METAL YIN 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 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 0806160027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 8526 LT: 713 9470 LAS TUNAS DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 91780 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY 18587-009-025 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY I ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 I I (TENANT: I TOTAL FEES 43.95 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I IKARE YOUTH LEAGUE 1 106/16/08 SR 12/13/08 OWNER: TEL. NO: I I FjAl.%L DATE FI BX CODE: I KARE YOUTH LEAGUE - I 19470 LAS TUNAS DR. 1 Y TEMPLE CITY CA 91780 JDE CRIPTION OF WORK I (ELECTRICAL FOR FIREWORKS STAND - 2008 (APPLICANT: TEL. NO: IP & P ELECTRIC CO. (626) 945-2990- 1P.0 BOX 1020 ISPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IF AND P ELECTRIC CO. (626) 309-0734- 1 1 IPO BOX 1020 LIC. NO ITEMPORARY POWER POLE ITEMPLE CITY CA 91780 569956 1 I (UNDERGROUND CONDUIT 1 (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I LIC. NO: IROUGH CONDUIT IROUGH WIRING IMAIN WATER LINE IPLASTIC Y/N METAL Y/N (UTILITY COMPANY NOTIFIED I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEIiPLE CITY # 0508 ELECTRIC a.L PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 04061700~8 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-04=' EXT: LEGAL ID: v FEES ?AID BUILDING ADDRESS: AMOUNT: TR: 8526 LT: 713 9470 LAS TUNAS DR FEE DESCRIPTION: QUANT3TY:. UOM: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY � 8587-009-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CIT" D3 BOOTH LGT, SYSTEM 1.00 GOO 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TEMPLE CITY NATIONAL LITTLE LEAGUE 06i!7,/04 JK 12/14/04 OWNER: TEL NO: 11-NlA DATE FI L BY: CODE: �! RALPHS SUPERMARKET DESCRIPTION OF WORK— ELECTRICAL FOR FIREWORKS STAND 2004 fIf APPLICANT: TEL. NO: i K C ELECTRIC (310) 505-0444- i 6509 GLORYWHITE SPECIAL CONDITIONS: i LAKEWOOD 90713 j CONTRACTOR: TEL. NO: APPROVALS DATE- INSPECTOR SIGNATuRc K C ELECTRIC (310) 505-0444- 6509 GLORYWHITE ST LIC. NO TEMPORARY POWER POLE — LAKEWOOD CA 90713 699521 C10 UNDERGROUND CONDUIT I_ ARCHITECT OR ENG T~EER: TEL. NO: LIFER GROUND LIC. NO: iR5UGH OONDUIT j IrcoUcin WRING MAN WATER LINE PLASTIC Y/N METAL Y/N U'I',LITY COMPANY NOTIFIED 1 �I I I I REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306100018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 1D: FEES PAID BUILDING ADDRESS: TR: 8526 LT: 713 9470 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TENANT: JI GENERATORS +3-10HP 1.00 GEN 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TEMPLE CITY NATIONAL LITTLE LEAGUE TOTAL FEES 63.60 06/10/03 JK 12/07/03 OWNER: TEL. NO: FIN/AL F L BY:�7 CODE: RALPHS SUPERMARKET b DATE 1 Z bl(/3 DESCRIPTION OF WORK ELECTRICAL FOR FIREWORKS STAND - 2003 PPLICANT: TEL. NO: K C ELECTRIC (562) 972-2706- 6509 GLORYWHITE SPECIAL CONDITIONS: LAKEWOOD 90713 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE K C ELECTRIC (310) 867-4447- 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