HomeMy Public PortalAbout9475 LAS TUNAS DR_Electrical__ 76A663C_ C.E8i;68 12/75 .APPLICATION FOR ELECTRICAL PERMIT
SA�El--Y DIVISCIO
FOR APPLICANT TO FILL IN ,JOB
EACH NO. FEE ADDRESS
New Residential Bldgs.& Pools
1 &2 Finaily Sq. Ft. $ - $ LOCALITY
Multi-family Sq. Ft. - NEAREST
Residential Swimming Pools CROSS ST. c
OWNER OR
FIRM NAME °l/ lgEl�'ES
Outlets: Light, Switch& Receptacle MAI L
First 20 ADDRESS
Additional CITY Tel, No.
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANTAL"
Range_ Heater_ D.W. ADDRESS 17,1-71
Oven Dryer W.M.
Top FAU W.H. CITYfjJ9 Tel. No. �`Z3� �e
Hood Fan I LICENSE OR �/ �� 4:5-1 o
4 5REG. NUMBER Class.
Disp. A.C. ��
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION O
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLI
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING, d
z_
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND qkATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF T E ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PRO TY.
Over 50 to 100 Incl. PERMITS
Over 100 S I G N A TIIQLE
r
ISTRICT NO. OCE C' ::'
BServices ��0-200 Amp. Under 600 V201 - 1000 Amp. Under 600 V IR
PPROVALS DATE INS CTOR'S
SIGNATURE
Over 1000 Amp.,or Over 600 V
OWER POLE
Temp. Power Pole&Appurtenances LAB WORK
Sign with One Branch Circuit
CONDUIT
Additional Sign Branch Circuits
(Other)
ES
AUTHORIZED
PERMIT FEE (Sub-Total) CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee)PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
0.2 5'L�-JAN 4 2 U .
76A663A-CE606A 4/72 APPLICATION FOR ELECTRICAL PERMIT �.. ,2.-.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING l
BUILDING AND SAFETY DIVISION ADDRESS �S� -
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
FRECEPT
TS NO. EACH FEE7
OWNER J,f� l _
$ $ MAILTOTALFIRST 20 Q vQ ADDRESS
CITY TEL. NO.
Ste; OVER 20 PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
FIXTURES _;?:r_l OVER 20 tJ. �� S ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYERWTR. HTR._ APPLICANT ,4r [-z�
STA. COOK DI SP. F.A.U. ADDRESS�f�1 S d�e✓ ycv,
SPACE HTR, AIR GOND. CITY TEL. NO � S
CLOTHES WASH. DISHWASH. LICENSE NO. —>—jo /-7 -r CLA!5;. /C-)
FAN OTHER 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 C.7
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �...
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND.INTEND TO CL
RESIDE IN, THE ABOVE DES GRIPED RESI DENTIA PROPERTY, N
C✓ 1 - 10 /' z
10 - 50 SIGNATURE
OF PERMIT�E `
50 - 100
DISTRICT NO. CLASS ZONE QZSEDBY
100 - 500
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOTOVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OV ER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE �7
PERMIT ISSUING FEE FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
5 b 130 2 0 4705 ,&�,
76A663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
i DEPARTMENT OF COUNTY ENGINEER BUILDING
BUIL AND SAFETY DIVISION ADDRESS
L
`'•_ LOCALITY 4E
NEAREST i
FOR A PLICANT TO F L IN CROSS ST, G vV �L.
OUTLETS NO. EACH FEE
$ $ - OWNER is%C Q
RECEPT._ MAIL yy i' N
fs
LIGHT TOTAL
FIRST 20 ADDRESS 1� Z r!JLe 111 ow 4
CITY A I �a� �1 TEL. NO.
SWITCH OVER 20
-PLAN CHECK
LIGHTING TOTAL �_O
FIRST 20 APPLICANT
FIXTURES
VER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER WTR. HTR._ APPLICANT
LICANT L CC.)
STA. COOK DISP. F.A.U. ADDRESS'941� it L S uo,_,�s 'L.)?-
SPACE HTR. AIR COND. CITY OL TEL. NO.-2A'96-Q •�S
CLOTHES WASH. DISHWASH. LICENSE NO. `4723�o CLASS. e
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION a
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C-)
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C>
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO W
1 - 10 RESIDE IN, THE ABOVE DESCRIPED RESIDENTIAL TY. 0"
N
Z
10 - 50 SIGNATURE
OF PERMITTEE
50 - 100
DISTRICT NO. CLASS ZONE �=SED -V
100 - 500 S,(� c/
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVI CENOTOVER 600 VOLTS OR 200 AMP
SERVICE OVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR=S-SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES ,
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM ,
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE
TOTAL FEE 1/
60
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. m.o. CASH
36 0'r-NU 18 2 12.0 t7 A _
(?�,,
78A889C C68089 1'2/78 APPLICATION FOR ELECTRICAL PERMIT �-
t
BUILDING ADdD SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
rResitdential
Bldgs.8 Pools EACH NO. FEE ADDRESS
Sq. Ft. $ — $ LOCALITY
q. Ft. — NEAREST
CROSS ST.
imming Pools OWNER O
FIRM NAM
Outlets: Light,Switch& Receptacle MAIL
First 20 ADDRESS
Additional JCITY el. No,
P Hr=CK
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. N
Hood Fan LICENSE uH r
REG. NUMBER C s C_
Disp. A.C. v
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APON
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE O PLY O
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I, .
ELECTRICAL WIRING.
Size&Type HP,, KW, KVA,or KVAR a
Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGIS ERED AN N
Over 1 to 10 Incl. LICENSED AS REOUIR D BY LOS ANGELESDUN AND S TE OF z
CALIFORNIA OR T I AM - ly�W R OF ..VE
Over 10 to 50 Incl. DESCRIBED REST 1 L
Over 50 to 100 Incl.
PERM ITEE
Over 100 SIGNATURE
4
DISTRICT NO. QPROOESSED Y
Services
I
0-200 Amp. Under 600 V
201 - 1000 Amp. Under 600 VAPPROVALS DATE IN ECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances IR
ERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits GH CONDUIT
(Other) NG
URES
R AUTHORIZED
PERMIT FEE (Sub-Total) ITY CO.NOTIFIED eg
PLAN CHECKING FEE (One-Fourth Permit Feel L
PERMIT'ISSUING FEE
S
TOTAL FEE 2'
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
032.rcN 4 2 ➢ 12. 0 � � .
__. V6
WORKERS'COMPENSATION DECLARATION ,D,B, APPLICATION FOR ELECTRICAL PERMIT
I hereby 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 7:5- 2 6-As U IV,4.S
0 Certified copy is filed with the county building inspec- y, Sq. Ft. — LOCALITY
tion department. - Multi-family Sq. Ft: 'NEAREST
CROSS ST.
' Residential Swimming Pools OWNER OR
Date Applicant_ FIRM NAME '/jf r00 A,,y+r
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
COMPENSATION INSURANCE Outlets: Rec Light Sw. i
First 20 � ADDRESS',/4, ' .y G�� 1i,
(This section need not be completed if the work involved by Total No. Additional CITY kV Tel. No. 5
the permit is for one hundred dollars ($100)or less.)
I certifythat in the perform of the work for which this PLAN CHECK
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.' X2 Additional
J0 �� Applicant T zy 6,45e_7'1e/ CITY Tel. No.
Date ; Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT L L �`T /r✓
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 �? Zr Q�
with comply with such provisions or this permit shall be Top _ FAU —W.H. —
deemed revoked. CITY Z 4XS [Vot7,d Tel.
LICENSED CONTRACTORS DECLARATION Hood Fan _ Other_
Disp. _ Room Air CondLICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER Class.
(commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO, PROCESSED BY
and Professions Code, and my license is in full force and effect.
Size &Type HP, KW, KVA, or KVAR' O
License NumberLic. Class C I Up to 1 Incl FINAL V
DATE
/Q, 19— Over 1 to 10 Incl. G� VALIDATION
Contractor r• _— r°�,n, ate Over 10 to 50 Incl. a'
FINAL u
I am exempt under Sec. Over 50 to 100 Inc. BY � � &M
B.&P.C. for this reason Over 100
Date: Services, MCC& Panelboards ►�� ���� —
0 -200 0 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect. 1,2A
SINGLE FAMILY Temp. Power Pole&Appurtenances o o 0 0 0 2
HOME OWNER-BUILDER DECLARATION
Sign with One,Branch Circuit
I hereby affirm that I am exempt from the Contractor's License c o 3 ?
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Professions Code): c i J 2 ?.
ElI, 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 PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the TOTAL FEE
above information is correct. I 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 mit ee Date
r_ WORKER'S I COMPENSATION DECLARATION 20•0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
1 hereby affirm that 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. 38,00 Lab.C.)
Policy No. Company FOR APPLICANT TO FILL IN
'ADDRESS d<-G
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE
$ $ LOCALITY
Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST
department. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR
PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR
COMPENSATION INSURANCE A w
(/J
outlets:Rec._Light Sw. FIRM NAME q,V 4,wo — � � Tiy/S
' - -
(This section need not be completed First 20 MAthe work involved by the Total No. Additional ADIL DRESS :1 �`OS/'AUT
permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit CITY '4e� Tel.No. (d��•
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.
rovisions of the Labor Code, ou must forthwith com I with such PERMIT
p y p y Power Apparatus&Large Appliances APPLICANT�yf � � /V f- .G S
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. '
LICENSE OR /o Class. }'
Over 50 t0 100 Incl. A
REG.NUMBER ✓✓ r fi ` / a
/- X Over 100 DISTRICT NO. 4ZSSED BY O
License Number 10 (' Lic.Class C ®
fox, Services,Swbd.,MCC&Panelboards
,(�. � 0-399 Amp.Under 600 V FINAL _....._....._. ...... _ O
Contractor Date DATE
❑ 400-1000 Amp.Under 600 V ,` ��t r _ ~
I am exempt under Sea �� 0 7 I a 4
VALIDATION V
Over 1000 Amp.or Over 600 V FINAL .�? s #t a_;,ia
B.&P.C.for this reason BRANCH CIRCUIT FEES 3Y n/
Date: 15A,or 20A,120V,Lighting or Recept. Yom' '' - i I L ;-' Z
1 To 10 Branch Circuits z j —
r HL
Signature 11 To 40Branch Cir cuits - � �•-r.�-.I�
❑ 41 Or More Branch Circuits =iR==='• a i)
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuitsr• .�:f^
CHIN
jG a`•�'i1
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 'r°'f=_
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits a !=°� _ 1-122
=fit ,
Code): E3iQ r i s;f n:45
❑ 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 h
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) V
Civ.C.)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE
i
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 eater upon the above-mentioned property
for' ap coon SEE REVERSE FOR EXPLANATORY LANGUAGE
• GNA E OF PERMIT TE � / �' DATE
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 q �'
ADDRESS
❑
Certified copy is hereby furnished. NResidential Bldgs. NO. EACH FEE
LOCALITY
El Certified
entg &Pools $ $
Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST
department. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FlRMNER OR
NAME
COMPENSATION INSURANCE v d� 11e�/�S
.A
(This section need not be completed First 20 MAIL
the work involved by the ADDRESS$ 4�2L�S�LlUS
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. , 3
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
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT
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. }(I
Over 50 to.100 Incl. LICENSE Class.
REG.NUMBB ER Q.
Over 100 DISTRICT NO. P SSED BY 0 I
License Number Lic.Class fi U
Services,Swbd.,MCC&Panelboards �CJ �j Q
Contractor Date 0-399 Amp.Under 600 V FINAL
ODATE
0
❑ 1 am exempt under Sec. 400-1000 Amp.Under 600 V .-� W h
Over 1000 Am or Over 600 V VALIDATION
Amp. FINAL 1011-
B.&P.C.for this reason BRANCH CIRCUIT FEES BY Ci)
Date: 15A,or 20A,120V,Lighting or Recept. z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
ED
41 Or More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 7
SINGLE FAMILYCT.g
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code):
❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors
is not intended or offered for sale (Section 7044, Business Othe (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 under penalty of purjury state TOTAL FEE
that the above information is correct. I agree to comply with all County
ordinances an tate laws regulating Electrical wiring,and hereby authorize
representat es of this County to enter upon the above-mentioned property
for inspe I urpose SEE REVERSE FOR EXPLANATORY LANGUAGE
SIG TURE OF ERMITT DATE
WORKERS' COMPENSATION DECLARATION 76A663 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O
76A663
I hereby affirm that I have a certificate of consent to self CE-eoaG
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No. '3 3£-I Company Es'IME "TICIU7 FOR APPLICANT TO FILL IN JOB �/ r
❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS `7" _
Certified co is filed with the count buildinginspec- 1 & 2-Family, S Ft. $ $ LOCALITY
copy y P y q NEAREST
tion department. Multi-family Sq. Ft.
Residential Swimming Pools CROSS ST.
Date 1 U - Applicant !3+ OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL
COMPENSATION INSURANCE First 20 ADDRESS
(This section need not be completed if the work involved by Total No. Additional CITY Tel. No.
the permit is for one hundred dollars ($100)or less.) PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
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. — NJ 1 C Q
Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS f4 3r
with comply with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked. Hood — Fan —Other— CITY • 7 �AeFJ Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
Disp. — Room Air Cond. — ��REG. NUMBER C+° a� ass.Cl
I hereby affirm that I am licensed under provisions of Chapter 9 C��
(commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PR ESSED BY >_
and Professions Code,and my license is in full force and effect. Q a
Size &Type HP, KW, KVA, or KVAR Q
License Number a"q 27—Lic. Class rr4-._ Up to I Incl. FINAL U
-�� `y c�c� Over 1 to 10 Incl. DATE �7/-17 VALIDATION c
Contractor • 7 m E700 5k,N Date / Over 10 to 50 Incl. FINAL F-
❑r-1
I am exempt under Sec. Over 50 to 100 Inc. gY U
LL
Over 100
B.BP.C. for this reason d Z
Services, Swbd., MCC& Ponelboards Z
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 Conirdctor's License � h�•"•'� .�
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 8 Conductors •F;.vjc
structure is not intended or offered for sale(Section Other Complete Fee Schedule 7044, ( P )— I __
Business and Professions Code).
i'ol_ a .L3. 3
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for Which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.). -"
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE %':
Lender's Address r�
I certify that I have read this application and state that the
TOTAL FEE `� E`''
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-m tinned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(,2-9,) 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 Ihereof,(Sec.3800 Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
DDRESS
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE
$ � LOCALITY
Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST
department. Multi-family Sq. Ft. CROSS ST.
DateApplicant Residential Swimming Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF,EXEMPTION FROM WORKERS' Outlets:Rec. Light SW. OWNER OR �+' / 0,A70-1 -11S
� O
COMPENSATION INSURANCE g FIRM NAME J e•V c 7 1-11 S 7
First 20 MAIL �// • / .�„ w ��
(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 04A/iyt®`A_ 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
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT
LICENSED CONTRACTORS DECLARATIONSize&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.
Over 50 to 100 Incl. LICENSE Class.
REG.NUMBB ER ICL
Over 100 DISTRICT NO. ESSED BY 0
License Number Lic.Class
Services,Swbd.,MCC&Panelboards
Contractor Date 0-399 Amp.Under 600 V FINALDATE /q� Q �p�(/ 0
❑ I am exempt under Sec. 400-1000 Amp.Under 600 V t[�r J e YU VALIDATION V
Over 1000 Amp.or Over 600 V FINAL W
B.&P.C.for this reasonBRANCH CIRCUIT FEES BY U)
Date: 15A,or 20A, 120V,Lighting or Recept. Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
F141 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 (A r-P)',z
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 3-1
ty
Code):
—1 3
❑
I, a as owner of the property,will do the work and the structure Misc.Conduits&Conductors. � I)EMS
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL ITA 4_17 m 9!e
and Professions Code). f''—r 1. -
-•NEC_.=. I n
CONSTRUCTION LENDING AGENCY L• r ;f••� r-�
1 hereby affirm that there is a construction lending agency for the •Ht) r Gr_ pr•)r_I
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total)
Civ.C.) 6_r.•,P,}
PLAN CHECKING FEE
Lender's Name ` r
PERMIT ISSUING FEE
Lender's Address Q`
I certify that I have read this application and under penalty of purjury state TOTAL FEE O V
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
Y SIGNATURE OF PERMITTEE DATE
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 JJO�DRESS
ElCertifiedcopy 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
MAPPAGEJV
PARCEL
CERTIFICATE OF EXEMPTION,FROM WORKERS' Outlets:Rec.A Light Sw. FFIIRM NA WNER R
COMPENSATION INSURANCE
(This section need not be completed First 20 MAIL
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 of4in
which this permit CITY Tel.No.
is issued, I shall not employ any manner so as to PLAN CHECK
become subject t the Workers'Cows. Lighting Fixtures First 20 APPLICANT
Total No. AdditionalADDRESS
Date -Applicant' RESIDENTIAL APPLIANCES NOT OVER 3 HP.NOTI E TO APPLICANT: If, aft &�-
is Certificate of CITY Tel.No.
Exem tion,you should become subjers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such Power Apparatus&Large Appliances PPPLICANT (MI r �'�j �'S' A
provisions or this permit shall be deemed revoked.
LICENSED CONTRACTORS DECLARATION Size'&Type HP,KW,KVA,or KVAR ADDRESS 0 :�tCr. 6 fLel3 C-,o0
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 12 A 6P� TeL No.`Z_9?T/
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.
LICENSE ORL% Class.
Over 50 to 100 Incl. REG.NUMBER 7
IN/ /I Over 100 DISTRICT NO:- PROCESSED BY 0
License Number Lic.Classes
Services,Swbd.,MCC&Panelboards Q O
3O 0-399 Amp.Under 600 V DATE " '
FINAL
Contractor Date
❑ 400-1000 Amp.Under 600 V 43
_� ,
c
I am exe rpt
er Sec, — _ i._�LALIDATION `-'''- I W
Over 1000 Amp.or Over 600 V FINALto
B.&P.C.for this reason r•�
BRANCH CIRCUIT FEES (n
BY
Date: 15A,or 20A, 120V,Lighting or Recept. ""' TOTAL 4__a = 6-_aZ
1 To 10 Branch Circuitsc
Signature 11 To 40 Branch Circuits (- -=`• ° •"
❑ 41 Or More Branch Circuits ""`"`
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits iIGEE ,L•.i]
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION - W
C j
1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit '009;i-�E QID l �%s�-=
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code): L(L:� f
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 under penalty of purjury state TOTAL FEE
that the above information is correct. I agree to comply with all County
ordinance and State laws regulating Electrical wiring,and hereby authorize
represe fives of this County enter upon the above-mentioned property
for in ction purpIs.
SEE REVERSE FOR EXPLANATORY LANGUAGE
i
SIG TURE F P ..._ DAT
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT,`
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL7-0508-9706250019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
- LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 .. - 1475LAS TUNAS-DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP"CA-91-7802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY:. TEMPLE CITY
E3 TEMP XMAS TREE, ADDT 1.00 TEM 21.60
TENANT: TOTAL FEES 49.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
SAN GABRIEL VALLEY OPTIMIST 06/25/97 TC, 06/25/98
OWNER: TEL. NO: FINAL DATE FINAL BY CODE:
HAC CHANSOKHOM;NAI;TAING KENG T (000) 000-0000-
1841 STATE COLLEGE B
DESCRIPTION OF WORK
BOOTH LIGHTING FOR FIREWORKS ST D
APPLICANT: TEL. N0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO / _ ;' ��� l APPROVALS DATE INSPECTOR SIGNATURE
�.-
SAME AS OWNER
LIC. NO TEMPORARY POWER .POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: -��� ` �� �� � c��, UFER GROUND
LIC. N0:
ROUGH CONDUIT
�� I �� " --- � �� � _
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 EL. 0508 9803250015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 �--9475--LAS TUNAS DR y-
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: "--TEMP CA 917802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
E3 TEMP XMAS TREE, ADDT 1.00 TEM 21.60
TENANT: TOTAL FEES 49.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
SAN GABRIEL VALLEY OPTIMIST 03/25/98 UT 3/25/99
OWNER: TEL. N0: FINAL DATE FINAL B CODE:
HAC CHANSOKHOM;NAI;TAING KENG T 000 [[}}
1841 STATE COLLEGE B U Z7
DESCRIPTION_OF-WORK -
BOOTH LIGHTING FOR FIREWORKS STAND
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: �� ���� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND
LIC. N0: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
I
REPORT ID: DPR265 ROUTE TO: SS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 -LAS TUNAS EL 0508 9906290046
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 9475 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 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:
SAN.GABRIEL.VALLEY OPTIMIST 06/29/99 UT 12/26/99
OWNER: TEL. NO: FIN DATE FINAL Y: CODE:
HAC CHANSOKHOM;NAI;TAING KENG T 000 / 00_9?
1841 STATE COLLEGE B IG�.IRI R
DESCRIPTION OF WORK
BOOTH LIGHTING FOR FIREWORKS STAND-1999
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
(c®�
�
CONTRACTOR: TEL. N0: ��,��a ��' APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER A 1y
LIC. NO / i'� ^�� \ TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL..NO: 7 { 1( i ✓� �\ UFER GROUND
LIC.-NO 1 _ I 1111111 11` ROUGH CONDUIT
- - -- - ROUGH WIRING
�� I -D � (1�1� ��� 7 ����1 �� MAIN WATER LINE
u I � < j PLASTIC Y/N METAL Y/N
— -- - --�J-- — -- — t -_- - UTILITY COMPANY NOTIFIED
17
0
REPORT ID: DPR265 ROUTE TO: BS0508
• COUNTY OF L N t ES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9912220005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 9475 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPI S ON:
SAN GABRIEL VALLEY OPTIMIST 12/22/99 UT 06 9/00
OWNER: TEL. NO: FINAL DATE FINAL BY- CODE:
HAC CHANSOKHOM;NAI;TAING KENG T 000
1841 STATE COLLEGE B
DESCRIPTION OF WORK
BOOTIH LIGHTING FOR FIREWORKS STAN -MILLENNIUM
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
I c®
CONTRACTOR: TEL. NO: ®� ���Z'n APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER d
LIC. NO / TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: /J/ UFER GROUND
LIC. N0: L lllllll ROUGH CONDUIT
LL I ROUGH WIRING
r—
Il �j MAIN WATER LINE
II I C O I �\ 11 PLASTIC Y/N METAL Y/N
LLL��� UTILITY COMPANY NOTIFIED
D 0
D a IV
®dam
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0106280010
BUILDING,AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 9475 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 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:
SAN GABRIEL VALLEY OPTIMIST 06/28/01 UT 12/25/01
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HAC CHANSOKHOM;NAI;TAING KENG T 000 2Gy O r
1841 STATE COLLEGE B !! 77
DESIZRIPTIQW OF WORK
BOOTH LIGATING FOR FI EWO S STAND-2001 (PLUG-IN)
APPLICANT: TEL. NO:
NAPOLI (626) 824-6396-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NONE
LIC. NO TEMPORARY POWER POLE
NONE
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 0206270012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
TR: 8526 LT: 15 BL: .001 9475 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
SAN GABRIEL VALLEY OPTIMIST 06/27/02 JK 12/24/02
OWNER: TEL. NO: FI L DATE CODE:
TAING KENG T
2031 E VISTA CANYON
ORANGE 52867 DESCRIPTION OF WORK
BOOTH LIGHTING FOR F1 EWORKS STAND-2002 (PLUG-IN)
APPLICANT: TEL. NO:
NAPOLI (626) 355-6266-
P.O.BOX 762 SPECIAL CONDITIONS:
SIERRA MADRE 91025
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NONE -
LIC. NO TEMPORARY POWER POLE
NONE
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 0003280052
BUILDING AND SAFETY / LAND-DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 9475JAS TUNAS'DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP'CA 917802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
SAN GABRIEL VALLEY OPTIMIST 06/16/00 UT 12/1-3/00
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE.
HAC CHANSOKHOM;NAI;TAING KENG T 000 ..�®
1841 STATE COLLEGE B G
DESCRIPTION OF WORK
BOOTH LIGHTING FOR FIREWORKS STAND 000
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: �,.a�
J ` APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER ��"
0
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
G
ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND��/� � I_ i - � —�, - ��
i
L-IC. NO., _IL� �_ -; �r � � ROUGH; CONDUIT
, ' C L_ � �_� _�• 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 0706120036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 8526 LT: 15 BL: .001 j 9475 LAS TUNAS DR
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802137 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST.CROSS-STREET: I
18587-008-005 IA1 PERMIT ISSUANCE FEE 27.75 1 ;THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY I
I ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 1 1
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
ITEMPLE CITY HIGH SCHOOL BAND BOOSTE I 106/13/07 SR 12/10/07 1
TOWNER: TEL. N0: T FINS DA E FIN BY: CODE:
ITAING KENG T - 1I
12031 E VISTA CANYON T I
(ORANGE 52867 I IDE CRIPTION dF WORK
IBOOTH LIGHTING FOR FIREWOR S STAND-2007 (PLUG-IN)
I I I I
(APPLICANT: TEL. NO: 1 I
IJAMIE NEVAREZ (562) 867-4447- 1
16509 GLORYWHITE ST. T ISPECIAL CONDITIONS: I
ILAKEWOOD, CA 90713 1 1 I
I I I I
(CONTRACTOR: TEL. NO: I ' - 1APPROVALS DATE INSPECTOR SIGNATURE 1
IK C ELECTRIC (310) 505-0444- I
16509 GLORY WHITE ST. LIC. NO (TEMPORARY POWER POLE I I
ILAKEWOOD, CA 90713 699521 C10
I (UNDERGROUND CONDUIT I
IARCHITECTOR ENGINEER: TEL. NO: I IUFER GROUND I I I
1 LIC. NO: I IROUGH CONDUIT I I I
T I I I I
IROUGH WIRING 1 1
IMAIN WATER LINE I I
I IPLASTIC Y/N METAL Y/N I
I (UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I I I I I
I I i I I I
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 1
I. I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0606150002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 9475 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 ; THOMAS PAGE: 596 GRID: J3. LOCALITY: TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TEMPLE CITY HIGH SCHOOL BAND BOOSTE 06/15/06 JK 12/12/06
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
KT
2031 VIS
2031 E VISTA CANYON [-�-
ORANGE 52867 DESCRIPTION OF WORK
BOOTH LIGHTING FOR FIREWORKS STAND-2006 (PLUG-IN)
APPLICANT: TEL. NO: ,
JAMIE NEVAREZ (562) 867-4447-
6509 GLORYWHITE ST. SPECIAL CONDITIONS:
LAKEWOOD, CA 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
1
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
(REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTkICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406280004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 9475 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 - THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
ID3 BOOTH LGT, SYSTEM 1.00 B00 16.20
TENANT: I TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
SAN GABRIEL VALLEY OPTIMIST I 06/30/04 JK 12/27/04
OWNER: TEL.-NO: i FIN4L DATE FINAL BY: CODE:
TAING KENG T
2031 E VISTA CANYON i C�
ORANGE 52867 DESCRIPTION OF WORK
BOOTH LIGHTING FOR FIREWORKS STAND-2004 (PLUG-IN)
APPLICANT: TEL. NO:
GIUSEPPE NAPOLI (626) 355-6266-
P.O.BOX 762 i SPECIAL CONDITIONS:
SIERRA MADRE 91025
i
CONTRACTOR: TEL. NO: j APPROVALS DATE INSPECTOR SIGNATURE
NONE
LIC. NO TEMPORARY POWER POLE
NONE
UNDERGROUND CONDUIT
�APCHITFCT OR ENGINEER: TEL. NO: �� !T!=� AROUND -v
i LIC. t,0: IROUGH CONDUIT
i
i
P.OL 1i WIRING
(MAIN WATER LINE
PLASTIC Y/N METAL Y/N
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 0506170029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 8526 LT: 15 BL: .001 9475 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137
ASSESSOR INFORMATION NUMBER: ( NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20
TENANT: , TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
SAN GABRIEL VALLEY OPTIMIST ] 06/17/05 JK 12/14/05
OWNER: TEL. NO: I FINAL DATE FINAL BY: CODE:
TAING KENG T
2031 E VISTA CANYON "-
ORANGE 52867 DESCRIPTION OF WORK
BOOTH LIGHTING FOR FIREWORKS STAND-2005 (PLUG-IN)
APPLICANT: TEL. NO:
GIUSEPPE NAPOLI (626) 355-6266-
P.O.BOX 762 SPECIAL CONDITIONS:
SIERRA MADRE 91025
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
K C ELECTRIC (310) 505-0444-' _
6509 GLORYWHITE ST LIC. NO i TEMIORARY POWER POLE
LAKEWOOD CA 90713 699521 Cl, _
I� UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: - I UFEP. GROUND
LIC. NO: I ROUGH CONDUIT
ROUGH WIRING
i MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
I
I
i
(REPORT ID: DPR265 ROUTE TO: ES0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306250047
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES AD BUILDING R
TR: 8526 LT: 15 BL: .001 9475 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137
ASSESSOR N R T O U BE : NEAREST CROSS STREET:
8587-008-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20
TENANT: TOTAL FEES 43.95 ISSUED 0N: PROCESSED BY: PLAN BY: EXPIRES ON:
SAN GABRIEL VALLEY OPTIMIST 06/25/03 JK 12/22/03
OWNER: TEL. NO: FINALS DATE Fj�tAL BY: CODE:�
THING KENG T `
2031 E VISTA CANYON 1
ORANGE 52867 DESCRIPTION -OF WOR
BOOTH LIGHTING FOR FIREWORKS STAND-2003 (PLUG-IN)
APPLICANT: EL. NO:
GIUSEPPE NAPOLI (626) 355-6266-
P.O.BOX 762 SPECIAL CONDITIONS:
SIERRA MADRE 91025
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NONE
LIC. NO TEMPORARY POWER POLE
NONE
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 NO F I D
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806160043
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I - FEES PAID I BUILDING ADDRESS: I
ITR: 8526 LT: 15 BL: .001 I 1 9475 LAS TUNAS DR 1
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802137 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: - 1
18587-008-005 1A1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 -GRID: J3 LOCALITY: TEMPLE CITY 1
ID3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 1 1
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
(TEMPLE CITY HIGH SCHOOL BAND BOOSTE 1 106/16/08 SR 12/13/08 1
I I I I
(OWNER: TEL. NO: I IFI AL DATE FINAL BY: CODE: 1
ICHOV, ALEX (626) 285-8755- 1 1 1
19475 LAS TUNAS DR. I I &AqI
(TEMPLE CITY CA 91780 1 ID CRIPTION OF WORK I
I I IBOOTH LIGHTING FOR FIREWORKS STAND-2008 (PLUG-IN) 1
I I I I
(APPLICANT: TEL. NO: I I
(MIKE CASSERLY (562) 867-4447- I I
1555 N. GILBERT ST. 1 (SPECIAL CONDITIONS: 1
IFULLERTON, CA 92833 1 1
1 1 1
(CONTRACTOR: TEL. NO: I - 1APPROVALS DATE INSPECTOR SIGNATURE 1
IK C ELECTRIC (310) 505-0444- I 1 1
16509 GLORY WHITE ST. LIC. NO I - ITEMPORARY POWER POLE I I I
ILAKEWOOD, CA 90713 699521 C10 1 I I
I 1 (UNDERGROUND CONDUIT I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I I
1 LIC. NO: I IROUGH CONDUIT 1 1 1
I I (ROUGH WIRING
I I IMAIN WATER LINE I I
I (PLASTIC YIN METAL YIN I I
I I (UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I i I I I I
I I
I I I I I I
I I I I I I
I i I I I I
I I I I I I
I I I I I I
I i I I I I
I I I I I I
I 1 I I I I
I i I I I I
I I I I I I
I i I I I I
1 REPORT ID: DPR265 ROUTE TO: BS0508 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 1002220020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: '
LEGAL ID: I FEES PAID 1 BUILDING ADDRESS:
ITR: 8526 LT: 15 BL: .001 1 9475 LAS TUNAS DR J
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802137 J
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY J
18587-008-005 JAW PC CITY $109.35 MIN 0.00 109.40 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
IA1 PERMIT ISSUANCE FEE 27.75 1 1
(TENANT: JLB 200 AMP PANELS, MCC 2.00 PAN 77.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
ITUTTI FRUTTI FROZEN YOGURT ILD 400 AMP PANELS, MCC 1.00 PAN 76.05 102/22/10 _ SR 02/22/11 J
1 1 TOTAL FEES 290.90 1 1
10WNER: TEL. NO: I IFINAL TE FI BY: CODE: 1
TAING, KENG (714) 496-4208-
9475 LAS TUNAS DRIVE
(TEMPLE CITY CA 91780 1 JbTSCRIPtION OF WORK 1
1 I (INSTALL (N) 400 AMP SERVICE ELEC MAIN SWITCH BOARD & (N) 1
1 I 12- 200 AMP PANELS 1
(APPLICANT: TEL. NO: I I I
1J.P. DESIGN (626) 572-9187- 1 1 I
12714 STINGLE AVE. J (SPECIAL CONDITIONS: I
IROSEMEAD CA 91770 I 1 1
I I I I
I I I I
ICONTRACTOR: TEL. NO: I 1APPP.OVALS DATE INSPECTOR SIGNATURE J
IJ P SERVICE INC. (626) 572-9181- I 1 1
IDBA J P CONSTRUCTION CO. LIC. NO 1 (TEMPORARY POWER POLE I I I
12714 STINGLE AVE. 642751BC36 *1 I ' 1 I 1
IROSEMEAD CA 91770 J (UNDERGROUND CONDUIT I I 1
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
1J. P. DESIGN (626) 572-9187- 1 1-
12714
12714 STINGLE AVENUE LIC. NO: I IROUCH CONDUIT I V 1
IROSEMEAD, CA 91770 NONE J I_ 1 1 1
I I (ROUGH WIRING I I I
I I I I I I
I 1 IMAIN WATER LINE 1 1 I
I 1 (PLASTIC YIN METAL YIN 1 I 1
I I I I I I
I (UTILITY COMPANY NOTIFIED( _`vI '4) " 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 1 I I I I
I I I I I I
I 1* ADDITIONAL DATA ON FILE I 1 I
I I I I I I
I I I I I I
(REPORT ID: DPR265 ROUTE TO: BS0508 1 1 J 1
I I I I I I
COUNTY OF'LUS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904150013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 8526 LT: 15 BL: .001 I 1 9475 LAS TUNAS DR 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802137 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOLVERLY 1
18587-008-005 IA1 PERMIT ISSUANCE FEE - 27.75 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 1 1
(TENANT: 1 TOTAL FEES 66.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
- 104/15/09 SR 10/12/09
(OWNER: TEL. NO: 1 IFINAL DA E FIN L BY: CODE: 1
ITAING, KENG (714) 715-6933- 1 1 1
19475 LAS TUNAS DRIVE 1 l� 1
ITEMPLE CITY CA 91780 1 1D SCR PTON OF WORK I
I - (ELECTRICAL FOR ONE SET OF CHANNEL LETTERS 1
I I I I
(APPLICANT: TEL. NO: 1 1 1
IKYI CHOW SHAR (626) 444-6027- 1 1 1
19868 _KALE STREET 1 ISPECIAL CONDITIONS: 1
ISO. EL MONTE 91733 1 1 1
I I
I I IT
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IKYI CHOW SHAR (626) 444-6027- 1 1 1
19868 KALE STREET LIC. NO 1 (TEMPORARY POWER POLE 1 I 1
ISOUTH EL MONTE CA 91733 652665 C45 *1 I I I I
I I (UNDERGROUND CONDUIT I I 1
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I
I 1 11
I LIC. NO: 1 (ROUGH CONDUIT I I 1
I 1 IROUGH WIRING I 1 1
I I i I I I
IMAIN WATER LINE
1 I IPLASTIC Y/N METAL Y/N 1 1 1
I I i I I I
1 1 (UTILITY COMPANY NOTIFIEDI I
I I I I I I
I I i I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
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* ADDITIONAL DATA ON FILE 1 1 1
I I I I I I
I I I I I I
1 1REPORT ID: DPR265 ROUTE TO: BS0508 1 1 1
I I I I I I
COUNTY OF .TsOr, ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0905110043
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 FEES PAID BUILDING ADDRESS: J
ITR: 8526 LT: 15 BL: .001 1 1 9475 LAS TUNAS DR 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802137 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY 1
18587-008-005 JAI PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I M1 CONDUITS, CONDUCTORS 1.00 MIS 65.25 1
(TENANT: I TOTAL FEES 93.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I 105/11/09 SR 11/07/09 1
DOWNER: TEL. NO: 1 (FINAL DATE FINAL BY: CODE:
ITUTTI FRUTTI FROZEN YOGURT (714) 496-4208- J L�^�/p
19475 LAS TUNAS DR. J I ' / 1
ITEMPLE CITY CA 91780 1 JDESCRIPTION F WORK I1
I I JINSTALL 5" CONDU%T FROM 400 AMP PANEL TO V5007302 VAULT ON 1
I 1 ICOVERLY AVENUE 1
JAPPLICANT: TEL. NO: I
ILOS ANGELES SIGNAL CONSTRUCTION, (909) 599-2201-234 1 1 1
1155 N. EUCLA AVE. I ISP11 VCT COND I NS: ry
SAN DIMAS, CA 91773 1 Ig(Ll��.• CCt�� � - I
1 I I lt6 old (�if S �l1&J kLj I
(CONTRACTOR: TEL. NO: 1 JAPPROVALS DATE i INSPECTO IGNATURE J
ILOS ANGELES SIGNAL CONSTRUCTION (909) 599-2201- J 1 I
1155 N. EUCLA AVENUE LIC. NO J (TEMPORARY POWER POLE I I I
ISAN DIMAS, CA 91773 858974 C10 1 I I I
I 1 JUNDERGROUND CONDUIT I I
JARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I
1 LIC. NO: 1 (ROUGH CONDUIT I I
I I I
I IROUGH WIRING I i
I (MAIN WATER LINE 1 1 I
I IPLASTIC YIN METAL YIN I I I
I I JUTILITY COMPANY NOTIFIEDI I I
I I I I I I
1 I I I I I
I I I I I I
I I I I I I
I I I I I I
J I I I I I
I I I I I I
1 i I I I I
I (REPORT ID: DPR265 ROUTE TO: BS0508 I I I
I I I I I
COUNTY OF ;(qS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0902090033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: i
ITR: 8526 LT: 15 BL: .001 I 9475 LAS TUNAS DR I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802137
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY
18587-008-005 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I IF1 120V, 15/20A BR CKTS 11.00 BR 188.25 1 1
(TENANT: IG1 OUTLETS-LGT,SW,RECP 50.00 OUT 79.50 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
ITUTTI FRUTTI FROZEN YOGURT IG2 LIGHTING FIXTURES 30.00 LGT 52.50 102/09/09 SR 08/08/09 1
1 IIC NRES SHOWCASE LT 3HP 1.00 SHW 15.30 I 1
(OWNER: TEL. NO: IJX MOTORS, LT 3 HP 5.00 MOT 76.50 IFINAL PA FIN Y: CODE:
ITAING, KENG (714) 496-4208- ILA 100 AMP PANELS, MCC 1.00 PAN 38.85 1e I
19475 LAS TUNAS DRIVE I - TOTAL FEES 478.65 1 1
ITEMPLE CITY CA 91780 I IDtSCRIPTIdN OF WORK I
I I (ELECTRICAL FOR TENANT IMPROVEMENT AND UGRADE SERVICE PANEL I
1 1100 AMP
(APPLICANT: TEL. NO:
IJ.P. DESIGN (626) 572-9187- I I
12714 STINGLE AVE. I ISPECIAL CONDITIONS: I
IROSEMEAD CA 91770 I I I
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE I
IJ P SERVICE INC. (626) 572-9181- 1 1 I
IDEA J P CONSTRUCTION CO. LIC. NO IITEMPORARY POWER POLE I I I
12714 STINGLE AVE. 642751BC36 *I I1
IROSEMEAD CA 91770 I (UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
IJ. P. DESIGN (626) 572-9187- I I I I 1
12714 STINGLE AVENUE LIC. NO: I IROUGH CONDUIT I I
IROSEMEAD, CA 91770 NONE 1 -7- I 1
I I TROUGH WIRING I I
I IMAIN WATER LINE 1
I IPLASTIC YIN METAL YIN 1 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* ADDITIONAL DATA ON FILE 1 I 1 1
IREPORT ID: DPR265 ROUTE TO: BS0508 I I I
I I I I I I