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Home My Public Portal About9516 LAS TUNAS DR_Electrical__ I I r6A663f.E1364i I I/,0• APPLICATION FOR ELECTRICAL PERMIT II__II COUNTY OF LOS ANGELES •` DEPARTMENT OF COUNTY ENGINEER BUILDING Las Tunas Dr. BUILDING AND SAFETY DIVISION COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING mple City FOR APPLICANT TO FILL IN . OUTLETS NO. EACHI FEE OWNER Irene' s Beauty Salon RECEPT:_ $ $ MAIL FIRST 20 251 ADDRESS 9516 Las Tunas Dr. LIGHT TOTAL CITYSan Gabriel TEL. NO.287 4292 SWITCH' OVER 20 10 PLAN CHECK FIRST 20 APPLICANT FIXTURES10 LIGHTING TOTAL .25. OVER 20 qq ADDRESS ✓ APPLIANCES CITY TEL. NO. PERMIT y� Com • RANGE DRYER_WTR. HTR. APPL ICANTR$ or Elec. STA. COOK DISP. •F.A.U. ADDRESS 315 S. San Gabriel Blvd SPACE HTR, AIR CON D. CITY San Gabriel TEL. NO. 2870477 CLOTHES WASH.' DISHWASH. LICENSE N0.251.206 CLASS. FAN OTHER 1.00O� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION r 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 CALIFORNIA OR THAT I THE LEGAL OWNER OF, AND INTEND TO } 1 - 10 3.00 RESIDE I N, THE AB DESCRIBED RESIDENTIAL PROPER D_ O SIGNATURE u 10 - 50 5.00 OF PERMITTEE SO - 100 10.00 DISTRICTNO. CLASS 20NE PROCESSED BY O 100 - 500 15.00 �L,: - a N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOTOVER 600 VOLTS OR 200 AMP I 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 • TEMP.POWER POLE TEMP SERVI CE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED I ERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED LAN CHECK FEE o0 FINAL I1-4-1 ERMIT ISSUING FEE 3.00 . V JO EPH C. ROOHAN OTAL FEE 73' SUPERVISING ELECT C ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. /O. CASH ,o c,-v24. 2 D 7.75- BACK OF APPLICATION FOR COMPLETE SCHEDULE I WORKER S'COMPENSATION DECLARATION -806G.(2-BO) CE-806APPLICATION FOR ELECTRICAL ,PERMIT �. CE I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a,certificate of Workers'Compensation Insurance,or a certified copy th of.(�ac. 3800,Lab.C.) �L✓, 0Y FOR APPLICANT TO FILL IN JOB } Polio. Company ` EACH NO. FEE ADDRESS j New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy is filed with e ounty b ing n�ipection CROSS ST depar-ment Residential Swimming Pools OWNER OR FIRM NAME (" �° Dat/-9 �APPlicant Outlets: Rec.—Light—Sw. MAIL f First 20 ADDRESS CERTIFICATE OF EXENI TION FROM WORKERS' Total'No. Additional CITY Tel No. COMPENSATION INSURANCE. y PLAN CHECK. a (This section need not be completed if the work involved APPLICANT ' VJ by the permit is for, one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESSL U Total No. Additional cc. _ I certify that in the performance of the work for which this CITY Tel No permit is issued, I shall not employ Fixed Appliances Not Over 1 HP 5 ,� Z p p y an y person in any manner PERMIT so as to become subject to the Workers' Compensation-Laws. Range_ Heater_ D.W. APPLICANT UU1 Oven _ Dryer_W.M. ADDRESS Top _ FAU _W.H.. Z Date Applicant Hood _ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBER Class h �J Compensation provisions'of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT N PROCESSED BY. with comply with such provisions or this -permit shall be Size.&Type HP,KW, KVA,or KVAR deemed revoked. �� , Up to 1 InFIN �— Over 1 to 10 Incl. DTEL LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division 3,of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. ' / Services v / 0-200 Amp. Under 600 V ' License Number Lic.Class ✓ •201-1000 Amp. Under 600 V Cdnt��dtdi�'! Date r `� Over.1000 Amp.or Over.600 V HOIE OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that 'I am exempt from the Contractor's Sign with,One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): �h f I0,1 3.�A , Misc.Conduits&Conductors ❑ , as owner othe property, will do the work and the P P Other(See:Complete Fee Schedule)— # oo; _ DB S-A, 7-38 25M - DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC NATURE INSa`ALLATION DIS TRIC o. � GROUP TYPE PERMIT No. i qy ...qqq WIRING FIXTURES I SSRVlCE _ �� .1 READY FOR RECEIVE BY DATE ISSU D RANGE I HEATER I 'I PONDER FIRST .INSPECTION SIGNS I� MISCELLANEOUS - -! ! 1 � rR � f ` APPLICANT FILL IN HEAVILY OUTLINKED-PURTION ONLY JOB Q NAME , "e7 _ADORESS� 4 ADDRESS 1 J! y� /�d ��CA. /f lam,/�.�f,I� e" LOCALITY �^C/OPLL e, .F &116 O L NEAREST T - J CITY li'S4_U 6%"7 TEL No.Z 714A' CROSS ST. w STATE LL,, /� �/ COUNTY / /� p LICENSE No. 7�� O - REG: No. % Ir NAME �ir /.Q a 47 DESCRIPTION OF WORD /a3/� z P .i •AGDIESS • NUMBER OF .OUTLETS-ON CIRCUITS O LOCATION 13Y ROOMS CITY TEL No. LIGHT OUTLETS JSW.1 L FPLUGS a -IONS. UIT J CIRCAl 1 1 I I _LIVING ..O-1 1 `DINING 111M11 1 1 -1 . I . BRFST. RM.' BATH 1 ENT. HALL I I I I I i _HALL No. FRONT PORCH I I I. Z OUTSIDE KITCHEN I I I I I I I I I I I o SERV. PCH. BL:RM. No. ! 1 1 1 1 1 1 1 CLOSET BDRM NO. I I i I I I I ISI i I CLOSET - I' 1 1 - I% I I� APPROVALS r�r c � I I /� �yI1','/"meq?, _ ^�' t' YG•hrvJ�l/gin/ 1 ,��'I�.�11 �lyrylir�r/I.n TI•G�" IF�jlRrei - SATE INSPECTOR'S NA`.t5 �.•. . - c'/1'I/1�L- I' � t'y.EI lU/I f ,GI4 `bI �I'd I CONDUIT I. 1. ,41711z"fr `I" I. I'll' I i WIRING I . TOTAL I I I I I I I FIXTURES NO OF OUTLET. $ _ POWER �. NO. OF FIXTURES S - UTILITY CO.. NOTIFIED I', �14 FINAL NO. OF MOTORS - H. P. $ �. 1 1 AM.SHE LEGAL OWNERpF THE A20Y OS ANGELES NO. OF SIGNS TRANS. $ COUNTY,REGISTRATION•NUMB 1 NO. OF RANGES OR.HEATERS $ �-ri_ - ELECTRICIAN I MISCELLANEOUS NEw SF/? /c$$. / ��/ AM THE.LEGAL OWNER OR THE PROPERTY DESCRaSED PERMIT FEE - $ OT 4d [iF TOTAL_ FEE � S V OWNER. I -DB 8-A 7.38 25M DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR, PERMIT COUNTY OF LOS ANGELES ELECTRIC NATURE D,'-INSTALLATION DISTR CT No. GROUP TYPE PERMIT No. I WIRING FIXTURES SERVICE READY FOR - RECEIVED BY., DATE SSIJED RANGE ,HEATER ,I POWER FIRST INSPECTJO�I ' SIGNS ! ' MISCELLANEOUS -__ i - YA, - PLICANT FILL IN HEAVILY OiJTLINE PORTION ,ONLY /�/yam � roe ftp �/J'� Q ,tl.eiy�"�'�.1/LC�id✓b/ .ADDRESS �I is ! U � ` f � 0. ADDRESSA 24 4 LOCLITY 1110--- Ip g �l IEAREST !r J . CITY ✓. . TEL No\ /K"v% CRO53.ST. W STATE " COUNTY LICENSE.No.. REG.-No. p�.uf _.� NAME' DESCRIPTION OF WORK MAIL / NUMBER OF OUTLETS ON CIRCUITS ADDRESS D I , LOCATION BY ROOMS CITY - TEL No: LIGHT OUTLETS SW. PLUGS FIXT. CORRECTIONS CIRCUIT Al B I C 1 D I E + 'F 1 GIH LIVING ROOM DINING ROOMI i - I. I I I I I I iBR FST. RM. I BATH .ENT. HALL ( I I I I I I I I -HALL No. I I I- I I I I FRONT PORCH I i I I I I I I I I I _Z .OUTSIDE I I I I I I I I I KITCHEN _SERV. PCH. BDRM. No. I I I I I I I I I I I CLOSET BDRM. No. CLOSET APPROVALS I - pp DATE + INSPECTOR'S-NAME I CONDUIT C WIRING TOTAL I i 'I I - I II ISI - FIXTURES NO. OF OUTLETS - - g . Q� POWEP, -- .UTILITY CO. NOTIFIED ' NO. OF FIXTURES � - S q --' . NO. OF_ MOTORS'. H. P. ..5 FINAL 1 AM THE LEGAL-OWNER OF THE.ABOVE)LOS ANGELES NO., OF SIGNS TRANS. / $ ./ COUNTY REGISTRATION.NUMBER. E - . . - I NO.'OF RANGES OR HEATERS $ ELECTRICIAN. I` MISCELLANEOUS $ 1 AM THE LEGAL OWNER OF-THE PROPERTY DESCRIBED ABOVE. PERMI TOTAL E ALFEE � D�� .. � •- OWNER. . OB 5-A, 7-33 25M - 'DEPARTMENT 'OF BUILDING AND -SAFETY APPLICATION FOR PER1i�IIT� COUNTY OF LOS ANGELES ELECTRO—i ,� ' NATURE.OF- INSTALLATION ' DISTRICTJIC• N-o. GROUP. PE PERMIT No "WIRING FIXTURES 40-E _ - READY FOR gEIVED MY DATE SSUED RANGE I. HEATER I .POWER FIRST INSPECTION j/j� 1 -'SIGNS --_ MISCELLANEOUS - - 4 "F 71' - ® / / _ 7-T APPLICXNT FILL IN HEAVILY, OUTLINED/ 5 TION ONff ! .aNAME .✓ _ I' d -I. ADDRESS .F ADDRESS ./ yd ¢ , L.00P.1_ITV NEAREST - U � J CITY. j _ S-TEL NO. CROSST. - u _ -.W STATE �j 'q� `COUNTY. ( - Y LICENSE No. 14t-1 '- �1.J REG. No: -NAPot E ` '..-0 DESCRIPTION- OF WORK z ' "MAIL- I � 7y - NUMBER OF OUTLETS ON CIRCUITS - ADDRESS LOCATION BY ROOMS - - U I CITY �ctl1'LL[„ �.� TEL No. - LIGHT..OUTLETS PLUGS FIXT. "". ORRECTI®NS CIRCUIT I. AI SI CI DIE BW. F G' HI - 1 GI: RQOR,l I_ I I I. I a L DJ_AN1, ROOM' • I I I- I - I I. _ i � - - -eR ALL D. I I I I I i 'FRONT-PI I -I 'I, I I I. -I �_ I z I: I KITCI SERV -PCH: -. I I .�I I I . - SORM Ivv CLOSET BDRM. NO. - CLOSET I i I : I I I I. I I I- APPROVALS '.DATE INSPECTOR'S NAME CONDUIT Iv �Ii' II II I l WIRING ' TOTAL I .H _-4 i.�p�r I :I4I Ii® .FIXTURES NO. OF OUTLETS _y®. $ POWER f UTILITY CO..NOTIFIED' 1/ 1 I NO. OF.FIXTURES , :NO. OF MOTORS H. P.-L $ R �. FINAL- NO. OF SIGNS TRANSrr ,�%� $ - e 1 AM THE-LEGAL OWNERMBERHE ABOVE LOS ANGELES- � p �,,, !� COUNTY REGISTF4,Td l! NO. OF RANGES p ppH, "�TER,Srr'�Y 5 I'r '�^ "tel " EUCTR dl N. M15CELLAN EOUS�' '$ - 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. PERMIT.FEE TOTAL'FEE FEE1. . $ � ' OWNER. � . .. _D6 S-A 7.38 28M DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS- ANGELES ELECTRIC -NATURE OF INSTALLATION DISTRI- NO: GROUP P PERMIT o. _I - WIRING I_ FIXTURES SERVICE � -I POWER FIRSTREADY FOR INSPECTION RECEIVER Y DATE ISSUED , RANGE ,; - I_ HEATER "- ��' /� SIGNS MISCELLANEOUS 1 YSd _ APPLICANT FILL IN IIEAV Y OUTLINED"PORTION.ONL / I ,�,, A . JOB .Q. NAME sf.o��, '17 moi' ADDRESS1,��. �F� /C%�o�l✓ - • ADDRES5 � � ' G .� LOCALITY NEAREST- J. 'CITY TEL_ �L�D C%N �No, t ACROSS ST. •- W STATE - "COUNTY a LICENSE-No. 010 � � REG.. No. :! B I ,NAME �V� _ C DESCRIPTION OF`.WORK 3 MAL NUMBER OF OUTLETS ON CIRCUITS ADDRESS' O - LOCATION BY ROOMS - CITY TEL No. LIGHT. OUTLETS3W. PLUGS FIXT. - CORRECTIONS ' _ _ � Al BI CI Dlf F CIRCUJTGIHI LIv ' I I I I I i DIN�ING�ROOMM I / I I I' _ 1 - 1 - 1 J . I _ _ FRON"PORCH'I+ I / 1. I - I I ! - z OUTSIDEI KITCHEN I I I' I I I I 1 I I I o SERV. PCH. BORM. NO. CLOSET BDRM.•.NO. 1 1 1 1 CLOSET 1 : 1 I` . APPROVALS DATE INSPECTOR'S NAME " CONDUIT C 1 I I I I 1 I I I WIRING A TOTAL I fl- I_q 1�1 1 I I� FIXTURES NO. OF OUTLETS ®�• , $ POWER ..Y NO. OF FIXTURES $ UTILITY CO. NOTIFIED ;,�>�. viFINAL ' NO. OF MOTORS H.P. $ ° 1 AM THE LEGAL-OWNER-OFjTHE ABOV�ANGELES. NO. OF SIGNS TRANS. $ COUNTY REGISTRATIO - ENO. OF RANC,ES OR HEATERS MISCELLANEOUS $ _ I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED N ABOVE. PERMIT FEE I $ I TOTAL FEE - s - OWNER. f WORKERS' COMPENSATION DECLARATION CE-806G 10/81 APPLICATION FOR ELECTRICAL PERMIT �} I hereby affirm that I have a certificate of consent to self G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) ' No. Company FOR APPLICANT TO FILL IN JOB Policy �+ Certified co is hereby furnished. EACH NO. FEE ADDRESS /_ PY Y New Residential Bldgs. & Pools ❑ 1 &2-Family, S Ft. $ — $ LOCALITY Certified copy is filed with the county building inspec- Y. q• tion department. Multi-family Sq. Ft. NEAREST Cao V ML CROSS ST. Residential Swimming Pools OWNER OR Date Applicant FIRM NAMEJ LI CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light�Sw. MAIL COMPENSATION INSURANCE ADDRESS completed if the work involved b First 20 (This section need not be com p y 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 PLANCHET permit is issued, I shall not employ any person in any manner so as to b come ubject to the ers'-Co S. Lighting Fixtures First 20 ADDRESS Total No. Additional Q CITY - Tel. No. Date Z4 t+ Applicant r Fixed Appliances Not Over 1 HP PERMIT NOTICE TO A PLICANT: If, after akin this Certificate of APPLICANT IAC 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 S-Z;o l with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Tel. No. CITY �p u/7Q LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ v/ -' J 9 I l / Disp. Room AirCond. LICENSE OR �� /i O Class. 1 hereby affirm that I am licensed'under provisions of Chapter 9 REG. NUMBER �( (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCES E BY and Professions Code,and my license is in full force and effect. /J(% Size&Type HP, KW, KVA, or KVAR' 511/8 o O License Number r /�D Lica Class Up to 1 Incl. FINAL Contractar�tN�= L� ��C Date �-t� Over 1 to lO Incl. DATE % f�/ VALI TION ❑ �72e Over 10 to 50 Incl. G% FINIAL I am exempt under Sec. Over 50 to 100 Inc. BY � LU B.&P:C. for this reason Over 100 s ZZ , Date: Q Services, Swbd., MCC& PanelboardsJ�Q 0 -200 Amp.'Under 600 V r `] Signature Q 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V e 2 1 �,2 A Exemption f Reg. aint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances # 0 0 0 o 0 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License o o 1 7,2 5 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): o 0 07,2 5 ❑ 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)_ ; ra 2$—8 5 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 O Lender's Address l I certify that I have read this application and state that the TOTAL FEE S 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 abov - �nti6' roperty for inspect'on purp es. n G SEE REVERSE FOR EXPLANATORY LANGUAGE . -'ISigngorure of Permittee ate . WORKERS'COMPENSATIONDECLARATION CE-806G.(2-801 APPLICATION FOR ELECTRICAL TERMIT f� CE-806G.(2_80) I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a,certificate of Workers'Compensation Insurance,or a certified copy th reok(y6c. 3800,Lab. C.) 7765 FOR APPLICANT TO FILL IN ADD tires Policy o. C1 Company �, -may+ EACH EE ADDRESS S i New Residential Bldgs.&PoolsN.C.. ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified copy is filed with a -ounty b /ingn�pection CROSS ST Residential Swimming Pools depar ment OWNER OR FIRM NAME' •� L Daty �APPlicant Outlets: Rec.—Light— ADDRESS C I Firstrst 20 CERTIFICATE OF EXENYPTION FROM WORKERS' Total'No: Additional CITY Tel No. COMPENSATION INSURANCE PLAN CHECK, sa (This section need not be completed if the work involved APPLICANT Lighting by the permit is for. one hundred dollars ($100) or less.) Fixtures Additional First ADDRESS _ U Additional �. Total No. I certify that in the performance of the work for'which this Fixed Appliances Not Over 1 HP CITY Tel No &. Z 0 permit is issued, I shall not employ any person in any manner PERMIT O so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. i APPLICANT W Oven _ Dryer_W.M._ ADDRESS U) Top _ FAU _W.H.._ Z_ Date Applicant CITY Tel No. Hood — Fan _Other^ _ NOTICE TO APPLICANT: If,'after:making this Certificate of Disp. _.Room Air Cond.— LICENSE OR /7 Exemption, you should become subject to the Workers' REG. NUMBER Class h �J Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT N PROCESSED BY with comply with such provisions or this permit shall be Size,&Type HP,KW, KVA,or KVAR deemed revoked. Up to 1 Incl. ?� FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000 of Division 3,of the Busi- BY ( $ ) Over 100 ness and Professions.Code, and my license is in full.force and effect. / Services License Number"U Lia Class �/ 0-200 Amp. Under 600 V r O CA/�/// 6 '201-1000 Amp. Under 600 V a It/P! Date `f t�"', / Over 1000 Amp.or Over 600 V. HOIE OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances Sign with One Branch Circuit Diez t I hereby affirm that. I am exempt from the Contractor's Additional Sign Branch Circuits ' License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): 20,1 3, A Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other (See-Complete Fee Schedule)— . # oFo,o o 62- structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ,2•o 0 1 '7 00 I hereby affirm that there is a construction lending agency for the performance"of the work for which this permit. is PERMIT FEE (Sub-Total) o 0 o 1 •`]Q 0 C issued(See. 3097,Civ.C.).1 Lender's Name PLAN CHECKING FEE (One-Fourth.Permit Fee) 0 b'0'-8,1 Lender's Address PERMIT ISSUING FEE OO I certify that I have read this applicati and state that the TOTAL FEE above infor on is correct'.I agree to c mply with all County ordinances an State laws re ulating ,Electrical wiring, and ' hereby a hor' a representativ of t s County to enter upon the abov -me tioned pr pert or ins ectiorPpurposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Sign re of Permittee Da //�� r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403100029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 680 9516 1/2 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802104 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8587-012-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3, LOCALITY: TEMPLE CITY, C K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: DYNAMICS SYSTEM 03/15/04 VG 09/11/04 OWNER: TEL. N0: FINAL DATE , �RED BY: CODE- DAVIDSON HAROLD E CO TR DAVIDSON TR (310) 799-0836- 1331 PELHAM RD DESCRIPTIO WORN; ELECTRICAL FOR SIGN APPLICANT: TEL. NO: FIRST SIGN CO. (626) 448-1616- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE' INSPECTOR SIGNATURE FIRST SIGN CO. (626) 448-1616- 9647 E. RUSH ST. LIC. NO TEMPORARY POWER POLE SOUTH EL MONTE, CA 91733 B/L27903 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 * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508