HomeMy Public PortalAbout9546 LAS TUNAS DR_Electrical__ 7GA663-CE80612-58 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTYNTYENGINEER BUILDIN
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SuP,T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. /
ITEM NUMBER OWNER&/--
EACH FEE //
OUTLETS: $ $ MAIL
ADDR S
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES .10 CI
ELEC.RANGES CLO.DRYERS _ ELECTRICIA _
WATER HEATERS .50 ADDR
ELEC.SPACE HTRS. DISHWASHERS
CIT Z�r'REL.N
GARBAGE DISPOSERS AUTO.-
STATE / �I
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRIC O. GRO P ZONE P OCESS BY
O— 1/2 .25
'/Z— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS. -
NO. LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE s / o APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM 'PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BV ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR T 1 THE LEGAL OWNER OF THE ABOVE
DESCRIBED RES NTIA ERTY. 1 POWER
SIGNATOR i- UTILITY CO.NOTIFIED
OF PERMI FINAL S r7 ommum �-'T
F 7�(,�� VALIDA ARTHUR C. VEIT.
�� SUPERVISING ELECTRICAL ENGINEER
I. CK MO CASH
LAAO 7 73 9 JUN 9 2 A 1 .0 0 h
76A863-CE806 12-58 APPLICATION FOR ELECTRIC PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING9_��
BUILDING AND SAFETY DIVISION ADDRESS 7/ �GJOHN A.LAMBIE.COUNTY ENGINEER '�-�.,,/ jJCASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY- / ,[m{(� Rl,FOR APPLICANT TO FILL IN NEARESTCROSS ST.PERMIT FEESOWNER1 T E M NUMBER EACH FEE
OUTLETS: $ 5 MAILLIGHTS RECEPT.il"SW. .10 ADORELIGHTING FIXTURES .10 CITY ELEC.RANGES CLO.DRYERS ELECTRICIANWATER HEATERS .50ELEC.SPACE HTRS. DISHWASHERS "Se�CITY 3/ T Z>
GARBAGE DISPOSERS AUTO.-
. STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
K%mm 2'lewd em MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ZONE PROCESSED BY
t '
O— /i .25 ` - �-.��1. ( L� ..
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00 c.
5— 15 1.50
15— 50 2.50
-
50-200 5.00
SIGNS: NO.TRANS.
NO. LAMPS C
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 1.00 f L:
FIXTURE PERMIT' 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE s `s APPROVALS
I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR TH AM THE LEGAL OWNER OF THE ABOVE
LSIGNATURE
LFP
D RELEE
I PROPERTY. POWER
UTILITY CO.NOTIFIED
RMIT
FINAL I—
®F
VALIDAPaN., ARTHUR C. VETT.
CK MO
SUPERVISING ELECTRICAL ENGINEER -
- CASH
L;AI!.:o 7 7 3 4- .JUId 9 2 A 2.10 r
4.41 255 APPLICATION FOR PERMIT
DEOARTMENT OF BUILDING AND SAFETY '3
COUNTY OF LOS ANGELES ELECTRIC j
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
WIRING FIXTURES SERVICE
RECE E BY READY FOR DATE ISSUED
RANGE HEATER —I POWER �� FIRST INSPECTION
SIGNS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ,f��.(.,.ilt^7..2si0] 7 /TA ..,�c�.) ADDR EBB ^0�'p
x
V
ADDRE6S (,.t�%`k C�'i�!;sr%' ^•/-.r;,9 ,.�ni 1 / LOCALITY
:� ,l.� i ,1 NEAREST
W CITY {,': /r'L- �.. 1.-tr:I STEL.NOf ';�}�l�'S-._�2'��� CROSS ST.
CERT.NO. 4 u�! EXPIRES ��`�yr��f1�.. K NAME
DESCRIPTION OF WORIC 3 ADDRESS ,. . .
NUMBER OF OUTLETS ON CIRCUITS b
LOCATION BY ROOMS CITY TEL.NO.
LIGHT OUTLETS SW. PLUGS Flxr 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT
A B C D E F G H ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
— 1z ——— �'— ./ J ELECTRICIAN.
0 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
�N. VDIIVIN Ij0 --- _� 7, ---- ABOVE.
FST.RM. ———
OWNER.
TH ° CORRECTIONS
FRONT CH
OUTSIDE --_— ---
nI� Ph 2a� � f aYl dd
ITCHEN Kr---_ --
-- -- ---�
Nov. Z
Z
LOSET __ .I U'
TOTAL p —, ,�IAQ+— I •AY
NO. OF OUTLETS P�' ,,,;/ APPROVALS
NO. OF FIXTURES y�ij $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
ZNO. OF SIGNS TRANS. WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER )
PERMIT FEE - $ UTILITYCO.NOTIFIED �"r —
TOTAL FEE $ Y FINAL '-
78A888-CE808 A-80 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ..
BUILDING AND SAFETY DIVISION ADDRESS As
.JOHN A.LAMBIE, COUNTY ENGINEER 1
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY C
FOR APPLICANT TO FILL IN NEAREST °
CROSS ST. 1 0 S-C-wo
PERMIT FEES
OWNER
ITEM NUMBER EACH- FEE MAIL
OUTLETS: $ $ ADDRESS aaL
LIGHTS RECEPT. SW. .10
4
LIGHTING FIXTURES 10 CITY -e t lm TEL.NO
ELEC.RANGES CLO. DRYERS ELECTRI IAN +i c 41F, t e
WATER HEATER'S .50 ADDRESS .
ELEC.SPACE HTRS. DISHWASHERS CITY_ ,Jo�
TEL.NO.," - RTr�
GARBAGE DISPOSERS AUTO.. STATE
WASHERS STA.COOKING UNITS .25 LICENSE N
MOTORS: OVER INC. H.P. DISTRICT NO GROUP ZONE P ESSEyD ABY
0 "- %2 .25 ✓ — e Y t
+1/2 - 2 ,50 INSPECTION RECORD
2 5 1.00 a
1.50 O
is 50 2.50 0
50 200 5.00 U
W
NO TRANS. - 0.
+++���
SIGNS: In
NO. LAMPS Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 /
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COON AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM LLEGAL WNNYOF. THE .ABOVE POWER
DESCRIBED RESID'ETJ7[�7 P , ,yrs L
SIGNATURE UTILITY CO. NOTIFIED pry
OF PERMITT FINAL
VALIDATE ARTHUR C.VEIT,
CK Mo cA SUPERVISING ELECTRICAL ENGINEER
78A683•CE80810-59 APPLICATION FOR EL �CTRIC PERMIT 1.
COUNTY OF.LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING `
BUILDING AND SAFETY DIVISION ADDRESS [t 1� L
JOHN A. LAMBIE, COUNTY ENGINEER �-+
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
s
FOR APPLICANT TO FILL IN NEAREST
PETMT FEES CROSS ST.
OWNER
ITEM NUMBER EACH FEE MAIL
OUTLETS: $ $ ADDRESS
LIGHTS ORECEPT. SW. .10
LIGHTING FIXTURES AE3L10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE'HTRS. DISHWASHERS
CITY TEL. NO.
GARBAGE.DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. �J '
MOTORS: OVER INC. H.P. DISTRICT NO. I GROUP( ZONE PR ESSED BY
0— 1/2 .25 Ce
1/2— 2 .50 INSPECTION RECORD
2— s 1.00 b
5— 15 1.50
Is— 50 2.50
50-200 5.00
NO.TRANS.
SIGNS: NO.LAMPS
f.
—y� . . 1
SERVICED-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRINGPERMIT 1.00 �r\� �€` °�`� �
FIXTURE PERMIT 1.00 ✓i (= ?f /� p -IJ
SUPPLEMENTARY PERMIT .50
TOTAL FEE $/T
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE .THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /Y�) J�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT f,� ryo�Q,y; ✓�'j-: if:%��(f�
ELECTRICAL WIRING. g �i
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES. '
CALIFORNIA .OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBEDRESIDENTI L PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED ,r6 ('?,/J Tr7(,,�r 1 '
OF PERMITTEE FINAL -4 r I 1.,:�'T��l�^.:ar'&,Y.
®F XXI�DATION ARTHUR C.VEIT,
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH -
l
DB 8-A 10_41 28M A PI CATION�gF'+ORR S>Gl�liil,
'
DEPARTMENT OF BUILDING AND SAFETY
.1. 11IC
COUNTY OF LOS ANGES
WM. J. FOX CHIEF.ENGINEER
a
DISTRICT NO„ GROUP ZONE PERMIT NO.
NAME o �i � fl�n�t`°
U
_jADDRESSZE:ZQ ..
d'
1 RECEIVED BY READY FOR DATE ISSUED
W CI G`yYYi H TEL.NO. + O� 7" FIRST INSPECTION p e
1 COUNTY � 3
W CERT.NO. EXPIRES j
APPLICANT FILI, IN ' AVII.Y OUTLINED PORTION ONLY
JOB
DESCRIPTION OF (YORK ADDRESS O
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST poor
LIGHT OUTLETS SW. PLUGS FACTCROSS ST.
CIRCUIT A B C DIE F G I H I a NAME
Z MAIL
3 ADDRESS
CITY TEL.NO:
I AM THE LEGAL POSE SOR OF THE ABOVE LOS
ANGELES COUNYx CERTIF T O gUA�f IFICATION.;
� �
ELECTRICIAN.
I I AM THE LEGAL:4MfVNER OF.THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
�� ..
J
Q
Z
a
0
ti
TOTAL An
No. of OUTLETS $ APPROVALS
NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO. OF MOTOR$ H.P., " G ffi (l CONDUIT
v✓
NO. OF SIGNS TRANS., ffi WIRING
NO. OF RANGES OR HEATERS FIXTURES
MISCELLANEOUS JJPOWER
PERMIT FEE U CI UTILITYCO.NOTIFIED
TOTAL FEE
114 P.0 E 17
76A663-CE806 9-66 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER C
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING ILOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. lI TOTAL NO. EACH FEE _
LIGHT l OUTLETS FIRST 20 $.20 $ O _OWNER L�LL�/(/,f.�.� G'L'�•
J( MAIL
SWITCH ADD'L 10 ADDRESS
OVER 20
1
TOTAL
pIRST 20 .20 CITY TEL. NO.
I
LGHTING l FIXTURES
FXTURES Jr OVER
2
OVVER 20 10 CONTRACTOR
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS 0,5 c S-I yF
GARB.DISP. STA.COOK
CITY � C TEL. NO.gy.7� 77
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APP L. .SO
LICENSE NO. 3 Q
MOTORS: OVER NOT OVER H.P. DISTRICT N GROUP ZONE P IC D B
ty
0 1 3% 1.00 JOv ) C?
1 SP
3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00
s0 100 5.00
SIGNS: NO.TRANS
NO.LAMPS O
V
SERVICE 0.600V•NOT OVER 200A 1.00 OW.
SERVICEO.60OV•OVER 200 A. 2.00 N
Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LCAL:FORNIA
SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO POWER
IN,THE ABOVE DESC ED RESIDENTIAL P PERTY.
ATURE UTILITY CO.NOTIFIED
ERMITTEE
FINAL
OATION JOSEPH C. ROOHAN
O CASH SUPERVISING ELECTRICAL ENGINEER
0 7 4 IMAR 6 2 D 4.8 0-
_;,,
SBS S-A 6-46 �,( 7�7� BUILDING
��y APPLICATION FOR PERNII'��"�""
DEPARTMENT OF B1U HH�Di1��14 AIF Y7 SAFEY i, � �������
COUNTY OF LOS ANGELES
wa. J. FOX CHIEF ENGINEER
F,.0 NAM DISTRICT NO. GROUP ZONE PERMIT NO.
l
ADDRESS
' CITY TEL.NO. ECEIVED BY READY FOR DATEISSUED
� � FIRST1 OPEC pCOUNTY st��IaU dz ��v/
CERT.NO. EXPIRES
APPLICANT FILL IN IIEAV&Y OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS -P® �+
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS MiT CROSS ST. 1
CIRCUIT A B C D E F G JH It NAME SA b A'IVW11 LO
m MAIL
Z ADDRESS
O
CITY TEL.NO.
1 AM TH ;Al.f POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICAT—OF IFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
I A
r
J
w Q
; Z_
[7
R
O
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES AWE S' $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED p�
TOTAL FEE t� FINAL O
D13S SA 2SM SETS 7-47 '
APPLICA'I*YON FOR PEM
DEPARTMENT OF BUILDING AND SAFETY
COUN'T'Y OF LOS ANGELES ELECTRIC
M. A. FOX CHIEF ENGINE R
zz NAME /�� �" p�� � DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS /Q7 r--al k
DY FOR
U CITY aS/ems TEL.NO. } , 0� RECEIVED BY FIRST INSPECTION DATE ISSUED
J UNm NO
CERT. . / & EXPIRES b 3 0-S/ ''A N S -� 'PLO_3-0
APPLICAN f FILL IN HEAVILY OU'T'LINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY e 10? Q .e rV-
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D I E F G H 0: NAMEIII d �YJ /9c9 G
Z MAIL
ADDRESS
�• O CITY /1e,49-2iC e_f. V TEL-NO. T, GI
v1 AM THE LEGAL POSSESSOR OF THE ABOVE 'LOS
ANGELES COUNTY CERTIFICATE OF UALIFICATION..
8• p�
E
g� ELECTRICIAN.
AN.
�G f� • I AM THE LEGAL OWNER OF THE PROPF,RTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
z
L7
o
TOTAL
NO. OF OUTLETS $ APPROVALS
j NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ d WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
M I SC ELLAN EO $ POWER_
PERMIT FEE $ UTILITYCO.NOTIFIED F a ( n
TOTAL FSE
76AG63 DBS 5A 11-50 - APPLICATION. FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO.
ELECTRICIAN Electrical Products orp. I
�T
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 1100 NON �7 j
CITY CC D TEL. NO. CA 1-6141 l' .4, ` z
COUNTY LICENSE NO. 556-B EXPIRES 6-30::53 BUILDING %9 4
951r.4
ADDRESS E. s
Las Tuna '
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple City -
LIGHT OUTLETS NEAREST-
CROSS ST. Temple City Blvd..
RECEPTACLES -
WALL SWITCHES OWNER Miles Cal.ifornia.Co. . .
TOTAL OUTLETS Sc $ I MAIL
ELEC. RANGES 25 ADDRESS T L427 West 5th St.
ELEC. HEATERS 25 CITY L.A. 13 TEL-,NO.
FIXTURES 5.
.I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I 'POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NUMBER HORS iPOWER FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'
1A, &LESS $ .251 SIGNATOR F
.1A2 2 .50 PER
2 5 1.00 INSPECTION RE RD
5 15 1.50
15 50 2.50
So . 200 5.00
200 Soo 10.00
500 1 1000 15.00 Q
Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP LY
WELDERS: AC-KVA
GENERATORS-KW 1
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORI G.) -
MISC.
SIGNS
No. two NO. TRANS. three. 20APPROVALS .
NO. NO. LAMPS -
MM DATE INSPECTOR'S NAME
FOR EACH PERMIT: le W CONDUIT
WIRING $1.001 I
FIXTURES $1.00 � WIRING
SUPPLEMENTARY .50 1 1 FIXTURES
POWER
TOTAL FEE $ 3• UTI LITY CO. NOTIFIED /
® FINAL
1 6A663
DBS-SA 3.55 APPLICATION FOR ELECTRIC PERMIT
DIVISION OF BUILDING AND SAFETY
Department of County.Engineer
County of hos Angeles BUILDING 9544 E. Las Tunas Dr
WM.J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUP-T0F'BUILDING 01,
LOCALITY Tem e Cit
FOR APPLICANT TO FILL IN NEAREST primrose Ave
PERMIT FEES CROSS ST.
NUMBER .EACH FEE
LIGHT OUTLETS OWNER Miles California Co,
MAIL
RECEPTACLES - ADDRESS h27 West 5th S
WALL SWITCHES
TOTAL OUTLETS 5¢ $ CITY L•A♦ Calif• TEL.NO.
ELEC.•RANGES - 25 ELECTRICIAN ElecteprOd.Co=
ELEC. HEATERS 25 ADDRESS 1]()n N; Main St
KW EA - CITY 1. A 32 TEL. NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZONE: READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER - FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
Ih&LESS S .25 _
1/2 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS One NO.TRANS. One • 3101
NO.SIGNS NO.LAMPS
FOR.EACH PERMIT: ill Q
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 n 00 DATE
2
TOTAL FEE $ • w DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE-THAT'1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL O ER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL p O ERTY.
SIGNATURE vUTILITY CO.NOTIFIED
OF PERMITTEE FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR
L;T01. 4 3 7 JAN 3 2 2.0 0
4
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
❑ /
ADDRESS
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE
_ $ $ LOCALITY
ED 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. FlRM NAME VOR e /VV 4/0COMPENSATION INSURANCE First 20
(This section need not be completed if the work involved by the AooRESS `Y—T ( GIS tUnL�7 y
'7- t
permit is for one hundred dollars($100)or less.) Total No. Additional
- a
I certify that in the performance of the work for which this permit CITY I� /,c Tel.No.,?rB _ �J
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 comply of the Labor Code, you must forthwith com I 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. LICESE OR >.
Over 50 to 100 Incl. REGNNUM ER Class.
Over 100 DISTRICT NO. P -O SSED BY O
License Number Lic.Classv� V
Services,Swbd.,MCC&Panelboards
Contractor Date 0-399 Amp.Under 600 V FINAL
DATE
El I am exempt under Sec. 400-1000 Amp.Under 600 V 0
�� 0
VALIDATIONLU
Over 1000 Amp.or Over 600 V FINAL 11
B.&P.C.for this reason BRANCH CIRCUIT FEES BY
Date: 15A,-or-20OV,Li ting or Recept. ` O Z
�w —�Ze TTA ;ranch 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
SINGLE FAMILY Temp.Power Pole&Appurtenances �µ 2
HOME OWNER-BUILDER DECLARATION ww
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ttl:t_ n_
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3303 44.4 I
Code): ITEMS
t
d
&C
it
d
Conus onucors
L I,as:owner of the property,will do the work and the structure Misc. ��^^
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , TOTAL •>�4 — +� 0
and Professions Code). CASH
ASti 44Q1'0
CONSTRUCTION LENDING AGENCYCHANGE 1
I hereby affirm that there is a construction lending agency for the `00
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total)
Civ. C.)
PLAN CHECKING FEE 0000-0001 4/30/'96
Lender's Name PERMIT ISSUING FEE r� / �} _) A AM 8=019
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 and State laws regulating Electrical wiring,and hereby authorize
representatives of this County to enter upon the above-mentioned property
for inspection purposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATURE OF PERMITTEE DATE
U
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.)
P❑OIICy N Ompany FOR APPLICANT TO FILL IN JOB
ADDRESSS u
Certified co is hereb furnished. NO. EACH FEE
PY Y New Residential Bldgs.&Pools LOCALITY
❑ 1 &2-Family,Sq.Ft. $ $
Certified copy is filed with the county building inspection. _ NEAREST
department. Multi-family Sq.Ft. CROSS ST. j ce
Date Applicant 1' �C Residential Swimming Pools MAP BOOK
PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._LightOR
Sw. FFIIRM NAME
COMPENSATION INSURANCE 1
First 20 MAIL
(This section need not be completed if the work involved by the
permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS 'r/
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
provisions or this permit shall
be deemed revoked. P y 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. ntr4v }
Over 50 to 100 Incl. REG.NNUMBER 41..r Class.G.. d
AAVOver 100 DISTRICT NO. P SED BY 0
License Number Lic.Class ��'
Services,Swbd.,MCC&Panelboards Jcr
0-399 Am Under 600 V FINAL O
Contractor Date P' DATE + F
❑ I am exempt under Sec. 400-' 1000 Amp. Under 600 V VA
1 (`7`—� _ W
LIDATION
Over 1000 Amp.or Over 600 V FINAL a
B.&P.C.for this reason BRANCH CIRCUIT FEES BY U)
Date: 15A,or 20A, 120V,Lighting or Recept. Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
El
41 Or More Branch Circuits
Exemption for Reg.Mairit. Elect. 15A,20A,208V To 277V Lighting Br.Circuits _
SINGLE FAMILY Temp.Power Pole&Appurtenancesf" 'F
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
'3301._3 X04
Code): i E
❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors i,_t � 6-3
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _s
and Professions Code). �' (;f; i_ jy,'t-D
CONSTRUCTION LENDING AGENCY MANkGF
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.) -.:•;clt:-zs
PLAN CHECKING FEE =t - 101F-"
Lender's Name !;F¢,a AM 9:05
PERMIT ISSUING FEE (p
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
representatives of this County to enter upon the above-mentioned property
for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
oi
SIGNATURE OF PE EE DATE
WORKER'S COMPENSATION DECLARATION 20-0019DPW(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 Compensatiop insurance,.or a certified COUNTY OF LOS ANGELES_ DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab:C.)"` /
JOB
Policy No. Company FOR APPLICANT TO FILL IN - - ADDRESS
❑. Certified co is here furnished. NO. EACH. FEE
PY Y New Residential Bldgs.&fools LOCALITY
Certified co is filed with the count building inspe 1 &2-Family,Sq.Ft. — $ $
❑ PY Y 9 P NEAREST _
department. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR
MAP BOOK I PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec._Light Sw. IRM NAME
COMPENSATION INSURANCE
_ First 20 "MAIL
This section need-not be completed if the.work.involved by the
permit is for one hundred dollars($100)or less.) Total No. Additional ' ADDRESS
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 ws. Lighting Fixtures First 20 APPLICANT
Total No. Additional
.,� ADDRESS
Date Applica RESIDENTIAL APPLIANCES NOT OVER 3 HP.
"1V1 OTICE,TO,APPL•ICANT::If, er making this Certificat f CITY Tel'.No.
Exemption,,you should become subject to the Workers' Compe on OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such PERMIT
provisions or this permit sfall.be deemed revoked. Power Apparatus&Large Appliances APPLICANT hwCjT
..
LICENSED CONTRACTORS DECLARATION Size&Type HP;KW,KVA,or KVAR ADDRESS _!gr'
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. �^ Tel,No.
(commencing with Section 7000) of Divisiom 3 of the Business and CITY 'ly `.-
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.
LICENSEClass. o-
Over 50'to 100 Incl.. REG.NUMBB ER �- � �-C C� d
(/ t� Over,100 DISTRICT NO. P SED BY O
License Number p� Lic.Class C.--/ h V
Serv' wb�9A
anelboards-3Un�V FINALO
Contractor - Date DATE❑ 0p.Under 600 V �� 9
I am exempt under Sec. v' VALIDATION W
Over 1000 Amp.or Over 600 V FINAL d
�
B.&P.C.for'this reason BRANCH CIRCUIT FEES BY
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 •.
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION y
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law s,•,•g �'
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits - f, *`a
Code): T=_
❑ 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)
and Professions Code). :W
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction lending agency for thei3R}•3=
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 [Ev
that the above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
representativ s of this County to e r upon the above-mentioned property
for insp on purposes. SEE REVERSE FOR EXPLANATORY:LANGUAGE
n d- .-or
IGNATURE OF PER TEE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1012080014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 6561 LT: 64 BL: .001 I 1 9546 LAS TUNAS DR I'
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802106
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY
18587-015-020 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 32.00 OUT 55.10 I
(TENANT: 1G2 LIGHTING FIXTURES 41.00 LGT 67.20 (ISSUED ON: PROCESSED BY: PLAN BY:
IHUANG TIEN-SHENG 1 TOTAL FEES 150.10 112/08/10 SR I
I I I I
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1.
(HUNG YUNG FENG (626) 445-3453- 1 I I
19506 LAS TUNAS DR. I I I
(TEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK 1
I (ADD LIGHTS & OUTLETS 1
(APPLICANT: TEL. NO: I 1
IHOANG TIEN-SHENG (626) 552-1069-
12721 BRADFORD AVE. I (SPECIAL CONDITIONS: 1
1ARCADIA CA 91007
I I I I
I I I I
(CONTRACTOR: TEL. NO: I IAPPRCVALS DATE INSPECTOR SIGNATURE 1
IE-PLUS ELECTRIC INC. (626) 780-3939- 1 1 I
13614 ARDEN DRIVE C-2 LIC. NO 1 (TEMPORARY POWER POLE I I
1EL MONTE, CA 91732 922569 C20 I I I I.
I I (UNDERGROUND CONDUIT I
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I.
I - I I I
I LIC. NO: IROUGH CONDUIT I
IROUGH WIRING 1 I
I I I I I I
I I (MAIN WATER LINE I I
I I IPLASTTC YIN METAL YIN I I
I I I I I I
I 1UTILITY COMPANY NOTIFIEDI I I
I I I I I I
E Vim
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IRM I
I I I I I I
I I I I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508
x
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306030054
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEG ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 64 BL: .001 9544 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802106
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PRIMROSE
8587-015-020 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
K1 SIGNS, OUTLINE LGT 4.00 SIG 155.40
TENANT: TOTAL FEES 183.15 ISSUED ON: PROC SS D B PLAN BY: EXPIRES ON:
08/15/03 JK 02/11/04
OWNER: TEL. NO: FINAL DAT Y: CODE:
MEI YING KO (626) 254-1237-
405 SCOTT PLACE UVIKKU
ARCADIA 91006 5-ES-CRIPTION OF WORK
ELECTRICAL FOR SIGNS
APPLICANT: TEL. N0:
KYI CHOW SHAR (626) 444-6027-
2651 N LEE AVE #3 SPECIAL CONDITIONS:
S EL MONTE 91733
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
KYI CHOW SHAR (626) 444-6027-
9868 KALE STREET LIC. NO TEMPORARY POWER POLE
SOUTH EL MONTE CA 91733 652665 C45
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER 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
O.B. 17 4-39 ism APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH
OUMBING I I FIXTURES I I COMPLETE /
HEATER CESSPOOL { READY FOR RECEIVED BY DATE ISSUED
SEPTIC TANK
FIRST INSPECTION
GA I MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
_,p, JOB �-A ~•� ✓V, �f 4'6, ry�'w4 Y 1
.. NAME ✓�_ �. ! .^.ti l�:t'� ADDRESS
J / f
III ADDRESS ,%� ..,,a;!:�'i /.f,, LOCALITY �. t...r
S
NEAREST
aCITY C 4�`.�'3,,, TEL No. CROSS ST.
COUNTY—
]
OUNTY
REG. NO. EXPIRES pj NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL '
O ADDRESS
NORTH
CITY TEL No.
CORRECTIONS
E- M
D
W i
3
J
Z
0
SOUTH
DESCRIPTION OF 'WORK
BATH TUB FURNACE
SHOWER DISHWASHER APPROVALS
LAVATORY REFRIGERATOR DATE INSPECTORS NAME
KITCHEN SINK WATER SOFTENER ROUGH PLUMBING
FLOOR SINK SAND TRAP GAS PIPING
SLOP SINK FLOOR DRAIN GAS VENT
WASH TRAY URINAL CESSPOOL '
WATER CLOSET DRINKING FOUNTAIN SEPTIC TANK
WATER HEATER DENTAL LAVATORY SEWER
METER GAS SODA FOUNTAIN UTILITYCO. NOTIFIED
OUTL FINAL
1 AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES
® COUNTY REGISTRATION NUMBEF2 ,�
TOTAL NUMBER OF FIXTURES—
SEPTIC
IXTURES SEPTIC TANK PLUMBER
f, I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
CESSPOOL / O ABOVE,
V
TOTAL FEE I / 6 d) OWNER
76A667 17 5-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBED—M. C. NOTTINGHAM CO. RECEIVED BY �READY FOR DATE ISSUED
1 123 `* FIRST INSPECTION / _ �,
ADDRESS '`TD• Cloverly Ave. _ )"
CITY TEMPLE CITYE3 ADDRE
COUNTY LOCALITY
LICENSE'NO. EXPIRES 0' J
NEAREST ., >. ..._. i•
PERMIT FEES CROSS ST.'
�' .?a�'� p'�•'�i�?.JfS ���
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ,, �,}�
MAIL Py �v�¢''
WATER CLOSET (TOILET) @ 0.50 $ ADDRESSy ii
U r V
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.50ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RF-SIDENT A P OPERTY D.CEIIS_CRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OFA,/ //- �
WATER HEATER @ 0.50 �,: PERMITTEE " ! z
SLOP SINK @ o.so 4 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ O.5OI J
HOUSE SEWER @ O.501 Z
MISCELLANEOUS _C
It
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS_PIPING
GAS VENT
CESSPOOL @ 1.00 I CESSPOOL
~ I SEPTIC TANK: I SEPTIC TANK
I' DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE I $
� FINAL �U l�(((JJJ1 f6�;•'
D.B. 17,...10-41 zsrn I APPLICATION FOR PERMIT
DEPARTDZENT OF BUILDING AND SAFETY PLUMBING
��9 !���
COUNTY OF LOS ANGELES M G
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GRO I ZONEPERMIT o.
ROUGH I— Is
FIXTURES __ COMPLETE S _.3RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL I SEPTIC TANK FIRST INSPECTION
'
GAS � MISCELLANEOUS
iZo e - 1
A-PPLICANT FILL IN sHEAVILY OUTLINED PORTION ONLY
JOB
K
NAME fi�IL...d 'a i�'� a' ADDRES �lls4®
� ADDRE S - „�" �'�'+� LOCALITY
O // NEAREST
I�
J CITY 'TEL.,No. CROSS ST. v fl
COUNTYN/ ��i!
CERT.No. ® EXPIRE '.J40`s NAME
LOCATIOIfF SEP GPTANK, OR CESSPOOL 3 AMAIL
DDRESSG' s
NORTH O
CITY �' - 'L g',',`��� TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNfY CERTICJdATE'/OOFF QUALIf5ICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
►• D
w
W
3 m OWNER
1 CORRECTIONS
J
SOUTH Q
— Z
DESCRIPTION OF WORK —
a
HATH TUB FURNACE Q
SHOWER DISHWASHER —
—.7d LAVATORY REFRIGERATOR —
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP —
SLOP SINK FLOOR DRAIN
WASH TRAY _URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATERHX
�ATER DENTAL LAVATORY ROUGH PLUMBING
METER r� ', GAS — SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
.�� CESSPOOL
TOTAL NUMBER OF FIXTURES pj/ 5-0 SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER y
UTILITY CO. NOTIFIED •R, =� /'
TOTAL FEE 1G 1 FINAL I -32 - L ti, y __
76A667-CE481 7 6-65 � ,v, 0 / l/ }
FOR PLUMBING F APPLICATION ;ZIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUIL
DING AND A. LAMBIIESCOUNTY AFETY ENGINE
N BUILDING
JOHN ER ADDRESS
COLEMAN W. JENKINS. SUPT. Or BUILDING LOCALITY _
FOR APPLICANT TO FILL IN NEAREST ^
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
�LAVATORY 1.25 CONTRACTOR /w ✓ c 1� ye, �J
SINK 1.25 ADDRESS
DISHWASHER I.25 CITY �j T� TEL. NO.SATE LIC
�• �J`
LAUNDRY TUB 1.25 LICENSE NO. j CLASS .�
CLOTHES WASHER 1.25 DISTRICT N- GROUP ZONE PRO _ BY
WATER HEATER 1.50
` GAS SYSTEM OUTLETS 1'50 CEJ INDUSTRIAL 93-O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RE�CORDD' V
Cd o e�dG- O
U
W
CL
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 Z 00 UNDER SLAB WORK
ROUGH PLUMBING 67 C.G�' �
TOTAL FEE �, Z GAS PIPING1pG
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER amu- r
PLUMBING. ^_�'�I�'v '''"
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST /
CALIFORNIA OR THAT I AM THE LEGA s OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED IDENTI PR�P:�TY UTILITY CO. NOTIFIED ,+
SIGNATURE ��/OF PERMITTEE GGG'V FINAL
VAL M.0.
CK. M.O. CASH
LAG0.7 2 7 6- FEB 2 3 5 D 6.2 7
0.6.17 IOM SETS I1_4I APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
Wm.J.FOX,CHIEF ENGINEER E
NATURE OF INSTALLATION DISTRICT NO. GROUP _ ZONE PERMIT NO.
7 ROUGH FIXTURES COMPLETE
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST.INSPECTION rq�'
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB �U
a, NAME4e7 (f
ADDRESS U e
W
m ADDRESS LOCALITY. .. r.;�
f 6
JNEAREST f
IL CITY TEL. No. CROSS ST.
COUNTY
CERT. NO. EXPIRES K NAME
MAILW
LOCATION OF SEPTIC TANK,OR CESSPOOL 3 ADDRESS
NORTH O
CITY TEL. NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICAT OF QUKLIFICATION1
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
m
W N3 i OWNER
�d CORRECTIONS
SOUTH J
a
DESCRIPTION OF WORK Z
--BATH TUB FURNACE
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET --DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER _ DENTAL LAVATORY
ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL 1
TOTAL NUMBER OF FIXTURES SEPTIC TANK
\X
CESSPOOL SEPTIC TANK SEWERF__ __
„\ '
is off UTILITY CO.NOTIFIED '\/ / 1� V v \ ' '�� ,
TOTAL FEE 0-- `
FINAL
3:z
D.B.+7 3.41 ESM APPLICATION FOR
DEPARTMENT OF BUILDING AND SAFETY ,•x
COUNTY OF LOS ANGELES PLUMBIN
WM. J. FOX, CHIEF ENGINEER.
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH _ f 4—
PLUMBING - FIXTURES COMPLETE
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRSTIINSy/PECTION,
GAS MISCELLANEOUS
APPLICANT
�F�I/LL IN HEAVILY OUTLINED P�O,AR�TION ONLYJOB
'C
NAME ADDRESS !�� lC"/
E
y�
ADDRESSkf✓� �,.,:{r_- (-�• LOCALITY
J
CITY �.�'- TEL.No._(� CROSS NEARESST. �
COUNTY 3
CERT.No.c--7 2—t� EXPIRES 44' W NAME -
W
Z MAIL
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS
NORTH 0
CITY TEL.No.
I AM THE LEGAL POSSESSOR ,&!�jTH E) ABOVE LOSA'
ANGELES COUNTY.CERTIFICATE kOF�,QUAL�}}••I'FICATION.
PLUMBER
1 AM THE LEGAL' OWNER-OF THE PROPERTY DESCRIBED
ABOVE.
1•' f k -.
m m
3 { OWNER
CORRECTIONS
SOUTH
— Q
DESCRIPTION OF WORK z
BATH TUB FURNACE
aHOWER DISHWASHER
LAVATORY - REFRIGERATOR _
KITCHEN. SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK. FLOOR DRAIN
WASH TRAY URINAL APPROVALS _
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER NEATER DENTAL LAVATORY ROUGH .PLUMBING
METER./ GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL -
NOTAL NUMBER OF FIXTURES SEPTIC TANK
_CESSPOOL SEPTIC TANK SEWER
$� UTILITY CO. NOTIFIED ,,�•
I
E
TOTAL FEE FINAL
D.S.17 5.41 23M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY, ��������
COUNTY OF LOS ANGELES
FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT
cy�NO.
ROUGH
PLUMBINGFIXTURES COMPLETE �4•».-�� dd 00
RECEIVED BY READY FOR DATE ISSUED
HEATER '_ CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
G[L,j!RANT FILL IN HEAVILY OUTLINED PvORTION)ONLY.
JOB
It
NAME " UJY ! ADDRESS�,.S �� L='� ., .ter •r..-�'�t
ILI
�° s
ADDR_E S ,A6-i � ��.,:L,-•��_^ LOCALITY (.. �..., �J�
NEAREST
d CITY SCS/+ TEL.No. CROSS ST.
COUNTY O G] t A
CERT.No. G bf EXPIRES I! 1 �':�i zC(r.'' f
W E NAM -.
MAIL
LOCATION OF SEPTIC TANK, OR CESSPOOL �Z ADDRESS
NORTH O
CITY TEL.Nom
I AM THE LEGAL POSSEbISOR�OF�THE�A$OVE LOS a�
ANGELES COUNTY CERTIFICATE OF OU LIFICA'�TION.
1 AM THE LEGAL OW�+NER OF THE PROPERTY DESCRIBED
ABOVE.
W 1D1
3 Ip OWNER
CORRECTIONS
SOUTH
Q
DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER. GAS SODA FOUNTAIN GAS PIPING
OUTL E
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
$ 52. �ra UTILITY CO. NOTIFIED _
TOTAL FEE I711�Q� 1 FINAL
D.B.17 9.41 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH / do�JI
PLUMBING FIXTURES COMPLETE
RECEIVED BY READY FOR DATE ISSUELD,
HEATER CESSPOOL SEPTIC TANK -}�� FIRSTION ��`���' T/
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
E NAME- Y ,Y.� /I (21 JOB ADDRESS/60 Amt Z-0
W A '
I ADDRESS _ �H � � ! Ill' LOCALITY �� Al
`---
D- ) NEAREST
J CITY �, _. j' TEL.No. c.P 6L..
0. CROSS ST. f'
COUNTY 1
CERT.No. EXPIRES NAME
W - V®'-p'-, C^.•—d
Z MAIL
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS
NORTH 0
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY- CERTIFICATE OF QUALIFICATION.
PLUMBER
' I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
ILI
W
- w OWNER
CORRECTIONS
SOUTH J
Q
DESCRIPTION OF WORK ?
BATH TUB FURNACE
SHOWER DISHWASHER
LAVATORY' REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS '
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL,LAVATORY ROUGH PLUMBING..
—METER—GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
SEWER
CESSPOOI SEPTIC TANK
s UTILITY CO. NOTIFIED
M
I TOTAL FEE �: FJ `/ "eel
FINAL