HomeMy Public PortalAbout9564 LAS TUNAS DR_Electrical__ -7656533-55 AP9 JCAVI®N FOR ELECTRIC PERE�1IT �.
DIVISION OF BUILDING AND SAFETY
` Department'of,County Engineer
County of Los Angeles A IDRENG 6 u 44 S UN
WM.J. FOX. COUNTY ENGINEER ADDRELD ISS /
_ CASSATT D. GRIFFIN. SUPT OF BUILDING -
LOCALITY /
FOR APPLICANT TO FILL IN riEeREsr
PERMIT'FEES CROSS ST. c
.NUMBER EACH FEE 1
OWNER -
LIGHT OUTLETS
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES
TOTAL OUTLETS _ 5¢ S ±•CITY TEL.NO.
ELEC. RANGES 25 - ELECTRICIAN
_ELEC. HEATERS% 1 25 ADDRESS—f
KW EA CITY TEL.NO.
FIXTURES 5 LICENSE.NO.
NUMBER OF LIGHT CIRCUITS - DISTRICTI GROUP 1 ^ READY FOR INSPECTION OF RECEPTACLE CIRCUITS t!D
MOTORS 15
NUMBER. HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER I INC. I EACH
_ 1�2&LESS S .25
1/2 - 2 - .50
2 5 1.00
5 IS 1.50
15 50 2.50
' 50 - 200 5.00 - •-
misc.
NO.SIGNS ® NO.TRANS:
r
NO.SIGNS NO:LAMPS
FOR EACH PERMIT: I
WIRING 51.00 t G
FIXTURES $1.00. APPROVALS
�+
SUPPLEMENTARY ..50 APPROVALS
TOTAL FEE $ Y G L' DATE INSPECTOR'S SIGNATURE
I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT i
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYpp
WITH ALL COUNTY ORDINANCES AND -STATE LAWS REGULATING WIRING V.- I J 1Wu e
ELECTRICAL WIRING. _
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND, STATE OF
CALIFORNIA OR THAT IAM THE OWNER OF THE ABOVE POWER '
DESCRIBED RESIDENTI.Aj-kROPERYY
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
WILLIAM J. FOX,.COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR „
ICo 6 7 0 2"S AUG 16 2 2.0 0 '�'
76A663-CE606 3-69
APPLICATION FOR ELECTRIC�PER•MIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEERBUILDING G r rr
BUILDING AND SAFETY DIVISION , ADDRESS J
JOHN A. LAMBIE, COUNTY ENGINEER A
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALNEAREST
LOCALITY
' -
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
$ - $ OWNER s `O rS�
RECEIPT.. MAILC
zz
LIGHT TOTAL
FIRST 20 .20 ADDRESS _
CITY 6j TEL.NO. --'Zz
SWITCH OVER 20 .10 PLAN CHEC
Kb-
APPLICANT
LIGHTING TOTAL FIRST 20 .20
FIXTURES } OVER 20 .10 ADDRESS
RANGE_DRYER_WTR. HTR.,
CITYj&oyZTEL.N0.
STA. COOK DISP. F.A.U. ' CONTRACTOR
SPACE HTR. AIR COND.- ADDRESS
CLOTHES WASH.-DISHWASH. CITY TEL.NO.
FAN OTHER 1.00 LICENSE N0. CLASS. '
MOTORS,TRANSFORMERS RATING - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELE COUNTY A D STATE OF }
1 - 10 3.00 CALIFORNIA OR THAT I AM TH E O R OF, A INTEND TO
RESIDE IN, THE ABOVE DES D R SI IAL PERTY. 'O
10 - 50 5.00 V
SIGNATURE >
50 - 100 1000 OF PERMITTEE O
100 - SDD 15.00 DIST NO. GROUP ZONE PR'y B V
W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 - > N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 -
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMPSERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGHCON DUIT �ftlN
WIRING l
FIXTURES QV r� -
PERMIT FEE (SUB TOTAL)
/
PLAN CHECK FEE (50% PERMIT FEE)+ POWER AUTHORIZED ''
UTILITY CO.NOTIFIED �;""
PERMIT ISSUING FEE 2.00 � - �
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE a-v JOSEPH C. ROOHAN
r SUPERVISING ELECTRJCAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. C
I F P ,RATIO 3 .- FEl wCK. M O CAat
SEEr BACK OF APPI.,ICATION FOR COMPLETE FEE SCHFOULFC�t,C'"V t
76A663 oa5 5A*7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. OR13UP �I ZONE PERMIT NO.
ELECTRICIAN r
RE C IVED BY READY FOR DATE ISSUED
ADDRESS AA; ST INSPECTION 7
CITY ,r TEL N.pT*,c�5
COUNTY LICENSE NO. EXPIRES Q��� BUILDING
• PERMIT FE S ADDRESS
FEE LOCALITY E/�E e�iyA
NUMBER EACH
LIGHT OUTLETS NEAREST.
CROSSST ( V
RECEPTACLES �J bra c
WALL SWITCHES .OWNER&/.I–If "1y�I�
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 ADDRESS
1
ELEC. HEATERS 25 CITY t` TEL. NO.
FIXTURES S O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE -tS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS 73 AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER - ANGELES COUNTY LICENSE, OR. I AM THE LEGAL OWNER
FEE
NEW MVD. HP ' OVER INC. EACH OF THE RESIDENTIAL P - PERTY DESCRIBED AiSOVE.
_ 'i2 6 LESS $ .25 SIGNATURE OF
V2 2 .50 PERMITTEE -^�T
z 5 1.00 INSPECTION RECORD 0
_ 5 is I.So
is. 50 2.50
50 200 5.00
_ 200 500 10.00 J
500 1000 15.00 Q '
Z
OVER 1000 20.00
M.G. BET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% DF ORIG.)
MOVED MOTORS (75% Oc oRt G.)
MISC.
SIGNS
NO. - NO.TRANS.
NO. NO. LAMPS APPROVALS
—� -
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING -$1.00 Q•O CDNDUIT�
FIXTURES $1.00 - Q WIRING -•0 (��+.s/i�11. l/M�'
SUPPLEMENTARY ,5p FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED ¢±per
FINAL
768663-CE806 10/72 APPLICATIC��- R ELECTRICAL PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS � /�
BUILDING AND SAFETY DIVISION
q r.
LOCALITY
i
NEAREST yu
' FOR APPLICANT 'TO FILL IN. CROSS ST.
OUTLETS NO. EACH FEE OER OR N NAME
1
RECEPT.� $ $ MAIL j 4
LIGHT TOTAL
FIRST 20 25 �(� - ADDRESS
.J I
CITY' TEL. NO.
SWITCH—
__L_ OVER 20 10 -
PLAN CHECK
LIGHTINGTOTAL ��O
.10
FIRST 20 25 A
FIXTURES 4
VER 20 ADDRESS
,�
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER—.WPERMITTR. HTR. APPLICANTL
STA. COOK DISP. F.A.U. ADDRESS.s �.
SPACE HTR. AI R COND. CITY IU ,�p� TEL. NO3 31-1 3
CLOTHES WASH. DfSHWASH. LICENSE OR
REG. NUMBER 9 11 6 CLASS.C/
FAN OTHER A�Z / 1.00
00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. - HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Q O _ 1 / 100 j 420 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
/C C✓' CALIFORNIA 0R'THAI 1 AM THE LEGAL OWNER OF THE .ABOVE
1 — 10 3.00 3 M OESCRIPED RESID &PR. ETY. C>
V U
PERMITEE
10 — 50 5.00SIGNATUR
50 — 100 10.00 v
DISTRICT N0. �• PRO USED Y _ Lu
100 — 500 15.00 "<�,
SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS CJ DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
- r
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWERAUTHORIZED '
UTILITY CO. NOTIFIED
FINAL / '3r -44
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE - 3.00 �I G
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONcK. M.o. CASH'
.SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DB:5-A. 4-40.j10. _ s-• - - APPLICAJII®ltl ®YY, PERMIT ^ '!
DEPARTMENT OI+ BUILDING AND SAFETY i
Y.
COUNTY OF LOS ANGELES , ;i FET EC� Ic
V✓M. .J. 'FOX,.CHIEF. ENGINEER
DI
NAVE �'� INST'ALLAION R'UP I, NE P
STRICT O G ZONE.. ERMIT NO
WIRING FIXTURES 'SERVICE --
RECEIVED-,BY READY FOR DATEjS UED -
RANGE • -° HEATER• POWER 'I FIRST INSPECTION
SIGNS MISGELLANEOUB r• ''+'
- - ..
APPLICANT 'FILL'r IN`HEAVILY OUTLINED PORTTION''ONLY
OB '
�/•..}t
Q ' NAME l/''1 vt+e'�LL,y ' 'ADDRESS /�.�• ../�.:e �.'�%J.-/ Kai,-' E. !J
�,. ADDRESS "- _: .,.. :, LOCALITY'• ���'Y1a
U, �s NEAREST,, . . a ��AA••,,��rr
W •C[TY, � P.� �' TEL .No, •CROSS ST.. Vy 1'{
'. E _ NAME
'COUNTY fP - -
CERT. NO. /l?(,0..: EXPIRES
DESCItIPTION OF WORK `�/- /
Z"
MAIL
•: ,NUMBER'•OF.,OUTLETS' 'ON CIRCUITS - ` -
'LOCATION'BY,ROOMS ' "Q
'ADDRESS:
CITY TEL No.
CIRCUIT ' LIGHT OUTLETS ��SW.] PLUGS �FIXTr -"'^I - O SE B E
I I AM THE LEGAL B S SSOR _OF THE A OV LOS"
A^ 'I B C :4° D I E k F I G L H LI�FICAT►
ANGELES COUNTY CERTIFICAT O QUA
LIVING ROOM CLECTRICIAN
- - -` 'I AM THE LEGAL.OWNER OF THE.PROPERTY DESCRIBED,
r- DINING ROOM '-: ABOVE. '• '
BRFST RM.
BATH
`µ
CORRECTIONS' ,
ENT.'.IiAIL
HALL NO. •, _ . . .. _. ..
-
FRONT.PORCH, _
OUTSIDE - -
KITCHEN-
SERV-11
ITCHEN
BDRM'. -NO. .Q.
CL"03ET - —— • ] ^Z
0
CLOSET _
a
- - a
TOTAL
NO.`60,OUTLETS. $.
g+ APPROVALS
QK '"DATE' " INSPECTOR'S NAME`,
NO. OF FIXTURES ' $ � 0
-77
NO OF'MOTORS H P•. . $ CONDUIT
NO.- OF SIGNS ..°TRANS. .,- $. - WIRING � •
-NO.."OF':RANGES:.�OR HEATERS: � $ - FIXTURES...
'.M-ISCECLANEOUS - �.$ .POWER I /
PERMIT F.EE $ 1 UTILITY CO.NOTIFIED
TOTAL FEE;'• _ - ' $ � -.FINAL .. _,{ �• `:, '�,.. k .r� -
76A663-CE806 9-64
APPLICATION °AOR ELE RIRICAL PERMIT
r_ �!�■
r
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 9564
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF .BUILDING LOCALITY Tem le Cit
NEAREST
FOR APPLICANT TO FILL IN [CROSS ST.Temiple City Blvd
RECEPT, 6 TOTALNO, EACH FEE
FIRST 20 $. $ _ OWNER ### Shop inMart.
LIGHT .OUTLETS ADD'L 2020 4 AMAIL DDRESS 9564 �B. Las Tunas
-SWITCH. $ 22OVER 20 2 .10. 2 _-
TOTAL CITY Temple l.e TEL. NO.,
LIGHTING FIRST 20I 2 .20
FIXTURES , _ I ADD'L 10 ELECTRICIAN-W .
OVER 20 G
Tric
RANGES CLO..DRYERS WTR.HTRS. 1.00 ADDRESS 601 So. Palm Ave -
GARB.DISP. STA.COOK
CITYAlhambra .TEL.NO.;AT P-3181
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.AIA H.P.MAX.) .50
LICENSE NO.. 152206
MOTORS: OVER NOT OVER H.P. DIISTRIC'1[hj O. GROUP /�'QNE P.00 � ED BY
11 O 1 1.00 t? CJ `^
1 I 3 1,50 7 . / INSPECTION RECORD
3 8 2.00 r[� / ! /X�l ., ! .✓�./}�.. A.. �CLO
8 ,5 2.50 V • - j -- V .
15 50 3.00 `-6
bQ
50 100 5.00
V
W
SIGNS: NO.TRANS d
NO.LAMPS - Z
SERVICE 0.600V-NOT OVER 200A 2 1.00 2 0
SERVICE 0.60OV-OVER 200 A. 2100
SERVICE OVER 600V 5.00 ..
MISC.
PERMIT ISSUING FEE 2.00 24
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
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 CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. 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 I AM THE L OWNER OF, AND ND TO
RESIDE IN, THE ABOVE DESCR RE IDENTIAL PRO PE Y. POWER q�0�
SIGNATURE UTILt CO:N IFIE O 3'ln
OF PERMITT
FINAL
7LCKIDATION SEP,H C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
Li10 9 8 3 6`0JUL 2'7 2 D 2 1.1c
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(i2-91)
76A663APPLICATION FOR_ ELECTRICAL ,PERMIT
'-` "' -
I hereby'affir`m that I have a Certificate of consent to self insure,
or a cerW,16ate.of Worker's.Compensation Insurance. or a certified COUNTY OF LOS ANGELES .-:. •-• ro7EPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy'the'reof'(Sec.,_38,00 Lab C.),
Policy No Company -
'FOR APPCICAN7 TO FILL IN • JOB'
Certified co `is:hereb furnished. TDDREss _
PY Y, New Residential.Bldgs.&Pools ' '' NO. EACH FEE - ��
,. ...:,. ,. :.: ... : LOCALITY' pp
Certified copyis filed with the county building'inspection+,. 1 &2-Family,Sq.Ft. — $ $'
department. .,'.: Multifamily Sq Ft. — °CROSSss.
f
Residential Swimming Pools.,
ASSESSOR
MAPBOOKDate APPlicant.
CEEXEMPTION
!/(!
P,
A
RTIFICIWOORKERS OWNER OROutets ReaLight Sw. _iFIRM NAME
COMPENSATION. S3ACE
First 20
( a, p if the work;involved by the' ADDRESS
This section need not be completed
permlt Is for one hundred dollars($100)or less.) TotaLNo. Additional
eiat"in
I certify that in the petformance of the'work.for which1 this permit CITY Tel.No.
is issued, I shall not empldy'•any person'm any'mari.66 so as to PLAN CHECK
become,subject,to.the,Workers',Compensation Laws Lighting Fixtures First 20 a APPLICANT
' Total No � Additional �
ADDRESS
Date
ApplicantRESIDENTIAL APPLIANCES NOT OVER'3 HP.
NOTICE,TO APPLICANT: If, after-making this,Certificate of CITY Tel.No.
Exemption,ygy7shou16become subject to�6e Workers'-Compensation OTHER APPLIANCES NOT OVER 3 HP.
pmvlslons>of the Labor.Code, you must,forthwith comply-with,such PERMIT A ,/ t f EC,e
provisions or this permit shall be•deemed'revokedi par an NT'/ /ir� 4/�'
Power Apparatus&Large Appliance
' Size&Type HP,KW,KVA,or KVAR t d 2ZOZ /
L.
LICENSED CONTRACTORS'DECLARATION YP „ ' ADDRESS' �p�.
I 6'0613y_affirm' that I am'licensed under provisions of Chapter 9 -.Over 3to 10 Incl'. 'r
CITY G!G G,� &9 el.No. X Q
(commencing with Section 7000) of Diiision 3"-of the:Business and r ��� �5
Professions Code,and my license Is,in full force and effect. Oyer 10 to 50'Incl' '1'` )
Over 50 t9',100 incl. - REG LICENSE
BER 7f!�,2 ( v - Class. `(7
License Number �?�� ilc.Class f+s1 o:
Overt b0
DISTRICTN �P �SSED BY
" Services,Swbd.,MCC&Panelboards
• �� oC
Contract � �P� r° Date ���7 0-399 Amp.Under 600 V DATE:
�. 400-1000 Amp.Under 600 V
I
a
e p nder Sec. � • � .
VALIDATION
.& Over 1000 Amp.or.Over 600 V FINAL W
BP:C'for this,reason _,."
BRANCH CIRCUIT FEES By
15A,or 20A,120V,Lighting or Recept Z
Date:
- _ 1 To 10 Branch Circuits
Signature 11-To 40 Branch Circuits
41 Or More 0. ..Exemption for Reg Maint Elect. 15A,20A`206V To 277V Lighting Br Circuits
T
fi
_ 1 a s,
SINGLE FAMILY Temp.Power Pole&,Appurtenances
HOME OWNER-BUILDER DECLARATION
I,hereby affirm that I am exempt froni the Contractor's License Law Sign with One Branch Circuit 3303 49.30.
" for the following reason'(Section 7031.5,',Business and Professions Additional Sign Branch Circuits 1 ITEM
Code):
I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors
TOTAL3101
to
is not intended or offered for sale (Section 7044;,_Business .Other(See Complete Fee Schedule) ® CHECK `F7 a`Lj
and Professions Code). c
"�tlA�; , , .00
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a•construction
.), lending agency for the
performance of the work for which this permit is Isued'(Sc..3097, PERMIT FEE r• (Sub-Total)r — ry }.ii }_ f l6
Civ.C
PLAN CHECKING FEE. 720 A{I LI.1 10
Lender's Name.
PERMIT'ISSUING FEE,
Lender's Address
Q
I certify that I have read,this application and'under penalty of purjury state TOTAL FEE
that the above information is correct. 1 agree to comply with_all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
representatives ofthis County to enter upon the above-mentioned property
for inspection'purposes./ SEE.REVERSE FOR EXPLANATORY LANGUAGE
eGNATURE OF PERMITTEE '� DATES--��""
O
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0712180003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 "
PHONE: (626) 285-0488 '.EXT:. -
I.LEGAL ID: 1 FEES PAID _ BUILDING ADDRESS: i
ITR: 6561 LT: 632 BL: .001 I 9564 9566 LAS TUNAS DR - 1
I - IFEE. DESCRIPTION: . QUANTITY: UOM: AMOUNT: I TEMP CA 917802106 I
(ASSESSOR INFORMATION NUMBER: . I - I NEAREST CROSS STREET: i
18587-015-015 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 I
(TENANT: 1G2 LIGHTING FIXTURES 3.00 LGT 5.85 IISSUEDON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 41.40 112/18/07 SR 06/15/08 1
(OWNER: TEL.' NO: - 1FINAL-\\\ E FIN CODE: 1
(EUGENE WANG " `(626) 292-1356- - I ��� / ` I
15709-CLOVERLY AVE. - `' I
ITEMPLE CITY CA 91780 IDESCRIPT ON 09 WORK 1
I 14 OUTLETS AND 3 LIGHT FIXTURES
(APPLICANT: - TEL. NO: 1 'I
1DOROTHY KWOK (626). 300-8818-
1420 S.. PINE ST. _ I ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91776 _ - I
(CONTRACTOR: TEL' NO: 1 -(APPROVALS DATE INSPECTOR SIGNATURE
IWENG YOONCHEAH (626)300-8818- - 1-
1420 S. PINE STREET LIC. NO _ ITEMPORARY POWER POLE I I
ISAN GABRIEL, CA 91776 743531 B -
I I I I I
I .. 1UNDERGROUND CONDUIT I _ I
I I- 1 I
(ARCHITECT OR ENGINEER: - TEL. NO: - _ - IUFER GROUND I I
- I LIC. NO: I IROUGH CONDUIT I - I
IROUGH WIRING I -
IMAIN WATER LINE I I .
I I IPLASTIC Y/N METAL .Y/N I I
1UTILITY COMPANY NOTIFIEDI I
I I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508 I I I