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Home My Public Portal About9647 LAS TUNAS DR_Electrical__ 76A663-CE806 8-62 APPLICATION FOR EECTRICAL ERMIT COUNTY OF LOS ANGELES //II fn� / DEPARTMENT AND SAFETY DIVISION ADDRESS >t / �CJ2` Lao 7unG/J Boa�eV JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY Te,7ide^(rL.tCf. NEAREST / FOR APPLICANT TO FILL IN CROSS ST. aj7Zp� ia_ RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER � Saw &Loan. LIGHT MAIL /� ADD'L .1D ADDRESS 2 �.t ��(Ifu. t.ien %u.�evalzd SWITCH. � — OVER 20 J/ LIGHTING TOTAL F1R3T 20I 20 CITY 1�/ TEL.NO. 231-97 l FIXTURES I rr1 ADD'L ELECTRICIAN Ili cc Senvice enc. 2x= DY R 20 2x fo 2 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS SquA La 'r-LonagaBlvd. GARB.DISP. STA.COOK CITY Lo e. ej TEL.NO. 7�/ t� 112 DISHWASH. AUTO.-WASH. STATE -y1 // /' SPACE HTRS. BTA.APP.(%H.P.MAX.) .SO LICENSE NO. X2424 MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PRpCESSEp BY O 1 1.00 G /-Yc 1 3 2 1.50 170INSPECTION RECORD 3s 7 2.00 j� t� -- �11 � 8 is 2.50 15 SO Fr 3.00 so O 10o S.00 R e v SIGNS: NO.TRANS NO.LAMPS . 'tA J'!- :�, f . O . H SERVICE 0.60OV-NoT OVER 200A 1.00 go / w SERVICE 0.60OV-OVER 200 A. 2.00 ;, N r ' A Z SERVICE OVER 600V 5.00 1449 _ T MISC. 2 [<t e PERMIT ISSUING FEE 2.002 20 C : L j. v-" SUPPLEMENTARY PERMIT ISSUING FEE 1.00 `z !j TOTAL FEE 8 4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION A PROVALS INSPECTOR'S SIGNATUbK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT F WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. "r,.."`• I HEREBY CERTIFY THAT t AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ? E,✓rti.• CALIFORNIA OR THAT 1 AM THE LEGAL O R OF THE ABOVE DESCRIBED RESIDENTIAL PE Y. POWER ' SIGNATURE UTILITY CO.NOTIFIED OF PERMITT ___------ FINAL LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER U itJo 4 0 9 2:o SEP 2 2 2 U 7 4.5 0- 76g663-CE8/'s 10'72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELESPATMENT _ DEENGNE BUIRLDING ANDD SAAFETYF COUNTYDIV SIIONER SOB 6.5/7 Z -� ADDRESS -7 / LOCALITY J NEAREST FOR APPLICANT TO FILL IN CROSS ST. a r,4metl OUTLETS NO. EACH FEE OWNER OR / FIRM NAME MAIL . /C� JV J//QI/`j RECEPT. $ $ )1 1�r1/! LIGHT TOTAL FIRST 20 25 g�q ADDRESS -r S OVER 20 CITY (C V TEL. N0. SWITCH_ '10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT �y RANGE DRYER_WTR, HTR._ APPLICANT �JtCT- e"d STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY &S TEL. NO.66C�-?10'71 CLOTHES WASH. DISHWASH. LICENSE OR G�/� REG. NUMBER CLASS FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE IN TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE r- 1 - 10 3.00 DESCRIP,ED RESIDENTIAL PROPERTY. CD U PERMITEE p. 10 - 50 5.00 SIGNATURE F-- 50 - 100 10.00 DISTRICT NO. OC SED BY L 100 - 500 15.00 G z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING b TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL 'J.S' ° X-O""1✓ PERMIT FEE (SUB TOTAL) NOTES; PLAN CHECK FEE PERMIT ISSUING FEE 3.00 3 Qd TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. LASH r n54�3 inY4�2 D . I� rJ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE / � 0 /rr Ji 76A663-CE O6 6/63 APPLICATION FOR�� ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS C U N A.1 l� JOHN A. LAMBIE, COUNTY ENGINEER hr+ WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY � != fNEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTALNO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER 06Rtc/4 N L,v C LIGHT MAIL I ADD'L 10 ADDRESS L o SWITCH. OVER 2O LIGHTING TOTAL FIRST 201 .20 CITY PI,r C[T TEL.NO.tt FIXTURES ADD'L 10 ELECTRICIAN 1L , FN 0' R 2O RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �� 7 J( O GARB.DISP. STA.COOKr �7S D CITY GLL- 4Jr •� TEL.NO. U-7 V DISHWASH. AUTO.-WASH. STATE ''11 SPACE HTRS. STA.APP.(I/j M.P.MAX.) .50 LICENSE NO. / V MOTORS: OVER NOT OVER H.P. DISTRICT GROUP ZONE P ESSED BY O 1 1.00 It I s 1.50 INSPECTION RECORD s S 2.00 } D_ 815 2.50 u 15 50 3.00 IX O 50 loo 5.00 SIGNS: / NO.TRANS y� N NO.LAMPS Z SERVICE 0.600V.NoT OVER 200A 1.00 SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 4 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES f" ' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED --- OF PERMITTEEi��11�4j FINAL -VALIDATION ARTHUR C. VEIT L—VALIDATION MO CASH SUPERVISING ELECTRICAL ENGINEER L;wv 4 7 U NOV 2 D 6.J 0 76A663-CE806 8/63 APPLI ATIO_ FO LECTRICAL P RMIT , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER �r WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. I EACH FEE /^� > r OUTLETS FIRST 20 ffi 20 $ OWNER ��N N G J LIGHT MAIL 1v M ADD'L .10 ADDRESS SWITCH. OVER 20 TOTAL CITY PCA' f(7 TEL.N LIGHTING I-F. FIRST 20 .20FIXTURES ADD'L v R 20 .10 ELECTRICIAIN ` C/S C c RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / O S� J /&A AS r GARB.DISP. STA.COOK CITY 1141 I'r TEL.NO. J` DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.('/,N.P.MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT O. GROUP ZONE ESSED BY O 1 1.00 r �i 1 3 1.50 INSPECTION RECORD 9 6 2.00 a S 15 2.50 0 15 50 3.00 Od O 50 100 5.00 F" V NO.TRANS 2 CL UJ SIGNS: NO.LAMPS In Z SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE Is I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS OATS 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 LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RES to PROPERTY. POWER 61GNATURE �l UTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH • �e�� 76A663-CES06 8-62 APPLICATION�F& EL RICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING r� BUILDING AND SAFETY DIVISION ADDRESS L /J i(,new L3vu�e JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITYgn�e NEAREST FOR APPLICANT TO FILL IN _ CROSS ST. CGj(�y/ / cr RECEPT, TOTAL NO. EACH _ _.FEE p OUTLETS FIRST 20 S 20 $ OWNER Sav Ck Loaa LIGHT MAIL / 1 QQ / ADD'L .10 ADDRESS C'✓�j„(� t,.,GQ/G Lal-vd. SWITCH. OVER 20 _ TOTAL CITY �, f TEL.NO. 2 - O- LIGHTING 1-1 F1R5T20 .20 1 / �/FIXTURES OV R 20 •10 ELECTRICIAN Kim }lec,4AiC SeAvic G'�� ✓IR RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS L ,(, LJ,CVa. GARB.D18P. STA.COOK CITY LOA Anadej TEL. NO. WO-0112 DISHWASH. AUTO.-WASH. STATE �� SPACE HTRS. STA.APP.(y:H.P.MAX.) ,50 LICENSE NO. 4 MOTORS: OVER NOT OVERH.P. DISTRICT NO. I GROUP ZONE I PR ESSED BY O 1 1.00 `� 0'? 1 81 3 1.50 INSPECTION RECORD 3 B 2.00lip '` `" •,lam 8 15 2.50 ti 1 15 50 3.00 CL 50 100 5.00 0 SIGNS: NO.TRANS D� NO.LAMPS O I F- SERVICE 0.600V-NOT OVER 200A 1.00 ` V W SERVICE 0.60OV-OVER 200 A. 2.00 H SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 9 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'*SIGNATURE AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 THE LE WNER OF THE ABOVE DESCRIBED RESIDENTI P PERTY. POWER tt SIGNATURE ' UTILITY CO.NOTIFIED 4 OF PERMITT FINAL ' V LIDATION ARTHUR C. VEIT Lc") MO CASH SUPERVISING ELECTRICAL ENGINEER L<:,.ji '5 0 5 O-- AUG 24 2 0 3.0 ON 76A663-':Fa-t x-63 -.,. •.a7�L 'Llr (�.,C�C APPLICATION FOR ELECTRICAL PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING !� BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY e FOR APPLICANT TO FILL IN CROSS ST.NEAREST NO. EACH FEE $ $ OWNER RECEIPT. MAIL ADDRESS LIGHT TOTA FIRST 20 .S 20 Cy � o,o �4c�w�to CITYy .L TEL.N0. SWITCH - OVER 20 10 PLAN CHECKV 07T) LIGHTING TOTAL FIRST 20 ,20 APPLICANT FIXTURES }-4— OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NO. STA. COOK DISP. F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS c CLOTHES WASH._DISHWASH. CITY •Z+.z S�f�.•c4tc. TEL.NO-3C)V4' �- FAN OTHER 1.00 LICENSE NO. CLASS. C/O MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH All COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BV LOS ANGELES COUNTY AND STATEOF 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C 10 — 50 5.00 �� U SIGNATURE �er.a.e�.r� Ck 50 — 100 10A0 OF PERMITTEE Av C f- 100 - 500 15.00 DISTRICT NO.S11 G PZONE PROCE 5ED �.. SIGN,GAS SIGN AND ONE CIRCUIT 3.00 I C v TUBE, OR 2 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 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE FINAL 1.00 TOTAL FEEJOSEPH C. ROOHAN SUPERVISING ELECT L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH h^_ 2 OIL;i17 2 3.80- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,�, WORKERS'COMPENSATION DECLARATION CE g 6G (2-80) APPLICATION FOR ELECTRICAL PERMIT I herepy 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 thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN SOB Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Certified copy is filed Multi-family Sq. Ft. — NEAREST -14 F- 1 p the 'county building inspection Residential Swimming Pools CROSS ST department. OWNER OR FIRM NAME Date Applicant Outlets: Rec._Light_Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No, Additional CITY Tel No. } COMPENSATION INSURANCE PLAN CHECK �- (This section need not be completed if the work involved APPLICANT _ U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS — -1,J Total No. Cr O' I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. -�t tk 0 permit is issued, I shall not employ any person in any manner PERMIT SL W so as to become subject to the Workers' Compensation Laws. Range_Heater_D.W. APPLICANT d Oven _ Dryer_W.M. ADDRESS Date Applicant ti�ai Top _ FAU _W.H. Z Hood _ Fan _Other_ CITY Tel No. NOTICE T APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond,_ LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. 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 LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE L VALIDATION Over 10 to 50 Incl. - I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL V` <- 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and C effect. (� Services - License Numbers z y Lic.Class S 0-200 Amp. Under 600 V 201-1000 Amp.Under 600 V Contractor_LLe Over 1000 Amp.or Over 600 V HOME 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): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 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 PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE f(Q I certify that I have read this plication and state that the TOTAL FEE above information is correct agree to comply with,all County ordinances and State I s regulating Electrical wiring, and hereby authorize repr entatives of this County to enter upon the above-mentione property for ins ction purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE / - Signature of Permittee Dole WO COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELEG i RICAL PERMIT CE -806G hereby affirm I have a certificate of consent to self insure, or a certifidate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab.C.) _� Policy N0.1Do?9�1 Company `�/i/"/� FOR APPLICANT TO FILL IN JOB C ._.( Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS E, LAS 1 ktJAS QR r ❑ 1 & 2-Family, S Ft. $ — $ LOCALITY �DaQ.r}� _ EAST t�02rJCR t Certified copy is filed with the co ty building y'spection q department. Multi-family Sq.Ft. — NEAREST ^ CROSS ST, w 5�� '4ATt4AiAS ( _ Residential Swimming Pools e_FL 1 Date Applican OWNER OR ,�A ' ✓ ` &-� FIRM NAME [��I�+ Imo! CERTIFICATE OF EXEMPTION FROM WO RSOutlets.Rec— Light Sw. MAIL COMPENSATION INSURANCE ADDRESS .SA M l: This section need not be completed if the work involved b the First 20 ( p Y Total No. Additional CITY Tel.No. permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this permit APPLICANT CHECKPLAN 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 ofAPPLICANT D{SPLA riC Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ p provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M. ADDRESS SO I,-% provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ q LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY -1^ f llbtrZ.0. /t I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG NUMBER C Z Class y S Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT Ngo F P SS aa / qSize& Type HP,KW,KVA,or KVAR /�—�1 f U(O/ c) License Number V Lic.Class _ Up to 1 Incl. FINAL V O �'' ! �_��, O Over 1 to 10 Incl DATE 1 \�� L '2 VALIDATION Q Contract �S 11+r Date Over 10 to 50 Incl. l U ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. FI W B.&P.C.for this reason Over 100 d CO Services,Swbd.,MCC & Panelboards , 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 AC CT t I hereby affirm that I am exempt from the Contractor's License Law •T for the following reason (Section 7031.5,Business and Professions Additional Sign Branch Circuits ^��_ Code): 3370 N 33.0" Misc.Conduits & Conductors j ITEMS I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ® TOTAL-)L33 . 00 and Professions Code). CONSTRUCTION LENDING AGENCY t' CK 33.00 I hereby affirm that there is a construction lending agency for the CHANGE Performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) L Civ.C.). PLAN CHECKING FEE (j—{,[�1�2 y 1 7'/i Lender's Name { PERMIT ISSUING FEE �3 0 2004 f AM 7�'F Lender's Address %� I certify that I have read this application and state that the above TOTAL FEE ,DV 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 or mspe tion rpose ��//77 a SEE REVERSE FOR EXPLANATORY LANGUAGE _�q- l I Signature of Permi e Date WORKERS'COMPENSATION DECLARATION CE 806G (2-80) APPLICATION FOR ELECTRICAL PERMIT 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,oJ� f/ a certifi70 �—� f( 8 Lab1O ( FOR APPLICANT TO FILL IN JOB Policy 1Co pa EACH NO. FEE ADDRESS 1,p.%,�� New Residential Bldgs.&Pools ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY,-;-e k_, /,.? C -� Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST ✓I('hl department. /�� _:'/ a FIRMO NAME Dates L 7 ..LI-Applicant or �"" Outlets: Rec'_L_Light_Sw. MAIL First 20 ADDRESS/ ' f S��f'S�P�1 61 7—W' CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Z- Additional } COMPENSATION INSURANCE CITY 1-7 n e Tel No S�i C. PLAN CHECK C. (This section need not be completed if the work involved APPLICANT O by the permit is for one hundred dollars (5100) or less.) Lighting Fixtures First 20 ADDRESS Total No. Additional tx I certify that in the performance of the work for which this CITY Tel No. Fixed Appliances Not Over 1 HP H permit is issued, I shall not employ any person in any manner PERMITU so as to become subject to the Workers'Compensation Laws. Range_ Heater_D.W. APPLICANT - r* /� W CIL Oven _ Dryer_W.M._ ADDRESS N Date Applicant Top FAU _W.H. Z Hood _ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ LICENSE ORy� Exemption, you should become subject to the Workers' REG. NUMBERJ) 2-C Class E- / Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PR S BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR 5"lr Up to 1 Incl. r Over 1 to 10 Incl. FINAL —/ 5_�-'� LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. DATE VALIDATI 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- Over 100 BY �r h r 4 ness and Professions Code, and my license is in full force and vvV effect. Services License NumbeL 7 Q0 7/ Lic.Class 2011-200 Amp. Under 600 V �t _ -1000 Amp.Under 600 V � ContractorA-/9 r'-a Z0'/eZ,7Date Over 1000 Amp.or Over 600 V HOME 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 o ness and Professions Code): Misc.Conduits&Conductors ❑ 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). F CONSTRUCTION LENDING AGENCY 'd hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE. (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 prdinances 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 f �� D 5 -/ 7 -S' 'L- Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY #-0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9705130014 BUILDING AND SAFETY / LAND'DEVELOPMENT. TEMPLE CITY CA PHONE: (818) 285-0488 ,EXT: LEGAL ID: FEES PAID BUILDING AD R SS: TR: 6561 LT: 139 BL: .001 9647 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802103 ASSESSOR OR T 0 ER: NEAREST CROSS STREET: 8587-020-037 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID.: A3 LOCALITY: TEMPLE CITY J2 MOTORS, 10HP • • . 1.00 MOT 19.65 t TENANT J7 0TH PWR APP +10-50HP 1.00 PWR 46.05 ISSUED 0 R CESS D : PLA IRES ON: AMERICAN SAVINGS BANK I TOTAL FEES 93.45 05/13/97 TC 05/13/98, OWNER: TEL. N0: FINAL DATE FINAL BY- .•CODE: TORRANCE.VICTOR J 400 MAIN ST MUCKLPTION OF WORK MOTORS FOR NEW AIR HANDLING UNIT A L. NO: BARR ENG. . (310).-944-1722- MONS. CONTRACTOR: TEL. 0: APPROVALSTE DAINSPECTOR SIGNATURE BARR ENGINEERING, INC. (310) 944-1722- r� ®=f'�� —-�` p 12612 CLARK ..LIC. NO �!/� � SANTA FE SPRINGS CA 90670 C10 � �� TEMPORARY POWER PO UNDERGROUND CONDUIT f � ARCHITECT OR ENGINEER: 0: - �� UFER GROUND.. LIC. N0: / � I �' 2..• + »ttii �ItROUGH CONDUIT- ROUGH W ONDUIT.0 G IR G , n 73 Q: I IWATER LINE u. •,�v�� .I 7 `� Il 1 a'�_� ' PLASTIC Y/N .METAL Y/N I 0 p " — T COP OTIFIED hy �. Lj Oil Vic * ADDITIONAL DATA ON FILE I REPORT ID: DPR265 ROUTE TOI.BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1206040066 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 IT: 139 BL: .001 9647 LAS TUNAS DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: INEAREST CROSS STREET: 8587-020-037 IS3 ADDTNL ELECT PLAN CK 4.00 HOU 437.60 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl JAW PC CITY $109.35 MIN 0.00 416.10 TENANT: IA1 PERMIT ISSUANCE FEE 27.80 ISSUED ON: PROCESSED BY: PLAN BY: CHASE BANK IF1 120V, 15/20A BR CKTS 30.00 BR 461.90 12/03/12 SR I IIA N-RES EX FANS IT 3HP 1.00 EX 15.30 [OWNER: TEL. NO: IJB AC UNITS +3-10HP 2.00 AC 39.40 FINAL DATE FINAL BY: CODE: [CHASE BANK - IK1 SIGNS, OUTLINE LGT 2.00 SIG 77.80 TOTAL FEES 1,475.90 IDESCRIPTIM OF WORK IT/I TO AN EXISTING CHASE BANK APPLICANT: TEL. NO: � I MARK/JUDY YAM (626) 675-9882- I392 N. LE MAY COURT iSPECIAL CONDITIONS: ORANGE, CA 92867 CONTRACTOR: TEL. NO: • (APPROVALS DATE INSPECTOR SIGNATURE IDBSI INC (602) 264-7263- I I6950 W MORELOS PLACE LIC. NO I (TEMPORARY POWER POLE I CHANDER AZ 85226 931142 * I UNDERGROUND CONDUIT I ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I IGENSLER, ERIC JAMES (949) 863-9434- I4675 MACARTHUR CT STE 350 LIC. NO: I (ROUGH CONDUIT I I NEWPORT BEACH, CA 92660 NONE (ROUGH WIRING [MAIN-WATER LINE PLASTIC Y/N METAL Y/N �- (UTILITY COMPANY NOTIFIEDI I I I I I I I II I I I I I I I I I I I I I I I I I II I I I I I I I I I I f I* ADDITIONAL DATA ON FILE I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0202120004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL S PAID BUILDING ADDRESS: TR: 6561 LT: 139 BL: .001 9647 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802103 ASSESSOR INFORMATION N NEAREST CROSS STREET: CAMELLIA 8587-020-037 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 2.00 BR 34.50 TENANT: TOTAL FEES 62.25 ISSUED ON: PR LA BY: EXPIRES . WASHINGTON MUTUAL BANK 02/12/02 JK 08/11/02 OWNER: TEL. NO: + FINAL DTE FINAL BY: CODE: TORRANCE VICTOR J 400 MAIN ST D INSTALL NEW WALK-UP ATM THRU STOREFRONT GLASS ADJ TP EXSTG APPLICANT: TEL. N LA ARCHITECTS, MARIL DEPEW (818) 955-8353- 224 E OLIVE AVE #305 SPECIAL CONDITIONS: BURBANK 91502 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE EVANS AND SON, INC. (661) 254-8787- _ P.O. BOX 278 LIC. NO TEMPORARY POWER POL NEWHALL, CA 91322 550747 A * _ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: T L. N0: Um GROUND LIC. NO: ( ROUGH CONDUIT T R G MAIN WATER LINE PLASTIC Y/N METAL Y/N UTMILATY COMPANY NO F D I * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROU YE TO: BS0508 1/ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904010016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: ;I FEES PAID BUILDING ADDRESS: I ITR: 6561 LT: 139 BL: .001 1 I 1 9647 LAS TUNAS DR 1 IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917802103 1 (ASSESSOR INFORMATION NUMBER: 11 I NEAREST CROSS STREET: 8587-020-037 11A1 PERMIT ISSUANCE FEE 27.75 1THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 I I (TENANT: i TOTAL FEES 66.60 I0SSUEDOON: PROCESSED BY: PLAN BY: 0EXPIRES 9/28/09 N. CHASE BANK i [OWNER: TEL. NO: I IFINAL DATE FINAL Y: CODE: I IJP MORGAN CHASE BANK 11111 POLARIS PARKWAY I ICOLUMBUS OH, 43240 D%SCRIPTICFN OF WORK 14I I I (INSTALL ONE ILLUMINATED WALL SIGN AND TWO ILLUMINATED ATM 1 ISURROUND CABINETS (APPLICANT: TEL. NO: I 1 ISTEVE (619) 527-6100- 1 1 1 14444 FEDERAL BLVD. 1 ISPECIAL CONDITIONS: ]SAN DIEGO CA 92102 I I ICONTRACTOR: TEL. NO: I1 [APPROVALS DATE INSPECTOR SIGNATURE 1 ISIGNTECH ELECTRICAL ADVERTISING, IN (619) 527-6100- ,I I 14444 FEDERAL BLVD. LIC. NO11 ITEM2ORARY POWER POLE I I I ISAN DIEGO, CA 92102-2505 457406 C45 I I -1-1 I (UNDERGROUND CONDUIT I 1 [ [ARCHITECT OR ENGINEER: TEL. NO: [ 1UFER GROUND I I I LIC. NO: 'I ]ROUGH CONDUIT I I I I I IROUGH WIRING I 1 IMAIN WATER LINE I II (PLASTIC Y/N METAL Y/N I I I I II [UTILITY COMPANY NOTIFIED[ I I I I I I I I I I I I I I I I I I ] I 1 1 I I I I I I I I I I 1 ] I I I I I I ] 1 � I I 1 .• I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I u 1 I , I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207250056 BUILDING AND SAFETY / LAND DEVELOPMENT :� TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 6561 LT: 139 BL: .001I 9647 LAS TUNAS DR I I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802103 I (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: 1 18587-020-037 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl I IKl SIGNS, OUTLINE LGT 1.00 SIG 38.90 1 1 ITENANT: TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY: I 107/25/12 SR (OWNER: TEL. NO: I IFIAL T BY: CODE: IJ P MORGAN CHASE (626) 469-3560- 11111 POLARIS PKWY I (COLUMBUS, OH 43240 I JVE8CRIPTION OF WORK 1 1 I JINSTALL NEW WALL SIGN & INTERIOR WINDOW SIGN APPLICANT: TEL. NO: ISCHNIERER, STEVEN (951) 241-6876- I I I 125251 ALESSANDRO BL I ISPECIAL CONDITIONS: I IMORENO VALLEY 92553 I I I I I I (CONTRACTOR: TEL. NO: - 1 (APPROVALS DATE INSPECTOR SIGNATURE I IN W SIGN INDUSTRIES, INC. (856) 802-1677- II1 1 1360 CRIDER AVENUE LIC. NO I [TEMPORARY POWER POLE IMOORESTOWN NJ 08057 907683-C45 +''1 I 1 I I I ]UNDERGROUND CONDUIT I I 1 (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I I - I LIC. NO: i TROUGH CONDUIT 1 1 1 II IROUGH WIRING 1 iI IMAIN WATER LINE 1 1 I �I IPLASTIC YIN METAL YIN I I 1 I I (UTILITY COMPANY NOTIFIEDI I I II I I I I ;i* ADDITIONAL DATA ON FILE I 1 I I IIREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I it I • � I I I � I y COUNTY OF LOS ANGELES I TEMPLE CITY # 0508E , LECTRT'�AC`PER1�IT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS L 0508 980.72-7tl021�. • k.. BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR:- 6561 LT: 139 BL: .001 �Ifi4 $A7"C TUNAS DR.3 ` ! FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: jIFEMR-GA 917802103 ASSESSOR 0 0 NEAREST CROSS STREET: CAMELLIA 8587-020-037 ! Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: f GRID: LOCALITY: TEMPLE CITY K1 SIGNS OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON: WASHINGTON MUTUAL 07/27/98 UT 07/27/99 OWNER: TEL. NO: FINAL DATE FINAL BY: C TORRANCE VICTOR J 400 MAIN ST + I L F=SC. 9N-6 _ R ELE OR�ILL-UMINATED=NAL-L--S-tG APPLICANT: TEL. 0: HEATH OPERATING CO. - I 2121 ORANGE ST-. i SPECIAL CONDITIONS: ALHAMBRA, CA GELES Co CONTRACTOR: TEL. NO: os ��T APPRgVALS DATE INSPECTOR SIGNATURE HEATH OPERATING CO., INC. (626) 457-3000-f V y 1 ORANGE2121 ST LIC. ALHAMBRACA 91809 737013 COO I TEMPORARY iPOWER POLE i UNDERGROUND CONDUIT ARCHITECT 0 ENGINEER: TEL. NO: - IUFER-IGROUND LIC. N0: lllllll ROUGHi CONDUIT ROUGH WIRING pUD ❑ WORKSMAINUC PLASIICTER Y/NLINE METAL Y/N UTILITY COMPAffY TIFIED ! I c Service khat I REPORT ID: DPR265 ROUTE TO: BS0508 j