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HomeMy Public PortalAbout9501 LEMON AVE_Electrical__ 76A663 CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS-ANGELES BUILDING-AND SAFETY FOR APPLICANT TO FILL IN JOB _ ADORES r- ,' '- • • New' ResidenhafBldgs &Pools EACH- NO- FEE LOCALITY it ' 1 &2 Family,Sq Ft $ 025 — $ 3 Mulh''family Sq Ft 02 — NEAREST Residentiol•Sw_imming Pools 25 00 CROSS ST - OWNER ORe�- `r FIRM NAME Outlets Rec _:&Light Sw MAIL First 20 50 ADDRESS FTotal No Additionol� 30 CITY ,� Tel ,No �s.�/,�I " e PLAN CHECK APPLICANT s. Lighting Fixtures Y First 20 ,'- 50, ADDRESS; V / " Additional 30 - / -- w Total No • ' CITY 7� /� ; Tel No �'t f7' Fixed Appliances Not Over.-1 HP _ PERMIT - Ronge Heater_D W ' APPLICANT Oven_Dryer—W M— ADDRESS -- ••_ _ _ _ Top_—FA = W H -,CITY __ T Tel No.� { 'Hood—Fon _Other_ LICENSE OR Disp —Room_Air Cond : - _ 2 S0 ,REG NUMBER Class q I,HEREBY•ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- ' Power Apparatus&Large-Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO -COMPLY WITH ALL-COUNTY ORDINANCES'AND"STATE-LAWS' Size&Type HP,-KW, KVA,or KVAR2 50 REGULATING ELECTRICAL_WIRING Up to 1,Incl• _ _` ' HEREBY CERTIFY THAT 1 AM PROPERLY'REGISTERED AND/OR Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W Over 10 to 50 Incl •• 125D CALIFORNIA OR THATAM THE LEGAL_OWNER OF THE,AAOVE, :_-v o 25'00 DESCRIBED RESID TIAL PROPERTY Over'50 to 100 Inc >` 7 40 00 PERMITEE `Over 100 SIGNATURE N Z Services- - DISTRI§NO 7 C S - 0- 200 Amp Under,600 V 12 50 d . 1. 1000 Amp Under-600 V- 25 00 .._ �- Over 1000 Amp or Over 600 V 50 00 O s { icTemp Power Pole&Appurtenances ,• 10 00• Q /C /y Sign with One Branch Circuit .. 10'00 / Additional Sign Branch Circuits 2'00 INSPECTION > " ` �• INFORMATION to 00 Misc Conduits&Conductors ON , REVERSE -i Oiher(See Complete Fee Schedule)• u .SPE _ 3 �691,2A PERMIT FELF Sub-Total) #'a o 0 o4,0 PLAN CHECKING FEE lone-Fourth Perm T Feel �Z 0 0 0 0 0 0 0 PERMIT-ISSUING FEE > .$7 00 ' y .�_ c 09,27--79 TOTAL FEE �r - > INSPECTION FINALED X date BY 'f f 6A663-CE806 5-62 APPLICATION FOR ELECT CAL -PERMITV r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Z JOHN A. LAMSIE, COUNTY ENGINEER , oev WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY �JvL=L f 1 NEAREST FOR APPLICANT TO' FILL IN CROSS ST., RECEPT TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER t LIGHT' - MAIL ADD'L .10 - ADDRESS �� r SWITCH OVER 20 F1RST20 .20 �E , FTOTAL CITYLIGHTING- TEL. NO. FIXTURES ADD'L 1O ELECTRICIAN T�iV0 "N��nP,-s ELL( FITC ov R 20 RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS RnRT)I�'T?- LIT-? cc�� �4RB.D18P. STA COOK TOKRI CITY �'NCE TEL.NO.FA(-,=' fROn DISHWASH, AUTO.-WASH _ STATE SPACE HTRS STA.APP.(r/a H P.MAX.) - .50 LICENSE NO. CIO MOTORS OVER NOT OVER H.P. DISTRI T GROUP I Z NE I PR SSED BY 0 1 1.00 Ott Wet�z - 1" 3 150Ad INSPECTION RECORD 3 8 200 8 15 2 50 a 15 50 3 00 .J 'O 0 50 - 100 , Soo _ O SIGNS. NO.TRANS NO LAMPS CL SERVICE 0.600V-NOT OVER 200A - 1.00 - N z SERVICE 0.60OV-OVER 200 A. .200 SERVICE OVER 600V - 5.00 MISC PERMIT ISSUING FEE 200 ' SUPPLEMENTABY PERMIT ISSUING FEE 1.00 - TOTAL FEE $ 1HEREBY 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 AS REQUIRED BY LOS ANGELES COUNTY,AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ' DESCRIBED REBIDENT'IA{5/P��jPERTY POWER ' SIGNATURE •UTILITY CO.NOTIFIED p OF PERMITTEE ./ FINAL O A (DATION ARTHUR C. VETT ' CK O" CASH SUPERVISING ELECTRICAL ENGINEER ` r Ii�C 4 3 0 z AIR' . 4' ?' b 2-7.—�0 76A663-CE806 9-64 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND'SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER- COLEMAN NGINEERCOLEMAN W JENKINS, SUP'T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. L RECEPT TOTAL NO EACH FEE �� •` LIGHT OUTLETS FIRST 20 $20 $ OWNER MAIL AOD'L 10 ADDRESS SWITCH . OVER 2O rToT,L CITY TEL. NO. LIGHTING FIRST ZO 2OFIXTURES OV DR 20 .10 ELECTRICIAN � '1111:" RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS' L. '2-1-3 J>✓!/�'(��- GARB DISP. STA.COOK CITY TEL NO. DISHWASH AUTO-WASH. STATE it SPACE HTRS STA.APP (l/z H P.MAX.) 50 LICENSE NO. (J MOTORS OVER NOT OVER H P. DISTRI T NO. UP Z E jppplpESSED B O 1 1.00 A 1 3 150 5 ECTION YECORD >- 3 s 20000 8 1s 250 15 50 3.00 O s0 100 5.00 1— V NO.TRANS iL SIGNSs NO.LAMPS N Z SERVICE 0-600V-Nor OVER 200A 100 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 17, 5 00 M I SC PERMIT ISSUING FEE 200 SUPPLEMENTAgY PERMIT ISSUING FEE 1.00 TOTAL FEE $ IATHEREBY ACKNOWLEDGE THI HAVE READ THIS APPLICATION APPROVALS DATE INSPECT'OR'S SIGNATURE AND STATE THAT TH_E ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT, - WITH ALL COUNTY ORDINANCES AND STATE-LAWS REGULATING'_ ELECTRICAL WIRING. WIRING LHEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - IFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IDE IN, THE ABOV CRIBED RESIDENTIAL PROPERTY POWER NATURE UTILITY CO.NOTIFIED PERMITTEE OC.A �DATION JOSEPH C. ROOH,LO CASH SUPERVISING ELECTRICAL ENGINEER 4 4 o G'20 ALIG 6 2 D 1 3.00 jy��` i 76A663-CES06 3-64 APPLICATION FOR ELECTRICAL PER r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING . BUILDING AND SAFETY DIVISION ADDRESS N JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY �/•!l. �-f 1� NEAREST II FOR APPLICANT TO FILL IN CROSS Sr.'!.cr�1011 # TE G-T ICJ RECEPT TOTAL NO. EACH FEE OUTLETS FIRST 20 ffi 20 $ OWNER Fig'►:it', Lo S LIGHT MAIL ADD'L .10 ADDRESS , 0'4 S� yet Pr'NI �Y SWITCH. OVER 20 a LIGHTING TOTAL FIRST 20 .20 00 CITY w11 AL TEL. NO. IZ 7� FIXTURES } �Q ADD'L 10 ELECTRICIAN olu2flS OV R 2O RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS//11 9-0061 Jo's„l� GARB.DISP. STA.COOK CITY ce} SJ TEL.NO. ay�1 DISHWASH. AUTO.-WASH. STATE SPACE HTRS, BTA.APP.(y.H.P.MAX.) .SO LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST RI T NO. GROUP ZONE P O E BY 3 0 1 1 1.00 1 3 ')„ 1.50 INSPECTION RECORD r CL 3 B 2.00 O u S 15 2.50 Qd is so O Lo 3.00 3' pU U 50 100 5.00 w CL N SIGNS: NO.TRANS Z NO.LAMPS 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 lo SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ffi 1, 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 �� �o 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL O R OF THE ABOVE DESCRIBED RESID ROP rr Y. POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE // FINAL (DATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER l�tt�Q 2 4 6 5 w JNtU 2 A 1 8 L 0 768663-CE806 10,72 APPLI AT ON FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION LITYNEAREST FOR APPLICANT TO FILL IN S ST �Y C OUTLETS NO EACH FEE R $ 5 FIRM NAME X - RECEPT_ MAIL LIGHT TOTAL FIRST 20 25 "' ADDRESS f•v^t CITY k-.f . TEL NO SWITCH OVER 20 ip — PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT r FIXTURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL N0. PERMIT RANGE DRY ERWTR HTR APPLICANT �.Y,v C STA COOK DISP. F.A U ADDRESS �• SPACE HTR, AIR COND CITY TEL NO Cl Ik CLOTHES WASH. DISHWASH LICENS MBOR CLASS �— REG. NUER FAN OTHER 100 1 HEREBY ACKNOWLEDGE 4T 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 & TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE 1 — 10 300 DESCRIBED RESIDENTIAL PROPERTY O . ^ U PERMITEE L'�J© D 10 — 50 500 SIGNATURE H 50 — 100 1000 C.') DISTRICT NO. OC ED BY LL! 93- 100 100 — 500 1500 s V SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL 3�� PERMIT FEE (SUB TOTAL) NOTES. PLAN CHECK FEE PERMIT ISSUING FEE 300 Q TOTAL FEE �Q(� PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION c M 0 CASH 5 3-751 MAY 1 6 2 8.00- 1, SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 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) I - -- Policy NO Company FOR APPLICANT TO FILL IN JOB � ADDRESS Q/ ��O4 7/ 41� �/C _A& Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCA IT Certified copy is filed with the county building inspection 1 &2-Family,Sq Ft NEAREST Q department Multi-family Sq Ft CROSS ST �� Date Applicant Residential Swimming Pools ASSESSOR MAP BOO PAGE /PARCEL �J/ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec —Light Sw OWN /n F�, COMPENSATION INSURANCE FIRM First 20 MAIL J /29%K N%om- (This section need not be completed the work involved by the Total No Additional ADDRESS(-?/g2( L /r9 (/J permit Is for one hundred dollars($1000)or less) CI G ��� CR, I certify that In the performance of the work for which this permit 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 -5-i kn, -A 0&-s 10 C, 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 ,��c provisions of the Labor Code, you must forthwith comply with such PERMIT j'r�V provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICAN LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR Ap �7 E LIvC A I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl d i (commencing with Section 7000) of Division 3 of the Business and Cl41 Professions Code,and my license is In full force and effect Over 10 to 50 Incl } LICE SE OR /� rV�r Over 50 to 100 Incl REG NUMBER 7 Cla s _/d O Over 100 DISTRICT NO P SED BY License Number (((///ill 7/�1 `o Llc Class ��® /D� s Services,Swbd,MCC& der 6 0 V FINAL Contra-_b/4'(1'_rDate 0-399 Amp Under 600 V DATE H EJ I am exempt under Sec 400-1000 Amp Under 600 V �- VALIDATION W 1 Over 1000 Amp Or Over 600 V - FINAL BRANCH CIRCUIT FEES a U) B&P C for this reason BY C) Date 15A,or 20A, 120V,Lighting or Recept Z 1 To 10 Branch Circuits Sign 11 To 40 Branch Circuits F-141 Or More Branch Circuits Exemption for Reg Malnt Elect 15A,20A,208V To 277V Lighting Br Circu Is SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION war+ s I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit At•CTeg for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 3QJ 4ue6� Code) V t T El 1,I,as owner of the property,will do the work and the structure Mlsc Conduits&Conductors wITEMS ht tS Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , TOTAL �-� m 60 and Professions Code) _ [n CONSTRUCTION LENDING AGENCY CHECK 48 eso t 1 hereby affirm that there is a construction lending agency for the CHANGE =V0 performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE 0000-0001 6/ 3/96 Lender's Name PERMIT ISSUING FEE o7 Q 6718 1 AM'9.75 Lender's Address .10� I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above Information Is correct I agree t0 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 ec n I e s SEE REVERSE FOR EXPLANATORY LANGUAGE 'Jt5NAT1_IR=PERMITTEE DATE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that•l have a certificate of consent to self Insure, , 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❑ol cy No Company FOR APPLICANT TO FILL IN JOB - E'^ _ ADDRESSa�. V Certified copy Is hereby furnished{ New Residential Bldgs &Pools NO EACH. FEE— $ $ LOCALI 77 ❑• ^Certified copyis'filed with the county bud1 &2-Family,Sq Ft ding Inspection _ NEARE o department• _ Multi-family Sq Ft CROSS ST 1 Date A licant Residential Swimming Pools gssEssoR _ PP - MAP BOOKPAGE PARCEL_ CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER ry Outlets Rec Light Sw FIP•M NAME COMPENSATION INSURANCE S at,' �' First 20 MAIL n (This section need not be completed If the work InJolved by'the MAII, ss permit Is for one'h6fidred dollars($100)or-less.) Total No Additional - , -` CI _ Tel ` 1 certify that-in the performance of the work for which this permit is issued, I shall not employ any person"in any manner so as to PLANCHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT (�\ J 'Total No Additional =ADDRESS Data " = Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE,TO,AP RLI CANT,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 PERMI o provisions or this permit shall be deemed revoked _ Power Apparatus&Large Appliances APPLICAN �� LICENSED CONTRACTORS DECLARATION Size,&Type HP,KW,KVA,or KVAR ADDRES I hereby affirm thaY'1'am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Dlvisioni3'of the•Business and Over 10 to 50 Incl via Professions Code,and rriy license Is in full force and effect LICENSE OR } Over 50 to 100 Incl REG NUMBER Class _, > R:7\10 \Q �- 1� Ovef 100 DISTRICT NO P SED BY O License Number (ti (D Llc Class 0 Services,Swbd,MCC&Panelboards Cc ����� 0-399 Amp Under 600 V FINAL 0 Contract QS C.Date, DATEC/ ❑ I am exempt under Sec 400-1000 Amp Under 600 V VALIDATION U Over 1000'Amp or Over 600 V FINAL W B,&P C for this reasonBY BRANCH CIRCUIT FEES 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 E Exemption for Reg Maint Elect. 15A,20A,208V To 277V Lighting Br CircuitsQut SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the fol lowirig'reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) � _ We_ EDI, as owner of the property,willdo the work and the'structureMisc Conduits&Conductors is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) CONSTRUCTION LENDING AGENCY / I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) - PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of-purjury'state TOTAL FEE 7• 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 SIGNATURE OF PERMIT-FEE �A� DATE - ' I-WO�P�ERS' COMPENSATION DECLARATION :76A663 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT I here 7EP663 O >�ffirm'that I have a certificate of consent to self ce-eo6c insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C ) I Policy No Company 1 FOR APPLICANT TO FILL IN JOB ��1 LEMON(PKG.LO T TCHS) Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE p ADDRESS 7 Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY TEMPLE CITY, CA tion department Multi-family Sq Ft CROSS sT NEAREST, TEMPLE CITY BLVD. Residential Swimming Pools Date Applicant OWNER OR FIRM NAMET• •C RAMRODDERS BOOSTER CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL �8l' WENDON AVE.COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No CITY TEMPLE CI TY Tel No 286 2 the permit is for one hundred dollars ($100)or less.) Additional PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to-become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional DALES ELECTRIC Total No CITY Tel No Date —2�—�Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of a Exemption, you should become subject to the Workers' Range— Heater—D W _ APPLICATIONDALES Compensation provisions of the Labor Code, you must forth- Oven— Dryer —W M — ADDRESS 672 ARDILLA ST. with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked Hood — Fan —Other— CITY PUENTE CA. Tel No 287-862'/ LICENSED CONTRACTORS DECLARATION Disp _Room Air Cond — LICENSE M 2x76218 Class C-10 I 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 N PR SED Y >_ and Professions Code,and my license is in full force and effect aSize &Type HP, KW, KVA, or KVAR rQK 0 License Number 27621 Lic .Class G.—�0 Up To 1 Incl FINAL Contractor DALES ELECTR ZF-23-90 over 1 to 10 Incl DATE VALIDATION 0 ❑ Over 10 to 50 Incl FINAL F— I I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason Over 100 DateServices, Swbd , MCC & Panelboards Z 0-200 Amp Under 600 V — Signature 201 - 1000 Amp Under 600 V ❑ _ Over 1000 Amp or Over 600 V Exemption for Reg Ma int Eject } SINGLE FAMILY Temy HOME OWNER-BUILDER DECLARATION p Power Pole & Appurtenances O A :CTL .s I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits 3307 i-3.l 00 Professions Professions Code) _ 1 IITEMS Misc Conduits&Conductors ❑ I, as owner of the property, will do the work and the �r�p� —,-„ structure is not intend dcp offered for sale(Section 7044, Otj�Ga?r7c qp e Fee Schedule)— Business AL ,=N ® �� Business and Professions Code) FIREWSTANDORKS 33.ti CONSTRUCTION LENDING AGENCY CHANGE CIO 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 OOCICI-0001 5/21}3/9rl Lender's Name PERMIT ISSUING FEE OPt4 I AM 8.36 Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby aut orize representatives of this County to enter upon the ab - e 91eyoerty for ,ns ction purposes SEE REVERSE FOR EXPLANATORY LANGUAGE t' 4—�3-90 �s Signature of Pe mittee Date WORKERS' COMPENSATION DECLARATION �7a 613 DPW 3/87 APPLICATION, FOR ELECTRICAL PERMIT hereby affirm that I have a certificate of consent to self CE-8066 i nsure, or a certificate of Workers' Compensation Insurance, ill M7 NTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800,11-ab C ) {y Policy No Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furbished New Residential Bldgs & Pools EACH NO FEE ADDRESS C�> �t�7t ❑Certified copy is filed with,the county building mspec- I 1 &2-Family, Scl Ft $ — $ LOCALIT tion department V Multi-family Sq Ft NEARECROSS TT t ` Residential Swimming Pools OWNER OR Date Applicant FIRM NAM CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw— MAIL COMPENSATION INSURANCE ADDRESS `rte` A-&0 First 20 (This section need not be completed if the work involved by Total NoAdditional CIT Tel No S. the,permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to-the Workers'_Compensation'Lows (''� Additional Date4"��Adt Apphcanr � oAD eQAe°C Total No CITY Tel No � ��'" Fixed Applionces,Not Over 1 HP PERMIT NOTICE TO APPLICANT -If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Ran9e,— Heater—D W Compensation provisions of the Labor Code, you must forth- Oven Dryer —W M — ADDRESS with comply with such provisions or this permit shall be Top, FAU _WH — deemed revoked Hood — Fan —Other_ CI Tel No 1-SLZ� LICENSED CONTRACTORS DECLARATION- Disp — Room Air Cond — LICENSE OR ClassC—\0 I 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 PROCESSED BY >_ and Professions Code,and my license is in full force and effect �Oell W 1 Size•&Type HP, KW, KVA, or KVAR Q License Number {�gD��j Lic Class Up to 1 Incl FINAL U Contract l e 1e ate Q - Over 1 to 10 Incl DATE f_�?�� .� VALIDATION Q ❑ Over 10 to 50 Incl FINAL (D I am exempt under Sec Over 50 to 100 IncOver 100 gY U W t1 B&P C for this reason - Date' Services, Swbd , MCC& PonelboardZs Z • '0-200 Amp Under 600 V — Signature 201 - 1000 Amp Under 600 V �- ❑ Over 1000 Amp or Over 600 V Exemption for Reg Matrit Elect SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION pp Mr_`T-. - I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason Section 7031-5, Business and Additional Sign Branch Circuits Professions Code) T ENS_ ❑ I, as owner of the property, will do the work and the Misc Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Sched'ule)_ ® .(I_ITAL 47 11D Business and Professions Code) ' y 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 (Subyotdl) (Sec 3097, Civ C ) PLA � I i4 i 3t-,_.,-I_Z 1 � ' N CHECKING FEE - f,I_ l Et� s]: s=:r 'E ' Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon theab Amti� ed proper for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE $ © Sigildfure of'PeFmittee ate S - r WORKERS'COMPENSATION DECLARATION 76A663 oVVJ9 67 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure;..or a,cer*ficote of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished New Residential Bldgs & Pools ' EACH NO FEE ADDRESS S> Certified copy is filed with the county building inspec- 1 &-2-Family, Sq Ft $ — $ LOCALIT tion department Multi-family Sq Ft — IFIRM EAREST ROSS ST Residential Swimming Pools Date Applicant WNER OR NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light $w_ AIL COMPENSATION INSURANCE DDRESS First 20 (This section need not be completed if the work involved by Total No Additional IT Tel No S the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this• APPLICANT permit is issued, I shall not employ any person in any manner so as to become'subject tc the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS pp %t"V � Total No Additional Date 3 A licant � 1 ���.. CITY Tel No Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If, after making this Certificate of PERMIT Exemption, you should become subject to the Workers' Range— Heater—D W — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked Hood — Fan —Other_ CITrSEMCM Tel No LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond — LICENSE OR I hereby offirm,that I am licensed under provisions of Chapter 9 REG NUMBER Class ►� (commencing with Section 7000)of Division 3 of the Business- Power Apparatus& Large Appliances DISTRICT NO P O SED BY �- and Professions Code,and my license is in full force and effect O� t1 � \R Size&Type HP, KW, KVA, or KVAR Q ����, License Number Q� r Lic Class Up to 1 Incl FINAL �� U Contracte01- �dps l �QQ AC.. ���%W-CiA Over 1 to 10 Incl DATE ZZ_�3 VALIDATION - Date Over 10 to 50 Incl F-1 FINAL ~ I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason' Over 100 t1 Z Iq Date Services, Swbd , MCC & Panelboards Z 0-200 Amp Under 600 V — Signature b LZ� 201 -1000 Amp Under 600V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY HOME OWNER-BUILDER DECLARATION, Temp Power Pole &Appurtenances _ urte H{•( ) os I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits _y=11-7 45.,5 Professions Code) iTE(� r ❑ j, as owner of the property, will do the work and the' Misc Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ ► TOTAL 45 ® 75 Business and Professions Code) CHECK 45.70 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHANGE •�`O the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEEc "I` Lender's Name 1-)`-)0(-}- �+ 1 "7 PERMIT ISSUING,FEE j;Til i AN L�41 Lender's Address I certify that I have read this applicationand state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the abovti ne prope;Joy for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date C WORKERS'COMPENSATION DECLARATION 7&4663 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self ,ce 8006G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a cerhfted copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB LEMON❑Certified co is hereby furnished EACH NO —FEE ADDRESS 9501 LEMON PKG LOT TCHS PY Y New Residential Bldgs •& Pools ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY 'TEMPLE CITY CA. tion department Multi-family Sq Ft NEARESTT TEMPLE CITY BLVD. Residential Swimming Pools CROSS SFIN R RAMRODDERS BOOSTER CL UE Dare —Applicant FI ER CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ AMAIL DDRESS 9843 WENDON AV. COMPENSATION INSURANCE -First 20 p (Thi`s section need not be completed if the work involved by Total No Additional CITY TEMPLE CITY Tel No 286-452 the permit Is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS / DALES ELECTRIC Additional 5-25-92 _ Total No CITY Tel No Date Applicant NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMITDALESDALES ELECTRIC Exemption, you should becomes subject to the Workers' Range— Heater—D W Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS 992E. LIVE 0 with comply with such provisions or this,permit shall be Top — FAU —W H — TEMPLE CITY 2U7-$62 AK deemed revoked Hood — Fan —Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER 276218 Class C-1 0 (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NOPROCESSED BY >_ and Professions Code,and my license is in full force and effect p 0- Size &Type HP, KW, KVA, or KVAR O 0 License Number 26218 Lic Class C-10 Up to 1 Incl FINAL U DALES ELECTR;� 5-8-.92 Over 1 to 101ncl DATE Z��J� VALIDATION cc Contractor e G ❑ Over 10 to 50 Incl FINAL I-_ I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason Over 100 t1 Z J Date Services, Swbd , MCC& Ponelboards z 0-200 Amp Under 600 V — Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Mains Elect Over 1000 Amp or Over 600 V `J SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp Power Pole 8 Appurtenances ;";f '_.r ,V I herebyaffirm that I am exerri t from the Contractors License Sign with One Branch Circuit Contractor's Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and g ' Professions Code) ❑ 1, as owner of the property, will do the work and the Misc Conduits &Conductors I _ t ]LO structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— Business and Professions Code) TEMPORARY FI ` CONSTRUCTION LENDING AGENCY E y});'1 - I hereby affirm that there is,a construction lending agency for . ;:U`YtPSE the performance of the work for which this permit is issued PERMIT FEE (Sub-Totdl) (Sec 3097, Civ C ) PLAN CHECKING FEE --- -- Lender's Name �7 — All C PERMIT ISSUING FEE pt� -' Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the abue-m bone p perty for spection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 5-25-92 Signature of Permittee Date ®' i �hereby WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800,Lab C ) Policy N4����2R pang cS�,477T U� FOR APPLICANT TO FILL IN JOB /�{ �/ Certified co is hereb furnished EACH NO FEE ADDRESS �// S fl PY Y New Residential Bldgs & Pools .� 1 & 2-Famil S Ft $ — S LOCALITY /��QG/E 61 r Certified copy is Bled with the county building inspec- Y. q tion eport aunt y- Multi-family Sq Ft — NEAREST ` � .+�il�-h/L/r�Le: I CROSS ST CTM Residential Swimming Pools ` , _ OWNER OR // � /_ Date Applicant s t FIRM NAME lefWAZ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec L g ht• Sw_ MAIL COMPENSATION INSURANCE ADDRESS Firsf,20 } (This section need'not be completed if the work involved by Total No Additional CITY Tel No the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Date /applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICANT, 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 with comply with such provisions or this permit shall be Top _ FAU —W H' — deemed revoked CITY � , �� Tel Noq/ S7/ - LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ ,J Room Air Cond LICENSE Dis �j I hereby affirm that I am licensed under provisions of Chapter 9 P REG NUM BS lji� rJ � Class�`�(j (commencingwith Section 7000 of Division 3 of the Business a` ) Power Apparatus& Large Appliances DISTRICT NO PROCES D Y and Professions Code,and my license is in full force and effect 0 /2/O f C_/0 Size &Type HP, KW, KVA, or WAR ( ds 0 License Numbe Lic Class Up to 1 Incl ToD FINAL [� L�jl��G� lie,ere. / �� Over I to 10 Incl DATE .�Z 2—� VALID TION O� Contractor .Date Over 10 to 50 Incl FINAL G/ c/ W ❑ I am exempt under Sec Over 50 to 100 Inc v BY t1 N B 8P C for this reason Over 100 z Date Services, Swbd , MCC& Panelboards 0 - 200 Amp Under 600 V Lid Signature 201 - 1000 Amp Under 600 V ❑ O Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V- SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2385 7 A I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and # 0 0 0 0 0 2 Professions Code) ❑ 1, as owner of the property, will do the work and the Misc Conduits&Conductors .1 o e 7 6 5 O structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)_ 7044, Business and Professions Code) o 0 o f (a 5 CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for Q 1, 1 6 8 6 the performance of the work for which this permit is issued PERMIT FEE a (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address • I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordm rices and State laws regulating Electrical wrong, and her authorize representatives of this County to enter upon th a ove-mention prop ty for inspectionrpose SEE REVERSE FOR EXPLANATORY LANGUAGE �aSigno r of Permittee Date WORKERS'COMPENSATION DECLARATION I 20-0019 DPW 3/87 -�`�I APPLICATION FOR ELECTRICAL PERMIT hereby affirm that I have a certificate of consent to self Ce'4e�o6G N,sure, or a certificate of Workers' Compensation Insurance, I COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or p certified copy thereof (Sec 3800, Lab C ) I Policy No Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 9501 LEMON(PRK.LOT TCHS) ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALIff MPLE CITY CA. tion department Multi-family Sq Ft — NEAREST Date A licant 'Residential Swimming Pools CROSSOWNEST r TEMPLE CITY BLVD. PP FIRM NAME'T.C•RAMRODDERS BOOSTES CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL 9$LI 3 WENDON AV COMPENSATION INSURANCE First 20 ADDRESS . (This section need not be completed if the work,involved by Total No Additional CITY- TEMPLE CITY Tel No286-45�9 the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner, Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws Dote 5-8-911 Applicant Additional DALES ELECTRIC Total No CITY Tel No IC NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D W — APPLICATION DALES ELECTRIC Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M ADDRESS 9923 E. LIVE OAK with comply with such provisions or this permit shall be Top — FAU —W H O deemed revoked Hood — Fan —Other— CITY TEMPLE CITpY CA;.l No287—$627 LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond — LICENSE OR 27621 U Class C—'10 I hereby affirm that I am licensed under,provision'sof Chapter 9 REG NUMBER (commencing with Section 7000)1of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PR SSED BY �- and Professions Code,and-my license is in full force and effect p t1 Size &Type HP, KW, KVA, or KVAR Qd 0 2762,18 'C-10 c� License Number Lic Class Up to 1 Incl FINAL / Contractor DALES ELECTRI�at 5—$-91 Over 1 to 10 Incl DATE /�„C2y�� VALIDATION IM We Over 10 to 50 Incl / ����" FINAL F_ ❑ I am exempt under Sec Over 50 to 100 Inc BY C/ /ir ` W B&P C for this reason /- Over 100 d fn ate Services, Swbd , MCC& Ponelboards Z 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V El Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION - _ I hereby affirm that I am exempt from the Contractor's Lice6se Sign with One Branch Circuit Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits _ r Professions Code) _=``_EI; � t ❑ 1, as owner of the property, will do the work and the Misc Conduits &Conductors .1 j TEENti; structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ T,I i f Business and Professions Code) CONSTRUCTION LENDING AGENCY t_HLEt.`i ,TEMPORARY1_,:'I I hereby affirm that there is,a construction lending agency for O-RK9 STAND `a IIG� et i[E 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 FEEs 't Lender's Address 12 1 certify that I have read this application and state that the I TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the ab !tion d operty f nspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of rermittee Date Os WORKERS'COMPENSATION DECLARATION 76A663 10/81 CE-806G APPLICATION FOR ELEC ICAL PERMIT - {� I hereby affirm that I have`a certificate of consent to'self Insure, L J or a certificate of Workers'.Compensation'Insurance, or a certified COUNTY OF LOS'ANGELES BUILDING AND SAFETY copy thereof(Sec 3800,Lab C) Policy Nb,' •'7 Company FOR APPLICANT TO FILL IN JOB ❑+ Certified copy,is hereby furnished New,Residential Bldgs 8 Pools EACH NO FEE ADDRESS «f�C ++ 1 & 2-Family,Sq Ft $ — $ LOCALITY Certified copy is filed with the'county building inspection department'",' '" Multi-family Sq Ft CROSSNEAREST1 •, "t Residential Swimming Pools Date Applicant' OWNER OR •• - - - FIRM NAME �• - CERTIFICATE OF EXEMPTION FROM WORKERS' •" 'MAIL Outlets Rec— Light' t 2 — " ' : �• " l� • ' •• cx COMPENSATION INSURANCE, + .,��' � Pj• ADDRESS � � • - '-First 20; ' ° (This section need not be completed rf the work involved by the CITY Tel No 3� permit is for one.hundred•dollars($100)6or less) Total No Additional PLAN HECK I certify'that In the.performance of the work for•,which-this permit r APPLICANT is issued„I shall not employ any person m anysmanner_Tso as to become subject to the Workers'Compensation Laws Lighting Fixtures r First 20' ADDRESS Additional v ;, Total No CITY Tel No Date Applicant Fixed Appliances Not Over .1 HP NOTICE TO •APPLICANT' If, after making„this Certificate'-of PERMIT Exemption,you should become subject to the Workers Compensation Range—'-Heater_ DW APPLICANT provisions of the Labor Code,you must•forthwith comply with such Oven _,Dryer W M ADDRESS ; 4} provisions or this permit,shall be deemed revoked a Top- FAU W H a CITY ”` 'Tel No `c LICENSED CONTRACTORS DECLARATION _. Hood Fan Other_ I'hereby affirm,that,_1 am.licensed-under provisions of Chapter 9LICENSE OR Dlsp Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my'license is in full'force and effect -Power•Apparatus& Large Appliances _ - Size & Type HP,KW,KVA,or KVAR0 License Number Lic Class FINAL U Over 1 to.10 Incl _"" I DATE � 1 VALIDATION Q Contractor µ Date Over 10 to 50 Incl . IJ U FINAL :❑, ,I am exempt under Sec Over 50 to 100 Inc gY - _ _ 1,1 Over'100 d B&PC for this reason (n 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 _T Fi Exemption for Reg Maint Elect SINGLE FAMILY Temp Power-Pole & Appurtenances. 2 • HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit`, M I hereby affirm that I am exempt from the Contractor's License Law ACCT a for the following reason(Section 7031 5, Business and Professions Additional Sign Branch Circuits•-- - r 'g .Code) _ �, NO FEE ❑ l Misc Conduits & Conductors I,as owner of the property,will do the work and the structure is not intended or offered for sale (Sectiohj7044, Business z, Other(See Complete:Fee Schedule) _ a ' 00M—W01 ' 8/ 2/95 . and'Professions Code) �- CONSTRUCTION LENDING AGENCY 1 i'. 'AM11°41 I'hereby affirm that there is a construction'lendmg agency for the .performance of,the work for which this permit is Issued(Sec 3097, PERMIT FEE (Sub=Total) - + Civ C) ' ,PLAN CHECKING FEE _ Lender's Name PERMIT ISSUING FEE -w• - 'n\ Lender's Address ,1 / I certify that have read this application and state that the aboveTOTAL FEE, information Is correct-,I agree to comply with all County ordmarices and,State laws regulating Electrical wiring, and hereby authorize ' representatives of this County to enter upon the above-mentioned, n} �_• property for inspection purposes V SEE REVERSE FOR EXPLANATORY LANGUAGE - "Signature'of Permittee Date I WORKER'S COMPENSATION DECLARATION 20-OODPW(12'91) I hereby-afrirntthat I haWe a certificate of consent to self insure, 76A663 APPL CATION FOR ELECTRI L RMIT 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 furnishedNew Residential Bldgs &Pools NO EACH FEE El $ $ LOCALITY' Certified copy is filed with the county building Inspection 1 &2-Family,Sq Ft NEAREST department Multi-family Scl Ft CROSS ST Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER O COMPENSATION INSURANCE Outlets Rec _Light Sw FIRM NAMER _ (This perm section need not be completed if the work Involved by the First 20 MAIL permit is Total No Additional ADDRESS for one hundred dollars_ ($100)or less), I ceitify 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 t0 PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of CITY Tel No Exemption,you should become subject to,the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that'I am licensed under provisions of Chapter 9 Over �10 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 e t 0 Incl } Over 50 to 100 Incl LICENSE OR Class REG NUMBER Q. License Number LIC Class Over 100 DISTRICT NO P SED BY Q Services,Swbd,MCC&Panelboards Contractor Date 0-399 Amp Under 600 V FINALDATE ED 400-1000 Amp Under 600 Vj^Z`�( VALIDATION V I am exempt under Sec Over 1000 Amp or Over 600 V FINAL d B&P C,for this reasonBRANCH CIRCUIT FEES ev Date 15A,or 20A,120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Cl"Cults i El Exemption Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits A I.T o JL SINGLE FAMILY Temp Power Pole&Appurtenances ''r� ., c HOME OWNER-BUILDER DECLARATION 3303 7,j.05 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ! TTTCf,t for the following reason (Section 7031 5, Business and P1 Professions Additional Sign Branch Circuits ITEMS E tS ,Code) TOTAL 73 Misc Conduits&Conductors CHECK ® 0 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) 713.05 and Professions Code) Poo. CHANGE °00 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the rtnnn ft�t�t1 a performance of the work for which this permit Is issued (Sec 3097, PERMIT FEE (Sub-Total) t_'L300-0001 7/23-3/96 Civ,c> 7607 1 AM11:06 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of perjury state TOTAL FEE 0 0,5' 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 c �. /23 Zi67 SIGNATURE OF PERMITTEE DATE f ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1405270070 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT- ILEGAL ID FEES PAID I BUILDING ADDRESS 1 ON FILE I 9501 LEMON AV E IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 91780 (ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET TEMPLE CITY 15382-013-902 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE- GRID LOCALITY. TEMPLE CITY I ID3 BOOTH LGT, SYSTEM 1 00 BOO 16.20 I 1 (TENANT" I TOTAL FEES 44 00 IISSU-D ON PROCESSED BY PLAN BY ITEMPLE CITY RAMROODERS BOOSTER CLUB 1 105/27/14 SR 1 1OWNER TEL NO IFI AL 9ATE FI BY CODE ITEMPLE CITY UNIFIED SCHOOL DIST (626) 548-5000- 19700 LAS TUNAS DR I ITEMPLE CITY CA 91780 1 E%ANfPTI011 OF WORK 1 I I IFIREWORKS STAND LIGHTING 2014 1 (APPLICANT TEL. N0. I I ITNT FIREWORKS, BRAD HUDSON (714) 738-1002-1159 1 1 1555 N GILBERT ST I (SPECIAL CONDITIONS 1 IFULLERTON CA 92833 I 1 I I I ICONTRACTOR TEL NO j IAPPROVALS DATE INSPECTOR SIGNATURE IK C ELECTRIC (714) 699-0106- 1-- 14440 CHARLEMAGNE AVE LIC NO ITEMP)RARY POWER POLE ILONG BEACH CA 90808 699521 1 1 I 1 1 1UNDF,2GROUND CONDUIT I I 1ARCHITECT OR ENGINEER TEL. NO IUFER GROUND 1 I I I I I I I LIC NO. 1 IROUGH CONDUIT I 1 I I I IROUGA WIRING I I I 1 IMAINIWATER LINE I I I (PLASTIC YIN METAL YIN 1 IUTIL=TY COMPANY NOTIFIED( I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ,(REPORT ID DPR265 ROUTE TO BS0508 I 1 ,y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306030070 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID ---F- FEES PAID 1 BUILDING ADDRESS 1 ON FILE 1 9501 LEMON AV E 1 IFEE DESCRIPTION QUANTITY UOM- AMOUNT 1 TEMP CA 91780 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET TEMPLE CITY 1 15382-013-902 iA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE GRID LOCALITY TEMPLE CITY 1 ID3 BOOTH LGT, SYSTEM 1 00 BOO 16 15 1 I (TENANT- I TOTAL FEES 43.95 (ISSUED ON PROCESSED BY y PLAN BY I ITEMPLE CITY RAMROODERS BOOSTER CLUB I 106/03/13 SR 1 I I I I 1OWNER TEL. NO- 1 _ 1FAI, D FI CODE 1 ITEMPLE CITY UNIFIED SCHOOL DIST (626) 548-5000- I 1 19700 LAS TUNAS DR I 1 ITEMPLE CITY CA 91780 I IDES IP ION 6F WORK 1 1 IFIREWORKS STAND LIGHTING 20 3 i I I I (APPLICANT TEL NO ITNT FIREWORKS, BRAD HUDSON (714) 738-1002-159 1555 N GILBERT ST IISPECIAL CONDITIONS. IFULLERTON CA 92833 1 I 1 I I I ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE IK C ELEC'T`RIC (714) 699-0106- I 1 14440 CHARLEMAGNE AVE LIC NO I ITEMPORARY POWER POLE 1 1 ILONG BEACH CA 90808 699521 ! 1 j 1UNDERGROUND CONDUIT 1 I I I I I I (ARCHITECT OR ENGINEER: TEL NO IUFER GROUND I I I I LIC. NO I (ROUGH CONDUIT f 1 1 I I I I I I 1 I IROUGH WIRING 1 I 1 IMAIN WATER LINE I 1 I (PLASTIC Y/N METAL Y/N I I I I I I I 1 I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I II I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I IREPORT ID DPR265 ROUTE TO BS0508 1 1 I I I I I I -, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1205290045 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE (626) 285-0488 EXT ILEGAL ID. FEES PAID I BUILDING ADDRESS 1 9501 LEMON AV E ON FILE IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: TEMPLE CITY 15382-013-902 1A1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE GRID LOCALITY. TEMPLE CITY I 'ID3 BOOTH LGT, SYSTEM 1 00 BOO 16 15 1 ITENANT. ITOTAL FEES 43.95 (ISSUED ON PROCESSED BY PLAN BY ITEMPLE CITY RAMROODERS BOOSTER CLUB 105/29/12 SR t 10WNER• TEL NO 1 IFINA, DATE FINAL BY CODE. 1 ITEMPLE CITY UNIFIED SCHOOL DIST (626) 548-5000- 19700 LAS TUNAS DR ITEMPLE CITY CA 91780 JDFS-CRIPTIION OF WORK IFIRFWORKS STAND LIGHTING 2012 1 1APPLICANT TEL NO 1 ITNT FIREWORKS, BRAD HUDSON (714) 738-1002-159 1555 N GILBERT ST ISPECIAL CONDITIONS IFULLERTON, CA 92633 1 1 1, ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE I IK C ELECTRIC (714) 699-0106- 1 1 14440 CHARLEMAGNE AVE LIC NO I ITEMPORARY POWER POLE ILONG BEACH CA 90808 699521 C10 I (UNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER TEL NO I IUFER GROUND LIC NO I IROUGH CONDUIT (ROUGH WIRING MAIN)WATER LINE IPLASTIC YIN METAL YIN 1 1 I I 1UTILTTY COMPANY NOTIFIEDI I i I I I I I I I I I I I I I I I I I I 11 I I I I I I I I I I I I I I I I I I I I I 1 ;REPORT ID DPR265 ROUTE TO BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105030028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS I ON FILE I 9501 LEMON AV E I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 I (ASSESSOR INFORMATION NUMBER- I NEAREST CROSS STREET TEMPLE CITY I 15382-013-902 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE GRID LOCALITY TEMPLE CITY 1 ID3 BOOTH LGT, SYSTEM 1 00 BOO 16 15 I I ITENANT I TOTAL FEES 43 95 (ISSUED ON PROCESSED BY- PLAN BY 1 ITEMPLE CITY RAMROODERS BOOSTER CLUB 105/03/11 SR I I I I I (OWNER TEL NO FIWJ.DAT EL FINAL BY CODE I ITEMPLE CITY UNIFIED SCHOOL DIST (626) 548-5006- I I `-/�j 19700 LAS TUNAS DR I I l•1 I ITEMPLE CITY CA 91780 1 ID CRIPTION OF WORK I I I IFIREWORKS STAND LIGHTING 201 I I I I I 1APPLICANT TEL NO I I ITNT FIREWORKS, BRAD HUDSON (714) 738-1002- I I 1 1555 N. GILBERT ST I ISPECIAL CONDITIONS I IFULLERTON, CA 92833 1 1 I 1 I I I (CONTRACTOR: TEL. NO I 1APPROVALS DATE INSPECTOR SIGNATURE IK C ELECTRIC (714) 699-0106- 1 1__ 1 14440 CHARLEMAGNE AVE LIC NO I (TEMPORARY POWER POLE I I I ILONG BEACH CA 90808 699521 C10 I I__ I I I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I LIC NO I IROUGH CONDUIT I IROJGH WIRING I I I I I I I I I I Mz.TN WATER LINE I I I I IPLASTIC YIN METAL YIN I I 1 I IUTTLITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I_ I I IREPORT ID DPR265 ROUTE TO BSO508 1 \1 I I I I I I COUNTY OF LAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1006090038 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS - ON FILE 9501 LEMON AV E 1 1FEE DESCRIPTION: QUANTITY UOM. AMOUNT.1 TEMP CA 91780 (ASSESSOR INFORMATION NUMBER 1 I NEAREST CROSS STREET TEMPLE CITY 15382-013-902 1A1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE: GRID LOCALITY- TEMPLE CITY 1 ID3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 1 _ ITENANT I TOTAL FEES 43 95 IISSUED ON PROCESSED BY PLAN BY. 1 (TEMPLE CITY RAMROODERS BOOSTER CLUB 1 - 106/10/10 SR 10WNER TEL NO: 1 IF DATE DATE/// FI BY CODE• 1 ITEMPLE CITY UNIFIED SCHOOL DIST (626) 548-5006- 19700 LAS TUNAS DR I I Cj �V ll.• 1 (TEMPLE CITY CA 91780 1 1DESCRIPTION OF WORK 1 I IFIREWORKS STAND LIGHTING 2010 1 1APPLICANT TEL NO 1 1 I 1TNK FIREWORKS, BRAD HUDSON (562) 867-4447- 1 1 1555 N GILBERT ST 1 (SPECIAL CONDITIONS. 1 1FULLERTON, CA 92833 1 1 I I 1 I I I 1 1CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 IK C ELECTRIC (562) 867-4447- 1 1 1 16509 GLORYWHITE ST LIC NO 1 - 1TEMPORARY POWER POLE 1 1 1 1LAKEWOOD, CA 90713 699521 C10 1 - 11 I I I I (UNDERGROUND CONDUIT I I I I I I I I I (ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND I 1 LIC. NO 1 1ROUGH CONDUIT 1 1 1 I I I I I I I 1ROUG9 WIRING 1 I I I I I I I I I IMAIN WATER LINE 1 I I I IPLASTIC YIN METAL YIN I I I I I I I I 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I (REPORT ID• DPR265 ROUTE TO: BS0508 1 1 I 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0906080027 BUILDING AND SAFETY / LAND DEVELOPMENT _ _ TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS 1 ON FILE 9501 LEMON AV E IEEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 ASSESSOR INFORMATION NUMBER I - - NEAREST CROSS STREET TEMPLE CITY 15382-013-902 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY. TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 ITENANT ITOTAL FEES 43 95 JISSUED ON PROCESSED BY: PLAN BY. EXPIRES ON 1 ITEMPLE CITY RAMROODERS BOOSTER CLUB 106/08/09 SR 12/05/09 (OWNER TEL NO IFI`AL DATE FINAL BY CODE. ITEMPLE CITY UNIFIED SCHOOL DIST - 'l e I 19700 LAS TUNAS DR Y I , ITEMPLE CITY CA 91780 1DESCRIPTION OF WOR 1BOOTH LIGHTING FOR FIREWORKS STAND 2009 1 (APPLICANT TEL NO 1 1 ITNK FIREWORKS (310) 505-0444- 16509 GLORY WHITE ST 1 (SPECIAL CONDITIONS 1 1LAKEWOOD 90713 1. 1 I I I 1CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1 IK C ELECTRIC (310) 505-0444- 1 1 1 16509 GLORY WHITE ST LIC NO 1 ITEMPORARY POWER POLE 1 I _ 1 ILAKEWOOD, CA 90713 699521 C10 1 1 I 1 1UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO- IUFER GROUND I I _ I 1 I LIC NO 1 _ 1ROUGH CONDUIT 1 1 1 I I I 1 IROUGH WIRING 1 I I I IMAIN WATER LINE 1 1 1PLASTIC Y/N METAL Y/N 1 1 1 1UTILITY COMPANY NOTIFIEDI I1 . I I I I I I 1 I I I I I 1 I I I I I 1 I I I I I I I I I I I I I I I 11 I 1 IREPORT ID DPR265 ROUTE TO BSO508 ' 1 I I I I I i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS _ 9701 LAS TUNAS EL 0508 0806200011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID - FEES PAID BUILDING ADDRESS ON FILE 9501 LEMON AV E IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 1 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET TEMPLE CITY 1 15382-013-902 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY 1 I 1D3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 1 1 ITENANT ITOTAL FEES 43 95 JISSUED ON PROCESSED BY. PLAN BY EXPIRES ON ITEMPLE CITY RAMROODERS BOOSTER CLUB 106/20/08 SR 12/17/08 OWNER TEL NO _ IFIVAL DATE Y CODE TEMPLE CITY UNIFIED SCHOOL DIST - �R.s�/ 19700 LAS TUNAS DRy- (� ITEMPLE CITY CA 91780 1 1 SCRIPTION OF WORK 1 1 1 IBOOTH LIGHTING FOR FIREWORKS STAND 2008 (APPLICANT TEL NO _ 1 ITNK FIREWORKS (310) 505-0444- 16509 GLORY WHITE ST ISPECIAL CONDITIONS 1 ILAKEWOOD 90713 1 1 1 I I I I ICONTRACTOR: TEL NO I (APPROVALS _ DATE INSPECTOR SIGNATURE 1 IK C ELECTRIC (310) 505-0444- 1 11 16509 GLORY WHITE ST LIC. NO 1 ITEMPORARY POWER POLE I 1 ILAKEWOOD, CA 90713 699521 C10 1 1 11 1 I 1 1UNDERGROUND CONDUIT I 1 1 1ARCHITECT OR ENGINEER TEL NO IUFEP. GROUND II 1 1 1 1 LIC. NO 1 IROUGH'CONDUIT I I 111 _ 1 "r - IROUGH WIRING I 1 I I I 1 1 IMAIP WATER-LINE; 1 1 1 1PLA9TIC Y/N METAL Y/N 1 (UTILITY COMPANY NOTIFIEDI I 1 I I I I i 1 I I I I I i I I I I 1 I I I I I 1 IREPORT ID• DPR265 ROUTE TO BSO508 1 1 1 1 1 I I I I I 1 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706120030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS. ON FILE 9501 LEMON AV E IFEE DESCRIPTION. QUANTITY UOM: AMOUNT: ( TEMP CA 91780 ASSESSOR INFORMATION NUMBER I I _NEAREST CROSS STREET. TEMPLE CITY 15382-013-902 1A1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE- GRID: LOCALITY TEMPLE CITY 1 I �1D3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 TENANT- TOTAL FEES 43 95 JISSUED ON: PROCESSED BY PLAN BY EXPIRES ON TEMPLE CITY RAMROODERS BOOSTER CLUB 106/13/07 SR 12/10/07 OWNER TEL NO1FI D FIN Y CODE ITEMPLE CITY UNIFIED SCHOOL DIST 19700 LAS TUNAS DR ITEMPLE CITY CA 91780 1 IDESCRIPTION F WORK 1 - IBOOTH LIGHTING FOR FIREWO S STAND 2007 1 (APPLICANT- TEL NO: 1 1 I IJIMIE NEVAREZ (310) 505-0444- 1 I 1 16509 GLORY WHITE ST I ISPECIAL CONDITIONS 1 ILAKEWOOD 90713 1 I I I I 1 ICONTRACTOR TEL NO- ,I 1APPROVALS DATE INSPECTOR SIGNATURE I IK C ELECTRIC (310) 505-0444- 1 - 1 1 16509 GLORY WHITE ST LIC NO -ITEMPORARY POWER POLE I I 1 ILAKEWOOD, CA 90713 699521 C10 I I (UNDERGROUND CONDUIT I I 1ARCHITECT OR ENGINEER TEL NO: 1 1UFER GROUND I I 1 LIC NO 1 IROUGH CONDUIT 1 1 I 1 1ROUGH WIRING I I I I I I I I IMAIN WATER LINE I IPLASTIC YIN METAL YIN I I (UTILITY COMPANY NOTIFIEDI I 1 I I I I I I I I I I I I 11 I I I I I I I I I I I I I II I I I I I I I I 1 _ 11 I� I I I I ('REPORT ID DPR265 ROUTE TO. BS0508 I I 1 I I I I I I lti COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306100017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PA . ON FILE 9501 LEMON AV E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION R: NEAREST CROSS STREET: TEMPLE CITY 5382-013-902 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TOTAL FEES 43.95 ISSUED ON: PROCESSED S . TEMPLE CITY RAMRODDERS 06/10/03 JK 12/07/03 OWNER: TEL. N A � TEMPLE CITY UNIFIED SCHOOL DIST - 30-S DF SI OF WORK ELECTRICAL FOR FIREWOORKS STAND - 2003 APPLICANT: K C ELECTRIC (562) 972-2706- 6509 GLORYWHITE SPECIAL CONDITIONS: LAKEWOOD 90713 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE K C ELECTRIC (310) 867-4447- 6509 GLORYWHITE ST LIC. NO TEWP-MARY-POWER POLE LAKEWOOD CA 90713 699521 C10 _ UNDERGROUND CONDUIT ARCHITECT OR N -- UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFI REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0301290033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: --7M PAID BUILDING ADDRESS: ON FILE 9501 LEMON AV E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY.BLVD 5382-013-902 AW PC CITY $109.35 MIN 1.00 109.35 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY Al PERMIT ISSUANCE FEE 27.75 J7 0TH PWR APP +10-50HP 1.00 PWR 46.05 . VERIZON WIRELESS CELLULAR SITE LC 225 AMP PANELS, MCC 2.00 PAN 77.70 07/16/03 JK 01/12/04 TOTAL FEES 260.85 OWNER: TEL. N • JN� A TE BY:_� CODE: TEMPLE CITY UNIFIED SCHOOL DIST (818) 285-2111- v ? INSTALL A 45KW PROPANE GENERATORON A CONCTRETE PAD TO POWER VERIZON CELL SITE IN THE EVENT OF A POWER OUTAGE APPLICANT: TEL. NO: BAY CITY ELECTRIC WORKS (619) 938-8200- 12208 INDUSTRY RD SPECIAL CONDITIONS: LAKESIDE CA 92040 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR GNA URE BAY CITY ELECTRIC WORKS, INC. (619) 938-8200-, 12208 INDUSTRY ROAD LIC. NO TEMPORARY POWER POLE LAKESIDE, CA. 92040 748133-ClO ' UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: UGH CONDUIT ROUGH t WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N COMPANYUTILITY 0 ED l _ REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0106060036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GA : FEES PAID BUILDING ADDRESS:- ON FILE 9501 LEMON AV E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR IO NUMBER: NEAREST.CROSS STREET: TEMPLE CITY BLVD. 5382-013-902 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:. GRID: LOCALITY:• TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TENANT:- TOTAL FEES 43.95 ISSUED 0 D BY: EXPIRES ON: RAMRODDERS 06/06/01 JK 12/03/01 OWNER: TEL. N0: FINAL DATE FINAL Y: CODE: TEMPLE CITY UNIFIED SCHOOL DIST - 4 _O 1 DESCR OFWORK FIREWORKS STAND-2001 APPLICANT: C N S ELECTRIC CO. (626) 836-5881- 130 E. MONTECITO SPECIAL CONDITIONS: SIERRA MADRE, CA ES co CONTRACTOR: TEL. NO: ®� �IV APPROVALS DATE INSPECTOR SIGNATURE C N S ELECTRIC CO. 626 836588 130 E. MONTECITO LIC. NO / TEMPORARY POWER POLE SIERRA MADRE, CA 91024 630482 UNDERGROUND CONDUIT AR - UFER GROUND F � J LIC. Nr�: J I 11I11� 1 ROUGH CONDUIT Imo- -------- -- - ��� MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY OMP ANY NOTIF195 L REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006150028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID B ILDINGADDRESS: ON FILE 9501 LEMON AV E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUM 'NEARES! CROSS STREET: TEMPLE CITY BLVD. 5382-013-902 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 ! TENANT: TOTAL FEES 43.95 ISSUED N: PROCESSED BY: PLAN BY: EXPIRES ON: RAMRODDERS 06/15/00 UT 12/12/00 OWNER: TEL. NO: FINAL DATE FINAL BY. CODE: TEMPLE CITY UNIFIED SCHOOL DIST DESCRIPTION OF WORK FIREWORKS STAND-2000 APPLICANT: L. NO: C N S ELECTRIC CO. (626) 836-5881- 130 E. MONTECITO SPECIAL CONDITIONS: SIERRA MADRE, CA CONTRACTOR: TEL. NO: APPROVALS��l�l' APPROVALS DATE INSPECTOR SIGNATURE C N S ELECTRIC CO. 626 836588 —1 130 E. MONTECITO LIC. NOi E ORARY OWER POLE SIERRA MADRE, CA 91024 630482 q UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: //�/ UFER GROUND LIC. N0: 1111�� ROUGH CONDUIT OUCH WIRING 0 ��� MAIN NATER LINE U ��J� PLASTIC Y/N METAL Y/N UTILITYN OTIFIED O 0 iT1iJ� ai O 0 �F*, C� i REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9911290035 BUILDING AND SAFETY / LAND DEyELnPNENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: EGAL_ID: FEES PAID BUILDING ADDRESS: ON FILE 9501 LEMON AV E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR FORMATIO MBER: - NEAREST CROSS STREET: TEMPLE CITY BLVD. 5382-013-902 Al PERMIT 'ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TENANT: TOTAL FEES 43.95 ISSUED(0 : PROCESSED BY: PLAN BY, E PIR S ON: RAMRODDERS 11/29/99 UT 05 27/00 OWNER: — TEL. NO: Y FINAL DATE FINAL BY: CODE: TEMPLE CITY UNIFIED SCHOOL DIST y:Z?-4 �ESCRI'I;11UNCOF WORK FIREWORKS STAND-MILLENNUM APPLICANT: TEL. NO: WEST END ELECTRIC (626) 793-8790- 1523 1/2 BRIDGE ST. SPECIAL CONDITIONS: LOS ANGELES, CA COJT�AC'OR: _ CEL. NO: S �IV APPROVALS DATE INSPECTOR SIGNATURE WEST END ELECTRIC (626) 793-8790- 1573 1/2 BPIDGE CT LIC. NO I TEMPORARY POWER POLE ILOS ANGELES, CA 90033 722246 C10 \ _ l UNDERr„OUND CCNCUIT ARCHi E TC 0 ENGIPJEER: TEL. N0: I LIFER GROUND L1C. N0h 1111111 ROUGH 'CONDUIT _ N ROUGH WIRING 11 U BE) (� C n /1 / G RK Q MAIN l,'C Y/ LINE ILII—J \1v1/\1v1/ ILLJhUU< PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED o o Mi REPORT ID: DPR265 ROUTE TO: BS0508 n ' �t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9906090034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9501 LEMON AV E FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 'TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD. 5382-013-902 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.35 TENANT: TOTAL FEES 44.10 ISSUED OC N PI . RAMRODDERS 06/09/99 UT 12/06/99 OWNER: TEL. 0: FINAL DATE FINAL ODE: TEMPLE CITY UNIFIED SCHOOL DIST D CR PTION OF WORK ELECTRICAL FOR FIREWORKS STAND APPLICANT: T WEST END ELECTRIC (626) 793-8790- 1523 1/2 BRIDGE ST. SPECIAL CONDITIONS: LOS ANGELES, CA CONTRACTOR: TEL. O: ®� ���, APPROVALS DATE INSPECTOR IGNAT E WEST END ELECTRIC (626) 793-8790- 1523 1/2 BRIDGE CT. LIC. NO TEMPORARY POWER POLE LOS ANGELES, CA 90033 722246 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: / 1111111 ROUGH CONDUIT LI , ROUGH WIRING ULop-) L�C W�� (�/J MAI ATER LINE t I��J_ I'(�I/I ILJ,lU< IU�`V PLASTIC Y/N METAL Y/N UTILITY COMPAWY-WOTITM _ �0 Servicee REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CEL-ECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL-0508_9806050032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LE AL ID: FEES PAIDBUILDING ADDRESS: ON FILE 9501-LEMON-AV-E- a FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP"CA-91780- ASSESSOR INFORMAT10N NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD. 5382-013-902 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.35 / TENANT: TOTAL FEES 44.10 ISSUED . PROCESSED PLAN EXPIRES ON: RAMRODDERS 06/05/98 UT 0 05/99 OWNER: TEL. N0: FINAL DATEFINAL B CODE: TEMPLE CITY UNIFIED SCHOOL DIST -LZ -PTiuN OF WORK DESC I Q:_- ELECTRICAL FOR FIREWORKS_STAND-_ _-_ APPLICANT: TEL-.-NU- WEST END ELECTRIC (626) 793-8790- 1523 1/2 BRIDGE ST. SPECIAL CONDITIONS: LOS ANGELES, CA CONTRACTOR: TEL. NO: � �if APPROVALS DATE INSPECTOR SIGNATURE WEST END ELECTRIC (626) 793-8790- Rs 1523 1/2 BRIDGE CT. LIC. NO TEMPOURY POWER POLE LOS ANGELES, CA 90033 722246 C10 / \ UNDERGROUND CONDUIT ARCHITECT OR ENGINE L LIFER GROUND LIC. NO i ��--- _ ��11I1111 � �� ROUGH CONDUIT f - -- - — - --- -- - -- -moi ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTTLTTY—COMPANY NOTIFIED i REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY-OF LOS ANGELES h TEMPLE CITY # 0508 E_L"ECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ELV050.8_F9706f130020 BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL • FEES PAID B LD QA S: ON FILE 95011-LEMON�AVZE- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA`91780 ASSESSOR OR NUMBER: (NEAREST CROSS-STREET: 5382-013-902 Al PERMIT ISSUANCE FEE 27.75 !THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY E3 TEMP XMAS TREE, ADDT 1.00 TEM 21.60 1 TOTAL FEES 49.35 TS-SUEU-N PROEESSED BY: PL ON: RAMRODDERS BOOSTER CLUB- 06/13/97 TC 06/13/98 " t OWNER: TEL. NO: FIN L�5 ATE FINAL Y - / E:, TEMPLE CITY UNIFIED SCHOOL-DIST (000) 000-0000- DESCRIPTT1ION OF WURK BOOTH LIGHTING FOR FIREWORKS STAND LICATEL. NO: DALE'S ELECTRIC (818) 287=8627- SPECIAL ONDITIONS: CO 0 TEL. N0: _ �// APPROVA S A INSPECTOR SIGNATURE DALE'S ELECTRIC (818) 287-5064-,' 9923 E. LIVE OAK LIC. NO (/�9A TEWPG TEMPLE CITY, CA 276218C-101, I UNDERGROUND CONDUIT I i ARCHITECT UFER GROUND t � LIC. NO: , ROUGH CONDUIT RO G' WIRING - t ` MAIN WATER LINE 1 PLASTIC Y/N METAL Y/N p��LC WnU IF'KS UTILITY COMPANY T I D REPORT ID: DPR265 - ROUTE TO: BS0508 1 a COUNT'. Or LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPAkTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206190028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LES ID: FEES PAID B LU NG ADDRESS: ON FILE 9501 LEMON AV E _ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMB . NEAREST CROSS STREET: TEMPLE CITY BLVD. 5382-013-902 Al PERMIT ISSUANCE FEE 27.75 THOMAS PACE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 T-EAANT: JI GENEkHTORS +3 10HP +.00 GEN 19.65 1SSU[U�W-.- HROCESSE BYLAN EXPIRES 0 TEMPLE CITY RAM RODDERS TOTAL FEES 63.60 06/24/02 JK 12/21/02 OWNER: �- TEL. NO: FINAL DATE FINAL BY: CODE: TEMPLE CITY UNIFIED SCHOOL DIST !2 AZO Z C o€E-K I PTI OF WORK FIREWORKS STAND-2002 APPLICANT: TEL. O: RICHARD RAFFAELLI (586) 420-3942- 28000 S RIVER RD SPEC.AL CONDITIONS: HARRISON TWP 48045 ,CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RICHARD RAFFAELLI (586) 420-3942 28000 S RIVER RD LIC. NO �/� f,�, � � TERFORW 67JER HARRISON TWP, MI 48045 417812 C10 �i,' �✓�� '�� �,� UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: / � ''' — 1V �, UFER GROUND LIC. N0: % �; 1 - �� _ __- - ROUGH CONDUIT I RTH WIRING MAIN WATER LINE _ PLASTIC Y/N METAL Y/N UfTC REPORT ID: DPR265 ROUTE TO: BS0508 C0I1NTf OF LOS ANGELES TEMPLE CITY 003 ELECTRICAL PERMIT DEPAP.TMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406170040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY ..A 91780 PHONE: 1626) 235-0488 EXT: LEGAL ID: FEES PATD BUILDING ADDRESS: ON FILE 9501 LEMON AV E FEE DESCRIPTION: QUANTITY: UOM: 4' !OUNT: TEMP CA 91780 ASSESSOR INFORMATION NUM�EP: _ NEAREST CROSS STREET: TEMPLE CITY 5382-013-902 Al PERMIT ISSUANCE PEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TENANT: TOTAL FEES 43.95 ISSUED N: PROCESSED PLAEXPIRES ON: TEMPLE CITY RAMRODDE4S 06/17/04 JK 121,14%04 OWNER: TEL. N0: FINAL DATE FINAL BY: CODE: TEMPLE CITY UNIFIED SC':!OL DIST DESC IPTI ELECTRICAL FOR FIREWOORKS STAND - 2004 APPLICANT: K C ELECTRIC (310) 505-0444- 6509 GLORYWHITE SPECIAL CONDITIONS: LAY,EWOOD 90713 CONTRACTOR: TEL. NO: ,' APPROVALS DALE INSFECTOk SIGNATURE K C ELECTRIC (310) 505-0444- 6509 GLORYWHITE ST LIC. NO TEMPPOR_Y POIFP DOLE LAKEWOOD CA 90713 699521 C10 UNDERGROUND CONDUIT HTAk .TGA EC�T2 TM-IFlEcy: EL. F:G: I UM GROUND — —� tIC. NO: ROUGH CONDUIT— MAIN ONDUI _MAIN WATER Llk'E�— PLASTIC YIN METAL YIN UTILITY COMPANY NO—il—FITE15 REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0506170032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 y PHONE (626) 285-0488 EXT. ' LEGAL ID- FEES PAID BUILDING ADDRESS ON FILE 9501 LEMON AV E FEE DESCRIPTION QUANTITY- UOM AMOUNT TEMP CA 91780 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET TEMPLE CITY 5382-013-902 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY- TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 TENANT. TOTAL FEES 43 95 ISSUED ON: PROCESSED BY PLAN BY EXPIRES ON TEMPLE CITY RAMRODDERS 06/17/05 JK 12/14/05 OWNER TEL NO X�� FINAL Y- CODE TEMPLE CITY UNIFIED SCHOOL DIST - DESCRIPTION OF WORK ELECTRICAL FOR FIREWOORKS STAND - 2005 APPLICANT TEL NO- K C ELECTRIC (310) 505-0444- 6509 GLORYWHITE SPECIAL CONDITIONS LAKEWOOD 90713 CONTRACTOR TEL NO- APPROVALS DATE INSPECTOR SIGNATURE K C ELECTRIC (310) 505-0444- 6509 GLORYWHITE ST LIC NO TEMPORARY POWER POLE LAKEWOOD CA 90713 699521 C10 _ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0606150007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ERT: LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 9501 LEMON AV E FEE DESCRIPTION QUANTITY UOM: AMOUNT TEMP CA 91780 ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET: TEMPLE CITY 5382-013-902 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE., GRID LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16.20 ' ' TENANT TOTAL FEES 43.95 ISSUED ON. PROCESSED BY: PLAN BY EXPIRES ON TEMPLE CITY RAMRODDERS 06/15'06 JK 12/12/06 OWNER TEL. NO: FIN ATE FINAL BY: CODE: TEMPLE CITY UNIFIED SCHOOL DIST 9700 LAS TUNAS DR. TEMPLE CITY CA 91780 DESCRIPTION OF WORK ELECTRICAL FOR FIREWOORKS STAND - 2006 APPLICANT TEL NO: JIMIE NEVAREZ (310) 505-0444- 6509 GLORYWHITE SPECIAL CONDITIONS: LAKEWOOD 90713 CONTRACTOR TEL NO: APPROVALS DATE INSPECTOR SIGNATURE K C ELECTRIC (310) 505-0444- 6509 GLORYWHITE ST LIC NO TEMPORARY POWER POLE LAKEWOOD CA 90713 699521 C10 _t UNDBRGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO I UFER GROUND LIC NO: I ROUGH CONDUIT ROUGH WIRING _ I MAI.J WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED I i I i REPORT ID DPR265 ROUTE TO. BS0508