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76A669-CE806 9-66 APPLICATION FOR L,:ECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 17-
[NEAR
UILDING
BUILDING AND SAFETY DIVISION ADDRESS SGS TJ~�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CRoss ST. AA.10,10
RECEPT. lj� TOTAL NO. EACH FEE 20 w�
OUTLETS FIRST $.20 $ OWNER
LIGHT / MAIL
OVER•20 10 ADDRESS Go /Y/ / / je/07 -
SWITCH f�II,,gg
TOTAL FIRST 20 .20 CITY "!�� (�`�, TEL.NO.
LIGHTING FIXTURES
FIXTURES CONTRACTOR Q� --CT/rJC
OVERVER 2 20 .10
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY-SA*' TEL.NO.
DISHWASH. AUTO.-WASH. STATE / ;"'oSPACE HTRS. STA. APPL. ,SO
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST�IC O. G P NE IP=ED BY
O 1 1.00
- i
1 5 1.50 INSPECTION RECORD
I
5 B 2.00 I '
04
8 15 2.50 I
15 50 5.00 /, d
�!► iv^ �1a1Gr^ O
50 100 5.00 V
r�
SIGNS:
NO.TRANS. ,^s+
'ere
-g /y/y y
NO.LAMPS I � � � �� '��hE'G'�'� F�T `�� �' /5 G !�O
SERVICE 0-600V-Nor OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00 • F N
I Z
SERVICE OVER 600V 5.00 i
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00APPROVALS DATE INBPECrOR•SBIGNATUM
TOTAL FEE $
flu
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WI RI NG'
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,AND INTEND TO POWER
RESID'IN"
IN,TNE ABOV CRIBED RE E TIAL P OPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL 9 i/.:,
VALIDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
LACO 7 5 1{7 MAR 9 2 D 4.00-
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I
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78A889-CE808:17Q~ APPLICATION FOR ELECTRICAL PERMITL1
"COUN.TY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fBoRE'SS Z EZBUILDING AND SAFETY DIVISION � 'JOHN A. LAMBIE, COUNTY ENGINEER CALITYCOLEMAN W. JENKINS SUPERINTENDENT OF BUILDINGNEARE
FOR APPLICANT TO FILL IN OSS ST. �� L
OUTLETS NO. EACHI FEE
OWNER A � /•
RECEPT.� $ $ ADDRESS A u VC,f (-
LIGHT2 TOTAL FIRST 20 20 O CITY TEL. NO Q Z
SWITCH OVER 20 1p
PLANCHECK
TOTAIL LIGHTING FIRST 20 20 O APPLICANT
.
FIXOVER 20 f0 ADDRESS
TURES
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER I WTR. HTR. APPLICANT EL
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL, NO.
CLOTHES WASH.—)—DISHWASH. LICENSE NO. CLASS.
FAN OTHER 2, 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
O — 1 1.00 LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATUE
10 — 50 8.00 OF PERMITTEE ��f "�— O
V
50 — 100 10.00 CC
D19:RIOTNO. CLASS GROUP ZONE PROCESjFx—�SSY O
100 — 500 13.00 0 J l/ G
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES, G AL
ILI
TUBE, OR .J/� "�'�! 9. & t
—
MARQUEE ADDITIONAL CIRCUITS IAO
SERVI CE NOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP S.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL L-- 1�
JOSEPH C. RCOHAN
TOTAL FEE a SUPERVISING ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH
I I!'_ 0 7 7 5c�' Q D Jam. JN `
ti
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
eel
WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICAT10WF'����ICA_ RM IT
hereby affirm that I have a certificate of consent to self CE-806G
nsure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
r a c rtiftd co ereof(Sec. 38�0j9, b.
C.,
olic lol ® Company0 , FOR APPLICANT TO FILL IN JOB
C tified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS nv� v SCS /—
LOCALITY l'
Certified copy is filed ith t coup building inspec- 1 &2-Family, Sq. Ft. $ — $ z'
tion deportmer _�/y` l/fes Multi-family Sq. Ft. — NEAREST
ca + l�/ / Residential Swimming Pools OWNER T
Pcp I�
FIRM
CERTIFICATE OF EXFMPfIrfN FR M WORKERS' 7 _1 NA E
Outlets: Rec =Light Sw. �. MAIL
COMPENSATION INSURANCE P7j ADDRESS
First 20
(This section need not be completed If the work Involved by Total No. Additional Cl &/7Z 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----77:;P
NOTICE TO APPLICANT: If, after making this Certificate of APPLICA {
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.JL ADDR SS ;L
with comply with such provisions or this permit shall be Top — FAU �H. — CI Tel. No
deemed revoked. Hood — Fan _71�^Other_
LICENSED CONTRACTORS DECLARATION 7j ® LICENSE OR rrCl F
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — REG. NUMBER (D Class.
-
(commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCESSED BY
and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances �-� IL
Size&Type HP, KW, KVA, or KVAR ✓ t D 0
License Number Lic. Class Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE �Z��� VALIDATION
Contractor DateFINAL V
Over 10 to 50 Incl.
E] I am exempt under Sec. Over 50 to 100 Inc. BY �� IN!
CL
Over 100
BAP.C. for this reason
Date:
Services, Swbd„ MCC&Panelboards polo0 -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
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
Professions Code):
❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— ►
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for i
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 y
PERMIT ISSUING FEE `
Lender's Address
I certify that I h read this application and state that the TOTAL FEE
above informat' s correct. I agree to comply with all County
ordinances d tate laws regulating Electrical wiring, and
reby out n e representatives of this County to enter upon
t abo efioned proper q for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
A) -�,r� �
ignature of Permittee Date
r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0802260004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: 1
IBK: 32 PG: 47 PC: 2 I I 6024 MUSCATEL AV N 1
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( SCAB CA 917752623 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15386-011-075 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 60.00 OUT 93.00 1 I
ITENANT: IG2 LIGHTING FIXTURES 20.00 LGT 39.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 02/26/08 SR 08/24/08 1
I I TOTAL FEES 198.60 1 I
(OWNER: TEL. NO: I IF NAL DATE FINAL RYA CODE: 1
IWATTERLOND ROBERT K;MARIE A (626) 285-8524- I 1 I
16024 MUSCATEL AV I
SGAB 917752623 I ID€�SCRIP ON OF WORK
IRE-WIRE 60 OUTLETS, 20 LIGHT FIXTURES AND UPGRADE SERVICE
I I IPANEL TO 200 AMP I
1APPLICANT: TEL. NO: I I I
IGLYCHER
I I IS,P,E`CIAL CONDIrT,I,ONS: 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IASI ELECTRIC, INC. (818) 366-6476- I I
19909 TOPANGA CANYON BLVD. LIC. NO I (TEMPORARY POWER POLE
1#213 807392 C10 I I
I I I
CHATSWORTH, CA 91311 i JUNDERGROUND CONDUIT i 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND
I � I
I LIC. NO: 1 1ROUGH CONDLUT I I I
IROUGH WIRING I 1 I
I I IMAIN WATER LINE 1 I I
IPLASTIC Y/N MET;ok/N
I (UTILITY COMPANY NOTIFIEDI�
I I 16�L� 1
I I I I I I
I
I i I I
I I I I I I
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I I I I I I
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IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 0802200020
BIIILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BIIILDING ADDRESS:
IBK: 32 PG: 47 PC- 2 11
I 6024 MUSCATEL AV N
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] SGAB CA 917752623 1
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15386-011-075 IA1 PERMIT ISSIIANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
JH2 RES GRBG DISP IT 3HP 1.00 DIS 10.95 1 I
ITENANT: IH3 RES DISHWASHR IT 3HP 1.00 DIS 10.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: ]
I IH4 RES RANGE HDS IT 3HP 1.00 HOO 10.95 102/20/08 SR 08/18/08 ]
I ] TOTAL FEES 60.60 I I
(OWNER: TEL. NO: ] IFANAL DATE FI B CODE:
IWATTERLOND ROBERT K;MARIE A (626) 644-5678-
16024 MUSCATEL AV 1
ISGAB 917752623 1 IDESCRIPTION OF WORK 1
IREPLACE GARBAGE DISPOSAL, DIS HER AND RANGE HOOD 1
(APPLICANT: TEL. NO: 1 1 I
ITLC REMODELING (877) 717-3663-
1151 E. WHITTIER BLVD 1 ISPECIAL CONDITIONS: 1
1LA HABRA, CA 90631 I 1
I 1 1CONTRACTOR: TEL. N0: 1 (APPROVALS DATE INSPECTOR SIGNATURE
ITLC REMODELING (888) 343-9100- 1 I I
1151 8 WHITTIER BLVD #B LIC. NO I ITEMPORARY POWER POLE ] I ]
ILA HABRA CA B/L22893 I_
1 1 1UNLERGROUND CONDUIT I I 1
I
ARCHITECT OR ENGINEER: TEL. NO: I LIFER GROUND ] I I
I - 1
LIC. NO: 1 IROUGH CONDUIT II I
I 1 1ROUGH WIRING � I
] I IMAIN WATER LINE I 1 I
1 1 IPLASTIC YIN METAL YIN ]
1 1 (UTILITY COMPANY NOTIFIED] I
I ] I I I
I I I I
I ] I I I I
I I I I
I I ] I 1
I I I I I I
1 I I I I I
I
I I I
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] I ] ] 1 I
I
i* ADDITIONAL DATA ON FILE 1 1 I ]
1 1REPORT ID: DPR265 ROUTE TO: BS0508 1 I I
I � I
JCOUNTY OF LOS.ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0803040008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
[LEGAL ID: FEES PAID BUILDING ADDRESS:
IBK: 32 PG: 47 PC: 2 6024 MUSCATEL AV N
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( SGAB CA 917752623
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15386-011-075 IAl PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
TENANT: IG2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 33.60 103/04/08 SR 08/31/08
OWNER: TEL. NO: IF TF--... FI BY: CODE:
1WATTERLOND ROBERT K;MARIE A (626) 644-5678- r
16024 MUSCATEL AV 000
ISGAB 917752623 IDESCRIPTION OF WORK
BATHROOM REMODEL 1 GIF & 2 LIGHT FIXTURES
APPLICANT: TEL. NO:
ITLC REMODELING (877) 717-3663-
1151 E. WHITTIER BLVD ISPECIAL CONDITIONS:
ILA HABRA, CA 90631
CONTRACTOR: TEL. NO: ]APPROVALS DATE INSPECTOR SIGNATURE
ITLC REMODELING (888) 343-9100- 1 1
1151 E WHITTIER BLVD #B LIC. NO ITEMPORARY POWER POLE I
ILA HABRA CA B/1,22893 * I
(UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND
I LIC. NO: I IROUGH CONDUIT
IROUGH WIRING I 1
IMAIN WATER LINE
1 ]PLASTIC Y/N METAL Y/N I I 1
] 1 ]UTILITY COMPANY NOTIFIE51 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
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I* ADDITIONAL DATA ON FILE
IREPORT ID: DPR265 ROUTE TO: BS0508 ] I I 1
I I ] I I I
1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1401150039
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
[BK: 32 PG: 47 PC: 2 I 1 6024 MUSCATEL AV N 1
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ SGAB CA 917752623 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15386-011-075 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY. TEMPLE CITY, Cl
[ [G1 OUTLETS-LOT,SW,RECP 4.00 OUT 8.00 1 I
(TENANT: JG2 LIGHTING FIXTURES 2.00 LGT 4.00 ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 39.80 101/15/14 SR I
(OWNER: TEL. NO: FINa DATE FINAL BY: CODE: [
INI, YU S (626) 374-2559- [ I 1
16024 MUSCATEL AV I [
ISGAB 917752623 [ IDESCRIPTION OF WORK 1
I [ 14 OUTLETS AND 2 LIGHT FOR TWO BATHROOM REMODEL [
[APPLICANT: TEL. NO: 1 I I
ITSAI, CHIN FU (626) 327-0828- I [ I
11751 BANIDA AVENUE [ ISPECIAL CONDITIONS: I
IROWLAND HTS CA 91748 I [
I 1
ICONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE [
(EXCELLENT CONSTRUCTION INC (626) 327-0828- 1 1 I
11751 BANIDA AVENUE LIC. NO 1 ITEMPORARY POWER POLE I I I
IROWLAND HEIGHTS CA 91748 623876 [ 1 I I I
I I [UNDERGROUND CONDUIT I I I
[ARCHITECT OR ENGINEER: TEL. NO: [ IUFER GROUND I I I
LIC. NO: 1 IROUGH CONDUIT I I 1
IROUGH WIRING I I I
I I [MAIN WATER LINE I I [
PLASTIC YIN METAL YIN I I
I I [UTILITY 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
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[REPORT ID: DPR265 ROUTE TO: BS0508 [ I [ [
1 [ I I I I