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HomeMy Public PortalAbout9507 OLEMA ST_Electrical__ BAAWE.e0816/7el APPLICATIO FOR ELEC ICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS New Residential Bldgs.&Pools EACH NO. FEE 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY Multi-family Sq.Ft. .02 — NEAREST Residential Swimming Po s 25.00 OWNER OR FIRM NAME Outlets:Rec�Light Sw. MAIL First 20 .50 11016, 10 ADDRESS Total No. Additional .30 it 941 CITY Tel..No. APPLIICANTK Lighting Fixtures First 20 .50 ZEE ADDRESS Additional .30 Total No-0-5-- AdditiCITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT Range—Heater—D.W._ ADDRESS ` Oven_Dryer_W.M. 4a Top _FAU —W.H._ CITY Hood_Fan —Other LICENSE OR Disp._Room Air Cond. 2.50 REG:.NUMBER Class.e J I HEREBY ACKNOWLEDGE THAAPT HAVE READ THIS APPUCA- Power Apparatus&Large Appliances TION AND STATETHAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVA,.or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS YP REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2.50 5.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 25.00 DESCRIBED RESIDENTIAL'PROPERTY. Over 50 To 100 Inc. PERMITEE 40.00 Over 100 SIGNATURE Services DISTRICT NO. C D BY 0-200 Amp.Under 600 V 12.50 Q 201-1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z O Temp.Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 1.0.00 0 Additional Sign Branch Circuits 2.00. INSPECTION > 10.00 Misc.Conduits&Conductors INFORMATION u Other(See Complete Fee Schedule) ON REVERSE u SIDE z 0 2 19.0 A 5 d #; 000002 PERMIT FEE (Sub-Total) 2 0 - 21.30 Z PLAN CHECKING FEE (One-Fourth Permit Fee) O o o 0 2 1.3 0 FI PERMIT ISSUING FEE $7.00 0 01, 12-79 a TOTAL FEE > INSPECTION FINALED •''� ode date: ���,r/�� BY -<<1`->_�9IL ®s rf ,L 3AG69-CES06-9-57 APPLICATION FOR ELECTRIC PERMIT 4' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 'gyp BUILDING AND SAFETY DIVISION ADDRESS _ � JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TTO+�FILL IN CROSS SST.�/ f% v� 1 T E M rERa�u+ Nr UM1 ER EACH FEE OWNERit /L '-111041A 1 6- LIGHTSOUT Sy RECEPT. SW. $ .10 $ � ADDRESS �r� - � LIGHTS / / f,y� LIGHTING FIXTURES / .10 ® CITy, "5 Wee C / • L.NO. ELEC.RANGES -•qLO.DRYERS ELECTRICIAN W A T E:R H E A'hER S •90 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSER$ AUTO.- CITY TEL.NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. p 0— w 25 � DI5J- I O. C7. I.I} ZO Q READY FOR INSPECTION I/2— 2 .$O (4 Iq 2 :--- s i.o0 INSPECTION RECORD 1.130 IS — go- 2. 0 50— 200 5.00 , SIGNS: NO.TRANS. - NO.LAMPS SERVICE 0-000V 1.00• SERVICE OVER GOOV 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 r r- SUPPLEMENTARY PERMIT .SU -TOTAL FES S" APPROVALS I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL FDUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WWIISI.BIG. WIRING G.HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE •° , UTILITY CO.NOTIFIED OF PERMITTE � FINAL VMMATION-) ARTHUR C.VEIT. CK NO SUPERVISING ELECTRICAL ENGINM __ ,r. 76Ald cE808 9-84 APPLICATION FOR E.LKTRICA� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FB /f) BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEERCOLEMAN W.JENKINS, SUPT. OF BUILDING FOR_APPLICANT TO FILL IN RECEPT TOTAL O N . EACH FEE LIGHT OU.Tl',ETSr FIRST 20 O $.20 $ 0 OWNER Q � MAIL 11 ') ADD'L f ADDRESS SWITCH �_ OVER.20 •fO LIGHTING TOTAL + FIRST 20 °ajo .20 OQ CITY ppTT TEL.NO. FIXTURES } — OV DR 20 110 D ELECTRICIAI'UMMSOIT �y R � RAN .CLO.DRYERS WTR.HTRS. BMTRTO Co., Ina 1.00 ADDRESS 892$ ^S Broadway GARB DisP_ CITY r ® IEL. �rs AT.7'-0,539 D18HWA AUTO.•WASH�'r' ® STATE SPACE HTRS. 8TA.APP.(ys N.P.MAX.) .50 LICENSE NO.'- SPACE MOTORS: OVER NOT OVER H.P. DISTRICT NO: GROUP ZONE PRO• SS-D O 1 ,� / 1.00 i �— ✓ t . f 1 s J 1.50 INSPECTION RECORD 9 B 2.00 8 15. 2.50 15 so 8.00 O s0 100 5.00. V W SIGNSr HO.TRANS. D_ NO.LAMPS H .Z SERVICE O.60OV-NOT OVER 200A 1.00 Q SERVICE O.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE' $ j I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS .DATE INSPECT R'S 810HATURB AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LAWS'REGULATING - ELECTRICAL WIRING. WIRING e IHEREBY.CERTIFY T 1 S PROPERLY. ANO/OR FIXTURES LICENSED AS R MIRED LOS ANGELES-CO YATE OF CALIFORNIA. O AT I THE LEO WNE F, END TORESIDE ,'TNSCRIBED TI PROPOWER SIGNATUR 1 UTILITY CO.NOTIFIED OF FERMI BBIM FINAL CLIDATION JOSEPH . ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER o 4 6 7 8,,oMAR 2 2 2 D 2 420- b i r {� 78A8IP•CE808485 APPLICATION. FOR E.L CTRI AL PER • .; , �J COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING d 7 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE..COUNTY ENGINEER COLEMAN•W. JENKINS. SUPT. OF BUILDING LOCALITY L NEAREST FOR APPLICANT TO FILL IN I CROSS ST. RECEPTACLE I TOTAL NO. EACH FEE I OUTLETS FIRST 20 $.20 R OWNER "V LIGHT J} MAIL SWITCH OVER ADD,20 10 ADDRESS F)RST 20 .20 TOTAL CITY T � i i e TEL.NO. v LIGHTING 1 FIXTURES FIXTURES J( ADD•L VER 20 .10 CONTRACTOR _ �! d O RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 0 15t GARB.DISP. STA.COOK CITY � / VL TEL.NO. Z'a� DISHWASH. AUTO.-WASH. STATE SPACE HTRS.. BTA.APP.(ys X.P.MAX.) .s0 LICENSE NO. MOTORS, OVER NOT OVER H.P. DISTRI NO. OU NE P CESSED Y O 1 1.00 1 s 1.50 INSPECTION RE RD s 8 2.00 S 1 s 2.50 1s so 3.00 O so too 5.00 V 99 SIGNSs NO.TRANS• 10 NO.LAMPS }' W SERVICE 0.60OV-NoT OVER 200A1.00 � SERVICE 0.800V-OVER 200 A. 2.00 ? SERVICE OVER 600V 5.00 OTHER (SEE CQMPLETE FEE SCHEDULE) 43 /✓ PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 8 APPROVA S DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING v- v ''•� ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTUR68 LIC :AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA -.11 AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN.T ROVE RIBED ENTIA ROPERTY. SIGNATURE UTILITY CO:NOTIFIED ca A I s OF PERMITTEE FINAL 0CKLIDATION JOSEPH•C. R00 AN MO CASH SUPERVISING ELECTRICAL ENGINEER LAC6823812 DEC 22 2 D 3.508_ 7 76A663 'DBS SA „-sa ••�. APPLICATION FOR'PERMIT DEPARTMENT OF BUILDING AND SAFETY ,`, COUNTY OF LOS ANGELES '; ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER I' DISTRIGROUP I ZONE PERMIT No. FOR APPLICANVO FILL IN ELECTRICIAN t"r RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY t�tt�. ' TEL.NO. COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES � I ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST VVV RECEPTACLES CROSS BT. WALL SWITCHES OWNER • TOTAL OUTLETS - 5c $ MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 'CITY TEL. NO. FIXTURES 5 .S' I' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS ;' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS " AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS i I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE " ANGELES CQUNTY LICENSE, .OR I AM THE LEGAL OWNER NEw MVD. HP' CvER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED AS E. I/2 a LESS $ .25 SIGNATURE OF V/2 2 .513 " PERMITTEE ` 2 5 1.130 INSPECTION RECORD is so. 2.50 50 200 6.00 _ 200 5013 10.130 J sou 10o0 15.011 - Z OVER 1000 20.013 0 M.G. BET/FREQ. CHANGER-HP WELDERS:AC-KVA i O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75%,or ORIS-)' i MOVEp MOTORS (75% OF BRIM.) MISC. SIGNS NO. NO.TRANS. r� APPROVALS N0. NO.LAMPS FOR EACH PERMIT: DATE I N S PECTOR'S NAME WIRING $1.013 na; CONDUIT r� V Ons1l CiLY FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES � I POWER TOTAL FEE ��, UTILITY CO.NOTIFIED +,, FINAL rl�7ic� fS/ ' �17 WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT Ll I hergb%,affirm that Ir 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.) Policy No. Company r` fL FOR APPLICANT TO FILL IN JOB �1 TTS ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY $ $Ft S il Famy, q. . — �I Certified copy is tiled with thhhg��epppunty building Inspection 1&2- _ It NEAREST department. Multi-family Sq.Ft. CROSS ST. Date ��^� Applicaj Residential Swimming Pools ASSESSOR �`7" MAP BOOK PAGE PARCEL 10116 CERTIFICATE OF EXEMPTION FROM WORKER Outlets:Rec._Light Sw. OWNER OR ,r t COMPENSATION INSURANCE. First FIRM NAME Id This section need not be completed If the work Involved b the Additional io MAIL permit is for one hundred dollars($100)or less.) y Total No. Additional ADDRESS S'?' I certify that In the performance of the work for which this permit CITY T.I.No. ` 2'7 /_ is Issued, I shall not employ'any person in any manner so as to PLAN CHECK KJ 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. A � � provisions of the Labor Code,you must forthwith comply with such PERMIT ANT f � l� provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 5 . o i I hereby affirm that I am licensed under provisions of Chapter 9 �_ �a (commencing with Section 7000)of Division 3 of the Business and Qver 3 to 10 Incl. CITYTel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR �• �' Over 50 to 100 Incl. REG.NUMBER Class.V2p O ��1 O Over 100 DISTRICT NO. R SED BY U License Number Lic.Class _ p� Services,,Swbd.,MCC&PanelboardsFINAL 0 v Q Contractor✓6ez +, Date 0-399 Amp.Under 600 V DATE.• U I am exempt under Sec. ❑ 400-1000 Amp.Under 600 V FINALS J Over 1000 Amp.or Over 600 V VALIDATION W CL B.&P.C,for this reasonBY Z BRANCH CIRCUIT FEES Date: 15A,or 20A,120V,Lighting or Recept. — 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or.More Branch Circuits ❑ Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I.hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ri'L• (�T for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 'r(f? 5- Code): �s:r=f v ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors ( i ITEMS is not intended.or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOTAL 45. 1 5 and Professions Code). i"HOCK 45.115 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the i �finl44�t Cit-s performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total)' Civ.C.) PLAN CHECKING FEE // i1j�j jt s-j��jl 3 2/94 Lender"s Name PERMIT ISSUING FEE 417? P M1211 '1�t s� Lender's Address Z_Z 7_�/ I certify.that I have read this application and under penalty of purJury state TOTAL FEE '/ • that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property fo inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMIrrE DATE ' WCIRKER'S COMPENSATION DECLARATION 78A663 DPW(12"91) APPLICATION FOR ELECTRICAL PERMIT I hmJeby affirm that I 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.) Poli No. Company .00=, JOB FOR APPLICANT TO FILL IN JOB �% h ADDRESS Certified co Is hereby furnished. NO. EACH FEE LOCALITY T� PY New Residential Bldgs.&Pools ❑ 1 &2-Family,Sq.Ft. _ $ $ Certified copy is filed with the county building inspection NEAREST departent. ®� Date Applica4=4/� Multi-family Sq.Ft. CROSS ST.& Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light 121—Sw..+.��� OWNER OR COMPENSATION INSURANCE d FIPMNAME (This If the work Involved b This section need not be completed the First 20 MAIL y permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS I certify that in the performance of the work for which this permit CITY �;P-4c Tel.No. is Issued, I shall not employ any person in any manner so as to PLAN NCK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20APPLICANT Total No. Additional 4570 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 �y provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANTL40 6� LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR. ADDRESS Of I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY ��� �� Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. �� LICENSE Clime } Over 50 t0 100 Incl. REG.NUMBER Q. f/ � � Lic.Class ,,Q Over 100 DISTRICT NO. P SED BY V License Number��T �+ � �.�f p Services,Swbd.,MCC&Panelboards y�.C/!J 0-399 Amp.Under 600 V FINAL O Contract s Date DATE F.. ❑ W 400-1000 Amp.Under 600 V �r � VALIDATION W I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL B.&P.C.for this reason BRANCH CIRCUIT FEES BY .- CO Date: 15A,or 20AQ,�120V,Lighting or Recept. `' Z _J SMI To 10 Branch Circuits S'J ,r�r•r.- - I"tL•bs Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits L Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances _ _ HOME OWNER-BUILDER DECLARATION _ i' - 'a I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit . I��- °*—+ m a' Lil for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits v��t'_se `5_a r+- Code): ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors CHANGE a G is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). LItItL�"wr(fl 7 �°r/4'it CONSTRUCTION LENDING AGENCY -. All E 9 I hereby affirm that there is a construction lending agency for the 4-7701 performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) lgzb '� r 30 Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE [96z 462 Lender's Address �"tr} I certify that I have read this application and under penalty of purjury state TOTAL FEE ��`"' that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property for Inspect'yn urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Vie 44 SIGNATURE 6F PERMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1002240002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 1 TR: 14533 IT: 22 BL: .001 1 9507 OLEMA ST 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801344 1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 5382-014-046 ]A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 1-95 ITENANT: ]G2 LIGHTING FIXTURES 1.00 LGT 1.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I TOTAL FEES 31.65 102/24/10 SR 02/24/11 (OWNER: TEL. NO: I FINAL DATE FINAL BY: CODE: I IGIORS, LOUIS (818) 304-4217- I 19507 OLEMA ST 1 I L- -4D 1 ITEMP 917801344 (DESCRIPTION OF WORK ] I 11 SWITCH AND LIGHT FIXTURE FOR THE LAUNDRY ROOM. APPLICANT: TEL. NO: I I IVERED NISSAN (800) 209-8589- 16241 GLADE AVE. #101 ISPECIAL CONDITIONS: 1 (WOODLAND HILLS 91367 � I I ]CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IGENERAL REMODELING & CONSTRUCTION* (800) 209-8589- I 1 ] 5632 VAN NUYS BLVD. #290 LIC. NO I ITEMPORARY POWER POLE I I IVAN NUYS, CA 91401 531665 B I I I I I I (UNDERGROUND CONDUIT I I ]ARCHITECT OR ENGINEER: TEL. NO: 1 iUFER GROUND 1 I 1 I LIC. NO: I IROUGH CONDUIT I I I I I IRDIIGH WIRING 1 I ] I IMAIN WATER LINE I I ] ] ] IPLASTIC YIN METAL YIN I I I ] ] (UTILITY COMPANY NOTIFIED( I I I I I I I I ] I I I I I 1 I I 1 I I I I I I ] 1 I I I I I I I I I I (REPORT ID: DPR265 ROUTE TO: BS0508 ] I I I I I ] I I I