HomeMy Public PortalAbout5004 PAL MAL AVE_Electrical__ r6A663 CE=806(11:/78) APPUCA tl 0®N FOR ELIE M tl ECAL PERMIT
k1 •__._._,-.
COUNTY OF LOS ANGELES BUILDING;AND SAFETY
FOR APPLICANT TO FILL IN JOB •^
New Residential Bldgs.'-&Pools
EACH NO. FEE . ADDRESS _
1 &2:Family,Sq.Ft. $ .025 — $ 1 LOCALIT
'Multi-family Sq.Ft. 024 — NEAREST:. �
CROSS ST:,.
Residential Swimming Pools 25.00 ' .OWNER OR
FIRM NAME * d 12 "lee. b"
Outlets:.Rec 1 Light,�, SAD R7 SS
'First 20 .50 o�
Total Nq. - Additional :20 CIT -, �,/ .�' Tel.No.�%
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 •50 ADDRESS ,
Total No. Additional 30 ` CITY ' Tel.No. -
Fixed Appliances Not Over 1 HP -PERMIT -
Range—Heater—D.W._ APPLICANTADDRESS-
Oven—Dryer_W.M.
Top _FAU —W.H._ CITY I Tel.No..V
Hood_Fan _Other_ LICENSE OR
Disp._Room Air Cond.. ?+50 REG.NUMBER - C1assG
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO
Size& COMPLY WITH ALL COUNTY ORDINANCES AND-STATE LAWS =
ype HP,KW,KVA,or KVAR EGULATING ELECTRICAL WIRING.
Up to 1 Incl.. `'' '
5.00 I HEREBY CERTIFY THAT I AM P PER REGI EREI AND/OR
Over 1 to 10 Incl. �� LICENSED AS REQUIRED BY LOS E N AND STATE OF Cg
Over 10 to 50 Incl. 12.50 CALIFORNIA.OR THAT L O OF'JE ABOVE
25.00 DESCRIBED R AL P ERT 15
Over 50 to 100,Inc. Cd
Z @6
Over.100 40.00 PERMIT EE y
SIGNATURE.
Services - DISTRICT N � '• IPRUI;W - "
0-200 Amp.Under 600 V 12.50
201-1000 Amp.-Under 600 V 25.00
Over 1000 Amp.or.Over 600 V' 50:00 Z
0
Temp.Power Pole&Appurtenances 10.00 a
Sign with One Branch Circuit 10.00 M
Additional Sign Branch Circuits 2.00' INSPECTION >
•F INFORMATION
Misc.Conduits&Conductors 10.0.0•. ON REVERSE S
Other ISee Complete Fee,Schedulel' SIDE u
g # a000'o2
PERMIT FEE (Sub-Total) 2
z
PLAN CHECKING FEE (One-Fourth Permit Feel O
-PERMIT ISSUING FEE - $7.Ob Z
z-7)_ � GANG
a
TOTAL FEE
JNSPECTION FINALED
• W
date: By, - es
76A3`t . '°"' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES ^/ w
gDEFARTMENT OF COUNTY ENGINEER ADDRESS /.Y r GV
'BUILDING AND SAFETY DIVISION
FOR APPLICANTTO FILL IN . LOCALITY %
New Residential Bldgs.&Pools EACH NO. FEE NEAR ST. Jr`
1 &2-Family,Sq.Ft. $ '025 — $ OWNERCROSSST.
Multi-family Sq.Ft. •02 — FIRM NAMEC��,v QAC
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets:Rec Light_Sw. 4!�:_ CITY Tel.No.
First.20 50 PLAN CHECK
Total No. Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.-- CITY Tel.No.
Oven_Dryer_W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER Class.
Hood—Fan _Other— 'I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. —Room Air Cond. 2'50 THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&targe Appliances
Size&Type HP,KW,KVA,.or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS AN ELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OWNE�OF HEABOVE DESCRIBED RESIDENTIAL PROPERTY. CD
�— Over 1 to 10 Incl.
5.00 ?J
Over 10 to 50 Incl. 12.50 PERMITTEE r C
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. P ESSfq BY H
Services 0
0-200 Amp,Under 600 V 12.60 INSPECTOR'S
201-1000 Amp.Under 600 V 25.00 APPROVALS DA SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
Temp.Power Pole&Appurtenances
10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2'00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00 7)
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. .0. CASH'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDU
76A6�9 C1:-60 , 10/77 %,APPLICATION FOR ELECTRICAL PERMIT _
COUNTY OF LOS ANGELES
;DEPAR'T'MENT OF COUNTY ENGINEER JOB
'BUILDING AND SAFETY DIVISION ADDRESS r & //.'! <i
FOR APPLICANT TO FILL IN LOCALITY .
New Residential Bldgs.&Pools EACH NO. FEE CNEAREST
ROSS T. iDs
1 &2.-Family,Sq.Ft. $ .025 — $ r
OWNER OR ��//``�''�
Multi-family Sq.Ft. 02 — FIRM NAMEC/t/,[/' Q�
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets:Rec Light_Sw. 12 CITY Tel.No.
First 20 -•50 � PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W._ CITY Tel.No.
Oven_Dryer_W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER Class.
Hood_Fan —Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp. —Room Air Cond. 2.50 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS AN ELES COUNTY AND STATE OF CALIFORNIA OR THAT:1 AM
Up t0 1 Ind. 2.50 THE.LEGAL OWNER OF HE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C
�— Over 1 to 10 Incl.
5.00 � '� C.2Over 10 to 50 Incl. 12.50 PERMITTEE r c
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. PROESr BY ti
Q 8
Services y-
0-
!0.200 Amp.Under 600 V 12.50 INSPECTOR'S
25.00 APPROVALS DA SIGNATURE
201.1000 Amp.Under 600 V "
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
UNDERSLAB WORK
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
]FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit feel
PERMIT ISSUING FEE $7.00 T)
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDU
76AG63C.-_C6606B 12/75.+ APPLICATION FOR ELECTRICAL PERMIT _
'BUILDING AND SAFETY DIVISION
FOR APPLICANT TO R.ILL.IN ,JO:B
New Residential Bldgs.&'Pools
EACH NO.. FEE ADDRESS
1 &'2 Finally Sq. Ft. $ _ $ LOCALITY
Multi-family Sq.Ft. - N
EAREST
ST. E3 I _
Residential Swimming Pools ,
R OR �+ "
FIRMNAME
Outlets: Light,Switch&Receptacle MAI
First 20 -[�_ �,
Additibnal '� '�I/i�_f1' Tel.. g-.
PLAN.CHECK
Lighting Fixtures APPLICANT ,
First 20 pl_L1�_, AD DRESS:
Additional L7v1��.
- CIl'Y _ - Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater D.W. ADDRESS
Oven Dryer — W.M.
Top• FAU W.H. CITY Tel.No.
Hood Fan LICENSEOR c
REG'.'NUMBER Class.
Disp. A.C. c.a
�-• 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
1 '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus&iLarge Appliances WITH ALL COUNTY ORDINANCES AND .STATE LAWS REGULATING I.-•
Type HP,KW,•KVA,or KVAR' L
Size&T ELECTRICAL..WIRING. '
Up to 1 Incl. I HEREBY CERTIR T T I AM P OPER'LY I.STE D AND/O
Over 1 to 10 Incl. LICENSED AS REG R. Y LOS' L CO N Y A TATE
+,
CALIFORNIA OR T �AM T E E E 'ABOVE
Over 1 O to�50 Incl. DE.SCR.IB.ED R D PR R Y..
Over 50 to 100 I'nel. PERMITEE e
Over 100 'SIGNATU.
Services -
DISTRICT NO. P ES BY
0-200 Amp. Under 600 V
201 -1'000 Amp.Under 600 V APPROVALS D INSPECTOR'S'
Over 1000 Amp.or Over 600 V
SIGNATURE
TEMP::POWER POLE.
Temp.Power Pole&Appurtenances UIVDERSLAB WORK _
Sign with One'Branch Circuit
Additional Sign Branch Circuits
ROUGH CONDUIT
(Other) WRING
FIXTURES
P.OWER.AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE I
NOTES
TOTAL.FEE F
PLAN CHECK VALIDATION CIC. M10CASH PERMIT VALIDATION CK:. M.O. CASH
. 9 2 till Q ..
►6AB68•CEBD67.BB APPLICATION FOR ELECTRICPERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
ADDRESS . D �—
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING nD
LOCALITY L
IE
FOR APPLICANT TO FILL IN NEAREST
ROSS T L
PERM FEES
I T E M NUMBER: EACH FEE OWNER
FGARBAGE
_ 5 $ 7S MAIL
RECEPT., -.SW. f0 [/ ADDRESS /4 r+
FIXTURES .10 CITY TEL. NO.
ES CLO. DRYERS _ ELECTRICIAN =L.
ER H E A'f 6 R 5- .SO ADDRESS
HTRS. DISHWASHERS
CITY TEL. NO.
ISPOSERS - TO.-
STATE
STA. COOKING UNITS .25 LICENSE NO.
-ffoTORS: OVER INC. H.P. DISTRIC N I G O P ZONE i P ES BY
o— 1/2 .25
do
+/2- 2 .so INSPECTION RECORD
2— S 1.00
is— SO 2.50
50-200 5.00
= SIGNS: NO. TRANS, ,
NO. LAMPS
SERVICE 0-000V 1.00
SERVICE OVER GOOV 5.00
M ISC.
WIRING.PERMIT 1.00 W "
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVIi READ THIS AP LICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT r-^C^•.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ( f
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS RE°UI BY LOS ANGELE6 COUNTY AND STATE OF FIXTURES \ '
CALIFORNIA OR T AT 1 AM TH LEGAL OWNS TH6 E POWER
DESCRIBED REBID TI PROPE
SIGNATURE UTILITY CO.NOTIFIED
OF PERMI FINAL ��! Q
a
//3���T�`IIIIIIYYLIDATION A HUR C. VEI
CIV 'Mo CASH SUPERVISING ELECTRICAL ENGINEER
Li'&3347SMAR 12 2A 420 �
WORKERS'COMPENSATION DECLAR'jCTION CE 88 6G (2-80)• APPLICATION FOR. ELECTRICAL PERMIT
I berfiy a kiln that I have'a certificate of consent to self COUNTY'OF LOS ANGELES BUILDING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or i
a certified copy thereof(Sec.3800,Lab..C.)
FOR APPLICANT TO FILL IN JOB a. /
Policy No. Company ' ADDRESS
!ter
Mew Residential Bldgs.&Fools EACH NO. - FEE A
❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. . $ — $ LOCALITY 7� /
Multi-family Sq. Ft. — NEAREST
El Certified copy is filed wlth the county building inspection CROSS ST -
department. Residential Swimming Pools
OWNER OR
Date Applicant /0 2 FIRM NAME
Outlets: Rec ,Light�irst 20� � ADDRESS
First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No, Additional CITY' C>fl Tel No.
COMPENSATION INSURANCE
Vd PLAN CHEUK
CL
O
PPLICANT
(This section need .not be completed if the work involved Lighting Fixtures First 20 U
by the permit is for one hundred dollars ($100) or less.) , ADDRESS
Total No.&_ Additional
CITY Tel No. 0
1 certif� that in the performance of the work for which thisermit is issued., I shall not employ Fixed Appliances Not Over 1 HP U
p p y any person in any manner PERMIT W
so as to become subject to the Workers'Compe tion Laws. Range Heater D.W. APPLICANT d
Oven _ Dryer�W.M.� ADDRESS Z
Date Top Top FAU _W.H.
Hood Fan _Other_ CITY Tel No.
NOT CE TO APPLICANT: If, after making this Certificate of Disp.'�Room,Air Cond— c3id O (p I A LICENSE OR
Exemption, you should become subject to the Workers' REG.NUMBER Class
Compensation provisions of the Labor Code, you must forth- PowerApparatus&Large Appliances DISTRICT NO, PROCESSED BY
with. comply with such provisions or this permit shall be Size&Type HP, , ,or
deemed revoked. KWKVAKVAR p
Up to 1 Incl.
• FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE VALIDATION
Over 10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 1.00 Inc. FINAL
9 (commencing with Section 7000)of Division 3 of the Busi- ' Over 100 BY
ness.and Prbfessions.Code,and my license is in full force and
effect. Services
0-200 Amp.Under 600 V
License Number Lic.Class 201-1000 Amp.Under 600 V p
Contractor Date Over 1000 Amp.or Over 600 V l
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that 'I am exempt "from the'Contractor's Sign with One Branch Circuit,
License Law for the following reason (Section 7631.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):
Misc.Conduits&Conductors A5 1 5 0'A
I, as owner of the property, will do the work and the Other. Complete'Fee Schedule)—
structure is not intended or offered for sale (Section ""o 0 o c '0'2
7044,Business and Professions Code). . 1
CONSTRUCTION LENDING AGENCY 2,o o39. 1 n
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is i
PERMIT FEE `� 00 0: (/N.issued,(Sec.3097,C_iv�j�j,� �!
(Sub-Total) (e
Lender's NaPLAN CHECKING FEE (One-Fourth Permit Fee) 07723-82
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE f
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
ve-men ned p ty. r inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
e _
Signatur ofr ittee Dat
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0510200014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12205 LT: 18 5004 PAL MAL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803431
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KEY WEST
8585-030-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 37.50 10/20/05 JK 04/18/06
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HUANG, LILI (626) 443-2580- /77/-1-
!O_ /_
5004 PAL MAL AV 7/ V
TEMP 917803431 DESCRIPTION OF WORK
4 OUTLETS, 1 LIGHT FIXTURE
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
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 1210290011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 12205 LT: 18 I 1 5004 PAL MAL AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917803431 I
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-030-022 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
I IP2 PC RES PV<10XW 153.90 I I
TENANT: IP3 INVRTR RES PV<lOKW 27.90 (ISSUED ON: PROCESSED BY.: PLAN BY: I
TOTAL FEES 209.60 110/29/12 SR I
(OWNER: TEL NO: ] ]FINAL D&TE FINAL Y: CODE: I
]TRAN, DU (626) 353-7559- ] i 1
5004 PAL MAL AV \\
ITEMP 917803431 I IMSCRIPTION OF WORK m1
IINSTALL PHOTOVOLTAIC 22 PANELS SYSTEM ON THE ROOF 1
](APPLICANT: TEL. NO: 1 ] I
NG, STELLA (909) 629-0818-
11967 WEST HOLT AVE ] ]SPECIAL CONDITIONS: 1
IPOMONA CA 91768 1 ]
I
I
ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE ]
ISOLAR SOLUTIONS_4 U INC (909) 762-3668- 1 I I
IDBA H L V ELECTRIC CO LIC. NO I ITEMPORARY POWER POLE
1247 W GLADSTONE ST 910748 * I I I ]
ISAN DIMAS CA 91773 ] ]UNDERGROUND CONDUIT I ] I
(ARCHITECT OR ENGINEER: TEL. NO: ] IUFER GROUND I ] I
1 _ ] I I I
] LIC. NO: ] IROUGH CONDUIT ] I I
I I I
1 1 (ROUGH WIRING I ] ]
IMAIN WATER LINE
]PLASTIC Y/N METAL Y/N I I I
] i ]UTILITY COMPANY NOTIFIED] I I
I I I I I
I I I I ] I
] 1 I I I I
I I I I I I
] I I I I I
I* ADDITIONAL DATA ON FILE I I I I
I I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
I I I I ] I
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1212030009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 12205 LT: 18 5004 PAL MAL AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803431
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-030-022 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 I [
ITENANT: I TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY:
12/03/12 SR [
(OWNER: TEL. NO: I [FINAL DATE FI BY: CODE: 1
ITRAN, DU (626) 353-7559- 1 [(
(5004 PAL MAL AV
TEMP 917803431 I IDESCRIPTION OF WORK [
I I IREPLACE METER PANEL 200 AMP I
(APPLICANT: TEL. NO:
ILIU, REBECCA (909) 629-0818- I [ 1
[164 W LIVE OAK AVE ISPECIAL CONDITIONS: I
IARCADIA CA 91007 1 [ 1
ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE I
IT & L AIR CONDITIONING INC (626) 294-9888- 1 [
1164 W LIVE OAK AVENUE LIC. NO [ [TEMPORARY POWER POLE I I [
IARCADIA CA 91007 733167 * I 1-.
(UNDERGROUND CONDUIT [ [ 1
1ARCHITECT OR ENGINEER: TEL. NO: [ [UFER GROUND
[ LIC. NO: I IROUGd CONDUIT
I 1 IROUGH WIRING I I 1
[ IMAIN WATER LINE [ [ 1
1 1 IPLASTIC YIN METAL YIN [
1 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 L I I I
I* ADDITIONAL DATA ON FILE [
[ IREPORT ID: DPR265 ROUTE T0: BS0508
I