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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