HomeMy Public PortalAbout9471 PENTLAND ST_Electrical__ .�1 0 B B SA ]9M BCTB 104 ILll H•�*T^•TION FOR
PERMr
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DEPARTMENT OF BUILDirTG AND SAFETY` HC
COUNTY OF LOS ANGELES f ELECTRIC ' }
I
Z �yA. T/� D15TRICT NO. GROUP ZONE PERMIT NO.
I NAME /�
ADDRESS /4'/O LAS %/ �� x l ;o 1
_ CITY /JPJ E/EL TEL NO RECFJI;I BY READY FOR 1 ATE I68UHD
//// FIRST INSPECTION /_ "
COUNTY /{�y iI'.vL 5/ y
CERT NO (4/rI EXPI
APPLICANT F . L IN HEAVILY OUTLINED PORTION O Y
DESCRIPTION OF WORE JOB `y0 J✓ E/I/T[AA/� o/T
NUMBER OF OUTLETS ON CIRCUITYt
LOCALITY
- LOCATION BY ROOMS NEAREST �LIGHT OUTLETS 1111law PWGO rl><r CRCrS ST
CIRCUIT A 6 I C I D I E I R G JH ¢ 1 NAME - / 6-
z= MAIL
O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE -LOB
_ `ANO$LEY COUNTY CERTIFICATE OF QU FICATION1-- I
¢LCCiRIGAN�
1 AM THE LEGAL OWNER OF TNN PROPERTY DESCRIBED
ABOVE
OWRCR
CORRECTIONS
J
Q
• _Z
O
13
D
s
No of ouTLETY l7 s �/� APPROVALS
NO Of FIXTURES - !f 1 DATE INSPECTOR'S NAME"
NO OF MOTORS H P Y CONDUIT "
NO OF SIGNS TRANS S WIRING
NO OF RANGER OR 14FATFRB FIXTURES
MIRCIELLAMIOLIN POWER
PERMIT FMZ v " UTILITYCO NOTIFIED
T FINAL `/ Jn wf+�1'�-
TBAGB° CES05 %0'74 APPLICATION OR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES /�
DEPARTMENT OF COUNTY ENGINEER AooREss 7^7`� F_/V IV C•
BUILDING AND SAFETY DIVISION yy� ,7 f
LOCALITY EIS') PLe 0 tT
HSST
FOR APPLICANT TO FILL IN CROSS
ST liVV L.
OUTLETS NO EACH] FEE OFIRM NAME (
R EC EPT S SMAIL /—y
r' ADDRESS 7 PeA.)T .1-4 xJfQ
LIGHT TOTAL FIRST 20 1�(J
LC TEL NO 8
SWITCH_ � OVER 20 10 PLAN CHECK
LIGHTING FIRST 20 j�) APPLICANT
TOTAL ADDRESS
FIXTURES �7 OVER 20 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT _^l
STA COOK_DISP _F A U ADDRESS 'Y_
SPACE HTR AIR GOND CITY TEL NO
CLOTHES WASH OISHWASH LICENSE OR
REG NUMBER CLASS
FAN_OTHER 100 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
4N0 STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND He
ETC HP KW KVA ELECTRICAL WIRING
31-ZE B TYPE OVER TO
HEREBY CERT IIY THAT I AM PROPERLY REGISTERED ANO/OR
O — 1 100 LICENSED AS RED N AlIR O BY LOS ANGELES COUNTY AND STATE OF
[ALIIORCD OR THAI AM THE LEGAL OWNER OF TME ABOVE
1 — 10 300 OESCRICED RE910E NTIAL PROPERTY p
PERMITEE G�
10 - BO 500 SIGNATURE O
BO - 100 1000 DISTRICT NO ,PRGCESSED BY CL.
100 - SOQ 1000
SIGN GAB SIGN AND ONE CIRCUIT 500 rFIXTURES
DATE) INSP[ R'SSIONANRE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 LE
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
SERVICE OVER 600 VOLTS OR 200 AMP 1000
TEMPSERVICE POLE B APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 `
POWER AUTHORIZED +
UTILITY CO NOTIFIED
+ FINAL r }
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE -1
PERMIT ISSUING FEE 300 —J
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION K m 0 CASH
T
•°6 8 1"eFP 16 2 U 6.10 eyb
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE805 II/TO APPLICATION R ELECCAL PERMIT lJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W JENKINS SUPERINTENDENT OF 13UILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
5 5 5 OWNER
RECEPT_ MAIL
LIGHT_ TOTAL
FIRST 2025 ADDRESS
CITY TEL NO
SWITLH� OVER 20 10 PLANCHECK
TOTAL
LIGHTING FIRST 20 y ! APR LILANT
FIX10 /
OVER 20 ADDRESS
TURES
APPLIANCES CITY TEL NO
PERMIT
RANGE
_DRYER_WTR HTR_ APPLICANT
STA COOK 0 _F A U _ ADDRESS �L
SPACE HTR AIR CO NO CITY p TEL NO Y
CLOTHES WASH DISHWASH _ LICENSE NO Sp I CLASS �D
FAN-k OTHER IOD Q S") I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
/'�' AN STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC H• KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - I `I DO LICENSED AS REQUIRED BY LO! ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
I - 10 300 RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY d
O
10 - 50 !OOfEA
ATURE U
ERMITTEE I IF
C
50 - 100 ID00ICTNO CLASS E PROC SED B 0
100 - 500 I500 1 W
SIGN GAS SIGN AND ONE CIRCUIT SODES /f�� B6R / /1TUBE OR nMARQUEE ADDITIONAL CIRCUITS 100f /T4-`SERVI CENOT OVER 600 VOLTS OR 200AMP 300 �i A PI ROVAL9 OATE INSPECTOR'S IIONANRE
SERVICE OVER 600 VOLTS OR 200AMP 1000
POWER POLETEMPSERVICE POLE &APPURTENANCES !DO
RSLAB WORKTEMP LIGHT OR RECEPT SYSTEM 3D0
H CONDIUTNGRESR AUTHORIZEDPERMIT FEE (SUB TOTAL)
ITY CO NOTIFIEDPLAN CHECK FEE
PERMIT ISSUING FEE 300 fX
JOSEPH C ROOHAN
TOTAL FEE SUPERVISING EVCK
AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION MO CASH
5 6 5 JUN 17 2 0 (� 9.5 0 A 8
9EE BACK OF AA LICA TIOM FOR COMPLETE SCHEDULE
7EA863 CC 00 Toa APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DMSION
Department of County Engineer BUILDING
County of Los Angelos ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER OWNER
LIGHT OUTLETS MAIL
A DDR E95
RECEPTACLES
WALL SWITCHES FEE CIT Y TEL NO
TOTAL OUTLETS ® 5¢ S ELECTRICIAN
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
NW EA STATE
FIXTURES 5 LICENSE NO
MOTORS DISTRICT NO GROUP 7� READY FOR INSPECTIONNUMe¢R HORSEPOWER FEE y /
NEW MVD HP OVER INC EAC"
14 a LESn Is 25 INSPECTION RECORD
2 50
2 5 1 00
5 15 150
15 50 2 50
50 200 5 00
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT S100
FIXTURE PERMIT $100
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE s DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING �].� S —
ELECTRICAL WIRING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ASOVE
DESCRIBED RESIDENTIAL PROPERTY^ UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL 7`J S7 w 1
JOHN A LAMBIEALID N A THUR C VEI
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
cx cA¢N
LPCO a s z APR23 2 _ 2 .6 5
, ,LVL;,✓�'- / V t�V
oo°DA II Be APPLICATION FOR ELECTRIC PERMIT 1
DMSION OF BMDING AND SAFETY
DOp'Ynt of County F.BgIBYar BUILDING
County Of Los Angel" ADDRESS
JOHN A LA BIE. COUNTY ENGINEER
CASYATT D GRIFFIN, YUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST i
PERMIT FEES c oss ST
NUMBERI _ OWNER G C�oH tQ3G O✓
LIGHT OUTLETS MAIL
RECEPTACLES ADDRE88
WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS ® D t ELECTRICIAN WI T
ELEC RANGES 23
ELEC HEATERS 2D Cm, ESS�� dEL NO d
KW 6A STATE
FIXTURES D LICENSE NO
MOTORS DISTRICT NO GROUP ZONE ewor coo In[P[cr1oR
Hurn°E° HORSEPOWER FEE
N[W YVD HP OVER INC EACH INSP=ON HECOBD
e LEGE S 25 INSF 11 ^r. LL
V 2 DO
2 D l00
D ID 150
ID DO 230
So 200 500
M19C
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING sloo
FIXTURES f 1 00
SUPPLEMENTARY DO if�C x ROTtA S
TOTAL FEE Y 19 DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING Cn
ELECTRICAL WIRING
I HEREBY CERTIFY THAT I AH PROPERLY REGISTERED AND/OR FIXTURES I I -
LICENSED AS REQUIRED BY LOS ANGELE COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LFgGA OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL
SIGNATURE UTILITY CO NO r< 4✓<--`•
OF PERMITTEE FINAL 13 1 • 1
JOHN A LAMBIE.COUNTY ENGIkEER V'ALIDA H ARTHUR C VEIT.CHIEF ERCT INSPECTOR'S
LCO2 4 3 5 rmu16� 2.90 in
76^663C- C65068 1=,75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING D SAFETY DIN
FOR APPLICANT TO FILL IN JOB
FEE ADDRESS 9
New Residential Bldgs & Pools EACH NO Y
11PI OA
1 &2 Finaily Sq Ft $ — $ LOCALITY /
Multi family Sq Ft — NEAREST
Residential Swimming Pools CROSSST
OR
FIRM NAME
Outlets Light Switch & Receptacle MAIL _
First 20 ADDRESS 9 /
Additional CITYLEM Tel No
PLAN CHEC
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel No
Fixed Appliances Not Over 1 HP PERMITAPPLICANT '
Range Heater_ D W
Oven Dryer W M ADDRESS
Top FAU W H CITY Tel No >
Hood Fan LICENSE OR
Dlsp AC REG NUMBER Class U
C
Reel .THAT THE A. p
Power Apparatus& Large Appliances19 CORRET AND AGREE TO ERSAII
.LLQ ORDINANCES AND .TATE LAWS RERULATUN
LEI
Size&Type HP KW KVA or KVAR MLECTRICAL WIRING a_
N
Up to 1 Incl i =
Dion —
Over 1 to 10 Incl HIS
CALIFORNIA 0. '.A' I .
A. THE
Over 10 to 50 Incl ESC.ID RESIDENTIAL PROPERTY GA` .-HER o. THIS
.. A.ov
Over 50 to 1001 ncl PERMITEE ��
Over 100 SIGNATURE
Services DITR ICT NO ROCE ED BY
d �j
0 200 Amp Under 600 V 57
201 1000 Amp Under 600 V APPROVALSDATE LMSPff—CTOR S
Over 1000 Amp or Over 600 V
SIGNATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING J 'Z?Z,
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Total) LNOTES
CO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Feel
7
PERMIT ISSUING FEE
TOTAL FEE
Zs
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
1 1 3[MMY 4 2 6 1- 2.50 •�o
ti_ V�
WORKERS COMPENSATION DECLARATION v 1aea19DAY3/87 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self ��
insure or a-certificate of Workers Compensation Insurance * COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS
j or o ceLuj}}}l d a y thereof (Sec 3800 Lobbs�C.)) �jl��{�/
Policy Company 53' ,C _ ` "^"' FOR APPLICANT TO FILL IN TOB ��-/SND
Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS
�
Certified copy is filed with the county buildinginspec 1 8 2-FomLOCALITY dy Sq Ft S _ S L-G
tion deportment _ / Multi family$q FI f NEAREST
9 ��f// Kp Residential Swimming Pools CROSS S
OWNEROR /J
Dote / 1 FIRM NAMES/`O�
CERTIFICATE OF EXEMPTION FROM WORKERS pullets Rec�L-.Light� �s \ ���' � MAIL
COMPENSATION INSURANCE . 5w
Fust 20s. , ti ' sc
ADDRESS
(Thu section need not be completed if the work involved by Total No Additional `CITY Tel 87 2
the permit is for one hundred dollars ($100)or less )
RAN 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
Total No � CITY Tel No
Dote Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If after making this Certificate of APPLICATION .✓
Exemption you should become subject to the Workers Range— Heater—DW
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—
CITY G It RA Tel No 3566
LICENSED CONTRACTORS DECLARATION LICENSE OR
Disp _ Room Air Cond _ y Class
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 8 Large Appliances DISTRICT NO P SSED d
and Professions Code and my license is in full force nd effect
/7��T Size 8 Typo HP KW KVA, or KVAR O
License Number-yS2gj7r Uc Class ✓ Up to 1 Incl FINAL ^ C)
` ' x,92. Over 1 to 10 Incl DATE " ' VALI TION
Cc
Contractor - ate Over 10 to 50 Incl U
❑ FINAL
I am exempt under Sec Over 50 to 100 Inc BY LU
B 8P C for this reason Over 100 3-
Dote Services Swbd MCC 8 Ponelboards , Z
0-200 Amp Under 600 V
Signature 201 1000 Amp Under 600 V t
❑ Exemption for Reg Momt Elect Os er 1DDD Amp or Over 600 V
SINGLE FAMILY ?
HOME OWNER BUILDER DECLARATION Temp Power Pole 8 Appurtenances
I hereby affirm that I am exempt from the Contractor s License
Sign with One Branch Circuit
Low for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits 3307 bh.SD
Professions Code)
as owner of the property will o the work and the
Mac Conduits&Conductors - 1 ITEMS
s f
structure not intended or offered for sale(Section 7044 Other (See Complete Fee Schedule)—
a , TOTAL 36 . 511)
Business and Professions Code) CHECK J6.�,
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for CHANGE .00
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec 3197 Civ C )
PLAN CHECKING FEE OOGO-o001 2/14/91) ,
Lender s Name PERMIT ISSUING FEE 81?*3 1 Ah 9:321
Lender s Address
1 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 ou home rep esentotrves of this County to enter upon
the abov mention property for inspection purposes {
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig ature of Permittee Date Os
WORKERS COMPENSATION DECLARATION 76A663
CESO6G (2 601 APPLICATION FOR ELECTRICAL. PERMIT {�
CE _ lJ
I hereby affirm that 1 have a certificate of consent to self COUNTY OF LOS ANGELE &TnIF3MND SAFETY
insure or a certificate of Workers'Compensation Insurance or ,
a certified copy thereof(Sec 3800,Lab C) ,
Policy No Company FOR APPLICANT TO FILL IN 'A'DO
O ,p 1
F1Certified
Residential Bldgs &Pools EACH NO FE ADDRESS
Certified copy is hereby furnished 1 &2 Family,Sq Ft $ $ LOCALITY
❑ Multi family Sq Ft NETMT
Certified copy is filed with the county budding inspection GROSS ST
department Residential Swimming Pools OWNER OR
j f r stp�
Date Applicant Outlets Rec_Light_Sw AMAIL
DDRESS
First 20 12 2,x
CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CITY Tel No
COMPENSATION INSURANCE d
PLAN CHECK
s APPLICANT 0
(This section need not be completed ll the work involved Lighting Fixtures First 20 0
by the permit is for one hundred dollars (5 100) or less) g g ADDRESS
Total No Additional 0
I certify that in the performance of the work for,whtch this _ CITY Tel No I—
is issued, U
Fixed Appliances Not Over 1 HP
permit sued, I shall not employ any person any manner PERMIT W
so as to become subject to the Workers Compensation Laws Range_ Heater_Ow _ - APPLICANT a
1_ Oven _ Dryer_W M ADDRESS E YLA? y
Z
Date Applicant Top _ FAU _WH _
' i
Hood _ Fan _Other_ CITY Cri TeI No
NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond_ LIC N EOR
2774
Exemption you should become subject to the Workers REG NUMBER Class
Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICJNO PR E ED BY
with comply with such provisions or this permit shall be- Size&Type HP KW KVA or KVAR
deemed revoked
Up to 1 Incl -
i ( Over 1 to 10 Incl FINAL ,
AV
LICENSLD CONTRACTORS DECLARATION DATE VALIDATION
- Over 10 to 50 Incl
FINAL
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 IncgTotal)
e,,
9 (commencing with Section 7000) is Division J ll the Bun , Over 100s
ness and Professions Code, and my license is m full force and
effect Services `
License Number Lin Class 0 200 Amp Under 600 V i
201 1000 Amp p Under r 0 V
Contractor. Date ` Over 1000 Am or Over 600 V
HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances
Sign with One Branch Circuit
1 hereby affirm that 1 am exempt from the Contractor's n
Liceyl Law for the following reason (Section 7031 5 Bust Additional Sign Branch Circuits
nes and Professions Code) I ' R.5697 A
• Misc Contluitj,& Conductors - t
1 as owner of the property will do the work and the Other (See Complete Fee Schedule)— #je • � • • 2
structure is not intended or offered for sale (Section _ i
7044 Business and Professions Code) 2 to 1 7 0 0
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency _ 1 i7 O 0 6 "
for the performance of the work for which this permit is- PERMIT FEE '
issued (Sec 3097 Civ C ) /D . 0504-81
Lender s Name PLAN CHECKING FEE (One Fourth Permit Feel
Lenders Address PERMIT ISSUING FEE c
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
ordinsuces and State laws regulating Electrical wiring and j
hereby authorize representatives of this County to enter upon
the above mentioned property for Impaction purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
Signal of Perini tee ,Date
• COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 1002240004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ZD FEES PAID BUILDING ADDRESS
ITR 14572 IT 34 9471 PENT LAND ST
I (FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803843 1
1ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ALESSANORO
18590-008-001 S3 ADDTNL ELECT PINI CK 1 00 H0U 109 35 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY C
Al PERMIT ISSUANCE FEE 27 75
TENANT JX MOTORS IT 3 HP 1 00 MOT 15 30 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
�LB 200 AMP PANELS MCC 1 00 PAN 38 85 104/12/10 SR 04/12/11
TOTAL FEES 191 25
(OWNER TEL NO I (FINAL DATE FINAL BY CODE
MARSTON ROBERT (626) 287-2596-
9471 PENTLAND ST I \ \D
TEMP 917803843 1 (DESCRIPTION OF WORK 1
11NSTALLATZON OF RESIDENTIAL ROOF MOUNTED SOLAR PANELS
PHOTOVOLTAIC 20 PANELS AND MAIN SERVICE PANEL UPGRADE
APPLICANT TEL NO
MOHR POWER SOLAR INC (951) 736-2000-
11452 POMONA ROAD SPECIAL CONDITIONS
CORONA, CA 92882
CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
MOHRPOWER SOLAR INC (951) 736-2000- 1 1 1
11452 POMONA ED LIC NO . (TEMPORARY POWER POLE I
I
CORONA CA 92980 661434C46
UNDCRGROUND CONDUIT
l
(ARCHITECT OR ENGINEER TEL NO UFER GROUND j-�
1 u
LIC NO ROUGH CONDUIT
(ROUGH WIRING
(MAIN NATER LINE 1
PLASTIC Y/N METAL Y/N
I I
I UTILITY COMPANY NOTIFIED( 1
1 I I II
I
I 1 1 1
I 1
I
1 I I I I
1 1 I
I I
I 1 I
ADDITIONAL DATA ON FILE
I I
REPORT ID DPR265 ROUTE TO BS0508
I I I
I I I I