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HomeMy Public PortalAbout5449 ROSEMEAD BLVD_Electrical__ F -7eAee4cE8oe 4-68 APPLICATION FOR ELECTRICAL PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING -� BUILDING AND SAFETY DIVISION ADDRESS V JOHN A. LAMBIE, CouNTY ENGINK" COLIMMAN W. JKNKINS, SUPRINT<NDtNT DR BuILnINO LOCALITY NEAREST I FOR APPLICANT TO FILL IN CROSS ST. GCJ OWNER �✓� RECEPT._ I MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEI-. NO. . PLAN CHECK LIGHTING TOTAL FIRST 20 .20 — APP ICANT FIXTURES OVER 2Q .10 ADDRESS RANGE_DRYER—WTR.HTR.— CITY TEL. NO. A STA.COOK FSP.. F.A.U.— CONTRACTOR G4C7�C/ SPACE HTR AIR COND. ADDRESS CLOTHES WASH._DISHWASH— CITY qq TEL. NO. FAN—OTHER 1.00 LICENSE NO. CLASS. MOTORS;TRANSFORMERS RATI NO IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE h TYPE OVER TO AND STATE THAT THE ASOVE 1! CORRECT AND AGREE TO CQMPLY WITH ALL COUNTY ORD)NA NC ES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR I - 10 3.00 LICENSED AS REQUIRED Y ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT A HE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE IS O SCRIDO RESIDENTIAL PROPERTY. SIGNATURE SO - 100' 10.00 OF PERMIT8 100 — Soo 15.00 DIST I P ZgAL�tP Eq SIGN,GAS 'SIGN AND ONE CIRCUIT 3.00 rk9 a TU§E, OR U ARQUEE ADDITIONACIRCUITS 1.00 NOTES: , ` _ yI �V5• Cl)L SEITVICE NOT OVER E0D VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 tL TEI.V SERVICE, POLE, Q APPURTENANCES 3.00 APPROVALS DATE UISPECTOR'S SIGNATURE vg TEMP. POWER POLE UNOERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES' PLAN CHECK FEE (50% PERMIT FEES POWER AUTHbRIZEp PERMIT FSSUING FEE 2.00 UTILITY.CO.NOTIFIED SUPPLEMENTARY PERMIT.ISSUIN'G FEE 1.00 FINAL TOTAL FEE JCISEF41 C.'RObf4AN SUPERVISUVG ELECTRLCAL ENGI PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION G'K. M.O. GASH `u 0 6 9 7Z3 JA26 2 D 5DQ,' Ic E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ' 70Aee3-CE80' a-57. APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES I DEPARTMENT OR COUNTY ENCUNEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. k,' MO. EACH F[[ , f 'OWNER Ple RECEIPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS CITY C, TEL.NO e Q� SWITCH OVER 20 10 PLAN CHEC LIGHTING TOTAL FIRST 20 ,20 APPLICA KT FIXTURES } OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NG. STA. COOK_DISP. _F.A.U. CONTRACTOR /� SPACE HTR. AIR COND. ADDRESS T CLOTHES WASH._DISHWASH. ` CITY TEL.NO.2/,(/- FAN OTHER 1.00 LICENSE NO. / CLASS. - MOTORS,TRANSFORMERS FLAT IN0 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STAT[ THAT THE ASOVK la CORRECT AND AGREE TO COMPLY 91ZE TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STAT[ LANA REGULATING ELECTRICAL WIRING. 0 — 1 1.00 1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR LICENSEDAS R R[D SY LOa ANGF3[G COUNTY AND ST.)T[OF I — 10 3.00 CALI FORRIA OR TH AM TH[ L[G AL OWNER OF AND IMT[NO TO RESIDE IN, THE A. [G CRISES R DENTIA OP[RTY. O 10 - 50 5.00 V SIGNATURE pC SO - 100 1000 OF PERMITTEE O 100 - 500 SAO Dlar N Gnou ME PR [ • SIGN,GAS SIGN AND ONE CIRCUIT 3.001 vJT LO TUBE, ORZ MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES' SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.DID TEMP SERVICE, POLE, Q APPURTENANCES 3.00 APPROVALS DAT[ StSPEC OR'G ■KilATUR[ TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES d� POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 2 Qp UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL � JOSEPH C. ROOHAN TOTAL FEE i SUPERVISING ELE ENGINEER PLAN CHECK VALIDATION CK. M.O. CAGY' PERMIT VALIDATION CK M.d. CASH cl 1 559IF- Gl 29 2 D 5.00 SE[ RACK OF APPLICATION FOR COMPLETE F[[ SCHEDULE 70A563A-CESO" 4/7L APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES �-DEPARTMENT OF COUNTY ENGINEER IN DINC M WILDING AND SAFETY DIVIBION ADDRESS w LOCALITY NEAREST POR APPLICANT TO FILL IN CROSS ST OUTLETS FEE OWNER RECEPT.11 MAIL LIOHTS3 TOTAL FI RST 20 AqQ,RESS CITY TEL. NO. SWITCH OVER 20 PLAN ECK TO LIGHTING FIRST 20 APPLI NT j/1L FIXTURES X10_ OVER 20 ADDRESS RESIDENTIAL APPLJANCES ri CITY TEL. NO. PERMIT , RANGE DRYER WTR. HTR jkPPL[CANT STA. COOK DISP. F.A.U. ADOR 3 f] SPACE HTR. AIA COND. CITYboot, gal" TEL. NOA CLOTHES WASH-_DISHWASH. LICENSE N0. CLASS. FAN—OTHER IHERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THATTHE ABOVE Il CORRECT AND AGREE TO COMPLY ^ MOTORS, TRANSFORMERS RAT4NG WITH ALL COUNTY ORD LN"CES ARD STATE LAWS REGULATIN9 �T fND. HEATERS, ETC. HP. RW. RVA. [L A C TRICAL WIRING. 'SIZE k TYPE DIVER TO ' / V ✓ I HERESY Ci RTIFY THAT I AM PROPERLY REGISTERED AND 0 — 1 !O r tIC¢XS ED AS R[QUIR[D BY LOS AMGSLis COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 — 10 IfHIDE IX, TH¢ ASCIVII DESCf11EED RESIDENTIAL PROPERTY. ]0 - SO SIGNATURE OF PER'ITT 50 - 100 ST ICTA. ICLASS ZONE P C[ SY 100 - BOD • D -3 SIGN, GAS SIGN AND ONE CIRCUIT NOTES: IZ d /VOT TUGS, OR MARQUEE ADDITIONAL CIRCUITSQ rC Cl /L/ / SERVICE NOT OV ER 600 VOLT$OR 200 AMP `54 i SERVICE 9VER 60APPROVALS DATE SIGNATURE 0 VOLTS OR 200 AMP / TEMP.POWER POLE TEMPSERVICE,POLE, h APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM• . ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE ($UB TOTAL) - UTILITY CO. NOTIFIED PLAN CRECK FEE FINAL - PERMIT ISSUI" FEE TOTAL FEE PLAN CHECK VALIDATION CE. M.D. CASH PERMIT VALIDATION CR. M.P. CASH 6 4.2E 00 3.a 5 A,% """'-C`Gg` 12J7EI APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEEHFIEE ADDRESS111,1119, )or BUILDING AND RDIVISION LOCALITY New Residential Bldg[ & Pools EACH NO. EAREST1 & 2-Farilly, Sq. Ft •pts — CROSS ST. Multi fainly Sq. Ft — ER FIRM NAME Realdentiel Swimming Pools 20.00 MAIL ADDRESS Outlets: Ught, Switch I& Receptade CITY Tel.No. First 20 -50 PLAN CHEC-K Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional •30 PERMIT APPLICANT Fixed Appliances Nbt Over 1 HP ADDRESS Renge_Heeter D.W._ CITY TSI.No. Oven=Dryer_W.M._ LICENSE 0R Top _ FAU _W.H._ REO.NUMB Q Clue. dZE Hood— Feil ___ 2.00 I HERESY ACKNOWLEDGE THAT I HAVE ROAD THIS APPLICATION DImp._A.C. AMD [TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W 1TH ALL COUNTY ORDJNANCES AND STAT[ LAW/ REGULATING ELECTRICAL WIRING. Power Apparatus dr Large Appllences 6�e&T HP, KW, KVA, or KVAR I HER Kay CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Type LICENSED Al REQUIRED BY LOS ANGELES COUNTY AND STATE OF Up t0 1 Ind 2.00 CA LI FOR HU OR THAT I AM THE LEe AL OWNER Or THE ABOVE V' Over 1 t0 10 Incl. 5.00 DESCR IMED RESID21AL/PKRTY. Over 10 to 60 Incl- 10.06 PERMITEE Over 60 to 100 Incl. 20.00 SIGNATURE T y Over 100 �•� DISTRICT NO. ED BY+ O0C Services 0 / W 0- 2017 Amp. Under 600 V 12ZO INSPECTOR'S O. 201-1060 Amp. UrKW 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp. or Over 600 V 0,00 TEMP.POWER POLE o Temp. Power Pole& Appurtenances 0 UNDERSLAB WORK Sign wlth One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuit[ WIRING (Otho - FIXTURES POWER AUTHORIZED UTIUTY CO.NOTIFIED FINAL f �7 PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fes) PERMIT ISSUING FEE =6.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION I MO. CASH 5510-0 1 2 B 1 5.0 itE BACK OF/S PTLICATION FOR COMPLETE•CH<DULE /� ✓6 7GA663 DBB SA 2SM SETS 11-4e APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER DISTRICT NO. GROUP I ZONE PERMIT NO. FOR APPLICANT TO FILL IN .3oa E/ ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS ✓' •+j'Pr ,,.r r' `.. /Y) Ir �„- CITY �' > TEL. NO. BUILDING � LICENSE NO. EXPIRES ADDRESS DESCRIPTION OF OF WORK FEES LOCALITY f .�--•^�a NUMBER OUTLETS EACH ' CROSS LIGHTS 5c $ STREET •+'A / RECEPTACLES 5 FIXTURES s OWNER WALL SWITCHES 5 MAIL ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 CITY - TEL. NO. MISC. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LIGHTS RECEPTACLES MOTORS ELECTRICIAN. NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- %2 6 LESS $ .25 ERTY DESCRIBED ABOVE. I/2 2 I 50 2 5 1.00 OWNER- S is 1.50 INSPECTION RECORD is so 2.50 so 200 s.00 200 Soo 10.001 500 1 1000 1 15.001 J i OVER 1000 1 20.001 'Z M.G. SET/FREQ. CHANGER-HP d WELDERS: AC-KVA I 0 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (7S% OF ORM.) 1 MOVED MOTORS (75% OF ORIS.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS f APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES $1.00 1 h WIRING WITH FIXTURES 1.2S FIXTURES SUPPLEMENTARY .50 POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL - a 76A663-CE606 6/63 /APPLICATIFOR ELECTRICAL PERMIT , COUNTY OF LOS ANGEtGINEER DEPARTMENT OF COUNTY E BUILDING BUILDING AND SAFETY DIVISION ADDRESS D!> JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT, TOTAL NO. EACH FEE OUTLETS FIRST 20 20 $ n� OWNE LIGHT %� L� MAIL / ADD'L ADDRESS P I,fJ A.l[a Arta SWITCH. ` OVER 20 .10 TOTAL CITY /X !_sem G✓/ TEL. NO. LIGHTING FIRST 201/0 1 .20 p v FIXTURES JGi pVDR'L t0 ELECTRI IAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY p,,7(5 �, TEL. NO.Aln �\ C DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(/a H.P.MAX.) ,50 LICENSE NO. MOTORS: OVERNOT OVER H.P. DISTRICT N �R��J ZONE P ED. O 1 1.00 Ci! I 3 1.5o INS RECORD 3 S 2.00 CL 815 2.50 O 15 50 3.00 O 50 100 5.00 ~ U UJ SIGNS: NO.TRANS a- NO .LAMPS Z SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 e,L C9 SUPPLEMENTASY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 6 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY A STATE OF FIXTURES CALIFORNIA OR THAT I AM T GAL OWNER HE AS E DESCRIBED RESIDENTIAL P POWER SIGNATURE UTILITY CO.NOTIFIED + OF PERMI FINAL VALIDATION ARTHUR C. VEIT (CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lhuo - 1 5 .A JUN 2 9 2 D 6.L APPLICATION R ELICTRI L PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPUIGANTTO FIL.0 W 9441 geS019is New Residential Bldgs.&Pools EACH NO. FEE RE55 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY Multl-famlly Sq. Ft. .02 — N Residential Swimming Pgols 25.00 5 5T' leOWNEPMNAM Q:j O Outlets:Rnr Light Sw. IL F iTst 20 •50 - ADDRESS Total No. Additional .30 pCITY " Tel.No. INT Lbhting FLxtures First 20 •50 ADDRESS Additional 30 Total No. QTY TSI.No. FLxpd Applloncga.Not Over 1 HP, Range—Heater_D.W. r. PLICA NT ID OMAr L • (SQ,/ Oven--Dryer_-W.M.— ADDRESS 0a OF Top _EAU _W.H._ C1TY Tel.No. +� Hood,Fan _OtherLICENSE OR Disp.—Roam Air Cond. 2.50 REG.NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THI$APPLICA- Power Apparatus&,Large Appliances T10N AND STATE THAT-THE ABOVE IS CORRECT,AND AGREE TO Slur&Type HP, KW,.kVA,or KVAR� COMPLY WITH ALL COUNTY ORDINAN ES AND STATE LAWS 50 REG ULATINL WI G E�ECfRICARING. Up to 1 In . FY Rf�TI 1 HEREBY THAT,I"PROPERLY-REGISTERED AND/OR Over 1 to 10 Irisl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 1 Oto 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE EGAL OWNGR OF THE ABOVE Over 50 to 100 Inr- 25.00 DESCRIBED RQP Over 100 40.00 PERMIT EE SIGNATURE Sefvk DISTRICT NO. 1PROCESSED BY 0-200 Amp,Under 600 V 1'1.Sb -201•1000 Amp. Under 600 V 25.00 1/ Over 1.000 Amp.qr 0ver 600 V 50.00 Temp. Power Pole&Appurtenances 10.00. -Sign with One Branch Circuit 10.00 Additional Slgn Brpnch CIrcULri 2.00 INSPECTION' > ;R 519,s a Mix.Condufts&Conductors 10.00 INFORMATION # d o o 0 0 '� Other ISee Complete Fee SchON nVERSE edule) SIDS 2 - - I G Q Q Fit 0 a 0.1,0.00F1 PERMIT FEE tSub-Total) 0628-79 PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.0.0 17 TOTAL FEE > INSPECTION F date. �f �� By ft COUNTY OF LOU ANGELES APPLICATION FOR PERMIT DSION OF of Co,,,nt4 Eagan F ELECTRIC 1 DMSION OF BUILDING & SAFETY WILLIAM J. FOX. CAurty Faglap" FOR APPLICANT TO FILL IN DISTRIOT�O. GROUP ZONE PERMIT NO. ELECTRICIAN / ? RECEIVED BY READY FOR DATE IwUED ADDR[3MMFIRST INSPEOTIDN i CITY TEL All L� y 013U IO[ ■E N0. 1 — — ■UILDINO PERMIT FEES ADDPUCM - NUMBER [ADF[E OCALIH LTY T LIGHT OLr LE77 NEAR[ST , RECEPTACLES ORmS ST. WALL QWITDHES OWNER '-� C TOTAL OUTLBTs so Ip MAIL [LIG. RANUEN IIB ADDRESS S/j r„ e [L[0. WATERS IIs DIT. TKL N0. F I XTiJ RES S I HERESY AKNLEDI![ THAT 1 HAVE READ THIS AP PLIDCW CATION AND NATE THAT THE ASOVE 10 CORRECT NUMNER OF LIGHT CIRCUITS AND ADREE TO COMPLY WITH ALL COUNTY ORDINANCES HUMOER OF R[CEPTAOLE CIRCUITS AND STATE LAWN REGULATING tL[OTRICAL WIRING. MOTORS I CERTIFY THAT I POSNta THE ABOVE VALID LOS NumaKm HORS[PCW[RFEE ANNELEN COUNTY LICENSE. ON 1 AN THE LEGAL OWNIR Ncw Mvo. HP ov[n IMO. ffAJ3" OF T14[ RENIDEMTIAL PROPOITY DMCRIUKD ASCVE- I/ a Lraa III 1s Alelbk�Illq[_0 "�_- •- Ylk II .50 ►-' PER I -- II s 1.50 _ e 1■ 1.50 INSPECTION RECORD t6 so 1.60 44 c � �`� �� �$ /�./ Y-1/ P LAN � 6D 200 5.00 } .. b O 100 s00 10.DO o u i.� G�a.tf .✓ r- - �F7 ■OO Iam 16.DO OVER IOLl] 30.00 0 M.G. a ■ F [T R HG CANER-HP u WILDIRSI A13-KVA -p O GENIRATORS - KW �--- a0v-a TRANSFORMER19 - KVA TEMP. MOT-ORS 715ar 13a11.) MOVIED MOTORS (75of oRl■ BIONS NO. NO.TRANS a APPROVALS N FOR EACH PERMIT11 DATL INNP[CTOR's HAM[ WIRING N1.00 CONDUIT _ F O(TU REN 1.00 WI R I N G 5UPP"IWILWARY -pp F I XTU RES POWER TOTAL IFS 1 J O UTILITY O0.NOTIFIED I / FINAL T&AA0 DBS #6A "ll COUNTY OF LOS ANGELES APPLICATION FOR PERBM Department of County Eaglneor DMSION OF BUMDING & SAFETY ELECTRIC WILLIAM J. FOX, Oemsb' E■tlow 44, FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PER-mrr No. s 19^ ~1 G ��S'I;I t ELECTRICIAN RTC[IVt9 READY IADY FUSSiJt R DAT! ID ADDR[!! FIRST INSPEUTION _ CITY TEL. N0. I �L A w S / s3 COUNTY IC SE NO. IRI ■UILDIN■ PERBM FEES ADORTae F[[ NUMBER [ADH LDOALITY LIGHT OUTLtTS NEARt71T R[O[PTADLiS OR WALL SWITCHES OWNER A TOTAL OUTL[TO Bo MAIL [LEO- RANGES Qi ADDRFJ~ [LEO. H[ATTRM 18 CITY TTL. NO. F I XTU Rt• s 1 HERESY ADKNOWLIDO[ THAT 1 HAV[ READ THS■ APPU12ATION AND STATT THAT TN[ ASOVE IB OORR[GT NUMBER of LIGHT CIRCUITS AND AGRQ To COMPLY WITH ALL OOUNTY ORDINANCES NUMBER OF RXCKPTA13LIC OIRCUITO AND NTATE LAWS RTSULATIN■ ELIOTRIOAL WIRING. MOTORS I CERTIFY THAT I PC� THE ASOV[ VALID LOS Nt mmm HORSEPOWER FEE ANIlry ti COUNTY LIDENSE, OR 1 AM THE ULMA.L OWNER v� N[w Mw. Hr ovcR INo. FAM-f Or TVI[ ROID[NTIAL PROPERTY DEWRINED ASDV[. a LCA s6 ■ISNATUR[ OF cm *1► <a PERNITTIM -- S s 1.00 INSPECTION RD s 1S 1.50 16 so 2-50 — so zoo 8.00 ,p YOD BOO 10EM s00 113013 1B.DC OVER IOEM 10.00 J M.O. SET FR OHANO[R-Hr $ 7 � W[LDERMs AD-KVA a f. O[N[RATDRS - KW V TRANSFORMERS - KVA v- TEMP. MOTOR■ X76 or MAIM. MOVED MOTOR■ 78or aRioJ M BIONS j IQ 1 NO. NO.TRANS. AUROVALS V N FOR EACH PERMITI DATE INsr2OTOR7 NAM[ WIRING 00 CONDUIT FIXTURO Ipl.DD WIRING [ PjTARY AM F1X7U RTS POWER TOTAL FEE UTILITY OC.NOTIFICD FINAL G TEAM DB.3#QA 4-63 76A663-CE80610_62 APPLICATION FOR ELECTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS oa—�i eA JOHN A. LAMBIE, COUNTY ENGINEER r WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY A�� G� _ NEAREST. FOR APPLICANT TO FILL IN CROSS ST. r, -,f RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHT MAIL ACID'L ADDRESS Oi �QO ,BG4 J SWITCH. ,f0 rr���� `�- LIGHTING TOTAL FIRST 20 .20 CITY HZ c� C< TEL. NO. 6 FIXTURES ADD'L OVER ZO 10 ELECTRICIAN !c_C./:CT-RIC 6, RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK Z ( CITY � TEL.NO. 3�'✓V- DISHWASH. AUTO.-WASH. STATE —/ SPACE HTRS. STA.APP.(1/z H.P.MAX.) .50 LICENSE NO. O — c O MOTORS: OVER NOT OVER H.P. DISTRICT NO GROUP I ZONE PRO ES D BY O f 1.00 Q 1 3 1.50 INSPECTION RECORD 3 t S 2.00 ` O 81 s 2.50 " u o� 15 50 3.00 0 50 100 5.00 6 SIGNS. NO.TRANS. NO.LAMPS R SERVICE 0-600V-NoT OVER 200A 1.00 O SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 QI SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / ELECTRICAL WIRING. WIRING 3s (! r 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 4� CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE ` _' UTILITY CO.NOTIFIED OF PERMITTEE C... _ -- FINAL �` 0CKIDATION ARTHUR C. VEIT MO CASH SUPERVISING ELECTRICAL ENGINEER 4040%o SEP 21 2 D 550N I L' ls"<.�„"r AP 76A663-CEB06 10,74 APPLICATION FOR ELkTRICPERMIT ILJI COUNTY OF LOS ANGELES DEPARTMENT LDING ER Aoe AND SAFETY DIVISION BUILDING 1� � F Ci®s c $— c ADDRESS J s� LOCALITY A" ♦A/a ma -Ire NEAREST !7t"64 /kt4 . '!sO,�f�''k 'QA FOR APPLICANT TO FILL IN CROSS ST, !7 A /C 1 OUTLETS No. EACH FEE OWNER OR / �-f� FIRM NAME S lf� 4,tS //4 RECEPT._ MAIL ADDRESS SWITCH OVER 20 LIGHT TOTAL FIRST 20 25 CITY AV, to Zi/ /#1 TEL. NO. 1p - -PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY // TEL. NO. PERRANGE DRYER_WTR. HTR. �APPLIIICANT L 0 h/�s�P'X E. ' r c' - 1 C STA. COOK DISP. F.A.U. ADDRESS d 2- / L� SPACE HTR. AIR COND. CITY Q t, TEL. NO. CLOTHES WASH. 01SHWASH. LICENSE OR +_ 7 ,o ID C' ` j CLASS. /fl REG. NUMBER G FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC, HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBYCERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 0- 1 - 1O 3.00 DESCRIBED RESIDENTIAL PROPf:RTY. U L o,L Jr E to C T V. c b y PERMITEE w 10 - 50 5.00 SIGNATURE U 50 - 100 10.00 LJ DISTRICT NO. CE ED BY CA- 100 100 - 500 15.00 Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 194J FIXTURES I POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 cc)� TOTAL FEE !L �. PLAN CHECK VALIDATION CK. M.O. cAsn PERMIT VALIDATION CK. M.O. CASH 0 27 2 D 6.0 {) ,b SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE rl 76A663-CE806 8/63 APPLICATION FOR ELECTRICAL PERMIT , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS S'4�� A �►`,E/lI�f1D JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY2511*1 `q e,_/ Y � NEAREST « FOR APPLICANT TO FILL IN CROSS ST. /3/l,O'0404cJA RECEPT. TOTAL NO. EACH FEE � F LIGHT OUTLETS FIRST 20 $20 $ {�© MWNE �yM C../ S BlJ may'® AIL ADD'L 10 o ADDRESS /—D- LCJL.O'I. o 4vs SWITCH. OVER 20 LIGHTING �T _l OV R 2VER 2OIFIRST 201 .20 CITCITY—,7,6^ �2 C, TEL.NO. FIXTURES 10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 1965 Blake Avenue GARB.DISP. STA.COOK CITY Los An e 1 e s TEL. No. 665-5101 D D19HWASH. AUTO.-WASH. STATE 149996 SPACE HTRS. STA.APP.(+/i H.P.MAX.) ,50 LICENSE NO. Z' MOTORS: OVER NOT OVER H.P. DISTRICT G OUP ZO PR kD B r O 1 1.00 y / 1 3 1.5o PECTION RECORD 3 S 2.00 a 8 15 2.5018 15 50 3.00 50 100 5.00 SIGNS: NO.TRANS d NO.LAMPS h SERVICE 0.600V-NOT OVER 200A 1.00 , SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE a 3 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PR P Y. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDAT19N, ARTHUR C. VEIT CK Mo CASH SUPERVISING ELECTRICAL ENGINEER 'tl,o9 3 9 3'%'0- m30 2 D 3.60N 78A6"-CE#O51"0 APPLICATION FOR ELECTRICAL RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINo BUILDING AND SAFELY DIVISION ADDRESS L1H V JOHN A. LAMBIE. CouNTY ENGINIKEIR LOCALITY COLEMAN W. JENKINS NT ofaum-DiNgs NEAREST FOR APPLICANT TO PILL IN CROSS ST, r OUTLETS NO, EACHI OWNER 1 ✓ RECEPT._ MAIL LIGHT TOTAL FIRST 20 20 ADDR ��6 CITY EL. N0. SWITCH OVER 2Q JO PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 .ID ADDRESS A PLIANCES CITY TEL. NO. PERIT REE DRYER_-WTR. HTR. APPM ANI CA N 17,1floc STA. COOK DISP. F.A,U. ADDRESS LJ - T SPACE HTR. AIA COND. CITI(S ' /Y TEL CLQTHES WASH. DISHWASH. LICENSE N0. CLAS FAN OTHER IDO 1 HEREBY ACKN(Y*LADG[ THAT I HAV[ READ THIS APPLICATION AND STATE THAT THE ABOY[ IS CORRECT AND AGR[[ TO COMPLY MOTORS, TRANSFORMERS. RATING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS A[iULATINS IND. HEATERS, ETC. HP. KW. KVA. ELKCTRICAL WIRING. SIZE k TYPE OVER TO I HEREBY CERTIFY THAT I AM PROP L REGIS 7[RED AND/U11 0 — 1 IDD LICENSED AS REQUIRED BY LOS L NTY ARD STAT[ OF CALIFORNIA OR THAT 1 AM T G [ OF, AND I ND TO I — 10 D00 RESIDE IN, THE ABOVE ESCRIB R IDENTIAL P PERTY. SIGNATURE 10 — 60 800 OF PERMITTEE 0 .17 60 — 100 10.b0 DIS ICT:� QABS GROUP ZONE PRO ItOC 100 — SOO 10.00 f SIGN, GASJNOTES: d SIGN AND ONE CIRCUIT .00 TUBE, OR MARQUEE ADDITIONi1_C[RCUITS 1D0 SEAVICENOTOVfRA00VOLTS OR200Amp 2-00 APPROVALS DATK Dtm ffcTOR'1 SASMTURE SERVICE0VER 800 VOLTS OR 200 AMP BDO TEMP.POWER POLE TEMP SERVICE,POLE, h APPURTENANCES 8.00 UNDER8LAB WORK TEMP LIGHT OR RECEPT. SYSTEM BDO ROUGH CONDI UT WIRING F I X TU RES PERMIT FEE (SUB TOTAL) 0 POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTfLITY CO. NOTIFIED PERMIT ISSUING FEL' 200 LTD FINAL SUPPLEMENTARY PIQIMIT ISSUING FEE 1D0 JOSIMPH C. ROOHAN TOTAL FEE SUPERVISING ELECT��RI��CAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION (Ctt.� M.0. CASH ( Qf� O8m8� X15 2 D - 5.00- V SEE [ACK OF APPLICATION FOR COMPLETE SCHEDULE yeAeea-cEe0e.11/70 APPLICATION FOR RECTRI PERMIT COUNTY OF LAS ANGELES DEPARTMENT OF COUNTY ENGINEERBBUUILOING " BUILDING AND SAFETY DIVISION' AbDRESS c7 - 9. COLtMA W. Jf N IN! LOCALITY NEAREST P011 APPLICANT TO FILL�IN CROSS7ST. OUTL TS OWNIM RECEPT._ MAIL 17 LIQHT TOTAL FIRST z0 ADDRESS CITY TEL. N0. SWITCH_ OVER 20 .10 PLAN CHECK LIGHTING TOTAL FJ RST 20 1 APPLICANT FIXTUfiE3 OVER 20 .10 AbDN"S ' APPLIANCES CITY TEL. No, PERMIT RANGE -DRYER_WTR. HTR. APPLICANT A STA. COOK DISP., F.A.U. ADDRESS SPACE.HTR. AIR COND. CI TY 11O• ¢LOTHES.WASH. bISHWASM. LLCF?!SE NO. C 83. O FAH-OTHER 1.00 1 HERESY ACKNOWLID6I THAT I HAV! "AD THIS APP-LICATION AND STATS THAT THI AAOVI IS CORRISCT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATI-NS WITH ALL COUNTY O'IDIN'AACE■ AND CTATI LAWS RI9ULATkX4 114D. HEATERS, !TC. HP. KW. RYA. E L KgTAICAI-WIR INC. ltzz k TYP2 OVl11 TO - 'I r}irR-KIY CFATIFY THAT I AM PROPERLY RESISTIRID AND/OR , LICEHBEO AS REQUIRRD BY LOS ANStLES COUNTY AND STATE OFA CALIFORNIA OR THAT I AM THE LEGAL 0 OF, AGD IN'I'!ID TO ' 1 O 8,00 RESIDE IN, THC ISE AI DINTY PROPERTY. '01O SIGNATURE U 10 - 50 MOD OF P(<RMITTEE OL 6Q - rb0 IOAO DLSTRICTHO. AS ZI O 1110 Y O r 100 - 600 15.00 v�S SIGN, GAS SLGN AND ONE CIRCUIT &00 NOTES to Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS G , SERVI CE NOT OVER 600 VOLTS OR 200 AMP e SERVICEOVER600VOLTSOR200AMP I0 APPnoyAu DATE wEPEQTaregwKAT1AM! TEMP.POWER I-OLE TEIv1P SERVICE,P6LE, &APPURTENANCES 6.00 UNDER3LJ,B WORK TEW LIGHT OR RECEPT. SYSTEM a-Do ^ ROUGH CONDIUT WPRIN FIXTUR POWER AUTHORS ED PERMIT FEE (SLIB TOTAL) _ UTILITY CO. NOTJFIED PLAN CHECK FEE. yy , 41 7 7Z PERMIT ISSUING PEE eA0 FINAL JOSHP 1400H N, TOTAL FEE SU�ERVt N EL L ENGINEER PLAN CHECK VALIDATION CR. M.0. CASH PERMIT VA L9 DA I GK. .0. CASH �0.0 SEI BACK OF APPLICATION FOR COMPLETE SCHEDULE ~• ' 7e AM3Arm 12/3'. APPLICATION FOR ELECTRICAL PERMIT . BUILDING AND SAFETY DIVISION FOR APPLICANT TO RILL IN JOB New Residential Bldgs.&Poole EACH NO. FEE ADDRE 1 &2 Finally Sq. Ft $ LOCALITY Multi-family Sq. Ft — NEAREST Rmidentlal Swimming Pools CROSS ST. OWNER OR FIRM NAMF Outlets: Light, Switch & Receptacle MAIL 2- First 20 ADDRESS V 9 /` Addltlbnel CITY TII. No. (O PLANCHE-CK APPL ANT Lighting Fixtures First 20 ADIAESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Oyer 1 HP APPLICANT.I 0LU,.- Range Heater D-W. ADDRESS Oven Dryer W.M. Top FAU W.H. CITY Tel. No. Hood Fen LICENSE OR �y Dlsp. A.C. REO. NUMBER o'� clan.. O I HIRIIY ACNNOWLIDot THAT 1 HAVIAIAD THIS ArrLICGATION AND ■TATI THAT THI AIOVI 1/ CORRICT AND AaRII TO COMPLY O Power Apparatus& Large A.0pllances WITH ALL COUNTY ONDINANCI■ AND •TATI LAW. RIIULATING ILICTRICAL WIRI". Size&Type HP,, KW, KVA,or KVAR wo_ Up-to 1 Incl. I I HIRIIY CIRTIrY THAT 1 AM rnorIRLY RI4I/TIRID AMD/OR Over 1 to 10 Incl. LICIN/ID AN RIOUIRID WY LOS ANDILKS COUNTY AND (TATI Or —Ove� 50CALIFONi NIA OR THAT I AM THI L4AL OWNIR Or THI AIOVI r 10 to W Incl. DIICRIIID NI/IDINTIAL rROFIRTY. Over&0 to 100 Incl. PHRMITIC Over 100 SIGNATUR D RI T NO. P CE SED BY Services �! 001 0-200 Amp.Under 600 V j� 201 - 1000 Amp. Under 600 V APPROVALS INSPECTOR'S Over 1000 Amp.or Over 6Q.0 V SIGNATU E TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDE'RSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (O ) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL d-77 PER-MIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT A CK. M.O. C 7eAe63-cEe0e11T, APPLICATION FO ELECT PERMIT 'fl COUNTY OF LOS ANGELES DtrARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADORE" LOCALI TY- NEAREST FOR APPLICANT TO FILL IN CROSS ST, OUTLETS NO. RAC.Hl FEE owwm RECEPT._ MAIL IIORT_r TOTAL FIRST 20 20 ADDRESS irg SWITCH OVER 20 CITY TEL. .,0 PLAN CHE LIGHTING TOTAL � FJ RST 20 APPLICANT OVER 20 ADDRESS FIkTURES .IO RESIDENTW- APPLIANCES CITY < TEL. No. P RMIT RANGE DRYEA_WTR. HTR. APPLICANT OM STA. COOK DISP. F.A.U. ADDRESS SPACE HTR- _A18 GOND. CITY EL. NO. CLOTHES WASH. DISHWASH. LICENSE N0. 'FZCLASS, P -� FAN-OTHER lm I H!R[SY ACKNOWLEDS[ THAT 1 HAk[ READ THIS APPLICATION 'AND STATd.THAT THE A■%OyS U CORR[C,T AAD ASR[E TO COMPLY MOTOR! TR/1NS FORlAiR1 RATIN[ WITH ALL COUNTY ORD]NA NC[� AND STATS LAWS R[SULATINS IND. HEl.TlIIS, RTC. HP. KW. RVA. ELECTRICAL WIRINS. SIZE S TYPE OVIR TO 1 H[R[SY CENT IFY THAT I AM PROPERLY RES IST[R[D AiID/041 O - 1 1.00 LIC[NS[D AS R[OUIR[D BY LOS ANGELES CQW4TY AND STATE OF CALIFORNIA Olt THAT 1 AM.THE LEGAL OWNClq AA 1,p,INTEND TO . I - 10 LA0 [SIDE IN, THf. AD f6[D [NTE PROf[RTY. Q U SIGNATURE to - SO 0.00 OF PERMITTEE 9e 50'- 100 10m DUTRICT NO. S ZO "ClPD Y 100 —1500 �� a TUBE, OR OAS SIGN AND ONE CIRCUIT 0.00 NOTES: TUB MARQUEE ADDITIONAL CIRCUITS 1m SERVICENOTOVER800VOLTS 0R200AMP 3.00 APPROVALS DATE b"MMIUM SRSYAT�Rt SERVICEOVE11$OOVOLTSOR200AMP 10 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 6.00 UNDERSL.AB WORK TEMP LtOHT OR RECEPT. SYSTEM 3.00 QO ROUQH CONDI UT WIRING FIXTURES POWER AUTHORIZED PERMIT PEE (SUB TOTAL) UTILITY CO. NOTIFIED PIAN CHECK FEE PERMIT ISSUING FEE b 0FINAL 3m TOTAL FEE 0 PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.D. r ? s 2 : ,AA 2 g 2 0 6.0 0- q SEE BACK OF APPLICATION FOR CO#IPL[T[ SCHEDULE J T ; ~MIAI&� KA 7-•1 ARPLICATION FOR PERMIT 2 DEPT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC I WILLIAM J. FOX, CHI[r ENo1NETR FOR APPLICANT TO FILL IN DISTRICT NO. 1IR13UP I ZONE PERMIT ND. ELECTRICIAN i . C R [IV[ MY READY FOR DAT[ IYU[D ADDR RfO rIT INBP[ TIOH CITY T[L N .A � COUNTY LICE ME N0. IR[ ■UILDING r AD D Riff PERMIT FEES _ �f NUMBER [AOH rrit LOCALITY job LIGHT OU'fLI TIN NURE7T Di fT. R¢O[RTACL[H WALL SWIT3HFB OWNERr� 7�jj-_ Y, M P71 TOTAL OUTt ET'B 6o MAIL [LEO. RANGE 2i ADDREBf [LEC. HIATIRIN Z8 CITY 'b TIL. N0. FIXTUR92 6 1 HERENY ADKNOMR.EDO[ THAT I HAVE READ TH18 MIND. APPLICATIO / s E N AND TATTHAT THABOVE IN CORRECT NUMBER OF LIGHT CIRCUITS O AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES HUMMER Or REDEPTAOLI CIROUITf AND (TATE LAWNI REGULATING ELECTRICAL WIRING. MOTORS I O[RTIrY THAT 1 POff ENS THE ABOVE VALID LDS Nummj:pt H0RDEPOWERFi[ QANGELI■ COUNTY LIC[NfE, R I AM THE LEGAL OWNER N[w MVO. Hr OV=w IRO.' XAJIi Or THE RLMID[NTIAL PROPDKBORID OVE. IL UMB .96 ■IGNATURE Or��, T i .60 PERM ITT z 6 1 1.00 IMSPECTION RECORD 6 1B 1.50 115 6O SL513 2 � -Y� T ID A:, BO ZOO ILOD � is^i7✓ r� i+-1� l"uc'3 20D BOO 10.DO �C J S00 1000 16.00 Q OVER 1000 70.DO M.O. ■CT FR CHANGER-HP T WELDERBI AD-KVA S 'sCl�dl�er O GEN[RATDRIN - KW TRANarORMERS - KVA TEMP. MOTOR■ (76 of amis. MOVED MOTOR• (75or ORINJ BIONS 1�* n ND. NO.TRANS. APPROVALS NO. N 0. P!• FOR EACH PERMITS DATI INfP[OTOR7 NAM[ WIRING 111.00 DONDUIT rIXTURM 411.00 WI RIND .1513 F I XTU RIM / POE WR TOTAL FE¢ * / 4r UTILITY CO.mcmriKDlU,6W (W/�f FINAL 74 76 A683-C9806 a/ea APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGE11-ES DEPARTMENT OF COUNTY ENGINEER BUILDING ^ BUILDING AND SAFETY DIVISION ADDRIM ✓/ /�!�'� L L� _JOHN A. LAMIJIE, COUNT! ENatN R WILILL"A.JRif13I, SUPT OF BUILDING LOCALITY /��A�IC- NJ M NXARIST . /T A�lc [[C[FT TOTAL NO OUTLETS FIIIGT 20 •sp i OWN E l LIGHT �" MAIL �- ADD'L .1d D _ SWITCH. OVlR 20 LIGHTING [!��:Flrlll.T20/0 .10 T>D'"NO. FIXTURES I 9y"ADD'jO ip ELECTRICIANmectric Corp. 1tANGSG aO.Dwfs" vrm HTRS. 1.00 ADDRIM GAIN.p1ar. GTA.COOK CITY 669-9101 i os A:Iige sicTIL.NO. Dld*rWASH. AUM-WASH• STA 149996 dPAC9 HTRW GTA.APP.(W H.P.NAI.) .50 LICEN f NO. YOTOwf, Oval HOT OYmt H.P. DI$"f l ROU ZONE =FID O 1 1.00 (f/) 1 f 1.50 IN N RECORD n 1.00 O S 15 L50 U 15 So 1.00 �O� SO 100 5.00 C J �alrf NO:TRA M LLGLL NO.LAbPG H Z fMVICE 0.600V-NOT OVot 100A 1.00 9ZRVICI O-6)OOV-OV=l.00 A. 1.00 SINVICK OVR 6)OOV 5.00 W fC. i PxRHIT IMUING"m 1.00 RUrrL 04TA"M"rr IMUINQ FM 1.00 ToYAL. FQE • >7¢ N [ TT1 HLNZY ACIO0bWL�J< THAT 1 HAVE FD THI Ar0lLJCaTION �� Ap STAT[ TFR ASOVS If COPOWIC! Alm AGR TO COMPLY CONDUIT . WITH ALL COUNTY ONDUL&KCZZ AND STAT[ LAWS INGULAT'ING ELXCTRICAL nDUN4L WIRING 1 HET C!D[YIFY THAT 1 AN PROAt4Y IRGIGTLRIP AND/Ow LKIIINAm AS MQUDtKD GY LOG ANGII2G COUNTY AND CTAT= OF FIXTIJRIS CAL{FORNLA OR THAT I AH THI UMAL. OVYN= OF THI ASOV[ DppK.W. WIIIWN� I V. I r0'Yfm f GNATu RiUTI OT FI orr " FI VALIDATI Au c CK M0 CAfN SU SING E1iCTRICAL EN-311— 75Aee9-CE OO I1-71 APPLICATION. R ELECT�tICAL PERMIT COUNTY OF WS ANGIELEO DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIV181ON ADDRESS LOCAL FOR APPLICANT TO FILL IN NEAREST CROSS 3T OUTLETS OWNS RECEPT._ MAIL LIGHT TOTAL FI HST 20 25ADDRESS OVER 20 CITY TEL. NO. SWITCH_ .10 PUN CH FJ HST 20 APPLICANT CX 4 L1GHTINQ TOTAL FIX.TUFj><S OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CI.TY TEL-: NO. PERMIT RANGE DRYi~A_WTR. HTR. APPLICANT r STA. COOK DISP. F.A.U. ADDRESS -40'.34 SPACE HTR. AIR COND.-CITY N0. CLOTHES WASIi.-DISHWASH. LICENSE N0. CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWL11360 THAT I HAVE READ THIS APPLICATION AND STATE THAT THE A-BOVE IS CORRECT AND ASR[[ TQ COMPLY MOTORVL TRANSFORM.[RS RATINe W ITH ALL COUNTY ORDIKANC[S AMD STAT[ LAWS REbULA71NI IND,HLJ1T[Rl, ETC. HP. kW. RVA. [LKCTR ICAL WIN INS. ■IZE k TYPE OVER T6 I HEREBY RATIFY THAT I AM PROPERLY R[Slt T1<R[D ANb/bll � O — } 1.0f) LICENSED AS REQUIRED BY LOS ANGELES UNTY AND STAT[ OF CALIFORNIA OR THAT I AM:THE L[lAL OF, AND INTEND TO I — 10. �p0 RESIDE IN, THE A SCRIER S1b[NT TROP[RT1, 10 _ 500 SIGNATURE so OK PERMITTEE Ix 50-- 100 10.00 DISTRICT NO. 100 - 1500 15M $NOK, OAS EION ANO ONE CIRCUIT 5.00 NOTESr TUBE, QR MARQUEE ADdITIDNAL CIRCUITS 1A0 ' SERVICE40TOVER 600VOLTS OR200AMP 3.00 APPROVALS DATE bM't,Cff SIGNATURE 8ffAVI9EOVER8OOVOLT3OR200AMP 10 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAS WORK TEMP LIGHT OR RECUT. SYSTEM 7.00 ROUGH CONDIUT WIRING -I' -7 r FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY G0. NOTIFIED PLAN CHEgK FEE PERMIT ISSUING "-E S-OO FINAL TOTAL FEE PLAN CHECK VALIDATION tK. Jt.O. tASR PERMIT VALIDATION cE Z 5' 9 * i5 2 D 6.00 S[[ SAO( OF APPi.ICAYION FOR COMPLETE SCHEDULE t ,�....� o••SA APPLICATION FOR PERMIT DEPARTMENT OF svzz.DnNa AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHiLT ENGINIER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONA PERMIT NO. ELECTRICIAN FRANK'S ELECTRI RECEIVED CEED MY RKADY FIRST INSPEOR DATE ISSUED ADDRESS 9 TELFORD ST. _ S ANGELES 22 a/c. CITY TEL.ND.AN. 7484 PPUMTY LIOICHRX NO, 10151 ZXPIRrA6-3 BUILDING ADDRESS PER__ FEES FEE NUMBER EACH I SAI ITV uGHT OUTLETS NEARlrr ORDSS ST. REDEPTADLES WALL \WITCHES a nvvN¢R TOTAL OUTLETS BO MAIL ELIO. RANGES 98 ADDRESS ELEO. HEATERE 98 11 rTY TEL N0. FfXTURM B 1 HERESY ACKNUWL.EDGE THAT 1 HAVE READ THIN IBa APPu0AT10N AND STATE THAT THE ABOVE IN OORAXOT NUMBER OF LIGHT OIRCUITH AND An RIM TD COMPLY WITH ALL COUNTY OKDJXANOES HUMBER OF REDEPTAOLK CIRCUITS AND STATE LAWS RIGULATING n 1^Tn'OAL WIRING. MOTORS 1 CERTIFY THAT 1 P0010=101 THE ABOVE VAUD ION Hum Qiw - HORSEPOWERANGELES COUNTY LIOXKSE, OR I AM THE LEGAL OWNER F[E NCW HP OF THE RESIDENT rROrERLTY DESCRIBED ASOVMvO. OV[1l IM0. CAtIN a. • �• •25 so I■IONATURK OF m �Q B .Bn 156 rERMITT ,1� A-1a 9 z INSPECTION RECORD -e !j:S$lJw3C 615.00 900C.DO BOO B.DO OVER IOM amoo D M.O. SET FR CHANGER-Hr O WELDERBI AC-K-VA OENERATORS - KW TRANNFORMERS - KVA TEMP. MOTORS (75or Ow10.) MWEP MOTORS (75or oni■ MI e10Ne Na MD.TRANS. APPROVALS HO, LAMPS D W INBPEOTUR'S NAME FOR EACH PERMITI WIRINS 7.00 CONDUIT FTXTUR[S 1.00 WIRING C J r D F I XTU RIN pl M R TOTAL FEE 0 b UTIuTY Co.NOTIFIm - ,--' FINAL �S 79A663 0a15A r1-no APPLICATION FOR PERBUT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF L08 ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO PILL IN USTRIC O. GROUP ZONE PERMIT NO ELECTRICIAN s RICEIV READY FAR DE ATE ISGUD ADDRE51 FIRST IN8PECTION / CITY b' TEL NQ. COVNTY C - V BUILDING PERMIT FEES E FE ADDREGS NUM WA..m LOCALITY LIGHT UTL" NEAREST RECIPTACLKS CROGG ST. WALL BWiTCHK8 OWNER TOTAL OUTLETS- 5c III MAIL [LEC. RANGES 15 ADDRESS ELIC. HEATERS CITY O FIXTURES 6 I NEREB'Y ACKNOWI� E GE THAT I HAVE RAD THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIMCUrrq AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND-STATE, LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSE" THE ABOVE VALID LOS Nu HORBtrOWER FEE ANGELESli COUNTY LICENSE, OR 1 ATHE LEGAL OWNER oe NEW Mw. HP ov[lt IWc- WAICH OF THE RESIDENTIAL PROPt1tTY DESCRIBED AWOVL •u� D SIGNATURE OFva // o II ,50 PIRMITT V F I ,y II 5 1.oQINSPECTION RECORD D 15 1 60 D II 170 5o IIoo Boo II 1500 10.00 J SQO 10-00 15.00 O 1 001Q 10.00 M. 0. Birr/FRMQ. CHANGER-HP a VV ELDIKIBi AC-KVA GENIRATOR8-KW TRANSFORMITSIKVA TEMP. MOTORS 7 of oRla. MOVED MOTORS 7 of olua. SIGNS NO. NO. TRANS. APPROVALS NO, NO, LAMPS o� D 1 PECTO NAM FOR EACH P02MIT� ' WIRING CONDUIT 1.00 WIRING G` FIXTURED 1.00 GUPPLEMENTARY ;60 FIXTURES POWER 10 TOTAL FEE s UTILITY CO. NOTIFIED IrINA L / / 7- - 76...3 DRa RA 3-9 APPLICATION FOR PEHIEFT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC i WILLIAM J. FOX, CHIEF EHOINIMR FOR APPLICANT TO FILL IN DIBTRI NO. GROUP ZONE PE IT MO, ELECTRICIAN READY FOR DATE ENSUED ADDRESS FIRM INsPECT1OM CITY a- TEL NO ~� 7-- COUNTY LIDSK NM a7tl [XrIRE■ d—47 BUILDIN DREmG PERE i i FEESAD / NUMBER EACH FEE LnnAI tTY LIGHT OUTLETS NA [ REsT O R CSS ST. An- R[O[PTADLIB WALL BWITOHEB OWNER TOTAL UUTL[TB -21 60 MAIL [LEO. RANOEB 26 ADDREr [LIQ HEATTRs aD CITY TEL NO. FIXTURES 6 1 H[gEaY ACKHaWLIDOE THAT I HAV[ READ THIN MIS0. APPUCIATION AND STATE THAT THE ABOVE 10 NUMBER OF LIGHT OIROUITH AND AURES TD COMPLY WTT14 ALL COUNTY ORDINAMOO NUMBER OF RED[PTAOLE CIRCUITS AND STATE LAWS REGULATING [LEOTIIICAL WIRING. MO-MRS I O[RTIFY THAT I POSSES TME ABOVE VALID LOS Nurmm HORSEPOWER FEE ANGELES OOUMTY LICENSE, OR I AM THE LEGAL OWMI R NEW MVO. HP OVER IMO. WADH OF THE RESIDENTIAL FR.OPERTY DESORIS[D "UM • uua III xm ■IOMATURE OF i BO FERMI a s 1.00 INSMCTION RECORD S is 1.80 16 ■0 2.50 Bo sacs B.DO am Sao 10.0a J BOC 1000 1s= Z . OVER 1 Cm aa.00 p M.N. NKT/FrREQ. OHAHO[R-HP Q WILDERs1A13-KVA O . MENERATDRs - KW TRANEFORM[RS - KVA TIMI-. MOTORS OF DRloa MQVED Rs 75OME BIONS NO. NO.TRANL D.LAM APPROVALS N DATIC MlECTOR'S KANE FOR CAOH PKAMITI 1.40 O O 00HDUn WIRING FCCTURES 1.00 WI RI NS fUrriLZMENTARY SD rTxTUpwq POWER TOTAL FEE •/ /! uTiLnY CO.NO•nF1[D FINAL 1 t , 76AG63 DBS 5A 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRII, T N GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN _ � 1 ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS - r FIRST INSPECTION CITY j - TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING ADDRESS PERMIT FEES r FEE LOCALITY - NUMBER OUTLETS EACH --, — :•� NEAREST ! LIGHT Sc $ CROSS ST. i. RECEPTACLES _ 5 FIXTUREB 5 ,„.>' ❑WNER WALL SWITCHES 5 MAIL ADDRESS _ ELEC. RANGES 25 ELEC. HEATERS 25 CITY TEL. NO. MISC• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS FZFCEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWERFEE 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEW MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V2 S LESS $ .25 %2 2 .50 SIGNATURE OF ' PERMITTEE ------- 2 5 1.00 s is 1.50 INSPECTION RECORD 15 502.50 �� _ 50 200 5.00 _ 200 500 10.00 O 1 Soo 1 000 15.00 RL OVER 1000 20.00 �(7� Z M.G. SET/FREQ. CHANGER-HP M WELDERS:AC-KVA IY GENERATORS - KW C TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1_00 CONDUIT FIXTURES $1,00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL R ELECT APPLICATION CSRI iA�. P"-[T �`r'. . COUNTY OF LOS ArEL ETY FOR LICAAITTO FILL IN New 17esidenTlal Bfdgi.8 Foals EACH I tK DD S I `dJ 1 &2-Family,Sq.Ft.. $ .' 025 S y LOCALITYr� Multii fomlly Sq. Ft. 02' — NEAREST ROSS Rllxld@nTlgJ$w]ymlrlg FpQ1s _,- 5.00. OWNER T fIPM CJut4eri:Rrr r- I.Ight Svi.�T„ r I NA y--•••y s,•. flirt 20. .50 MN -- - Total No. -Add-Additional 30 Gam' Nb. PI PPAtN C ECK ICAt�7 Llghting Fixtures ;First 20 •50 ADDRESS , -Addit}onar .30 - - Total Nd-. CffY , Tel.No;' Fixed Appllpntds-Not•Over 1 HP r7rVMI _ Range_Heater-�D.W.— f• y APPL­CA r1T A' - [ "er ADDRESS Top' BEAU W.H. CITY�� gl._K4 r Xlgo�_Fph V_Other_ DI}p:—Rnom.Alr Copd. _� 2 0 a RICENa'EG.-N MBEFCttiis: = 0 I HEREBY OW EDGE THAT I HAVEREAp'1FI6 APPUG- u Power Appara"&Large Appl lances T10N AND STATE THAT'Pi E ABOVE IS CORT2� At7D' GREE TO Saye orf Hp, KW, KVA,or KVAR _ CQMRLY tlVIT1t �Lt _00 ORDINANd B AN to YPe REGULATING GL WIRJtJG 4ipto'1 _ y 2.50 HEREBY C$2Tt01 fY-11WI AitMPEk_Y REGISTERE'DOMD/•OR. -,(AJ Over 1 to }0 IpG1. 5'� L]CBJSERa�IAS REgUIRE4 BY LOS AN CQUNTY AND STATE OF � �• Over }0}o'5.0frxl. ' 12.50 �IIA R,THATI TNL Q1�tJ�{.QFTtiE.AQOYE _..Q D�SCOyer 56 to 100 Inc 5,00 Qver 100. 40.00 PEJMTEE. SJ GrW-LJ RE Sdrvices - - _ .DISTRICT -- 0•200 Amp. Under 600 V 12.50 20?-1000 Amp. ander 697 V 25.00 ` Over 1 OOP Amp.or Over 600 V 50.'00 Y Temp. Power,POle&Appurtenances - -'10.00. - p; Sign with One Brgnch Circuli 10.90 AdditlonatSlgn Brands Clrcu}ts- (K5PKTION 1 b.60•' INFORMATION M4c_Conduits&ConHbaors _ ONAEVERSE Other lSee Complete Fee S�hedulel_ - 5"6A .� #A0 O o 02 , PERMIT FEE 1�Ub-Tbtaii S. 2'q• - 1 0.00 PLAN CHECK G FEE. (C1ne-Fourth-Perm 4 txe) o`a~o }'(y`O UH PERMIT ISSUING FE(- 37.00. 8.1 TOTAL FEE 1/ > H INSPECTION FINALED date. ' < ( e/ BY �' 7ew0e3 u-boe rn'eM A p PL I CA4 OR EL E 'I lT COUNTY OF LOS ANGELES BUILDING AND SAFETY � g FOR APPL3GNEL A � FL i A DRESS New Residential Bldgs.&Pools EACH NO. FEE 1 &2-FarnIIy,Sq. Ft.� y = S LOCALITY Mulfl-fatally Sq.-Ft. NEAREST CROSS Resldentlaf-Swlmminq Pools T fjRM 0" 0 OWNER OR Outlets.Rer Light_,Sw,T� IL Efrt 20 ESS c e 6► Total No:_ Additlonal QnC Tel. No. ^� PLAN KKI NT bghting FLxturft First 20 ADDRESS Totbl No. Add6onol CITY Tel.No. i Fixed Appllances Not Over 1 HP Range_Heater_D.W. APDL N7 Oven_Dryer—W.M. ADDRESS RA vt Top "FAU' —W.H._ CITY ple, a4 Tel.No. Hood_Fan —Other LICENSE OR Dlsp._Room A1rCond REG.NUMBER d Cass• �l t7 I HERBY ACKNOWLEDGE THAT I HAVE READ THIS APPLJCA- Power Apparatus&Large Appl Ignces TION AND STATE THAT THE ABQYE IS CORRECT AND AGREE TO SIXn d Type HP,KW, KVA,or KVAR COMPLY WfTH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING EL.ECfRIgk,WIRING. Up t0 1 Incl. I-HEREBY CERTIFY THAT[-AM PROPERLY REGISTERED AND/QR Over 1 to 10 Ind, LICENSED AS RE(�IJIRED BY LOS ANGEL$COUNTY AND STATE OF Over 10 to 50 Incl. CALIFORNIA OR THAT I AM THF LEGAL WN ER Of E ABOVE DE&CABED RESID RTY. Over 50 to 100 Inc Over 100 PERMITF SIGNATURE Services DISTRICT�IQ� P D Y 0-200 Amp.Under 600 V 201-1 Oo0 Amp. Under 6QO V l C/ Oyer 1000 Amp.or Over 600 V i Temp. Power Poled,Appurtenances Sign with Or�&Branch.Circyit Additional Sign Brqnch Clcqu4 INSPECTION ; Misc CoAduits&Conductor INFORMATION $©Ta 2 A Other Complete Fee Schedule) ON REV,AOE # o'o'o p'o 2 SIDE ' 210 0 Q,00 10,00 PERMFEE 8 0 PLAN CHECKING FEE (One-Fpur}h Permit Feel PERMIT ISSUING FEE TOTAL FEE 3 INSPECTf INA -date. By en 1��v+ I WORKER'S I have a caSATION DECLARATION DP1Yc,z-9,> APPLICATION FOR ELECTRICAL PERMIT LJ I hereby afilrm that I have a certificate of consent to self Insure, or a oertlficate of Worker's Compensation Insurance, or s certlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Seo.3800 Lab.C.) No. Company POR APPuc dllr To Pu or A. tJ� y C4rttfled copy Is hereby funnWed. New Raslderttlal Bfdps-S Poole NO. EACH FEE LOCALITY — i ❑ Certffled copy Is sled with the county bu0dlrp Inspectlon 1 S 2-FamDy,89.Ft Muftl tnrNly 3q.Ft NEARE . department Date Applksrtt Residential Swtmrrdng Pools A88EMAP SOROOK PAOf PAnGEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._LIg rt Sw. OWNER OR ^ RRL NAME COMPENSATION IN8URNCE A 1 First 20 MAL (This section need not be oompletsd If the work Invotved by the ADURESS permit Is for one hundred dollars($100)or lap.) Total No. Addtbnal I certify that In the performance of the won for whloh this permit CITY TsL Na Is Issued, I shall not employ any person any manner so as to PLAN Q-E become• Jett to the Workers' Comps on Laws. �tinp�� F9 rat� APPLICANT Total No. Add}tlonal ADDRESS Date` RESIDENTIAL APPLIANCES NOT OVER 3 HP. NO CET APPLICANT: If, f r m I th s Csrtlllcate of CITY Tei Na Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. PEFOOUT provisions of the Labor Code, you must forthwith oompiy with such T CC. ,� in provisions or this permit shall be deemed revoked. Power Apparatus S tarps Appllenoee LICENSED CONTRACTORS DECLARATION 8tze h Type HP,KW,KVA,or KVAR ADD I hereby affirm that I am Iloensed under provisions of Chapter B Over 3 to 10 Ind. (commenoing with Section 7000) of Division 3 of the Business and Over 10 to 60 Ind C � Tet Na Professions Code, and my Ilosnse Is In full force and effect. LICa18E B } Over 50 to 100 Ind. REO.Nlk[BF]3 d Over 100 DtSTA}CT NO. BY S LJoenee Number 1-10.Class lcL_SZ /7p Services,3wbd.,MCC S Panslbonrds l/C1 Deb 1 er 0-399 Amp.Und900 V FINE ❑ I am pt under Sec. 400-1000 Amp.Under 900 V -a VALIDATION W Over 1000 Amp.or Over 900 V ANAL B.BP.C.for this Neeson13Y (L BRANCH CIRCUIT FEES U) Date: 16A,or 20A,12OV,Ughting or Recept. Z 1 To 10 Branch arcuits Signature 11 To 40 Brsnoh Circulln 41 Or A4ore Branch Clroutls ❑ Exemption for Rep.Malnt Elect 1&A,20A,206V To 27N Br.Chcub SINGLE FAMILY Temp.Power Pole h Appurtenanoes HOME OWNER-BUILDER DECLARATION S with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions AdcRb( l Sign Branch Clncuits Code): ❑ I, as owner of the property,will do the work and the struotura MHo-Conduits S Conductors Is not Intended or offered for We (8eotlon 7044, Buslnsas ( Complete 8ched , and Professions Code). L CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097, PERMrT FEE (Sub-Total) Civ. C.) PIAN CHECKING FEF L finder s Name PERMIT ISSUING FEF Landau Address o O I certHy that I have reed this appftcaifon and under penalty of purJury state TOTAL FEE d . that the above Infomotlon Is correct. I agree to comply with all County crdlnancee d State laws regulating EleotrtoaJ wTIN,end hereby authortw of this County to enter upon the above-rnafTb nod property for PrP-? 8EE REVERSE FOR E)(PLANATORY LANGUAGE `NO `BCOMPENSATION D 'ARAT'O" '°DPW`12 °'' APPLICATION FOR ELECTRICAL PERMIT ll I hereby affirm that I have a oertlfloate of consent to self Insure, or a oertlflcatla of Worker's Compensation Insurance, or a oertmed COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copYiherdof(Sec. 3800 Lab.C.) Policy No. Comparry POR APPUCAK-r TO 171 N JOB 5 O C' y�/� ead ❑ Corthfiad copy b hereby fumlshed. New Rblderttlal Bldgs.S Pocis NO. EACH FEE T J /, ❑ 1 f1 2 fern5fly,3q•FL = $ i LOCALITY 1 Is Med with the courtly bulldlnq Ir>apectton Muftl-femly Sq.FL M2,121T. TO Ck tX"' Date APPI� Reeldential Svrtmming Pools �BOOK PAaE CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec-e4-"—Light 7-ot—Sw. ♦O OW NER OR COMPENSATION INSURANCE (This Notion need not be completed H the work Involved by the //yygg//((yy A 'egg ma 4P permtt In for one hundred dollars($100)or less.) Total No.6f� Additional / I certify that In the performance of the work for which this permit ����77 C ITY T�Is Issued, I shall not employ any person In any manner so as to � pLAN become subject to the Workers' Compensation Laws. htlrng free First APPLk INf Total No. Addltlorai 6 ADDRESS Date App4Jcarrt ESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO AP ICANT: If, after making lhle Certificate of CITY Td ria Exemption,you should beco"subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. PERWIT provisions of the Labor Code, you must forthwith comply with such APPILICANT 4yy% n(% e2 provisions or thla permit shall be deemed revoked. Power Apparatus d Large Agplfencee LICENSED CONTRACTORS DECLARATIO-N Stze 8 Type HP,KW,KVA.or KVAR d ADDRESS I hereby afflrm that I am licensed under provisions of Chapter 9 / Oyw 3 to 10 Inol. �� TsL py0. (commencing with Section 7000) of Division 3 of the Business and F— Profeealons Code,and my license Is In full force and effect. OVer 10 to 60 Ind. LKA34W OR Over 60 to 100 Ind. W&r JHr } C� a Over 100 D18TRICT Na BY Ucenae Number Loc.Class /O D 8 Services,Swbd.,MCC 8 PamU),oads Q [� Contract 0-309 Amp.Under 800 V FINAL TE F1 I em exempt under Seo 400-1000 Amp.Under 600 V '� VAW Over 1000 Amp.or Over 000 V 1JDAllON BY B.fiP.C.for this reason BRANCH CIRCUIT FEES fn Dote: 18A,or 1 ,L{ghting or ReceQt Z 1 To 10 Branch Circuits Slgnaturo 11 To 40 Brvxh Ctrcub ❑ 41 Or More Breach Ctculb Exemption for Req.MafnL EIecL 15k 20A, UN Br.Chub n2 hT SINGLE FAMILY Tomp.Power Pole d AWurtenances ACC .4 42.30 HOME OWNER-BUILDER DECLARATION S1gn with One Brandi Ciroult Fv 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 70L31.6, Business and Profsealons Additional Sign Branch Ctrcuftn Code): ITEM ❑ I, as owner of the property,will do the work end the structure Woo.Conduits 8 Conductcra I I l A. 442-30 is not Intended or offered for sale (Seotlon 7044, Buslneas Other(See Complete Fee Sot cede) CHECK 442.30 and Professlona Code). � 4f, mm CONSTRUCTION LENDING AGENCY Ma .W I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097, PERMIT FEE (Sub-Totalffli iM1 O 0000— v 7/96 CIV. C.) IARMr PN CHECKING FEE 4163 1 AM 9:r- Lenders Name PERMIT ISSUING FEE t�o Lenders Address I om"dwl I have read this app6oat om and under penalty of purfury etaL TOTAL FEE that the above Information Is correct- I agree to cornpty with all Courrty ordhnanoee and State laws reguiabr)g Electrical wid ,and hereby authiprue representativee of this County to enter upon the property for I purposes• SEE REVERSE FOR EXPLANATORY LANGUAGE /r9, 9� OnNATME Of DATE WARS.COMPENSATION DECLARATION 7p�Ae68 10/.81 APPLICATION FOR ELECTRICAL PERMIT re I,h. afftmi that I have a owfficafe of.00neerd to &W haae, -eo$O or s.owttfbate of Workers, Compensation Ineursnoe, or a cerflfled COUNTY OF LOS ANGELES BUIWING AND SAFETY copy thereof.(Se4.3800,Lab.'C.) Polby No any FORAPPL.1(JN[To Fu rr� TOB - ADDRE88 EACFF NO. FEE 4Q i Ceritfted Dopy ip hereby furnished. NOW Reeldemtiel,Bkign.•d Poole L ❑ Cerftfled Dopy le flied'with the oounty buUjig h s;peatial 1 d 2-Famay,ScFt $ = E NE AREST depertrnent. Maki-fernffy Sc.Ft- CFKM ST. Realdentml Swtrrtrnlnp PoohData— Appiloint OWNPRQR Qi RTI FICATE OF i=)MMPT1ON FROM VAX KERS'..• Outkft Rec Wpht _ SW. �_' - .MAL COMPE)J,5F N INSURANCE Brat 20 ADDRESS (This Mctlorr nMd not b�completed fl ttH work ffrvofv*d by the ; T�sl Na Adcfttkx al TeUNa ,,perlydt IM.for ong hundred dolLan ($100) or Iw). HECK •I owttfy that•tn the performance of the wgrk for whbh.thle perrrdt � Is issued,,I:&a not empby,any Person In mann` so se lo become eub)ect to the Wbrf®re' La W&- Ughtlnp Futures FI st 20.E ADDRESS Total No. Additional GTN - 7e1.Na Date- Apprbartt' NOTICE, TO APPLICANT: k, meklrp Certiflai oe d Fbred Appaanoe&Nok Oyer 1 HP Exemptbn,you shorrid beoome to the Workers'Qun pensabon Fes— Healer— D.W. _ OuAsion& of the Lebor,Code,you must brUwft oompfy with euoh Oven. — Dryer_. W.M.—. ADDRESS provisions or thb perry ft a4a11 be dperned.revokm4Top �,. WJ-L Gil ytl. TeL Na g � J ICENSED COiJTR4CtORS DCLAAATIQN Food -- Fan — Other— t.hereby.afflrrr?_that L em Ibensed arbiorrd d ida` provCtppter 8 p} Room Alt.Cond.'— ��� (banm nldng.Wk3b0ri 7000) of Dtytsbn 3 of,th9 Kmhtr & and' Profeeebhe Cbde,and my 6oenee Is In full force and effactLeer Appersdtm Lerpg Appllaicee DISTRICT Na P1101-EW�� srr.e d Zype HP,KW,KW4•or KM R . 8 Losses Number Llo..Clam 4 f Up td-1 incl. RNAL. v e Over 1 to 10 Lncl. DATE � cor� Dedi' J pYOr 1D to 60 Inel.. (� FINAL LJ L am exempt'ander Sea .0veo-60.bo 1001na. By. BAP.C.for dile reason Over 100 Servbee,Swbd,MCC d Panelboarda , Z Dabs 0-200 Amp.Under 600 V w sior,ebue 65.603W201 - 1000 Amp.Under 800 v _ }T[ e _ .. Over 1000 Amp.or.Over 800 V 1 +r U til ❑ Exemp6W ibr Reg.Mb1nL Eboi I a: Z EYCr r .SINGLE FAMILY Temp.Power Poie d Appurtenances HOMEIO OWNER-BUILDER DECLARATN 81�With One Branch Circuit 4fiL4T� ■4tr I hereby efflrm'thet I am exempt from the Contractor's t tense Liv WOE ,1n for the folowtp reason(SedJ n 7031.6 Bminees and Protmabie Sign Branch.Groufte ■W Code): r��m�r�yy�y . worktiflea Condatte d Corduo(rxe tRJLA.rIJt.RJ 1 11/15/95 ❑, I,ae t lntw of the property, r do the(Section and to Businatnucb" Other(�Cornplete Fee Sohedufs) is not InterrJed or offered for &ale (Section 7044, Business �lp +� end Professions Code) .7M, y ' # .f pp�11 6:14' CON TRUCT10N LENDING AGENCY - 1 hereby affirm that there Is a cormtnrcriom Tending agency for the perfomranoe of the work for wfrich dire permR is hssued(Sea 30867, PERMIT FEE (Sub Totem _ Crv.C.). PLAN CHECKNQFEE_. . _ Lender's Nemo PERMIT LS$UINQ FEE G� Lender's Address I certify that f neve read dile.appkailon and state that the above %� FEE G 6 `D hfomwtbn b oorrect I agree W•coy wfth ell County ordhenoee and State Tawe regufa&V plectrbel wiring, and hereby Auttwrtze repreee{rtaifvm IX thhs County to enter upon the above-mentioned y $EE REVERSE FOR EXPLANATORY LANGUAGE ra PsrrrrltteeData WORKERS'COMPENSATION DECLARATION CE -80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have ■ certificate of consent to self COUNTY OF LOS ANGELES �` BUILDING AND SAFETY insure, or a certificate of Workers'.Competuation Insurance,or / a certified copy thereof(Sec.3800,Lab..C.) ' FOR APPLICANT TO FILL IN JOB c� Policy No.—Company ADDRESS S� // . New Residential BIdQs.&Pools EACH - NO. FEE ed copy is hereby fuTrIU11ed. 1 &2,Femlly,Sq. Ft. t — LOCALITY Multi-family Sq. Ft. NEAREST Certified copy Y filed with the county building inspectlon l CROSS ST department. Resldentlel Swlmminp Pbtlla OWNER OR FIRM NAME Dater Applicant Outlets:Aec.—Light Svv. MAIL —7Irrt 20 ADDRESS CERTfFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE PLAN CHECK (ThLec section need not be Ieted It.the work tnvotted APPLICANT Lighting Fixtures FIrrt20 � by the permit tt for one hundred doilirs X100) of len) ADDRESS Total No. Additional O I certtfy that In the performance of the work for which thhCITY Tel No. permit is issued, I shall not employ arty person In any manner Fixed Appliances Not Over 1 HP . to u eruatton Laws.to become subject to the Workers' Com Ran PERMIT p Range—Heater D.W. T— APPLICANT �j�{,�, ,,,` Oven _ Dryer—W.M._ ADDRESS IZZS z Date TPllcant_ Aar o.�G oeG`�iCi Top — FAU —W.H. Hood _Fan —Other— CITY LA el No. 49'7s7� NOTICE TO APPLICANT:,If, after making this Certificate of Dlsp. _ Room Air Cond— LICENSE R r� Exemption, you should become subject to the Workers' REG.NUMBER Z `'�bClaes CT� Cempenaatlon provisions. of the Labor Code, you must forth- Power Apparatus& Large AppllarKm DISTRICT NO. PEiOC ED BY with comply with such provisions or this permit thall be deemed revoked. Size&Type HP,KW,KVA,or KVA e Up to 1 Incl. FI ROver 1 to 10 Incr. DATE VALIDATIQN L /� LICENSED CONTACTORS DECLARATION Over 10 to 60 Inc[. (� �Z I hereby affirm that I am licensed under provisions of Chapter Over 60 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Buui- B Y O��100 ness and ProfesaC lons. ode, and my license Is to full force and effect. Services License Number WZ`_d6 ° j,Jc.CLss • !'� ro 0-200 Amp. Under 600 V ec LG/ / 201-1000 Amp.Linder 600 V Contactor V? Data � Q1 Z Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurmnances 1 hereby affirm that I am exempt from the Contactor'I Sign with One Branch Circuli T.Icense Law for the following reason (Section 7031.5, Busl- Add)tfOnel Sign Branch GrculU neu and Profeaal,ons Code): Misc.Conduits&Conductors' , I, u owner of the'property, will do the work and the Other.(See Complete Fee Schedule)— 2 46 a 1.A structure Is not intended or offered for sale (Section . . 7044, Business and Professions Code). # o -0 0 0 2 CONSTRUCTION LENDING AGENCY Ot I Jtereby affirm that there is a construction lending agency 4 1250 'for the performance of the work for which this permit Is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). o o'o 1 2 5 0�. Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 2'9.—812 Lender's Address PERMIT ISSUINGFEE I-certify that-I have read this application and state that the TOTAL FEE �[ 0 above information Is correct.I agree.to comply with all County ordinances and State Laws reguliting Electrical wiring, and hereby authorize representatives of this County to enter upon the abo mentioned property for ina n purposes SEE'REVERSE FOR EXPLANATQRY LANGUAGE 2 �Z, Slknature Permittee Date woRl<ERs'COMPENSATION DECLARATION 7&AM8 lo/81 APPLICATION FOR' ELECTRICAL PERMIT I hereby affirm that I have a oertlM1cate of oormeC*to sett hmx. , '. or a certlficele,of Workers' Compertsatbn.-Imran oe, or a oerttfied COUNTY OF LOS ANGELES BUILDING AND SAFETY ccopy thereof(Sea 3eoo,Lal� d> Pdloy Na Company Foy AT To FLL IN O ❑ Certffbd Dopy,b hereby fumished. New Realderttlal Bkdge.S Pbote EACH NO. FEE ❑ Certffled odpy,is fDod'with the, oounty buld}ng 4rapeOiibn 1 S 2-FamRy,Sq.Ft $ — S LO AL'T1 ` n/ depw trnertt MuRtl-fan l S4•Ft �8T. aO 5��91r Data ARAIicarrt ReeiderrHal Swlmnift Poole I OVO ER OR F"A NAME CERTIFICATE OF EX)=MMF1lON FROM WEEPS Outlet.Rec�-- t F A :•,•COMPENSAf1ON INSURANCF.. — Sw. T. ,wORE88 Mils,e cbm rW pot be corttAs6d tf the work,lnvotmd by the Fhet 20' . Total Na Adm CffY- Tel Na permtt b for.grl@.fwndred dollen (;100)br�') I.oertffy thpf In the Periormanoe of,.the work fof whbh thb permit PLAN CHECKAPPLICANT Is,Igm e , I shell W,employ say�pwom In arty mpfv»r so m b 60`oXns sub)eot tQ �Wye'.Corpparmabon LUfflno Futures Fhat 20 AE)DRES8 Doth Tptal Na CITY TeL No. . TICE TO, APPLICANT: H, .a NOmaking. Certitfcate c Posed Not Over 1 HP F iaT E)aert)ptbn,You ehoyldbecome to tile.Vkrkem'CorperA9t6o-n Range— Heater— aW. V-iaiona 4f Hie Labor,Co¢e,you must forthwith oomPN wrttlr s,on oven — Dryer— WM— ADDRE 4 . Y4! provfelone or tie pwpIt ahWI be deemed revoked Top — FAU — W.l-L CITY l Td.No ..LICENSED CONTRACTORS DECLARATION Hood — Fan —,Other— I,hereby affirm that I pm Ibeneed.under provfdone d Chapter 9 plop, — Noorn Ak-Cond. OR Cia.a .-(ogmmendhg wftr Section-7000)of DK%J n 3 of the Buslnesa and Fr=&.NLOAM13 Vj9 V07 Prolessibm Code,and my'Ilcenee Is In full force and effect Power ApparatLie a Large AppilanGea DISTFOCT NO. PROCESSED BY - Stze S Type HP,KW,K)^or K\14R . V . Ll..Nurnt. 3W Yo 7 Lb-ctaes� up to 1 Incl FINAL UU Over 1 to 10 Ind. DATE Corrvaotor � Daba 'Over Io to 6o Ind. MUDATIO R NAL I am,exernpf under Seo. Over 60 to 100 Irp. BY B.SP.C.for thle reason Over 100 - Z 9Arvbee,Swbd;MCC'd Pendboerde Date- 0-200 Amp.Urder 600 V Sigrahire 201 - 1000 Arrp.kJhdw 800 V " ` Over 1000 Amp-or Over 800 V _ ❑ Fxsmptbn for Rep.Malnt Elect - - 'SINGLE FAMILY Ternp-Power Pole S AppUrtenartcee !_ 2 HOME OWNER-BUILDER DE6LARCION Sym wfth One B�C#cult' AMA I hereby affirm that'l am e)cernpt from the Cont wbi's L.bw:ee LBw _. for the-following reesori(Segka 703 1.5,Buelaeae and Professions Adddtlonel Sign Branoh jCI=lts 7 15.50 Code): 7 ❑ 4 8s owner of the p bprrrty,will do the work and the struchre Also.Conch a Conductors 1' 1� to not trterded or offered for sale (Sectbn y044, B-mYma other(See Complete Fee-Sohedale) — — , �AL 15..50 and Profemk"Code).. t7{ .' ' CONST'PucnoN LENDING AGENCY 1 = Mwyy� Liz I hergby affirm that there is a oonatuction iacx Q agency tpr the 4fY NZ .00 performance c the work for which dile permit b iso (Sea 3097, PERMrr FEE (Sub Tot>31) - (3iv. C.). 6/29/89'PLAN CHECKING FEE 00 0001 6/2�+yp /89 Landers Nerrre J ' 4247 1 AH 10105 ' 13SUNG FEE PERMff LardersAddrees I owlffy t-*ft I have reed tib aWnagdon and Ode that fivao a TOTAL FEE Infomutlon Is.oonvot I agree to oon-ply wkh aA 0ounty ordlnanosa and Stale laws reWlating FJeatrbel wrrtV,'snd hereby aut—br a mprmwteifvm of tib County to enter upon the above-meakrted Px)�O(IY for I PuPo8ea. SEE REVERSE FOR EXPLANATORY L 4GUAGE re of r Date !iL WORKER'S COMPENSATION DECLARATION W-0019 DPW(12-91) I hbreby affirm that I have a certlffcate of consent to self Insure, 76&'°°3 APPLICATION FOR ELECTRICAL PERMIT LJ or a certlffoate 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.) FOR APPLICJINJOB I'To MI.IN Poikry No. Company ADOFE88 c r/v�' r//� ❑ Certified Dopy Is hereby fumlar»d. New Reeldentiel Bldgs d Pooh NO. EACH FEE LocALrrY ❑ CerH@d copy Is filed &2 famlly,Sq.FL $ sled with the county building Inspection dopartrrwt Wuhl�nm0y Sq.PIL — N ST. Data �� Fleeklontial SwtmmIng Pooh PArtE PARca MAP BOOK CERTIFICATE OF EXEMPTION FROM WORKERS' Off:Rec.—Lrght Sw. COMPENSATION INSURANCE Fl rat 20(This sacUon need not be completed tf the work Involved by the SSS permit Is for one hundred dollars(6100)or leu.) Total No. Addttlonal I certify that In the performance of the work for which this permit crry L Tel.NO L le Issued, I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workers' Lightivg Fixtures First 20 APPLOCA T Date Total No. Additlortal ADDRESS NOTICE TO APPLICANT: If, making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3HP. CTTY TOL No. Exefnptlon,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. PEFJAIT provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be.deemed revoked. Povw Apparatus S Large Appliances LICENSED CONTRACTORS DECLARATION SUe S Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provlalons of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Dlvlslorr 3 of the Buelneas and CITY Tel Na GQ r Professions Code, and my license Is In full force and effect. Over 10 to 80 Ind. LCEHBE OR Oyer 80 to 100 Ind. RL-0.HUABEA4�0� Cis d LlcensoegOZ L .Clew Oyer 1DSTRCT NO. e BY ) r Services,Swbd.,MCC S Pwwk*rds d [[ Date SIF 0-3BB Amp.Under 600 VDATE 0 400-1000 Amp.Under 800 V ❑ I am exempt under Seo VAUDATK)NOver 1000 Amp.or Over 600 VW FOAL BY (LB.3P.C.for thisreason BRANCH CIRCUIT FEES `� (A 16A,or 20A, 12OV,Llghtlng or Rsoept. L�! Z Date: 1 To 10 Branch Clrcufta ACCT.i n 11 To 40 Branch Ckartb EJ 41 Or Man 7Z-EM� Branch Cltoills 3333 47.111 Exemption for Rep.Malrrt.Elect0A,. 15A,2 206V To 277V Br.Cku dfa 1 FAMILYSINGLE Terms.Power Pole d Appurtenances 4Y HOME OWNER-BUILDER DECLARATION TOTAL ITEMS Gl }'t 7 - 10 I hereby affirm that I am exempt from the Contractor's License Law 84 with One Branch Clrcuft �t for the following reason (Section 7031.6, Business and Professions tfbl�i 47.10 Code): pqr. *GE .Oct ❑ I,as owner of the property,will do the work and the structure Ml*-,Conduits S Conductors 5rf7�1tL Is not Intended or offered for sale (Section 7044, Business Other(Seo Complete Fee Schedule) ' end Professions Code. ) 000&-OWI ,Sr28r44 CONSTRUCTION LENDING AGENCY 5°`_a° 1 AM 10 1CI I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097, PERMIT FEE (Sub-To* CIV.C.) PLAN CHECKING FEE Leader's Name / PERMI-T ISSUING FEE v�fv 0 _ Lender's Address I owtffy that I have read this application and under penalty of pudury male TOTAL FEE that the above Informa6 n Is correct. I agree to comply with all County d State laws requl wiring,and hereby&Mxwtzs rep"wentalfves the wboned property far SEE REVERSE FOR EXPLANATORY LANGUAGE 90NATUM NATE WORKS H C°"" ION°EC"ARA'°" 76AM 1°`81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certlfioate of.consent to serf tyre,, �$06O or a certificate of ~kers! Compwmation InstAuroe, or a owttfled, COUNTY OF LOS ANGELES BUILDING AND oopy thereof(sec 3800;Lab.C.) Puioy.No Comparry FOR APPLIGIlf1 TO'Fl1 M AODF189 .5_f! ❑ •Certtfied copy a hereby hariahed. Naw Pasiderrttel B"^8 Pools• FAgH Na FEE. T T n1 a z-FarnDy�Sq.Ft: b - — _ LOCA-ITY /�1 16 CIT 4--t Certified copy Is mad with tt» countytxr8dinp.h�apedSm' �• dapertnant M _rftt-fernny S4 Ft t�s�, oSC L Ia Art Resbmtiel Swtn n*v Pooh OWNER OR /► CERTIFICATE OF E=XEMPTION:FROM WOWFFt3MAL /� N NSATION INSURANCE Otltiete Roc— Ltyjht Sw. ADORE88 ! r (The section need rot be oompietad V th6,work tnroired by the. Ftrat 20 .peunit a for one hundred doliare($100)or bsm) TOW No, Ad�r� CITY � O Tel.Na 7 V40 1/l/ I certffy that In the pWmne" df the work,for which tt4 permR PLAN Cl NT is feared, I shall not•employ any person In erry nvr nar ao as to become gutiod bal the workers' Lays. Lbhbnp FbctL— Flrat 20 ADDRESS Total hid. Addtkr" C-ry TeL No, DataApplicant N Z NOT)C &.TORANT: If, after nu tV ttrie Certlflmie of Ftxed Appfiencee Not Oren 1 HP A711-r (ho Exemption,you ehodd become,su*ct to the W3rkera'Compensation Range—' Hamer_ aW.. —' l v provlelons of•the Lebor,Code,you must.kxttiv th comptywith suoll Oven Dryer_ W-M. ADDRESS 9 (� provisions or Itis pertnR.ehall be deemed revokred:- Top FAU — WH 911, 49 tb 1JCENSED CONTRACTORS DECLARATION hood Fan _ Other_ CITY kC-QA t f D TeL Na I hereby affix that I AM kensed Crider prpvfaions•of.Chapter 8 L Qigp4R (commnot eG.Y tth Sa0000 7000) of Welon 3•dl the Buetn� and — Room Air Cord. Fla y3 1� Prot a lone Co(*and,my kwee la in full foroe and effect. Pc►ver Apparatus b Large Appiky— olaTFOCT wa O P.PMESSED 6Y Lbffm,d Number X30�9 ,�c fp. e ., fp 1 � a int - Up to 1 kid. , �/rCLi�JI'N C�Gl p �r Over , to 10 Ind. DATE ✓ -�L� Over 10 to 60 InoL FINAL I em WWunder-Mno Soo. - Over 60 to 100 Ino. B.APr_for this reason Aver 100 • 8400E Swbd,MCC A Per�elbparde ( ( W I � 0-200 Amp,Under 800 V 81Q1ahu e 201 -1000 Amp.Under 600 V O%W 1000 Amp.or Ober 600 V ❑ Exerrlption for Re¢MalnL Elect SINGLE FAX4 LY Temp.Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign wfth One Branch Clrait I hereby afflrbtiMm m that I am exempt frothe Contractoi0e license Lave AddRlorral 8I�Branch Clraitn for the folnp reasom(Section 7031.6, Bu*wW and Prufeesforu Code): ❑ I ea owner of the property.wm do the work and the structure' Mbc Conduits d Cordtidore lonot Intarded or offered for sale (Sect rt 7044, Business ( ) , and. Professions Code). Xa Al CONSTRUCTION LENDNG AGENCY I hereby affirm that there is a oonst ucbbn larding agency for the perbrmance of the work for whloh thte permlt Is isaied(Ser-3097, PERMfr FEE (8,b-rotal) - Clv.C.): PLAN CI-tECKNG.FEE. Larder's.Name PERM T tSSU NG FEE Lender's Adr}eee , I certtfy that I have read tub applioation and biota that the above TOU%L FEE . . womVYon is correct.I agme to gonoy wfth ell County ordir"Icee and State taws mgu}aflnp Electrical wlrtrQ and hereby'authorize repreeerdtdfves d this Oovmty to order upon the above-menfloned forPurPosee SEE REVERSE FOR EMPIAN/QOHY LANGUAGE TA. au Die WORKERS' COMPENSATION DECLARATION .7MM3 3 APPLICATION FOR ELECTRICAL PERMIT O hereby affirm that I have a certificate of consent to self C� Insuro,,tr a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. Of PUBLIC WORKS or 4 certified copy thereof (Sec. 3800, Lab. C-) 8,..:y Ne3: Company -21ACAPPLFGANT TO FLL IN JOB Certifled copy Is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS L-1 Ltq FROSS C (fled copy Is filed with the county building Inspec- 1 8 2�nmlly, Sq. Ft. S — $ LOCALITY oo - tion department. Multl-famlly Sq. Ft. CROSS NEAREST ROSS ST. Residential Swimming Pools Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORIERS, MAIL COMPENSATION INSURANCE Outlets: Re{ Light Sw._ ADDRESS Flat 20 (This sectlon rseed not be completgd N the work Invohred by Total No. Additional CITY Tel. No. the permit Is for one hundred dollars ($100)or less.) PLAN CHECK 1 certify that In the performance of the work for which this APPUCANT permit Is Issued, I shall not employ any Person In any manner Lighting Fixtures First 20 ADDRESS so as to become wblect to the Worken Compensatlon Laws. Additional Date Applicant— Total No. CITY Tel. No. 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' Ram— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADD with comply with such provisions or this permit shall be Top — FAL} —W.H. — deemed revoked. Hood — Fan —Other— CfTY Tel. N LICENSED CONTRACTORS DECLARATION uCENSE I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp. _ Room Air Cond. — REG NUMBER Lim Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NOS BY/ a and Professions Code,and my license Is In full force and effect. OV Size 8 Type HP, KW, KVA, or KVAR DL. O License Number L4 4 1 �O� Llc. Class Up to 1 incl. FINAL �� Ir Over 1 to 10 Incl. DDATEALDATION Contractor w��Y,S ��d � � Over 10 to 50 Incl. FINAL O ❑ I am exempt under Sec. Over 50 to 100 Inc. BY LLJ BAP.C. for this reason Over 100 Services, Swbd., MCC& Panelboards , Z mate: Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V :0.9 9 5.4 A ❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V #.s.0,o 0 0 2 SINGLE FAMILY Tem Power Pole 8 Appurtenances HOME OWNER-BUILDER-DEC]ARATIC�I p' ACi ( '° oil 5 5.0 1 hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ° ' 5 5 Professions Code): Q 623-88 Ell, as owner of the property, will do the work and the Misc. Conduits 8 Conductors h Co lete hule , atruclure Is not Intended or offered for sale 41 (Section 70 , Ot �-- Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FTE (Sub-Total) (Sec. 3097, Cly. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE E J I Lenders Address certify that I have read this application and state that the TOTAL FEE J above Information Is correct. I agree to comply with all County ordlnances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ms Signature of mlttee I Dat WORKERS'COMPENSATION DECLARATION 764663 181 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent toCE-806GselfCE-806G Insure, or a certfflcate of Workers Compensation Insurance, COUNTY OF LOS ANGELEST- BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) �/ PooIIcy No.. ,__Compahy POR APP AM TO PILL IN JOB 'g-t4494J. s-o-,a/ eiA Fi�Y(J Certified copy Is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE AJ3Dr?FE Rartified copy Is filed with the county building Inspec- 1 b 2-Family, Sq. Ft. _ — : LOCALffY tion deportment. Mulfl-family Sq Ft.T PFA15f °CROSSDate Applicant g A.2GA9IA - Residential Swimming Pools F�Rh1�t� -" �(fl J s l� CERTIFICATE Of EXEMPTION FROM WORKERS' Outlets: RetTLight Sw.T_ L COMPENSATION INSURANCE A First 20 15DRESS (This secs on need not be completed If the work Involved by Total No CITY Tel. No. the permit 4 for one hundred dollars (:100)or less.) Additional HECK I certify that In the performance of the work for which this � - permit Is Issued, I shall not employ any person In any manner to as to become subject to the Wo rs Com nation Laws. l,lghting fixtures First 20 ADDRESS - Total No. Addltldnal ��ppte [cant CITY Tel. No. !! Fined Appliances Not Over 1 HP TICE/TON(CANT: If, after ma g this Certificate s' p AQGAb(A 'EGE C-ta L C. Exemption, you should become s ject ro the Workers' Range— Heater_D.W. — Compensatlon provislons of the Labor Code, you must'forth- Oven — Dryer —W.M.— ADDRESS �ti2-r7 �� IPS with comply with such provisions or this permlt.shall be Top — FAU —W.H. — deemed revoked. Hood —fan —Other— CfTY a'C L A Tel. No. of -7 LICENSED CONTRACTORS DECLARATION I heroby affirm that I am licensed under provisions of Chapter 9 Dlsp. Room Air Cond. �0MB� 3'Z $ L Clam G-r O (commencing with Section 7600) of Division 3 of the Buslness Power Apparatus 8 Large Appliances DISTRICT NO. BY and Professions Code,and my:Ilcecse is In full force and effect. p Size 8 Type HP, KW, KVA, or KVAR' O License NymberLlc Class �c .Up to 1 Incl. FINAL V Contractor a' ' Date �1 T Over 1 to 10,Incl. DATE r T r VALIDATION O Over 10 to 50 Incl. FINAL c•� G• / G ElI am exempt under Sec. Over 50 to 100.1nc. BY B.BP.C_ for this reason Over 100 Date: Services, Swbd., MCC b Panelboards , l d �!� - 0 -200 Amp. Under 600 V Slgnature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION) Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): 11 'S'5 LO I, as owner of the property, will do the work and the Mlsc. Conduits,8,Conductor .210;0 1 J� structure Is not Intended or-offered for saie (Section Other See Complet Schedule)- 7044, Business and Professions Code} °•° ° 1 5 5 0 6 CONSTRUCTION LENDING AGENCY 0.6 2:6 8'4 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FES (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE 5-6 _ Lenders Address I certify that I have read this application and state that the TOTAL FEE Si� above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and herbby authorize representatives of this County to enter upon thea e-mentioned. for Inspection purposes. SEE REVERSE FOR FXPLANATORY LANGUAGE Signature Ittee Dat i WORKERS' I hoov�1a TIONcerci DECcafe of TIONoonse CE ,oie, 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 BUILDING A D SAFETY {o� certlfle�dycpopy�the_re�f (Sec. 3800, Lab. .) � er 'P�i/�� I'OR 70 MSL IM JOBjr L4 q Company- Certified co Is hereby furnished. EACH NO. FSE !X PY by New Residential Bldgs. 8 Popo Certified copy Is filed with the county building Inspec- I d 7-FamIIy, Sq. Ft. ; — 3 LOCALITY ►� J 1`451JZE�57 -1. tlpin department. Mult1-family Sq.fi. � — CIRM Date V g Applicant i's+ "�`� �� Residential Swimming Pools OWNER OR RM NAME Cn MGA CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURA14U Outlets: Rec, Llghf Sw._ O irst 20 ADDI�M Mss sec#on need not be completed if th•work Involy by FAddl nal _CITY '�P �C Tel. No. the permit Is for one hundred dollars ($100)w less.) Total No �G�6� PLAN CMECK I certify that In the performgnce of the work for which this A?PUC NT Permit Is Issued, I&hail not employ any Poon in any mgnner so as to become'sublect to the Work" Compensation Laws. Lighting Fixtures First 20 ADDRESS Totay No. Additiorlol CITY Tel. No. [sate AnnOar N .Not OVer 1 HP PERMIT bT10E TO APPLICANT: If, er maFixed Appllanc&s king this Certificate of B�..L Exemption, you should becgme subject to the Workers' Rdnge,— Hea _D.W. — APRKAt4T comperisatlon provisrons of the Ldbor Code, you must forth- Oven — Dryer —W,M.— ADDRESS JZ�-SJAC( Q with comply with such provisions -or this permit sh811 be Top FA0 —W,y, — deemed revoked. CITY A Tel. No. qZ 375 LICENSEb CONTRACTORS DFCLARATIbN Hood —-Fan —Other— I hereby affirm that I am licensed Under provisions.of C hcptw 9 DI&p. Room Air Cpnd. LICENSE UMBER 2-310$ b Clow. d:-.-(O (commencing with Section 7000) of Division 3 of the Bwlnen DISTRICT NO. BY and ProfesslonsCode,and my license it in full force and effort. Power Apparatus 8 Large Appliances p/ r Size 8 Type HP, KW, KVA, or KVA.R S CJI License NumberG 1c. Class Ae'i0 Up to 1 Incl. FINAL V i �'s+`^ , Date �0 g`�J Over l.tq Incl. DATE vALIDATIOH O Contractor 50 I Over ta Cheto ncl. FINAL ❑ rj I am exempt under Sec. Over 50 to 160 fnc. BY �s B.&P.C. for this reason Over 100 a Date: $ervlfes, $rvbd., MCC&Panelboa rds ► �yG - 0 -200 Amp. Under 600 V Signature 201 1000 Amp. Under 600 V Over 1600 Amp. or Over 600 V '3 2 3.9 A 0 Exemption for Req. Malnt. Elect. SINGLE FAMILY Tsmp:Power Pole 8 Appurtenances P.00 t 00,02 _ HOME OWNER-BUILDER DECLARATION Slgn witkr One Branch Circuit2 0 0 1 S5_0 I hereby affirm that I am exempt from the Contra6ces License . Law for the following reason (Section 7031.5, business and Addif.onal Sign Branch Circuits o.e a 1,5,5 0 6 Professions Code): r . ❑ I, as ownef of the property, will do the work and the Mlac. Conduits.&Condvclors 29-83 structure Is ppf Intended or offered fqf sale (Section Other (See Complete Fee Schedule)_ Pool7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency.- the gencyfothe pdrfofm8nce of the work for which this permit Is Issued PERM1T FEE (Sub-Total) (Sec. 3097, Civ. C.)• - PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE �d _ Lender's Address 1 certify that I have read this application and state that the TOTAL Fly _ /S above Information Is toaect. I agree to comply with all County ordinances and State laws regulating. Eledrlcal wiring, and hereby authorize representatives of this County to enter Upon The v-mentloh2d property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Slgnat of Pa-rmItt9a Da e WORKERS' COMPENSATION DECLARATION 7� 0/81 �� affirm that I have a certificate of aaON to self CES APPLICATION FOR ELECTRICAL PERMIT ,WORKERS' certlflcate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company POR APPLICANT TO PLL IN JOB `J ❑ riffled co is hereby furnished. EACH PNO. FEE ADDRESS 7 e PY Y New Residential BI 8 Pools Certified copy Is filed with the county building Inspec- 1 8 2 Fnmlly, Sq. Ft. _ $ LOCALITYtion department. Multi-family Sq. Ft. NEAJZEST ���{ Residential Swlmming Pools CROSS ST. Date Applicant fnlS!Xf OWNER OR FIRM NAME CERTIFICATE OF DTMPTION FROM WORKERS' Outlets: Rec Llght Sw. MAIL COMPENSATION INSURANCE ADDRESS section need not be completed If the work Invoh-ed First 20 (This p � Total No Additional CITY Tel. No. the permit Is for one hundred dollars ($100)or less.) I certify that In the performance of the work for which this ECK SANT permit Is Issued, I shall not employ any parson In any manner so as to become subject to the Worker Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional Date A-11cant CITY Tel. No. Flxed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Ran Heater_D.W. — APPLICANT JO Exemption, you should become subject to the Workers' Range— 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 L' Tel. No. 1/7 LICENSED CONTRACTORS DECLARATION _ LCENSE OR `! I hereby affirm that I am licensed under provisions of Chapter 9 DI sp' Room Air Cond. REG. NUMBER 4Yo/ 7� Claw. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. P BY and Professions Code, and my license Is In full force d ffect. Power Apparatus 8 Large Appliances �J f Off. Size &Type HP, KW, KVA, or KVAR �1 O ( �/ u License Number /i'�7O Llc. Class Up to 1 Incl. FINAL /��'// Over 1 to 10 Incl. DA Q��� VALIDATION Im Contracta�/��Lf//e-61f Date 6 Over 10 to 50 Incl.❑ FI 9 I am exempt under Sec. Over 50 to 100 Inc. B 1 LUB.BP.C. for this reason Over 100 N Services, Swbd., MCC &Panelboards / Date: 0 -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 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ❑ Complete S Mlsc. Conduits&Conductors s as owner the property, will do the work and the , Other ete Fee Schedule structure Is not t Intended or offered for sale (Section ( P )— ► 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY ;2 7 2 a 6 A I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FES (Sub-Total) # o o o s 0 2 (Sec. 3097, Civ. C.). PLAN CHECKING FEE ` o s 1 5 5 0 Lender's Name PERMIT ISSUING FEE a ° • 1 5 5 0 6 .Lenders Address LL I certify that I have read this application and state that the TOTAL FEE /v,� 0 (� 1 9-8 7 above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorI representatives of this County to enter upon th ve-m oned party f Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE nature of ermlttee WORM have aceSATION DECLARATION 2M01 9 83 DPW(,2-°,' APPLICATION-FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to eels Insure, 78ABB3 or a certificate of Worker's Compensation Ineurarice, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) Pdloy No. ComPerry POR APPLJCMT TO RLL IN J01B ❑ Al)[)RF88 Certified oopy Is hereby furnWf ed. New Realdwltial Badge.S Pooh NO. EACH FEE LOCALITY — F1Cerdfled oopy h ified with the county buDdtrhq tnspectlon 1&2 family,Sq.Ft i i p depa M-11. Mufti-famlly Sq.FL CA088 ST. Data AppRoant Residential Swlmming Pooh A88E6SOR t/ttt�ar YIP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' O y_.__. __ � � OWNER OR 01 COMPENSATION INSURANCE ^��`' / ARM NAY MIS section need not be oompleted H the work Involved by the �jIESS psrmft le for one hundred dollars(8100)or less.) Total No. Addttlonal I cbrdty that In the perfgrmanos of the work for which this pArmlt CITY Tei.No. Is Issued, 1 shall not employ any person In any manner so as to PLAN CHECK become Ject the Workers' Compensation Laws. Ua�G Fbduree F9 rat 20 APP L1CANT Total No. AddYtlortal ADDRESS Deis RESDENTIAL APPLIANCES NOT OVER 3 HP. =NOTICE O PLICANT: I Iter makln�is Certificate of CITY TsLNO- ptlon,you Should become subject to the Workers'Compensatlon OTHER.APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such provisions or thin perm[t shall be deemed revoked. Pow APPS S Large Appllarhoea LICENSED CONTRACTORS DECLARATION Size S Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under-provisions of Chapter B Over 3 to 10 Inci. (oommencing with Section 7000) of Division 3 of the Business and CITY pj TeL Na Profeasfons Code, and my Iloerm Is In full force and affect. Over 10 to 60 Ind• CENSE ^ Over 60 to 100 Ind. REQ.KJWBER C! V a Lkconse Number Uo.Claes C_ Over 100 O r Servbee,Swbd.,MCC S Panalbcards otBTwCTw CDU 1= Contractor�, + y Date 0-3W Amp.Under 800 V FINAL 0 ❑ I em exempt under Seo. 400-1000 Amp.Under 800 V Over 1000 Amp.or Over 600 V P1lLAL YAUDATION W B AP.C.for thh BY B CH GRCUIr FEES U) Date: 16A,or 20A, 12OV,Llghbrog or Recept- Z 1 To 10 Branch CEoLft Signature 11 To 40 Branch C 41 Or Mon Brrlch ❑ ExsmptIm for Req.MaJnL Elect 16A,MA,20BY To 277V Br.Ctratih SINGLE FAMILY Tem,Power Pole S,gppurtenar>ces HOME QWNER-BUILDER DECLARATION t I here-byaffirm arm that I am exempt from the Contractor's License LawSlgn with One Branch Groxrht•T.r for the following reason (Section 7031.6, Business and Professions Additional Sign Branch Clroufts 33 ryp.d{ry Code): LL Cw�1 ❑ I, as owner of the property,will do the work and the structure Mlso.Conduits&Conduoton .UI ITEM a,-� Is not Intended or offered for sale (Section 7044, Business (Sas Complete Fes Schedule) ' TOTAL .. L1 and Professlons Code). �T{O�TIA-�V/ 28. y}pp p� l- ECX LU.CMJ CONSTRUCTION LENDING AGENCY �L1��1 I hereby affirm that there Is a construction lending agency for the wri E .00 psrformanoe of the work for which this permtt Is Issued (Sec. 3087, PERMIT FEE (SulrToW CN. C.) PLAN CHECKING FEE 0000-OW1 6/29/99 Lender's Name / PERMIT ISSUING FEE ([, 1113 1 PM 5:03 Lendeee Address I owlly that I have read this appfloatIcn and under penalty of purJury state TOTAL FEE that the above Intonrwbon Is correct. I &gree to compty with all County oxdinsnose and State laws regulating Electrical wlrtng,and hereby auttcrtze representa&oes of thh County to enter upon tthe ed property for I SEE REVERSE FOR EXPLANATORY LANGUAGE BIQNA PBLaII'EF Sy Wo RS'qbMPENSATION DECIAR4T10N 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT f�fib,dby affirm that I have a certtflcoto, of consent to self � G Insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C-) P❑ohcy No._Company FOR APftXJ\!1T TO PILL N Certified copy Is hereby furrllsho. New Residential Bldgs. & pools •EACH NO. FEE AD{ISS ❑ Certified copy Is filed wltb the County building Irspec- 1 8 2-Family, Sq. Ft. _ — = LOCALITY tlon department. Multl-famlly Sq. Ft.� — T 5T. Datelicant Residential Swimming Pools OWNER OR 5 APP RM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. -**Ve COMPENSATION INSURANCE . Firm 20 (This section need not 11;e completed If the work Inrohlsd by Total No Additional CITY Yet. No the permit Is for one hvndred dollar.($100)or lees.) I certify that In the performance of the work for which this �� permlt Is Issued, I shall not employ any person Irr any.manner so as o me subJect to the W rs' mpe tion Laws. Lighting Fixtures Flat 20 ADDRESS / Total No. AddlTlonal CFFY Tel. No. Date plicant Fixed Appliances Not Over 1 HP PERMIT ..NOTICE TO APPLICANT: If, after king th i tflcate of APPLICANT � Exemption, you should become subject to fke4 Workers' Range— Heater_D.W. — Compensation provisions of the Labor Code,youfnuit forth- Oven _ Dryer —W.M.— ADDRESS a with comply with- such provisions or this permit shall be. TopFAU —W.H. CITY Tel. No deemed revoked. Hood — Fan Oth¢r— . LICENSE) CONTRACTORS DECLARATION I hereby affirm that l om Ilcenabd under provisions of Chapter 9 Dlsp. — Room Air-frond. REf NUMest Class. (commencing with Section 7000) of Division 3 of the Business. power Apparatus& Large Appliances DISTRICT NO. BY artdProfesslom Code,and my Iloen•e Is In full force enol effect. / 9L Size &Type HP, KW, KVA, or KVAR' 4 v� O License Number I1c. Clan Up to 1 Incl. NAL V Contractor Date Qyer 1 to 10 rncl. _ DATE — VAVp/�17ON ImO Over 10 to 50 Incl. FINAL M Elam exempt.under Sec. Over 50 to 100L Ift. BY CLL B.dP.C. foY this reason Over 100 Services, Swbd:, MCC& Panglboards 0 -200 Amp. Under 600 V Signature 201 1000 Amp. UrSder 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp.'power Pole.&Appurtenances ' HOME OWNER-BUILDER DECLARATION Slgn With One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits a Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Condulti&Conductors' structure Is not Intended or offered for saie (Section Other (See Complete Fee Schedule)_ ;F 2 3 3.2 A 70.44, Business and Professions Code). , CONSTRUCTION LENDING AGENCY # e o o 0,0 2 1 hereby affirm that there Is a construction lending agency for • • 1 c3 5 0 the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) (Sac. 3097, Civ. C.). • RAN CHECKING FEE o o • 5 5 0 imS Lendees Name 0 62.6-85 . PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the I TOTAL FEE above Information Is correct. I ag? a to comply with all County ordinances and State laws regulating Electrical Wiring, and i here auth riza representatives of this County to anter upon the a e- boned operty for Inspectlo pu SEE REVERSE FOR EXPLANATORY LANGUAGE I n re P ttee e WORKERS' COMPENSATION DECLARATION � ,a el APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self �j Insure, or a certificate of Workers' Compensation Insurance, COUNTY.OF LOS ANGELES BUILDING AND SAFETY lu' or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR An11CANT TO KU W / ❑ Certlfled copy 14 hereby furnished. New Residential Bldgs. 8 Pools = EACH No. _ FEE ADDRESS LOCA (�`� ❑ Certified copy Is filed with the county building Inspec- 1 8 2-Family, Sq. Ft. LQCANEARE5T LITY T�mP� tlon department. Multf-famlly Sq. Ft. — CROSS ST Residential Swimming Pools TN Doh OWNER OR Applicant FIRM NAME CERTIFICATE OF D(EMPTION FROM WORKERS' COMPENSATION INSURANCE Outlets: Rec_ LIght Sw._ ADADDLRESS FO w 4^0) (This section need not be completed if the work Imrd#vetd by Flrit 20 the permit Is for one hundred dollars (;100)or Is".) Total No Additional CI Tel. No PLAN CHECK I certify that Irl 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 Wor Compensation Laws. Lighting Fixtures First 20 ADDRESS G— .3�� CITY Tel. No. yv Total No.-. Additional Date Tpllcant ertificFixed Appliances Not Cher 1 HP p�T NOTICE TO APPLICANT: If, after making thls ate of ASM Exemption, you should become subject to the Workers' Range_ Heater_D.W. 715 Compensation provisions of the Labor Code, you must fotth- Oven — Dryer —W.M. ADDRESS ,67�44,4/✓z with comply with such provisions or this permit shall be Top _ FAU —W.H. deemed revoked. Hood _ Fan _Other_ CI Tel. No. LICENSED CONTRACTORS DECLARATION Disp. _ Room Air Cond. UCEWM OR Chas I hereby affirm that I ate licensed under provisions of Chapter 9 REG. NUMBER (commencing with Sectionlic of Division 3 of the deflects Power Apparatus 8 Large Appliances DISTRICT NO. _` !� BY ped Professions Code,and myy license is In full force and effect. fV1 oY Sim 8 Type HP, KW, KVA, or KVAR' License Number I Ic. Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE ^ VAL � Contractor Date Over 10 to 50 Incl. FI ❑ 1 am exempt under Sec. Over 50 to 100 Irrc. BY 100 N B.BP.C. for this reason Over Z Date: Servlcei, Swbd., MCC 8 Panelbo8rds ► 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch'Clrcult I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and The Mlsc. Conduits 8 Conductors structure Is not Intended or offered for sale (Sectlon Other (See.Complete F hedule)_ 44 , 70 , Business and Professions Code} CONSTRUCTION LENDING AGENCY 4 8 Q 3.A I hereby affirm that there Is a construction lending agency for the Performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) #•o,o-o 0 o 'Z (Sec. 3097, Clv. C,). PLAN CHECKING FEE ( 'Q.o.1 5 50 Lenders Name • 0 0 0,� 5 5 Q5' PERMfT ISSUING FEE .Lender's s Address 0623t-86 I certify that I have read this application and state that the TOTAL FEE above Informatlon.ls 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 mention property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE GE-86 .4 Signature of Parmfttee Date WDWERS'COIVIW14�WqO DE MON7fV,5a310/81 APPLIOA110N-FOR. ELECTRICAL PERMIT ' I hereby affirm tti�t l have a cw#kcte of oommnt to wd Ynaure, CE a0eo or a owdreato d'Workara' C.ofnpematson lngyrw-ce Oc a GKttw COUNTY OF-LOSELE$ BUILDING AND-.St� Y ( copy thereof(Sed 3800,Leb,C.) PUtW Na''. cdrr;perry ,,., .. F04i AMnJCWT To Fl-L q{ JOBADDRESS . •Oertffted co0y h fLlrt>ae6ed- EAC& NO. FEE New Reeldw.tkd Bldpd.8 Pooh: i0OA1f1Y {u� t6rtfM1ed oo�Jy b 'flied'wttti the county txridtr>d IhKwtbn•_ 1 �2-Famlty,,Sq,FL I $ T debeltrnerrtM. 44le �fy sq, — S r.' Muttl- Kt 14 Date t Reesdahtial 4mmwkv Pooh i si. OWNEDR°Q3 CE fFMFICATF OF EXEMt]"nON FROM WOWERROQ _/ a `COMPEN_QJMON 1N8URAN6E'fl,w.. � Ls ,t .-- ADORE$y - f/1 C� cn-ds*pCiion need not be conVktsd V the vvofif hrvofved by•the FIrat�0., psrn.*-k for."h0ndred"Isrs($100)or�) Total No. Addttsorral�' Cf�1 Tel.PLAN qO I oq{ft that In the paomrar-be of the*c k for whih ctt�ie permit _ t' 4 + is I apalI Oct errpioy,any.person In arty'niarn ,,-mo as 1n � bob—eu*d to.ttte,Workef�'Corn>}e{taatiO Lown a. . LlghAro Fbchiree' Ftrat,20 ' ADDRESS . Not HP p Dale Tbtal NO.�T .Addftlonpl _7. cn-y' TeL+o, APPI t" �4ad Appllencee C}yer 1 er NOTI tom' TO.-,APPI- .: tt m CertfM1oaLa of E—poon,you,.ta b..Qm eubjed tq tt. Q.Tp.adbn �r, r provWorw of t v Labor.'Cod%,yw must fort iwrt pompty wtttr such Oven Dryer _ WAC_ Ab DRE$$ Arc proviaione-b4s Pwivt.&v4 be dDw d„rev*Dd- Top F ALU W]I0FIN Tel.No LICI LASED GDWMAGTO[t$QECLAR 767 • _ Hood T. rda T Ob-or i hereby afRtrn•,t f I am.IlDW)0d Umar, proviaiorl4.-0f 9p� f9oorrr'Alr Cond. Circe (comrr)endnG wtttl 8ecUorT 7k�QOh d DfvEaiofr$Of the.BLmkp",a� R-6feeasorr.Coda,and my Ibw*o he Ip fv)I foroe pOWEW argelances oreTPoCr BY- - Stre S Type HP KW,KW OrKMkR License borQ�Ncm IJc.O1" gyp'fq 1 hiol, . FINAL 1 �.O%W.1 tp,10 kid. DATE ZU hof Over 10 to 50 vdl Il� HKAL aP, rro rkASeo ' - Over.60 to-100{ob. - By Over 100 ca BSP,C, fa t* •. N $arvlaee,Svilbd,MCC'& panellioarcie' , , z 06-200 Amp.Uro-606 V $1Qrtahnre 201 -'fWOrrp fA .Urder 660 V - Over 1000 Amp.or. #ver 80o V EP ... hkwLY Term.Power Pole d Appurtehancee Y O f I hereby.aft`h'rn ttM a.IIaam�exempt from the Oorrtrac a Lberm LawSWwith One BrVOh araitt for the.fo8owlnQ reason(Section 7Q31.5.BLWaaa and Prgfesaiorra sly Brandi araulla 7 - - Coda) ■ { ^• - ' •}deo.CaridLtin.4 Condtiotore" :;' ❑ .4 ea' the offered or do the work and the Buaklera Other(sea Con*bE)-Fee Schedule} � lend or offered for aaie (3edioa'7044, Buetnees. j .. —LTOAL 55 and,Prof&salcm Code). CCNSTROC1-10N LENM4G AQI NGY I hammy affirm that there Fe a'Didion le(ldlrp apercy for the periormarpe of the work for whsch tl*pe-mft is faeued,(SeO.3097, pEFdAR'FEF .. Tp }),, _ '�) (g RAN GIfECKWQ FEE 1 Iinn/91 Larders Name PERM MISS UINO f7EE - - 0141 1 Ami l W Lerdere.� ' 1 thb tion and etaaa that the above TO 9 I aQreA with all County OrdhanD" end ripwfdrp, and hereby awe r th Lpon•he:above-mepbDroa s 1 SEE REVERIE FOA EXPLANAYOW LANGUAdE Dcte TION WORKER'S have a cartAcate of 0 "(12g') APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a oertlfloate of corisent to self Insure, or a certificate of Worker's Compensation Insurance, or a certlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Seo.3800 Lab. C.) Poll cry No. Corn par y l'OH APPt T TO Ria X88 5y �1 0S�'•1 j J F-1Certlfled copy b' reb hey furnished. New Reelderrtlal Bldge.&Pcola NO. EACH FEE LOCAL fFY 7 G J 1 S 2 femIly,SQ.Ft — ; i ❑ Cer<w copy is-m led with the cou ufldl _ NEAREST (Auftl fnmlty 8q.Ft Caosa 8T. Reeldentlel Swimming Poole A83EBODA Date MAP BOOK PAGE PARCEL CEFMFICATE OF EXEMPTION FROM WORK RS' Off;Res _LIQM 8w. OWNER E E 67 COMPFNSATION INSURANCE First 20 I (This seotlon ne*d not be completed If the work Invotved by the Total No. Additfonal ADDiXiE88 ST , permtt Is for one hundred dollars($100)or lees.) I oartrTy that In the perforrPance of thew k for which this permit CITY TOL NO' Is leaued, I shall not employ dny pore any manner as to PLAf1 q�ECK beoom.e jsubject to the Workers' Compo on Laws. U6"Ftxt— First 20r APPUCAN /✓J/b.— g �ppllcerrt Total No. Addltlonal ADDRESS Dain NOTICE.TO APPLICANT: If, afte-r making this Certificate of �SIDENT�PPPL1AfJCFS HOT OVER 3 HP. CITY TOL No. Exemption,you should beoome subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with suchPERY Power S Large � AcAN7 provisions or this permit shall be deemed revoked. ^ LICENSED CONTRACTORS DECLARATION Stze&Type HP,KW,KVA,or KVAA ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind. (corrimencing with Section 7000) of Division 3 of the Business and CffY Profeaslone Code, and my license Is In full force end effect. Over 10 to 60 Ind• UCENSE Over 50 to 100 Incl. l®g� Cr���0 d Over 100 Dt8TR1CT NO. PROCEB8FD BY LJoenad Number � � LJa Clave t Services,Swbd.,MCC,a Panelboerds �OG� Contractor J7 z 0-389 Amp.Under 800 VDATE o ❑ I am exempt under Sec. `Dqate 400-1000 Amp.Under 800 V YALJDAMN V -may J,I Over 1000 Amp.or Over 800 V FLNAI_ LUBy LU B.&P. .for thi�s,r/eeaon,l/� r, f BRANCH CIRCUrr FEES to Data: 15.Aor 20A,120V,Ughtlng or Reoept Cl) 1 To 10 Branch Clrcutta signature 11 To 40 Branch Ctrcufis +7 ❑ Exemption for Req'.Me-Int Elect 15A,20A,206V To 277Y�MoroSir.Circuftl� i4!f SINGLE FAMILY Temp.Power Pole S Appurtenances Trn?`fCT■* [� LIy HOME OWNEFI-BUILDER DECLARATION with One Branch Circuit .7,]Vr p]■9+J I hereby affirm that I am exempt from the,Contractor's License Law ftn for the following reason (Section 7031.5, Business and Professions Addttlonai Sign Bruich Circuits Code): + 1 TTG'ML I l�h� ❑ I, as own Ar of the property,will do the work and the stmoture Misc.Conduits a Conductora TOTAL 63.60 Is not Intended or offered for sale (Seotlon 7044, Business Other(See CompW@ Fee Schedule) , CWK 63.60 and Professions Code). 4f17i1G CONSTRUCTION LENDING AGENCY .00 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit le Issued (Seo. 3097, PERMrT FEE (Sub-ToW CN. C.) 0000--0001 11/15/92 PLAN CHECKING FEE 5521 1 AM11:14 Lender's Nerve PERMFf ISSUING FEE Lenders Address I certify that I have read thla appgoation and under penafty of pudLrry abate TOTAL FEE 3, &1�i &-�,d ation le Corrott I agree to com*with ell County lg gecpicei wUinq,and hereby euthortre County to ter pon the above-marrtloned propertyea SEE REVERSE FOR EJU'GJ1llATORY LANGUAGE 803RATlWE OF PERIfrrE£ DATE WOR14COMPENSATION DECLARATION , '3APPLICATION FOR ELECTRICAL PERMIT °��� I herek� affirm that at I have a certificate of consent to self •Q�pya O Insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Pgllcy No NT Company POR APPLICATO ALL IN ❑Certified copy Is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS 7 ❑Certified copy Is filed with the county building Inspec- 1 8 2-Family, Sq. Ft. $ ❑ $ tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools C a����b Data Applicant— FI IUB idAlv4E(244 Cf"N k'aR-b e F FR P-p D eA✓ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL Y•J t7 s x. f 7- COMPENSATION INSURANCE First 20 (This section need not be completed if the work Irrvofved by Total No. C�Tp Ptd ('ii * Tel. No. 7_ the permit Is for one hundred dollars (fl Do)or less.) Additional PLAN CHECK I certify that In the performance of the work for which this APPLIC Nf permit is issued, I shall not employ any Person In any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers Compensation Laws. ZG / Additional -H Data Appll Total No. CITY Tel.No. NOTICE TO APPLICANT: If, aft making this Certificate of Fixed Appliances Not Over 1 HP p�iT Exemption, you should become subject to the Workers' Range— Heater—D.W. — ` �n� 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 Tel. No. LICENSED CONTRACTORS DECLARATION UCBJSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp. — Room Air Cond. — REG NUMBER 1-7vrS CIass.0—/ U (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. BY a and Professions Cade,and my license Is In full force and effect. Size 8 Type HP, KW, KVA, or KVAR �d O License Number Llc. Clans / Up to 1 Incl. RNALff G� U Over 1 to 10 Incl. DATE e �(Q VAUDATION 12� Contractor M-?A— nate Over 10 to 50 Incl. FINAL7ts O ❑ I am exempt under Sec. Over 50 to 100 Inc, gYjry� U B.BP.C. for this reason Over 100 d Services, Swbd., MCC 8 Panelboards , Z Z Date. 0-200 Amp. Under 600 V ✓Slgnature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V t Exemption for Reg. Maint. Effect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances ACCT.- HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit L 1 hereby affirm that I am exempt from the Contractors License '��7 v.l Law for the following reason (Sectlon 7031.5, Business and Additional Sign Branch Circuits 1 ITh; Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors TOTAL 23 01D structure Is not Intended or offered for stile(Section 704OtherSee Complete Fee Schedule ( P -0, )— ' C�E CX '?3.Cfl Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) (Sec. 3097, Clv_ C.). 6/26/yl PLAN CHECKING FEELenders Name ` 745 1 � 1.-45 PERMIT ISSUING FEE / Lender's Address 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 ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned operty for Inspection purposes. SEEREVERSE FOR iJ(rLANATORY LANGUAGE 6�-L-C/I f Srblhatuof P Thee Date WORKERS'COMPENSARON DECLARAT}ON 76A8.83 10/81 'Qeby'affIA that I have a owMcate of consent to self Irlwm CE-"G APPLICATION FOR ELECTRICAL PERMIT or a owttt &e of Workera' Compensation Insurance, or a oerfffied COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof (Sec.3800,L13b.a) Policy No. Comperry FOR APPUCJWT TO FILL W JOB ❑ CertfM1New Healdentlel Bldgs.S Pools ed copy Ea hereby fumW*d. EACH NO. FEE ADDRESS �7�'//'eA9 8/, ❑ C.Ex ied copy Is filed with the county building inspection 1 8 2-Family,Sq.Ft $ — $ LOCALfTY depertrnent. Mutd-family Sq.Ft GR�ST3T. MVW Date Applicant Resldenriel Swimmfnq Pools OWNER OR FERIA NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outietg Rec Light — Sw. MAL �� COMPENSATION INSURANCE Fust 20 6773 Okk, (This tIdionred not cted 7 tt»work frlvotwd by ifw Total No. Add}tiorml C"Y � AW Tel.No. ✓� permit Is for one hundre&d ddlolLarsars (5100 or hes) I certify that tr1 the perforrrlanoe of tine work ork for wrt lch this permit PP YC CHECK le laejed, I ahell not employ arty n In any manner so as to p become sub Ct*ov�' Laws. Lfphtln0 Flxturee First 20 ADDRESS '7 3 O rlK s�L/ Total No. Additional CITY RI Tel.NoDate Fixed Appllences Not over 1 HP PEFMTNOTICE TO If, after malting this Certificate of /– Exarr w,you ahouid become sub)ect to the WorRm'Compensation Rerge— Heater_ D.W. ' co provlalona of the Labor Code, you must forthwith comply wtth such Oven — Dryer _ W.M._ ADDRESS 7. provlslora or thla permit shall be deemed revoked Top — FAU — W.H. — CfTI LICENSED CONTRACTORS DECLARATION Hood _ Fen Qttier— I hereby affirm that I am Ilceraed under provisl ne of Chapter 9 Dlap. — Room Alr Cord. REQ NUMBER Gra (mnmenSection 7000)with S 7000) of DMbd an 3 the Buelness and Professions Code,and my Ilcense la In full force and effect Poweir APPS& Large Appllerxcee DOTR1Cr Na PROCE384ED BY ALO Stre& Type HP, KW,K10, or KVAFt r. of Llcertae Lb CIa88 Up to 1 lnd, RPIAAL Q Over 1 to 10 Ind. Date CC Over 10 to 60 Ind. ❑ FINAL I am exempt under Seo. Over 60 to 100 Inc BY B.&P.C.for thls reason Over 100 Cn Sw4Dae,Swbd,MCC& Panelbcards 0-200 Amp.Under 600 V Slgnabire 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V E�mptlon for Req.Matnt EVect. SINGLE FAMILY Temp.Power Pole& ApNrtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Brar#1 ClrcuR I hereby affirm that I am exempt trorn the Contractors L ■ Joenes Lew Sign Branch C1raalta AULT for tAddbxial he follawinq reason (Sectko 7031.6, Busham and Rotesalcrls Code): T307 43.00 QI,as owner of the property,WIII do the work and the structure Mlac Conduits&conductors 1 ITE% Ie not tnterded or offered for sale (Sector 7044, Business Otiner(See plet�L Fee ule) — and Profem ne Code). — , TOTAL 43-00 CONSTRUCTN LENDING AGENCY i T.i■ I 10 I hereby affirm that there is a cormiructlon lending agent' for the performance of the work for which ttka permit Is ieaued(Sea 3097, PERMFT FEE (Sub-Total) •00 Cts.C.). Larders Name Ptd CHECKING FEE 00IM—p[fp1 11/16190 PERMIT ISSUING FEE Lenders Address 3879 1 AM 9:16 I owtly ffiatj heve tion and stabs that the above TOTAL FEE I aq comply with ell County ordln. ra lafi E wlrtrp, and hereby autt"bre Ia m enter upon the P_rSEE REVERSE FOR EXPLANATORY LANGUAGE Da WORKEFI'S COMPENSATION DECLAAATI 0 20-0010 DPW(12-e1) I hereby affirm tial I have ■ certlflvb of consent to self Insure, APPLICATION FOR ELECTRICAL PERMIT or a oernnoate of Worker's Compensatlon Insurance, or a oertlfied COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. oopy thereof(Sac. 3800 Lab. C.) Polkry No. �Pany t� 1�� `►��T/ ron APPLXJkN7 TO PILL 01 JOB Ll/7 ❑ CerttW oopy is hereby fumish - New FIeakkwitlal B46gs.&Poo NO. EACH FEE i $ LOCALJTY ❑ NEAREST dCordWapartm copy le filed with the o lid nspection Mal�aan,IyI Sq. � CFKM ST.— Date AppilCant Residenttal Swimming Pods MAPA68� Pr56E PARS 1 CERTIFICATE OF EXE N FROM WORKERS' O Outlets:Rec._Light 3w. OWNS DR COMPENSA N INSURANCE NAME F1rat 20 MXL (This seotlon need not be completed H the work Involved by the ADDRESS permft Is for one hundred dollars($100)or less.) Total No. Addltlonal I certify that In the performance of the work for which this permit CITY TeL Is Issued, I shall not employ any person In any manner so ns to MAN CHECK become subject to the Workers'Compensation Laws, LIGhdng brae Ffrni 20 AP?Lr-&.NT Total No. Addltlonal ADDRESS Date Applk�art qESI)ENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY T.L Na Exemption,you shouid beoome subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. _ provisions of the Labor Cade, you must forthwith comply with such �T 4 provlalons or this permit shall be deemed revoked. Power S Large Aplla pnoes LICENSED CONTRACTORS DECLARATION Stze S Type HP,KW,KVA,or KVAA ADDRESS y6, 1 hereby affirm that I am licensed under provlelons of Chapter 9 Over 3 to 10 1Pol. (commenoing with Section 7000) of Division 3 of the Business and CITY AlJI T� Professions Code, and my license Is In full force and effect. Over 10 to 60 Incl. NM LOCtEaq /^1nn 1� Over 50 to 100 Ind. REG-NUMBER CJS �''*-�r� d 11 � �� Over 100 DtSTR1CT NO. BY /V Q Lk�nae Number O L".Class SSL_ ' m Q' 8 Senccee,Swbd.,MCC 8 ParWboords J [[ Ca,traoiar f' e 3 G� 0-396 Amp.Under 900 V RNAL DATE �} {0 ❑ 400-1000 Amp.Under 900 V Ci VAUDATIOH �+ I am exempt under Sec. Over 1000 Amp.or Over 900 V FhNAL d B.dP.C.tar thle reason BRANCH CIRCUIT FEES BY U1 Dais. 18,1 or 20A,12OV,Lighting or ReoepL Z 0 1 To 10 Branch Ctrouits S$gnature 11 To 40 Branch Circuits 41 Or More Breach C�rcuits El for Reg.Malrrt.Eloat 161 MA,206V To 277V Br.Cbuft 2 SINGLE FAMILY Temp.Power Pde 8 Appurtenancee r HOME OWNER-BUILDER DECLARATION ACCT.-4 I hereby affirm that I am exempt from the Contractor's License Law SIgn with One Branch C1rcLdt for the following reason (Section 7031.6, Buelneas and Professions Addtiord Sign Branch Circuits 330 44.40 Code):❑ EM Miac.Conducts a Conductars 1 ITEMS I, as owner of the property,will do the work and the structure n� ,[ Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) Poo. TOTAL 44 - 40 and Professions Code). CHECX 4-4.40 CONSTRUCTION LA=NDING AGENCY I hereby attlrm that there le a construction lending agency for the .00 perforrnanoe of the work for which this permit Is Issued (Sec. 3097, PERMIT FEE (Sub-Total) O CIV.C.) rry�-y�y�r-���_ryy�1L PLAN CHECIQNG FEE 0000-JL l 3/21/96 Lender's Nemo 5450 1 AM11:45 PERMIT ISSUING FEE Lender's Address I owVy that I have read this spplicerion and under perulty of purjury ateae TOTAL FEE that the above Information Is correct. I agree to oompfy with al County ordlnanose and State laws regulating Eleotrbel wiring,and hereby authorize r fix' repreew tatfves of this County to enter upon the above-rrw nsd property Tr for Irrspeotl 8F�REVERSE FOR lLJ1HATORY AGE OF DATE WORKERS'COMPENSATION DECLARATION M-W19DPW 3/B7 APPLICATION FOR ELECTRICAL PERMIT I`hereWcrfflrm that I have a certificote of consent to seff 76w0O 'Insyre, cob certificate of Workers Compernatlon Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ti ow a FrtMe copy thereof (Sec. 3800, Lab. C-) c No Company POR APPLICANT TO Fill IN JOB ADDRESS Certified cbpy Is hereby fumished. New Residential Bldgs. 8 Pools EACH NO. FEE (� ertlfledfcopy Is filed with the county building Inspec- 1 8 2-Famlly, Sq. Ft. _ LOCALITY d t�1 tion deportment. Multi-family Sq. R. NEAREST 012055 ST. Date Applicant Residential Swimming Pools OWNER FIRM E1T TDE CERTIFICATE OF D(FMPTION FROM WORKERS' First 20 MAIL AlCOMPENSATION INSURANCE Outlbts: Rec—�Ight Sw._ 3 Cv• 64V v (rhls'section rwed not be completed if the work ImroMed by Total No. Additional CITY Aee, Ih Tel. No.S d the permit 4 for one hundred dollars (;100)or leu.) I certify that In the performance of the work for which this APLAN 11M•S(� 4 1a) e permit Is Issued, I shall not employ any person In arty manner to as to o subject to the W rkenCom rsatlorr Laws Lighting Fixtures First 20 ADDRESS A,/► L/-Ai6h J AVIE, Additional Date Appllca Total No. CrTY 'R C-A A) A Tel. No. NOTI TO APPLICANT: If, after making this Certlfl of Fixed Appliances Not Over 1 HP I fin Exemption,' yoiu should become subject to the en' Range— Heater—D.W. — sP� T IWIC��/�� NK���1 Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS 6� L IC�� with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan 'Other— Cf1Y 1 Tbl. No.3,S . LICENSED CONTRACTORS DECLARATION rDISTRK7 OR ^ Dlap. — Room Air Coed. UMBER fJ Class.6- I hereby affirm that I am licensed undef provisions of Chapter 9 (commencing with Section 7000)'of Division 3 of the Business Power Apparatus b Large Appliances NO. ('` B d and Professlorn Code nd rrry license Is In full force and effect. (}J( Size 8 Type HP, KW, KVA, or WAR O License Number LIc. Claes � Up to 1 Incl. FINAL U ���jjL Over 1 to 10 Inc[. DATE � -6 VALIDATION fY ntractor JA94 S &d Lgkm / Over 10 to 5o Incl. R O I I CL I am exempt.under Sec Over 50 to 100 Inc. BY W B.BP.C. for this reason Over 100 U) -Services, Swbd., MCC 8 Panelboards , z Z e: 0-200 Amp. Undef 600 V Signature JL 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Malnt. Elect. Over 1000 Amp. or Over 600 V T- - NER SINGLE IL A LDECLARATION Temp. Power Pole 8 Appurtenances D HOME 01NSign with One Branch Circuit -- I hereby affirm that I am exempt from the Contractors LIcerse ACCT 'T y Law for the following reason (Section 7031.5, Busineand Additional Sign Branch Circults ss Professions Code): 3307 __ _ 25-511 ❑ I, as owner of the property, will do the worst and the Misr. Conduits.$Conductor r_.. --.-- Other See Complete Fee Schedule 1 ITEI# -' structure Is not Intended or offered for sale(Section 7044, ( p �— � Business and Profealons Code). - — ��' CONSTRUCTION LENDING AGENCY Re CASH 25.50 I hereby affirm that there Is a corstructlon lending agency f - {� KE Athe performance of the work for which this permit Is Issued PERMR FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE x}- 1 11/10/89 Lenders Name PERMrT ISSUING FEE 5704 , 1 011:44 Lenders AddressFEE- I certtfy that I have rood this application and state that the TOTAL above (Information is correct. I agree to comply with all County ordinances and State laws regulgting Electrical wiring, and hereby aulhortze representatives of this County to enter upon the abov ntlon pro rty for Inspect) rposes. LEE REVERSE FOR DYLANATORY LANGUAGE �s gnature of PeAnIft" Date i t COUNTY OF LAOS ANGELES TEMPLE CITY i 0508 ELECTRICAL PERMIT DRPART KNT OF PUBLIC WORTS 9701 LAS TUNAS EL 0508 1112150024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PAON3: (626) 285-0488 RZT: LSGAL ID: I FEES PAID BUTLDINO AD GULSS: . ON FILE 5449 ROSRKrAD 13L N FRE DESCRIPTION: QUANTITY: OOH: AMOUNT: TE341P CA 917800000 ASSESSOR I2lFCndQ►TION NUMBERc NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT SSSUANCR FEE 27.80 TSJ[9A.9 PAC9T: OLID: LACAI.ITY T33,= CIZy, C . Ol OUTLETS-L3T,SW,RS17P 2.00 OUT 3.90 ` TOTAL FERS' 31.70 Z Fnw_ ON: PROCESSED BY: PLAN BY: 12/15/11 SR i OINKR TEL. 190 FINAL . CODES = BUFFET (626) 579-2525- �Z 5449 ROSEMEAD BLVD. TEMPLE CITY CA 91780 DESCRIPTION OF WORE SoancrrKa M NTTORINO SYS`rEM 1 APPLICANT- TEL. 190 E,R.S. SEC'QRSTY ALARM SYST1111.9 7190. (626) 579-2525- 4538 SANTA ANTA AVE SPECIAL CONDITIONS: .. . EL MONPE, C7a 91731 - CO TEL. 190: API-RQVALS INOPECTIOR SIGWa-URE E R S SECURITY ALARM 9YSTEM9 INC. (626) 579-25-25- 4538 SANTA ANITA AVE LSC. NO TE)(PORARS POWER POLE- RL MONTE CA 91731 705904-C10•+ OND80bGROU9D OONI= ARCBI= OR EM32ZERR: TEL. 30UFCR GROUND LIC. NO:' - RCjUGH CONDO-IT . . - ROUGH WIRING PLASTIC Y/N METAL Y/N UTmTTY ANY NO}TIFIRD ;--7c, _ Yr1-.r.. '"r ,� 'M,,.'•�+t. _ - - 'r-`.�-+-r.�y..r-_• fy-.:�_�::.� -.I"L- _ ,F_. � -1p"r`"'.0 1 '��` .�rr.•.N'G�u.�:..-..' + ADDITIONAL DATA ON FILE- REPORT ID: DPR'J65 RO= TO: BS0508 T COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECL'RICAL PERIQT DEPARTIPSNT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0906080029 BUILrJING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FRES PAID 13U=INO ADDRESS: ON FILE 5449 ROSE'MEAD BL N FEE DESCRIPTION: QUA2PTI'L'Y: UOM: AMOUNT: TEMP CA 917800000 ASSESSOR INFOR1a77ION NUMBER: NEAREST CR083 STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THCiMAS PAGE: GRID: LOCALITY: TEMDLE CITY D3 BOOTH LAT, SYSTEM 1.00 BOO 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EZPIRE9 ON: FIRST LUTHERAN CHURCH 06/08/09 8R 12/05/09 OWNER: TEL. NO: FINAL,,RATR FINAL BY: CODE: GATEWAY MAN7u� (562) 693-8292- 13601 E. WHSTTIER BL lE1TT]gR, CA 90605 DES ON F WORK BOOTH LI FOR FIREWORKS STAND-2009 APPLICANT: TEL. NO: TNT FIR&WORKS (714) 738-1002- 13601 N. GILBERr 8T. SPECIAL CONDITIONS: FULLERTON, CA 92833 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE K C ELECTRIC (310) 505-0444- 6509 GLORY WHITE ST. LSC. NO TEMPORARY POWER POLE LAKEWOOD, CA 90713 699521 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFRR GROUND LSC. NO: ROUGH CONDUIT ROUGH WIRJ200 NXIN WATER LINE PLASTIC 7/N METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: B80508 COUNTY OF LOS ANGELF.9 TE24PLE CITY # 0508 ELECTRICAL PERMIT DEPARTMN T OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706120037 13=d)IN3 AND SAFETY / LAND DEVELOPMKNT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FIM PAID BUILDING ADDRRSS: ON FILE 5449 ROSEMEAD BL N FEE DESCRIPTION: QUANTITY[ DOM: AMOUNT: TEMP CA 917800000 A99ES9OR IINFORHATION NIIMMER: PEZAREST CROSS 9TP=t BROADMAY 5388-024-055 Al PERMIT ISSUANCE FSE 27.75 THOMAS PAGE: GRID: LACALITY: TRN LE CITY D3 BOOTH LOT, SYSTEM 1.00 BOO 16.20 TEIiANT: TOTAL FERS 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: LARE YOUTH LEAGUE 06/x.3/07 SR 12/10/07 OWNER: TEL. NO: Y: CODE: 9b41LDI1NO LOUTS P T DOROTHY A - 13583 WHITENER BL ArT WHIT 906051935 D CRIPTION OF SARK BOOTH LIGHTING FOR FIREWORKS STAND-2007 (PLUG IN) APPLICANT: TEL. NO: JAEME NtiNARR9 (562) 867-4447- 6509 GLARY WHITE 9T. 9Dr~`T7A CONDITIORNS: LAIMWOOD, CA 90713 CONTRACTOR: TEL. NO: - APPROVALS DAT3 INSPECTOR SIGNATURE L C Ej• C TRIC (310) 505-0444- 6509 GLARY WHITE ST. LSC. SO TE34PORARY POWER POLE LAICgD, G 90713 699521 C10 UNDERGROUND CONDUTT ARCHITECT OR ENGINEER: TSL. NO: UFER GROUND LIC. NO: A CONDUIT .• ROUGT WIRING MAIN WATER L M PLASTIC Y/N FETAL Y/N COMPANY NOTI= REPORT ID: DPR265 ROUTS TO: BS0508 i 1 r COUNTY OF LOS ANGELES TEMPLE CITY i' # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I EL,0508 9906290031 BUILDING AND SAFETY / LAND DEVELOPMENT. TEMPLE CITY CA 91780 PHONE:'(626).285-0488 EXT: LEW ID: FEES PAID. 04JILDING MESS.. ON FILE .5449 ROSEMEAD BL•N DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917800000 ASS SSOR INFORMATION �iEAREST CROSS STREET: BROADWAY 5388-024-055 PERMIT ISSUANCE FEE 27.75 FKXAS PAGE: GRID: LOCALITY: TEMPLE CITY D BOOTH LGT, SYSTEM 1.DO- BOO 16.20 TOTAL FEES 43.95 1 SSUED;ON: PROCESSED BY: PLAN BY: EXPIRES ON: 06/29/99 .' UT 12/26/99 TEL. NO: F I RAL, DAT E,- FINAL BY:* DOIDE: SKALbINO LOUIS P•DOROTHY 1-35M WE I TT I ER B C 6ES RTTEii�6F wuRK WHIT 906051935 + BOOTH LIGHTING FOR FIREWORKS STAND-1999APPLICANT: TEL. NO: _ SAME AS OWNER S. SPECIAL CONDITIONS: 5PNGELESCONTRACTJOiR: TEE. Cp�� SAME AS OWNER _ O �T LIC. .MO ARCHITECT OR BiGINEER: TEL. NO: :.� LIC. ROM WIRING 111111 LINE I I I I P-1 C \`�/\�(/ f I 11 R K S PLASTIC YIN 'METAL T UTILITY CWANY 4fj��C �0< Service That i REPORT ID: DPR265 ROUTE TO: RS0508 d' 6*TY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006260067 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS:' ON FILE 5449 ROSEMEAD BL N kEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TE)(P CA 917800000 ASSESSOR INFORMATION NILMER: NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 B00 16.20 TOTAL FEES 43.95 ISSUE6 ON: PROCESSED BY: PLAN BY: EXPIRES ON: KARE YOUTH LEAGUE 06/26/00 UT 12/23/00 . SMALDINO LOUIS P•DOROTHY A 13583 WHITTIER Bt ZL--// -oo WHIT 906051935 DnTwr"ll -1 W-1- BOOTH LIGHTING FOR FIRBJDRJCS STAND-2000 APPLICANT: TEL. NO: G G HESTER i SON (909) 392-4949- 588 LANTANA ST. SPECIAL CONDITIONS: LAVERNE, CA 91750 i - TEL. NO: I CONTRACTOR: C, � GE LES CO G G HESTER AND SON ELECTRIC (909) 392-4949- ��0 588 LANTANA ST LIC. IMO \\ TEMPORARY POWER POLE LA VERNE CA CA. 91750 474648 C10 \ ARCHITECT OR MZ T n 7-0 LIC. ROUGH MIRING JL I I 1111111 — MAIN WATER LINE � ) II II I{ �� U �5I PLASTIC Y/N METAL Y/N 1 �J I���/ J � v � u L� � /f UTILITY COMPANY NOTIFIEff Ice Th I REPORT ID: DPR265 ROUTE TO: BSO �)0� 4 � . c I COMITY OF LOS ANGELES TEMPLE CITY 9 0508 �'yy��CTRICAL-PERM , DEPARTMENT OF PUBLIC WORKS + 9071 LAS TUNAS �'�IL 0508 97b62700�5 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G —- PHONE: (818)'285-0488 EXT: LEGAL ID: FEES PAID ON FILE ROSEM� N FIE DESCRIPTION: QUANTITY: UOM: AMOUNT: EMP+CJ1 9IT�0000 - NEAREST CROSS STREET: BROADWAY 5388-024-D55 Ai-PERMIT ISSUANCE FEE 27.75 THWS PAGE: GRID: LOCALITY: TEMPLE CITY E TEMP XMAS TREE, ADDT 1.010 TEM. 21.60 TOTAL FEES . 49.35 . - 66/27/ TC 06/27/98 . OWNER: TEL. . F FINAL.BY- CODE: SMALDINO LOUIS P•DOROTHY A 13583 WHITtIER BE – WHIT 906051935 DESCRIFTLU BOOTH L�IGH ING FOR FIREWORKS STAND. SAME AS 06MER : SPECIAL CONDITIONS: - LECONTRACTOR: Tn. NO: APPROVALS DATE INSP� I, SAME AS OWNER LI ' C. NO f�!� �\ TMVM�Y POWER POLE UNDERGiP"D CONDUITENGINEER: UFER MOM ARCHITE CT OR LIC.AtO: ROUGH '�IRING v ° MAIN WATER LIRr- OUSLI Ko PLASTIC Y/N' METAL Y/N a i-REPORT ID: DPR265 ROUTE TO: RS0508 COUNT`( OF LOS ANGELES TEMPLE CITY 0508r�CECTRI[�1LPRMI DEPARTMENT OF PUBLIC WORKS 9071 LAS TU AS �fL 0508-960¢700014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA ��— PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID ON FILEqIr Mw� FEE DESCRIPTION: QUANTITY: U014: AMOUNT: TEMP G 91 NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 21.60 TOTAL FEES 49.35 . 06/10/98 UT 06/10/99 06M ER TEL. NO: FINAL DATE F I SKALDINO LOUIS P•DOROTHY A . 13583 WHITTIER BE WHIT 906051935 LGHTIMG_FOR-FIREWORKS-- A)16 APPLICANT: TEL. NO: SAME AS OWNER - SPECIXL CONDITIONS:CONTRACTOR: TEL. . APPROVALS PATE INSP SAME AS OWNER - , �� . � 'l` i; � \� ', CLIC. NO � �• ARCHITECT OR ENGINEER: TEL. : __i' UFER GROUND 1` LIC. NO NI1 —__ '�llll,l, _{iy`1� GH WIRING I-'-11� ))LI�� PLASfiIC Y/N METAL Y/N urn rrT-c3vxqT-wnl= l/ICe � I i REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY f 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0009250068 BUILDINQ AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID- FEES PAID BUILDING ADDRESS: ON FILE 5449 ROSEMEAD BL N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917800000 ASSESSM BER: NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOKAS PAGE: GRID: LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 28.00 BR 433.05 TENANT: G1 OUTLETS-LGT,SW RECD 130.00 OUT 187.50 .. BUFFET CITY G2 LIGHTING FIXTURES 64.00 LGT 98.40 09/25/00 UT 03/25/01 JF REFRIG CBMT +3-10HP 2.00 REF 39.30 OWNER: TEL. NO: JX MOTORS, LT 3 HP 6.00 MOT 91.80FINAI DATE FINAL . CODE: SMALDINO LOUIS P;DOROTHY A - TOTAL FEES 877.80 �..L�,,o 13583 WHITTIER BL `w`l WHIT 906051935 DESCRIPTION ELECTRICAL FOR TENANT IMPROVEMENTS FOR BUFFET CHINESE RESTAURANT APPLICANT: TEL. 160: KANG CHU JEU (626) 307-7823- 8137 EMERSON PL#228 SPECIAL CONDITIONS: ROSEMEAD, CA 91754 PNN;,ELES C APPROVALS DATE' I N SP GREAT HOME CDNTRACTD �CONSTRUCTION CO. (626) 443-2623- �Q�J NT 1467 LIDCOME AVE LIC. NO TEMPORARY POWER POLE SOUTH EL MONTE, CA 91733 HONE Ip-1*j� ARCHITECT OR ENGINEER: --rm.- NO: UFER GROUND ZHANG JIMMY (626) 570-99 119 ATLANTIC BL #225 LIC. NO 111111ROUGH CONDUIT MONTEREY PARK, CA 91754 HOME ROUGH WIRING UL � /� /J �/� RUVUTER LINE f I I I f�1 I C 11I/1111 0 [tit PLASTIC Y/M METAL Y/M ��J��L���JJJ ULL��� C/ g V 11Y L1 u S) L-/ " ❑ A46,Jc Ser ❑ . 9t�0�lb vice Th REPORT ID: DPR265 ROUTE TO: B90508 COUNTY OF LOS ANGELES TEMPLE CITY-, f 0508 LEM DEPART}IE]iT OF PLBLIC WORlCi 9071 LAS TUiA8 EL`�05 BUILDING AND SAFETY / LAUD DEVEL%3$ fT TEMPLE CITY CA PHONE: (818) 2115-6488 EXT: LEGAL ID: FEES PAID ON FILE FAQ-9� FEE DESCRIPTION: QUkNTITY: UOMI: AM"T: ' 2800000' ; I CROSS STREET: BROADWY 5388-024-055 Al PERMIT ISSUAMCf FEE 27.7 THOMAS PAGE: GRID: LOCALITY: TEMPLE.CITY T1 120V 15/20A OR CKTS 12.00, OR 202.86 TWMT: LA 100 kMP PANELS, MCC 1.00 PAN 38.85 ISSU 3y; B(PIRES ON-- TOTAL FEES 269.40' 08/22/97 UT _ 08/22/99 CIAER: TEL. NO: FINAL-DATE FINAL OF. CODE wi IND. LOUIS P•DOROTHY.A. WIT 9 oIT �IER B � UM NEW 100 AMP SER.•PAWEL AND 12 NEW CIRCUITS FOR T. I. PIONEER ELECTRIC (818) 242-7242- SPECIAL UWDITMR�. LES CTEE.lU- DATE INSPtCTW'SIGNATLIRE PIONEER ELECTRIC (818) 242=7242- 1121 E. WILSON AVE. LIC_ NO TEMPORARY PUWIER POLE GLEIfDALE, CA 91206 000 * clARCHITECT OR ENGINEER: TEL. NO: ® /� \ o� /. .LIC. 100: - `\ tttit 7 PU S U C 0 1 PLASTIC Y/H METAL Y/N (�ILITY COMPANY NOTIFIED co /�� 7 . 09 * ADDITIOWU. DATA ON FILE REPORT ID: DPR265 ROUTE TO: BSD508 COUNTY OF LOS ANGELES TEMPLE CITY it 0508 ELECTRICAL,.PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508. 0 72 BUILDING AND SAFETY / LARD DEVELOPMENT TEMPLE CITY CA 91780 . PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID ---9MLDING ADDRESS: ON FILE 5449 RQSEMt D`SL N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917100000 ASSESSOR INFOWTION NUMBER: NEAREST CROSS STREET: BROADWY 5388-O24-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TOTAL FEES 66.60 . BUFFET CITY 07/27/00 UT 01/2 SNALDINO LOUIS P-DOROTHY A �(Q CODE: 13583 WHITTIER BE 1 �B WHIT 906051935 n=IPTION OF WORK ELECTRICAL FOR NEW CHANNEL LETTER WALL SIGN APPLICANT: TEL. NO- KYI CHOW SHAR (6Z6) 444-6027- 2651 N LEE AVE fSPECIAL ENUITT5W SO. EL MONTE, CA 5 P�GELES CO APPROVALS DATE INSPECTOR SIGN.ATURE KYI CHOW SHAR (626) 444-6027- 2651 N LEE AVE LIC. NO TEMPORARY POWER POLE 92 i 3 652665 C45 SOUTH EL MONTE CA 91723 ARCHITECT TEL. NO- UFER GROUND LIC. 75MT-095UM- No(� ROUGA WIRING 111111 [� /�} /� I I I � ��C \111\1Il O�I K( S PLASTIC Y/N METAL Y/N `�J � L� 1'J U LJv�NJJUTILITY COKPAN7-95TT= �- eg ❑ O ❑ a g 46��c 0 of Service That * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406230008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0485 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5449 ROSEMEAD BL N FEE DESCRIPTION: QUANTITY: UOM: AVA)IMT: TEMP CA 917800000 NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TOTAL FEES 43.45 . KARE YOUTH LEAGUE 06/23/04 JK 12/20/04 OWNER: TEL. 0: FINAL BY: CODE: SKALDINO LOUIS P;DCROTHY A 13553 WHITTIER BL �C �- W'HIT 906051935 "DESCRIPTION OF WORK BOOTH LIGHTING FOR FIREWORKS STAND-2004 (PLUG IN) APPLICANT: TEL. NO: P AND P ELECTRIC CO., INC. (626) 309-0734- SPECIAL CONDITIONS: CONTRACTOR- TEL. NO: APPROVALS DATE INSPECTOR SIGNATI E P AND P ELECTRIC CO., INC. (626) 309-0734r P.O. BO)( 1020 LIC. NO Tg(r'OPARY POWER POLE TEMPLE CITY, CA 91780 569956-ClO UNDERGROUND CONDUIT ARCHITECT OR ENGINEER- TEL. NO: UFER GROUND LIC. N0: ROUGH CONDUIT ROUG,H WIRING MAIR WATER LINE PLASTIC Y/N METAL Y/N REPORT ID: DPR265 ROUTE TO: M0508 ' * OWNTY OF LOS ANGELES TEMPLE CITY - f 0508 ELECTRICAL PERMIT . DEPARTPUE]NT OF PUBLIC WORKS 9071 LAS TUiASt5 BUILDING AND SAFETY-/-LAND DEVELOPMENT TEMPLE CITY CA ll 0508 970902001 . PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAJD BUILDING ON FILE 5449 ROSEMEAD BL:4 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917800000 NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY JM TRANSFORMERS LT 31CVA 5.00 XFM 77.25 TOTAL FEES 105.00 ISSM ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/02/97 . ur 09/02/98 OWNER: TEL. *0: FINAL DATE FINAL BY: E: SMALDIMMO LOUIS P•DORCITHY A - /(4_ T WHIT 9 6193355 B 6E5 I�TTam IIF wuul� r NEON LIGHTING APPLICANT- TEL PIONEER ELECTRIC (818) 242-7242SPECIAL CONDITIONS:COI(TRACTDR: TEL. NO: �LES C APPROVALS DATE INSPECTOR SIGKAlUlZt:- PIONEER ELECTRIC (818) 242-7242-1, E. WILSON AVE. LIC. TEMPORARY POWER POLE GLENtNO I GLENDALE, CA 91204 000 LIC. NO: r 11ROUGH COND(JIT PLASTIC Y/M METAL Y/-N. urrETTreavvronTmI J t ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0012180052 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5449 ROSEMEAD BL N FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917800000 ASSESSOR INFORMATION NLMER: NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 . BUFFET CITY 12/18/00 UT 06 /01 OWNER: TEL. NO: FINAL DATE F I COD SMALDINO LOUIS P•DOROTHY A 13583 WHITTIER Bt WHIT 906051935 DhSCRIPTION UF WORK ILLUMINATED CHANNEL LETTER SIGNS (FACING NORTH) APPLICANT: TEL. ItO: KYI CHOW SHAR (626) 4-"-6027- 2651 N LEE AVE # SPECIAL CONDITIONS: SO. EL MONTE, CA APPROVALS DATE INSP CONTRACTOR: TEL. NO: KYI CHOW SHAR (626) 444-6027- j + 2651 N LEE AVE LIC. NO r� ' ;�^��j ; TEMPORARY PIDWER POLE f2 & 3 652665 C45 SOUTH EL MONTE CA 91728 -/ � r: � }p) � � \ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: T E LIFER GROUND LIC. NO�i'� � �i-i 111 I11� �I+� ROUCH CONDUIT 7A _tiROUGH WIRIWff J1 �i��l 1 I' PLAtTIC Y/N METAL Y/N LI ji ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 r. 0"TY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPART?IENT OF PUBLIC WORKS I 9701 LAS TL AS EL 0508 0106270034 BUILD*&A#B-UFETY / LAND DEVELUIMENT TEMPLE CITY CA 91750 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ON FILE 15449 ROSEMEAD BL:N FEE DESCRIPTION: QUANTITY: UOM: AM"T: TEMP CA 917500000 ASSESSOR INFORMATION MLIM:BER- NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D2 CARNIVL DISPLAY LGT 1.00 DIS 16.20 TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES 06/27'01 UT 12/24/01OWNER: FIKAL TE FI U-uh: . SMALDINO LOUIS P-DOROTRY A 13583 WHITTIER BE WHIT 906051935 DES( LK BOOTH LIGHTING FOR FIR STAND-2001 (PLUG IN) APPLICAKT: TEL. NO: 0. G. HESTER AND SON ELECRICT COMA (909) 392-4949- 588 LANTANA SPECIAL CONDITIONS: LA VERNE CA 91750 idsP�� es MNTZACTOR! TEL. NO: T APPROVALS DATE IwsPnT6v3rwnTpr-- G. G. HESTER AND SON ELECTRIC (909) 392-4949- 588 LANTANA LIC. NO TEMPORARY POWER PO:LE LA VEREN CA 91750 474648/C10UFER f \ - ``� ✓� LIC. Jj� � I `1111111 IS LD��`� � J ��, � I r��� PLAST C Y/N METAL Y/N Servo REPORT ID: DPR265 ROUTE T0: BS0508 I I COUNTY OF LOS ANGELES TEMPLE CITY S 0508 I ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9.701 LAS TLNAS EL D508 0206760028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ON FILE 5449 ROSEMEAD BL N FEE DESCRIPTION: QUANTITY: AOM: AMOUNT: TEMP CA 917800000 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TOTAL FEES 43.95 . KARE YOUTH LEAGUE 06/-26(102 JK 12/23/02 SMALDINO LOUIS P•DOROTRY A - L 13583 WHITTIER BL WHIT 906051935 DE IPTION OF WORK BOOTLIGHTING FOR FIREWORKS STAND-2002 APPLICANT: TEL. W: (PL UUGG IM) G. G. HESTER AND SON ELECRICT COMP (909) 392-4949- 588 LANTANA SPECIAL LA VERNE CA 91750APPOALS DATE INSPECTOR SIGNATURE ' TFLACTO-R: TEL. NO: G. G. HESTER AND SON ELECTRIC (909) 392-4949- -" 588 LANTANA LIC. NO TOMMY POWER POLE LA VEREN CA 91750 474648/Cl0 UNDERGROLWI) CONDUIT -=� ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO:. _ _ - ROUGH. CONDUIT ROUGH WIRING MAIN �ATER LINE PLASTIC Y/N METAL Y/N REPORT ID: DPR265 ROUTE TO: SS0500 COUNTY OF LOS ANGELES TEMPLE CITY 0505 ELECTRICAL PERMIT DEPARTMBMT OF PUBLIC WORKS 9701 LAS TUiAS EL 0508 0306250034 BUILDING AND SAFETY / LAND DEVELOPME T TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID DUILUINU ON FILE 5449 ROSE�IEAD L:N FEE DESCRIPTION: QUANTITY: UOM: AMOLNT: TEMP CA 917800000 ASSESSOR INFORMATION NLmEx: -NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITf: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 BOO 16.20 TOTAL FEES 43.95 . KARE YOUTH LEAGUE 06/25/03 JK 12/22/03 OWNER: TEL. NO: FINAL TTF-, FI CCIDE' SMALDINO LOUIS P•DOROTHY A 13583 WHITTIER Bt ? v J WHIT 906051935 4IFTION OF WURX BOOTH LIGHTING FOR FIREWORKS STAND-200 (PLUG IN) APPLICANT: TEL. 40: G. G. HESTER AND SON ELECTRIC COMP (909) 392-4949- 588 LANTANA SPECIAL CON-DITIONS: LA VERNE CA 91750 CONTRACTOR: -M. NO: r APPROVALS DATE IN3PEcT6ff-frMUTMr-- G. G. HESTER AND SON ELECTRIC (909) 392-4949- - 588 LANTANA LIC. NO TEPPORARY POWER POLE LA VERE?N CA 91750 474648/C10 UNDERGROUND CONDUIT ARCHITECT DR EMWEER: TEL. . UFER GROUND LIC. NO: ROUGH CONDUIT - = _ Pr MAIN WATBt LINE PLASTIC Y/N METAL Y/N REPORT ID: DPR265 ROUTE TO: RSD508 j COUNTY OF LOS ANGELES TEMPLE CITY ELECTRICAL PERMIT T � 0508 DEPARTMENT OF PUBLIC WORM 9701 LAS TUNAS EL 0508 0404150025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: fthS PAID BUIL ON FILE 5449 ROSEMEAD BL N FEE DESCRIPTION: QUANTITY: IIOM: AMOUNT: TEMP CA 917800000 ASSESSOR INFORMATION NLMER: NEAREST CROSS STREET: BROADWAY 5388-024-055 Al PERMIT ISSUYINCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 3.00 SIG 116.55 TEXANT: TOTAL FEES 144.30 . BUFFET CITY 04/21/04 VG 10/18/04 OWNER: TEL. 0: FINAL DATE FINAL BY: 113583IYHITTIER BCNO LOUIS DOROTHY A / p WHIT 906051935 DESCRIPTIONO ELECTRICAL FOR 4 SETS OF ILLUMINATED WALL SIGNS APPLICANT: TEL. NO: SUCCESS SIGH AWNING INC. (626) 444-8181- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO- APPROVALS DATE INSPECTOR SIGRAIUKE SUCCESS SIGH (626) 444-8181- 2812 PECK ROAD LIC. NO TEMPORARY POWER PO-LE SUITE# A 739177C45 EL MONTE CA 91731 ARCHITECT OR ENGINEER: -07 UFER GROUND LIC. M0: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N REPORT ID: DPR265 ROUTE TO: BS0508 r 'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 =CIRICAL PERMIT DEPARTMENT OF PUBLIC WORI9 9701 LAS TUNAS EL 0508 1109260018 BU=ING AND SAFETY / LAND DEVELOPMENT TFSkPLE CITY CA 91780 PHDNE: (626) 285-0488 EXT: LEGAL ID: FEES PAID HULLOING ADDRESS: ON FILE 5449 R0SEMEAD BL N FSE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917800000 ASSESSOR INFORM4iTION NUMBER: xEARMSr' CROSS STREET: 5388-024-055 Al PERMIT ISSUANCE FEE 27.80 THOMAS PALE: GRID: LoOCALIT'Y: 'T24PT'E CITY, C Fl 120V, 15/20A BR CIPS 2.00 BR 34.60 TENANT: G1 OUT=—LQr,-gW,RECP 3.00 OUT 5.80 ISSUED ON: PROCESSED BY: PLAN BY: ZSN BUFFET G2 LIGUrING FIXTURKS 4.00 LOT 7.80 09/26/11 SR TOTAL FEES 76.00 OSQ4SR: TEL. NO: FIT TE F CODE: — S3ULLDINO LOUIS P;DOR.OTHY A (626) 757-9919— O I 13583 WATTTIER BL J WHIT 906051935 DF�BCRIPTION OF WORK TENANT I30?ROV13CWr — ELE CAL APPLICANT: TEL. NO: FANG, 113N (909) 569-2069— SPECIAL CONDITIONS: CONTRACTOR: TEL. 190: APPROVALS DATE INSPECTOR SIGHATUR.E HO'S REMODEL CORPORATION (626) 279-6940- 3553 MEEKER AVE LIC. NO TEMPORARY POSTER POLE EL MOIM, CA 91731 693310B ' UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LEE, PETER (626) 280-9000- 8748 E. VALLEY BLVD. SUITE L LIC. NO: ROUGH CONDUIT ROSEMEAD, CA 91770 693310B ROUGH WIR-1246 MOI] WATER T, PLASTIC Y/N METAL Y/N UTILITY CO14PANY NOTIFIED + ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: 1390508