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Home My Public Portal About5450 ROSEMEAD BLVD_Electrical__ 76Ae63-cF80e 10,72 APPLICAIGN OFR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOEL � OSS 1 L BUILDING AND SAFETY DIVISION LOCALITY j4 7-i NEAREST FOR APPLICANT TO FILL IN CROSS ST ,I OUTLETS 0 A FEE OWNENAR U V RECEPT S S MAIL LIGHT_ TOTAL FIRST 20 Z5 ADDRESSAIZ �/ OVER 20 CIT TEL NO SWITCH_ 10 PLAN CHECK FIRST 20 APPLICANT FI10 XTURES LIGHTING TOTAL n OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE _ORYER_WTR HTR_ APPLICANT STA COOK_DISP F A U _ ADDRESS O )YffAP (_V SPACE HTR _ AIR GOND CITY TEL N04431404 CLOTHES WASH DISH WASHLEG�NUMSER O Z CLASS FAN_OTHER IOD1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTOR! TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS !TC HP xW KVA ELECTRICAL WIR NG SIE[ B TYPE OVER TO I HEREBY CER IFY THAT I AM PROPERLY REGISTERED AND/OR D0 LICENSED AS AE 'RED BY LOS ANGELES COUMT ♦ND STATE OF CALIFORNIA OR A AM T LE AL OWNER OF THE ABOVE I — 10 300 0[SLPII'a RED LL PRO RTY pp PERMITEE `\ L� 10 — 50 500 SIGNATUREAl EC O SO — 100 1000 DISTRICT N P ED BY W 100 — 500 SIGN GAS SIGN AND ONE CIRCUIT 500 Q APPROVAL$ DATE INSPlcTgH GNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE h APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 3 D FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL — -7 PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300510 TOTAL FEE 0 U PLA ECK VALIDATION CK M o CASH TIT VALIDATION cx 7. cAen / 024ADFC 5 2 0 48.00 • SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE _ "A"' Ce WIN 10'77 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES e DEPARTMENT OF COUNTY ENGINEER8 BUILDIN AND F '0DRESS DRESS —_rVf AJ 494--' ,*A-) (v FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs &Pools EACH NO FEE NEAREST �O �� 1 &2 Family Sq FtS 025 — b Multi family Sq Ft 02 — UWNtK FIRMN MNcK RE (/ Residential Swimming Pools 2500 MAIL ADDRESS /633 Outlets Rec ' Lght3-�sw CITY A,v ,�ONiGA Tel No dl'CE�M 83Fust 20 50 PLAN CHECK TotalNo )`" l 30 APPLICANTADDRESS Lghting Fixtures First 20 50 Q Q CITY Tel No Total No Additional 30 PERMITAPPLICANTFixed Appliances Not Over 1 HP ADDRESS Range_Heater_D W _ CITY Tel No Oven _Dryer_W M_ LICENSE OR Top —FAU —WH _ REG NUMBER zoxoo /�Hood_Fan _Other_ HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ND STATEDnp _ Room AIr Cand 250THATTHE ABOVE IS CORRECT AND AGNEE i0 COMRY WTY ORDINANCES AND STATE LAV.S REGULATING ELECTRIUL WIRINPower Apparatus 8 Large Appliances HP KW KVA or KVAR IHEREBY CERTIFY THAT I AM PROPERLY REGISTEREENSED AS25D REQUIRED BY LOS ANGELES COUNTY AND STATE OF CATHAT I AMUp tolnd THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA Over 1 to 10 Incl 500 Over 10 to 50 Incl 1250 PERMITTEE Over 50 to 100 Inc 2500 O SIGNATURE C, Over 100 4000DISTRICT 08 P BY Services N$pp[[{{77 Z 0 200 Amp Under 600V 1250 APPROVALS DATE ISIGNATOORE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600V 5000 TEMP POWER POKE —Z� Temp Power Pole 8 Appurtenances 1000 UNDERSLAB WORK 7 _ Sign with One Branch Circuit 1000 ROUGH CONDUIT Addmanol Sign Branch Circuits 200 WIRING Mix Conduits&Conductors 1000 FIXTURES Other)See Complete Fee Schedule) POWERAUTHORIZEDfj / ZB UTILITY CO NOTIFIED FINAL —7 PERMIT FEE ISub Total) NOTES PLAN CHECKING FEE IOne Fourth Permit Feel PERMIT ISSUING FEE $700 TOTAL FEE PLAN CNFCI( DATION CK M O CASH PERAUT VALIDATION C O CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1 9 7 n AR 22 2 D 7 5.0 0 A=6 '°A° 3 CM 11"" RR"' APPLICATION FOR EL 7 AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS0 y D FOR APPLICANT TO FILL IN LOCALITY /E /0Z c!/ New Residential Bldgs $Pools EACH No FEE R ST 1 &2 Family Sq Ft $ 025 — f ST 3/t 01 k) 9 Multi family Sq F D2 — ORM Multi USA E7204cUf4 CO/CP Residential Swimming Pools 2500 ADDRESS I 33 A6T�Si Outlets Rec Llght_Sw _ CITY S/INTA NONi[A Tel No VZ-9 /341�1 First 20 50 PLAN HECK Total No Additional 30 APPLICANT ADDRESS Lighting Futures First 20 50 CITY Tel No Tocol No Additional 30 PERMITAPPLICANT x/5.9 067,eoz&-uq COiC Fixed Appl ionces Not Over 1 HP ADDRESS Range_Heoter_D W _ CITY Tel No Oven —Dryer_W M_ LICENSE OR Top —FAU —WH — REG NUMBER -10-900/ Class AeC-1 Hood_Fan —Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond 250 THAT THE ABOVE IS CORRECT AND AGRFi EE TO COMY WITH ALL COLNIY ORDIN AWM AND STATE LAW5 REGLAATING ELECIRIG1l WIRING rJ Power Apparatus$Large Appliances fin, yr Size$Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROs REGISTERED d4D/DR LICENSED AS 250 REQUIRED BY LOS ANGELES CODNTY AND STATE OF C4 OR THAT IAM Up to 1 Ind THE LEGAL OWNER OF THE ABOVE DESCRIBED RES IDFNT Over 1 to 30 Ind 500 v Over 10 to 50 Incl 1250 PERMITTEE 6kV Over 50 to 100 Inc 2500 SIGNATURE �i Over 100 4000 FCGRHS O D BY Services �o 0 20OAmp Under600V 1250 OVALS DATE I ATOORE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V r`0 DO ER POLE WORK Temp Power Pole$Ap Circuit rtes 1000 Sign with One Branch Circuit 10 00 NDUIT Additional Sign Branch Grants 200 WIRING IT Misc Conduits$Conductors 1000 FIXTURES Other(See Complete Fee Schedules POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE Sub Totall NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $7 00 TOTA — 12574 PLAN CHECK V SH PERMIT VALIDATION M 0 CAS POLICY HOLDER: 4 S�Q 27 7�OAAR 27 2 D 1-9.50 Ali PooL1L� CY MI T��'� , SEE BACK OF A}�&'I'1Gr�FOR COMPLETE SCHEDULE T DS X — L{ R— 7- Y-77 DOE OA IS 94 APPLICATION FOR ELECTRIC PERMIT ], -DIVISION OF BUILDING AND SAFETY • Dsparkmant of County Engineer County of LDo Angelos SUILDING O jy WM J FOX, COUNTY ENGIKR�1 ADDRESS CADBATT D GRIFFIN SUP T OP BUILDIMD Z� FOR APPLICANT TO FILL IN LOCALITY Ere yd PERM FEES C oaRs IST u NUMBER EACH FEH LIJAGHT ourLETa OWNER �� RECEPTACLES MAIL ADDRESS WALL SW ITCHES TOTAL OUTLETS 5I S Q CITY XEL NO ELEC RANGES 25 ELECTRICIAN ELEC HEATERS 25 ADDRESS L KW EA ---- ✓ CITY fv NO FIXTURES I3 LICENBH N NUMBER OF LIGHT CIRCUITS DISTRICT NO �O P NE/ RGDT FOR INSPECTION NUMBER P A R UI MOTORS ✓ ran nvn� NUMBER HORSEPOWERtf FEE ^ "=ON RECORD NEW MVD HP OVER INC EACH J R LEBE ! 25 2 506-0 5 100 _- _ e 15 150 _ 13 5o 250 __ - 50 200 500 Mi6 NO SIGNS NO TRANS NO SIGN NO LAMPS _ FOR EACH PIZ13MIT _ WIRING 2100 FIXTURES $100 f SUPPLEMENTARY 50 APPROVALS TOTAL FEE s/0 ^ DATE INSPECTOR 9 SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT S F AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AMD STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR TH I AM THE LEG OWNER OF THE ABOVE DESCRIBED REBID 1 PROPER UTILITYCO NOTIFIED CO Zd T SIGNATURE OF PERMITT FINAL L u WILLIAM J F X.COUNTY ENGI VALIDATION 'Z 1 0•0 0 a3 3 7 4 U"�,. PVC► 4 - - BY DEPurY 76A66bCEe06 6-04 �PLICAWTIO�VOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SUIL' BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER WILLIAM JENSEN SUP T OF BUILDING LOCALITY NEAREST GROSS ST R[C[PT 1 TOTAL NO ucN Pv Ifr OUTLETS FIRST 20 •sp • OWNER LIGHT MAIL SWITCH VER2 ADDRESS OVER 2O t0 TOTAL CITY TEL NO 6GHTINO FIRST 20 20 FIXTURES AOD'L ov R 20 Ip ELECTRICIAN RANG6a CLO C61Y[RS WTR HTR[ 100 ADDRESS GARS DIv STA COOKCITY I TEL NO DISHWASH AUTO WASH STATE / SPACS HTRS RA.APP (N N► MAX) SO LICENSE NO MOTORS' OY[R NOTOVER HP DISTRI N GROUP I 7nNE I P S 0 — 1 y L 100 1 — E Igo INSPEalON REO D d E — e 200 S IS 260 - p{ I AI O IS 00 600 .a so Ioo Soo � D_ h SIGNS, NO LAMS Z NG L111p[ SERVICE O SOOV NOT OVYT 200A too SERVICE O 600V OVmI 200 A 200 SERVICE OVER SOOV 500 MISC PERMIT ISBUING FEE 200 SUPPLEMUNTABY PERMIT ISSUING FEE 1100 TOTAL FEE e IMSANDY ACXMOWLtnGS THAT I HAW READ Tx IS ArALICATION "N DATE SP ANO STAT[ THAT THE [A60VIS CONR[LT AND AORQ TO COMPLY CONDUIT WITH ALL COUNTY ORVINANC[l AMD ETAW LAWS R[OULALNO SL[CTIDCAL WIRING 1 Im®Y CORIPY THAT I AM PROPERLY REOIWIRING STEIQO AMD(OR LIC[NS[D AS R[OUIRXD EY LOS ANGELES COUNTT AND STAT[ or FIXTURKS CALIFORNIA OR THAT 1 AM TH[ L[OAL O"MR OF THE AEDY[ D[SCRISMID R[EID[NTIAL PROPERTY POWER P6RM OF IRTTEE UTILITY NOrIFI FINAL U O CAS A Hv c ELECTRICAL « NO G1eX But+ERV1eINo ELECTRICAL ENaINEmI J{( p0 7 4 33 APR 2 0 2 D 1 8.00" Zl ]6A66]{[6061245 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER eU1LDING / BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALI NEAREST APPUC TO CROSS ST RECEPT TOT FIRST 20 ND S 20 S �[ OWNER , F r 1 LIGHTMA SWITCH ADO L 10 ADDRESS OVER 20 994-2- F JI— TOTAL CITY TEL NO rz LIGHTING 1 FIXTU RE8 FIRST 20 IIO FIXTURES I AOD L 1O CONTRACTO OVfiR 20 RANGES DRYDIS VITA HT" 100 ADDRES "Its OIRP ETA COOK CITY TEL NO DISH WASH AUTO WANT STATE i SPACE HTR[ ETA AWL 50 LICENSE NO I 119 MOTORED OVER NOTOVER HP DIST CT NO G UP ZONE PR�CEySSED BY O I 1 00 /77 I — a 150 INSPECTION RECORD O 5 — 5 200 S 15 250 1 OC 15 50 300 A- 50 100 500 d BION81 NO RANS NO "Mrs SERVICEOSOOVNGTOVER200A 100 SERVICE 0 SOOV OVER 200 A 200 SERVICE OVER 600V 500 OTHER USE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 200 Z D SUPPLEMENTARY PERMIT ISSUING FEE 1 00 APPROVALS OATS IN TOTAL REE III 1 F HERESY ACKNOWLEDGE THAT 1 HAVE READ TNIE AFLICATION UNDERSLAB WORE AND STAT[THAT THE ABOVE IS CORRECT AND AOR[[TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STAT[ "WE R[OULATINO ELECTRICAL WIRING WIRING 1 HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LIC AS REQUIRED BY LOS ANGELES COUNTY AND STAT!OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO POWER RESIDE IN THE ABOVE DESCRIBED [SI [NT R [RTY SIGNATURE UTILITY CO NOTIFIED OF PERMI FINAL �U CAS JOSEPH C ROO CK MOO CASH SUPERVISING ELECTRICAL ENGINEER LACo2976�8 JUN 21 2 D 3.00- Q ' >eweee c[eoe < ee APPLICATION FOR ELEC41t� LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS O !p JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING LOCALITY �J1 NEAREST p �i O 1 CROS B ST RECEPTACLE TOTAL OUT FIRST 20 •20 S OWNER o/ LIGHT MAIL d� SWITCH ADD L ADDRESS v/ OVER 20 10 T TAL FIRST 20 CITY Te LIGHTING FI ES FIXTURES ADD L 10 CONTRACTOR OVER 20 RANGES CLO DRYER[ WTR HTRD 1 00 ADDRESS OAR[ DISP RTA COOK ` CITY L NO DISH WASH AUTO WASH STATE SPACE RTRe nA A 4H P MAX ) 50 .,�.. LICENSE NO - r MOTORS, OVER NOT OVER NP DIST 1 N G UP N P 8 P Y O 1 1 00 1 — a 150 INSPECTION RECORD 5 S 200 B fa 250 1 S 60 300 O So 100 5010 u 99 SIGNS NO TRANS O NO LAMPS (NEJE SERVICE O 600V NOT OVER 200A too N SERVICE O 600V OVER 200 A 200 Z SERVICE OVER 600V Boo OTHER (e[[ COMPLETE PEE SCHEDULE) PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE S P an IMEP[LTo11 • w I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APP T UNDERBLAB WORK AND STATE THAT THE AD VE IS CORRECT AND AO R[E TO OMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I MERLY C[RT THAT 1 AM PROPERLY RED AND�OR FIXTURES LIC6NS[D A• R IR fl SY OR ANGEL[ C N ND STATE OF CALIPORN IA OR HAT AM [ L[ L O N O ND INTI POWER REe1D[IN THE SO ISCD I LCMROPQR SIGNATURE UTILITYCO NOTIFIED OP PERMITT FINAL /VALIDATION JOS PX Or ROOHAN / CR JMO CASH SU ERV161NG ELECTRICAL ENGINEER LhL,o3 9 6 a� ?'!G 4 '2 D 4.40" o ��5 --� 7eAS53-C[e0e 1-6e I APPLICATION FOR ELECTRIC PERMIT �7 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS p L JOHN A LAMBIE COUNTY ENGII ✓Jr COLEMAN W JENKINS, SUPGRINTSENDENT OP BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST AC RECEPT_ OWNER D MAIL LIGHT_ TOTAL FIRST 20 20 ADDRESS (J' SWITCH_ OVER 20 10 CITY TEL NO PLAN CH K LIGHTING 1TOTAL FIRST 20 20 APPLICANT FIXTURES /( OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U - CONTRACTOR G qr SPACE HTR _AIR COND _ ADDRESS / v CLOTHES WASH _DISHWASH CITY /� TEL NO FAN—OTHER 1 00 LICENSE NO CLASS ��(] MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE Q TYPE OVER TOAMO STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATINO ELECTRICAL WIRING 0 - 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 10 - SO 5 00 REBIDE IN THE ABOVE DESCPIPED RESIDENTIAL PROPERTY O 50 - 100 10 00 SIGNATURE u OF PERMITTE K 100 - 500 15 DO- DIST I G UP I ZO E P D 0 SIGN GAS SIGN AND ONE CIRCUIT 3 00 TUBE OR MARQUEEfl ADDITIONAL CIRCUITS I 1 00 ao NOTES JtRt(l(,t,( ERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 op 4 3 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 1 TEMP SERVICE POLE B APPURTENANCES 3 00 APPROVAL DATE INSPECTOR 5SIGNATURE 41 TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 200 UTILITY CO NOTIFIE SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOS PH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATION CK M D CASH LA,Co7 o e o�s 00130 2 D 4,00 - q E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /16 '✓'R./ '°"°°! CE806'-04 APPLICATION FOR ELECTRICAL PERMIT CMNTY OF DS ANGELES DEBUILDI�NG AND SAFETY DIVISION ENT OF COUNTY ER ADDFEai 9010 E Br JOHN A LAMBIE, COUNT' ENGINEER WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY Temple Cit NEARESTAPPLI ANT TO Rosemead 1 IFARS ST RLCEPT l TOTAL ►I�•r]0 No R"cm R OWNER Stopn Go Markets LIGHT ll` OUTLETS p ADD'L ADDRESS P.O. Box 758 MAIL •WITCX OVLR 2D 10 GHTING LTOTAL CITY HOIL4t OD Texas TEL No IFIR•r 20 a0 FIXTURES GV On 20 10 ELECTRICIAN Federal Sign HANGM CLO DRYmIS WTR H. Too ADDRESS 1100 N Main St GAM DIV "A COOK CITY L.A. 12 TEL No CA 16l DISHWAYI AUTO WASH STATE WAMNYRS M WA AIY.H► MAE I Bo LICENSE NO 217730 MOTORS, OVER NoTOVER HP DISTRICT NO GROUP ZONE PROCESSED BY o — 1 100 G n7 T 1 — a Igo INSPECTION RECORD a S 200 BOJ B — Ig ago OL IB — Bo Boo no — 100 goo d BIGNRI NO TRANS 2• Z l NO LAMPS SERVICE O SO0V NOT OWN 200A 100 SERVICE 0 SOOV-OVEN 200 A 200 SERVICE OVER SOOV 000 MISC PERMIT ISSUING FEE 200 2,00 SUPPLEMEMTABY PERMIT ISSUING FM 100 TOTAL FEE R4. 1 HEMOY ACKNOWLEDGE THAT 1 HAVE 1 O THIS APPLICATION GiE IM AMD RATE THAT THE AYE OOIS CCRMCT AND AGR TO COMPLY CONDUIT WITH ALL COUNTY oRDINAHOLs AND rrwTE LAWS MGULATINO EliCT111CAL WIRING WIRING 1 Im1MT CQIIFT THAT 1 AM PROIENLT M0IR6IQD AND/OR UCENQD N MGUIRED BY BAS ANGELES COUNTY ANO RATE OF FIXTUREG CAUFOIIMIA OR THAT 1 AM THE LEGAL OWNEN OF THE AGDVE OMGIIOED RMIDEMIAL POWER SIGNATUREZUTILITYCO NOTIFIED OF P2RMm FINAL vnuoAT9Nw c VETT- IX ID CARN SUPERIASING ELECTRICAL ENGINKER LACO2`101Z2 WAY17 2 D 4.00- OBS BA EE APPLICATION FOR ELECTRIC PERMIT Z 0MMON OF BUMDMG AND SAFEfY D"artmeat of Comtt FmgInIsm CCQDty of ],0R Angdm BUILDING LUSO DS L� .D WM J FOX COUNTY ENGINHRR ADDRESS �7 CADBATTD GRIFFIN BUPTOF BUILnIYa T LOCALITY FPOR APPLIC&NT TO FILL IN NEAREST ERM FEW CROSBST NUMBER EACH FEE LIGHTOUTLETS OWNER (lS f RECEPTACLES MAIL ADDRESS S T S-o /,a j Py WALLSWITCHES TOTAL OUTLETS !i ! CI /Q �; 1 TEL NO ELEC RANGES 2S 1 ELECTRICIAN BLEC HEATERS 20 ADDRESS Z ✓� XW EA CITY 3 TEL NO �( FIXTURES H LI NSE NO NUMBER OF LIGHT CIRCUITS _ DISTRICT NO GROUP ZONE READY ron IxAPEDY LGA NUMBER OF RECEPTACLE CIRCUITS Lj MOTORS ✓ NUMB" HORSEPOWER PEE L INSPECTION RECORD N[W V. HP OV[A INC EACH e LCEE 0 25 2 BO 2 B 100 1 5 15 1 HO 13 40 250 50 200 H -22A MISC 1 NO SIGNS I NO TRANS• / / NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100. FIXTURES $100 SUPPLEMENTARY 00 APPROVALS TOTAL FEEDATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION CONDUIT ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING I HEREBY CERTIFY AM PROP Y REGISTERED D/OR FIXTURES LICENSED AS REOU BY L AND OUNTY AND OF CALIFORNIA OR AT 1 E LE AL INNER OF 8 ABOVE POWER DESCRIBED RESI N71AL SIGNATURE UTILITYCO NOTIFIED OF PERM I FINAL S WILLIAM J FOX,9 LIN ocliks, ON A C EIT.CHIEFELECT INSPIECTOR LQ3900N MAR 8 2 2.75 0 TSASSS CEBGS 4 SS APPLICATION FOR ELECTRWL4;(ER7M_elY/4ql_m COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY NEAREST O A CROSS ST d �� RECEPTACLE TOTAL No uCH �[[ UTLETS FIRST 20 !VCH 0 OWNER LIGHT MAIL SWITCH ADD L 10 ADDRESS OVER 20 TOTAL FIRST 20 X 10 CITY TEL NO LIGHTING FIXTURES _ FITURES ADD L OVER 20 to CONTRALTO RANG[! CLO ORY[R[ WTR HTR/ t DD ADDRESS ,- OARS OI[R STA COOK CITY TEL NO DIOHWASH AUTO WASH/ STATE SI SPACE HTRIS STA A (�y H R MAX / e0 O LICENSE NO MOTORS OVER NOT OVER HP DISTRICT NO GROUP Z N P SED BY O t 100 F 4w t — S 150 O INSPECTION RECORD a — S 200 e — is 250 IS so 900 O So — too 500 V SIGNS NO TRANS No uMPS F SERVICE O SOOV NOT OVER 200A t 00 D• N SERVICE SOOV OVER 200 E00 Z SERVICE OVER e00V 500 OTHER (SEE COMPLETE TEE SCHEDULE) PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE ROVALS dATK IMv[cTOR 2 GICMATVRX I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AMLI CAT ON UN DERBLAS WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING J 1 HERESY C[RTIIY THAT 1 AM PROPERLY OIBT[RED AND/OR FIXTURES LI CENEED Al REO O BY LOB ANGELES NTY NO STATE OF .ALIPoRNIA ORT AT I AM E LEGALW R O NO INTEND TO POWER RESIDE IN THE A D RIBEO RES IA OPERTY vf SITYIGNATURE / UTILCO NOTI►IED OF PERMITT FINAL CAS b H OOH N 0 CK O GSH SU BRVISING ELECTRICAL ENGINBR Lko 1 3 2Zf? APO 15 2 D 2 3.70" 4 WORKERS COMPENSATION DECLARATION affirm IDrel APPLICATION FOR ELECTRICAL PERMIT I hereby om that I have acertificateCE4 certificate of consent to self �AOeC insure or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) Policy Na Company FOR APPLICANT TO FILL IN I JOB ADDRESS T Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE V ❑ 1 8 2-Family, Ft f — S LOCALITY Certified copy is filed with the county building mspec Y. S9 tion deportment Multi-family$q Ft — NEAREST Residential Swimming Pools CROSS Si d R Dole Appbconf OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light_Sw._ MAIL COMPENSATION INSURANCE ADDRESS h section need not be com listed If the work Involved b First 20 (m P T Total No Additional CITY NK./f- Tel No the permit Is for one hundred dollars ($100)or less ) I certify that in the performance o4 the work for which this PLAN CHECK APPLICANT permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional Date erplicant CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption you should become subject to the Workers Range_ Heater_D W _ _ APPLICANT 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 CITY Tel No LICENSED CONTRACTORS DECLARATION Hood _ Fon _Other_ I herebyoff that I am licensed under Dup Room Air Cond LICENSE OR �O 2601 Close, 6) provisions of Chapter 9 G NUMBER (commencing with Section 70DD) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROLE BY >, and Professions Code and my license is in full force and effect d Size 8 Type HP KW KVA or KVAR O O License Number Lic ClassUp to 1 Incl FINAL j V Over I to IO Incl DATE �`�C VALIDATION O -Contractor Dote Over 10 to 50 Incl FINAL V ❑ I am exempt under Sec Over 50 to 100 Inc BY W 6 B SP C for this reason Over 100 Z Dote Services Swbd MCC 8 Panelboards ► — 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg MaiOver 1000 Amp or Over 600 V Maim Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affum that I am exempt from the Contractor s License Additional Sign Branch Circuits for the following reason (Section 7031 5 Business and '9(� 2 2 {, Professions Code) ❑ I as owner of the property will do the work and the M,sc Conduits 8 Conductors #: is • • • 2 structure is not intended or offered for sale (Section Other (See Complete Fee 44 Schedule)— loop 70Business and Professions Code) 12 • • 2'5 5 0 CONSTRUCTION LENDING AGENCY • • • 2 5 5 O 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'l 20-83 (Sec 3097 Civ C ) ' Lender's Name PERMIT ISSUING FEE Lender s Address I certify that I have recd 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 hyyyQreby out roe representatives of this County to enter upon t Above entioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dote ' WORKERS COMPENSATION DECLARATION • IOiBI APPLICATION FOR ELECTRICAL PERMIT I hereby effort That I hCE-806ove a certificate of <o�sent to self CE"006G� insure or a certificate of Workers Compensbtion Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY ko a certrfted copy thereof (Sec 3800 Lab C ) m 6 ' Policy No am '� OM! FOR APPLICANT TO FILL IN JO8 Certified copy is hereby furnished New Residential Bldgs 8 Pools VIACHNO FEE ADDRESS 0 'SEMElld _ s LOCALITY cCemfiep copy a fled wrth a county wlding mspec 1 8 Y-Family ci t NEAREDhon department Multi-family Sq H — CROSS ST Yl0 !f Residential Swimming Pools OWNER OR Appbcant FIRM NAMECERTIFICATE OF EXEMPTION FROM WORKERS MAILOutlets Rec Light Sw - /COMPENSATION INSURANCE O ADDRESS 3 yV IT Ale-41 �q (This section need not ba completed If Me work Inrolred by First 20 CITY L Tel No the Penult Is for one hundred dollars($100)or lass) Total No Additional .410 PC I certify that in the performance of the work CHECK for which this APPLICANT permit is issued I shall not employ any person in any manner �, �i so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 L ADDRESS Total No N3;;z Additional 449 CITY Tel No Dote Applicant Fixed Appliances Not Over 1 HP PERMIT ,�1 NOTICE TO APPLICANT If after making this Certificate of APPLICANT /�� l241 Exemption you should become subject to the Workers Range_ Heater_D W _ Compensation provisions of the Labor Code you must forth Oven _Dryer — W M — ADDRESS � S'3 Z LJ anake-ivil with comply with such provisions or this permit shall be Top _ FAU —WH — CITY L Tel No / deemed revoked Flood _ Fan —Other— U s,.z LICENSED CONTRACTORS DECLARATION DTs — Room Au Cond LICENSE OR ryO a Clow I hereby off um that I am licensed under provisions of Chapter 9 p REG NUMBER 30 a If- 0 and Pro (commencing with Section y tic of Disown 3 of the Business power Apparatus 8 Large Appliances DISTRICT v PROCESSED d and Professions Cade and m license is in full force and effect Size 8 Type HP KW KVA or KVAR 0 License Number 40,R601 Lic Class_LlL— Up to 1 Incl FINAL �L ) L/ )' ,, Over 1 to 10 Incl DATE / �J VALIDATION O Contractor �� j Y�� Date❑ Over 10 to 50 Incl FINAL p V I am exempt under Sac Over 50 to 100 Inc BY Lry �..," W B 8P C for this reason Over 100 (/ Z Dote Services Swbd , MCC 8 Ponelboords 0 -200 Amp Under 600 V _ Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Rag Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby off um that I am exempt from the Contractor s License Additional Sign Branch Circuits7,2 8 {1 Law for the following reason (Section 7031 5 Business and Professions Code) ❑ I as owner of the property will do the work and the M,sc Conduits 8 Conductors # • e's • • 2 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 2 s.s 7 1 70 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY s • • 7 1700 I hereby offum that there is o construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) f 1 0 1 -82 (Sec 3097, Civ C ) PLAN CHECKING FEE Lender s Name d PERMIT ISSUING FEE D SZ� s2 p Lender's AddressPERMIT I certify that I have read this opphcahon and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances an State laws regulating Electrical wrong, and hereby out h ze representatives of this County to enter upon tl abov entioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE �A A$A ISignature of Permittee Date WORKERS COMPENSATION DECLARATION 76Ae63 10/61 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent to sell Insure CE 8060 LI or a certificate of Workers Corrpensatlon Insurance, « a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sac 3800 Lab C) t- 90110 J4V policy WA ia6� C,ph.,Nai IJ1J1e u rota FOR APPLICANT TO Fel IN ADORES9 Okla ❑ Certified copy s hereby lurraehed New Residential Bldgs 8 Pools EACH NO FEE LOCALITY T ❑ 1 & 2-Family SQ FL $ _ S depMed copy s fled wnlh the count' lxlltling inspection y SG Ft J department ,I 1- .µ Mu1Il-f0ml y \ NEAREST CROSS ST Date /d 8 Applic uwTij Residential Swimming Fools OWNER Outlets RecLight FIRM NAME �O CERTIFICATE OF EXEMPTION FROM WORKERS al m _ — SwL r1 /1 COMPENSATION INSURANCE MAILADDRESS /C/�O �T (This section need not be completed 11 the work Involved by the First 20 permit Is for one hundred dollars($100)or lees) Total No Additional CITY P Ino VY Tif?io9';Z097j8r I certify that in the performance of the work for which this permit PLAN CHECK is issued I $hall rot employ arty person in any manner so as to APPLICANT become subject to the Workers Compensation Laws Lighting Fixtures Fust 20 ADDRESS Addition Date Applicant Total No CITY Tel No NOTICE TO APPUCANT If after making this Certificate Of Fixed Appliances Not Over 1 HP Exemption you should become subject to the Workers Compensation Range— Heater_ DW _ APPLICAN Al 1_r♦ 1 /V provisions of the Labor Code you must forthwith comply with such Oven _ Oryen _ W M _ ADDRESS UrI J CAS u provisions or this permit shall be deemed revoked Top — FAU _ WH _ y LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Offer_ CITY d / Tplq&&?:?] 1 hereby affirm that I am licensed under provisions of Chapter BDSP Roan Air �� LICENSE OR cA (commencing with Section 7000)of Drvsn 3 of the Business and — — REG NUMBER Gass C 6 Professions Code and my license s In full force and effect Power Apparatus&Large Appliances pu^TWCT E D BY Size d Type HP KW KVA or KVAR . License Number .ZLL'R5,yX4 7 Lc Class Up to 1 Incl FINAL Over 1 to 10 Incl Contre66N/ d ND/i/M Ohs+ Date�jLIO/ ,` Q Over 10 to 60 rxi �� ` VALIDATION p� 1-1 .L FINAL OF I am exempt under Sec /_ Over SO to 100 Inc By B&PC for this reason Over 100 N Services Swbd MCC s PanelboerdsPIPZ Data 0- 200 Amp Under 600 V re+ Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Rep Mom Elect SINGLE FAMILY Temp Power Pole& Appurtenances 'j HOME OWNER-BUILDER DECLARATION Sign with One Branch Circus I hereby affirm that I am exempt from the Contractors License LawTs forthefollowing reason(Section 7031 6 Business and Professions - Additional Sign Branch Cmeuls y/y�[ ��ffyy 7 25-50 El I as owner of the Properly will do the work and the structure Mrsc Conduits& Conductors 1 I1GI h7Odiar(Sea Canplete Fes Schedule) _ and Professions Code)z net intended or red for sale (Section 7044 Business , TOTA�Ly 25.50 CL/$ CONSTRUCTION LENDING AGENCY DEM 25eW /$ry I femby affirm that there s a construction lending agency for the sW performance of the work for which this permit s issued(Sec 3087 PERMIT FEE (Sub-Total) cif Cry C) Lenders Name PLAN CHECKING FEE _ 00*- 01 7/10/89 Lenders Address AH $143 PERMIT ISSUING FEE W/4391 1 � 1 certify that I haw read the application and state that the above TOTAL FEE information Is correct I agree to comply with all Ccunty ordinances and State law9 regulating Electrical wining and hereby authonze representatives of this County to enter upon the above-mentioned property for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE '7 io g Sign ure of Pornl a I Date WORKERS'COMPENSATIONDECLARATION 8 CE 806G 12 801 APPLICATION FOR ELECTRICAL PERMIT 08 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES �� BUILDING AND SAFETY insure, or a certificate of Workers Compe tion Insurance,or a certified copy thereof(Sec 3800,Leb /� /s Policy No—Company / FOR APPLICANT TO FILL IN JOB ADDRESS �7 L/ New Residential Bldgs &Poole EACH NO FEE Certt�copy here/tththe 1 &2 Femdy,Sq Ft $ = S LOCgLITV Certified copy / Multifamily Sq Ft CROSS ST ts fileounty building inspection Residential Swnmming Pools department Q ORM NAME Date -- $L Applicant 4s/.! ?E"�m��"� utlets Rec_Light Sw d MAIL 7irst 20 DDRESS S,4j0k— CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITU Tal No COMPENSATION INSURANCE 4PLAN CHECK C APPLICANT (171ts section need not be completed If the wort[ Involved U by the permit is for one hundred dollar! ($I00) or less) Lighting Fixtures Fart ADDRESS O Total No Additional 1 certify that in the performance of the work far which this Fixed Appliances Not Over 1 HP CITY Tel No I- permit is issued I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws Range_Heater D W _ APPLICANT N Oven _ Dryer_W M _ ADDREbS ew, 02 Date¢-9Z/ Applicant Top _ FAU _W H Hoed _ Fen _Other_ CITY - Tel No NOTICE TO APPLICANT If, after making this Certificate of Dlsp _Roam Air Cond_ REO NSUMOR BE d Clan - Exemption you should become subject to the Workers Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE ED BV with comply with such provisions or this permit shall be Size&Type HP KW KVA or KVAR 0 deemed revoked Up to 1 Incl FINAL Over 1 to 10 Incl DATE 6 2�� VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl .r I hereby affix in that I am licensed under pravuions of Chapter Over 50 to 100 Inc FINAL�� By 9 (commencing with Section 7000)of Division 3 of the BBienOver 100 D nns and Professions Code and my license is in full force and effect �Q�i,r� Services License Number l.J_-0021LJ- Lic Clan 4C-/� 0 200 Amp Under 600 V 201 1000Ani Under 000 V Contractor_ ��/Comte f 7-0 / Over IOOO Amp or Over 600 V HOMEOWNER BUILDER DECLARATION Temp Power Pale&Appurtenances I hereby affirm that I am exempt from the Contractor'! Sign with One Branch Circuit License Lew for the following reason (Section 7031 5, Buai Additional Sign Branch Circuits r nen and Professions Code) Msec Conduits&Conductors 5?11 w owner of the property will do the work and the Other(See Complete Fee Schedule)— structure u not intended or offered for sale (Section ;91 0 a(I A 7044, Business and Professions Code) CONSTRUCTION LENDING AOENCY # • s is • s p 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2 s s s a 0 0 issued(Sec 3097.Civ C) D Lender's Name PLAN CHECKING FEE (One Fourth Permit Feel s s s Es a 0 0 F2 Lender s Address PERMIT ISSUING FEE I a 0909-81 1 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 I ordinances and State laws regulating Electncal wiring, and s hereby authorize representatives of this County to enter upon the abovemen ned pr erty for inspection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE 9-9- / sigtura Permittee Date .,� ,WprrA that CI have COMPENSATIONDECLARATIONof corse CE 806 ID,Bj APPLICATION FOR ELECTRICAL PERMIT I gby aHmri tFwt I have a certificate of consent to self �� or ar ore copy the of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) P❑oliicy No Company FOR APFLKANT TO FILL IN I JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS Certified copy is filed with the coun build, g napec- 18 2 Family Sci Ft f — S LOCALITY tion department Multi-family Sci Ft — NEAREST / CROSS ST (� Residential Swimming Pools OWNER OR Dote Applicant FIRM NAME CERTIFICATE OF EXEMPTIO F WORKERS MAIL COMPENSATION INSURANCE Outlets Rec_L,ght_Sw_ ADDRESS (This section need not be completed N the work Involved by First 20 the permit Is for one hundred dollars ($100)or less ) total No Additional CITU Tel I certify that in the performance of the work for which this PIAM CHECK permit ac issued I shall not employ any person,n any manner APPLICANT so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Dote Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICANT Exemption you should become subject to the Workers Range_ Heater_D W — Compensaeon provisions of the Labor Code you must forth Oven _ Dryer _ W M _ ADDRESS _ f with comply with such provisions w this permit shall be Top _ FAU _WH _ deemed WH — deemed revoked Hood _ Fan _Other_ CITY T Tel - LICENSED CONTRACTORS DECLARATION LICENSE /, 1 hereby affirm that I am licensed under provisions of Chapter 9 D,sp _ Room Au Cored REG NUMBER rt6 y Class C_A9_ (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCE BY Y and Professions Code,and my license,s,n full forces yy land effect 5 s �� d 96 9 L,c ClassS +�n� Size 8 Type HP KW KVA or KVAR U License Number Up to I Incl FINAL VALID 0 Contractor /1.x,9 SAS 6�dEDa,e p 30-BS Over I to 10 Incl DATE _ O ❑ Over 10 to 50 Incl FINA V I am exempt under Sec Over 50 to 100 Inc BY d B 8P C for this reason Over 100 N Services, Swbd, MCC 8 Ponelboards , Date 0 200 Amp Under 600V Signature 201 1000 Amp Under 600 V ❑ Exemption for Reg Ma,nt Elect Over 1000 Amp or Over 600 V :120741 A SINGLE FAMILY Temp Power Pole 8 Appurtenances # e e e e e 2 HOME OWNER-BUILDER DECLARATION Sign anti One ne Branch Circuit I hereby affirm that I am exempt from the Controctor's License Additional Branch ircuitCircuI • * 2550 ` Law for the following reason (Section 7031 5 Busmess and Professions Code) ❑ Misc Conduits 8 Conductors • • - 2 S 5 Q t I, as owner of the property will do the work and the structure ,s not intended or offered for sole (Section Other (See Complete Fee Schedule)_ , # Q 2 Q 8 5 7044 Busmen 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 ,s issued PERMIT FEE (Sub-Total) (Sec 3097 C,v C ) PLAN CHECKING FEE Lender s Nome PERMIT ISSUING FEE Lenders 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 jaws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above-mentione property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE S, atur of Fermin" Date COUNTY OF IDS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0811170021 BUILDING AND,SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID _ FEES PAID BUILDING ADDRESS TR 11218 `LT 2 BL A 9010 BROADWAY FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802310 1 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15388-003-003 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 IDCALITY TEMPLE CITY CI TENANT IJX MOTORS, LT 3 HP 4 00 MOT 61 20 TOTAL FEES 88 95 ISSUED ON PROCESSED BY PLAN BY EXPON 111/17/0EXPIRES ON SR 05/16/09 IOWNER TEL NO ` [FINAL DATE FIL�py BY CODE 150945 OIL L/W/W 120945 WILMINGTON AVE "11 7 �i'/ CARSON, CA 90810 DESCRIPTION OF WORK I1 (UPGRADE MONITORING SYSTEM FOR ISD VAPOR PUMPS 1 I ]APPLICANT TEL NO 1 WILlAR VALLECIOS (818) 842-3644- 1 207 W ALAMEDA AVE SPECIAL CONDITIONS 1 BURBANK CA 91502 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE (FUELING AND SERVICE TECHNOLOGIES (714) 523-4235- 17050 VILLAGE DR STE I LIC NO (TEMPORARY POWER POLE 1 (BUENA PARK CA 90621 794519 A I I UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO I UFER GROUND A AND S ENGINEERING (818) 842-3644- NADER GRADERI LIC NO 1207 W ALAMEDA AVE C36475 1ROLOH CONDUIT BURBANK, CA 91502 ROUGH WIRING I (MAIN WATER LINE PLASTIC YIN METAL YIN 1 1UTILITY COMPANY NOTIFIED( I I I I I I I I I I 1 I I I I I j 1 j � I I I I 1 I I I I I j I I (REPORT ID DPR265 ROUTE TO BS0508 I I I MUSTY OF LOS ANGELES TEMPLE CITY 4 0508 BLBCTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0512140016 BUILDING AHD SAFETY / LAND DEVBLOPNEWT TALE CITY G 91780 PHONE (626) 385-0488 EXT LEGAL ID PEES PAID BUILDING ADDRESS TR 11218 LT ] BL A 9010 BROADMAY PEE DESCRIPTION QUANTITY WM AMOUNT THMP G 91]80]310 , ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5388-003-003 Al PERMIT ISSUANCE PEE 27 75 THOMAS PAGE 596 GRID B4 LOCALITY TEMPLE CITY, C IN OTHER PHL 0-399 AMPS 1 00 PAH 38 65 TENANT TOTAL FRES 66 60 ISSUED ON PROCESBHD BY PLAN BY ExPIRES OH 12/14/05 JL 06/12/06 OWNEltSHELL TEL NO FINAL ]]RNa��DE SHELL OIL (6]6) 286-9475- /' 9010 BROADWAY THIIPLE CITY G 91780 DESCRIPTION OF NO � SUB-PANEL 100 AMP SERVICE APPLICANT TRL NO JOHNSON PHIL (714) 936-7059- 11302 BLACI OOD ST SPECIAL CONDITIONS CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE DCS INC (714) 538-4550- 650 N ROSE DRIVE ♦151 LIC NO _ - _ TEMPORARY POMER POLE PLACENTIA G 93870843303C10 UNDERGROUND CONDUIT AR®ITECT OR ENGINEER TEL HO OPER GROUND LIC NO ROUCB CONDUIT ROUGH WIRING i MAR MATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID DPR265 SOUTR TO BS0508 • 1. II COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0212310002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID FFE9'FXLV— BUILDING AmEss TR 11218 LT 2 SL A 9010 BROADWAY FEE DESCRIPTION: QUANTITY- LE M: AMOUNT TEMP CA 917802310 NEAREST CROSS STREET ROSEMEAD 5388-003-003 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY: TEMPLE CITY JX MOTORS, LT 3 HP 7 00 NOT 107 10 TENANT TOTAL FEES 134 BS IssuED ON PROCESSED BY PLAN BY EXPIRES ON 12/31/02 JK 06/29/03 OWNER TEL NO FINAL DATE FINAL BY CODE EWILON 1 /i.�� 2255 N ONTARIO ST BURBANK 91504 ' DESCRIPTION OF WORK DISCONNECT 8 RECONNECT FUEL DISPENSERS (FOR MAINTENANCE) APPLICANT: TEL NO CPI DEVELELOPMENT (909) 477-3200- P 0 BOX 403723 SPECIAL CONDITIONS HESPERIA 92340 CONTRACTOR TEL Pt4GELES CO APPROVALS DATE C P I DEVELOPMENT (760) 244-6215- P 0 BOX 403723 LIC NO TEMPO W Y POWER POLE HESPERIA, CA 92340 -3723 8/1.1614366 ARCHITECT OR ENGINEER TEL NO Uttl( GROUND LIC NO // ROUGH CONDUIT ROUGH WIRING LINE GO II LLLL�� C �J 0 �( i(( S) ur=PLASTIC CY/NOM METAL PANY IFI ED O O / (UI ll ll U 0 0 0 0 N� 1 ob/�C Ser v ice ThatS�°` ADDITIONAL DATA ON FILE REPORT ID- DPR265 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0301130007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10 FEES PAID BUILDING AVUKM TR 11218 LT: 2 BL- A 9010 BROADWAY FEE DESCRIPTION: QUANTITY UCM AMOUNT- TEMP CA 917802310 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET- ROSEMEAD 5388-003-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID 144 LOCALITY TEMPLE CITY LA 100 AMP PANELS, MCC 1 00 PAN 38.85 TENANTTOTAL FEES 66.60 01/13/03 JK 07/12/03 OWNER TEL NO FINAL DATE FINAL BY CODE EQUILON 2255 M ONTARIO ST BURBANK 91504WORK NEW SUBPANEL APPLICANT TEL NO CPI DEVELELOPMENT (909) 477.3200- P 0 BON 403723 SPECIAL CONDITIONS HESPERIA 92340 CONTRACTOR TEL PN4GELES CO APPROVALS DATE INSPECTOR SIGNATURE C P 1 DEVELOPMENT (760) 244-6215- P 0 BOX 403723 LIC. No TEWORARY POWER POLE HESPERIA, CA 92340 -3723 8/06,14366 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER IEL NU UFER GROUND LIC NO6 ROUGH WIRING PAIN WATER LTR— U IS L C JAVOO C U PLASTIC Y/M METAL Y/M O p A 0 Service ThaIL • ADDITIONAL DATA ON FILE REPORT ID- DPR265 ROUTE TO BS0508