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HomeMy Public PortalAbout6320 ROSEMEAD BLVD_Electrical__ �T�J'Z Com! �-•�G"� �. 76A663-CE80612-65 APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BU7AR cr ec3 BUILDING AND SAFETY DIVISION AD JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING, LO NE FOR APPLICANT TO FILL IN CR77 e' QSY°J�1 L�c� RECEPT. TOTAL NO. EACH FEE OUTLETS RST 20 $.20 $ OWNER cr' LIGHT I MAIL SWITCH ADD'L I 10 ADDRESS OVER 20 �FRLE]S _ FIRST 20I .20 Q CITY TEL.NO. LIGHTING 1FIXTURES J( ADD'L CONTRACTOR 1E� / cov- OVER 20 .10 U RANGES DRYERS WTR.HTRS. 1.00 ADDRESS p�c3. e ° odd GARB.DISP. STA.COOK CITY �(//9 TEL.NO. C�-GZ ✓/ DISHWASH. AUTO.-WASH. STATEJ/ 6 SPACE HTRSd/ STA. APDL. .50 U LICENSE NO. /�1/ MOTORS: OVER NOT OVER H.P. DIS RIT P ZONE P O E BY O 1 1.00 ((f„�A] 1 3 1.50 INSPECTION RECORD CL O 3 8 2.00 ® ` U 7 �' 8 15 2.50 O 15 50 3.00 % � ) 1 ;� - a so foo 5.00 SIGNS: NO.TRANS ,,1 NO.LAMPS p 1 .ee de 4�1114 SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTORS SIGNATURE TOTAL FEE $ (� IISHEREBY ACKNOWLEDGE THAT 1 HAVE READ THAPPLICATION UNDERSLAB 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 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TH T I A THE LEGAL OWNER OF,AND I ND TO POWER RESIDE IN,THE V D CRIBE RESIDENT L PROP TY SIGNATURE TILITY CO.NOTIFIED OF PERMITTE FINAL CLIDATION JOSEPH C. ROOHAN LCK MO CASH SUPERVISING ELECTRICAL ENGINEER LNC 6 9 7 2-0 FEB 3 2 D 1 1.3 0 76A663-CE80612-65 APPLICATION FOR ILECTRICAt PERMIT COUNTY OF LOS ANGELES DEPARTMENT BUIILDING AND SAFETY DIVISIONF COUNTY F ISS 6320 Rosemead Boulevard JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLITY Temple City EST FOR APPLICANT TO FILL IN S ST. Longden RECEPT. TOTALNO. OVER 20 1O EACH FEE LIGHT OUTLETS 1 FIRST 20 Q $.20 $ 4 00 OWNER Super X Drug SWITCH 2O ADD'L I ADDRESS same TOTAL FIRST 201,2 d .20 4 CITY TEL. NO. LIGHTING 1 3FIXTURES FIXTURES 0 OVADD'LER 201 �D .10 00 CONTRACTOR J M 1 KELLY ELECTRIC CO, RANGES DRYERS WTR.HTRS. 1.00 ADDRESS 44 West S 1 auson Avenue GARB.DISP. STA.COOK CITY Los An e 1 es TEL.No. 295-6396 DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APDL. 1 .50 LICENSE NO. 153486 MOTORS: OVER NOT OVER H.P. DISTRICTNO. IGROUPI t5NE jPR0CE D BY O 1 1.00 V P` 1 3 1.50 INSPECTION RECORD a 3 8 2.00 S� OV 8 15 2.50 O H 15 50 3.00 (J W 50 100 5.00 h z SIGNS: NO.TRANS NO. LAMPS SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE C-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S BIGNATURC TOTAL FEE $ 11 00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANO POWER RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PRO RT T j SIGNATURE 7 UTILITY CO.NOTIFIED OF PERMITTEE y` - FINAL Y IDATION JOSEPH C. ROOHAN CMO CASH SUPERVISING ELECTRICAL ENGINEER K- ' - 7. 6- MFR 2 0 2 D 1 1:0 a- cq A�wllra'lwl 76A663-CE80612-65 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING f, BUILDING AND SAFETY DIVISION ADDRESS �J OI /'/ ��OS/%/l/)/'" JOHN A. LAMBIE, COUNTY ENGINEER _ / COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING, LOCALITY afl=/I1/1GaCr NEAREST ' OR APPLICANT TO FILL IN CROSS ST. f pI//✓ ECEP-I. TOTAL NO. EACH I FEE .�. OUTLETS FIRST 20 $.20 $ _OWNER Sc���n x JJl9 e/ .f/y/Jff LIGHT MAIL SWITCH ADD'L 10 ADDRESS 1,7,V, OVER 20 TOTAL FI RST /-L 20 .20 CITY J/ // TEL. NO. LIGHTING 1 FIXTURES FIXTURES J ADD'L 10 CONTRACTOR /IIIB`i'ROW .44,15o;c1Ulfl/f e4217 OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK O CITY � dM bid TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA, APPL. .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. G Oyf NE PIR D B O 1 1.00 1 3 1.50 INS E ION RECORD a O 3 8 2.00 u 8 15 2.50 Q I- 15 50 3.00 V W CL 50 100 5.00 Z SIGNS: NO.TRANS. NO.LAMPS SERVICE 0.600V-Nor OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE S(;HEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTORS SIGNATURE TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT r A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOVE DESC IBED RESID N IArRTY. SIGNATURE UTILITY CO.NOTIFIED i OF PERMITTEE FINAL "ATION JOSEPH C. ROOHAN ( CK JJ�0 CASH SUPERVISING ELECTRICAL ENGINEER LALO 578BZE NOV 14 2 A 3.6 0- I 76A663-CES06 9-64 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rADDRESS UILDING BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUP'T. OF BUILDING OCALITY etfLLEAREST • FOR APPLICANT TO FILL IN cRoss sr. RECEPT. / L NO. EACH FEE TOTA LIGHT OUTLETS' FIRST 20 g $ 20 $ LyCI OWNERMAIL �✓� �'f..'X_ f/'U .Sfof-E VADD'L rADDRESS SWITCH./G OVER 20 LJ .10 TOTAL CITY TEL. NO. LIGHTING IF1R57 ZO ©2C 20 Qui FIXTURES i ���- oA 20 / t0 4,r ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �/_Z2oo GARB.DISP. STA.COOK CITY (7�yR"O eff-e TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(I/x H.P.MAX.) •50 LICENSE NO. 4?tf 7pW MOTORS: OVER NOT OVER H.P. DISTRICT (�JO� G UIP N� P 'TED..,BY O 1 1.00 1 3 1.50 INSPECTION RECORD S- 3 8 2.00 ., CLL7sg �� 9 uc t V 8 15 2.50 � � O lF Ix y� oo• 15 50 3.00 Im O 50 100 5.00 6�" V s a NO.TRANS SIGNS: NO.LAMPS SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 ,Z Oel �+4.. SERVICE OVER 600V 5.00 - - PERMIT ISSUING FEE 2.00 po SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 2 70 ,� ��.tT1/iLt M�( + lei 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS ATE 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 FIXTURES �. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM E LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DES ED REST ENTIAL PROP Tv. POWER SIGNATURE <�,�� UTILITY CO.NOTIFIED OF PERMITTEE FINAL MIOOHAN D CASH JOSEPH C.SI G ELECTRICAL SUPERVISING ELECTRICAL ENGINEER CK MO CASH O a 3ZE NOV 30 .2 D 2 9.7 ON �t/ 76A663-CE606 12-66 1 APPLICATION FOR ELECTRI L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS �3ZC c JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY=M%AT2t ME NEAREST FOR APPLICANT TO FILL IN CROSS ST. l.- RECEPT. TOTAL NO. EACH FEE 1I OUTLETS j FI $.20 $ _OW N E R 9 r X. `2>T2 2 AS LIGHT J SWITCH ADD'L 10 ADDRESS C�2 --/YJG4U OVER 20 TOTAL CITY r TEL. NO. LIGHTING 1 FIXTURES FIRST 20 .20 4 FIXTURES J( ADD'L OVER 20 fo CONTRACTOR {`} RANGES DRYERS WTR.HTRS. 1.00 ADDRES GARB.DISP. STA.COOK CITYJQS&')j!!2Ejj2GTEL.NO. DISHWASH. AUTO.-WASH. STATE /'] SPACE HTRS. STA. APPL. 50 LICENSE NO. �l al MOTORS: OVER NOT OVER H.P. DISTRICT NO. ROUP ONES PR S BY O 1 1.00 1 3 1.50 INSPE TION RECORD O 3 8 2.00 I K 8 15 2.50 Q F- 15 50 3.00 u d 50 100 5.00 N) SIGNS: J�_NO.TRANS. NO.LAMPS 11o4— SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERS LAB 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED B LOS ANGELES OUNTY AND STATE OF CALIFORNIA OR THAT M AL OWN OF, AND INTEND TO POWER �- RESIDE IN,THE AB SC D SIDENT L OPERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL V IDATION JOSEPH ROOHAN K MO CASH SUPERVISISI NG ELECTRICAL ENGINEER L&O.6 6 7 7 JAN 11 2 D 6.0 4f a c t T�� 76A663-CE80612-65 APPLICAV OI�FOR ELECTRICAL PERMIT I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER �l 7— NEAREST W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �f 6 FOR APPLICANT TO FILL IN CROSS ST c>.5 L vAJ RECEPT. TOTAL No. (EACH FEE n 1I OUTLETS I FIRST 20 $.20 $ OWNER 1/4-T LIGHT T37 — _ MAIL SWITCH ADD'L 10 ADDRESSf OVER 20 I CITY r /���_ 1 TOTAL FIRST 201 .20 Y L (I b TEL. N 7 IGHTING l FIXTURES FIXTURES I ADD-L- 1O CONTRACTOR ACL. OVER 20 RANGES DRYERS WTR,HTRS. 1.00 ADDRESS 2. 4 K GARB.DISP. STA.COOK / CITY TEL. NO. G G G DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .SO LICENSE NO. ( � MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY O 1 1.00 _ I G �1aN-1✓ 1 I -e I 3 1.50 INSPECTION RECORD O 3 8 2.00 u 8 is 2.50 O 15 50 1 3.00 U W 50 100 5.00 O.N Z SIGNS: NO.TRANS NO.LAMPS SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 7RAS DATE INSPECTOR'S SIGNATURE TOTAL FEE CIG I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDEORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRI 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTU LICENSED AS REQUIRED BY LOS A ELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE L AL OWNER OF, AND INTEND TO POWE RESIDE IN,THE ABOVE DESCR RESIDE IAL PROPERTY. SIGNATURE UTILITIFIED OF PERMITTEE 2 FINAL VALIDAT! JOSEPH C. ROOHAN CK MO SUPERVISING ELECTRICAL ENGINEER CASH L i;� 4 7 7 7:a MAT 2 2 2 v 9.0 0 V 76A663A&L'$06 ,1_7, APPLICATION FOR ELECTRICAL PERMIT • COUNTY OF LOS ANGELES • -DEPARTMENT OF COUNTY ENGINEER BUILOING ) BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 .25 ADDRESS / CITY TEL. NO. SWITCH_ OVER 20 .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT ' FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO, PERMT RANGE DRYER_WTR. HTR. APPLIICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY TEL. CLOTHES WASH. DISHWASH. LICENSE NO. L CLASS. 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED A /OR 0 - 1 100 ENSED AS REQUIRED BY LOS ANGELES COUNTY AN ST E OF >_ CALIFORNIA OR THAT IAJOIT HE LEGA NER OF I NO T O 1 - 10 3.00 RESIDE IN, THE E D 0 E�1 N L Y. SIGNATURE 1 V 10 - 50 5.00 OF PERMITTEE O 50 100 10.00 DISTRICT NO, ZONEICEASSZ N DD - 500 15.00 a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 OTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS ,.00 SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE, POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING FIXTURES POWER AUTHORIZED PERM.IT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. KA.0. CASH PERMIT VALIDATION OcK M.O. CASH :E 9 .5LAC . 13 2 D 9.00^' . SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663,CE806 ,1,7Q APOLICATO N FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS � Z f COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �f NEAREST FOR APPLICANT TO FILL IN CROSS ST �Fa OUTLETS N0. EACH FEE e OWNER n $ $ RECEPT._ - FIRST 20 ADDRESS �� O LIGHT TOTAL .25� OVER 20 CITY /<A-1- TEL. SWITCH_ .10 PLAN CHECK LIGHTING 1 FIRST 20 25 APPLICANT J} TOTAL OVER 20 ADDRESS FIXTURES .IO APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. CLOTHES WASH. DISHWASH. LICENSE N0. CLA 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STAT OF CALIFORNIA OR WE E E AL OW -INT TO } 1 - 10 3.00 RESIDE IN, _R DE I PR 0 SIGNAT E _ V 10 - 50 5.00 OF PERMITTEE r. DC 50 - 100 10.00 O ' DISTRICT NO. CLASS ZONE PROCESSED BY � 100 - 500 15.00 �� -� �� a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 O /' NOTES: N TUBE, OR ? MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOTOVER600VOLTS OR200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMRSERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) - UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE JOSE H C. OOHAN TOTAL FEE SUPERVISING ECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO M.O. , CASH 1,} N M 13 p D-- ;3,00- 5 1 - SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 3k, 7bA66i 806 1 1/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS �Q . eyrj/_ ,g d. COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. L�IJ FE TS NO. EACH FEE OWNER Gld PA( PJ X11 Y $ $ MAIL �s � ADDRESS O TOTAL FIRST 20 RJ .25, �i"✓OVER 20 10LCI TY �j 1sy/( Yom/4-4- C'-(-TEL. NO. �0 / i -vo PLAN CHECK FIRST 20 25 APPLICANT TOTAL OVER 20 ADDRESS .10 APPLIANCES CITY L TTEL.(1NO. PERRANGE DRYER_WTR. HTR. APPL111CANT /(,> �. /! f D �P-� e STA. COOK / DISP. F.A.U. ADDRESS / 6 f `} t�R4 �t"-�l ^ SPACE HTR. AIR COND. CITY G-/e,t da: t C TEL. NO.a qS',O �Y CLOTHES WASH.' DISHWASH. LICENSE NO. 7 CLASS. c/ 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.001 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO } 1 - 10 3.00 RESIDE IN, THE ABOVE/ OESCRI ED RESIDENTIAL PROPERTY. CL 10 - 50 5.00 ! [t U VO SIGNATURE OF PERMITTEE .D.n � �A.l?9.rL_- 50 - 100 10.00 V DIST ICT N CLASS ZONE PROLE BY 100 - 500 15.00 ( a SIGN,, OR SIGN AND ONE CIRCUIT 5.00 NOTES: �1�. (, TUBEC �r�L �;yGj j�Ly Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP.SERVICE,POLE, &APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 �j �� JOSEPH C. ROOH TOTAL FEE i SUPERVISING ELECT Rf0ISL ENGINEER, !/// PLAN CHECK VALIDATION CK. M.0. CASH PER VALIDATION ,,._cl(,l T.0. CASH Lt X1,0 2 7 2 D ca 3 0.3 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 CE-80616/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING A 4D SAFETY FOR APPLICANT TO FILL IN JOB �0 {0S�4- New Residential Bldgs. &Pools EACH NO. FEE ADDRESS l��(�� /L[/ 3V 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY Multi-family Sq. Ft. 02 — NEAREST CROSS ST. Residential Swimming Pools 25.00 OWNER OR FIRM NAME PA / 4 Outlets: Rec Light—(C-1—Sw. MAIL y C� First 20 .50 ADDRESS Total No. Additional .30 CITY Li2epl - Tel. No, PLAN CHECK Gj APPLICANT Lighting Fixtures First 20 S0 ( ADDRESS 18 Additional .30 Total No. CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT Range_Heater_ D.W" _ APPLICANT Oven—Dryer—W.M. ADDRESS �c�?j Top _FAU _ W.H._ CITY 6401 ! Tel.NoLJ �' ui Hood_Fan —Other LICENSE OR q /� Disp.—Room Air Cond. 2'50 REG.NUMBER y Class.Z40 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over ) to 1 O Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 9. Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 09O Over 50 to 1 00 Inc. 25.00 DESCRIBED RESIDENTIAL PROPERTY" Over 100 40.00 PERMTEE .SIGINATURES &�� w i u PA Services DISTRICT NO. P17= _ g 0-200 Amp. Under 600 V 12.50 �! 201-1000 Amp. Under 600 V 25.00 �u Over 1000 Amp.or Over 600 V 50.00 Z C/YY2 Temp. Power Pole&Appurtenances 10.00 6,)�~ n Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION > INFORMATION Misc.Conduits&Conductors 10'00 ON REVERSE S Other(See Complete Fee Schedule) SIDE u Z 9A3a6A J d a a o o o2 PERMIT FEE )Sub-To}al) 2'0 o 1 9,00 PLAN CHECKING FEE (One-Fourth Permit Fee) �j Z 0 a a 19,00= PERMIT ISSUING FEE $7.00 / 05 16'-79 I J TOTAL FEE / > INSPECTION FINALED X W date: o-2'Zr')0) By d ©s 76A663 CE-80616/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AN SAFETY FOR APPLICANT TO FILL IN JOB 0� � New Residential Bldgs.&Pools EACH NO. FEE ADDRESS LOCALITY 1 &2-Family,Sq.Ft. $ .025 — $ Multi-family Sq. Ft. .02 — NEAREST CROSS ST. )1_ cn ���� �n D Residential Swimming Pools 25.00 OWNER OR /1R A� FIRM NAME �a'�d D Outlets:Rec1 Light 119 Sw. MAIL First 20 -50 D ADDRESS sJ t� Y Total No. 45 Additional 30 �^ CITY D Tel. No. PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 / 0 ADDRESS Additional .30 / `s v Total No. CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT �s� ��, �� Range_Heater_ D.W. _ APPLICANT i 0{Sr�.O0 f �ekf o D6 Oven_Dryer_W.M. ADDRESS C� ,j -ra d� Top _FAU W.H. CITYP �V (C Tel. No. �- Hood—Fan -Other_ q Disp._Room Air Cond. 2.50 U REGLICENNUMSE OBER ((�56�111 C'i'a Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Type HP, KW, KVA,or KVAR a 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF U Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 25.00 DESCRIBED RESID TIAL PROPERTY. Over 50 to 100 Inc. � y Over 100 40.00 PER, EE 0. SIGNATURE Services DISTRICT NO. jPgSE0,8Y � 0-200 Amp.Under 600 V 12.50 1 D 201-1000 Amp. Under 600 V 25.00 c Over,1000 Amp.or Over 600 V 50.00 �YYJ Temp. Power Pole&Appurtenances 10.00 h Q Sign with One Branch Circuit 10.00 G(J �0 G `� (o / Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION Misc.Conduits&Conductors 10.00 ON REVERSE a Other(See Complete Fee Schedule) SIDE. v Z Q 43a7A {� PERMIT FEE (Sub-Totol) a0ooa2 PLAN CHECKING FEE (One-Fourth Permit Fee) p 2 ° ° 2 6 0 PERMIT ISSUING FEE $7.00 '0 - 42603 J TOTAL FEE > 0816-79 r INSPECTION FINALED Gel i W date: //�/•�,���y' By CL ©s 76A663 CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT . COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB EACH NO. FEE ADDRESS Fedidential Bldgs.&Pools LOCALITY CO -Family,Sq. Ft. $ .025 — $ -family Sq. Ft. ..02 — NEAREST ential Swimming Pools 25.00 CROSS ST. OWNER O FIRM NAME Rec Light Sw. MAIL First 20 .50 ADDRESS No. Additional 30 CITY Tel. No. PLAN CHECK APPLICANT Fixtures First 20 50 ADDRESS Additional .30No- CITY Tel. No. pliances Not Over 1 HP PERMIT , ,p_Heater_D.W. _ APPLICANT �/� Oven—Dryer_ W.M. ADDRESS . Top _FAU — W.H._ CITY - A(,-I ` Tel-No,,5W_ Hood_Fan —Other_ LICENSE OR Disp.—Room Air Cond. 2.50 REG. NUMBER Q Class. �a IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Appliances' TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Size&Type HP., KW, KVA,or KVAR REGULATING ELECTRICAL WIRING. Upto 1 Incl. 2.50 X�/� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR j ver 1 to 10 Incl. 5.00 �� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THEBOV 25.00 DESCRIBED RESIDENTIA ROP TY. 7 Over 50 To 100 Inc. PERMITEE Over 100 40.00 SIGNATURE L Services DISTRICT NO. PROCESSED BY 0 20 mp.Under 600 V 12.50 �c^'/} 201-1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Z S"_ 10.00 P �� 0-7 0 Temp. Power Pole&Appurtenances Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2-00 INSPECTION > INFORMATION " Q 12 7 A Misc.Conduits&Conductors u l o.00 ON REVERSE z �� 0 0 0 0 0 2 Other(See Complete Fee Schedule) SIDE u Z d 2pa29.50 000295ou PERMIT FEE (Sub-Total) I� PLAN CHECKING FEE (One-Fourth Permit Fee) 0 O d 1 7 9 PERMIT ISSUING FEE $7.00 J TOTAL FEE > r INSPECTION FINALED09 W date: /, Z�f'�9 By ' ©s WORKERS'COMPENSATION DECLARATION C -603 o/ei -APPLICATION /�PP ICATION FOR ELECT11 1— PERMIT' I hereby affirm that I have a certificate of consent to self insure, CE-806G 6i►Ir lL �y Nil �y or a'certificate of Workers' Compensation Insurance,'or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800,Lab C) Policy Nol;1 11111):'' 'Company sit,-, i��+ f f FOR APPLICANT TO FILL IN , JOB ,,,•,, ❑ Certified copy is hereby furnished EACH NO FEE ADDRESS' �' (� 1 Y New Residential Bldgs & Pools LOCALITY ❑ 1 & 2-Family,Sq Ft $ — $ Certified copy is fled with ,the county building inspection NEAREST department , Multi-family Sq Ft � ., '� ' � `xr Residential Swimming Pools CROSS OR • ST Date ``<•, Applicant, ws ..et*°' y ` OWNER OR �• ,+' / , "CERTIFICATE OF EXEMPTION FROM WORKERS' .F A FIRM NAME • ( MAIL COMPENSATION INSURANCE Outlets Rec�00� Light'— Sw ADDRESS i (This section need not be completed if the work Involved by the, First 20 - permit Is for one hundred dollars ($100)or.less) Total No Additional CITY 9'3{.• rte,•,' „ k, I-ry Tel No I certrfy that In the performance of 4he work for which this-permit PLAN APPLICANT CHECK µ is,issued, I st all not employ any person In any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS �1 b� Total No ' Additional )j r w,,. ,+...-' +•_,�'r.'Ssfiv,,,• CITY ,f1Ff�`ti• fs ,.ory nTel No I Date_ a APPIIcantf;,t;-•, 4'%-, r NOTICE TO APPLICANT If, after making this Certificate• of ' Fixed Appliances Not Over 1 HP PERMIT _ APPLICANT Exemption, Range— HeaterD W you should become subject'to the Workers'Compensation 9 — provisions of•the Labor Code, you must'forthwith comply with such Oven _ Dryer _ W M _ ADDRESS r provisions or,this permit shall be deemed revoked To — FAU _ WH _ A LICENSED CONTRACTORS DECLARATION pr Hood — Fan Other_ CITY Tel No :y I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond LICENSE OR � �!f ? Class ✓f (commencing with Section 7000) of Division 3 of the Business and REG NUMBER a , Professions Code,and my license is in full force and effect - '- DISTRICT NO �"" ° PROCESSED BY Power Apparatus& Large,Appliancesy - U Size& Type HP,KW,KVA,or KVAR License Number !-T"` .w LIc Class " Up to 1 Incl FINAL "# 1 °r 'i• Over 1 to 10 Incl DATE f LL Contractor + ,b? +�'• Date t " VALIDATION• } Over 10 to 50 Incl FINAL ' ❑- ,I am exempt under Sec - Over 50rto 100 Inc BY B&PC'for this reason Over 100 00 Services,Swbd,MCC& Panelboards 3 Date 0- 200 Amp Under 600 V W Signature � ' t =' 4 201 - 1000 Amp Under 600 V FJ F-1Exemption 1000 Amp-or Over 600 V 'i) ,�•I Exemption for Reg Maint Elect SINGLE FAMILY ' Temp Power Pole& Appurtenances ;f aj{fit ff9�ry fY f� HOME OWNER-BUILDER DECLARATION Sign°with One Branch Circuit ' s.I hereby affirm that I am exempt from the Contractor's'License Law j ) 'r for the following'reason(Section 7031 5, Business and Professions Additional Slgri Branch Circuits t{i?k16i Code) d ,W t �r ❑- Misc Conduits&pConductors 1 1 Ii" I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044,.Business Other(See Complete Fee Schedule) and Professions Code) d z' 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, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE �P Lender's Address I certify that I have read this application and state that the above TOTAL FEE 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 property for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date 4'' WOR*? CC�PENSATION DECLARATION 76A663 ioiat /1 r�lP C n�j-JON FOR EL ECTR�C y,L PERMIT y I hereby affirm that I have a certificate of consent to self insure, CE-806G L�11! If'L� G�111 9� or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800,Lab C) e+c� Policy No Z �o � mpany aR 1 e E-VNV_> FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq Ft $ — $ LOCALITY NEAREST department Multi-family Sq Ft CROSS ST A Q��y V,,-45'41 1 Date Applicant amu' etw�e./ Residential Swimming Pools OWNER OR FIRM NAME p / / �1/lr�+ d CERTIFICATE OF EXEMPTION FROM WORKERS' outlets Recp d Light / Swo MAIL 7_' COMPENSATION INSURANCE ADDRESS 6 Z G y (This section need not be completed if the work involved by the First 20 3 permit is for one hundred dollars ($100)or less) Total No Additional CITY ���� �� Tel No I certify that in the performance of the work for which this permit PLAN CHECK is issued, I shall not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS /6 2,"7 ,?,-C-A vW42- (� Total No Additional Date �- Applicant CITY f� bdY I No NOTI E TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT C Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT ,y provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS provisions or this permit shall be deemed revoked Top _ FAU _ WH LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY 11Vrr 4OC4 Tel No I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond I LICENSE OR 2y �y�� Class (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Professions Code,and my license is in full force and effect Power Apparatus& Large Appliances DISTRICT NO PROCESSED-13Y c� �7 4 Size& Type HP,KW,KVA,or KVAR �" )� K, License Number S Y 2 �1-� Lic Class Up to 1 Incl FINAL Over 1 to 10 Incl DATE VALIDATION Contractorl�� Date I o _- ❑ Over 10 to 50 Incl I am exempt under Sec Over 50 to 100 Inc BY AL B&P C for this reason Over 100 Services, Swbd,MCC& Panelb02rds D to 0-200 Amp Under 600 V Signatures 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect 7 1 A SINGLE FAMILY Temp Power Pole& Appurtenances r o 0 o o c 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits ° o24.00 for the following reason (Section 7031 5, Business and Professions Code) o 0 o 2 11!1,0.0 23 F-1 1,as owner of the property,will do the work and the structure Misc Conduits& Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ 0,22 -87 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(Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this applicati n and state that the above TOTAL FEE 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 property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS' COMPENSATION DECLARATION 76n663 10/81 APPUCl, MON FOR EL EC�TL� AL P G�f� T {� I hereby affirm that I have a certificate of consent to self insure, CE-806r, or a cec+ficate of ANorkers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy there o (Sec OO,La Policy No rr any FOR APPLICANT TO FILL IN JOB Certified copy is herebyfurnished EACH NO FEE ADDRESS New Residential Bldgs & Pools Certified copy is filed withWthunty buildin i spection 1 & 2-Family,Sq Ft $ — $ LOCALITY pal a ment Multi-family Sq Ft NEARECROSSSST Date hif) ApplicanJni Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPT FR M WORKERS' Outlets Rec Light — Sw MAIL r COMPENSATION INSURANCE First 20 ADD 1 D (This section need not be completed if the work involved by the Total No Additional CITY Tel permit is for one hundred dollars($100) or less.) ` I certifythat in the performance of the work for which this permit PLAN C ECK p P APPLICANT is issued, I shall not employ any person in any manner so as to -vwie�-rin become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Total No CITY t T Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of e Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT 1 provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS provisions or this permit shall be deemed revoked Top — FAU _ WH CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I herebyaffirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp — Room Air Cond Cla 1-0 (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Professions Code,and my license is in full force and effect Power Apparatus& Large Appliances DISTRICT NO PRO )SED B Size&Type HP,KW,KVA,or KVAR CJ p 0 License Number Lic Class Up to 1 Incl FINAL M Over 1 to 10 Incl DATE VALIDATION O Contractor Date Over 10 to 50 Incl FINAL VVV U ❑ I am exempt under Sec Over 50 to 100 Inc BY B&PC for this reason Over 100 fn Date Services,Swbd,MCC& Panelboards D 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& Appurtenances ACCT°v HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuitf+� ;tf 1 I hereby affirm that I arrrexempt from the Contractor's License Law Additional Sign Branch Circuits 33W _ °� for the following reason (Section 7031 5, Business and Professions Code) L MES ❑ IqA T I,as owner of the property,will do the work and the structure Misc Conduits&Conductors TOTIAL 1'"�s �'� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D r and Professions Code) CSF& , 3-6.00 o CONSTRUCTION LENDING AGENCY Wf-NE all 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-Total) �y Civ C) PLAN CHECKING FEE 13011-1321 Lender's Name 96914 1 Alio°� PERMIT ISSUING FEE Lender's Address oto I certify that I have read this application and state that the above TOTAL FEE information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represent Ives of this Cour" to enter upon the above-mentioned pro erty or inspects u o es SEE REVERSE FOR EXPLANATORY LANGUAGE Ss atu f Permt1tee batEl WORKER'S COMPENSATION DECLARATION 76A663 DPW(12 91) APPUCAMN FOR ELEC G ICAL G�C�RMT L hereby affirm that I have a certificate of consent to self Insure, or a certificate 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) / y1!///Ilp 1 Policy NO Company�1W 4� ) FOR APPLICANT TO FILL IN JOB ADDRESS Q�Zi Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY ❑ 1 &2-Family,Sq Ft — $ $ Certified copy Is filed with the county budding Inspection _ NEAREST department //�, �^ ) Multi-family Sq Ft CROSS ST Date Applicant Ol i U/r — J I��l/ Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec _Light Sw FFIIRM NAMR COMPENSATION INSURANCE First 20 (This section need not be completed If the work Involved by the gooREss permit is for one hundred dollars($100)or less) Total No Additional I certify that in the performance of the work for which this permit CITY Tel No is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of CITY Tel No Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT V LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS e ► �P� f y, I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl o (commencing with Section 7000) of Division 3 of the Business and CITY Tel No ^/ Professions Code,and my license is in full force and effect Over 10 to 50 Incl >_LICENSE Class Over 50 to 100 Incl REG NUMBER License Number Lic Class_L/� Over 100 DISTRICT NOD By Q Services,Swbd,MCC&Panelboards CC FINALContractor �a"t A ��� Date 0-399 Amp Under 600 V DATE O ❑ I am exempt under Sec 400-1000 Amp Under 600 V _Q L I `` VALIDATION Over 1000 Amp or Over 600 V FINAL a- B&P C for this reason BRANCH CIRCUIT FEES BY Lo Date 15A,or 20A, 120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) r )� Otito4_ ❑ I, as owner of the property,will do the work and the structure Misc Conduits&Conductors i ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D '•�1T�� and Professions Code) 6:3 45 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the :; YiiiY ,fni performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE 1_CO 1-0011 ,j Ile/r.4 Lender's Name PERMIT ISSUING FEE M� Cho; Lender's Address J I certify that I have read this application and under penalty of purlury state TOTAL FEE that the 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 property for inspection purp s p SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITIEE DAT WORKER'S COMPENSATION DECLARATION 76A663 DPW(12-91) l PPUC AT ON POR GLLC TMCAL PEf�MT I hereby affirm that I have a certificate of consent to self Insure, 76A663 or a certificate 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) Policy N'o Company FOR APPLICANT TO FILL IN JOB ADDRESS 6 -31-0 - f 2 Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE e $ $ LOCALITY-Te ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq Ft NEAREST department - A Multi-family Sq Ft — CROSS ST Date Applicant-��-e A pde� Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw OWNER OR COMPENSATION INSURANCE g FIRM NAME (This section need not be completed if the work involved by the First 20 MAILTotal No Additional ADDRESS permit is for one hundred dollars($100)or less) I certify that in the performance of the work for which this permit CITY Tel No Is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date9 1 Applicant t °^ d u a�f RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE 0 AP LICANT If, after making this Certl ate of" CITY Tel No Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with such PERMIT (�^�,\�� � �i_�4L1�i^ provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT " a�I 0� C.- LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 1-)6® 1 4 C C Q 0 I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind q (commencing with Section 7000) of Division 3 of the Business and CITY L(� Tel No Professions Code,and my license is in full force and effect Over 10 to 50 Incl cl LICENSE ORER Class �y REG NUMBG Over 50 to 100 InV � License Number Lic Class Over 100 DISTRICT NO P SSED BY Q (p / � L� �� �/�r )� p Servlc�s,Swbd, CC&P e o r s Contractor ���� AJ ^ � �1ate "�-�0 "L-� / 9 Amp derFINAL DATE ElI am exempt under Sec 400-1000 Amp Under 600 V VALIDATION Over 1000 Amp or Over 600 V FINAL W B&P C for this reasonBRANCH CIRCUIT FEES BY tl Date 15A,or 20A, 120V,Lighting or Recept2klx�s� Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg Mamt Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&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 Professions Additional Sign Branch Circuits ti = Code) - qq ❑ I,as owner of the property,will do the work and the structure Misc Conduits&Conductors y i 1 Ell-D is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D - E �¢..� -_ and Professions Code) i�I�FAL 63 - 4- CONSTRUCTION LENDING AGENCY CHEC11, r I hereby affirm that there is a construction lending agency for the j 1i performance of the work for which this permit Is issued (Sec 3097, PERMIT FEE (Sub-Total) �1fi� Civ C) PLAN CHECKING FEE Lender's Name o PERMIT ISSUING FEE ��O d �� I Ia�1U _3i= _tom Lender's Address TOTAL FEE I certify that I have read this application and under penalty of pupury state , that the above information is correct I agree to comply with all County AA ordinances 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 SIGNATURE OF PERMITTEE DATE WORKER'S COMPENSATION DECLARATION 76A663 DPW(12-91) APP UC�AMN FOR CL EC�Tf� AL PERWT I hereby affirm that I have a certificate of consent to salf insure, or a celtiflcate 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) P❑OIICy NO Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE ❑ $ $ LOCALITY Certified copy is filed with the county building Inspection 1 &2-Family,Sq Ft department Multi-family Sq Ft CROSS ST Date Applicant Residential Swimming Pools ASSESSOR MAP 800K PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec —Light Sw OWNER OR COMPENSATION INSURANCE First 20 FIRM(This section need not be completed if the work Involved by the MAIL permit is for one hundred dollars(5100)or less) Total No Additional ADDRESS I certify that in the performance of the work for which this permit CITY Tel No 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 PLAN CHECK 1 P 9 9 APPLICANT Total No Additional ADDRESS Date B v a Applicant � NOTICE TO APPLICANT If, after making this Certlf ate f RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY Tel No Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with suchP MIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances PPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS C . L,& I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY ?4.1 No Professions Code,and my license Is in full force and effect Over 10 to 50 Incl OR Over 50 to 100 Incl R GNSE NUMBER 93 Class ' y C Over 100 DISTRICT NO P OCESSED BY 0 License Number �Qr l Lic Class�� V //'� Q ^ S rvlces,Swbd M C&Panelboards �� Contractor �, LC-C Date 4--S®^ `� !!440!1-��39 p Under 600 V FINAL 0 DATE 400-1000 Amp Under 600 V I am exempt under Sec VALIDATION V Over 1000 Amp or Over 600 V FINAL LU B&P C for this reason BRANCH CIRCUIT FEES co BY Date 15A,or 20A, 120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature i 1 To 40 Branch Circ.its EJ Exemption Or More Branch Circuits L Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances f f o�a 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 Professions Additional Sign Branch Circuits Code) ( 1TEM3 ❑ I, as owner of the property,will do the work and the structure Mlsc Conduits&Conductors I�I;AL 6 m 45 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) D CHECK OJ o 45 CONSTRUCTION LENDING AGENCY L.•�h1I913G ,l3f] 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-Total) ry PLAN CHECKING FEE `')C9JCI-0u1/ .t.1 7't Lender's Name PERMIT ISSUING FEE a )17 n 41 s Lender's Address TOTAL FEE I certify that I have read this application and under penalty of purjury state that the 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 property for inspection purpoossees SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DATE 'WORKER'S COMPENSATION DECLARATION 20-0019 76A663 DPW(12 91) APPLICATM FOR GL ECTMALS PERMT I hereby affirm that I have a certificate of consent to self Insure, or a certificate 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) Policy No Company FOR APPLICANT TO FILL IN JOB gj^ ETAl ® �� El Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE ADDRESS �C(j _ Certified copy is filed with the county building Inspection 1 &2-Family,Sq Ft $ $ LOCALITY department Multi-family Sq Ft CROSS ST I®AJ Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec —Light Sw FINAME COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by the MAIL permit is for one hundred dollars($100)or less) Total No Additional ADDRESS - I certify that In the performance of the work for which this permit CITY Tel NIMP14MM is issued, I shall not employ any person n any manner so as to PLAN CHEC become subject to the Workers' Compensa n Laws Lighting Fixtures First 20 A PLICANTK Total No Additional ff ADDRESS CO Date o Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after mak this ertlficate of CITY �' Tel N 44/ Exemption, you should become subject to the orker Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith c mply with such PERMIT L ,A, provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl /a (commencing with Section 7000) of Division 3 of the Business and CITY Tel Z Professions Code,and my license Is In full force and effect Over 10 to 50 Incl >. Over 50 to 100 Incl REG LICENSE ERt/ Class -� Over 100 DISTRICT NO P OC SSED BY L) License Number ®� Llc Class V Services,Swbd,MCC&Panelboards CC FINAL Contractor �Date � 0-399 Amp Under 600 V DATE O ❑ I am a pt der S Cr 400-1000 Amp Under 600 V �-z VALIDATION W Over 1000 Amp or Over 600 V FINAL LU B&P C for this reasonBRANCH CIRCUIT FEES BY W Date 15A,or 20A,120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit S i,-�;�e8 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits -��y-7 5 Code) :r•�L'l 6e •. ❑ I, as owner of the property,will do the work and the structure Misc Conduits&Conductors 1 !TINE is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D and Professions Code) TOTAL 61= 65 i CONSTRUCTION LENDING AGENCY CHECK 6t°65 1 hereby affirm that there is a construction lending agency for the CHANGE performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) Lender's Name PLAN CHECKING FEE 003-01M I 3/33 V'- PERMIT ISSUING FEE U i71Aj D 10Lender's Address / I certify that I have read this application and under penalty of purlury state TOTAL FEE that the 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 property for ins c n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNAtURV PER EE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9904010044 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGALID: I D BUILDING ESS: ON FILE 6320 B ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801544 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED 0N: PROCESSED BY: PLAN BY: EXPIRES CHECK INTO CASH 04/01/99 UT 04/01 OWNER: TEL. NO: FINAL DA E FINAL B CODE: VANNIER WILTON E CO TR VANNIER TRUS (818) 355-1239iA - 209 OAK MEADOW RD SIER 910242611 DESCRIPT ELECTRICAL FOR NEW HANNEL LETT SIGN APPLICANT: . NO• BRADLEY SIGN ADVERTISING (909) 948-7232- 10390 REGIS CT. SPECIAL CONDITIONS: RANCHO CUCAMONGA, CA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BRADLEY SIGN ADVERTISING (909) 948-7232- 10390 REGIS COURT LIC. NO TEMPORARY OW POLE RANCHO CUCAMONGA, CA 91730 616633C-45 UNDERGROUND CONDUIT ARCHITECT TEL. N0: UFER GROUND LIC. NO: ROUGH CONDUIT ROM G MAIN WATER LIN PLASTIC Y/N METAL Y/N UTILITY C D REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9904210030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: S PAID BUILDINGADDRESS: ON FILE 6320 U ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801544 ASSESSOR OR T R: NEAREST CROSS STREET: LONGDEN 5382-021-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 39.75 TENANT: TOTAL FEES 67.50 ISSUED 0 PROCESSED PLAN BY: EXPIRES ON: 07/01/99 UT 1Z/28/99 OWNER: TEL. 0: FINAL DATE _ FINAL B CODE: VANNIER WILTON E CO TR VANNIER TRUS (818) 355-1239- 209 OAK MEADOW RD SIER 910242611 DESCRIPTION OF WORK ELECTRICAL FOR COMMUNICATION FACILITY APPLICANT: NEXTEL COMMUNICATIONS (949) 862-2300- 17275 DERIAN AVE. SPECIAL CONDITIONS: IRVINE, CA 92614 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE J EVANS CONSTRUCTION (805) 495-7461-1 128 AUBURN CT. #208B LIC. NO TEMPORARY POWER POLE WESTLAKE VILLAGE, CA 91302 563536 UNDERGROUNDCONDUIT C N R: UFER GROUND �2 LIC. NO: ROUGH CONDUIT ROUGH WIRING 14AIN PLASTIC Y/N METAL Y/N UTILITY CURP'AW ROTMED REPORT ID: DPR265 ROUTE TO: BS0508