HomeMy Public PortalAbout5825 ROWLAND AVE_Electrical__ 76A663CE-806(11 78) APPLICA ON dR"ELECTRI PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO, FFE ADDRESS , -' -
1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY `
Multi-family Sq. Ft. .02 — NEAREST
XRO
SS ST
Residential Swimming Pools 25.00 OWNER OR
FIRM NAME
Outlets: Rec Light—Sw. MAIL V '\
First 20 .50 ADDRESS.
Total No. Additional .30 CITY _ Tel. No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICA
Range—Heater—D.W. _ ADDRESS � -,
Oven—Dryer_W.M.—
Top _FAU —W.H._ CIT, + Tel. No
Hood_Fan —Other LICENSE OR
Disp.—Room Air Cond. 25G REG.NUMBER Class,
IHEREBY 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 2 50 REGULATING ELECTRICAL WIRING. 0
Up to 1 In . 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR U
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pc
Over 10 to 50 Incl. 12.50 CALI IA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESC BED ENTIAL RTY. I.
Over 50 to 100 Inc. 25.00 + V
Over 100 40.00 S RMI E \ H
Services DISTRICT NO. PR Z
0- 200 Amp. Under 600 V 12.50 �1
201-1000 Amp. Under 600 V 25.00 �G�� -•,�G�C�
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp. Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2'00 INSPECTION >
Misc.Conduits&Conductors INFORMATION u
Uj
Other(See Complete Fee Schedule) 1 �� ON REVERSE
SIDE Z
a
J
PERMIT FEE (Sub-Total
Z'
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7.00
a
TOTAL FEE >
INSPECTION FINALED
date: L �l By ) s_.. P;s
� �J
0 WORKERS'COMPENS?iTION DECLARATION CE-800 APPLICATION FOR -ELECTRICAL4 PERMIT
aA A
I•heieky�affirm that I have a certificate-of consent to self COUNTY OF.LOS ANGELES G AND SAFETY
insure�,or a certificate of Workers'Compensation Insurance,or .�%
a certified copy thereof(Sec.3800,Lab.C.)
FOR APPLICANT TO FILL IN Mpg
Policy No. Company EACH NO. E ADDRE fYi�+ —
• _ New Residential Bldgs.&Pools
Certified.copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY GI ,
E] CertifiedSq. Ft. NEAREST
Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST t'
department. g OWNER OR—R.
FIRM NAME
Date Applicant Outlets: ReclLight� Sw.--L - MAIL
/y First 20 ADDRESS +
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. & Additional CITY; Tel No
COMPENSATION INSURANCE PLAN CHECK 19 a
(This section need not be completed if the work involved APPLICANT� O
Lighting Fixt s First 20 V
by the permit is for one hundred dollars ($100) or less.) ADDRESS
Total No. Additional �
I certify that in the performance of the work for which thisCITY Tel No. O
Fixed Appliances Not Over 1 HP
permit is issued, I shall not employ anH
any person in any manner PERMIT
so as to become subject to the Workers'Compensation Laws. Range_HeaterD.W._ APPLICANT / 5u W
Oven _ dryer_W.M._ n"
Date''�`3e — op _'FAU _W.H.,_ ADDRESSELJpis Y N
�4pplica CIT Tel No.
Hood _ Fan —
,Other-NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond.— LICENSE OR
Exemption, you should become,subject to the Workers' REG.NUMBER 16 lass r]
Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PRY
R S BY
with comply with such provisions or this permit shall be;
deemed revoked. Size 8i Type HP,KW,KVA,or KVAR
Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE �? Z D�/ LIDATION
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 64p
9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY t -P-4 -4.. .
ness and Professions.Code,and my license is in full force and
effect. Services
License NumberLic.Class
..7- 9-1 0-200 Amp.Under 600 V
•L/ �
201-1000 Amp.Under 600 V
Contracto9Ft9::!'1A--1- an,- Date__ 15D �1O Over 1000 Amp,or Over 600 V
HOME OWNER-:BUILDER DECLARATION Temp.Power Pole&Appurtenances
I Hereby affirm' that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ,
ness and Professions Code): Q J n i�
Misc.Conduits&Conductors
I, as owner of the property,'will do the work and the ' Other(See Complete Fee Schedule)— #' ° .0 0 0 0 C
structure is not intended,or offered for sale (Section
7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY -P ° ° &(,'''
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
issued(Sec.3097,Civ.C.). "
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address
PERMIT ISSUING FEE
I certify thit 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 i
hereby authorize representatives of-this County to enter upon
the a ove-me tinned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
Sl&aiure of Permittee /Date �(J
WORKERS'COMPENSATION DECLARATION E6 806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
! I hereby affirm that I have a certificate of consent to self COUNTY OF LOS AN ELES "" SH+L MNG AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or 'fl
\
tIfI d opytheFgofySe pa 800, ab.C.) FOR APPLICANT TO FI IN App SS
' a`/j New Residential Bldgs.&Pools EACH NO. FEE
Certified copy is hereby furnished. �._ r 1 &2-Family,Sq. Ft. $ _ $ LOCALIT
V
Multi-family Sq. Ft. NEAREST
Certified copy is filed with the county building inspection CROSS ST
artm Residential Swimming Pools OWNER OR
OF NAME
Date �G Applicant Outlets: Rec._.Light Sw, MAIL
First 20 ADDRES
VERTI ICATE OF EXEMP ION FROM WORKERS' Total No. Additional CITY - Tel No.
COMPENSATION INSURANCE
I PLAN CHECK d
(This- section need not be completed if the work involved APPLICANT V
by the permit is.for- one hundred dollars ($100) or loss.). Lighting Fixtures First 20, ADDRESS
_ , Additional cc
Total No. 0
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No.
permit is issued, I shall not employ any person in any manner , PERMIT
so as to become subject to the Workers'Compensation Laws. Range_Heater_D.W. _ APPLICANT d,
Oven -_ Dryer_W.M._ ADORE rn
Top _FAU _W.H...
Date Applicant � CIT el N
Hood — Fan _Other=) o.
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond2 1a JI-leENSE OR
Exemption, you should become subject to the Workers' REG.NUMBER
Compensation provisions of the Labor Code,.you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCES D BY ,
with comply with such provisions or this permit' shall be
deemed revoked. Size'&Type HP,KW,KVA,•or KVAR �c��
Up to 1 Incl, FINAL w
Over 1 to 10 Incl. DATE
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. �,r— VALIDA ION
I hereby affirm'that.I am licensed under provisions of Chapter J Over 50 to 100 Inc. FINAL
9 (commencing.with Section,7000)of Division 3 of the Busi- a Over 100 BY'
�,�
ness and Professions Code, and my license is in full force and
' effect. � ` Services _
License Ntfmbe9j Lic.Class .J I 0-200 Amp.Under 600 V (p�
r_'. 201-1000 Amp.Under 600 V
Contractor Date Over 1000 Amp.or Over 600 V
HOME O ER-BUILDER DECL • A.T.IO i Temp.Power Pble&Appurtenances
I hereby affirm that 'I am exempt from the Contractor's Sign with One Branch Circuit 7',4 8 5.7 A
License Law for the following reason (Section 7031.5, Busi- f o 0 0 o o 2� Additional Sign Branch.Circuits
ness and Professions Code): ' � '
Misc.Conduits&Conductors
I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 2 ° ° ° 9.5 0.
structure is not intended or offered for sale (Section '
7044,Business and Professions Code). o 0 0 o 9,5 U czi
CONSTRUCTION LENDING AGENCY '
I hereby affirm that 'there is a construction lending agency I (1 6,2 0—8
for the performance. of the work for which this permit is PERMIT FEE (Sub-Total)
issued(Sec.3097,Civ.C.).-
Lender's Name. PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUINGFEE-
,
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, I
h authorize representatives of this County to enter upon !
e ab ve-mentione property for inspection purpose SEE'REVERSE FOR EXPLANATORY LANGUAGE ;
a
igna ure of Permittee Date ;
,
WO.RKERS'COMPENSATION.DECLARATION CE-806G (2.80) APPLICATION -FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES Li BUILDING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or
a certified copy thereof 1.3 00,Lab:C.) �
�r S FOR APPLICANT TO FILL IN JOB
Policy Ndti.`_ ompa y EACH NO. FEE ADDRESS
New Residential Bldgs.&Pools
Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITY
ertified c y is filawith nt b in Multi-family Sq.Ft. — NEAREST
qpy g inspection Residential Swimming Pools CROSSSTep t ent. OWNEROR
.� FIRM NAME
Date App Outlets:Rec.-.._Light Sw. MAIL
First 20 ADDRESS
ERTI ICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY' - — Tel No. }
COMPENSATION INSURANCE
PLAN CHECK 06
(This section need not be completed if the work involved APPLICANT0.
by the permit is for one hundred dollars ($'100) or less.) Lighting Fixtures First 20' ADDRESS
Total No. Additional o-
I certify that in the performance of the work for which thisCITY Tel No.
permit.is issued, I to shall not em erson in any manner Fixed Appliances Not Over 1'HP
P employ an Y P PERMIT /r
so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT
Oven _ Dryer_W.M._ ADDRESS 06
Date Applicant Top _ FAU _W.H,.._
Hood _ Fan _Other_ CITY o Tel No.Z .
NOTICE TO APPLICANT: If, after making this Certificate of Disp..,_Room Air Condom LICEMSE OR /+
Exemption, you should become subject to the Workers' REG.NUMBER � a 7— Cless G-
'Compensation provisions of the Labor Code; you must forth- PowerApperatus&Largq.Appliances DISTRICT NO. f PROCE SED BY
with comply with such• provisions. or this permit shall be Size&Type HP,.KW,KVA,or KVAR
deemed revoked. Up to 1 Incl.
FIN A•L
Over 1 to 10.Incl. I DATE '', Z a
LICENSED CONTRACTORS'DECLARATION Over 10'to 50 Incl. e+ / VALIDATION
.
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL ,
9 (commencing with Section 7000)-of Division 3 of the Bust'. Over 100 BY
ness and Professions.Code, and my license is In full force and
effect. Services
0-200 Amp.Under 600 V S 2(O �/ `er°^ra•.CY,: e�'¢c+-�
License Number. Lic.Class 201-1000 Amp.Under 600 V
Contracto ft:!5 Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUIL -7DER DE ARATION Temp.Power Pole&Appurtenances t/j^�'r y� �iV ,y. `
I hereby affirm that I am exempt. from the Contractor's Sign with One Branch Circuit / "� f �
License Law for the following reason. (Section 7031.51 Bust- Additional Sign Branch Circuits f'l � Sids7'c 4 4 5 2 A
ness and Professions Code):
Misc.Conduits&Conductors 0 0 0 0 0 2
Ell, as owner of the property, will do the work and the Other(Sea Complete Fee Schedule)—
structdre is not intended or offered for sale (Section
704.4,Business and Professions Code). 2 ° ° 1 9,50
CONSTRUCTION LENDING AGENCY '
I hereby affirm that there is a construction lending agency ; ° ° A 1 ,5 0
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
issued(Sec.3097,civ.C.). d- S 0 3. 1 9-8 1
Lender's Name PLAN.CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE
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 regulating Electrical wiring, and
hereby auth rfz representatives of this County to enter upon
the bove- nti ed.property for inspection pu Mel SEE'REVERSE FOR EXPLANATORY LANGUAGE
ignatu a of Permittee . Dat .I
WORKE
DEC
ATION 2D-.0019
ON
1 hereby affi m that I'ha eMa certificate of consent t tto self insure, 7MG03 DPW(72-97) APPLICATION FOR ELECTRICAL PERMIT Ll
or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS. BUILDING AND SAFETY DIV.
copy th6reof•(Sec.3800 Lab.C.)
I.Polir([ /�
❑�NO. Company Certified copy is hereby Turn shed, FOR APPLICANT To FILL IN,
EACH FEE ADDRESS �7 V 4?&44/
New Residential Bldgs.&Pools LOCALITY �y yb CG
❑ 1 &2-Family,Sq.Ft. — $ $
Certified copy is filed with the county building Inspection.. _ NEAREST
department.. Multi-family Sq.Ft. CROSS ST. L V-4
Date Applicant Residential Swimming Pools ASSESSOR * ^J Q,
pp MAP BOOK S+ _�J / PAGEPARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.L Light_P_Sw. OWNER OR
COMPENSATION INSURANCE 10 /) G FIRM NAME /�(�• G Irr
.� �J First 20 v WAIL
(This section need not be completed If the work Involved by the Total No._� Additional `S 1• D ADDRESS
permit Is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit t 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. d'�
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
APPLICANT
provisions or this perm.)t shall be deemed revoked. Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am.Iioensed Under provisions of Chapter 9 Over 3 to 10.lncl•
(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:OR Class }
Over 50 to 100 Incl. REG.NUMBER IL
License Number Lic.Class Over 100 DISTRICT NO. POC SED BY V
rvices Swbd.,WC&Panel board.a
FINAL
Contractor Date DATE Q a/ 0
❑ 1 am exempt under Sec. 400-1000 Amp.Under 600 V •�3 NS
VALIDATION U
Over 1000 Amp,or Over 800 V BY FINAL N
B.&P.C.for this reason BRANCH CIRCUIT FEES
Date: 15A,or MA,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
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCTA
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 330,75 173.411
Code):
I,.as owner of the property,will do the work and the structure
Misc.Conduits&Conductors I ITEM
is not intended or offered for sale(Sedtion'7044, Business Other(See Complete Fee Schedule) , TOTAL 173.40
and Professions Code).
•
CONSTRUCTION LENDING AGENCY CHECK 173-40���
1 hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sec.309.7, PERMIT FEE (Sub-Total)
Civ.C.)
PLAN CHECKING FEE 0000-00131 6/22/93
Lender's Name
PERMIT ISSUING FEE [382 1 AM L;;.[I.�
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE 3e
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 in ecti purposes. j, SEE REVERSE FOR EXPLANATORY LANGUAGE
elAT
`7"_ZIl4.OF PERMITT DATE
COUNTY OF LOS 4NGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0505240005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 409 5825 ROWLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802239
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-030-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
F1 120V, 15/20A BR CKTS 1.00 BR 17.25
TENANT: G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
G2 LIGHTING FIXTURES 3.00 LGT 5.85 05/24/05 JK 11/20/05
TOTAL FEES 62.55
OWNER: TEL. NO: K��-t
CODBGEORGINO BETTY M TR GEORGINO TRUST (626) 376-3052-
5825 ROWLAND AV
TEMP 917802239 DESCRIPTION OF WORK
ELECTRICAL FOR NEW BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING /�-
MAIN WATER LINE !/
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1001280024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 LT: 409 .15825 ROWLAND AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802239
'ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1
18587-030-006 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 I ]
ITENANT: IG2 LIGHTING FIXTURES 3.00 LGT 5.85 IISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I I TOTAL FEES 41.40 101/28/10 SR 01/28/11
I I
(OWNER: TEL. NO: I IF AT :q?AL Y: CODE: 1
IGEORGINO, DONNA - I ]
15825 ROWLAND AV I ] ]
ITEMP 917802239 I IDESCRIPTION OF WORK II
I 14 OUTLETS AND 3 LIGHT FIXTURES FOR PATIO COVER I
(APPLICANT: TEL. NO: I I ]
IWILDROSE LANDSCAPE (626) 278-0793- I I ]
1320 WILDROSE AVE. I [SPECIAL CONDITIONS: I
IMONROVLA, CA 91016 I
I I i I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IWILDROSE LANDSCAPE (626) 305-0793- I 1 ]
1320 WILDROSE AVENUE LIC. NO I TEMPORARY POWER POLE I I I
IMONROVIA, CA 91016 641885 1 I I I
I I UNDERGROUND CONDUIT ] ] ]
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
IINING LU (626) 795-1250- I I I I
12500 E,FOOTHILL BLVD, STE 211 LIC. NO: i (ROUGH CONDUIT I I I
(PASADENA, CA 91107 S.E. 3042
ROUGH WIRING
IMAM WATER LINE I I ]
I I IPLASTIC Y/N METAL Y/N I ] [
(UTILITY COMPANY NOTIFIED] ] I
I I I I I
] I ] I
I I I I I I
I I I I ] I
I I I I
] I I I
I I i I I I
] I I I
I I I I I I
REPORT ID: DPR265 ROUTE TO: BS0508 I I ] ]
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 1112070010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: ]
ITR: 6561 LT: 409 I 1 5825 ROWLAND AV
-1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917802239
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS
8587-030-006 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
TENANT:
-ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 1
TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY:
I 1 112/07/11 SR
IOWNER: TEL NO: 1 ]FINAL DATE FINAL CODE:
I
1GEORGINO, DONNA (626) 222-9390- I I
15825 ROWLAND AV ] ) gew
ITEMP 917802239 1 ID CN OF WORK
1 1 1D2NS�A L NEW 200 A MAIN SERVICE PANEL ORIGINAL DAMAGED IN WINI
ORM I
]APPLICANT: TEL. NO: 1 I I
IMAXWELL INDUSTRIES (626) 359-1191- 1 ]
11428 ARROW HWY 1 ISPECIAL CONDITIONS:
IIRWINDALE CA 91706
CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
IMAXWELL INDUSTRIES INC. (626) 359-1191- 1 1
11428 ARROW HIGHWAY LIC. NO ] ITEM_ORARY POWER POLE I I
11RWINDALE CA 91706 340147-C10 I ] I
I I (UNDERGROUND CONDUIT 1 I I
ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I I
I _ I j• 1 I
LIC. NO: 1 (ROUGH CONDUIT 1
I IROUGH WIRING I
I 1 IMAIN WATER LINE 1 ]
I IPLASTIC Y/N METAL Y/N I I
1 1
]UTILITY COMPANY NOTZFIEDII
I I I I I I
I I I I I I
1 1 I I I I
I I I I I
I I I I I I
1 1 I I I I
1 ;• ADDITIONAL DATA ON FILE
I I I I I
1 REPORT ID. DPR265 ROUTE TO: BS0508 1 1 I
I I I
COUNTY,OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 0506010026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 409 5825 ROWLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802239
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-030-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: TOTAL FEES 38.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
06/01/05 JK 11/28/05
OWNER: TEL. NO: FIN TE FINAL BY: CODE:
GEORGINO BETTY M TR GEORGINO TRUST (626) 287-9213-
5825 ROWLAND AV
TEMP 917802239 DE§CRIPTIJON F WORK
CHANGE UWIT FURNACE & DUCT ELECTRICAL WIRE FAU
APPLICANT: TEL. NO:
GLOVER (951) 279-0604-
5030 VICEROY AVE SPECIAL CONDITIONS:
NORCO, CA 92860
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO INC. (626) 357-5311-
1630 S. MYRTLE AVENUE LIC. NO TEMPORARY POWER POLE
MONROVIA, CA 91016 2SB22SC36
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508