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Home My Public Portal About5425 SANTA ANITA AVE_Electrical__ lvpi_-1,(lfIrIT- C.(-�� 76A6'83-CE80€11-71 APPLICATION FOR EL CTRICAL PERMIT * 'COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRESS ---�f BUILDING AND SAFETY DIVISION C:5-VO2 `� C��FOR APPLICANT TO FILL IN IAUfus OUTLETS NO. EACH 77 $ $ OWNER ] RECEPMO - MAIL LIGHTTOTAL FIRST 20 O 25 r cl-0 ADDRESS SWITCH �� / OVER 20 10 �/ l b CITY TEL. N0. PLAN CHECK LIGHTINGFIRST 20 O 25 (jam APPLICANT TOTAL OVER 20 ADDRESS FIXTURES - g .10 . v RESIDENTIAL APPLIANCES CITY TEL. NO. PERMITf` e RANGE DRYER_WTR. HTR. APPLICANT c1 STA. COOK DISP,2aF.A.U. ADDRESS, SPACE HTR. AIR CONDA 3 CITY A0,9 w Aa 'v 9NO. 44- 7)- CLOTHES WASH. DISHWASHI-I LICENSE NO. CLASS. L? Q FAN1�THER Dy 1.00 /O / 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 IN TYPE OVER TO I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR 0 - 1 '/ 1.00 U�b LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM THE L AL-O ER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE D RIBED ENTIAL PROPERTY. u 00 SIGNATURE 10 - 50 5. OF PERMITTEE 0 so- 100 10.00F" DISTRICT 0. CLASS ZON PROCES ED BY W 100 - 500 15.00 of Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600VOLTSOR200AMP 3.00 7j- e—p LREER600VOLTS OR200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE CE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING G FIXTURES POWER AUTHORIZED E (SUB TOTAL) UTILITY CO. NOTIFIED K FEE FINAL UING FEE 3.00 EE 5v J_D PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VAI CK. M.0. CASH L&O c, 597"—' NOV 2 2 D 2 7.2 0~ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , �76A663-CE80e51'1-71 APPLICATION FOR ELECTRICAL PERMIT .COUNTY OF LOS ANGELES _ • DEPARTMENT OF COUNTY ENGINEER B UILDING C`J 7p2� BUILDING AND SAFETY DIVISION G� n FOR APPLICANT TO FILL IN OUTLTS N0. EACH FEE / $ $ OWNER (/ l RECEP� MAIL LIGHT TOTAL FIRST 20 .25 6-0 ADDRESS SWITCH '3 63 OVER 20 Lg 10 7/! 3O CITY TEL. N0. d T PLAN CHECK LIGHTINGTOTAL FIRST 20 �C) .25 o-v APPLICANT ADDRESS FIXTURES � OVER 20 D 10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT A e �G STA. COOK DISP. F.A./U.�J ADDRESS, SPACE HTR. AIR COND. CITY ola, N0. CLOTHES WASH. _DISHWASH.LL LICENSE NO. 0 CLASS.L^ FAa3LOTHER 43 1.00 r� 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF O. ff CALIFORNIA OR THAT I AM THE LEG NE , AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVEDES SED R E t PROPERTY. Q U SIGNATURE 10 - 50 5.00 OF PERMITTEE O 50 - 100 10.00 C DISTRIC N0. I CL.ASS ZONE PROCESSED BY {J.1 100 - 500 15.00 �+ P13 U- N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 SERVICEOVER600 VOLTS OR 200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT, SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIED ti PLAN CHECK FEE 7 ,may FINAL PERMIT ISSUING FEE 3.00 . 0 !/ TOTAL FEE vc PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA�L�Ar M.O. CASH LiiLO s 5 a 6.L 3 NOV 2 2 u 6 8.3 0- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE606 10,72 APPLICATION FOR . CT*AL PERMIT . COUNTY OF LOS ANGELES r DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 5"� l' a LOCALITY ,G FOR APPLICANT TO FILL IN CROSS ST. v OUTLETS NO. EACH I FEE OWNER OR $ Is FIRM NAME R EC EP T._ MAIL LIGHT TOTAL FIRST 20 25 ,ADDRESS CITY TEL. NO. SWITCH_ OVER 20 tp PLAN CHECK LIGHTINGFIRST 20 .25 APPLICANT FIXTURES 10 TOTAL OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT Oq AIIA C* OA STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY yt,��jR/ �� TEL. NO. 9?04W7119A CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBS �y�� CLASS. FAN JLOTHER _ 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE �EGAL OWNER OFf THE ABOVE 1 — 1O 3.00 DESCRIBED RESI`DE_NTIAJJL PROPERTY. PERMIT � �•,/ii•' 10 — 50 5.00 SIGNATURE EE < < u' p CD 50 — 100 10A0 DISTRICT N0. 7ROJESSED IlY LLJ w CL 100 — 500 15.00 e y (9 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING R ��vvs �laV� TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES V POWER AUTHORIZED J UTILITY CO. NOTIFIED AA Y FINAL PERMIT FEE (SUB TOTAL) !M. NOTES: U PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE VIM PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH 2 , 3 2 :UJAN 9.5 2 4.5 0 A98 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7GA663-CESOG 10172 APPLICATION FOR ELECTRICAL PERMIT IL 11 0 id COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRESS BUILDING AND SAFETY DIVISION YNEAREFOR APPLICANT TO FILL IN T. rte. -✓-��n�� OUTLETS NO. EACH VE-.7F OWNER OR NAME RECEPT. $ $ MAIL r LIGHT TOTAL FIRST 20 25 ADDRESS �7 OVER 20 CITY TEL. NO.. SWITCH_ 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY �� TEL. NO. PERMIT ,S RANGE DRYER_WTR. HTR. APPLICANT /e M,4 11A STA. COOK DISP. F.A.U. ADDRESS ,#'3'?16lt 4l1k=y SPACE HTR, AIR COND. CITY4'A ..4lr& �� TEL. NOff/LA/v CLOTHES WASH. DISHWASH. LICENSE OR �� (� CLASS. REG. NUMBER y.IP FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 3.00 DESCRIBED RESIDEN I L PROPERTYCD PERM / SIGNATTEE URE .l� � ��' �-f✓�_ 10 - 50 5.00 � O 50 - 100 t 0.00 v DISTRICT NO. PROCESSED BY Lu 100 - 500 15.00 ^+147 /� C* SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE.NOTOVER 600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICE OVER 600 VOLTSOR200AMP 10,00 ROUGH CONDUIT 0 TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING n�Q TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED �•` ,� n '4 ti � u UTILITY CO. NOTIFIED FINAL �� v A PERMIT FEE (SUB TOTAL) Sq6! NOTES:/r//- o'Ns ef';O. Ix-;f rG Jr. �B�R PLAN CHECK FEEF1 PERMIT ISSUING FEE 3.00 3 &4,0 TOTAL FEE S PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - .. 76AG63-CES0611-71 APPLICATION FOR ELECTRICAL PERMIT l.1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST „a BUILDING AND SAFETY DIVISION C�� 17d ALT FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER �1/�� u C/.,0 �/��/1 /PC RECEPT._ $ $ MAIL J J� 1.7�� LIGHT TOTAL FIRST 20 25 ADDRESS /oG OVER 20 CITY W yj� TEL. NO 7-33W SWITCH_ .10. PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT 4-.064 STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE N0. /ff CLASS.�r� 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 1 AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 1O 3.00 RESIDE IN, THE ABOVE DESCRIBE RESIDENTIAL PROPERTY. V 10 - 50 500 SIGNATURE CC OF PERMITT O 50 - 100 1O.Go DIS rCT NO. CLAS S {` , PROC ED BY 100 - 500 15.00 ✓ n. Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTORS SIGNATURE SERVICEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 06 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES 7 PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIED PLAN CHECK FEE - FINAL PERMIT ISSUING FEE 3.00• ail TOTAL FEE _ PLAN CHECK VALIDATION CK. M.O. CASH PERMI ATI CK. M.O. CASH rA to SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76.0663-CE806 11-71 �� APPLICATION FOR ELEC . ICALPEWIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADORES LOCALITY' ..� a. NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT.1 $ $ MAIL. FIRST 20 25 ADDRESS LIGHT TOTAL OVER 20 CITY EL. NO. — 3. SWITCH_ .10 PLANCHECK TOTAL LIGHTING FIRST 20 .25 APPLICANT OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS, SPACE HTR. AIR GOND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 1HEREBY 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA.OR THAT I AM E LEGAL OWNER OF., AND INTEND TO- 7 - 10 9.00 RESIDE IN, THE ABOVE SCRIBED RESIDENTIAL PR PERTY. 0O SIGNATURE 10 — 50 5.00 OF PERMITTEV17. Now 50 100 10.00 DISTRICT.NO. CLASS ZO O SED BY 100 — 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00. SERVI CENOT OVER 600 VOLTS OR 200 AMP '3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,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. NOTIFI.EU! PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.001- 3,40 TOTAL FE.E f! ,cq0 PLAN CHECK VALIDATION 'CK. M.D. CASH PERMIT V I AXON CK. M.O. CASH 9 -16214OCT , 0 20 8.00- v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - 76 X663-CEBOB 4,1-71 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING . �S BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH I FEE OWNER RECEPT._ $ $ AAIL DDRESS LIGHT TOTAL FIRST 20 gg OVER 20 'CITY VOUM TEL. NO. 5*3 SWITCH_ .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT zlr FIXTURES OVER 20 .10 ADDRESS � O RESIDENTIAL APPLIANCES CITYCCd- TEL. No. Z(14 PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY 44oL gA.0, TEL. NO. //�' CLOTHES WASH. DISHWASH. LICENSE NO. CLASSZ-53 FAN OTHER 1.00 I 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 W19 INS. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, T E ABOVE DESCRIBED RF�y ENT PROPERTY. V SIGNATURE jr / Am 10 - 50 5.00 OF PERMITTE O 50 - 100 10.00 1- D19TRICTNO. CLASS ZONE PROCESSED BY `CJ 100 - 500 15.00 06 P Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: i TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CE NOT OVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TE PLIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK � ROUGH CONDIUT d WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE , FINAL PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.0". CASH PERMIT VALIDATIONCK. M.O. CASH (_ACil a 8 2 41� JAN 3 0 2 4.0 ON SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION ICE-80 1 10/81 APPLICATI'CNAI FOR ELECTRICAL PERMIT I I hereby affirm that I have a-certificate of cowsgnt to self CE insure, or.a certificate of Workers'Compensation Insurance, • COUNTY.OF LOS ANGELES BUILDING AND SAFETY +' or a certified copy thereof'(Sec. 3800, Lab. C.) 1 Policy No. Company• FORAPPLICANTTO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS .moi ffYJ�! slP 1 &2-Family, S Ft. $ _ $ LOCALITY Certified copy is.filed with.the county building ins pec- y� q' `NEAREST tion department. Multi-family Sq. Ft. Residential Swimming Pools CROSS ST, Date--& Applicant ' FOWNER OR NAME CERTIFICATE OF EXEMPTION FROM WORKE MA Outlets: Ree LightSw. First IL _ COMPENSATION INSURANCE � 20 ADDRESS� (This section need not be completed if the work involved by Total NoAdditional CITY Tel: No.9,14 the,permit is for one hundred dollars'($160)or less.) . PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I'sholl not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures, First 20 ADDRESS t' Total No. Additional 'CITY Tel. No. Date. Applicant Fixed 'Appliance's.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. — OF Compensation provisions Of the Labor Code, you must forth- Oven _Dryer _W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood _ Fan _Other— CITY T6L No. LICENSED CONTRACTORS,AECLARATION 'LICENSE OR I hereby affirm that I am licensed-under provisions of Chapter 9 Disp. _ Room Air Cond.. REG:NUMBER Class. (commencing with Section 7000).of Division 3.of the Business DISTRICT NO. PROCE D BY s Power Apparatus&Large Appliances and Professions Code,and'my license is in full force and effect. ! Size&Type HP, KW, KVA, or KVAR' f l License Number 40"16 Lic. Class .Up to 1 Incl. FINALS - Over 1 to 10 Incl. VALIDATION 4 DATE,:;.' tc t' Contractor ate FINAL V ❑ Over 10..to 50•Incl: } I am exempt under Sec. Over 50 to 100 Inc. BY °v' i6 B,&P.C. for this reason Over 100 Services,Swbd.,MCC&Panelboards , ti Date- 0 -200 Amp, Under 600 V .. r Signature .201 -1000 Amp'. Under 600 V Over 1000 Amp. or Over 600 V ' ❑ Exemption for Reg. Maint. Elect. SINGLE FAMILY eTemp. Power Pole.&Appurtenances HOME OWNER-BUILDER DECLARATION i'2'6 5.8 A. Sign with One Branch Circuli I hereby affirm that I.am exempt from the Contractor's.License Additional Sign Branch Circuits o o`0 0 0 Law for the following reason (Section 7031,5, Business and 4 2 Professions Code): 1 ❑ I.', ds owner of the property, will do the.work and the Misc..Conduits&Conductors 1 j o o' 1 ; structure is not intended!or offered.for sale (Section Other.(See Complete Fee Schedule)_ , L- _ c a v 1 . G 7044, Business.and Professions Code), CONSTRUCTION LENDING AGENCY Q 6-4 n—8., I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMI.T.FEE (Sub-Tgtal') (Sec. 3097; Civ. C.): PLAN CHECKING FEE,, ZZ12 5Z Lender's Name iPER'MIT ISSUING FEE Lender's Address I certify that I have read this application andstate that the tTOTAL.FEE .above information is correct. I agree to.comply with all County. ordinances and'State'laws regulating.Electrical wiring, and l' hereby authorize representatives of this County to enter.upon the above:mention property for inspection purposes. >f ' SEE REVERSE FOR EXPLANATORY LANGUAGE ' Ii Signature of .e mittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF.PUBLIC WORKS 9701 LAS TUNAS EL 0508 1402050035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 10898 IT: 3 BL: .001 5425 SANTA ANITA AV ]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803669 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK 8573-018-034 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI IGl OUTLETS-LGT,SW,RECP 28.00 OUT 49.70 I I TENANT: IG2 LIGHTING FIXTURES 6.00 LGT 12.00 (ISSUED ON: PROCESSED BY: PLAN BY: [ 1H2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 102/05/14 SR 1H7 RES EXHAUST FANS 1.00 EX 11.00 1 (OWNER: TEL. NO: - 1JB AC UNITS +3-10HP 1.00 AC 19.70 1FIN TE FI CODE: VILLA GRANADA APARTMENTS 1 TOTAL FEES 131.20 1 15425 SANTA ANITA AVE 1 I ITEMPLE CITY CA 91780 1 IDES RI TION F WORK I I IFIRE DAMAGE 28 OUTELTS, 6 LIGHT FIXTURES, GARBAGE DISPOSAL, 1 I 1DISHWASHER EXHAUST FAN AND A/C ON (UNIT 217) 1 (APPLICANT: TEL. NO: I I IVERGARA, RUTH (323) 595-1798- I IPO BOX 41592 (SPECIAL CONDITIONS: [LOS ANGELES CA 90041 1 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IGUILLERMO GARCIA ELECTRICAL SERVICE (323) 595-1798- 1 1 I IPO BOX 41592 LIC. NO ITEMPORARY POWER POLE I LOS ANGELES CA 90041 828692 I I (UNDERGROUND CONDUIT 1 I (ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND LIC. NO: I IROUGH CONDUIT (ROUGH WIRING I I MAIN WATER LINE I I 1 I (PLASTIC Y/N METAL Y/N I I I 1 JUTILITY COMPANY NOTIFIED( I [ I I I I I I f I I I I I I I I I I I I I I I I I ]REPORT ID: DPR265 ROUTE TO: BS0508 1 I I . • • u f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OFIPUBLIC WORKS 9701 LAS TUNAS EL 0508 1402050036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 10898 LT: 3 BL: .001 I I 5425 SANTA ANITA AV ] IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:] TEMP CA 917803669 ]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK I 18573-018-034 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI IGl OUTLETS-LGT,SW,RECP 28.00 OUT 49.70 I I ITENANT: IG2 LIGHTING FIXTURES 6.00 LGT 12.00 (ISSUED ON: PROCESSED BY: PLAN BY: ] I IH2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 102/05/14 SR IH3 RES DISHWASHR IT 3HP 1.00 DIS 11.00 1 ] (OWNER: TEL. NO: IJB AC UNITS +3-10HP 1.00 AC 19.70 [FINAL TE FI Y: CODE: IVILLA GRANADA APARTMENTS - I TOTAL FEES 131.20 [ 15425 SANTA ANITA AVE I I ] ITEMPLE CITY CA 91780 1 IDESlCRI13TIONloF WORK IFIRE DAMAGE 28 OUTELTS, 6 L GHT FIXTURES, GARBAGE DISPOSAL, I IDISHWASHER EXHAUST FAN AND A/C ON (UNIT 218) (APPLICANT: TEL. NO: I I I IVERGARA, RUTH (323) 595-1798- I I IPO BOX 41592 I ]SPECIAL CONDITIONS: ILOS ANGELES CA 90041 I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IGUILLERMO GARCIA ELECTRICAL SERVICE (323) 595-1798- 1 1 I I IPO BOX 41592 LIC. NO I ITEMPORARY POWER POLE ILOS ANGELES CA 90041 828692 [ 1 I I I [ ]UNDERGROUND CONDUIT I I ]ARCHITECT OR ENGINEER: TEL. NO: - ] ]UFER GROUND I I [ ] LIC. N0: I TROUGH CONDIIIT ] ] ]ROUGH WIRING I 1 IMAIN WATER LINE [ I ]PLASTIC YIN METAL Y/N I ] I I I (UTILITY COMPANY NOTIFIEDI ] I I I I I I I I I ] I I I I ] I I I I I I ] I I 1 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 1402050032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 10898 LT: 3 BL: .001 5425 SANTA ANITA AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803669 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK 18573-018-034 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI I ILN OTHER PNL 0-399 AMPS 1.00 PAN 38.90 TENANT: TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY: 1 I 102/05/14 SR 1 (OWNER: TEL N0: IF DATE FI Y: CODE: VILLA GRANADA APARTMENTS - 15425 SANTA ANITA AVE TEMPLE CITY CA 91780 I 1DRSCltIPTION OF WORK I FIRE DAMAGE SUB-PANEL ON UT 216 APPLICANT: TEL. NO: IVERGARA, RUTH (323) 595-1798- IP0 BOX 41592 ISPECLAL CONDITIONS: ILOS ANGELES CA 90041 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IGUILLERMO GARCIA ELECTRICAL SERVICE (323) 595-1798- I IPO BOX 41592 LIC. NO ITEMPORARY POWER POLE I I ILOS ANGELES CA 90041 828692 I I JUNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: - I 1UFER GROUND I I I LIC. NO: 1 IROUGH CONDUIT (ROUGH WIRING IMAIN WATER LINE (PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I 1 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 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I Ir COUNTY OF LOS ANGELES TEMPLE CITY # 0508 E ECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL`'0508-98061'50-031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID �_B• --0L GJIDDIOi$S: TR: 10898 LT: 3 BL: .001 ,x425 SANTA ANI TA AV ----I_ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA X17803669 ASS SSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8573-018-034 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY 01 OTHER INSPECTIONS 1.00 HOU 109.35 TENANT: TOTAL FEES 137.10 ISSUED ON: PROCESSED BY: PLA EXPIRES ON: 06/15/98 UT 06/15/99 OWNER: TEL. NO: FINAL DATE FINAL CODE: POLLEY DON L;M CLAUDIA TRS (562) 690-9492- � I `QD 6 250 FLOWERFIELD LN 6 70 LA HABRA, CA DESCRIPTION OF WORK +7NSPT ICIr ON OF SWIMMING POOL PER HEALTH DEn,_SENAIE--ILL 873 APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: 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 Y/N METAL Y/N + UTILITY COMPANY NOTIFIED i REPORT ID: DPR265 ROUTE TO: BS0508