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Home My Public Portal About5272 SERENO DR_Electrical__ i.s i i•iwill RX •��cJVii'®� :• - - �I F.:m la itDfAll I Wall .I Lo.1 ; DEKRWfl0i4 OF WORK m NUMBIrR OF OUTLWM ON CIRCUITS LOCATION BY ROOM$ IN 99 ■min■■■e MIN MMES■■■■■■■■ ■ �■■.■■■■■■ ■ MMIM■■■■■■■■■■■ MMIM■■■■■■■■■.. MMIM■■■■■■.■■■■ EM MMMI■■■■■....■. MEMIMEMEMS ■■N■■■■■■■■...■:. MENIMMEMEM IME ■...■. e�mFANG MMEM• ter■ - ■FFA �� IMP �A■■■■■■■■■■ �AWEENNEE No �■■■■■■■■■■ �A■■■■■■■■■■ �A■■■■■■■MMA SMINAMINIMINNIM NOME SEE MINNIE ice■■■■■■i■■■■ ■i �■■■■■■■i■■■■■ MEMA■I■■■■■■■■■ MOOSE ■■■■■■■■■■ ■■■■■■■■■■■■■ ANN A■■■■■i■■■■■■ MEN A■■■■■■■■NN■ MME AMIMMMIMIMIMMMEMI IMM ri■rn 1 s■■ �■■ ■■ NOME i■ m■■■■ SE k'En!v 76AB63-CE806 9-64 APPLICATION FOR ELECT IR AL PE COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER eu1LDiNa BUILDING AND SAFETY DIVISION ADOREeS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT 01 BUILDING LOCAL. NEAREST 1FOR PPLI ANT TO FIL IN I CROSS ST RECEPT n I TOTAL NO GCH 126 RECEPT OUTLETSFIRST 2O 5 2O S OWNER LIOHT '7 T MAIL ADD'L 10 ADDRESS SWITCH OVER 20 TOTAL CITY TEL No LIGHTING 1 FIRST 2O 20 FIXTURES — ADD'L Ov R 20 10 ELECTRICIAN RANGES CLO ORYERS WTR MRs 700 ADDRESS "M OIEF ETA COOK CITY TEL No rl DIWWASX AUTO-WASN STATE SPACE NTN STA STA APP (VAHP MAS ) Sp LICENSE NCI Marone. OVER NDT oven Hp DISTRICT NO Cy�OS1.P f1E P SSED O 1 100 5s (�/lY�'( O/ 1 — a 150 INSPECTION RECORD N S 8 200 d O B fe 250 u 1S SO 300 - GL O SO too Soo �j SIGNS. No Hutu DN NO LAMPS _Z SERVICE O SOOV NOT ova 200A 100 SERVICE O SOOV OVER 200 A 2 00 SERVICE OVER SOOV 500 MISC PERMIT ISSUING PEE 200 -- SUPPLEMENTARY PERMIT ISSUING REE 100 TOTAL FEE 5 1 HEREBY AG(NOWLEDOE THAT 1 HAVE IEAO THIS APDL 91 N APPROVALS DATE INE#E E u AND STATE THAT THE AROW IS CORRECT AND AORES TO COMPLY CONDUIT WITH ALL COUNTY ORTINANCEB AND RATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTVY THAT . AM PROPERLY RCOIeT IRnD ANOROR FIXTURGB LIC ENTED AS RQOUIRED BY LOB ANGELES COUNTY AHO STAT! 01 CALIFORNIA OR THAT I THE LEGAL OENER 01 MO INTlMD TO R ESIO! IN THE ABOYC D CRIEID RESIDENTIAL PRO CRT POWER SIGNATURE UTILITY CO NOTIFI D OF PERMITTEE FINAL 7CKATION seF c Rooth O CASH SUPERVISING ELECTRICAL ENGINEER � 4 9 5 4� SEP 26 2 D 3,40" IV r V� TBASSC CE#SOS S BI APPLICATION FOR ELECTRICAL PERMIT u COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER E BUILDING _ BUILDING AND SAFETY DIVISION gDDales JOHN A LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST O C PERMIT FEES OWNER 1 T B M NUMBER EACH F¢¢ MAIL OUTLETS, \ 3 5 ADDRESS LIGHTS PROMPT SW 10 CITY // T!L NO LIGHTING FIXTURES to RL[C RANGES CLO DRYERS ELECTRICIAN c WATER HEATERS BG ADDRESS ®AC SPACE HTRS DISHWASHERS CITY W TEL NO GARBAGE DISPOSE" AUTO SPATE WASHERS STA COOKING UNITS 25 LICBMSE NO V�hG//� MOTORS. OVER INC HP D PICT NO Qff UP I Z $ 0— Ih 25 P.2- ./.- 2Ih- 2 50 INSPECTION RECORD 2-3 3 c c 5— IC 150 Z U 15— 50 250 �r 0 50— 200 000 W NO TRANS d SIGNS No LAMPS N I SERVICE O 600V 100 SERVICE OVER 600V Soo MISC WIRING PERMIT 00 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 80 TOTAL FEE i S 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS GATE IN@¢CTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINAHCMB AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR LIC¢NSRD AS REQUIRED BY LOS ANGELES COUNTY AND STATS OF FIXTURES CALIFORNIA ORTHAT AM THE LEGAL OWNER OF THE ABOVE DESCRt BED REBID AL OPE Rm POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTE FINAL I 0 CAS ARTHUR C VEIT k • , cn/f Mo CASH SUPCRV18fN0 ELECTRICAL ENGINEER L Rio 8 8 6 6 JUN 5 2 D 9.50- q 7BA669 15E906 0-84 APPLICATION FOR ELECTRICAL PIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� _ BUILDING AND SAFETY DIVISION wDDRHea 7.7 JOHN A LAMBIE COUNTY ENGINEER / COLEMAN W JENKINS SUPT OF SUI LDING LOCALITY E NEAR lBT FOR APPLICANT 1 CROSS eT o 5<-of&P p. NECEPTTOTAL NO EACH MR LIONr oy1II{ OUTLETS FIRST 20 O 20 a416al MAIL ADDOWNER ILL O / SWITCH cl1 OVER 2O p ,G 6 Q0 PIBB TOTAL CITY TEL NO LIGHTING I FIRST 20 7.0 IID 0p FIXTURES �/�O_ DSD^20 �O Y p ELECTRICIAN — f RANGESCLO "Taps WTR MRS too Q ADDRESS GARS OUP I RA COCl[ CITY /7 TEL NO -7- DISNWAoI I AIRO WASH TATELICENSE NO ' IWAa M W mw APP (VA IS P MAX 1 SO MDTORS. map NOT OVER NP DISTR CT NO GROZONE O 98ED Y 0 — 1 , DD �: UP 3' 1 — 5 150 INSPECTION RECORD s — e 200 e 15 250 15 50 300 so ,o0 500 / SIGNS, NO uMn z ^� Z SERVICE O SOOV Nor OVER 200A too SERVICE 0 SOOV OYeR 200 A 200 ] r k SERVICE OVER SOOV 500 MISC PERMIT ISSUING FEE 200 YUPPLEMENTABY PERMIT ISSUING FEE 1100 TOTAL FEE I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DA IMP[ �R' •OU11 T [ ANO RAT[ THAT THE AROYS IS CORRECT AND AGREE TO COMPLY CONDUIT WRIT ALL COUNTY ORDINANCE[ AND RE LA RATE REGULATING euLTwl�•, WIRING WIRING - 1 Nellce♦ cSRn PT r 1 A PROPeR Se..T e... AND/OR FIXTURES ucenne0 Ae ReGU1RE pv L A. nrr Ano arAT[ oI C ALIIO RNIA OR TXA AM T LI AL N OP ANG 1 T[.. TO n RESIDE IN TH[Ae0 Dce pe0 R[n10 NTI PRO PGWER 5IGN URX / r UTILITY CO NOTIFIED FINAL /CPR INI JOSEPHC ROOHAN MO CASH SuPtEnVISING ELECTRICAL ENGINEER -- LAGO520aZ8 OCT 10 2 D 56.50- 0 1 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Departmentof Comfy Engineer ��'� DIVISIONIONOFOF BUILDING 8c SAFETY WILLIAM J FOX, Caaeb E8816[N FOR APPLICANT TO FILL IN DISTRIICCTTNO. GROUP ZONE PE�/RMMI�TTNNOOO ELECTRICIAN - zc '- eC L8 117-1 — - ' ADDRESS READY ie R[QLIVC Y FIRST IN EOTION DA�� CITY •n EL NO 4:Ti V///V� 15 COUNTY LICENBE NO �� Fs EXPIRES ' "'DIN /[] 7 ,2- ] Z PERMIT FEES � ADOREBB .� F[[ NUMBER EACH LOCALITY LIGHT OUTLETS N[AR[BT RECEPTACLES C OB HT G J e s �[4 • ./ WALL SWITCHES OWNER TOTAL OUTLETS Be • MAIL ELEO RANGES 20 ADDRESS [LEO HEATERS 26 CITY T[L NO FIXTUREB / 6 G 1 HEREBY ACKNOWLEDGE THAT 1 NAV[ ROAD THIS MIBQ APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TC COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB Nuwe[q HORSEPOWER P[E ANGELES COUNTY LICKNS[. OR I AM THE LEGAL OWNER N[W MVP XP 13V[q Iwo [new OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. V r 1.[era 26 SIGNATURE DF 2 BD P[RMITT[[ �� 2 S IDo INSPECTION RECORD S 18 1 SD 10 SO 2 BO N ,// n O..) cAr BO 200 SOC ^yla� 200 BOO lam l � J 500 i IOOO IS OO Q Z OVER 1000 1000 � M O IMT/MEq CHANGER-NP WELDERS AO-KVA -czWAre,A! L� s G GENERATORS - KW ., ♦ 1 _ TRANSFORMCM - KVA AY TEMP MOTORS (76 or ansa MOVED MOTORR (7S ar a[I13) BC SIGNS NIL NO TRANS. NO NO LAM APPROVALS FOR EACH PERMITI DAT[ INSPEDTOR•B NAME WIRING 01.00 b V CONDUIT FIXTURES 0100 O d WIRING ISUPP"MENTARY BO FIXTURES POWER MP TGTAL PEE • UTILITY QO.NOTIFI[D /� IS S� ) FINAL S7 7rnr6[ 1368#M 2-63 "S VA 12 aA APPLICATION FOR ELECTRIC PERMIT DIMON OF BUMDING AND SAFETY ` Department of Co[nNG ty Engineer s of Los AB WM county OCOUNTY ENGINEER ADDREBUILDSS 4eRCJVd PIC CASQATT D GRIFFIN, $UF T OF BUILDING -..y��' ,q FOR�A�fP.rPLeIICC[AnNT TO FILL IN LOCALITY p/e/1v P� PEam FEES NEAREST ERe/ov u/W �l1Se/heA2� CROSS ST FEE NUMBER EACH LIGHT OUTLETS _OWNER/QMPIC CJ7/ 4cAyxcA ox-,4AR/ST' RECEPTACLESMAIL _(T rl�}J� AS ABOVe ' ADDRE69 ay/7 - WALL SWITCHES - �/ /�� TOTAL OUTLETS 54 f D CITY/P/h K C/ /'x TEL NOS/`(_j4-,4j< 71C ELEC RANGES 25 ELECTRICIAN AR.L 6-eRAO6✓ ELEC HEATERS 25 ADDRESS AVk.D S1 KW EA _ FIXTURES 0 N CITY TEL NO J LICENSENO NUMBER OF LIGHT CIRCUITS I DISTRICT NO GROUP ZONE Re-OTrow INf Pf CT IOM -NUMBEF? E RC yam_ MOTORS �J NUMRRR HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVQN INC EACH L"s f 25 .rd — — 2 z ao _ 2 5 100 T _ a 15 1 50 15 50 250 J__ a0 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS _ OR EACH PERMIT _ WIRING $1 00 ^^a FIXTURES $100 SUPPLEMENTARY 50 APPROVALS TOTAL FEE f 20 DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTAL PROPERTY SIGNATURE �� ,,(//j�� UTILITY CO NOTIPIfiD 7 7 OF PERMITTEE FINAL / N {� u WILLIAM J FOX,COUNTY ENGItl 6[R J raV��lP% '1 'Z 42'0 p By DEPUTY m ' WORKERS COMPENSATION DECLARATION BDbC'806 I0/81 APPLICATION FOR ELECTRICAL PERMIT I hgreby affiLm that I have a certificate of consent to self CC � insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) - P❑olicy No3! Company 2 X�Q FOR AMICANT TO FILL IN �E� ^/ Certifi opy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE I� f — Certified copy is filed with the unry buildingmspec 1 8 ti Family Sq hon deportment / Multi-0omdy$q Ftt NEAREST Applicant LOCALITY CRO55� V Residential Swimming Pools OWNER OR Q Dare FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets Rec_llght_Sw_ ADDRESS hie sectbn need not be coral listed N the work Involved First 20 P the permN Is for one hundred dollen (1100)or InTotal No Additional s ) CITY Tel NoCHE .W�� I codify that in the performance of the work for which this APPLICANT PILAN permit is issued, I shall not employ any person in any manner n so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 1 ADDRESS ' Total No Additional CITY Tel No Date T If ant Fixed Appliances Not Over I HP PERMIT NOTICE TO APPLICANT If after making this the Wore of APPLICANT Exemption, you should become subject to the Workers Range_ Heater_D W Compensation provisions of the Labor Code you must forth- Oven _ Dryer _W M _ ADDRESS With comply with such provisions or this permit sholl be To — FAU —W H — deemed revoked Hood Fan Other_ CITY Tel No — _ LICENSED CONTRACTORS DECLARATION LICENSE OR Dinp — Room Air Cond — Cions I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER G } (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliance DISTRICT NO PROOF D Y S d and Professions Code and my license is in full force and effect o ,��v Size 8 Type HP KW KVA w KVAR ✓! D License Numbs LI Cls. Up to 1 Incl DATAEL _ 7 Q� O 6 Over I to IO Incl G Cl yAL1D Ub Contractor re Over 10 to 50 Incl FIN W ❑ I am exempt under Sec Over SO ro 100 Inc BY d B 8P C for this reason Over 100 Z Dote Services, Swbd, MCC& Ponelboards 0 -200 Amp Under 600 V �`/I� S_ Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V y 2- SINGLE FAMILY Temp Power Pole 8 Appurtenance I hereby affirm that I am exempt from the Contractor's License HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit Additional Sign Branch Circuits for the following reason (Section 7031 5, Business and Professions Code) I ❑ I as owner of the property will do the work and the Mis< Conduits d Conductors structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)_ polo Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby off irm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Civ C ) Lender s Name ✓/0 . ) PLAN CHECKING FEE - ll A/ O PERMIT ISSUING FEE - Lender s Address �,C I codify ?hot I have read this apt to and state that the TOTAL FEE C,/ lSQ above information is correct I agrmply with all County ordinances State lows re uectrical wiring and hereby au iz represent. sounty to enter upon the oboe -me coned prop fotion purposes 6 SEE REVERSE FOR EXPLANATORY LANGUAGE Signor ermit a !Date b WORKERS'COMPENSATIONDECLARATION 7SA663 IZ 801 CE-80S APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES i BUILDING AND SAFETY insure or a certificate of Workers Compensation Insurance,or ecertifico � o�(�c63 eb r Po cy No pa FOR APPLICANT TO FILL IN JOB ✓ L� New Residential Bldgs&Poole EACH NO FEE ADDRESS L C died copy is hereby furnished /— $ — S LOCALITY s 1 ul 2-Feml ySri Ft _ Q r Multifamily Sq Ft Certif d copy u filed with the unty b (ding inspection CROSS ST dap men // Residential Swimming Pools _ OWNER OR Date A Ilea.. 6 C FIRM NAME PP Outlets Rec—Light See _ ADDRESS —7ISe 20 C TI FICATE OF EXEMPTION FROM OR KERS' Total No Additional CITY Tel No y COMPENSATION INSURANCE a PLAN CHECK (This section need not be completed if the work Involved ' APPLICANT Lighting Fixtures First 20 by the permit u for one hundred dotlan (5100) or less) Total No Additional 'ADDRESS O I certify that in the performance of the work for which thisCITU Tel No F U permit is Issued, 1 shell not employ any person in Fixed Appliances Not Over 1 HP any manner PERMIT Luso as to become subject to the Workers' Compensation Laws Range_ Heater D W PPLICANT ✓ i Oven _ Dryer—W M ADDRESS Z Date Applicant Top _ FAU _WH _ Hood _ Fen _Other_ ,CITV Tel No Z— NOTICE TO APPLICANT If after making this the Wo to of Disp _Room Air Condom_ L R Exemption, you should become subject to the Workers EG NUMBE Clea 1, - 111 D Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO P ES V with comply with such provisions or this permit shall be Size Type HP,KW, KVA,or KVA D' deemed revoked ' t /1 r a Up to 1 Incl o! LICENSED CONTRACTORS DECLARATION _ Over 1 to 10 Incl DATEL RI–s� 4 VALIDATION Over 10 to 50 Incl U 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 Blast Over 100 By nets and Professions Code, and my license is in full force and effect Services License Number Lic Class 0-200 Amp Under 600 V 6 d 201 1 ODD Amp Under 600 V Contractor Date 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 S Bwi Additional Sign Branch Circuits ness and Protestors Code) $0 8 Q 5 A Mise Conduits&Conductors ' I, as owner of the property, will do the work and the, Other (See Complete Fee Schedule)— ` •'•I• • • 2 structure u not intended orioffered for sale (Section 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 2 • • • 9 50 I hereby affirm that there is a construction lending agency ' for the performance of the work for which this permit u t 9 5 0 issued(Sec 3097 Civ C) PERMIT FEE (Sub Total) ,• • •)• Lender's Name PLAN CHECKING FEE (One Fourth Permit Fee) 0 a 2 4 8 1 i Lender's Addrm PERMIT ISSUING FEE I I certify that I have read this application and state that the TOTAL FEE above information as correct I agree to comply with all County ordinances and State laws regulating Electrical wing, and hereby authorize rep sentahves of this Coun[y to a ter u n ` the ab a me bone rope entaty r impaction Duro _ / SEE REVERSE FOR EXPLANATORY LANGUAGE Slinirtuile of Penitt Date I COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0601140035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (636) 385-0488 EXT LEGAL ID FERE PAID BUILDING ADDRESS OH FILE 5172 SSRINO DR FEE DESCRIPTION QUANTITY VOM AMOUNT TEMP CA 91760 ' ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET -ROSEMEAD 5388-010-061 Al PERMIT ISSUANCE FSE 27 75 THOMAS PAGE ` GRID - LOCALITY -TEMPLE CITY, C LB 700 AMP PANELS MCC 1 00 PAN 38 85 TENANT TOTAL FESS 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 01/14/06 JE 08/13/06 OWNER TEL NO FINAL BY CODE TEMPLE CITY CHURCH OF CHRIST (616) 186-6676- 5171 BERING DR TEMP 917803041 DE IFTIOH OP MORE ==RUCTION OF WIRELESS CELL SITE FOR T-MOBILE SERVICE PANEL 100'AMP APPLICANT TEL NO SHAHS M TAEABASHI (714) 767-3540- 5911 BOLSA AVE STE SPECIAL CONDITIONS HUNTINGTON BEACH CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE INLAND VALLEY CONSTRUCTION (909) 875-2131- 16381 ELOPER AVE LIC NO _ TEMPORARY POWER POLE BLOOMINGTON CA C041170 A - UNDERGRODND CQ2UIT ARCHITECT OR ENGINEER TEL NO WAM GPO ACO ARCHITECTS, INC (949) 716-9940- 16170 ENTERPRISE 0600 LIC NO ROUGH CONDUIT LAXE FOREST CA 91630 NONE ROUGE WIRING MAIN WATER LINE - PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED • ADDITIONAL DATA ON PILI REPORT ID DRUGS ROUTE TO BE0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORM 9701 LAS TUNAS EL 0508 1005180001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE it 5272 SERENO DR �IFEE DESCRIPTION QUANTITY 00M AMOUNT TEMP CA 91780 ASSESSOR INFORMATION NUM03ER NEAREST CROSS STREET ROSEMEAD _ 5388-010-062 - Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY CI LA 100 AMP PANELS MCC 1 00 PAN 38 85 TENANr _ TOTAL FEES 66 60 ISSUED ON - PROCESSED BY PIAN BY CLEARWIRE - - 05/18/10 SR OWNER TEL NO (TEMPLE CITY CHURCH OF CHRIST (626) 286-6676- FINAL DATE Y CODE 5272 SERENO DR TEMP 917803042 ISS RIPTION OF WORK INSTALL NEW 100 AMP SERVICE TO PROPOSED NEW COMMUNICATIONS I (CABINETS NEW SCE METER APPLICANT TEL NO BEMIS DEVELOPMENT JEFF PARRISH (714) 730-0606- 250 EL CAMINO REAL SPECIAL CONDITIONS TUSTIN, CA 92780 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE NETWORK COMMUNICATIONS INSTALLATION (714) 278-1019- 2478 E FENDER AVENUE SUITE H LIC NO TEMPORARY POWER POLE FULLERTON, CA 92831 B,C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO IUFER GROUND I IDERRA DESIGN, INC (714)EA730-0606- �I 250 EL CAMINO RL, SUITE 216 LIC NO ROUGH CONDUIT TUSTIN CA 92780 NONE ROUGH WIRING MAIN WATER LINE I I (PLASTIC Y/N METAL Y/N I I JUTILITY COMPANY NOTIFIED I I I I I I I - I I I I I I I • ADDITIONAL DATA ON FILE I REPORT ID DPR265 ROUTE TO BSO 08 I I I