HomeMy Public PortalAbout5564 SULTANA AVE_Electrical__ f COUNTY OF LOS ANGELES APPLICATI/O�N FOR PEUMIT
DIVI'/Department of County Engineer
SION OF BUILDING & SAFETY
WILLIAM J vox. c■■■b E■EI■Mr
FOR APPLICANT TO FILL IN DISTRICT NO. ORDUP ZONE PERMIT NO.
ELECTRICIAN _/
RLCEIVED READY ran CAT[ ISSU
ADDR[HS — p ►IRBT INBPEOTION
CITY TLL NO
COUNTY LICE&K NO . EXPIRES BUILCIND r•�
PERMIT FEES ADGRrBa _]
NUMBER EACH FEE LOQALI
LIGHT OUTLETS NEAREST
RECEPTACLES ROBE BT
WALL SWITCHES OWNS
TOTAL OUTLETS 60 MAIL
EL[Q RANGES 29 ADDRESS
[LEI. HEATERS a6 OI TEL NO
rIXTUREB 6
I HEREBY ACKNOWLE [ THAT 1 HAVE ROAD THIS
MISC APPLICATION AND STAT THAT THE /1SOV[ IS CORRECT
NUMBER OF LIGHT CIRCUITS AND ACRE[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER Or RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIrY THAT I POBBEBB THE ABOVE VALID LOS
NBM■[R HORB[POWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW Nw NP OVER INC �QN or THE RESIDENTIAL PROPERTY DESCRIBED ASOVL
■ LL■■ 41 26 SIGNATURE Or
a BO P[RMI
a B 100 INSPECTION RECORD
_ B is 1 Bo
is BO 280
BO 200 B QD
aaD 60C
coo J
Sao 1000 1500 Q
Z
OVER 1000 20 00 0
M O zim/rRM CHANGER-HP Q
WELDERG.AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (77 Or ORIS)
MOVED MOTORS (76 Cr CRIB)
Misc.
SIGNS
N0. MO.TRANS. APPROVALS
NO LAMPS
rOR EACH PERMIT. WM D IMSP[OTOR7 NAME
WIRING 1 Ob CONDUIT
rixTUREB 01.00WIRING
, SUPPLEMENTARY6O fIXTUR[B
5 POWER
TOTAL FEE •2 UTILITY OC.NOTIFIED
FINAL
7■Aau Bee#■A a-W
761b63a P6Ill "0' APPLICATION R ELECTL-P RM_ IT
COUNTY OF LOS ANGELES BUILDING AND SAFETY -
FOR APPLICANT TO FILL IN JOB EACH ADDRE
_ - 56S-S G _-- ✓ L - _..+
New Resideritiol Bldgi&Pools NO •- -FEE .-
1 &2 Family Sg Ft S 025 - S LOCALITY C
Multi family Sq Ft '02 FiEAREST
Residentiol Swimming Pools 25 00 CROSS ST
WN
''//QQ FI AM J
Outlets Rec&Light•�Sw" — ADDRESS L /i
First 20 50 ~
_ Total No 02 tT - Addnwnol- 30 CITY _ _ Tel No
PLA CFIECK
• APPLICANT
Lighting Fixtures First 20 50 ADDRESS
dnwnol - 30_
Totol'No AdCITY l Tel No _.-
Fixed Appliances Not Over lHP_ _ _ _ MI - - ----
APPLICANT '
Range_Healer—D W
Oven_Dryei W M_ ADDRESS - - - - -- -�-' -
Top —FAU W H _ CITY _• Tel No
Hood Fin _Other_ LICENSE OR `
Disp —Room Au Cwd _—_ 250 REG NUMBER - _ _ 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
COMPLY WITH-ALL COUNTY-ORDINANCES-AND STATE-LAWS
Size&Type HP KW KVA or KVAR 2 50 REGULATING ELECTRICAL WIRING O
Up to 1 Incl --I 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
_ Over 10 to SO Incl 12 50 - CALIFORNIA OR THAT I AM THE LEGAL OWt{ER OF THE ABOVE .-0
25 00 DESCRIBED RESIDENTIAL PROPERT ,• I
Over 50 to 100 Inc - --00 PERMITEE. _ __�
Over 100- _ SIGNATURE
Services •--- - - _ 12 50 DISTRICT Y - �
0 200 Amp Under 600 V
201 1000 Amp Under 600 V 2500 - - - -
Over 1000 Amp or Over 600 V 5000 Z ,
O
Temp Power Pole&Appurtenances •10 00 -- -Q
Sign with One Bronch Circuit - 1000 r as
Addnwnol Sign Branch Circum +' 200 _ INSPECTION. >
INFORMATION
MiK Conduits&Conductors 10`00 i ON REVERSE— '
Other(See Complete Fee Schedule)_ SIDE 27860A '
2
2 • • 2L90 -
PERMIT FEE (Sub Totall ~s �i
t_ _ • • • 21,905
i
PLAN CHECKING FEE (One Fourth Permit feel p O •I 120-79
PERMIT ISSUING FEE __ $7 00 i `-'rw�' 1=o I
Q
TOTAL FEE > _
INSPECTION FINALED
date By ®s
. v '
TeAeea-cELoe a.
e3 APPLICATION FORE CT� PERAUT
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
'COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL INNEAREST
MO EACH IL[ CROSS ST
S 3 OWNER
RECEIPT
MAIL
LIG KT TOTAL FIRST 20 12 20 ADDRESS
SWITCH OVER 20 10 CITY 1 TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 /'1 APPLICANT
FIXTURES }� OVER 20 10 V ADDRESS
RANGE DRYER_WTR HTR CITY TEL NO
STA COOK_DI SP _F A U CONTRACTOR
SPACE HTR _AIR GOND
ADDRESS G
CLOTHES WASH _DISHWASH CITY TEL NO �j
FAN OTHER 1 00 LICENSE NO CLASS `�I
MOTORS,TRANSFORMERS RATING I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND HEATERS, ETC HP KW KVA AND ELITE THAT THE ABOVE Is CORRECT AND AGREE TO COMPLY
SIZE a TYPE OVER TO WITHALL COUNTY ORDINANCES AND %TATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ./OR a
LICENSED AS REQUIRED BY LOS AVGELES COUNTY AND STATCOF Q
1 - 10 3 00 CALIFORNIA OR THAT 1 AM Tx E AL OWNER OF AND INTEND TO u
RESIDE IN THE ABOVE DESCRI CD RESIDENTIAL PROPERTY
10 — SO 5 00 Oc
SIGNATURE O
SO — 100 10DO OF PERMITTEE el G
w
100 — 500 15.00 Dle•nT¢r No G.QIL& Eo n ce Der N
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 `' � _v ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 00 NOT
SERV ICE NOT OVER 600 VOLTS OR 200 AFP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE. POLE, h APPURTENANCES 3 00 APPROVALS D�fiT3eI. -SPECTgYf SIOAATR
FFIXTURES
ER POLE V
B WORK
DUIT L
PERMIT FEE (SUB TOTAL)PLAN CHECK FEE (50% PERMIT FEE) THORIZEDPERMIT ISSUING FEE 200 NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1 DO
TOTAL FEE JOSE PN C ROOH '
SUPERVISING ELECT ENGINEER
PLAN CHECK VALIDATION CK M o cAex PERMIT VALIDATION CK M D CASH
• 3AAC0. 67340 2D $3.60 SEPT- 14 ?
TLL RACK GF APPLICATION FDP rOUPLFTE IPE SCHEDULE
C t
APPLICATION OR ELECTR AL PERMIT
COUNTY OF LOS ANGELES BUILDING AND♦SAFETY
FOR APPLICANT TO FILL IN WDRESS V L
New Residential Bldgs &Pools - EACH NO FEE
1 &2 Family Sq Ft f 025 — f LOCALITY ,e G C
Multi family Sq Ft 02 NEAREST
ST
Residential Swimming Pools 2500 WN T
FIRM NAM J•
Outlets Rec—Light_Sw _ MAIL ADDRESS_.!;-<,4.,/ 14;1_r
Total
20 50
Total No Additional 30 clTv CT �sr el Nods�
A LLICA iK _
Lighting Fixtures First 20 50 AD
Additional 30
Total No CITY Tel No
Fixed Appliances Not Over I HPRM
Range—Heater—DW _ APPLI NT
Oven—Dryer_W M— ADDRESS - ,
Top _FAU —W H _ _ CITY _ e No_
Hood—Fon —Other—
Dap _Room Au Gond 250 REG NUMBER
1 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 HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Type
50 REGULATING ELECTRICAL WIRING
Up to 1 Ind I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Y
Over 10 to 50 Incl _ 1250 CALIFORNIA OR THAT I AM THE LEGA OWNER OF THE ABOVE
Over 5010 100 Inc 25 00 DESCRIBED RESIDENTIAL PROPERTY s
Over 100 _ 4000 _ PERMIT EE _
SIGNATURE
Services IIIIIIII
DISTRICT NO P E DBY
0 200 Amp Under 600V 12 50
201 1 GOO Amp Under 600 V- 2500
_
Over 1000 Amp or Over 600 V 5000
Temp Power Pole&Appurtenances 1000 `
Sign with One Branch Circuit 10 DO 70
Additional Sign Branch Circuits -200 INSPECTION >
Misc Conduits&Conductors 10 00 INFORMATION-
Other(See Complete Fee Schedule)_ ON REVERSE tri
SIDE' -\
8526-5A
# • °1e a 02
PERMIT FEE (Sub Total)
2 • • 19,50
PLAN CHECKING FEE Ione Fourth Permit Feel
• • • 19,50
PERMIT ISSUING FEE $700 c
TOTAL FEE Fs .� i > 71 O 5-7 9,
INSPECTION FL%LED
date By By ms
j �O / / 1
7eA683-cee06 Ino' APPLICATION FOR ELECTRICAL IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN JENKINS INTENDENT Or BUILDING
NEAREST
FOR AP LICANT TO FILL IN CROSS ST 1iV
OUTLETS " rE
OWNER
S S
REC EPT_ MAIL
LIGHT TOTAL
FIRST 20 20 ADDRESS
OVER 20 CITY TEL NO
SWITCH i_� ID PLAN CHECK
LIGHTING FIRST 20 20 O APPLICANT
TOTAL
OVER 20 ADDRESS
FI XTU RES 10
APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYFR_WTR HTR_ APPLICANT
STA COOK_DISP_F A U _ ADDRES
SPACE HTR AIR COND CITY TEL N
CLOTHES WASH DISHWASH_ LICENSE NO CLASSC D
FAN_OTHER IOD I HEREBY ACKNOW LEOOE TXAT I HAVE READ THIS APPLICATION
AND !TATE TNAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMER! RATING WITH ALL COUNTY ORDINANCES AND !TATE LAWS REGULATING
]NO HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE a TYPE OVER TO
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
O — 1 IDO LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL OWNER OF AND INTEND TO
1 — lO 900 NESI.E IN THE A E DEB PEO RESIDENTIAL PROPERTY
6
SIGNATURE O
10 — 50 000 OF PERMITTEE U
SO — 100 1000 [E
DISTRICTNO CLASS GROUP 20 PRO S Y
100 _ S00 1000 T O,
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES r N
TUBE OR Z
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200AMP 200 ✓
APPROVALS DATE 00RECl01PS SIG4TUR!
SERVI CE OVER BOO VOLTS OR 200 AM P 000
TEMP POWER POLE
TEMPSERVICE,POLE,IN APPURTENANCES 300
UNOERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONOIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED QY
PLAN CHECK FEE (60i PERMIT FEE)
PERMIT ISSUING FEE 200
V✓ UTILITY CO NOTIFIED
FINAL pO _
SUPPLEMENTARY PERMIT ISSUING FEE 100
JOSE H ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
tUC06 9 0 31z SE?24 2 D 6.80-
SEE BACK OF APPLICATION•FOR COMPLETE SCHEDULE
WORKERS COMPENSATION DECLARATION76A663 10,61 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-806G
insure oro copy the of Workers' Compensation Insurance COUNTY OF LOS ANGELES I BUILDING AND SAFETY
or a certified copy thereof (Sec 3800 Lab C )
Policy No Company FOR APPLICANT TO FILL IN lL gALTANA
Certified copy is hereby furnished New Residential Bldgs $ Pools EACH FIO FEE q
❑ Certified copy m filed with the county budding inspec- I $2 Family, Sq Ft 6 — f LOCALITYzn
tion deportment Multi-family Sq Ft — NEAREST
Residential Swimming Pools CROSS Sr
OWNER OR
Dote Applicant FIRM NAME Y
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light_$w_ ''AIL
COMPENSATION'INSURANCE First 20 ADDRESS
(Th4 Faction need not 6P completed IF this work Inwlwd by Total No Additional CITY Tel No
the perrrtlt Is for arra hundred dollars ($100)or loss) \
I certify that in the performance of the work for PIAN which this PLAN CHECK
permit is issued I shall not employ any person in any manner 1 APPLICANT
so as to became subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS
/,– `.�Oa Ara
Total No Additional CITY Tel No
Dote T//�' .LICANT ant ��.cy 4s�✓ Fixed Appliances Not Over 1 HP PERMIT
NOTI T APPLICANT If after making this Certificate of
Exemption you should become subject to the Worker Range_ Heater_D W _ APPLICANT
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W M — ADDRESS ld_�b
with comply with such provisions w this permit shall be Top _ FAU _WH _
deemed revokedCIN Z4 Tel No
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other—
LICENSE OIR
hereby affirm that Dap _ Room Air Cord am licensed under provisions of Chapter 9 REG NUMBER Clea e-10
(commencing with Section 7000) of Division 3 of the Bustness power Apparatus B Large Appliances DISTRICT NO PROLE D BY
License Number 379!W Y
and Professions Code and my license is in full fo¢e and effect d
Size $Type HP KW KVA or KVAR
Uc Class III U
Uv tr 1 Incl FINAL ^ I
Contractor a�0/G��f 64 Date / /B-? Over 1 t 10 Incl DANA %y � VALIDATION 0
❑ .Z Over 10 to 50 InFINAL y
I am exempt under Sec Over 50 to 100 Inc BY d
B$P C for this reason Over 100 VI
Dote
Services Swbd , MCC$ Ponelbourds , Z
0 -200 Amp Under 600 V
Signature 201 - 1000 Amp Under 600 V
❑
Exemption fOver 1000 Amp or Over 600 V
or Reg Mainl Elect `7
SINGLE FAMILY Temp Power Pole Appurtenances k
HOME OWNER-BUILDER DECLARATION Sign w t rte ranch Circuit
I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits4 A
Law for the following reason (Section 7031 5 Business and
Professions Code) • • • • • 2
E:1 1, as owner of the property will do the work and the Mix Condmh$Conductors -- 1
structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)_ ► ,2 • • 2 550
7044, Business and Professions Code)
2550
CONSTRUCTION LENDING AGENCY
•r• •
I hereby affirm that there is a construction lending agency for �'Q, 2 - 83
the performance of the work for which this permit is issued PERMIT FEE - i (Sub-Total) -
(Sec 3097 Civ C )
PLAN CHECKING FEE -
Lender's Name
PERMIT ISSUING FEE _
-Lenders Address
I certify that I have read this application and state that the TOTAL FEE
above information is correct I agree to comply with all County
ordmonces and State laws regulating Electrical wiring and -
hereby authorize representatives of this County to enter upon
the above mentioned pro arty for i ction purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
!
Signature of Permittee D r /dre e
WORKERS COMPENSATION DECLARATION 7&AW 10,81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affvm that I have a certificate of consent to self CIE 806G
insure, or a certificate of Workers Compensdtion Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec 3800 Lob C )
Polity No /4 59 Company OAij FOR APPLICANT TO Nll M JOB �1
IywlF Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 5,56S4L 7—AAJA
Certified copy is filed with the county budding inspec- I &2-Family Sq Ft f — $ LOCALITY TEM o /Ty
nen deportment /��s Cl
Multi family Sq Ft . NEAREST
CROSS ST LAS T9'.vAS a
Date///&A APPLcont .1$7.4 0 ZC Residential Swimming Pools OWNER OR
t _ y� '���..ss FIRM NAME W
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Ught$LLSwaFS[ MAIL qq
COMPENSATION INSURANCE ADDRESS �/� fNC/A/TA`
(This section need not be completed If the vrork Involved by ry� First 20 CITY T Tel No rL p t
Mo permit is for one hundred dollar($100)or less) 'Total No�lL Additional �MR6 C do .S 0�6
I certify that in the performance of the'work for which this PLAN
fgM r '
permit is issued I shall not employ any person in any manner
so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS
Total No C20 Additional CITY Tel No
Dote Applicant Fixed Appliances Not Over 1 HP PERMITpp
NOTICE TO APPLICANT If after making this Certificate of APPLICANT1 — �V
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 Q 9
with comply with such provisions or this permit shall be T — FAUW H — G
deemed revoked CITU £ Tel No /
LICENSED CONTRACTORS DECLARATION Hood _ Fan �Other_ �•7
LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp L Room Air Cond J REG NUMBER J/47,9t,9 Class �I
(commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCE BV }
and Professions Code,and my license is in full force and effect d
pQ Size 8 Type HP, KW, KVA, or KVAR O
License Number A7. /0 L¢ Class C�� FINAL V
Up to 1 Incl 'p 'p/�
AS7ZO 4A x/3//[3 `� Over I to 10 Incl GATE VALIDATION 0
Cannactar Dote Over 10 to 50 Incl
❑ FINAL ri—
I am exempt under Sec Over 50 to IOD Inc � BY �, d
B BP C for this reason Over 100 i
60Z
Dote Services, 0 A MCC Parrolboards ►
0 -200 Amp Under 600 V
�
Signature 201 1000 Amp Under 600V
❑
Exemption fOver 1000 Amp or Over 600 V
u Reg Mamt Elect
SINGLE FAMILY Temp Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circus _ §24 1 5A
I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits s s s s
Low for the following reason (Section 7031 5 Business and 2
Professions Code) '
I as owner of the property will do the work and the Mise Conduits&Conductors 2 - 1 0 A'5 0
structure" Bun
not intended or offered for sale (Sather Other (See Complete Fee Schedule)_ ► 's rs 10650'
7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY 0602-83
1 hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) -
(Sec 3097, Civ C )
PLAN CHECKING FEE
Lender s Name
PERMIT ISSUING FEE Q ,
Lender s Address
1 certify that I haveread this application and state that the TOTAL FEE _
above information is
correct I agree to comply with all County
ordinances and State jaws regulating Electrical wiring and
hereby authorize representatives of this County to enter upon
the above-mention for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permmee Date
COUNT? OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT
DEPARTMENT OF PL18LIC WORKS 9701 LAS TUNAS EL 0508 0105230017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT:
LEGAL ID. FEES PAID BUILDING ADUKt-65
ON FILE 5564 SULTANA AV
FEE DESCRIPTION QUANTITY UOI AMOUNT TEMP CA 917802322
NEAREST CROSS STREET BROADWAY/LAS TUNAS DR
5387-026-017 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
LB 200 AMP PANELS, MCC 1 00 PAN 38 B5
TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BT7_nXN BY B(PIRES ON
D5/23/01 UT 11/19/01
OWNER, TEL NO FINAL DATE FINAL BY CODE
PICA KENNETH J,SHARON E (626) 286-4174-
5564
86-4174-
TEMP SULTANA178022V 6ESL9iTFYfiOf 6F J
CHANGE-OUT BURNED OUT PANEL (200AMP)
APPLICANT
SAME AS OWNERCONTRACTOR -
SPECIAL CONDITIONS
PT4GELES CO APPROVALS DATE INSPEErM_9rffUr0Wr__
SAME AS OWNER UtiTy -
LIC NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL. NO__ UFER GROUND
LIC NO �l� �lllROUGH CONDUIT
ROUGH WIRING
11 ED)L C V/\1\10 C K � PLASTIC Y/N METAL Y/N
Urrn7T-EWANY NOTIFIED
��J �V�V�I .\U ll �NNJJJ
A D 00 j �N�l��
Gb/�C
ser
v0e IV, I tr
REPORT ID DPR265 ROUTE TO BS0508