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►754BE806 1/70 APPLICATION FOR ELECTRICAL 'PERMIT ,
1- COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER � JBUILDING 4 'z/ 0
j O _e
BUILDING AND SAFETY DIVISION AZIDDRESS �p �V
` JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY e /� Ct
�. COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
NEAREST _��
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE / /
OWNER L / C CWD 71 (SCLC
RECEPT._ $ $ ADDRESS Z. I0 /P �/� u
LIGHT TOTAL FIRST 20 . A f
20 �7�-
SWITCH OVER 20 10 CITY e, C / TEL. NO.
PLAN CHECK
FIRST 20 20 APPLICANT
LIGHTING TOTAL
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT 8 Plt-
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CI TY L o 5 {o TEL. NO q 3 j
CLOTHES WASH. DISHWASH. LICENSE N0. 0 q CLASS. C-gyp
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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
O — 1 1.00 LICENSED AS REQUIRED BY LOS ANGEL S COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T LEG L WNER OF ND INTEN TO
1 — 1O 3.00 RESIDE IN, THE AS Sc RESIDE TI P TY.
a
SIGNATURE Q
10 - 50 5.00 OF PERMITTEE V
50 - 100 10.00 Ix
DISTRICTNO. CLASS IGROU ZONE PR CESSEq,BY
O
100 - 500 15.00, X
V
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: h
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 ?
SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICEOVER 600 VOLTS OR 200AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM . 1 3.00 () fJ
ROUGH CONDI UT
7-1t A WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 2 (y t7
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
JOSE C. RO N
TOTAL FEE d 0 SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK.' M.0. CASH
a '9 OCT 2 2 2 D 5.0 0� q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE.
DBB SA 85M BETE 8-47 B�A�TI®N FOR PERM
DEPA�9.'N�� ®F �iJY1�YDIloTG !� SAS ': 1���
COUN'T'S OF LOS ANGELES ELECTRIC
WM. .1. FOX CHIEF ENGINEER .n
Z ' • t" -�' �� , DISTRICT NO. GROUP I ZONE PERMIT NO.
� - AME. ,ti •'t' •' 1_ �!�-I 4 ���D� �•!. � �� �
ADDRESS -1 �/'1 "l�!'� �% +r�lJ ii! /.t�ln Ill: IAJ 1�7
CITY RECEIVED 13Y READY FOR DATE ISSUED
W CERT.NO.• EXPIRES ` 7 FIRST INSPECTION
APPLICANT FUL IN HWAVILY airm mmPORTION ONLY
JOB
IDESCRiPTIOI\i OF WOE ADDRESS !f �' .� •
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS /
NEAREST
LIGHT OUTLETS SW. PLUGS FDLT CROSS 8T. IJ
CIRCUIT �A,/� B CID E F G H 'r 0! NAME /P P Iff C 7
Z MAIL
3 ADDRESS
CITY TEL.NO.
.s 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGF_ 5 COUNTY CERTIF CATS OF QUALIFICAYIO ..
5
L'ILu=mbI ISI.
H AM T=I==OWNER OF THE PROPkDESCRIBED
ABOVE
OWNER.
Qom'mons
SAM.
Z
I7
'DOTAL i
NO. OF OUTLETS $ --APPROVALS
NO. OF FIXTURES �+S $ DATE INSPEC.rTOR'S NAME
NO. OF MOTORS N.P.• $ CONDUIT 6
NO. OF SIGNS TRANS. $ WIRING
[NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ F.Z UTILITY CO.NOTIFIED 144o
TOTAL FEE 0
F7 FINAL %r
D.B.S.SA SSMSETS 1D-47 L�CA'IlTION FOR '
D�� AM
� � g grMELECTRIC
�
T OF LOS MGELES
M. F CHIEF ENGI EER
< E DISTRINO. GROup ZONE PERMIT NO.
'STFU ADDRESSREADY FOR
U
CITY .NO. EIVED FIRST INSPECTION DDATE ISSUED
COUNTY
OERT.NO. EXPIRES
"PLiClllolT FML IN EWAVMY OUTLINED PORTION ONLY
JOB DESC EMON OF WOE DDRESBrr�
NUMBER OF OUTLETS ON CIRCUITS LOCALITY G N�
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FIItr CIS
OSS
CIRCUIT A B C D E F G m NAME
Z MAIL
3 ADDRESS
LS 0 O
CITY TEL.NO.
}�( 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGK.ES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
U / E IAM YE1NOWNER OF PROPFItTY D RIBED
• owNER.
CO ONS,
J
Q
_Z
m
O
TOTAL
NO. OF OUTLETS $ APPR0VAR
I NO. OF FIXTURES $ DATE INSR'S NAME
NO. OF MOTORS H.P. III CONDUIT \ y
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS FIXTURES
MISCELLANEOUS POWER
PERMIT FEE lR UTILITY CO.NOTIFIED
7WA6 FggFINA �!
DSS SA 25M SETS 7`47' - - •'t-
DEPAIBTMEW OF. 4BIJILIDINIG-A1911D S ;;:; ��+ �'�®11T �'4��' P
' �II llTY OF LOS ANGELES �e�� �� .
_ 'M. J.
FO CHIEF ENGINEER
a cam- -h-
u
f .t � i -�.�/1, . DISTRICT NO. 'GROUP ZONE PERMIT NO.
a NAME (2"'l—Lo L+-4 :T.r
-ADDRESS � �i n /I f./ �'L-fie-../ `/f�. �G' �• `-:/ v�� . �/ � -
~
CITY /_p� TEL NO lI rI•_ 'L�I,r .;a' RECEIVED BY FIRST INSPECTION RKAdY FOR DATE 168UED i
CERT.NO. l EXPIRESCOUNTY
=
APPLICAW
-2 /_r1
FHL IN MAVMY-O T!'EINM PORTION ONLY
I]9.'r►SCMMON. Ob`.Wo RK -:,DDRESS .XON / s"% 4 . rL.�rr'�i�
r � r
NUMBER OF OUTLETS ON•CIRCUIT8 ti LOCALITY L ��.,t..1•rD�/�/ _�/t/`r
LOCATION 13Y ROOMS /v L
NEAREST '/
LIGHT-OUTLETS - SW. PLUGS IM s CROSS ST. / /,
CIRCUIT A B• C D -E- F G H �:W NAME /w}ItC+`• /ffi _. �'1. 1•'�
er• •;,Z MAIL
3 ADDRESS
CITY _ TEL NO.
1 AM THE LEGAL POSSESSOR OF `THE ABOVE LOS
i'ANGLES COUNTY CERTIFI T-4 05 QUALIFFIyCATiaPN�l./{ .
.0 tw ELECTRICIAl&
9 AM'THE LXQAL OWNER Oir THS PROP6ATY DESCRIBED
)-ABOVE r
a{;
_ OWNER..
9 _ COOILS
• J
TOTAL
APPROVALS
NO. OF OUTLETS
1 -NO. OF FIXTURES ffi CO DATE. INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO. OF SIGNS -TRANS. ffi WIRING
NO. OF RANGES OR HEATERS, ffi ' FIXTURES
MISCELLArmo S ffi ' ' POWER
PERMIT FEE ffi' U7ILITYCO.NOTIFIED •/J
TOTAL FEE FINAL. GI L3 '�
76AG63-CES06 8/63 APPLICATION_ FOR .ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING f
BUILDING AND.SAFETY DIVISION ADORERS s
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSSS T.
RECEPT. "7A. TOTAL NO. EACH FEE E e a
OUTLETS FIRST 20ffi OWNE
LIGHT MAIL �'
SWITCH. 5 OVER 20 �� .10 / IY1 ADDEtEsB d o f 1
LIGHTING
TOTAL FIRST 20 L A� CIT TEL.NO.
1�
FIXTURES J ADo'L
OVOR 20 to ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS ,Wla ae,i j C� LVId
GARB.DISP. BTA.COOK
CITY $ P-"S
E TEL..NO. 9—9.811
DISHWASH. AUTO.-WASH. STATE n• s
SPACE HTRB. STA.APP.IVa H.P.MAX.) .50 LICENSE NO. d
MOTORS& OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE P O E D B
1 , r
O 1 1.00 (1• ® n3
1 + �. '10 .� INSPEC ON RECORD
3 s 2.00
s 15 2.30
15 so 3.00 O
so foo 5.00 g u
W
SIGNS& NO.TRANS. C
NO.LAMP8
I Z
SERVICE 0.600V-NOT OVER 200A 1.00 '
SERVICE O.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
i
PERMIT ISSUING FEE bo
SUPPLEMENTAIRY PERMIT ISSUING FEE 1.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S'BIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
CONDI>,IT'
WITH ALL-COUNTY ORDINANCES•AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REOISTERED AND/OR
LICENSED AS REQUIRED-BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THA I AM THE LEGAL OWNER OF THE ROVE
DESCRIBED RESIDE IA P ERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEOf I
FINAL
VALIDATION A HUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
,bo.Q 0 3 9 .sem - a 1570-
Y
76163-CE606 468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES T
DEPARTMENT
BUILD NG AND SAFETY DIVISION ER ADDRESS Z� t] .-r I Cl/ 1�V
JOHN A. LAMBIE. COUNTY ENGINEER ��
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.NEAREST � V
NO. EACH FEE
$ S OWNER Kwpe FIA,
RECEPT._ MAIL / J'•
LIGHT TOTAL FIRST 20 .20 ADDRESS
� Ziu
SWITCH_ /
OVER 20 .10 CITY r TEL. NO.
PLAN CHECK
LIGHTING �TCITAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HrtR._ CITY TEL. NO.
STA.COOK_DISP.—F.A.U._ CONTRACTOR -c
SPACE HTR. AIR COND. ADDRESS �Qn c, I✓c
CLOTHES WASH._DISHWASH._ CITY TEL. NO
FAN—OTHER 1.00 LICENSE WO. CLASS. �J
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 .1.00
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 v O LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG L OWNER OF, AND 1 T NO TO
10 - 50 5.00 RESIDE IN, THE A 5 .ED RESIDENTIAL ERTY.
SIGNATURE C7
50 - 100 10.00 OF PERMITTEE C
100 - 500 15.00 ~
DIST IC O. GROUP �)NEJA.4JOCESSED 'Blf uvl
TUBE,A SIGN AND ONE CIRCUIT 3.00 -'Z N
MARQUEE ADDITIONAL CIRCUITS 1.00
NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE. &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE.
TEMP. POWER POLE
UNDERSLAB WORK -n ri-71 't
ROUGH CONDUIT I
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE ..QO U� UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOS PH H
SUPERVISING ELECT CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K.
M.O. GASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE o'-��i /'A v 6-60
-60
FOA663-CESOG.7.56 APPLICATION FOR ELECTRIC PERMIT -�
BUILDING AND SAFETY.DIVISION.
Deportment of County Engineer BUILciNG �'
County of Los Angeles ADDRESS �i O /e'L, G
JOHN A. LAMBIE, COUNTY ENGINEER'
CASSATT 0. GRIFFIN,SUPT OF BUILDING LOCALITY Pt�a
NEAREST e
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
NUMBER OWNER G
i LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL.0b.
TOTAL OUTLETS ® 5Q $ ELECTRICI
ANr At ., u e 64
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY ftjDei TEL.NO.
KW EA ;STATE /4DFIXTURES 5 Ste sy
LICENSE NO.
MOTORS FEE �ISTRJCM.NO. I GROUP Z�NE I READY FOR INSPECTION
NUMBER HORSEPOWER I ...� I �oJTI1
NEW MVD. HP OVER INC. EACH
>�&LESS $ • .zs a INSPECTION RECORD
I/2 2 .50 a .
1
2 5 1.00 ;J
5 15 1..50
15 SO 2.50
50 200 5•.00 d " ".gyp �.� Ml L/
MISC. ���1� /fRGL V
rU P/.)/_ y -7#t
�AeNg d/_. /1 /9- IAS
NO.SIGNS NO.TRANS. A/ k�Yf�/y �'�/��® A
NO.SIGNS NO.LAMPS FIf�= Q _�e 6 Fly—
FOR EACH PERMIT:
WIRING PERMIT •$.1.00
FIXTURE PERMIT $1.00
SUPPLEMENTARY .50. APPROVALS
TOTAL FEE DATE INSPECTOR'S SIGNATURE
I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT l4
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I t+
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING, I
FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AICD/.OR
LICENSED AS REQUIRED—IN LOS NG ES COUNTY AND STATE OF POWER
CALIFORNIA ORT I G OWNER. OF THE ABOVE
DESCRIBED RESID AL b ER . o� UTIL'IT'Y CO.NOTIFIED ,+
SIGNATURE j I.y p w
OFPERMITTE FINAL.
10MAT LAMBIE. ARMATION ARTHUR C.VEIT.
3OU.NTY ENGINEER �K/ Mo "CASH SUPERVISING ELECTRICAL ENGINEER
�a
0 3' �. ��A 3 1 - 2.2 5
-7GA663-CES061-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER 7—
TOTAL
`
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING. LOCALITY r
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �
RECEPT. TOTAL NO. EACH FEE i_ G
1I OUTLETS $ $ Q OWN �I- O J e d<
LIGHT } FIRST 20 2O ^ MAIL
SWITCH JJJ ADD'L •1O ADDRESS
OVER 20
1 TOTAL FIRST 20 .20 CITY TEL.NO.
LIGHTING. l FIXTURES
FIXTURES 1 ADD•L to CONTRACTOR
OVER 20
RANGES DRYERS WTR.HTRS. .1.00 ADDRES. 151
.GARB.DISP.. STA.COOK / �j
CITYS TEL.'NO '. .;p� g9 9/
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .so
LICENSE NO. LEo5e7 kj
MOTORSs OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE P OC S8ED Y
O 1 1.00
5205 1
I s 1.50 INSPECTION RECORD
8 S 2.00
sI s 2.50
is so 3.00
so 100 5.00c O
Vis. ti "� .Pv"l�fG2 u
SIGNS: NO.TRANS �- DC
NO.LAMPS J
SERVICE O-SOON-NOT OVER 200A limo W
SERVICE 0.-600V-OVER 200 A. 2.00 y
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 S 6
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 r7(/ J'
ELECTRICAL WIRING. WIRING JA-4 .A'p.
1 HEREBY CERTIFY THAT I A OPE RE ISTERED AND/OR �i O*• �y S 1.�'
FIXTURES
LICENSED AS REQUIRED BY AN EL O TY AND STATE OF
CALIFORNIA OR THAT 1 A.HE. G L E F,AND IN NO'TO POWER r'1
RESIDE IN,THEE ABOVE DE R E N L PRO E
SIGNATURE UTILITY'CO.NOTIFIED .• r F n.,1° \..
OF PERMITTEE 4, w
FINAL.
VALIDAT JOSEPH C..ROOHAN
CK. MO SUPERVISING ELECTRICAL ENGINEER
2331 DEC 27 2 D 7.00-
DEPARTMENT OF BUH DING_AND SAFETY 1�r� riV1•f rv�s rr tE►nrr
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
�i DISTRICT No. GROUP ZONE PERMIT NO.
_ NAME ��1.7. v
U ADDRESS
!7 r r r Crlr RECEIVED BY READY FOR DATE SSUED
CITY f'7f,[ /"! _ 7/� TEL. x "f �' "°J FIRST INSPECTION
IOUNTY
CEERT.NO. (� -' EXPIRES :P�! f /'� '--. �`� ✓
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK. ADDRESS '�_ _/!{���°f •�
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION 13Y ROOMS NEAREST q
LIGHT OUTLETS SW. PLUGS mitt CROSS ST _
CIRCUIT A B O D E F G H 6 NAME �. • �,�z
MAIL
ADDRESS
O n
CITY As9'Y1 C]y _ TEL,NO.
1 AM THE LEGAL POSSESSOR OR THE ABOVE LOS
ANG€JXB COUNTY CERTIFTB OF)UA1f1FICA,ION..
/i !`f BLECFRIC1AN.
AI AM THE LEGAL OWNER OF TH6 PROPERTY DSCRIB
EED
OWNER.
Q CORRECTIONS
d �
— a
z
5
a
TOTAL
NO. OF OUTLETS ffi 't' i APPROVALS
1 NO. OF FIXTURES ffi ' DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi POW ER /�
PERMIT FEE ffi UTILITYCO.NOTIFIED
TOTAL FEE 1t� FINAL _ !�� ;"-! �\
�/ �
76A663-CE606 468 APPLICATION FOR ELECT ICAtPERMI.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �i�� eL� i9
BUILDING AND SAFETY DIVISION ADDRESS �s Cr
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
S s G?
RECEPT._ OWNERMAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO'.
PLAN CHECK
LIGHTING ITOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE-DRYER-WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP._F.A.U._ CONTRACTOR
SPACE HTR. - AIR COND. ADDRESS
CLOTHES WASH._DISHWASH._ CITY 5 EL. NO.
FAN-OTHER 1.00 LICENSE WO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 6 TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
• ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES CO NTY AND STATE OF r
CALIFORNIA OR THAT 1 AM LEG �, •R AND INTEND.TO
10 - 50 5.00 RESIDE IN, THE A S I: RE NTIA PROPERTY. CD
t C.D
50 - 100 10.00 SIGNATURE C
OF PERMITTEE
100 - 500 15.00 W
DISTRICT GRA;-UP NE PROCESSE BY
TUBE,GAS OR SIGN AND ONE CIRCUIT 3.00 �y� Z
MARQUEE ADDITIONAL CIRCUITS 1.00Imo-
NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTEN NCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED /��
PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIEq'/ 7 t^iq� T
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ' FINAL {j, ell
TOTAL FEE At JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION &
M.D. CASH
( �'...0 2 6 6:' vds.Y 29 D 4.0-o'er v
WE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��
COUNTY OF LOS ANGELES- APPLICATION FOR PERMIT
Department of County Engineer '
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX,'County Engineer . IF L
FOR APPLICANT TO FILL IN DISTRICT NO. GR//OUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE IMBUED
ADDRESS / p/� FIRST INSPECTION °�
CITY TEL.NO. ► o/V ��IeCJJL a
COUNTY LICENSE NO. EXPIRES BUILDINGB
PERMIT FEES ADDRESS Q aj f4#.4.e+�d�".P: GF!_ Id+t
NUMBER EACH FEE LOCALITYd1m,0.C.' !_ O%f.sw
LIGHT OUTLETS NEAREST r �'
RECEPTACLES CROSS ST. /sl.,4 W.6-ft--
WA LL
6-rWALL SWITCHES _ OWNER
TOTAL OUTLETS . 5O MAIL
&5.- �
ELEC. RANGES 25 ADDREB 4.2 OV 1.1fts-AAdds4rI P Ll
Y R
ELEC. HEATERS 26
CITY
FIXTURES. S HERY ACK�OW �E THAT INO.AVE
FIXTURES. E�AD THISM19C. - APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
rw;.M
OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
HORSEPOWER FEE -ANGELES COUNTY, LICENSE. ORA AM THE LEGAL OWNER
O. HP OVER INC. EACH OF.THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 S :.EBB $ .25 9IBNATURE °
_ V2 2 .50 PERMITTEE S t
2 5 1'00 INSOtCTION RECORD
5 15 1.5o
• 15 So 2.50
So 20o• 5.00
200 Sao. 113.13d J
• 500 1000 15.00 Z
OVER 1000 20.00 0
M.G. SET/FREQ. CHANGER-HP O
WELDERS:AC-KVA D
GENERATORS .- KW -
TRANBFORMERB KVA
TEMP. MOTORS (75% CP ams.) '
MOVED MOTORS (75% of ORIu:)•
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS'
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING 181.1313 ' O d CONDUIT I y� y/ _
FIXTURES $1.00 WIRING e2- 1 I NiVb� �7
SUPPLEMENTARY .50. FIXTURES
POWER' +
TOTAL FEE. IIIUTILITY DD.NOTIFIED
' FINAL
46A663 DBS#5A 4-52
COUNTY OF LOS ANSEUNS � ANP'L-MT= Pw PERT
DqpwftmM
°� ' ELECTRIC i
CW a���
WILLIAM L FOX.Oasob ENlaar
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPNE PERMIT NO.
ELECTRICIAN
REOlIVED SY• READY FOR DA 1■■Y
ADDRESS
ltldP F,07 Ra r FIRST IMRPlCTICN7
CITY Twl No.mew
OCUNTY UUMOK N0. IRE■ RUILDINS A o
PERM FEES ADDRESS OG
RUNNER EAAH FEE LOCALITY
UNHT OUTLETS NEAREST
RlOEPTAOLES ORO■■■T
WALL■WITONE■ OWNER Y-AAMF kA
TOTAL OUTLcm BD MAIL
ELt0. RAN■m SS ADDRESS d:
lLi0. NEATENS SB CITY TEL. NO.
FIXTLRO f 1 HERESY AOKNOWUCDS! THAT 1 HAVE READ THIN
MIND. APPUDATION AND ■TATE THAT THE ABOVE IN OORRlCT
NUMRCR OF LISHT OIRCUITN AND ANRiE TO COMPLY WITH ALL COUNTY ORDINANCES
NUM■!R OF R!olPTACLE CIRCUITS AND STATIC LAWN SEBULATIMS ELECTRICAL WIRIN■.
MOTORS 1 CERTIFY THAT 1 PO■■EB■ THE ABOVE VAUD LAN
Mumma HORSEPOWER FEE ANCO.E■ COUNTY UOlMSE. ON 1 AM THE LEMAL OWNER
• NSW MVD. HP ovcn IND. EAON OF THE RRSIDEMTIAL OPERTV DESCRINED ABOVE
NIRMATUR! of
B .BO PlRMI
B B t.m niSPECMN RECORD
s is tsa
1s ■1 LSA
Bo BOO 11.00
am Boo 10.01
Nm icon 7B.m Z
0
OVER 1m B0.m p
MA.
mcrlrnm& OHANNlR-H& ~ Lf
WELDl i AO-KVA ,I O
MENCRAT13M - KW
TRANSFORMERS - KVA
TEMP. MOTORS or ORI
MOVED MOTORS t or Gunn
MI
BIONS
N0. MO.TRAML APPROVALS
MU. LAMPS
FOR EADH PERMITt DATE INSPloTORIN NAME
WIRIN■ S1.m DO CONDUIT r�
FIXTURES 01.09 ApWIRINN
PPLEM RY O FIXTURco
POWER
TOTAL FEE B � UTILITY O0.NOTIFIED ls��
FINAL r
YaAoai Deal*M Si7
WORKERS'COMPENSATION DECLARATION I
CE-806G (2.80) APPLICATION FOR ELECTRICAL PERMIT
CE-806
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES .►�� � _ BUILDING AND SAFETY
insute, or a certificate of Workers'Compensation Insurance,or
a certified copy.thereof(Sec.3800,Lab.C.)
dpa21313Company-509 1 FOR APPLICANT TO FILL IN ,
Policy.No. pany 6 Z'��� ADD
New Residential Bldgs.&Pools EACH NO. FEE
ADDRESS
U
Certified copy is hereby furnished. i 1 &2-Family.Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. NEAREST
Certified copy is filed with the co my building inspection CROSS ST
department.' Residential Swimming Pools OWNER O'R AOA
FIRM NAME /
Date 4 pplicant �!/"`� Outlets: Rec Light-a Sw..� MAIL
'�E� First 20 ADDRESS ��
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.� Additional CITY
COMPENSATION INSURANCE I PSA CHECK D'
(This section need not be completed if the work involved I APPLICANT V
by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 AN
Total No. Additional O
I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No. V
permit is issued, I•shall not employ any person in any manner PERMIT
so as to become subject to the WorkersCompensation Laws. Range_Heater D.W._ APPLICANT oW.
N
• Oven _ Dryer_W.M._ ADDRESS
Date Applicant Top _FAU _W.H.._ —
Hood _ Fan _Other_ CITY sg , Tel No..� i
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 Z 12-Class v"1 0
Compensation provisions of the Labor Code,-you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCE SE BY
with comply with such provisions or this permit shall be I i
deemed revoked. I Size&Type HP,KW,KVA,or KVAR
Up to 1 Incl.
FINAL .�' -
LICENSED CONTRACTORS DECLARATION Over 1 f6.10 Incl. DATE4 -/ �_�3 VALIDATION
3
Over 10 to 50 Incl. /
Thereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
f9 (commencing with Section 7000)of Division 3 of the Busi- I Over 100 B
ness and Professions.Code, and my license is in full force and
effect. / d Services I Cy
License Numberul-�I.ic.Class D 0 200 Amp.Under 600 V �*"C�'' i .�l
l 201-1000 Amp.Under 600 V
Contractor LIA gjE7 Date �/ Over 1000 Amp:or Over 600 V
HOME OWNER-BUILDER DECLARATION , 4•r '
s Temp.Power Pole&Appurtenances
I hereby affirm that I am Oxempt from the.Contractor's Sign with One Branch Circuit 51 3,6 fly
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
2•
ness and Professions Code): jo a'3 9']
Misc.Conduits&Conductors ,
I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— a a �,�x
structure is*not intended or offered for sale (Section �' 3 9. ! „v
7044,Business and Professions Code). I dF• 9'.-8 G
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency ,
for the performance of the work for which this permit is I PERMIT FEE (Sub-Total) �Q
issued(Sec. 3097,Civ.C:),
Lender's Name ; PLAN CHECKING FEE (One-Fourth Permit Fee)
Lenders Address PERMIT ISSUING FEE
I certify that I have read this application and state that the I TOTAL FEE
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 abo a-men Toned property for inspection purposes.
SEE'REVERSE FOR EXPLANATORY LANGUAGE
SignaPer ittee Date
LA Wtd?./4 �/rl_ �����
I l ' WORKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT
ereby affirm that I have a certificate of consent to self CE-806G
insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. ADDRESSJD Ten►'1 It �t1� ,V
New Residential Bldgs. 8 Pools EACH NO. FEE
❑ Certified copy is filed With the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY e,,0a �I`'• 1 a
tion department. Multi-family Sq. Ft. — NEAREST
Date Applicant Residential Swimming Pools OWNER ORCROSS ST. LD h yet•
CERTIFICATE OF EXEMPTION FROM WORKERS' FIRM NAME �oLei Ci C umefk% SC
hoo
Outlets: Rec Light 1_Sw._ MAIL //��
COMPENSATION INSURANCE First 20 -71 ADDRESS (p,2JD YYI l- +f •
(This section I nerd not be red letoddolls if the work involved by Total No. I Additional CITYTe le Cat Tel. No-29 h6 ffb
the permit is for one hundred dollars($100)or less.) PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
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
11w, �1 Total No. Additional
Date 2 pplicant �-L�(JILL/111-� CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT QQ
NOTICE O APPLICANT: If, aft maki this Certificate of APPLICANT �, LA�CP' JG�10d
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 14,2 I O -0/e 84y Y11
with comply with such provisions or this permit shall be Top FAU W.H. — �p •
deemed revoked. .� JAI Ob CIT le �L6• Tel. N' e�gg�
LICENSED CONTRACTORS DECLARATION Hood Fan Other
d._ Room Air Cond. LICENSE
I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business power Apparatus&Large Appliances
DISTRICT NO. PROC BY p�
and Professions Code,and my license is in full force and effect. �`
Size&Type HP, KW, KVA, or KVAR (/ 0
License Number Lic. Class Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE ,� VA -TION
Contractor Date G Over 10 to 50 Incl. FIN ` W
❑ I am exempt under Sec. Over 50 to 100 Inc. B t].
BAP.C. for this reason
Over 100
Date: Services, Swbd., MCC&Panelboards
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑
Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V ;24627A
# 0 0 0 0 0 2
SINGLE FAMILY Tem Power Pole&Appurtenances pircuit ances ( o o 4 tL 0 0
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o 0 0 [j (�Q
Low for the following reason (Section 7031.5, Business and 5
rofessions Code): 0512-86
I, as owner of the property, will do the work and the
Misc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_
7044, Business 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 PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's 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
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
Gtr w _S7-//Z4_
ignatur of Permittee F Date
r
r
_ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0711130027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
ON FILE I 6210 TEMPLE CITY BL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
15385-016-034 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
I IG1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65
TENANT: IG2 LIGHTING FIXTURES 6.00 LGT 11.70 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I TOTAL FEES 53.10 111/13/07 SR 05/11/08
OWNER: TEL. NO: IFINAL DATE D 1L CODE:
PACIFIC ACKWORTH FOUNDATION (818) 287-6880-
16210 TEMPLE CITY BL
TEMP 917801749 IDESCRIPTION OF WORK
1 16 NEW LIGHTS, 4 OUTLETS, LOW VOLTAGE PHONE LINES & CABLE 3
SWITCHES
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO ITEMPORARY POWER POLE I I1
UNDERGROUND CONDUIT I
I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
LIC. NO: I IROUGH CONDUIT I I 1
IROUGH WIRING l
IMAIN WATER LINE 1
1 (PLASTIC Y/N METAL Y/N I I 1
(UTILITY COMPANY NOTIFIEDI 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 III I � I 1
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
IN M
COUNTY OF L9S ANGELES TEMPLE CITY # 0508ELECTRIC
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS �EL_p5Ci8_903�80&0&�—
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT: "
EGA ID: FEES PAID BUILDING ADDRESS:
ON FILE 6210 TEMPLE CITY BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749
ASSESSOR INFOR14ATION BER: NEAREST CROSS STREET:
5385-016-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRES ON:
03/18/97 TC 03/18/98
OWNER: TEL. NO: FINAL D"c FINAL 6" CODE:
PACIFIC ACKWORTH FOUNDATION (818) 449-3855-
1020 EL SUR AV l
ARCD 910064529 D SSF .iN-oF WO i "-
ELECTRICAL SERVICE PANEL UP. 4DE - 100 AMP
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE I SPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TE 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
.AIN MATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ' • ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - . EL 0508 9808120016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUI DI G ADDRESS:ON FILE 6210 TEMPLE CITY BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749.1
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5385-016-034 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
G2 LIGHTING FIXTURES 8.00 LGT 15.60
TENANT: G3 POLE MOUNTED LIGHTS 10.00 POL 22.50 ISSUED ON: PROCESSED BY: PLAN BY: EXP RES ON:
TOTAL FEES 65.85 08/12/98 UT 12/99
OWNER: TEL. NO: FINAL DATE FINAL BY- CODE:
PACIFIC ACKWORTH FOUNDATION (818) 287-6880-
6210 TEMPLE CITY BL
TEMP 917801749 RESCRIPTIUN UF WOR
LIGHTING FOR PARKING LOT AND AR ND BUILDINGS
APPLICANT: --TEL-. 0:
SECURITY ELECTRIC (805) 499-1002-
2635 LAVERY CT, #13 SPECIAL CONDITIONS:
NEWBURY PARK
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SECURITY ELECTRIC (805) 499-1002-
2635 LAVERY CT LIC. NO TEMPORARY POWER POLE
NEWBURY PARK CA 568279/C10
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
TILITY COMPANY NOTIFIED'
REPORT ID: DPR265 ROUTE TO: BS0508
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
• �� DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9610150023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6210 TEMPLE CITY BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5385-016-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
G2 LIGHTING FIXTURES 14.00 LGT 27.30
TENANT: HA FAU LESS 3HP 2.00 FAU 21.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
JB AC UNITS +3-10HP 2.00 AC 39.30 10/15/96 TC 10/15/97
TOTAL FEES 115.95
OWNER: TEL. NO: FINAL DATE FINAL BY' CODE:
PACIFIC ACKWORTH FOUNDATION -
1020 EL SUR AV gt,iJ
ARCD 910064529 DESCRIPTIO OF WORK v
NEW FIXTURES AND HEATING A/C SYSTEM
APPLICANT: TEL. O:
COBINE ELECTRIC (818) 282-0315-
1607 CHESTNUT ST. �'° oz
SPECIAL CONDITIONS:
ALHAMBRA, CA ��
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
COBI1607 C ELECTRIC CO., INC. (878) 282-0315- �/ l 1�
1607 CHESTNUT ST. LIC. NO �!._ �� �' TEMPORARY POWER POLE
ALHAMBRA, CA 91803 229847 CIO -
����-r --- � UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. O: D � 11 �I FER GROUND
LIC. N0: \ (� ROUGH CONDUIT
GH
IIRING
AMAIN WATER LINE
BLASTIC Y/N METAL Y/N
UTILITY COMPA OTIF ED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 IFrrRtrAL.RERb4N
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 40(1
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA i
PHONE: (818) 285-0488 EXT:
- LEGA ID: FES PAID + BR
ON FILE PL-E�BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
5385-016-022 Al PERMIT ISSUANCE FEE 27.75 ' THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90
HA FAU LESS 3HP 1.00 FAU 10.80 ISSUED N: PROCESSED BY: PLAN BY: EXPIRES ON:
JB AC UNITS +3-10HP 1.00 AC 19.65 04/24/97 TC 04/24/98
OWNER: TEL. N0: — TOTAL FEES 62.10 FINAL DATE FINA BY: DE:
PACIFIC ACKWORTH FOUNDATION (818) 287-6880- -6;- c��
1020 EL SUR AV
ARCD 910064529 bys P 0 OF WORK
ELECT. FOR NEW HEATING & AIR SYSTE - CLASSROOM
APPLICANT: 0:
WUKMIR HEATING & AIR/COND. (818) 442-2148-
SPECIAL CONDITIONS:
APPROVALS DATE INSPECTOR S GNA U E
CONTRALTO TEL. N0:
JAMES WUKMIR CO., INC. (818) 442-2148-
11500 RAMONA BLVD LIC. NO
EL MONTE, CA 91731 285626 CIO ;t,r71 •�'/ e •;�.; .; TEMPOR PO POLE
UNDERGROUND CONDUI
It
ARCHITECT G ER: TEL. NO: �f•' �, �� GI gb�' �•.�� •+`; " R iG 0 N
LIC. N0: Si; ,+ �' i i —j Li !i - ROUGH CONDUIT
ROUGH WIRING
14AIN 'WATER LIWE
r', ''-)i!-. ��.•l r`. ;'' 11'.��`'•'.-`� t PLASTIC Y/N' METAL Y/N
U A 0 I D
I
REPORT ID; DPR265 ROUTE TO: BS05O8