HomeMy Public PortalAbout9854 VAL ST_Electrical__ 6AG63-CE60610-69 APPLICATION FOR ELECTRIC PERMIT 4'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING .� 4-1J
BUILDING AND SAFETY DIVISION _ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER f J
WILLIAM A.JENSEN.SUPT OF Bu ILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
'. ^/L �) .,.•.,
ITEM 'NUMBER EACH FEE OWNERMAIL
OUTLETS: $ S ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN - �`''✓ ..r /';;1
WATER H E A T E R S r- .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. ..•'C
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO. I GRCWP ZONE I PROCESSED BY
0- 1/2 .25
1/2- 2 ;. .50 _ INSPECTION RECORD
2- 5 1.00
5- 15 1.50
15- 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY, _POWER
SIGNATURE 1 �yy�yr� .__ UTILITY CO.NOTIFIED
OF PERMITTEE "
FINAL
VALIDATION ARTHUR C.VEIT,
f CK MO CASH SUPERVISING ELECTRICAL ENGINEER
i ,'f'
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING- & SAFETY 13.4sua RICI
WILLIAM J. FOX, Caunty Engineer.
FORA LICANT TO F L.IIV
DISTRICT NO.. OROLIP. ZONE PERMIT NO.
ELECTRICIAN r' z
RKREIVED BY. READY FOR DATE ISSUED
ADDRESS CA4 FJRST INSPECTION
CITYSP TEL'NO.
COUNTY LICENSE. NO. () EXPIRES I -BUILDING
PERMIT FEES ADDREBB
FEE.
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST 1 J
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER '•
TOTAL OUTLETS 6c.. .B MAIL
ELEC. RANGES 25 ADDRESS _
EL'EC. HEATERS 26 CITY TEL NO.
FIXTURES B1.
• 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC. APPLICATION AND STATE THAT THE ABOVE IS.CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE.TC COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUIT.9 'AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY- THAT .1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR .1 AM THE LEGAL OWNER
NEw Mw. HP OVER INC. EACH OF THE RESIDENTIAL .PROPE RIBED ABOVE.
%2 m LEBO ,S .25 _ SIGNATURE A.
_ I/a 2 .50 PERMITTE
z s 1.00INSPECTION RECORD
6 . 19 1.5500
16 5O 2.50
so 200 '5.00
200 SOU 10.00 J
500 1000 15.00 =• Z
'OVER 1000 20.00 CI.
M.G. SET/FREQ. CHANGER-HP Q
WELDERS:AC-KVA
.GENERATORS - KW
TRANSFORMERS -'KVA
TEMP. MOTORS (7S% OF'ORIG.)
MOVED MOTORS (76% OF CRIB.)
MIBC.
SIGNS
NO. NO.TRANS.
NO. ' NO.LAMP13 . APPROVALS
FOR EACH PERMIT: DATE' INSPECTOR'S NAME
WIRING631.710 I U 0 CONDUIT
FIXTURES 611.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER �•�•�
TOTAL FEE G 1 ?' UTILITY DO.NOTIFIED _'/u '/2. -
• FINAL IL
76A666. DBS#6A 4-52 . . II
- 1I ,
DSII S-A 12-44 '• '- .: CATIO\ FOR PE�Yl(.LYS88
`]DEPARTMENT OF BU"ING A10Ti)�:SAFETY
COUNTY OF LOS ANGELES
ELECTRIC
WM. J. FOX'CHIEF ENGINEER-
a `NAME �r c J�/� 1-s- F�,��1 C� -'s.9
,>,�ISTRICT NO. GROUP ZONE PERMIT NO.
' Ile
ADDRESS ij `f ..1 dlj l tl i i?`v 9 a9°'
rd
CITY 7-25 AA /•>PA �.--,TEL. RCEIIVJFD 13Y READY FOR DATE ISSUED
JJ / y /,a�" "�PF , FIRS SPEC IONCERT NO. [.J EXPIRES ~ .7� ^� �' %� ��•'`—
APPLICANT FIM IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK a DRESS y1i��fl��il' vF�':,�I
NUMBER OF OUTLETS ON CIRCUITS LOCALITY / L�AA
LOCATION BY ROOMS
"NEAREST
LIGHT OUTLETS SW. PLUGS FIX T CROSS ST.
CIRCUIT A Be C D E F Jr. 'H "Be NAME r-5 O f-
1 W MAIL
ADDRESS
DJ A! r�?k� / �. 0. -CITY TEL.NO.
v5/ �; f f t AM THE LEGAL POSSESSOR pF THE ABOVE L08 ll
-yam-^ ANGELES COUNTY CERTIFIC7�T SOF QYIALIFICATION.,
ELECTRICIAN.
I AM TH6 LXGAL OWNER OF THE FROPZRTt4ESCRIBED
Imo] �'r7"'.tf- �/• !� i/
OWNER.
s ; r �� / �' Q.OIIRECnoms
Fb 1-n 1 i
%A) `ilii F / J74
Z
R
• O
TOTAL
NO. OF.OUTLETS` 4,.,}�yS E �=� �''-� .
APPROVAILS
7.
1 NO. OF FIXTURES / / S � DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. B CONDUIT '
NO. OF SIGNS TRANS. $ ' r WIRING
b
NO. OF;FUWGES-OR HEATERS E � FIXTURES
MISCELLANEOUS ffi POWER
/ . i
PERMIT FEE $ l UTILITY „)� ,
WORKER'S COMPENSATION DECLARATION �6A663 DPW(12.91) APPLICATION FOR ELECTRICAL PERMIT 11
I hereby affirm khat I have a certificate of consent to self insure,
or a certificate of-Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof
�(SS'eecc.33800 Lab..C.) �
��P''ol��icaay No.��'" Company + T� FOR APPLICANT TO FILL IN JOB
siL�l^ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. $EACH $ FEE LOCALITY JWs10�04,f_
❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST ,OIL/
department. Multi-family Sq.Ft. CROSS ST. Cy
Date � Applicant_ Residential Swimming Pools ASSSOR
) MAP BOOK ♦!� 6.PAGE PARCEL
Light Sw.•� FIRM
FIIRME AME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.O� OR
COMPENSATION INSURANCE p�.
(This Dectlon need not be completed If the work involved by the Total No. First 20 MAIL
116 AdditionalAlF 4 ADDRESS
permit is for one hundred dollars(5100)or less.)
I certify that in the performance of the work for which this permit CITY TCi�J/ i. (r/Tr TeI.N),,'?�
is issued, I shall not employ any person in any manner so as to ��B'O v PLAN CHECK !io a56yk,��
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
Total No. Additional ADDRESS 16= Ste✓ 140V !;
Date Alicant NOTICE TO APPLICANT:ppIf, after making this Certificate of RESIDENTIAL APPLIANCES NOTOVER3HP. CITY //s✓-�'- Tel.N..47gj,/_?6-Z
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
PERMIT ✓ .,s
provisions of the Labor Code,you must forthwith comply with such Power Apparatus&Large Appliances APPLICANT l'ao '�
provisions or this permit shall be deemed revoked.
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS f(p 'Z 0%"A04'20at�
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. �� cr
(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
Over 50 to 100 Incl. REG..NUMBER Class. d
Over 100 DISTRICT NO. PROCESSED BY U
License Number Lic.Class
��T� Services,Swbd.,MCC&Panelboardss
Contract Date g 0-399 Amp.Under 600 V�`^ DAL
❑ 400-1000 Amp.Under 600 V _(� VALIDATION W
I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL IL
B.&P.C.for this reason BRANCH CIRCUIT FEES BY CO)
Date: 15A,or 20A,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 3303 220.70
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION1 ITEMS
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTAL 22CD o 70
Code): CHECK 220.70
❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors
is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) CHANGE a 00
and Professions Code). ,
CONSTRUCTION LENDING AGENCY 0000_0001 3/ 6/96
1 hereby affirm that there is a.construction lending agency for the
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) J165 1 ANlIS38
Civ.C.)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address TOTAL FEE
1 certify that I have read this application and under penalty of purjury state
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 Ins pe ' purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
l A3
SIGNATURE OF PERMITTEE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1208080014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BIIILDING ADDRESS:
ITR: 12368 LT: 9 9854 VAL ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801441
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15383-023-019 [A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID. Al LOCALITY: TEMPLE CITY, Cl
IP2 PC RES PV<IOKW 153.90 I
TENANT: [P3 INVRTR RES PV<10KW 27.90 JISSUED ON: PROCESSED BY: PLAN BY: I
] TOTAL FEES 209.60 108/08/12 SR I
OWNER: TEL N0: FINAL DATE FINA BY: CODE: ]
IHIGUCHI JOHN E;TOMIKO
19854 VAL ST [ f [
TEMP 917801441 ] ID SCRIPTION OF WORK
[ ]13.29 (
REAL KW SOLAR WILL INSTALL 14 SOLAR PANELS TOTALLING ]
APPLICANT: TEL. NO: I
IBRYANT, GARRY (714) 919-4177-
I15398 W. ORANGEGROVE (SPECIAL CONDITIONS:
[ORANGE, CA 92868 ]
[CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
REAL GOODS SOLAR (714) 919-4177- I I
11539 W ORANGE GROVE AVENUE LIC. NO ITEMPORARY POWER POLE I I
]UNIT B 840934 C46 I I I I
(ORANGE CA 92868 I (UNDERGROUND CONDUIT I
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
_ � I I
] LIC. NO: ] ]ROUGH CONDUIT ] I ]
IROUGH WIRING
I
IMAIN WATER LINE I [
]PLASTIC Y/N METAL Y/N
[ (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
]
]
[REPORT ID: DPR265 ROUTE TO: BS0508 ] I [
[ I [ [ I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0911300002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 12368 LT: 9 I 1 9854 VAL ST
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917801441 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: BALDWIN
I
15383-023-019 Al PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
IF1 120V, 15/20A BR CKTS 3.00 BR 51.75 I I
ITENANT: IG1 OUTLETS-LGT,SW,RECP 50.00 OUT 79.50 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I IG2 LIGHTING FIXTURES 3.00 LGT 5.85 111/30/09 SR 11/30/10 I
I I TOTAL FEES 164.85 1
(OWNER: TEL NO: I IFINAL DATE FINAL BY: CODE: 1
1HIGUCHI JOHN (626) 292-1246- I 1 I
19854 VAL ST I I J / Q I
ITEMP 917801441 1 IDE CRI TION OF WORK 1
I [REWIRE 3 EXISTING BEDROOMS, 2 BATHROOMS, LIVING ROOM 1
[APPLICANT: TEL. NO: I I I
IJJ HERMAN HOME IMPROVEMENT (626) 202-5481- I 1
111232 WILMOT ST. I ISPECIAL CONDITIONS:
(OAK HILLS, CA 92345
I
[CONTRACTOR: TEL. NO: [ 1APPROVALS DATE INSPECTOR SIGNATURE 1
IJJ HERMAN HOME IMPROVEMENT, INC. (626) 202-5481- 1 1 I
111232 WILMONT ST. LIC. NO 1 ITEMPORARY POWER POLE I I I
(OAK HILLS, CA 92345 870022 B I I I I I
I 1 1UNDERGROUND CONDUIT
I I �
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
LIC. NO: 1 IROUGH CONDUIT i 1
I I IROUGH WIRING / 1
I I IMAIN WATER LINE wlj 111
IPLASTIC Y/N METAL Y/N I I
I I (UTILITY COMPANY NOTIFIED( 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
I I I I I
I I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508 I I I [
I I I I I I
s
r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1004060010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 12368 IT: 9 I I 9854 VAL ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801441 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
15383-023-019 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
I -IGI OUTLETS-LGT,SW,RECP 40.00 OUT 66.00 I I
ITENANT: G2 LIGHTING FIXTURES 15.00 LGT 29.25ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 104/06 /10 SR 04/06/11
IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 I i
OWNER: TEL. 1H4 RES RANGE HDSMACH
LT 3HP 1.00 HOS 10.95 I TE FINAL BY: CODE:
IHIGUCHI JOHN (626) 292-2- W
1246- IHS RES WASH MACH LT 3HP 1.00 WAS 10.95
19854 VAL ST I TOTAL FEES 166.80
ITEMP 917801441 I IMSCR11PTION OF WORK 4I
(ELECTRICAL FOR MAIN HOUSE I
(APPLICANT: TEL. NO: I I I
IJJ HERMAN HOME IMPROVEMENT (626) 202-5481- I I I
111232 WILMOT ST. I ISPECIAL CONDITIONS: I
(OAK HILLS, CA 92345 I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IJJ HERMAN HOME IMPROVEMENT INC. (626) 202-5481- 1 I I
111232 WILMONT STREET LIC. NO I ITEMPORARY POWER POLE 1 I I
10AK HILLS, CA 92345 870022 B I I I I I
(UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: - i IUFER GROUND I I I
1 LIC. NO: I (ROUGH CONDUIT
I I -
ROIIGH WIRING
I I IMAIN WATER LINE I I I
IPLASTIC Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I I I I I
i i I I 1
I I 1
i
I I I I
I I 1 I I I
i i I i i
I 1 1 i I I
1
I 1 I I
I
IREPORT ID: DPR265 ROUTE TO: BS0508
I I I i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1007270001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID I BUILDING ADDRESS: I
TR: 12368 LT: 9 I I 9854 VAL ST 1
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801441 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
15383-023-019 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
I ILN OTHER PNL 0-399 AMPS 1.00 PAN 38.80 I I
(TENANT: ] TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: ]
107/27/10 SR
OWNER: TEL. NO: I ��lo
FI CODE:
I
1HIGUCH2 JOHN (626) 292-1246-
19854 VAL ST 1
ITEMP 917801441 I ID SCRI TION OF WORK I
I I IREPLACE SUB-PANEL 50 AMP I
(APPLICANT: TEL. NO: I I
IJJ HERMAN HOME IMPROVEMENT, HERMAN (626) 202-5481- 1 I I
11232 WILMOT ST. i ISPECIAL CONDITIONS: I
OAK HILLS, CA 92345 1
I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IJJ HERMAN HOME IMPROVEMENT INC. (626) 202-5481- 1 1 I
11232 WILMONT STREET LIC. NO I ITEMPORARY POWER POLE I I I
OAK HILLS, CA 92345 870022 B I I I
(UNDERGROUND CONDUIT
I
(ARCHITECT OR ENGINEER: TEL. NO: - I ]LIFER GROUND I I I
LIC. NO: I IROUGH CONDUIT I I I
] (ROUGH WIRING I I ]
I (MAIN WATER LINE I I I
PLASTIC Y/N METAL Y/N 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 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
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1004060007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: [
ITR: 12368 IT: 9 I 1 9854 VAL ST
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917801441 ]
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN ]
15383-023-019 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
I IGl OUTLETS-LGT,SW,RECP 15.00 OUT 29.25 I I
ITENANT: G2 LIGHTING FIXTURES 8.00 LGT 15.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
TOTAL FEES 72.60 104/06/10 SR 04/06/11 [
(OWNER: TEL. N0: IFINAL D TE FINAL BY: CODE:
IHIGUCHI JOHN (626) 292-1246- 1 1
19854 VAL ST I 112"M? • 1, 1
ITEMP 917801441 1 ID SCRIP I N OF WORK 1
I I IELECTRICAL FOR POOL HOUSE [
APPLICANT: TEL. NO: 1 I
JJJ HERMAN HOME IMPROVEMENT (626) 202-5481- I I I
11232 WILMOT ST. I ]SPECIAL CONDITIONS: I
OAK HILLS, CA 92345 1 ]
I I I I
[CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IJJ HERMAN HOME IMPROVEMENT INC. (626) 202-5481- [ 1 I
111232 WILMONT STREET LIC. NO [ ITEMPORARY POWER POLE I I [
(OAK HILLS, CA 92345 870022 B I I [ I I
[ [ (UNDERGROUND CONDUIT I I ]
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I
I - I I 1-1 I
I LIC. NO: I IROUGH CONDUIT I I I
I I IT I
ROUGH WIRING
I I IMAIN WATER LINE I I I
I ] IPLASTIC YIN METAL YIN 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
REPORT ID: DPR265 ROUTE TO: BS0508 ] I I [
I I I I