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Home My Public Portal About9843 WENDON ST_Electrical__ L� 7 X LJ 7A88 -CE;O6 9-87 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �p /boyAlBUILDING AN2 SAFETY DIVISION ADDRESS Nf �V�//L�A 116-- JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY L.(r FOR APPLICANT TO FILL IN JNEAREST CROSS ST. NO. AC FEE •� RECEPT. • $ $ OWNER -o MAIL LIGHT - TOTAL FIRST 20 .20 �J ADDRESS 1 �. SWI TCH� OVER 20 .10 CITY 4.,r �rt—L NO. : �[' ; LIGHTING iTOTAL FIRST 20 2 .20 Yd CONTRACTOR t- FIXTURES 1( OVER 20 .10 ADDRESS RANG DRYER—WTR.HTR.— CITY. TEL. NO. STA.COOK_DISP.—F.A.U._ LICENSE NO. SPACE HTR.1-AIR COND. 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH-DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL.WIRING: FAN-OTHER 1.00 / 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR MOTORS,TRANSFORMERS RATING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTENDTO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL OPER TY. SIZE & TYPE OVER TO SIGNATURE 0 - 1 1.00 OF PERMITTEE - 1 - 10 3.00 DI06 STRICT NO. GROUP ZONE P O SSED BY V 10 - 50 5.00 d ..L 2�� O 50 - 100 10.00 NOTES: b W 100 - 500 15:00 h SIGN,GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 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 ROU �D WIRING GH CONDUIT ; ISSUING FEE 2.00 r FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITYCO.NOTIFIED .,Se�Arrj Ole PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE Si!9 0 JOSEPH C. ROOHAN SUPERVISING ELE RICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION . CK. M.O. CASH .Q0EELhuo 2 3 3 7:� DEC 2'7 0 5.00- --E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / -� 76A66 =CE806_>,68 APPLICATION FOR LECTRIC#1 PERMIT 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 NEAREST / FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNER , � RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDR.E•SS 4,114-7 JZ) � J SWITCH_ OVER 20 .10 CITY f TEL. NO. PLAN CHECK LIGHTING FIRST 20 ..20 APPLICANT FIXTURES JTGTAL 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 TEL. NO. FAN_OTHER 11.00tion _ LICENSE WO. CLASS. 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 15 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 COUNTY AND STATE. OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO ZL 10 — 50 5.00 -RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 50 - 100 10.00 SIGNATURE ��JJ U .OF PERMITTEE _ OC too - soo 1s.00 SIGN GAS DIST GRnrl ZO P C D BY TUBE, OR SIGN AND ONE CIRCUIT I 3.00 / a MARQUEE ADDITIONAL CIRCUITS 1.00 h NOTES: Z 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 ROUGH CONDUIT PERMIT FEE (SUB TOTAL) -WIRING FIXTURES PLAN CHECK 'FEE (50% PERMIT FEE) POWER.AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING F#EEj 1.00 FI-NAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECT)AL ENGINEER PLAN CHECK VALIDATION CK. M.O. �jCA/SfH66App PERMIT VnALIDATIO�} {/��(/�C�KM.O. CASH +I.,AL:o 4 .1 V 7�8 APR 5 2 D 2 moi/O N Q ' .E BACK OF APPLICATION FOR COMPLETE FEE SCH EDU !!7/ F BA888-CE808 10-n APPLICATION OR EL TRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER :BUILDING ADDRESS ' BUILDING*AND SAFETY DIVISION ADDRss G� JOHN A. LAMBIE..COUNTY ENGINEER WILLIAM A.JENSEN.SuP'T oP BUILDINfi LOCALITY." FOR APPLICANT TO FILL IN NEAREST ,� PEMC�, "mCROSS ST. /9`°" ITEM NUMBfiR OWNER IW C44LA41-�� MAILEACH FEE /� LIGHTS OUTLETS RficEPT. .Sw. .f0 .$ 3 .ADDRESS 97 LIGHTING FIXTURES 10 D CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRI AN - WATER HEATERS. A0 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. -GARBAGE'DISPOSERS AUTO.- STATE WASHERS STA.COOKING-UNITS .26 '1 .CENSE NO. MOTORS: OVER INC. H.P. ;DISTRICT OU D .0.— 112 .25 112= .2 .50' PECTION ORD' 2— s 1.00 e .5— 1.15. 150 !�' (� E t.. 7 Cyd. to— so 2.50 :. .. 50—.200 5.00 ' V A,2� ll SIGNS: 'NO.TRANS. .I^ /r NO.LAMPS 'fJ p e�, Fe 4670, ' c 4 \ SERVICE 0-000V 1.00 �� + ►` i�t�ss1�.' �. SERVICE OVER GOOV 5.00 MISC. �-Z t-C �a 6e WIRING PERMIT 1.00 -� FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .s0 TOTAL-FEE $ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA ION APPROVALS DATE y" INSPECTOR'S SIGNATURE AND STATE THAT THE ASOVE 18 CORRECT AND AGREE TO COMPLY --WITH ALL COUNTY ORDINANCES AND :STATS 'LAWS REGULATING CONDUIT ELECTRICAL WIRING, _ - WIRING- LICENSED I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR AS REQUIRED BY LOS AqGELES COUNTY AND STATEOF FIXTURES'. �Q CALIFORNIA OR.THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. - POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMIT7`E FINA '� � Jj�• /CJI DP VALIDA ON SPERVISI G EELECTRICAL ENGINEER ? CK MO CASH ., TEMPLE CaTIff GA669-CE.oe,o-1111 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� /Q„A BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL 1N NEAREST /. . PERMIT FEES CROSS-sr. ITEM NUMBER I EACH FEE OWNER //��,,,,�� OUTLETS: $ $ MAILADDRESS � (it11A LIGHTS RECEPi. SW. .10 LIGHTING FIXTURES .10 CI TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRI AN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY ry; TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ONE P FESSED BY O— .25 .50 INSPECTION EWOBn 2— 5 1.00 5— is 1.50 15— SO 2.50 SO—200 5.00 SIGNS: NO.TRANS NO.LAMPS SERVICE O-SOOV 1.00 SERVICE OVER SOOV 5.00 /esoh& /;1,41]/0"R 14//Z, WIRING PERMIT 1.00 7L -� FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY - WITH ALL COUNTY ORDINANOES AND STATE LAWS REGULATING CONDUIT P+An 4d A.!/L! ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROB111,M5 POWER p SIGNATURE UTILITY CO.NOTIFIED 'aA gig fslY�ltlPl�l�f� OF PERMITTE FINAL `� 1I[, OF VALID CAZ_H SUPERVISIN I:I.EC CK TRICAL ENGINEER MO CASH 16 2.0 �WORICERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby,affirm that I have a certificate of. consent to self ' COUNTY OF LOS ANGELES BUILDING AND SAFETY. i6sureR'or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab..C.) / /• `, FOR APPLICANT TO EA HIN JOB Ir NO. FEE ADDRESS tve, // v Policy No. Company, - New Residential Bldgs.&Pools Certified•copy is hereby furnished. 1 &2-Family.Sq. Ft. $ — $ LOCALITY Certified co g p Multi-family Sq. Ft. — NEAREST py is filed with the bounty buildin .ins ection CROSS ST L department. Residential Swimming Pools OWNER OR � FIRM NAME" � � GG- -t Va Date Applicant Outlets: Rec.j(Lighti.Z Sw. �S First 20 i Sv S� ADDRESS 67. '�^ L(,, 9-4,w Co/t,7 CERTIFICATE OF EXEMPTION FROM.WORKERS' Total No. Additional CITY �P,1! �'� j P Tel No;'�r ,, f'f C f COMPENSATION INSURANCE PLAN CHECK o. ,! APPLICANT (This section need not be completed if the work involved Lighting Fixt First 20 `fU• 0 V by the permit is for one hundred dollars ($100) or less.) ADDRESS Total No. Additional I certify that in the performance of the work for which this CITY Tel No.. , O permit is issued, I shall not employ any-person in any manned Fixed Appliances Not Over 1 HP pERMIT U ' I-- so as to become subject to the Workers'Compensation Laws. Range_Heater_D:W._ APPLICANT / J L7�% d�.J LU fL Oven _ Dryer_W.M._ ADDRESS' —� CO) Date Applicant Top _,FAU _W.H.,_ kqlZ Hood Fan _Other_, CITY + Tel No-3,36 NOTICE TO APPLICANT: If,,after making this Certificate of Disp.' _Room Air Cond.— LICENSE OR p Exemption, you should become subject to the Workers' REG.NUMBS. p, ® Class f Compensation provisions of the Labor Code, you must forth- , Power Apparatus&.Large Appliances DISTRICT NO. PROCES D BY with comply with such provisions or this permit shall. be deemed revoked. Size&Type HP,KW,KVA,,oG KVAR Up to 1 Incl. Over 1 to 10 Incl. FINAL LICENSED CONTRACTORS DECLARATION ,, DATE ®r + VALIDATION Over 10 to 50 Incl. 0111 I hereby affirm that I.am licensed under provisions of Chapter `Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. Services 0-200 Amp.Under 60,01,V. License Number Lic.Class 201-1000 Amp.Under 6dQ'V: Contractor. Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATdON' ' 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 7031.5., Busi- Additional Sign Branch Circuits 0 ness and Professions Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule.)— V n structure is not intended or offered for sale (Section 7044,Business and.Professions Code). {# V o o Q o �' �CONSTRUCTION LENDING AGENCY 1 hereby .affirm that there is a construction lending agency2 o c 1 r; for the performance of the: work for which this permit is PERMIT FEE (Sub-Total)' issued(Sec.3097,Civ.C.). { Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE , 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 he#eby authorize representatives of this County to enter upon the abov - tioned�roperty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE 10 Signature of Permittee ate , WORKERS'COMPENSATIONDECLARATION 76-663 CE-806G (2.80) APPLICATION FOR EL CTRICAL PERMIT I herebk 'hffiem;tha't 1—have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy h reof(Sec.3600,Lab.C.) �- Q D I FOR APPLICANT TO FILL IN SOB Policy NOM4A pany • New Residential Bldgs.&Pools EACH NO. FEE ADDRESS Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ 1 LOCALITY Multi-family Sq. Ft. NEAREST I led copy is filed with the county building inspection CROSS ST partmen Residential Swimming Pools OWNER OR FIRM NAME l �&es&I `^ s Date Applican Outlets: Rec.—Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF EX TION FROM WORKERS' Total No. Additional CITY fy ��; Tel No. COMPENSATION INSURANCE PLAN CHECK a (This section need not be completed if the work involved APPLICANTLihtinFixtures First 20 V Lighting res by the permit is for one.hundred dollars ($100) or less.) Additional ADDRESS Total No. Q I certify that in the performance of the work for which this CITY Tel No. H permit is issued, I shall not employ any person in any manner Fixed Appliances Not Over 1 HP U PERMIT so as to become subject to the Workers'Compensation Laws. Range—Heater D.W._ APPLICANT //0 Oven _ Dryer_W.M._ ADDRESS 7 Date � Applicant � Top _ FAU _W.H.._ ' Hood Fan _Other_ _ CITY �j/ Tel No. J r 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 I•ss C.r 'Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCE ED B with comply with such provisions or this permit shhll be � Size&Type HP,KW,KVA,or KVAR y� deemed revoked.. ® Up to 1 Inc[. V! v Over 1 to 10 Incl. .400 FINAL LICENSED CONTRACTORS DECLARATION DATE —r � VALI DATI N Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. BY FINAL', V 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 v ness and Professions Code, and my license is in full force and effect. Services S 0-200 Amp.Under 600 V ��15 License Numbmr Lic.Class 201-1000.Amp.Under 600 V fi ''. Contractor to �� 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 , 7 License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): o o 0 a o 2 Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 0 0 0 9 7 0 structure is not intended- or offered for sale (Section 7044,Business and Professions.Code). o u o r' �=0U CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency O 2-81 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's Name r PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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'abovened property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Nte k Pe ittee Date WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91), 7SA663 APPUC/,�T50W FOR ELECTRICAL PERMIT LLLIII I hereby'affirm that'I�have a certificate of consent to self insure, � or a certificate of,vy�rker's Compensation 1psurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof+(fiec.3800 Lab.'C.) Policy No. Company. FOR APPLICANT TO FILL IN JOB ADDRESS 7't7 & /�.9 / 1 . 1 � P A/ .411❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALI. �r_�+ /°� ❑ $ $ dF� 4f Certified co is filed with the count building inspection 1 &2-Family,Sq.Ft. _ department. y g p Multifamily Sq.Ft. NEAREST ROSS ST.4104) Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE ] PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS'. Outlets:Ree._Light-2—Sw. OWNER OR COMPENSATION INSURANCE yy0 '0O FIRM NAME /� First 20 MAIL (This section need not be completed If the work Involved by the Total No. Additional ADDRESS permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for.which this permit \ CITY: Tel.N y� . is issued; I shall not employ any person in any.manner so as to PLAN CHECK become subject to the.Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ZIr ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.. provisions of the Labor Code,you must forthwith comply with such PERMIT p p y Power Apparatus&Large Appliances APPLICANT Lqj provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (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 Class. • Over 50 t0 100 Incl. REG.NUMBER O Over 100 DISTRICT NO. P SSED BY V License Number Lic.Class Seerrvloee7s, bd. FINAU C ane Bards L. c�7�!/�/ Q Contractor Date vV p' 4 "" O DATE O ❑ 400-1000 Amp.Under 600 V o_(d V I am exempt under Sec. FINAL VALIDATION a Over 1000 Amp.or Over 600 V B.&P.C.for this reasonBRANCH CIRCUIT FEES BY co , Date 15A,or 20A,120V,Lighting or Recept. _ 1 To 10 Branch Circuits t Signature 1'1 To 40 Branch Circuits ❑ 41.Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOMEOWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCTes I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031,5, Business and Professions Additional Sign Branch Circuits 3303 115060 Code): I �q '1 ITEMS Misc.Conduits&Conductors r' I,as owner of the property,will do the work and the structure i is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) I TOTAL 115 o 60 and Professions Code). i CHECK 115.60 CONSTRUCTION LENDING AGENCY CHANGE &00 I hereby affirm that there is a construction lending agency for the I performance of the work.for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) q f I Civ.C.) i PLAN CHECKING FEE 1 0000-0001 2/ 6/96 Lender's Name pERMIT.ISSUING FEE o27 ej 1 .4716 1 AM10:31 Lender's Address 1 I certify that I have read th)s application and under penalty of purjury state TOTAL FEE: that the above information is correct. I agree to comply with all County ordinances and State laws regulatin ectrical wiring,and hereby authorize. - representatives of this County toupon the above-mentioned property for iri pection purposes. 1 SEE REVERSE FOR EXPLANATORY LANGUAGE J SIGNATURE CIF PERMnTEE UATF COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0407150001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-04138 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11386 LT: 3 BL: A UN: .003 9843 WENDON ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801727 ASS SSOR INFORMATION NUMBER: NEAREST CROSS STREET: GOLDEN WEST 5385-022-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GGRID: A2 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 14.00 OUT 27.30 TENANT- G2 LIGHTING FIXTURES 7.00 LGT 13.65 ISSUE ON: PROCESSED BY: PLAN XPIRESS ON: TOTAL FEES 68.70 07/15/04 JK 01/11/05 OWNER: TEL. NO: FINAL DATE F 1 N BY: CODE: LIU, CHUNG YUAN 9843 WENDON ST TEMP 917801727 DESCRIPTION OF WORK ELECTRICAL FOR THE NEW ADDITION APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORA POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TE 0: UFER GROUND TAI, CLEMENT (626) 286-0079- MoENONE ECITY CA 91780 LIC. fJ�I�( ROUGH CONDUIT FE , MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508