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HomeMy Public PortalAbout5342 EL MONTE AVE_Electrical__ aNORKERS!:,COMPENSATION DECLARATION 20-0019 DPW 3/87 Qpp���Q��O� FOR Ld�C��QO��� p����� I hereby'affirm that I have-a.certificate of consent to self cE eoaG insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or,a ceriified copy thereof (Sec. 3800,' Lab. C.) Policy..No. Company FOR APPLICANT TO FILL IN JOB - �^ Fl Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS AVG Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY m tion departent. Multi-family Sq. Ft. NEARESTt�j Residential Swimming Pools CROSS ST. G I` Dare Applicant OWNER OR j) FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light_LSw. MAIL rs COMPENSATION'INSURANCE ADDRESS G This section need not be completed if the work involved b ii QQ First 20 ( P Y Total No.J L—_ Additional Q CITY Tel. No. the permit is foronehundred dollars ($100)or less.) PLAN CHECK s 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 Lighting Fixtures First 20 ► 0 so as to become subject to the Workers'Compensation Laws'. ADDRESS Additional Total No. CITY Tel. No. Dote Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION 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 shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE,OR r I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Gond. — REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances- DISTRICT NO. PRO SSED BY >-' and Professions Code,and my license is in full farce and effect. �� 0- Size&Type HP, KW, KVA, or KVAR d " Q License Number Lic. Class Up to 1 Incl FINAL U Over 1 to 10 Incl. DATE _�iq` VALIDATION Contractor Date Z 0 Over 10 to 50 Incl. FINAL � Oam exempt under Sec. Over 50 to 100 Inc. FI W B.&P.C .for this reason Over 100 _ � CL D Z d.;, Date: Services, SwbMCC& Panelboards. Z 0- 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V El Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section7031.5, 'Business and Additional Sign Branch Circuits :.� s •-,: Professions Code): " ® I, as owner of the property, will-do the work and the Misc. Conduits&Conductors § ' (Section 7044,S structure is not intended or offered for sale(. Other (See Complete Fee Schedule)_ �`' D 11_11{"1 n ,Business and Professions Code) f __ CONSTRUCTION LENDING AGENCY - _.5�1_•,. i°``? I hereby affirm that there is a construction lending agency for f;ff the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) du (Sec. 3097, Civ. C.). PLAN CHECKING FEE Ttl t3 a-}_�l _s s *:..ii..:: Lender's Name - PERMIT ISSUING FEE ±y Lender's Address I certify that I have read this application and state that the TOTAL FEE 0� 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 proper t for inspection purposes. SEE REVERSE FOREXPLANATORYLANGUAGE r'S1gnature of Permi ee Date ©s WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION ®�, ���C���D�G�51L4� PERMIT .76A663 �j I hereby affirm that 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 PUBLICWORKSBUILDING AND SAFETY DIV. copy thereof(Sec.,3800 Lab.,C.) Policy No. Company FOR APPLICANT TO FILL IN- JOB' �— ❑ - ADDRESS �11i \✓ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE r� LOCALITY T (� ❑ 1 &2-Family,Sq:Ft. $ $' Certified copy is.filed with the county building inspection NEAREST department. _ Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR . - MAP BOOK PAGE PANCEL CERTIFICATE OF EXEMPTION.FROM WORKERS' OWNER OR Outlets:Rea_Light" S j FIRM NAME ` l ' COMPENSATION INSURANCE First 20 � CsJFm (This.section need not Lie completed-if the work involved by the MAIL r✓� �l�% I�if permit'is for one huridred dollars($100)or less.) p Total No. Additional Q ADDRESS hili �u T G 1N I certify that the'performance' of the'work'for which this permit CITY �.� l.No q is issued, I shall not.employ any person in any manner so as to become subject to the Workers' Compensation Laws. Lighting Fixtures First20 PLAN CHECK J p- 9 APPLICANT Total No. Additional ADDRESS Date Applicant ' NOTICERESIDENTIAL APPLIANCES NOT OVER 3 HP. ,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 suchRMIT provisions or this permit-shall be deemed revoked. Power-Apparatus&Large.Appliances APPLICANT �Lt 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 OR Class. > . Over 50"t0 100 Incl. REG.NUMBER o License Number Lia Class' 100' IS.RICT NO. BY U 'Over D r I r y P�OCESSED Services Swbd,MCC&Panelboards Contractor Date 0� 399 Amp.Under 600,V FINAL DATE 400'-1000 Amp.Under 600 V �J—'�—� U ❑ I am exempt under Sec. VALIDATION UJ Over 1000 Amp.or Over 600 V FINAL d B.&P.C.for this reasonBY (n BRANCH CIRCUIT FEES .' Date: 15A„or20A, 120V,Lighting or Recept. z 1 To 10 Branch Circuitsh Signature 11 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 HOME,OWNER-BUILDER DECLARATIONmoi Sign with One Branch ClrcCircuit , s f e Ihereby 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 3Z:0- Code): J TEN' ElI,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) 1 4" 103 03 and Professions Code). CONSTRUCTION LENDING"AGENCY I hereby affirm that there is a construction lending agency for ther��'' E performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Q Civ.C:) PLAN CHECKING FEE ih ,F_ ;_Ii s ire '7.+'�; Lender's Name PERMIT ISSUING FEE a� �� =fL; _ y ;y'-'. Lender's Address I certify that I have read this 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 regulating Electrical wiring,.and hereby authorize representatives of this County to enter upon the above-mentioned property for insp on purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATUR PERMITTEE .DATE RCOMPENSATION DECLARATION 76A663' 10/81 afri that I"ha've a certfficate of consent to self CE-806G nPP CA M—FOR E ECT ICnL PER 57 insures/y'5r a ceMificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a ce`'f'if_ig�of (Sec. 3800, Lab. C.) P❑ol cy No.. 1LomponyPf/(w /t�sV FOR APPLICANT TO FILL IN JOB S3 o,a EL rZ /Z Certified co is hereby furnished. EACH NO. FEE ADDRESS Gf G. A10 V PY Y New Residential Bldgs. & P ols i j�C ❑ 1 & 2-Famil S Ft. $ — $ _ LOCALITY L Z C� Certified copy is filed with the county building inspec- Y- q tion department. Multi-family Sq. ft. NEAREST CROSS ST. //� Residential Swimming Pools OWNER OR ,/� t / Date `� Applicant r j _ FIRM NAME "�( V/V CERTIFICATE OF EXEMPTION FROM WORKS S' Outlets: Rec�Light 2-;— Sw.f MAIL COMPENSATION INSURANCE First 20 ADDRESS D� I� OW Pie( (This section need not be completed if the work involved by Total No.- CITY EL ,4®�r� Tel. No. � _$ the permit is for one hundred dollars ($100)or less.) Additional a5� O I certifythat in the performance of the work for which this PLAN CHECK P APPLICANT permit is issued, I shall not employ any'person in any manner so as to become subject to the Workers'CoWpe tionaws. Lighting Fixtures First 20 — ADDRESS I Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HIP NOTICE TO APPLICANT: If, after making tof PP PERMIT ` I�C (jO �rla.(0 Exemption, you should become subject to the Workers' Range_ Heater_D.W. — APPLICANT V Compensation provisions of the Labor Code, you must forth Oven — Dryer _ W.M.— ADDRESS 2 -5-/(f P-4 1?k with comply with such provisions or this permit shall be Top FAU —W.H.' — deemed revoked. Hood Fan Other_ CITY 6L #-1 Tel. No. 444 _ _ o LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cd. REG. NUMBER 6 S a- Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT OC SED BY � and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances Uo V r\ Size&w�Type HP, KW, KVA, or KVAR' License Number �� y 6J< Lic. Class T Up to 1 Incl. t FINAL �= Over 1 to 10 Incl. DATE J `� (� VALIDATION ' 0, Contractor s V Date Over 10 to 50 Incl. FIrk ❑ I am exempt under Sec. Over 50 to 100 Inc. �- U) B.&P.C. for this reason Over 100 Z_ Do Services, Swbd., MCC& Ponelboards 0 -200 Amp. Under 600 V Signatur 201 - 1000 Amp. Under 600•V ❑ Over 1000 Amp. or Over 600 V Exemption far Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): . 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)_ D 7044, Business and Professions Code). ;2 5.7 Q 4 A CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for # o 0 a 0 o 2 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) I o o 4S.O O (Sec. 3097, Civ. C.). s: PLAN CHECKING FEE o 0 0 4 5 O O 5 Lender's Name PERMIT ISSUING FEE I Q Z O_8 6 Lender's Address I certify that I have read this:application and state that the TOTAL FEE a _ JC above info71 rmation is correct. I agree to comply with all County ��� 1�to 7 ordinances and State laws regulating Electrical wiring, and hereby authorize represe tatives of this County to enter upon th me ' ed perty for ' ection purposes. � / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Prermittel& Date WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 LAPP ICATION LLQ FOR ELECTRICAL AL PERMIT �\ (,u tl� {� - I hereby affirm that 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(Sec,. 3800 Lab. C.) APPLIED h i `'! .Policy No. Company APPLIED LQ4S�I 1(( FOR,APPLICANT TO FILL-IN - - - JOB UN i ADDRESS 33 yZ E� 1'r t✓ry T� /l�G . ❑` . Certified copy is'hereby furnished. UN' New Residential Bldgs.&Pools NO._ EACH FEE LOCALITY �A Certified co 1&2-Family,Sq.Ft. —' $ Is •- copy isfiled.with the county building inspection _ NEAREST Y a department. (gyp Multi-family Sq.Ft. CROSS ST. Dir a AaISA . Data I,n �2 Applicant DAVID KU W'4I L N• Residential Swimming Pools ASSESSOR I L MAP BOOK PAGE PARCEL CERTIFICATE OF.EXEMPTION,FROM WORKERS' Outlets:Rec.—Light Sw. OiRM NAME COMPENSATION INSURANCE t H L First 20 114, MAIL CC��nnl/f� �1 f f (This sectionm ,need not be copleted'if the work involved by the Total No.. Additional ADDRESS L7 f➢`li EL Mf1N 1L A permit is-!or one hundred dollars'($t00}or less.) q3a i• I certify that ih`the performance of the'work,for whjch this.pCITY T.I.No.'ermit � ..7EMP�� CITY 5.��1 • 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 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. ro,visions of the Labor Code;you must forts whk comply with such PERMIT y q e ]'q P Y PY APPLICANT �AVI �� rA , NJv provisions or this permit'shall be,deemed revoked: PowerApparatus&Large Appliances LICENSED CONTRACTORS DECLARATION . Size&Type HP,KW,KVA,or KVAR ADDRESS 5341 6L M+Aft AV�e I"herdby-affirm"that'I am licensed under provisions of Chapter 9 Over 3 to 10'Incl. CITY Tel.No. (commencing with Section.7000) of Division 3'of the Business and ? (P[. 137,�. Over 10 to 50,Incl. Professions Code,and my license is in full force and effect. CL LICENSE OR i Class. CL' ' Over 50 t0100 Incl. _ REG.NUMBER ' Over 100 . DISTRICT NO. S �RO SED BY _ ®' License Number 1 Lic.Class �l r,p Services,Swbd. CC P Ips bird O 2- 2�L. 0-3nder 600 1 ✓ FINAL Contractor ,�U. FA A16 L 1 N Date DATE H ❑' 400-1000 Amp.Under 600 V 3 -Ll U I am'exe'mpt under Sec. VALIDATION W' Over 1000 Amp.or Over 600 V FINAL, d B.&P.C.for this reasonBRANCH CIRCUIT FEES BY iV C2{ J Date: 15A,br 20A,120V,Lighting or Recept. z Signature _,�� "Q 1 To 10 Branch Circuits. 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Ezeimption'for Reg.Maint.Elect. 15A,20A,208V•To 277V Lighting Br.Circuits SINGLE FAMILY Temp. Power Pole&Appurtenances. _ HOME OWNER-BUILDER'DECLARATION 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 _fl.'r Code): ❑ j^ Misc.Conduits&Conductors I, as owner of the property,will.do the work and'the structure � m-y is not intended or offered for sale (Section 7044, Busines''s Other(See Complete Fee Schedule) s _ :Pl— 3 �- and Professions Code). — CONSTRUCTION_LENDING AGENCY ("H ;a:; I 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) Civ. C.) PLAN CHECKING FEE % 1•t#( -0101-3 ;` Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE (QoJ 7:J 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 f,P, s ectio purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIG TU 1E OF RMITT �" DATE - WORKER'S COMPENSATION DECLARATION 76A669DPW(t2-91) �i1PPL!-���bA��®IIYI FOR L�I�E�LTMICALL, PERNW 76A663 }� wl u�U U I hereby affirm that ti have a certificate of consent to self insure, - \1 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-(Sec. 3800 Leb. C.) Policy No Company FOR APPLICANT TO FILL INJOB �. Mt ADDRESS IF-ft— . Certified copy is Hereby furnished. New Residential Bldgs.&Pools NO. -EACH FEE ��AA — $ $ r �• LOCALITY V �;.,.• Certified copy is filed'with the county building inspection 1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. — NEARS ST. Date`' Applicant Residential Swimming Pools ASSESSOR �'7 PAG ' PARCEL MAP BOOK �r CERTIFICATE OF,EXEMPTION.FROM.WORKERS', '. _ SOWNER OR Outlets:Re Light w �i FIRM NAME First lam• Ct COMPENSATION INSURANCE% d � of (Thus section.need not be completed if the work involved by the Ao�RES5�jJ fr/�� 7'"� permit is for one hundred dollars($100)or less.) VIE Total No Additional a I 'certify that in the performance of the work for._which this permit CITY ' el.No. �. -is issued, I shall not employ Ari'yperson in any manner so as to become,subject the.Workers'.Com ensation Laws. Lighting Fixtures First 20 'PLAN CHECK 1 P 9 9 APPLICANT • ,, Total No. Additional ---- -- ` jj ADDRESS Date -} Applicant'-' RESIDENTIAL APPLIANCES NOT OVER 3 HP b 7 NOTICE,TO APPLICANT, it;. 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 SuchPERMIT -' -�� pro'vislohs or'this permit shall be deemed revoked. `' '' Power Apparatus'& 'Large Appliances APPLICANT --- LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR . ADDRESS I herebyraff(im'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.NUMBB ER a -Over 100 - DISTRICT NO. PR-C SED BY --0 License Number ' Lia Class aJ UPJ Services,Swbd.,MCC&Panelboards Contractor Date 0-399 Amp.Under 600 V 0 - - DATE a ' ❑ I am exempt under Sec. 400-11000 Amp. Under 600 V VALIDATION V Over 1000 Amp,or Over 600 V FINAL d B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Iv fA 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. . SINGLE FAMILY Temp.Power Pole&Appurtenances r;t j as HOMEOWNER-BUILDER DECLARATION - Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law g ; _13 3 0.,-.`_} for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits . Code): j iT I;as owner of the•property;will do the work and the structure Misc.Conduits&Conductors g 1 � is not intended.or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) }: t� ° -�- and Professions Code). D CHECK 1-6 } CONSTRUCTION LENDING AGENCY CHM'a zLi I 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) _ PLAN CHECKING.FEE Lender's'Name i t"} 'tea_-. PERMIT ISSUING FEE Lender's Address I certify,that I have read this application and under penalty of purjury state TOTAL FEE /g � that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize represen 'ves of this County to enter upon the above-mentioned property for insp c' n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNAT E OF PERMITTEE DATE _ - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0210220028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 12440 LT: 10 5342 EL MONTE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802827 ASSESSOR INFORMATION MBER: NEAREST CROSS STREET: LOWER AZUSA 8573-004-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 26.00 OUT 47.10 TENANT: G2 LIGHTING FIXTURES 21.00 LGT 40.35 ISSUED ON: PROCESSED BY: PLAN BY; EXPIRES ON: TOTAL FEES 115.20 10/22/02 JK 04/20/03 OWNER: TEL. NO: FINAL DATECODE: LIN ENG-JIAH (626) 579-4370- 5342 EL MONTE AV EXPRELun: TEMP 917802827 DESCRIPTION OF WOR NEW LIGHTING FIXTURES&SWITCHES IN LIVING RM,STUDY&FAMILY RM APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: j ��•,�: � _� 1, �\ CONTRACTOR: TEL. N0: / > \ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - j����` i�✓'����� LIC. NO ���� ;_ � ��� TEMPORARY. POWER POLE UNDE4GROUND CONDUIT ARCHITECT OR ENGINEER: EL. N0: UFER GROUND LIC. N0: %� �_ _� �_ -,�� --I. ROUGH CONDUIT ROUGH WIRING � MAIN WATER 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 9701 LAS TUNAS EL 0508 0210280014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL PAID BUILDING ADDRESS: TR: 12440 LT: 10 5342 EL MONTE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802827 ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: LOWER AZUSA 8573-004-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 5.00 BR 86.25 TENANT: G1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.65 ISSUE ON: PROCESSED B : PLAN BY: EXPIRES ON: LA 100 AMP PANELS, MCC 1.00 PAN 38.85 10/28/02 JK 04/26/03 TOTAL FEES 166.50 OWNER: TEL. N0: FINAL DATE EXPIRMY: PTIOCODE: LIN ENG-JIAH (626) 579-4370- 5342 EL MONTE AV TEMP 917802827 DES R N 0 WORK ADDITIONAL ELECTRICAL FOR ADDITION APPLICANT: TEL. O: ENRIQUE JIMENEZ FARIAS (562) 305-3184- 7942 JABONERIA RD SPECIAL CONDITIONS: BELL GARDENS 90201 CONTRACTOR: TEL. N0: \ APPROVALS DATE INSPECTOR SIGNATURE ENRIQUE JIMENEZ FARIAS (562) 305-3184- ��4� ��'�;` 7942 JABOMERIA RD LIC. NO � ����� TEMPORARY POWER POLE BELL GARDENS CA 90201 613465 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: f �, - - \ '; UFER GROUND 11 1 LIC. NO ROUGH CONDUIT / ROUGH WIRING MAIN WATER LINE i �� `•' PLASTIC Y/N METAL Y/N -- - UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1405060017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 12440 LT: 10 5342 EL MONTE AV - I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802827 1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18573-004-009 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: -597 GRID: C4 LOCALITY: TEMPLE CITY CAI ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1 1 ITENANT: I TOTAL FEES 66.70 (ISSUED ON: PROCESSED BY: PLAN BY: I' 105/06/14 SR I I I I I (OWNER: TEL. NO: I IFINAT DATEFI CODE: ITRUONG, THU - I I / I ,111MIJ 15342 EL MONTE AV I 1. ITEMP 917802827 E CRIPT ON bF WORK II I (UPGRADE AND REPAIR 200 AMP PANEL MISSING FACE COVER FOR I I IPANEL I (APPLICANT: TEL. NO: I I IMA, QUAN C (626) 589-5359- 1 1 1 13715 STRANG AVENUE. I ISPECIAL CONDITIONS: IROSEMEAD CA 91770 1 1 I I I I I I I I ICONTRACTOR: TEL. NO: I IAPPROVALS DATE INSPECTOR SIGNATURE 1 IQUAN CHIEU MA (626) 589-5359- I . 13715 STRANG AVENUE LIC. NO I ITEMPORARY POWER POLE I I I IROSEMEAD, CA 91770 613934 * 1- I (UNDERGROUND CONDUIT I I 1 I I_' I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFFR. GROUND I I I LIC. NO: I IROUGH CONDUIT IROUGH WIRING 1 I I I I I I I I I I IMAIN WATER LINE I I I IPLASTIC YIN METAL YIN I I I I I I I I (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 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 l 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 1 I* ADDITIONAL DATA ON FILE I 1 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 I