HomeMy Public PortalAbout5336 ROSEMEAD BLVD_Electrical__ 76AIS63 DBS 5A 3-50 ,APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN RECEIVE BY READY FOR DATE IB®UED
ADDRESS FIRST INSPECTION
CITY TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS + ( NEAREST QG�
CROSS ST. ✓-� �` �� O
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
s7
I/2 g LESS $ .25 SIGNATURE OF
/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
--15 50 2.50
_ 50 200 5.00
2013 500 10.00 J
Soo 1000 15.00 - Z
OVER 1000 20.00 E9
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS -
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE III ✓ V UTILITY CO. NOTIFIED
FINAL
76A663C- CE80613 1?/75 APPLICATION FOR ELECTRICAL PERMIT
1
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
EACH NO. FEE ADDRESS
FResidential Bldgs. &Pools /h�� �f fi _
Sq. Ft. — $ LOCALITY
q. Ft. NEAREST
imming Pools CROSS_SS
)
WNER OR 6 6JA
FO RM NAME PZC� cu Elu
Outlets: Light,Switch& Receptacle MAI L
First 20 � ADDRESSC7� M� Q�
Additional CITYfinpir, Vli Tel. No. ^p
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT ND O F
Range_ Heater/ D.W. ADDRESS 04 Q�
Oven Dryer W.M. _
Top FAU W.H. CITY So. PAS ADCA)ATel. No.
Hood Fan LICENSE OR �1 p
Disp. A.C.
REG. NUMBER (.� Class.' d v
�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Q
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LaJ
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. Il
rn
Up to 1 Incl. z
I HEREBYmi
PROPERLY REGISTERED AND/OR
Over 1 to 1.0 Incl. LICENSED ASNGELES COUNTY AND STATE OF
CALIFORNIA LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED R .
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATUR
DISTRICT NO. P OC ED BY
Services � 0 g . '- _1�
0-200 Amp. Under 600 V
201 - 1000 Amp. Under 600 V APPROVALS D TE INSPECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits
ROUGH CONDUIT
(Other) WIRING t //
FIXTURES ' 'LT� r,
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI LITYCO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee)
FINAL
PERMIT ISSUING FEE X-01
NOTES
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PE IT VALIDATION CK. M.0. CASH
8-4 21-JUN 8 � rJ � A— i i
F I I r��
76A663C- CE806B 12,75 APPLICATION FOR ELECTRICAL PERMIT
J
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
FResidential
Bldgs. &Pools
EACH NO. FEE ADDRESS G Rosemead
Sq. Ft. $ — $ LOCALITY (`,-
q. Ft. — NEAREST
imming Pools CROSS ST. BY'oadway
OWNER OR
FIRM NAME Farquharse>
Outlets: Light, Switch& Receptacle MAIL 6 'N. Rosemead
ADDRESS
First 20
Additibnal CITYTel. No. '
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT BgSt Ret Electric
Range Heater_ D.W.
Oven Dryer W.M. ADDRESS ... tI-W...RkI$�` Marie DP.
Top FAU W.H. CITY Araed a Ca. Tel, N..445-698I
Hood Fan LICENSE OR
Disp. A.C. REG. NUMBER 263812 Class. �
U
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J.
Size&Type.HP, KW, KVA,or KVAR ELECTRICAL WIRING. LLJ
�
Up to 1 Inci. I HEREBY CERTIFY THAT I AM PROPERLY REGISTD AND/OR �
.OVe( 1 LO 1O InCI. ICENSED AS REQ.IR BY L 5 ANGELES C NTY A^- ST E OF
CALIFORNIA OR TH AM HE LEG L O NET THE AB E
Over 10 to 50 Incl. - DESCRIBED RESID TIALAt PERT Y.
Over 50 to 100 Incl. pER MITES
Over 100 SIGNATURE
11 DISTRICT NO. PB-GCE S BY
Services O �J
0-200 Amp. Under 600 V � CJ RR
201 - 1000 Amp. Under 600 V APPROVALS A INSPECTOR'S
Over 1000 Amp.or Over 600 V
SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) W I R I NG
FIXTURES
q
POWER AUTHORIZED P �"
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) ..q
FINAL
PERMIT ISSUING FEE ! f
TOTAL FEE f _ NOTES �F
PLAN CHECK VALIDATION CK. M.O. CASH I .PERMIT VALIDATION CK. M.O. CASH
10'3 8ill JUN 16 1 011 1 :5.5 0 ati�s
WORKERS'COMPENSATIONDECLARATION
CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
CE-806
I hereby affirm that I have a certificate of consent to self COUNTY�LNGES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or ��
a certified.copy thereof(Sec. 3800,Lab. C.)
qq� 2063079 Zenith Nat. Ins. Co FOR APPLICANT TO//L IN 30
Policy`No, Company New Residential Bldgs.&Pools I ACH NO. FE ADDRESS 5336 N. Rosemead Blvd.
O Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Temple City
Multi-family Sq. Ft. — NEAREST
Certified copy is filed with the county building inspection CROSS ST
department. Residential Swimming Pools OWNER OR
FIRM NAME Rosemead Garde
Date 818180 Applicant R. Cob i ne Outlets: Rec.—Light_Sw. ADDRESS as jobFirst 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. ---- >_
COMPENSATION INSURANCE PLAN CHECK tl
(This section need not be completed if the work involved APPLICANT O
U
by the permit is for. one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS
Additional cc
Total No. 0
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No.
permit is issued, I shall not employ any person in any manner PERMIT LU
so,as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT Cob i ne Electric Co. Inc. CL
Oven _ Dryer_W.M. ADDRESS 18607 Chestnut St. Z
Date Applicant Top _ FAU _W.H..
.Hood — Fan —Other CITY Alhambra. Tel No. 282-0315
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 229847CIass _ 10
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT P ES D BY
with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR (J(/
deemed revoked.
Up to 1 Incl.
FINAL
Over 1 to 10 Incl. DATE
ej �!'� VALIDAT5r,01
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl.
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
License Number 229847 Lic.Class CIO 0-200 Amp. Under 600 V
201-1000 Amp. Under 600 V
Contractor R. Coib i ne Date $1880 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
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):
Misc.Conduits&Conductors
1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)—
structure is not intended or offered for sale (Section z 1 '6 5 7 A
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY # 0 0 0 0 0 2
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 10.00 2 ° ° 1.7,0 0
issued (Sec. 3097,Civ.C.).
Lender's Name PLAN CHECKING FEE - (One-Fourth Permit Fee) ° °. ° 1 7 0 0
Lender's Address PERMIT ISSUING FEE 7.00 O a 1 1 —80
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
Signature of Permittee ate
J WORKERS'COMPENSATION.DECLARATION 76A663
cE-806G IZ-B.o>:;:-. APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS AN Rlnl nlnlr.nND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec. 3800,Lab. C.)
BT 2063070FOR APPLICANT TO FILL IN JOB
Policy No. Company Zenith Nat. Ins. CO New Residential Bldgs.&Pools 'EACH O. FEE AD S 36 N. Rosemead Blvd.—
•
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Tem le City
Multi-family Sq. Ft. — NEAREST
)( Certified copy is filed with the county building inspection CROSS ST
department. Residential Swimming Pools OWNER OR
7/23 80 R CObine FIRM NAME Rosemead Garden
Date Applicant Outlets: Rec?Light Sw.L MAIL
First 20 ADDRESS as job
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY TeI.No. ----
COMPENSATION INSURANCE
PLAN CHECK
APPLICANT d
(This section need not be completed if the work involved l� 0
Lighting
by the permit is .for .one hundred dollars ($100) or less.) Fixtures First 20 gpoREss
Additional cc
Total No. 0
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No.
permit is issued, I shall not employ any person in any manner PERMIT U
so as to become subject to the Workers' Compensation Laws. Range_Heater_D.W. APPLICANT Cob I ne Electric CO. I nc. d
Oven _ Dryer_W.M._ ADDRESS 1607 Chestnut St. _Z
Date Applicant- Top _ FAU _W.H. CITY Alhambra Tel No. 262-0315
Hood _ Fan _Other_-
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 22984.7 Class C10
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PR ED BY
with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR
deemed revoked.
Up to 1 Incl.
Over 1 to 10 Incl. FINAL
LICENSED CONTRACTORS DECLARATIONVALIDATION
Over 10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY �-
+ ness and Professions Code, and my license is in full force and
effect. Services
License Number 229847 Lic.Class C 1 0 0-200 Amp. Under 600 V
201.1000 Amp. Under 600 V
Contractor R. Cobine Date 7/23/80 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
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):
' Misc.Conduits&Conductors - 1 J Y,17- N
El I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)—
structure is not intended or offered for sale (Section {; c o u o o j
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY ' 2 a c ^ r
I hereby affirm that there is a construction lending agency
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) E7
Lender's Address PERMIT ISSUING FEE L
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 abe- entione ropert r inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
7/23/80
Signature of Permittee Date
WORKERS,COMPENSATION DECLARATION
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 ANGELE� �) AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or l/
a certified copy thereof(Sec. 3800,Lab.C.)
` /► FOR APPLICANT TO FILL IN ,JOB
Policy No. Company— /�/'/yam— ADDRE 1 3 i
New Residential,Bldgs.&Pools EACH NO. E
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft.
$ — $ LOCALITY "
Multi-family Sq. Ft. — NEAREST
Certified copy is filed with the county building inspection CROSS ST
Residential Swimming Pools
department WNER OR
FO RM NA E
Dated JApplicant Outlets: Rec.—Light_Sw. MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No.
COMPENSATION INSURANCE t PLAN CHECK CL
}
APPLICANT
(This section need not be ,completed if. the work involved �� 0
Additional
by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First ADDRESS cc
I certify that in the performance of the work for which this Total No. CITY Tel No.
Fixed Appliances Not Over 1 HP
permit is issued, I shall not employ any person in any manner PERMIT
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT d
JP
Oven _ Dryer_W.M. ADDRESS
Date ! Applicant Top _ FAU _W.M.
CITY'R' Tel No
Hood — Fan —Other
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ LICE SE OR
Exemption, you should become subject to the Workers' REG.NUMBER ,Z ass
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PRMVALIDA+TI
with comply with such provisions or this permit shall be Size&Type HP, KW, KVA,or KVAR
deemed revoked. v
Up to 1 Incl.
FINAL Over 1 to 10 Incl. DATE
LICENSED CONTRACTORS DECLARATION Over.10 to 50 Incl.
��-
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINALBY
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100
ness and Professions.Code, and my license is in full force an
effect. fServices
License Number �J ??�) ic.Clas J 01
0-200 Amp. Under 600 V
k� 201-1000 Amp. Under 600 V
Contractor Over 1000 Amp.or Over 600 V fid y,
HOME OWNE -BUILDER DECLARATION 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
ness and Professions Code):
Misc.Conduits&Conductors
I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)—
structure is not intended or offered for sale (Section 23 80.9 A
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency # o o 0 0 0 2
for the performance of the work for which, this permit is PERMIT FEE (Sub-Total) 2 0 - 20.50
issued(Sec. 3097,Civ.C.).
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o.o'0 2 Q 5 0 v
_ r
Lender's Address PERMIT ISSUING FEE
Oi1,20-81
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
ordina ce and State la regulating Electrical wiring, and
hereb au horize repres tive of this County to enter upon
the ove(mentioned pr ty r44spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
/ature o Per ee Date
l -
• ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403010022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
p
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5336 ROSEMEAD BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762211
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5388-010-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: SAN GABRIEL, C
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 33.60 03 01/04 VG 08/28/04
�6nwn��
OWNER: TEL. N0: F FINAL BY: CODE:
CHANG, KEH YAUN (626) 927-9755- ir
125 N. ALHAMBRA AVE.
MONTEREY PARK 91775 DESCRIPTION OF WORK
RELOCATE EXISTING RECEPTACLES & SWITCH
APPLICANT: TEL. NO:
HSU (626) 236-8005-
616 N. OLIVE AVE. SPECIAL CONDITIONS:
ALHAMBRA, CA 91801
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HSU, GEORGE (626) 236-8005-
616 N. OLIVE AVE. LIC. NO TEMPORARY POWER POLE
ALHAMBRA, CA 91801 383572 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: 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 1102030020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1
ON FILE I 5336 ROSEMEAD BL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( SGAB CA 917762211
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE
15388-010-001 IAW PC CITY $109.35 MIN 0.00 356.50 I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
I 1A1 PERMIT ISSUANCE FEE 27.80 I
(TENANT: IFI 120V, 15/20A BR CKTS 22.00 BR 345.80 (ISSUED ON: PROCESSED BY: PLAN BY:
IGO GO SPA IF2 208, 277V LGT BR CKT 2.00 BR 54.60 102/03/11 SR 1
I IJB AC UNITS +3-10HP 2.00 AC 39.40 1
(OWNER: TEL. NO: IJX MOTORS, LT 3 HP 2.00 MOT 30.70 IFINAL DATE FINAL BY: CODE: 1
IYOU, JING (213) 392-2293- IK1 SIGNS,.OUTLINE LGT 1.00 SIG 38.80 1
15126 ROSEMEAD BLVD. I TOTAL FEES 893.60 ��I f1
ISAN GABRIEL CA 91776 1. 1D SCR PTIO OF WORK 1
ITENANT IMPROVEMENT ELECTRICAL 1
I
(APPLICANT: TEL. NO:
ICHIANG, SOLON (213) 392-2293- I 1
15126 ROSEMEAD BLVD. ISPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91776 I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IC J L CONSTRUCTION INC. (213) 392-2293- 1 1
1801 S. GARFIELD AVE., #338 LIC. NO 1 ITEMPORARY POWER POLE I
ALHAMBRA, CA 91801 492610/B I I-
I I (UNDERGROUND CONDUIT I I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 I
CALLAHAN, DAVID (626) 466-8500-
11024 S. CALIFORNIA ST. LIC. NO: I IROUGH CONDUIT I I
ISAN GABRIEL, CA 91776 NONE I I :7�: . I I
IROUGH WIRING I
I I I I I
I IMAIN WATER LINE I
I IPLASTIC YIN METAL YIN
(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
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
II I