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HomeMy Public PortalAbout5405 ROSEMEAD BLVD_Electrical__ WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT 1 I affirm shat I have a certificate of consent to self CE-806G in4;ure,,o . certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY a or certified copy thereof (Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ��Q Qs(t �V. Certified co is hereby furnished. EACH NO. FEE PY Y New Residential Bldgs. & Pools ElCertified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ —Is LOCALITY tion department, Multi-famil S Ft. NEARESTCROSS ST. Date �� \N6\P �, (Iu�Q,b�p ,�. Residential Swimming Pools OWNER T. �O ��\/ Applicant FIRM NAME 7 '64eveel5 CERTIFICATE OF EXEMPTION FROM WOR RS' MAIL Outlets: Rec Light Sw._ O Z rj FSP InolvT COMPENSATION INSURANCE ADDRESS This section need not be completedFirst 20 ( if the work involved b y Total No. Additional CITY L Tel. No. Z 83 q/0/the permit is for one hundred dollars ($100)or less.} I certifythat In the performance of the work for which this PLAN CHECK P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANTS a Cq ��Lb` �Vlr$ 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 'j,�j,(��3 VA G1R1p ��t with comply with such provisions or this'permit shall be Top _ FAU —W.H. — deemed revoked. CITYtLgN Tel. LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other— OGR 71�• J3D Disp. Room Air Cond. LICENSE 14 I hereby affirm that I am licensed under provisions of Chapter 9 . REG. NUMBER �0 l 11(O Class. (commencing with Section 7000) of Division 3 of the. Business DISTRICT NO. P CES ED BY } and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances r G 0 L Size &Type HP, KW, KVA, or KVAR- (J U License Number OA'`10 Lic. Class Up to 1 Incl. FINAL $Ov,T1t2t9A) CAV Over 1 to 10 IncDATE ,i VALIDATION O0. Contractor �U.�L-OK�S Date �� �� $V Over 10 to 50 Incl. 'B7 IN W ❑ I am exempt under Sec. Over 50 to 100 Inc. 'B LL' B.&P.C. for this reason Over 100 1 i Z Services, Swbd., MCC & Panelboords Date: b 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole& Appurtenances 3v// I 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&Conductorsy structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)_ `J 7044, Business and Professions Code). ► # J�B CONSTRUCTION LENDING AGENCY - - 40.59 I hereby affirm that there is a construction lending agency for 0 0 - 40,500' the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) 1, 1 1 —8 6 (Sec. 3097, Civ, C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE / 0 Lender's Address I certify that I have read this application and state that the TOTAL FEE O 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 Signcrture of Permitt ate WORKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT -• I Yibreb'y`affirm that I have a certificate of consent to self insure, CE-906G o?'a'certififtate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereq(,( ec.3800 ab. C.) ' Y1 Policy No. 4 Company FOR APPLICANT TO FILL IN JOB ❑ Certifi copy is he eby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS Certifiedcopy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ _ $ LOCALITY depart ent. Multi-family Sq:Ft. NEAREST CROSS ST. Date pplicant s Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE F EXEMPTION FROM WORKERS' Outlets:Rec— Light Sw. MAIL COMPENSATION INSURANCE ADDRESS l� This section need not be completed if the work involved b the First 20 ( p y Total No. Additional CITY t Tel.N � �0 permit is for one hundred dollars ($100)or less.) that in the performance of the work for which this permit. PLAN ECK � I certify P APPLICANT 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 ' Additional CITY el.No. Total No. (� Date - Applicant Fixed Appliances Not Over 1,HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of t Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU W.H. _ �� LICENSED CONTRACTORS DECLARATION . Hood Fan _. Other_ CITY Tel.No. CIA I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Class. Professions Code,and my license is in full force and effect. DISTRICT NO. / PROCESSED Power Apparatus& Large Appliances �r �l V � a Q Size& Type HP,KW,KVA,or KVAR va License Numbgr Lic.Class `"�� Up to 1 Incl. FINAL U `lt�� Over 1 to 10lncl. DATE _08 ��� VA DATION 0 Contractor l ate Over 10 to 50 Incl ❑ FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY W Over 100 B.&P.C. for this reason Ll. Services,Swbd.,MCC& Panelboards , N Date: 0- 200 Amp.Under 600 V e-% Signature 201 - 1000 Amp.Under 600 V —4 8 4 9.3 A Over 1000 Amp.or Over 600 V ❑ Exemption for Reg.Maint.Elect. # o o o o,0;,2 SINGLE FAMILY Temp.Power Pole& Appurtenances I o 0 4 Q 5 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2 I hereby affirm that I am exempt from the Contractor's License Law o 0 0 4 a15 0 5 for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits code): 1 203-87 ❑ 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) , 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(Sec.3097, PERMIT FEE (Sub-Total) 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 above TOTAL FEE information is correct. I agree to comply with all County ordinances and State lawsregulating ectrical wiring, and hereby authorize ty to enter upon the above-mentioned representatives of this Co pr rty for inspection p poses. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig of Permi tee Date I n 1114— 0 01 �JµORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR CELE eR(61. PERMIT I k er'eiby�nffirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Ins rance, COUNTY OF LOS ANGELES BUILDING AND SAFETY og�certified copy thereof Sec. 3800, Lab. C.) PolicyNo�/�Od1 66 �7�,.�h,/ '>✓ompany���/'� v '-rf�/Zf_/I- FOR APPLICANT 70.FILL IN JOB .Certified copy is hereby furnished. New Residential Bldgs. & Pools S EACH NO. FEE ADDRES ,, ❑ Certified copy is filed with the county bui in s ec- 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY /��^�/`J� _/ �%' tion department. Multi-fornily Sq. Ft. 'NEAREST CROSS 57. ,l7GfJ �/di& ,tU d ��� .d - Residential Swimmin o Is OWNER OR Date APPlicant b� �t SRAM NAME CERTIFICATE OF EXEMPTION FRO WORKERS' `�-1 COMPENSATION INSURANCE Outlets:Rec Ligh' Sw. © �y-1 /!jf ADDRESS First 20 is (This section need not be completed if the work involved by Total No. CITY Tel. No. the permit is for one hundred dollars ($100)or less.) Additional I certifythat in the performance of the.work for which this PLAN CHECK P ern APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers':Compensation Laws. Lighting Fixtu/re First 20 ADDRESS yl _ Total Noe �0 Additional jl/��, CITY Tel. No. Date Applicant ��u✓-+C.�J �L���� Fixed Appliances Not Over 1 HP. PERMIT ,�/ --� NOTICE TO APPLI ANT: If, after making this Certificate of P APPLICANT �� i Exemption, you should become subject to the Workers' Range_ Heater._D.W. _ t Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M. ADDRESS d-ZYY3/ f� ���/��/� IlAlil with comply with such provisions or this permit shall be Top FAU W.H. deemed revoked. CITY �, � `l Tel. No(?�E -776�a Hood Fan Other— LICENSED CONTRACTORS DECLARATION LICENSE OR !/� �o 73 C I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room ATrCond. REG. NUMBER VJ V ( Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCES D Y Y and Professions Code, and m license is in full force and effect. Power Apparatus& Large Appliances �«/t (J � � � Size &Type HP, KW, KVA, or KVAR' License Number Lic. Class l_✓P/ 6J Up to 1 Incl. FINAL / 9.) Over 1 to 10 Incl. DATE ��/ V IDATION 0 Contractor V✓ Date f7 G Over 10 to 50 Incl. C� FIN❑ U I am exempt under Sec. Over 50 to 100 Inc. B LIM B.&P.C. for this reason Over 100 DaW Ser ices, Swbd.,'MCC& Panelboards 0,6 oil.0 -200 Amp. Under 600 V Signature_ r &i:=201 - 1000 Amp. Under 600 V I no ❑ Exemption for Reg. MainT. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 6 1 Q 8 A 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 0 0 0 0 0 2 Professions Code): ❑ 1, as owner of the property, will do the work and the Misc. Conduits&Conductors 1 - 277.5 Q structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044, Business and Professions Code). ° °.2 7 7.5 05 CONSTRUCTION LENDING AGENCY .I 211 ;-8 6 1 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.). 60 PLAN CHECKING FEE Lender's Name !1 PERMIT ISSUING FEE /V Q 1 Lender's Address I certify that I have read this application and state that the TOTAL FEE -71 -561 above information is correct. I agree to comply with all County ordinances and State laws r gulating Electrical wiring, and hereby authorize rept sent ives of this ounty to enter upon the o - ention pro ert fgggr ins tion purposes. _ r� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee / Date 1 WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby 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. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 5^ ®5- ❑ Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST CROSS SL Residential Swimming Pools Date Applicant OWNER �- FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS s section neenot completed if the work involved b First 20 (Thitid t b p Y Total No. Additional CITY � Tel. No. C ,� the permit is for one hundred dollars ($100)or less.) that in the performance of the work for which this PLAN CHECK I certify P 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 Total No. -Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT � M 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 I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. P SED BY and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances U V Q/ _ Size&Type HP, KW, KVA, or KVAR' License Number IgA -I Lic. ClassUp to 1 Incl. FINAL Over 1 to 10 Incl. DATE 1 Contractor Dkt<Ur12L �u�Date `� VALIDATION U ❑ Over 10 to 50 Incl. FIN W I am exempt under Sec. Over 50 to 100 Inc. 1 BY a- V) B.&P.C. for this reason Over 100 Z Services, Swbd., MCC & Panelboards Date: 0 -200 Amp. Under 600 V Signature — '-t^ 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for 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)_ ► 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 5-4 1.714 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) # o 0 0 0 0 2(Sec. 3097, Civ. C.). PLAN CHECKING FEE / I o - 2S50 Lender's Name PERMIT ISSUING FEE 0 ° ° ° 2 5 5 0 5 Lender's Address I certify that I have read this application and state that the TOTAL FEEjv0 9„1 1 —$6above 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/Obov -mentioned property f inspection purposes. .� SEE REVERSE FOR EXPLANATORY LANGUAGE gna re of Permit ee Date WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT K I hCE-806 ereby of that I have a certificate of consent to self G n sure, or u.certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Po icy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ..5-40S– $ Q� RICertified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ❑ 1 & 2-Family, S Ft. $ — $ LOCALITY Certified copy is filed with the county building inspec- y. q• tion department. Multi-family Sq. Ft. — NEAREST APV Residential Swimming Pools CROSS ST. Date ­97Applicant OWNER OR CC c^� FIRM NAME J rti I._ CERTIFICATE OF EXEMPTION FROM ORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS �� co,9 / U- This section need not be completed if the work involved b Add 20 4,0 ( p Y Total No. Additional CITY C. - el. No. 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 Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HIP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT 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. 7/1 LICENSED CONTRACTORS DECLARATION LICENSE OR I.hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. Class. REG. NUMBER (commencing with Section 7000) of Division 3 of the Business ppDISTRICT NO. PRO E ED BY Power Apparatus & Large Appliances and Professions Code, and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR' J !J U V License Number o�7,2339Lic. Class C4-f- Up to 1 Incl. FINAL �= Over 1 to 10 Incl. DATE `� VALIDATION Contracto ate Q Over 10 to 50 Incl. FINAL W 4 1:11 am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 z Services, Swbd., MCC& Panelboards Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for 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 6 7 Q :A Law for the following reason (Section 7031.5, Business and Professions Code): # e o o e e 2 ❑ 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)_ , I °;° 4 Q 5.0 7044, Business and Professions Code). 4 Q 5 0 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) 3.2.0 - 8 7 (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q Lender's Address I certify that I have read this application and state that the TOTAL FEE Q 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 4Mud LIMLA� 751griotd're 6f Permittee � — Da ti A a COUNTY OF LOS ANGELES " TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL-0508 -9710280017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID• FEES PAIDBUI-L-DING-ADDRESS: 09 FILE ' 5405 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: _• SGAB .CA 917762212 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:3 5388-024-064 Al PERMIT ISSUANCE FEE 27.75 THOMAS-PAGE:-596 GRID: H4 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 4.00 SIG 155.40 TENANT: TOTAL FEES 183.15 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES 0 10/28/97 UT 10/28/ OWNER: TEL. NO: FINAL DAT FINAL BY: CODE: A;M ENTERPRISES (818) 457-2945- Z"2-ft 4 1025 FREMONT AV �yl ALHM 918031324 DESCRIPTION OF WORK ELECTRICAL FOR REPLACING EXISTING SIGNS APPLICANT: TEL. NO: WEST COAST SIGN & CRANE (818) 242-4255- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WEST COAST SIGNS (805) 487-4846- 1030 COMMERCIAL AVE LIC. NO TEMPORARY POWER POLE OXNARD 93030 722458C45 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: LIFER GROUND LIC. N0: 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 1211280032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5405 ROSEMEAD BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762212 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15388-024-064 IA1 PERMIT ISSUANCE- FEE 27.80 I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY CAI I _1K1 SIGNS, OUTLINE LGT 3.00 SIG 116.70 I I (TENANT: I TOTAL FEES 144.50 11SSUED ON: PROCESSED BY: PLAN BY: 1 111/28/12 SR 1 I I I I (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1 IKROSP, JAMES (805) 445-7733- 1 11227 FLYNN RD 301 1 �( ICAMARILLO CA 93012 I IDESCR PTION OF WORK 1 1 (ELECTRICAL FOR INSTALLATION OF THREE (3) ILLUMINATED CHANNELI ILETTER SIGNS. 1APPLICANT: TEL. NO: ILIM, KIM (323) 733-1177- I1800 W ADAMS BLVD ISPECIAL CONDITIONS: ILOS ANGELES CA 90018 1 1 1 (CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE IKIM BON JUN (323) 788-2822- I 1 11800 WEST ADAMS BLVD. LIC. NO I ITEMPORARY POWER POLE ILOS ANGELES, CA 90018 * LOMITA * I I I (UNDERGROUND CONDUIT 1 I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I - I I I I I LIC. NO: ( IROUGH CONDUIT I I I I I I I IROUGH WIRING 1 I 1 I I I I I I 1 1 IMAIN WATER LINE IPLASTIC Y/N METAL Y/N I I I I I I I 1UTILITY 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 I* ADDITIONAL DATA ON FILE I IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 1 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207050006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE I 5405 ROSEMEAD BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( SGAB CA 917762212 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BROADWAY 15388-024-064 JAW PC CITY $109.35 MIN 0.00 268.60 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl I IAl PERMIT ISSUANCE FEE 27.80 J 1 TENANT: IF1 120V, 15/20A BR CKTS 12.00 BR 202.70 JISSUED ON: PROCESSED BY: PLAN BY: IBYUN f 00-BOOK KOREAN BBQ YONG-BOK IJ5 OTHER PWR APP LT 3HP 8.00 PWR 122.40 109/17/12 SR JJ6 OTHR PWR APP +3-10HP 1.00 PWR 19.70 1 DOWNER: TEL. NO: IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.90 IFINAL DATE FINAL Y: CODE: 1 JA & M ENTERPRISES - 1 TOTAL FEES 680.10 11 11227 FLYNN ROAD #301 I 1 1 ICAMARILLO, CA 93012 I IDESC IPTION OF WORK I JEL FOR T.I. FOR EXISTING R STAURANT NO ALTERATION ON ADA JAPPLIED (E) RESTROOM (E) CHANGING ROOM & (E) KITCHEN (APPLICANT: TEL. NO: IKIM/CORBEL ARCHITECTS INC., SIMON (213) 739-9902- 13450 WILSHIRE BLVD. ISPECIAL CONDITIONS: ILOS ANGELES CA 90010 I I I I I I I I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IDAE WOO ELECTRIC INC. (213) 276-8884- 1 11822 S. ARDMORE AVENUE LIC. NO I ITEMPORARY POWER POLE I I I ILOS ANGELES, CA 90006 958878C-10 I i I I I (UNDERGROUND CONDUIT JARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I 1 ICORBEL ARCHITECTS INC. (213) 739-9902-3 1 1 13450 WILSHIRE BLVD. SUITE 1000 LIC. NO: (ROUGH CONDUIT ILOS ANGELES, CA 90010 C23320 I IROUGH WIRING I I IMAIN WATER LINE IPLASTIC YIN METAL YIN 1 JUTILITY 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 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 IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 1 I I I I I I I