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HomeMy Public PortalAbout5417-5429 ROSEMEAD BLVD_Electrical__ t� 78A888-CE808 2-88 APPLICATION FOR ELECTRIC PERMIT 1 "COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �LO ILDING BUILDING AND SAFETY DIVISION DRESS S /( UGHN A. LAMBIE, COUNTY ENGINEER /�- CASSATT D. GRIFFIN,SUPT OF BUILDING CALITYyy�-�i.Q.l✓ CC.i FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. ITEM NUMBERI EACH FEE OWNER e r UTLEECEPC. SW. w� MAIL OGHTS S ADDRESS LITV LIGHTING FIXTURES 10 1-6 CITY TEL.NQ. .�J! ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS v w ELEC.SPACE HTRS. DISHWASHERS CITY le, TEL.NO. GARBAGE DISPOSERS AUTO.- STATE 1 � WASHERS STA.COOKING UNITS .2S LICENSE NO. L9 MOTORS: OVER INC. H.P. DISTDRICT NO. GROUP ZONE P OCESSED BY 0— 1/2 :25 .:� I 3 1/2— 2 .so INSPE TION RECORD 2— 5 1.00 5— 15 1.50 15— so 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V ( 1.00 l D SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 10 FIXTURE PERMIT 1.00 o v SUPPLEMENTARY PERMIT .50 TOTAL FEE 1 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 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 PROPERTY. POWER SIGNATURE 1.f . UTILITY CO.NOTIFIED OF PERMITTEE — 1 v rvV a FINAL OF OCKdDATION ARTHUR C.VEIT, MO CASH SUPERVISING ELECTRICAL ENGINEER T,7 7 1 - Is, 110V 2 A 7.4 0 +er WORKERS' CI .hitve a cEkti DECLARATION 76A663 ,SLB, APPLICATION FOR ELECTRICAL PERMIT 'k heri=6g t;ffirm that I �hc�ve a cey-tificate of consent to self CE-806G 'Msuda.'or a certificate OV Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY / -6?a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE 2-Family, _ Certified copy is filed with the county building inspec- 1 & Y Sq Ft. $ $ LOCALITY Multi-famil S Ft. NEART tion department. Y q CROSS ESST. Date Applicant Residential Swimming Pools OWNER OR _ FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: ReccMight 10 Sw. MAIL COMPENSATION INSURANCE Z /"S` 00 ADDRESS First 20 ! (This section need not be completed if the work involved by Total No. Additional o 0 CITY Tel. 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 aItbecome subject to the W kers'Compensation Laws. Lighting Fixtures First 20 ADDRESS AO Total No. Additional 7S_ CITY Tel. No. Dat , Applic f � Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICA T: If, afte making tis Certificate of APPLICANT Exemption, you should become subject o the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M.— ADDRESS �f �-� with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _ Other_ CITY o, 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 PROC S ED BY and Professions Code,and my license is in full force and effect. Power Apparatus & Large Appliances //l�l�^^ Size &Type HP, KW, KVA, or KVAR' �4 O License Num er D ic. Classes Up to 1 Incl. FINAL 09 v� `Pr Over 1 to 10 Incl. DATE ✓ y V LIDATION Contracto - Date D Over 10 to 50 Incl. ' — U FINA El I am exempt unde Sec. Over 50 to 100 Inc. BY LU 1'�a_xz4z;l B.&P.C. forthis reason Over 100 rvices, Swbd., MCC & Ponelboards 4; Date: /0 -200 Amp. Under 600 V �d Signature V201 - 1000 Amp, Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION 9 6 9 2 2 A Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits # © o 0 0 0 2 Law for the following reason (Section 7031.5, Business and Professions Code): 1- 21 9,5 0 Misc. Conduits&Conductors I, as owner of the property, will do the work and the x structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , o.0 2 1' 9,5 0 5 7044, Business and Professions Code). p [,27i87 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) (Sec. 3097, 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 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 t e• bove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Per ttee Date WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT 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.) ^ POIICy NO.V /7 F Company / ie FOR APPLICANT TO FILL IN JOB � y y �1 r q�� ADDRESS f IU,(� 4K.-•V ❑ Certified copy is hereby furnished. ���' 9� New Residential Bldgs.&Pools NO. EACH FEE f $ $ LOCALITY •- Certified copy is filed with the:d building i ection 1&2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS ST. !}(,>� Date 11-15--A3 Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION 0 WORKERS' Outlets:Rec._Light Sw. OWNER OR FIRM NAME MM..t �, 1 COMPENSATION INSURANCE ,w �iJAV First 20 (This section need not be completed if the work involved by the MAIL Total No. Additional MAILADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as t0 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 HR 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 provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 16 Co- LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 303 �U, I J S�q,. 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 (� PA Tel.No.y'o6b/_ X Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. } LICENSE OR Class/� i2 Over 50 to 100 Ind. REG.NUMBER &4•S �J C-45 Over 100 DISTRICT NO. PR C SED BY O License Number nLaL b (Z Lic.Class q �yy Services,Swbd.,MCC&Panelboards - Contractor X4410 �J CO`;1d•�•Oate )1-1 5^9) 0-399 Amp. Under 600 V FITC O ❑ I am exempt under Sec. 400-1000 Amp. Under 600 V t CO— �� Over 1000 Amp.or Over 600 V LU FINAL VALIDATION a- - B.&P.C.for this reason BRANCH CIRCUIT-FEES BYco �, Z Date: 15A,or 20A,120V,Lighting or Recept. — 1 To 10 Branch Circuits Signature- 11 To 40 Branch Circuits El 41 Or More Branco Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances eat•te`s a HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law g __: •: — '=�'^' for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): _ I»' ❑ Misc.Conduits&Conductors �=W= I,as owner of the property,will do the work and the structure =��— is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) — •r and Professions Code). CONSTRUCTION LENDING AGENCY CH k3 °`'t( 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.) s{ f!3kT—'•_Ei! 3 L/15.19`3 •'' PLAN CHECKING FEE 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 that the above information is correct. I agree to comply with all County ordinances and State laws reg ting Electrical wiring,and hereby authorize representativ f this Cou y enter upon the above-mentioned property for inspecti urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PER TTEE DATE WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT I Tiereby aTfirm that I have a certificate of consent to self CE-806G insure, or a certificate of kVorkers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) P.IicvN.. F3 5 5 6 9 Company FA I RMON T FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS .5417 ROS.EMEAD BLVD . ❑ 1 & 2-Famil S Ft. $ — $ LOCALITY TEMPLE CITY 91780 Certified copy is filed with the cou ty building inspec- y- q• tion epartment. Multi-family Sq. Ft. NEAREST r Residential Swimming Pools OWNER OR CROSS ST. BROADWAY Date Applican FIRMNAME SUPERCUTS CERTIFICATE OF EXEMPTION FROM WORKERS' ' Outlets: Rec - Light Sw. MAIL COMPENSATION INSURANCE ADDRESS 1 5 0 GATE FIVE ROAD This section need not be completed if the work involved b First 20 ( p Y Total No. Additional CITYSAUSAL I TO 94965 Tel. 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 a 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 N I TE LITE SIGNS 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 2 1 0 0 1 S U P E R I.O R STREET with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood _ Fan _ Other_ CITYCHATSWO.RTH 9131TTI Na 341-098 LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER 309508 • Class. C—1 (commencing with Section 7000) of Division 3 of the Business DISTRICT NCt� r/ PROCES BY/ and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances y c�Ux Size & Type HP, KW, KVA, or KVAR' J O License Number. 3 0 9 5 0 8 Lic. Class C-10 Up to 1 Incl. FINAL ContractorN T TE LITE S I GISte Over 1 to 10 Incl. DATE �� V DATION Over 10 to 50 Incl. FIN L C/ V ❑ I am exempt under Sec. Over 50 To 100 Inc. B.&P.C. for this reason Over 100 H z791�;1 A � Date: Services, Swbd., MCC& Panelboards 0 -200 Amp. Under 600 V #.o o.o a o 2 Signature 201 - 1000 Amp. Under 600 V I o - 2550 Over 1000 Amp. or Over 600 V ❑ Exemption for Reg. Maint. Elect. o o o 2 5 5 0 5 SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 9.21 "8 7 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 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) (Sec. 3097, 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 TOTAL FEE above information is orrect. I agree to comply with all County ordinances and St e laws regulating Electrical wiring, and hereby auth rize presentatives of this County to enter upon the above- ent' n roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign u ate WORKERS'CI have cerci DECLARATION CE-806 10i81 APPLICATION FOR ELECTRICAL PERMIT I herby 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 ror a certified copy there,9 (Sec. 3800, Lab. C.)� r Pol'cy No.—Iompany FOR APPLICANT TO FILL IN JOB (_2 sw o'7,� Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS < ❑ 1 & 2-Fomil S Ft. $ _ $ LOCALITY Certified copy is filed-with the co my build' g inspec- Y, q� ti n dep rtm nT. Multi-family Sq. Ft. NEAREST U - n/ CROSS ST Residential Swimming Pools OWNER OR Date!Applicant �"6 FIRM NAME CERTIFICATE OF EXEMPTION FRO WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSU NCE 20 ADDRES This section need not be completed f the work involved b First ti ( P y Total No. Additional CITY G L Tel. No. the permit is for one hundred dollars ($100)or less.) performance of the work for which this PLAN CHECK I certify that in the 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.R Date Applicant Fixed Appliances Not Over 1 HP 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. LICENSED CONTRACTORS DECLARATION LICENSE OR qq ,n L I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER 3 �L L Class.`' (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESS BY and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances 25-� y p c� Size &Type HP, KW, KVA, or KVAR ` t! O License Number- ! 1 / Lic. Class Up to 1 Incl. FINAL U J".j !0 /3 IX Over 1 to 10 Incl. DATE VALID TION Contractor w- J Date Over 10 to 50 Incl � ❑ FIN u I am exempt under Sec. Over 50 to 100 Inc. BY IL B.&P.C. for this reason Over 100 g Services, Swbd., MCC & Panelboards -81 S 9 A Date: 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V #.o o o o to 2 ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V � o o25,50 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION s' o'o'0 Sign with One Branch Circuit 2 5,5 0 v 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 .a l 7,s a 8 7 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 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) (Sec. 3097, 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 TOTAL FEE SJ 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 thea a-ment property r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ur of P rmittee Date L ,P.Ethat I have a TION DECLARATION CE 806G '0'81 APPLICATION FOR ELECTRICAL PERMIT er _,m that I have a certificate o4 consent to self r7s61c certificate of Workers`Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY =y6`0y thereof Sec. 3800, Lab. C.) Policy N"c17(" F'F- -Company . r FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools, EACH NO. FEE ' ADDRESS - :a 's a LOCALITY Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ ^t' tion department. Multi-family Sq. Ft. NEARESTCROSS ST. ��� r Residential Swimming Pools OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPT FROM WO ESS' Outlets: Rec Light�Sw._ MAIL COMPENSATION INSURANCE S p ADDRESS First 20 1 (This section need not be completed if the work involved by Total No. Additional .?"0 CITY a �� . Tel. 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 •7 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 APPLICAN -- 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` � !! with comply with such provisions or this permit shall be Top FAU —W.H:— deemed revoked. 1, Hood_ Fon —Other— CITY, a T.I. No. — LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. _ Room Air Cond. — REG. NUMBER Class ' t4o I hereby affirm that I am licensed under provisions of Chapter 9 f� (commencing with Section 7000) of Division 3 of the Business ff .DISTRICT NOPR D BY Power Apparatus& Large Appliances V and Professions Code,and my license is in full force and effect. Size &Type HP, KW, KVA, or KVAR ✓ • (/Q License Number e/.3 e'9__Lic. Class Up to 1 Incl. FINAL 00 /' Over 1 to 10 Incl. DATE ",_' .- VALIDATION 1-= C❑ontracto*- 4W-4,0,0Over 10 to 50 Incl. FINA LA I am exempt under Sec. Over 50 to 100 Inc. BY n- B.&P.C. for this reason Over 100 Z Date: Services, Swbd., MCC& Panelboards 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 Law for the following reason (Section 7031.5, Business and Professions Code): ,I. Misc. Conduits& Conductors I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)_ 7044, Business and Professions Code). ► 5 9 4 7 A CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for # 0 0 o o 0 2 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) ( 0 0 39,0 Q (Sec. 3097, Civ. C.). 0 0 0 39. 005 PLAN CHECKING FEE �� Lender's Name ( 11 7_86 PERMIT ISSUING FEE Lender's Address O 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 7 k44 gnatur f Perm tt Date ,,,fia WORKERS'COMPENSATION DECLARATION 76- io/si CE-806G pP.LICATION FOR ELECTRICAL PERMIT I herebyaffirm that I have a certificate of consent to self insure, aos or a crtificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No.AV P)10 Company FOR APPLICANT TO FILL'IN JOB ❑ Certified copy is hereby furnished. New Residential Bldgs& Pools EACH NO. FEE ADDRESS' J T ❑ 1 & 2-Family,Sq.Ft. $ — $ LOCALITY Certified copy is filed with the coun building inspection department. Multi-family Sq.Ft. NEAREST . ` CROSS ST.' Residential Swimming Pools OWNER OR /( y� Date Applicant v V FIRM NAME CERTIFICATE OF EXEMPT N M WORKERS', MAIL COMPENSATION URANCE Outlets:Rec Light _ t 2 — completed if the work involved by the. First 20 ADDRESS (This section need not be Permit is for one hundred dollars($100)or less.) Total No. Additional CITY Tel.No. PLAN I,certify that in the performance of the work for which this permit APPLICANT CHECK 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 Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT -)p r /- . NOTICE TO+ APPLICANT: If, after making this Certificate of p"I 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 L- 04— Tel.No. I hereby affirm that 1 am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR o (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER ^-7 Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large-Appliances DISTRICT NO.( .J PROCESSED BY Size& Type HP,KW,KVA,or KVAR L O License Number Lic.Class G � Up to 1 Incl. FINAL �(J�� Over 1 to 10 Incl. DATE—y. VAL -TION Contractor-OW, Date Over 10 to 50 Incl. FIN l V ❑ I am exempt under_Sec. Over 50 to 100 Inc.. W Over 100 �-' BAP.C.for this reason ;2 9 5 3 9 A fn Services,'Swbd.,MCC&Panelboards Z Date: 0- 200 Amp.Under 600 V , # 0 0'0 0 0 2 Signature 201 - 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V I o 6 2 5 5 0 ❑ Exemption for Reg.Maint.Elect. 0 0 0 2515005 SINGLE FAMILY Temp.Power.Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 04 0 505-88 , 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 Code): ❑ Misc.Conduits & Conductors I,as owner of the property,will do the work and the structure 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 �I PERMIT ISSUING FEE (/ Lender's Address C` 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 laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ur Pe ittee, ate WORKERS'COMPENSATION DECLARATION CE-806G 10i81 APPLICATION FOR ELECTRICAL PERMIT I Faereby..atfirm that I have a certificate of consent to self G "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 C rtified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS �- 1 & 2-Famil S Ft. $ — $ LOCALITY Ce �--( Certified copy is filed with h count building inspec- Y. 9� do de ment. Multi-family Sq. Ft. — 'NEARESTAD Q� Residential.Swimming Pools CROSS ST. Date ' `Applicant OWNER OR FIRM NAME ERTIFI ATE OF EXEMPTIO FROM WORKERS' MAIL Outlets: Rec Light Sw. COMPENSATION INSURANCE ADDRESS First 20 - (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 that in the performance 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 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 ES 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 V ( Vy with comply with such provisions or this permit shall be Top _ FAU —W.H. ccqq deemed revoked. Hood Fan _Other_ CITY v Tel. No.t/� $Ot LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER J 3 Class. 6 (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROC BY and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances ED Size&Type HP, KW, KVA, or KVAR' 0 License Nu er. Lic. ClassUp to 1 Incl. FINAL Over 1 to 10 Incl. DATE A �– V IDATION at Contracto Date FIN Over 10 to 50 Incl. ElAI am exempt under Sec. Over 50 to 100 Inc. BY e3a B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC & Panelboards , 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V z 7 8 a 6.A ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. # o 0 0 0,o 'Z SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( o'- 43.00 1 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 o 0 0 4 3 Q Q 5 Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors Q 9„� O.-..r 8 7 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— , 7044, Business 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 PERMIT FEE (Sub-Total) (Sec. 3097, 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 TOTAL FEE above information is correct. I agree to comply with all County or antes and State laws regulating Electrical wiring, and h eby a rize representatives of this County to enter upon th n ioned property for inspection purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of Permittee Date WORKERS' COMPENSATION DECLARATION 76-663 10,81 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have'a certificate of consent to self insure, CE-606G �J or a certificate of Workers' Compensation Insurance, or a certified' COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab. C.) Policy No. b Company - FOR APPLICANT TO FILL IN JOB FEE ADDRESS NO. J K .Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH ,�. ❑ 1 & 2-Family,Sq.Ft. $ _ $ LOCALITY Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. NEAREST ��G�n / CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' AIL Outlets:Rec Light t 2' COMPENSATION INSURANCE � ADDRESS This section need not be completed if the work involved b the First 20 ( p Y Total No. ' Additional CITY Tel.No. permit is for one hundred dollars ($100)or less.) I certifythat in the performance of the work for which this permit PLAN CHECK P P APPLICANT is-issued, I shall not employ any person in any manner so as to become subject e Workers'Comp nsation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Date pli Fixed Appliances Not Over 1 HP PERMIT NOTICE TO ICANT: If, after making this Certificate of 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. _ CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ ' I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR REG.NUMBER Class. (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRIC PROCESSED BY Size&Type HP,KW,KVA,or KVAR a License Number Lic.Class Up to 1 Incl. FINAL O Over 1 to 10 Incl. DATE ❑ Contractor Date FINAL, VALIDATION O Over 10 to 50 Incl. I am exempt under Sec. Over 50 to 100 Inc. BY W BAP.C. for this reason Over 100 p„ Services,Swbd.,MCC & Panelboards < N Date: 0- 200 Amp.Under 600 V r 1 ;P 9 0 S 4 A Signature 201 - 1000 Amp. Under 600 V f # o 0 0 o;o 2 Over 1000 Amp. or Over 600 V i! El Exemption for Reg.Maint.Elect. ! c o 1 3.005 SINGLE FAMILY Temp. Power Pole & Appurtenances . HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit226-88 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 Code): �p 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.). A& ��fy;Q PLAN CHECKING FEE Lender's Name C JL p� el /]/ Y PERMIT ISSUING FEE D Lender's Address I certify that I have7read the this application and state that the above TOTAL FEE 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 prop'eyty�for i pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Girmittee ratT WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A663 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.) T P Policy No. O o Company� 1C J UOd FOR APPLICANT TO FILL IN JOB ADDRESS 5419 A,' l?05e_rn ecid 13 L.✓ ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY $ $Ft Sq. . _ Certified copy is filed with the county building inspection 1&2-Family, NEAREST rZ �Q�d wu department. Multi-family Sq.Ft. GROSS ST. 13 6 Date -( �-� Applicant �a h e� �a k"051a Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR �• n1MVni l� na�Cct j SP St9 COMPENSATION INSURANCE FIRM NAME ��`+�CO . rr (This section need not be completed if the work involved by the Total No. 7 Li-)q NR o • os, ,"Pccd 13L.✓('� . permit is fo,r . First 20 MAIL Additional ADDRone hundred dollars($100)or less.) 1 I / I certify that in the performance of the work for which this permit CITY�j'a yt G'a 6f-,-e l �f1,�/jJ6TeL No. Zq 2-1 41`D is issued, I shall not employ any person in any manner so as to PLAN CHECK ,J become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT t���' n Total No. Additional ADDRESS (�'�j�j Z CG�✓�rj `� Date 3- I u -y6 Applicant `JO h e;(/G I l�DSO� RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate oaf CITY y/Cx,n- it/ �A 1Tel.No. q01-7/ 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 stl provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 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. LICESE OR t� rr�� Over 50 t0 100 Incl. REGNNUM ER 502 o J 1 Class.C_45 IL D�J O 4 Over 100 DISTRICT NO. PROCES B o License Number C- J Lic.Class S* Q 2 /L Services,Swbd.,MCC&Panslboards v ®Cy Contractor Date > —I" 0-399 Amp.Under 600 V FINAL 0 DATE Q61 ❑ 1 am exempt under Sec. 400-1000 Amp.Under 600 V j�� lW VALIDATION Over 1000 Amp.or Over 600 V FINAL d B.&P.C.for this reason BRANCH CIRCUIT FEES BY Date: 15A,or 20A, 120V,Lighting or Recept. Z c- 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 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 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. 02 Code): I, A CCT n 3 ❑ as owner of the property,will do the work and the structure A Misc.Conduits&Conductors ���{ 44.40is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , .303 and Professions Code). i ITEMS CONSTRUCTION LENDING AGENCY • TOTAL 44 - 40 1 hereby affirm that there is a construction lending agency for the t t performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) ,d NECK 44041 Civ.C.) PLAN CHECKING FEE 216 CHANGE °CJ Lender's Name PERMIT ISSUING FEE L Lender's Address i� 11Vir-'UIJiJ�. f 3/14/96 I certify that I have read this application and under penalty of purjury state TOTAL FEE (j ��� i Ch1 6'-11 aii l that the above information is correct. I agree to comply with all County _r33 1 PM e'-11 ordinances and State laws regulating Electrical wiring,and hereby authorize representatives oft is County o enter upon the above-mentioned property for i spection pur ose a / SEE REVERSE FOR EXPLANATORY LANGUAGE -/ -- 4C7 -_SIG7A_TUPTO E T E DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1109010019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: I ON FILE I 5429 ROSEMEAD BL ,FEE DESCRIPTION: QUANTITY: UOM: . AMOUNT: ( SGAB CA 917762212 ASSESSOR INFORMATION NUMBER: j NEAREST CROSS STREET: BROADWAY 15388-024-041 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.80 TENANT: I TOTAL FEES 66.60 JISSUED ON: PROCESSED BY: PLAN BY: I YUAN LUNG HUNG 1 109/01/11 SR I I i (OWNER: TEL. NO: I (FINAL DATE FINAL BY: CODE: YUAN LUNG HUNG - 15429 ROSEMEAD BL. I ISAN GABRIEL 91776 I DESCRIPTION OF WORK (ILLUMINATED CHANNEL LETTER WALL SIGN READING "DENTAL SPECIAL( I ITY" I (APPLICANT: TEL. NO: I 1 1 IAD ELECTRICAL ADVERTISING INC (626) 448-1166- 19437 VALLEY BLVD j ISPECIAL CONDITIONS: ROSEMEAD CA 91770 j I I 1 I 1 I (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE IAD ELECTRICAL ADVERTISING INC. (626) 448-1166- 1 1 IDBA AD SIGNS LIC. NO I ITEMPORARY POWER POLE I .I I 19437 VALLEY BLVD. 927951 C45 II IROSEMEAD, CA 91770 (UNDERGROUND CONDUIT I I ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I I I I LIC. NO: i (ROUGH CONDUIT I I I (ROUGH WIRING I (MAIN WATER LINE 1 PLASTIC YIN METAL YIN 1 1 (UTILITY COMPANY NOTIFIEDI I 1 I I I I I I E LA 1 I Rl E I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106150031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: I ON FILE 5429 ROSEMEAD BL 1 1 _(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( SCAB CA 917762212 1 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: BROADWAY I 15388-024-041 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl IFI 120V, 15/20A BR CKTS 12.00 BR 202.50 1 (TENANT: IF2 208, 277V LGT BR CKT 3.00 BR 81.90 (ISSUED ON: PROCESSED BY: PLAN BY: 1 IYUAN LUNG HUNG IJB AC UNITS +3-10HP 1.00 AC 19.70 106/15/11 SR I IJE WATER HEATER +3-10HP 1.00 WTR 19.70 1 1 (OWNER: TEL. NO: 1JX MOTORS, LT 3 HP 2.00 MOT 30.70 1FI DATE FI AL BY: CODE: IYUAN LUNG HUNG - 1 TOTAL FEES 382.30 1 I 15429 ROSEMEAD BL. 1 I wl1 ISAN GABRIEL 91776 1 ID SCRIPTION OF WORK 1 ITENANT IMPROVEMENT ELECTRICAL FOR DENTAL OFFICE I I I I I 1APPLICANT: TEL. NO: I I (JEFFREY DY (626) 523-6071- I I I 1216 S. GRAND AVE #17 1 ISPECIyL CONDITIONS: 1 I I I I I I I I I I I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I 1SAN LUIS BUILDERS, INC. (626) 945-5725- 1 1 1 11422 LEMON AVE LIC. NO I ITEMPORARY POWER POLE I I I IBRADBURY, CA 91008 556398 * I 1 1 I I JUNDERGROUND CONDUIT I I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I 1 LIC. NO: 1 1ROUGH CONDUIT 1 I I I 1 1 IROUGH WIRING 1 I I r I I I I IMAIN WATER LINE I I I I IPLASTIC YIN METAL YIN 1 I I I I I i 1 1 (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 { 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 1* ADDITIONAL DATA ON FILE ( 1 I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207030024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: ON FILE 5419 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762212 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5388-024-064 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: '596 GRID: H4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 57.00 07/03/02 JK 12/30/02 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: A&M ENTERPRISES G��_ 1025 FREMONT AV / ALHM 918031324 DESCRIPTION OF WORK ELECTRICAL FOR T.I. APPLICANT: TEL. NO: KEN KAY (714) 920-8044- 20726 NECTOR AVE SPECIAL CONDITIONS: LAKEWOOD 91715 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE KAYCO CONSTRUCTION (800) 832-4696- 9211 STEWART & GRAY RD LIC. NO TEMPORARY POWER POLE DOWNEY CA 90241 511688/8 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 I REPORT ID: DPR265 ROUTE TO: BS0508 ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1104260017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: I ON FILE 1 5419 ROSEMEAD BL 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 SGAB CA 917762212 1 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: BROADWAY I 15388-024-064 1A1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.80 1 1 (TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: I IONEMAIN FINANCIAL 1 104/26/11 SR I I II I (OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: I IKROSA, JAMIE (808) 445-7733- 1 11227 FLYNN RD. UNIT I1 1301 IDESCRIPTION OF WORK I I I (INSTALL (1) LATERNALLY ILLUMINATED WALL SIGN (LED) TO READ I I I IONEMAIN FINANCIAL I 1APPLICANT: TEL. NO: I I (STOUT, DENNIS (714) 744-2845- 1 1 1 1504 E. PALMYRA AVE I (SPECIAL CONDITIONS: I 10RANGE CA 92866 11 i 1 1 1 1 1 1 1 1 (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 (COAST SIGN INC. (714) 520-1144- 1 1 11500 W EMBASSY ST. LIC. NO I (TEMPORARY POWER POLE I I I (ANAHEIM, CA 92802 654238 1 1 1 I I I 1UNDERGROUND CONDUIT I I I I I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I I - I 1 11 1 1 LIC. NO: 1 IROUGH CONDUIT 1 1 1 I I I I I I 1 IROUGH WIRING 1 I I I I I I i I (MAIN WATER LINE I I (PLASTIC Y/N METAL Y/N I 1 I I I I I I I 1UTILITY COMPANY NOTIFIED( I I I I I I I 5 I I I I 1 1 1 I EXPRU 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 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 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112220050 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: I I ON FILE I 1 5423 ROSEMEAD BL I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT.1 SGAB CA 917762212 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15388-024-041 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl I IKl SIGNS, OUTLINE LGT 1.00 SIG 38.80 I ITENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: IZHU SUMMER MEMORIES OF AMERICA 112/22/11 SR I I I I I (OWNER: TEL. NO: IFINAL DATE FIY: CODE: 1 IKROS, JAMIZ (805) 910-8926- l J 11227 SLYNN RD. #301 1L�D 1 2, I ICAMARILLO, CA 93012 1 IDESCRIPTION OF WORK 1 (PROPOSED & INSTALL EACH INDIVIDUAL CHANNEL LETTERS I I I I (APPLICANT: TEL. NO: IDIEP, HUNG (626) 285-8870- 1115 N. SAN GABRIEL 1 ISPECIAL CONDITIONS: 1 ISAN GABRIEL CA 91775 I I I I I I I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISPECIAL SIGNS (626) 285-8870- I I 1115 N SAN GABRIEL BLVD LIC. NOITEMPORARY POWER POLE I SAN GABRIEL, CA 91775 783838-C45 * 1 (UNDERGROUND CONDUIT I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I 1 11 I LIC. NO: I IROUGH CONDUIT I I i I I I I I 1 IROUGH WIRING I I I I I I IMAIN WATER LINE I I 1 IPLASTIC Y/N METAL Y/N I I I 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 I I I I I I I I I 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 I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403290014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5419 ROSEMEAD SL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762212 ASSESSOR INFORMATION NUMBER: 'NEAREST CROSS STREET: LAS TUNAS 5388-024-064 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: .596 GRID: H4 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: CITI FINANCIAL 03/29/04 VG 09/25/04 OWNER: -� TEL. NO: F NAL%DATE FINAL BY: CODE: A&M ENTERPRISES S� 1025 FREMONT AV ALHM 918031324 DESCRIPTION OF WORK ELECTRICAL FOR ILLUMINATED SIGN APPLICANT: TEL. N0: BRADLEY SIGN ADVERTISING (909) 948-7232- SPECIAL CONT?TIONS: CONTRACTOR: _.-_ TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BRADLEY SIGN ADVERTISING (909) 948-7232- 10390 REGIS COURT LIC. NO TEMPORARY POWER POLE RANCHO CUCAMONGA, CA 91730 795630 C45 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: -_ TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING _ MAIN WATER l_11NE PLASTIC Y/N METAL Y/N UTILITY CURPANY 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 1106130016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1 ON FILE 1 5427 ROSEMEAD BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( SGAB CA 917762212 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BROADWAY 15388-024-041 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.70 1 I (TENANT: I TOTAL FEES 37.50 (ISSUED ON: PROCESSED BY: PLAN BY: I 106/13/11 SR 1 I I I I (OWNER: TEL. NO: I I FIAAL DATE JFINBY: CODE: 1 IA & M ENTERPRISES (805) 443-7733- 1 1 I 11227 FLYNN ROAD #301 1 1 1 ICAMARILLO, CA 93012 1 16ESCRIPTI OF WORK 1 (ADD 5 OUTLETS 1 I I I I 1APPLICANT: TEL. NO: I 1 1 IKWON, YONG JU (213) 324-1288- 1 I 123051 ASPEN KNOLL DR ( ISPECIAL CONDITIONS: I IDIAMOND BAR 91765 1 1 I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IMI CONSTRUCTION INC. (626) 201-7852- 1 1 11267 S. BREA CANYON ROAD LIC. NO 1 ITEMPORARY POWER POLE I IDIAMOND BAR, CA 91765 839687 I 1 1 1 1 1UNDERGROUND CONDUIT I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I (KWON, YANG JU (213) 324-1288- 1 1 I 1 123051 ASPEN KNOLL DR. LIC. NO: IROUGH CONDUIT 1 1 IDIAMOND BAR, CA 91765 NONE IROUGH WIRINGe-v I I I I 1 IMAIN WATER LINE 1 i 1 IPLASTIC YIN METAL YIN 1 I I I I I I 1 (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 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 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201120030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID 1 BUILDING ADDRESS: ON FILE I 1 1 5423 ROSEMEAD BL IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( SGAB CA 917762212 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15388-024-041 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.90 1 1 (TENANT: IG2 LIGHTING FIXTURES 10.00 LGT 19.40 11SSUED ON: PROCESSED BY: PLAN BY: 1 1 1 TOTAL FEES 49.10 101/12/12 SR I I 10WNER: TEL. NO: 1 (FINAL DATE FINAL Y: CODE: 1A & M ENTERPRISES (805) 910-8926- 11227 FLYNN RD 301 1 /`���y ICAMARILLO CA 93012 1 IDESCRIPTION OF WORK I I (CHANGE 1 OUTLET AND 10 LIGHT FIXTURES FOR INTERIOR REMODEL (APPLICANT: TEL. NO: 1 I I IBAO, ZHEN (626) 416-9267- 1 118037 LA PUENTE RD I ISPECIAL CONDITIONS: 1 ILA PUENTE CA 91744 1 1 1 I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IJAMES TSAI CONSTRUCTION, 6264832857 (626) 483-2857- I 1- 179 W. MAGNA VISTA AVE LIC. NO ITEMPORARY POWER POLE I I I IARCADIA CA 91007 701042 B 1 1UNDERGROUND CONDUIT I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I I 1 I I LIC. NO: i IROUGH CONDUIT 1 I IROUGH WIRING I I I I IMAIN WATER LINE I IPLASTIC Y/N METAL Y/N I I I I I I I 1 1 (UTILITY COMPANY NOTIFIEDI I I I I I I I I I i I I 1 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* ADDITIONAL DATA ON FILE IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I I I I I