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Home My Public Portal About5533 ROSEMEAD BLVD_Electrical__ 7eAee3•cse0a 1/70 APPLICATI N F ELLE ICAL PERMIT CpUNTY OF LOS ANGELES vv DEPARTMENT OF COUNTY ENGINEER BUILDING SS33 Al 11CS6NG/{D L. BUILDING AND SAFETY DIVISION ADDRESS JOHN A AMBIE, COUNTY ENGINEER LOCALITY L�y pLG C T COLEMAN W J6NKIN! I N NT or I IN NEAREST FOR APPLICANT TO PILL IN CROSS ST OUTLETS NO E F OWN ER�U/L'-b�/�.r _M V S RECES PT(f � MAIL LIGHTM! TOTAL FIRST 20 D p j" ADDRESS OVER 20 CITY TEL NO SWITC17� Zw_ 10 Ozqgb— PLAN CHECK LIGHTING TOTAL FIRST 20 APPLICANT OVER 20ADDRESS FIXTURES .571910 APPLIANCES77 7v CITY TEL NO PERMIT �/ RANGE_DRYER_WTR HTR APPLICANT '/ d I D W A w p STA COOK_DISP _F A U ADDRESS SPACE HTR AIR GOND CITY : - TEL NO 's CLOTHES WASH DISHWASH S LICENSE NO Q CLASS G FAN OTHER 100 I HIRESY ACKNOWLED09 THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGRI[ TO COMPLY MOTORS TRANSFORMERS RATI NO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW MVA ELECTRICAL WIRING SIZE a TYPE OVER TO 1 NIP[SY LLRTII' THAT AM PROPERLY REOIDTAND/OR 0 1 3 100 LICENSED AS REOUIREO 0Y LOS ANGELES COUNTY ANDND STATE Of CALIFORNIA OR THAT 1 AM THE LEGAL OWNER ON AND INTEND TO t - 10 RESIOE IN THE ABOV SCRIP D RE ID! AL PROPERTY SIGNATURE 10 - So 500 OF PERMITTEE V &0 - 100 2- 1000 Jf 0 pI DISTRICT NO CLASS OROVP 20NC 46CD EY O too — 500 teoo SUO SIGN GAS SIGN AND ONE CIRCUIT 300 NOTES Jul TUBE OR Z MARQUEE ADDITIONAL CIRCUITS 3 100 SERVI CENOTOVER 600 VOLTS OR 200 AMP 200 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP 600 TEMP POWER POLE TEMP SERVICE, POLE, &APPURTENANCES S00 TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAS WORK ROUGH CONDIUT WIRING PERMIT FEE (SUB TO FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO NOTIFIED PERMIT ISSUING FEE i 200 iZ�p /7 SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL JOSEPH C ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M D CASH 3 5 6&MAR 25 2 9 2 2 0.3 0 ,&98 599 SACK OI APPLICATION FOR COMPLETE SCHEDULE r.AeaaC- Csae.qo 12178 APPLICATION FOR ELECTRICAL PERMIT BUILDING SAFETY DIVISION FOR APPLICANT To PILL IN I Joe � � �' EACH NO FEE ADDRESS New Residential Bldgs &Pools -}� 1 &2 Finaily Sq Ft $ — $ LOCALITY / �11�A(,� G s Multi family$q Ft — NEAREST �/J ResidjrltlBl Swimming Pools CROSS ST (y LP FO RM NAER 0ME 0 S Outlets Light, Switch& Receptacle MAI L !' ,.f Jt First 20 ADO RESS 7 NV Additional CIT el No 793-Z2� PLAN C ECK Lighting Fixtures APPLICANT III First 20 ADDRESS Additional - CITY Tel No PERMIT• Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D W ADDRESS /44Z/ fes" Oven — Dryer W M Top FAU WH CIT Tel No 3"�iZ.' Hood _ Fan LICENSE OR Dnp _ A C _ _ REG NUMBER Class U N.e.av ACKNOWLEDGE Asav r«wO p AND .rwv r wr r a I. CORRECT AND wTo�COMPLY U Power Apparatus& Large Appliances WITH wuot«wnce. wNe .rwr• uw.AGREE TO un.o ly Size&Type HP, KW KVA,or KVAR LECT..CAL COY'�A ND o d N UP to 1 Incl ..r C.."11 r A. P .I.T...o w Dion z Over 1 to 10 Incl c.N... w o.L.. cou«rr • o STAT.oP u IP...I.A. eY.Ar.. +• u ow N.. oP T.. weov Over 1O to 10 Incl .ywr�.o. DVef BO to 100 Incl PEq MITEE / Over 100 SIGNATURE �� Services DISTRICT NOIr7ED B 0-200 Amp Under 600 V 201 1000 Amp Under 600 V APPROVALS DATE SIGNATURE 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 FIXTURES POWER AUTHORIZED �r PERMIT FEE (Sub Total) UTI LITY CO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE O0 PLAN CHECK VALIDATION CK MID CASH PERMIT VALIDATION CK MO CASH 2 2 6 MAR 17 8 9 9.0 0 Ago 1 7.A"3C-'Cceoe113 lt,)! APPLICATION FOR ELECTRICAL PERMIT BUILDING AN SAFETY DIVISION FOR APPLICANT To FILL IN JOB FEE ADDREs New Residential Bldgs &Pools EACH NO _ 1 &2 Finally Sq Ft `4 — $ LOCALITY Multifamily Scl Ft — NEAREST S ResxlBnbel Swimming Tg Pools OWNER OR FIRM NAME Outlets Light Switch& Receptacle MAIL O ` First 20 ADDRESS CJ Additional cl PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel No Fixed Appliances Not Over 1 HP PERMITAPPLICANT Range_ Heater_ DW Oven Dryer _ W M _ ADDRESS Top FAU _ WH CITY Tel N > Hood Fen LIC NSE O D,sp A C REG NUMBER CI U wc„nowLcoae Tnw nw vi wawo r„I• cwrien O .no •T weoV• I. c Awe I Ano woaaa To cerPv U Power Apparatus& Large Appliances WIT„ owolwwncea Ano .TwTa v. wiou rino s..i Size&Type HP KW,KVA,or KVAR `a oT”`^`CO�'�^I"' uLATIN. y Up to 1 Incl , „Pwa=r o orow = Over 1 t0 10 Ind CeMown • w o T Low� ilaux.c noae wTw oP ww Talw P OI waOVa Over 10 to 60 Incl owacwla Co we Over 50 to 100 Incl PERMIT[ Over 100 SIGNATU R! Service! DISTRICT NO/ OC SSED BY 0 200 Amp Under 600 V -A-) s s/ 201 1000 Amp Under 600 V APPROVALS DATE IN CTOR S Over 1000 Amp Or Over 600 V GNATURE TEMP POWER POLE Tamp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit 2 Additional Sign Bra It Clfctiltt 1 ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Total) UTILITYCO NOTIFIED i PLAN CHECKING FEE (One Fourth Permit Fee) FINAL 'till 7 PERMIT ISSUING FEE TOTALFEE NOTES PLAN CHECK VALIDATION CK MID CASH PERMIT VA �M O CASH 7-3 51ZHAY 31 2 9 3 OA 0 •56 (?Y/OD � ^ 0 WORKERS COMPENSATION DECLARATION pm1D0PV's�� APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self �osa insure or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800 Lab C ) Policy No Company i FOR APPLICANT TO FILL IN JOB – 66 N. ROSEMEAD BL. ID Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADD Certified copy is filed with the county building inspec 1 8 2-Family, Scl Ft $ — f LOCALITY TEMPLE CITY hon deportment Multi family Scl Ft NEppuS57 LAS MAS DR Dote Applicant Residential Swimming Pools OWNER OR FIRAME BOY SCOUT TROOP #167 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec—Light_Sw_ MAD 1' COMPENSATION INSURANCE ADDRESS 't 1 BORADWAY (This section need not be completed If the work Involved b First 20 ' the permit Is for ono hundred dollars({100)or lass ) T Total No Additional CITY TEMPLE CITY Tel No 2 —01 3 RAN CHECK I certify that in .he 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 Additional Date 5-25-92 Applicant DALES ELECTRIC Total No CITY Tel No NOTICE TO APPLICANT If after making Appliances Not Over 1 HP PERMITg this Certificate of APPLICATION DALES ELECTRIC Exemption you should become subject to the Workers Range— Heater—DW Compensation provisions of the Labor Code you must forth Oven — Dryer —W M — ADDRESS 9921 E. LIVE OAK with comply with such provisions or this permit shall be Top — FAU _WH — TEMPLE CITY 287-862 deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan —other— Disp _ Room Au Cond L4GG NUOyRgER 2 621 8 Class C-10 I hereby affirm that I oat licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCESSED BY > and Professions Code,and my license is in full force and effect d p Size 8 Type HP, KW, KVA, or KVAR Q T ��i O License Number 27621 O Uc Class C-1 O Up to 1 Incl FINAL C..3 Contractor DALES ELECTRIC 5-25-92 Over 1 to 10 Incl DAA „L)L VALIDATION �( ❑ Over 10 to 50 Incl FINAL f– am exempt under Sec Over 50 to 100 Inc BY 0 UJ B 8P C for this reason Over 100 jl Dat Services Swbd , MCC$ Panelboards 1 1000 Amp Under 600 V Z 0 200 Amp Under er 6 V 61b /�`�% _ S'g^^t"'^ e^ 20n ❑ Over 1000 Amp or Over V PAppurtenances �� Exemption for Reg Mamt Elect U SINGLE FAMILY Temp ower Pole 8 �{ HOME OWNER-BUILDER DECLARATION � J I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit if. rl'. t ,ar Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits 4� ?,}(I? 54, 'I Professions Code) Mix Conduits 8 Conductors I as owner of the property will do the work and the ❑ structure is not intended or offered for sale(Section 704, Other (See Complete Fee Schedule)_ , �,',(,L trrf a ] 0 Business and Professions Code) FHEFK CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 'I! _ the performance of the work for which this permit is issued PERMIT FEE –(Sub Total) (Sec 3097 Civ C ) PLAN CHECKING FEE 1'h'�i''_hl�i� iY Lender s Name PERMIT ISSUING FEE ;juI tn)`I 9.;'7 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 the abryLe-masitione pr party for / s"n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE /��Lls//L/L. 5-25-92 Signature of Permmee Date �s WORKER I have COMPENSATION DECLARATION 20-0019 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT 70.001 I hereby affirm that I have a CBrllfrcele of consent to belt Insure or a certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) t t 1 Policy No Company FOR APPLICANT TO FlLL W JOoss ❑ CerfllleC copy a hereby turn" New Res olanual Bldgs 6 Poria NO EACH FEE ❑ Certified copy is filed with the county,building inspection 1 E 2 Family Sq Ft — $ S department Muhl family Sq Ft — �Rp ST Date Applicant Residential Swimming Pools ABSESSOR MAP ROOK PAGE PARCB. CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec —Light_Sw oWl 1 ION T A tfr� COMPENSATINSURANCE First 20 (This section neetl not be completed If the work Involved by the MidL5 permit Is for one hundred dollars(5100)`or leu) Total No Additional �RE� I certify that In the performance of the work for which this permit C )IJi _ Is issued 1 shell not employ any person in any manner so as to PVlI CHE LK become subject to the Workers Compensation Laws Lighting Flxturee Flrat 20 APPLICANT `{.y', Total No A4dlWnal ADDRESS Date Appllrsnt�•�\ �\ �6C NOTICE TO APPLICANT If after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY Tel No Exemption you should becomq subject to the Workers Compensallon OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such RERMm e provisions or this permit Shall be deemed revoked Power Apparatus 6 Large Appliances .S LICENSED CONTRACTORS DECLARATION Soo 8 Type HP KW KVA or KVAR ADORE V I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind (commencing with Section 7000) of Division 3 of the Business and I Tel Professons Code and my license Is In full force and effect Over 10 to 50 InU } 1^• OR Over 50 to 1001nc1 AEG NUMBER ` � 0L License Numberzn(OZ`R L. Class`_ \l� Ove, 700 DISTRICT NO p BSEO By 0 C ,�,p Services Swbd MCC 3 Panelboerds �Q Q Contractor S G`P�-•�^�ate 0 398 Amp Under 800 V FIHaL /� O DATE E] I am exempt under Sac 400 100)Amp Under 800 V �`��'l� VALIDATIONW Over 1000 Amp or Over BOO V paw, (L B&P C for the reason BRANCH CIRCUIT FEES BY Z Dale 15A or 20A 120V Lighting or Recept Signature rF y1� 1 To 10 Branch Circuits -- - 11 To 40 Branch Grarts — 41 Or"a Branch Cocuou; ❑ Exemption for Reg Moms Elect r 15A 704 2OBV To 277V L glrorp Br Circuits _ SINGLE FAMILY Temp Power Pole 6 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I am exempt from the Contractors License Lax for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Cncmta Code) ❑ I m owner of the property mil do the work and the structure Mlsc Conduits 8 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 the permit Is Issued (Sec 3087 PERMIT FEE (Sub-Total) Cry C) PLAN CHECKING FEE �jACCCr1T� 92.40 PERMITFA Lender a Name E v5 303 PERMISSUING F Lender a Address 1 ITEMS I certify that I have read this application and under penalty,of Purjury state TOTAL FEE that the above Information a correct I agree to comply with all County TOTAL 92 - 40 ordinances and State laws regulating Electrical wring and hereby aulh0m:Q CHECK K.40 representatives of this County to enter upon the abovementoned properly for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE CHANGE .00 9a FPERIII WTE 0000-0001 5/10/95 WORKERS COMPENSATION DECLARATION •2D-001°DPW!/w APPLICATION FOR ELECTRICAL PERMIT O I hereby off irm that I have o certificate of consent to self NAW� insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof (Sec 3800 Lab C ) P Icy No Company FOR APPLICANT TO FILL IN JOB ILJI Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE Cenihed copy is filed with the county building inspec 1 8 2 Family Sq Ft $ — $ LOCALI hon department Multi family Sq Ft — ftFIRM REST SS Si Dote Apphcanf Residential Swimming Pools ER OR NAME Pt)lj ill CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE Outlets Rec_Light_Sw— RESSFirst 20(This sicNon need not lse completed fF fhe work Inrrolrad by Total No Tel No the permit Is for one hundred dollars($100)or less ) Additional PLAN CHET I certify that m the performance of the work for which this APPLICANT permit is issued I sholl not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Additional DoleAa IAA Apphco�bli C1� \ Total No CI Tel No IT NOTICE TO APPLICANT If, after making this Certificate of Fazed Appliances Not Over I HP PPL CAT 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 _ ADDRESSCP with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked CI Tel No Hood — Fan —Other LICENSED CONTRACTORS DECLARATION LICENSE DIlp — Roam Art Cond — REG NUMBER Class �� OR I I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances _ DISTRICT NO ESSED BY d and Professions Code and my license is in full force and effect p i�� A �1 Size 8 Type HP, KW KVA or KVAR �dp 0 License Numberz sF2Z� Lic Class5..�_ Up to I Incl FINAL r 0 (� /L �� /'L Over 1 to 10 Inc' '40 —,.e c VALIDATION 0 Contrac ` ` �� \�-ate�(e,s(p—RrL ✓ pver 10 to 501nc1 K FINAL V ❑ I am exempt under Sec Over 50 to 100 Inc BY ly B 8P C far this reason Over 100 N to Date Services Swbd , MCC& Ponelboards , Z 0-200 Amp Under 600 V Signature 201 - IODD Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption f«Reg Momt Elect SINGLE FAMILY i Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit A4CT.� hereby affirm that exempt from the Contractors License Law f« the followingg r reason (Section 7031 5 Business and Additional Sign Branch Circuits 37..07 1�5 Professions Code) ]. ❑ I, as owner of theproperty, will do the work and the Misc Conduits 8 Conductors structure isnot intendd« eoffered far sale(Section 7044, Other (See Complete Fee Schedule)_ TOTAL 88.20 Business and Professions Code) ► CHECK tG-8.20 CONSTRUCTION LENDING AGENCY UME ,00 I hereby affirm that there is a construction lending agency f« the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE 000O-0]O1 5/13/93 Lenders Name 9701 1 Ata v:40 PERMIT ISSUING FEE �n� Lender's Address TOTAL FEE d I certify that I have read this application and state that the above inf«motion 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 a me tion d roperty fo spection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Datems WORKERS'COMPENSATION DECLARATION -�DPW sier l APPLICATION FOR ELECTRICAL PERMIT �tao.'Jby offvm that I have o certificate of consent to self a 90lG Tsure or a cernficote of Workers Compensation Insurance, COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS a certified copy thereof (Sec 380, Lab C I /Pglity No Company FOR APPLICANT TO RLL IN JOB ' '5533-5665 N. ROSF�R•M BD MCertified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE El Certified copy is filed with the county budding mspea- 1 8 2-Family, Sq Ft $ = f LOCALITY TEMPLE CITY (BLOCK B) non department Multi-family Sq FtNEAREST ST LAS TUNAS Date SAO= Apphc°^ Residential Swimming Pools OWN 'SCOM.EXp L R.FIRM POST 1 CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light_Sw__ rDDDIRESS 5238 CAMELLIA AV. COMPENSATION INSURANCE (This section need wt be completed If the work Ineelved by First 20 OTY TEMPLE CITY CAQI No'286— 2 this permit Is for one hundred dollars($100)or less ) Total No Additional RAN CHECK I certify that in .he performance o4 the work for which the APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Futures First 20 ADDRESS Additional Dote 5-8-91 Applicont DALES ELECTRIC Total No CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption you should become subject to the Workers' Range— Heater—D W — APPLICATION DALES ELECTRIC Compensation provisions of the labor Code you must forth- Oven _ Dryer —W M — ADDRESS9921 with comply with such provisions or this permit shall be Top — FAU —W H deemed revoked CITY TEMPLE CITY CA%l N0287-862Z Hood Fan —Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR Dap — Room Au Cond REG NUMBER 2 6218 Class — I hereby affirm that I am licensed under provisions of Chapter 9 - 101 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO ESSED BY 0. and Professions Code,and my license is in full force and effect p 27621 S Size 8 Type HP KW, KVA or KVAR �O 0 License Number Lic Class C-1 O Up to I Incl FINAL —Q/. DALES ELECTREC_ 5-8-91 Over 1 to 10 Incl AT D V/ VALIDATION 0 Contractor Over 10 to 50 Incl FINAL '� U ❑ I am exempt under Sec Over 50 to 100 Inc BY W B 8P C for this reason Over 100 ate Services, Swbd ,MCC 8 Panelboards ► y 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V Exemption for Reg Moint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit QC�T.t Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits _ _ Professions Code) - 3D37 ��.013 ❑ I as owner of the property will do the work and the Misc Conduits 8 Conductors 1 ITEMS structure is not intended or offered for sole(Section 7044, Oj� I e Fee Schedule)_ , Tut AL - 23 . 0d Business and Professions Code) CONSTRUCTION LENDING AGENCY FTERWORER, STAND CHECK 23.0-1 I hereby affirm that there is o construction lending agency for 4HANIZ .UIi the performonce of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender's Name BODO—DD01 5/30!91 PERMIT ISSUING FEE 72221 1 fiu C�d� Lenders Address a3 BO I certify that I have read this application and state that the ITOTAL FEE above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring and hereby out at rept sentatives of this County to enter upon the ab m tan oparty for I ction purposes ; TSEE REVERSE FOR EXPLANATORY LANGUAGE 5-8-91 Sgr a ms WORKER S COMPENSATION DECLARATION 720 0AOM DPW(12 a/) . APPLICATION FOR ELECTRICAL PERMIT lJ I hbreby affirm that I havecertificate of consenj to self Insure 7�8� or a candidate 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) r O�mpeny '=}f�e/r� t-- iOR AfWUCANf TO FlLL IM XS CESS L. C�tlrFetl copy,is hereby furnished New Residential Bldgs 8 Poole NO EACH FEE J _ § $ LOCALITY Certified copy rs/fled with 1 mgrrre�a 1 8 2 Family Sq FI NFJRESr department Multi famity,Sq Ft OR09s 6T �"1 Data —/ Residential Swimming Poole MAP BOOK PAGE Pu10EL F CERTIFICATE OF EXEMPTION FROM WORKERSOutlets RK —Light_Sw OFl/RIME E r%eT COMPENSATION INSURANCE First 20 tg(This rlectlon need not be completed If the work Involved by the VRES,y permit Is for one hundred dollars(1100)or leu) Total No Additional I certify that In the performance of the work for which this permit i CITY TN No Is Issued 1 shall not employ any person in any manner so as to PIAN CHECK� l become subject to the Workers Compensation Laws Lighting Fixtures First 20 "PIICANr Total No Additional ADDRESS Dale Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITY Ta 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 PERMR T��Jt,�s PRS provisions or this permit shall be deemed revoked Power Apparatus 8 Large Appliances AMCANT LICENSED CONTRACTORS DECLARATION Sue 8 Type HP KW KVA or KVAR ADDRESS I hereby affirm that I em licensed under provisions of Chapter 8 (commencing with Section 7000)of Division 3 of the Business and Over 3 to 10 Ind CfTYti �w Professions Code and my license is in lull force and effect Over 10 to 50 Ind LICENSE OR � Cl d Over 5010 100 Incl REO NUMBER —.7_ 2 �i� O Over 100 DISTRICT NO P SEO BV License Number LIC CI v U Serwcea Swbd MCC 8 Panelboarda D• Q Dale z'a 2--4(f 0 388 Amp Under 800 V DATE O1-- ❑ I am exempt under Sec 400 1000 Amp Under 600 V i VALIDATION UJ Over 1000 Amp or Over 600 V FlNM- r d B aP C for this reasonBY In BRANCH CIRCUIT FEES Date ISA or 20A 120V Lghbng or Recapt ? 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41❑ Exemption for Reg Mai Elect 1S4 20A 206V To 277V OLighbng Bir r More rcti ftaiU FAMILYSINGLE HOME OWNER BUILDERDECLARATION Temp Power Pole s Appurtenances ACCT.i I hereby affirm that I am exempt from the Contractor a License Law Sign with One Branch Circuit for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits LGUG f -,.75 Code) 1 ITUIS ❑ Mrsc Conduits&Conductors I as owner of the property will do the work end NB structure n V 75 - 75 is not intended or offered /or sale (Section 7044 Business Other(See Complete Fee Schetlula)_ TDTAL and Professions Code) , CECK 75.7, CONSTRUCTION LENDING AGENCY QIJ I hereby affirm that there is a construction lending agency for the t ¢ performance of the work for which this permit Is Issued (Sec 3087 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE QQQQ—QQQL */12/9't Landers Name PERMIT ISSUING FEE a�p 6 4�rf1 1 AM 9'42 Lenders Address I certify that I have read this application and under penalty of pugury state TOTAL FEE i that the shave information Is correct I agree to simply with all County ordinanias and State laws regulating Electrical wiring and hereby authorize representatives of this Court to enter upon the above-mentioned property for IRSpBC � n SEE REVERSE FOR EXPLANATORY LANGUAGE SIORATURE OF PERMITTEE BATE DEC TION WORKERS Ihave COMPENSATION cafe of corse xiamo�w3r� APPLICATION FOR ELECTRICAL PERMIT O I hereby offem that I have a certificate of consent to self '�� insure, or a certificate of Workers'Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a cert ed copy,thereof (Sec 3800, Lab C ) PpIcy No Company FOR APPLICANT TO FILL INJOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS El Certified copy is filed with the county budding mspec 1 8 2-Family Sq Ft $ — S I LOCALITY tion department Multi family Sq Ft — NEAREST Residential Swimming Pools CROSS Date Applicant N FIRMNAME S CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_Light_Sw_ 'WAIL COMPENSATION INSURANCE First 20 ADDRESS (This sedbn need not b•completed If the stork Involved by Total No Additional CITY'�� Tel No IM permit is For one hundred dollar({100)or lou) I certify that in .he performance of the work for which this PLAN PLANCHE CK permit is issued, I shall not employ any person in any manner ANI so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No n ,` Pe CITY Tel No Additional Date-)\ 1?1r Applicant- �lz Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of Range— Heater—DW — APPLICATION Exemption, you should become subject to the Workers 9 Compensation provisions of the Labor Code, you must forth- Oven _ Dryer —W M _ ADDRESS with comply with such provisions or this permit shall be _ deemed revoked Hood — Fan —Ot her_ Cl Tel No Z7 LICENSED CONTRACTORS DECLARATION Disp _ Room Air Cond _ LICENSE I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER -Li Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO ` SSED BV Y rn n and Profess�oCode,and my license in full farce and effect or dCL f �1 Size 8 Type HP, KW, KVA, KVAR 0 O Q License Number ZMA h� Lic Cies`NO Up to 1 Incl FINAL U ^`- Over I to 10 Incl Contractor�7 -S 1P �IQ1L-r>nte - `-a DATE 6_/ ,.Q// VALIDATION 0 ❑ Over 10 to 50 Incl r J'" I am exempt under Sec Over 50 to 100 Inc BY W B 8P C for this reason Over 100 All D- Date Services Swbd MCC 8 Ponelboards Z Z 0-200 Amp Under 600 V Signature- / 201 - 1000 Amp Under 600 V I}_ ❑ Exemption for Rag Maim Elect Over 1000 Amp or Over 600 V I ITEM:- SINGLE FAMILY temp Power Pole 8 Appurtenances TOTAL 90 - 90 HOME OWNER-BUILDER DECLARATION Sin with One Branch Circuit r O- I hereby offum that I am exempt from the Contractor s License 0 A }0 s 11 Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits CHAN']E .Illi Professions Code) ❑ IA as owner of the property, will do the work and the Musc Conduits 8 Conductors structure is not intended or offered for sole(Section 7044, ser (See Complete Fee Schedule)_ ► QUUU-ODUI V :1�7 Y Business and Professions Code) CONSTRUCTION LENDING AGENCY 5529 I AM 9'-5 I hereby offum that there is a consnuction 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 �p 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 jaws regulating Electrical wiring and hereby authorize representatives of this County to enter upon / the obo me oned r rty for i pec ion purposes /J/�y�/7�/ p/per SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKER Bave a certificate SATTON Df consent to M DPW er® APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure or a certificate of Worker a Compensation Insurance or a candled COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) ` ' • - — Pd we 90 Company, FOR APPLICANT TO ITLL IN- ` 11 3 ]✓ CAJmea ere3y Tu ached New Residential Bags 8 Poole EACH NO FEE ❑ Certified copy is filed with the 1&2 Family Sq Fl LOCAL rP G/T department ry bWW I n MUIWemity,Sq FI EST CROW SST j„w� _01VA0 Date ReaWenbal Smmrdrlg Pods �Eg90R WP BOOK PARE PARCa r CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light_Sw _ RSRRM CR COMPENSATION INSURANCE /�� First 20 /� a. /" f7 (This section need not be completed N the work Involved by the Taal No LC Additional - uAi F permit Is for one hundred dollen($100)or Ism) AZ I certify that in the performance of the work for which this permit C TO NO is Issued I shall not employ any person In any manner so as to 't . become Subject to the Workers Compensation Laws Lighting Fixtures Finn 20 - _ PIAN CHECK APPLICANT Total No Additional ADDRESS Date Applicant 15 OR 2IIA 12DV BRANCH CIRCUITS- NOTICE TO APPLICANT If after making this Certificate of CITY Td NO Exemption YOU should become subject to the Workers Compensation I TO 10 INCLUSIVE EACH provisions of the Labor Code you must forthwith comply with such 11 T0401NCLUSIVE EACH =PPLC TCATf� provislons or this permit shall be deemed revoked 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION _ ADDRESS I hereby affirm that I em Ilcensed under provisions of Chapter B 15 OR 20A 208V T0277V UGHTING EACH d (commencing with Section 7000)of Division 3 of the Business and crrV fLr,%,e,— Tel NO Professions Code and my license IB in full force and etlect RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR _Paver Apparatus 8 Large Appliances _ _ REOUM NBER Q �,�, Cess C /D O Lwense Number_S3v/2a L. Is/0 Size 8 Type HP KW KVA orKVAR DISTRICT NO n/ p D BY F /Y� 'per Upto3o1 Incl IW V O0 L�sLG�(� W CL Comt..td ✓ �� a Over 3 to 10 Ind _ DANE fA Over 10 to 50 Incl ❑ 1 am exempt under Sec Over 50 to 100_I1cl —/�� VALIDATION ? B dP C for this reason - Over 100 BYYw�L Services,Swbd MCC IN Penelboards le 0 200 Amp Under BOD V na Sroaha r �� 201 1000 Amp Under ODO V _❑ Over 1000 Amp or Over 800 V Exemp,cn for Reg Mal Elect FAMILYSINGLE HOME OWNER BUILDERDECLARATION Temp Power Pole 8 Appunenencse _ __I] I hereby affirm that I am exempt from the Contractor a License Lew Si0n with One Branch Circuit 4"�.1-I for the following reason(Section 7031 5 Business and Professions Addlaonal Sign Branch Circuits- J, ITEh4S Code) 1111 r 45 - c ❑ I as owner of the property will do the work and the structure Met, Concurs,8 Conductors - = Is not intended or offered for gale(Section 7044 Business G&W(See Complete Fee Schedule)_ ► CHECK and Professions Code) — — _ f_RANGE ,00 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 3087 PERMIT PEE _ _ _ _ (Sub-Total) Cw C) PLAN CHECKING FEE _ 4,14 1 Ah1 ?;TC, Lender a Name PERMIT ISSUING FEE Lander a Address I certify that I have read this application and state that the above I TOTAL FEE Information Is correct I agree to comply with all County ordinances and State laws regulating Electrical wring and hereby authorize trreaLentatives of ill luny enter upon the above menUaned of p TunaSEE REyERSE FOR O(PLANATORY LAIIOUAOE IAREOF R Aa r WORKER S COMPENSATION DECLARATION 7MW3 DPW(12 at) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to call insure or a Certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORK r ILDING AND SAFETY DIV copy thereof(Sec 3000 Lab C) 11 PPP Olicy No Company FOR APPLICANT TO RU.IN ❑ JOB ADORE (JCI/ /G Carolled copy is hereby furnished New Residential Bldgs 6 Pole 1'10 EACH FEE LOC ❑ Certified copy is filed with me county building mepearon 1 6 2 Family Sq Ft — 5 3 �� / department Multi family Sq Ft — CR�ORBS SR--r7 Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PPPP CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Res _Light �, SER / 16 COMPENSATION INSURANCE (This section need not be completed If the work Involved by the Firer 20 MAIL Permit Q`^'� � permit Is for one hundred dollen($100)or lap I Total No Additiomel AIt1RE55 I certify that in the performance of the work for which this permit C is Issued I shall not employ any person In any manner so as to become subject to the WorkersCompensationLaws Lighting Fixtures Firer 20 P A.04µTK Dal��Qr `` ) „�� /� Total No Additional ADDRESS — L,Yj A\PP l Julfi C NOTICE TO APPLICANT If atter making this Certificate o/ RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY TN No Fxempbon 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 Power Apparatus 8 Large Appliances Pmdm �� CEC provisions or this permit shell be deemed revoked LICENSED CONTRACTORS DECLARATION Sue A Type HP KW KVA or KVAR ADD35 �� L �!E A I hereby affirm that I am licensed under provisions of Chapter 8 C:� er 3 to 10 Incl /' �-/ Ti R�7 (commencing With Section 7000)of Division 3 of the affect Business and ��r CE l/ OIGl7l I Professions Code and my tisanes is in full force and e�llect Over 10 to 50 Intl —7 >, Qn{ /� {//)� �/O Over 50 to 100 Ind REGI NUMBER / / ^/Q CL Licensee,NNumber - "��Lis Close `/ Over 100 DISTRICT lq D� SSEDSSED BY Comr8c�W.—, / '`E� y Date Services 0 399 Amp Under 800 Vda �� O IL-r7t/I em exempt under Sec 400 1000 Amp Under 800 V l�11 VALIDATION V Over 1000 Amp or Over 800 V RNAL W B&P C for this reason BRANCH CIRCUIT FEES BY d (1) Data 15A or 20A 120V Lighting or Receipt 1 ? 1 To 10 Branch Circuits Signal11 To 40 Branch Cucum ❑ Exemption for Reg MaElect 15A 20A 208V To 27NOr More Branch cusum im Lighting Br Chum .! SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit ACCT.: I hereby affirm that I am exempt from the Contractor s License Lawf�� for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circum 3303 93.90 Code) 1 ITERS ❑ I as owner of the property, will do the work and the structure Mm Conduits d Conductors TOTAL 93 - 90 is not moffered for eels (Section 7044 Business ( L glBie�gpy�—� , and Professions C Code) L�LXCJJCCJJ (HECK 93.90 CONSTRUCTION LENDING AGENCY .00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3087 PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE 0000-0001 6/ 3/96 Lenders Name 6721 1 All 9:26 PERMR ISSUING FEE �� O Lenders Address I cerbty that I he"reed this application and under penalty of purjury state TOTAL FEE O that the above information a corroct I agree to comply with all County atlmitncea entl State laws regulating Electrical wiring and hereby authonze representatives of thI County to enter upon the above mentioned properly for a urp SEE REVERSE FOR EXPLANATORY LANGUAGE 3 Q,6 of PER,ImEE oATa WORKER COMPENSATION of consent to DPW(12 81) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to Bell matin or a certificate of Worker a Compensation'Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy No Company FOR APPGCANT TO BLL IN ADDRESS !L�� ❑ Certified copy is hereby furnished New Residential Bldgs 8 Pools NO EACH FEE VJ ❑ LOCALITY — department copy is hied with the county building inspection 8 $ 1 8 2 Family Sq Ft department Multi ISrnity Sq FI — CROSSN�ST or SST Residential Swimming Pool ASSESSOR Date Applicant ,MAP BOOK PAGE Parc¢ CERTIFICATE OF EXEMPTION FROM WORKERS Owlls R UM SW o owNER oR COMPENSATION INSURANCE 0 Films 20 �TPM NAME (This section need not be completed If the work Involved by the -5k to AWL permit Is for one hundred dollars(5100)or leu) Total No Additional�J Aw an fillADDRESS ,S,3 I certify that in the performance of the work for which this permit '/ CffY TN Ho is Issued 1 shall not employ any person in any manner so as to PLAN CHECK become subject tot Workers Compensation Lowe UgMing Fixtures First 20 APPLICANT /fie Ap� Toll No Additional ADDRESS ficam l/NOTIC`J TO PLICANT If after making this Certificate of S�S 0 CITY TN W Exemption you should become subject to the Workers Compensation O R APPLIANCES N VER 3 HP provisions of the Labor Code you must forthwith comply with such P RMIT / AIA- provisions or this permit Shell be deemed revoked Power Apparatus A Large Appliances LICANT C� LICENSED CONTRACTORS DECLARATION Size 8 Type HP KW KVA or KVAR ADDRESS /y Jcl- 1 hereby affirm that I em licensed under provisions of Chapter B (commencing with Section 7000)of Division 3 of the Business and Over 3 to 10 Ind CITY Ta 11W`7,74 7L Professions Code and my license is in full force and effect Over 10 to So not Over 50 to 100 Ind LICENSE OR 7 y��%y MEN= License Number,AIF ar ✓ / Lic Class c/O Over 100 DISTRICT NO /- P SSED BY O V /��T- +/y !//��p,�j// Services Swbd MCC 8 Penelboerds p'7 ,v .(/�Lt�� QU Contractor / / �� Z tel,/mate �� 0 3BB Amp Under 600 VDAA t Q 0 V ACCT.: El 400 TODD Amp Under 60 I em exempt under Sec Over 1000 Amp or Over 600 V RNAL �� 1039.51 B ISP C for thin reason BRANCH CIRCUIT FEES BY 2 D 16A or 20A 120V Lighting or Reoept Z - yW 1 To 10 Branch Circuits A{{T.`. S anetu 11 To 40 Branch cu...", v a:, 1ph2.6E. ❑ 41 Or More Brandi Grail Exemption for Reg Mart Elect 15A 20A 208V To Zr7V Ughting Br Crtul 2 ITEM, SINGLE FAMILY Temp Power Pole 8 Appurtenances TOTAL HOME OWNER BUILDER DECLARATION 2102.l� I hereby affirm that 1 am exempt from the Coritractor a License Lew Sign with One Branch Circuit for the following reason (Section 7031 5 Business and Profession; Addtional Sign Branch Circuits CHECK 2101.16 Code) ❑ I as owner of the property will do the work and the structure Min Conduits 8 Conductors 4�L1VT 3E 'Oct Is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) , and Professions Code) Opa0-0001 5;718/94 CONSTRUCTION LENDING AGENCY 53270 1 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec 3087 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE Landers Name PERMIT ISSUING FEE Lender s Address I certify that I have read this application and under penalty of pugury state TOTAL FEE that the above itormeuon is correct I agree to comply with all County ordinances and Stine laws regulaung Electrical wring and hereby euthorum represenitn,as of this Wtye upon the above mambo property for i c n PurpoeaSEE REVERSE FOR EXPLANATORY LANGUAGE NATXE OF PEA1a COUNTY OF LOB ANGELES TEMPLE CITY 6 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC MORxs 9701 LAS TUNAS EL 0508 0606130058 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91750 PEONS (626) 285-0688 LEGAL ID PEES PAID BUILDING ADDRESS BR 105 PG B6 PC 9 5533 ROSEMEAD BL FIR DESCRIPTION QUANTITY UDM AMOUNT TEMP CA 917801807 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-032-058 Al PERMIT ISSUANCE PRE 27 75 THOMAS PAGE 596 GRID E6 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 TRUANT TOTAL FEES 41 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON OFFICE DEPOT 06/13/06 JK 12/10/06 OWNER TEL NO FINAL DATE FINAL BY ODDS PEMINO JAMES J,SUZ - 7�- ( /.= PASD 911177155 DESCRIPTION OF WORK ELECTRICAL FOR FIREWORKS STAND 2006 APPLICANT TEL NO J 8 A METRICAL SERVICE (626( 355-6962- 36 E MONTRCITO AVE SPECIAL CONDITIONS SIERRA WAGES 91026 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE J 8 A ELECTRICAL SERVICE (626) 836-5881- 36 E MONTRCITO UNIT 9 LIC FO TEMPORARY POWER POLE SIERRA MADRE CA 91026 760126C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO OVER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING MAIN MATER LINE PLASTIC Y/K METAL YIN UTILITY COMPANY NOTIFIED REPORT ID DPR265 ROUTS TO 880508 COUNTY OF LAS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS EL 0508 0706180025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS PBK87-032-058 596 105 PG 86 PC 9 5533 ROSEMEAD BLFEE DESCRIPTION QUANTITY GUM AMOUNT TEMP CA 917801802 SESSOR INFORMATION NUMBER NEAREST CROSSSTREET BROADWAY Al PERMIT ISSUANCE FEE 27 75 T140MAS PAGE GRID HS IACALITY TEMPLE CITY I D3 BOOTH LAT SYSTEM 1 00 BOO 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON ST LUKE'S PARENTS COMMITTEE 06/18/07 SR 12/15/07 I I OWNER TEL NO IFI ' FIpAlIjSAj�BY CODE FEMIND JAMES J,9UE - _ T I IPA90 911177155 IDEXtRIPTION OF FORK (ELECTRICAL FOR FIREWORKS kAND 2007 APPLICANT TEL NO PEGGY PIERCE (626) 355-4942- 1150 E MONTECITO AVE SPECIAL CONDITIONS 1 SIERRA MfDRE 91024 I CONTRACTOR TEL NO 1 APPROVALS DATE INSPECTOR SIGNATURE 1 S 9 A ELECTRICAL SERVICE (626) 836-5881- 1150 E MONTECITO AVE SUITE D LIC NO 1 TEMPORARY POWER POLE 1 SIERRA MADRE CA 91024 760126CIO I I (UNDERGROUND CONDUIT I I (ARCHITECT OR eN01NEER TEL NO IUFER GROUND 1 i LIC NO ROUGH CONDUIT ROUGH WIRING d-1 MAIN WATER LINE PLASTIC YIN METAL YIN 1 I 1 UTILITY COMPANY NOTIFIEL/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 REPORT ID DPA265 ROUTE TO 13SO508 I I I I I I COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806170002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS IBK 105 PG 86 PC 9 5533 ROSEMEAD BL 1 I IFEE DESCRIPTION QUANTITY 00M AMOUNT I TEMP CA 91780IB02 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BROADWAY 15387-032-058 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY I ID3 BOOTH LGT SYSTEM 1 00 BOO 16 20 1 TENANT I TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON ST LUKE'S PARENTS COMMITTEE 1 106/17/08 SR 12/14/08 1 I I I OWNER TEL NO 1 FI��AAAILL DAtT,E FI CODE 1 TEMPLE CITY REDEVELOPMENT - / g_� Fr T 1` TEMPLE CITY DESCRIPTION OF WORK (ELECTRICAL FOR FIREWORKS STAND 2008 APPLICANT TEL NO 1JSA ELECTRIC SERVICES (626) 355-4942- 1 1150 E MONTECITO AVE SPECIAL CONDITIONS SIERRA MADRR 91024-� CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE J S A ELECTRICAL SERVICE (626) 836 3B81- 1150 E MONTECITO AVE SUITE D LIC NO 1 TEMPORARY POWER POLE 1 1 (SIERRA MADRE, CA 91024 760126C10 ONDFRGROUND CONDUIT (ARCHITECT OR ENGINEER TEL NO UFEP GROUND 0 LIC NO I ROUGH CONDUIT ROUGH WIRING I IMAIN WATER LINE [PLASTIC Y/N METAL Y/N 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 1 I 1 I I I I I I I I I I I I I I I I I 1 I I I REPORT ID DPP-265 ROUTE TO BS0508 I I I t COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1006090039 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS JBK 105 PG 86 PC 9 5533 ROSEMEAD BL (FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-032-058 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY D3 BOOTH LGT SYSTEM 1 00 BOO 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY IST LUKE'S PARENTS COMMITTEE 06/10/10 SR JOWN�CCITTPEROF TEMPLE CITY (6266)2815---2171- F ATE' � FINAL BY CODE 9701 LAS TUNAS DR TEMPLE CITY CA 91780 13MKCRrPTION OF WORK FIREWORKS STAND LIGHTING 2010 APPLICANT TEL NO ]TNT FIREWORKS, BRAD HUDSON (714) 738-1002-159 555 N GILBERT ST SPECIAL CONDITIONS FULLERTON, CA 92833 CONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE K C ELECTRIC (562) 867-4447- 6509 GLORYWHITE ST LIC NO TEMPORARY POWER POLE LAKEWOOD, CA 90713 699521 C10 jUNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO ]ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N l UTILITY COMPANY NOTIFIED i(REPORT ID DPR265 ROUTE TO 850508 COUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT t, DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105030027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS IRK 105 PG 86 PC 9 5533 ROSEMEA) BL FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-032-058 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY ID3 BOOTH IGT, SYSTEM 1 00 BOO 16 15 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY IST LUKE'S PARENTS COMOfITTEE 05/03/11 SR IOWNER TEL NO I IF TE FIN&L By CODE (CITY OF TEMPLE CITY (626) 285-2171- 19701 LAS TUNAS DR I (TEMPLE CITY CA 91780 DES7RIPPION OF WORK FIREWORKS STAND LIGHTING 2 11 IAP PL(CANT TEL NO (TNT FIREWORKS BRAD HUDSON (714) 738-1002-159 555 N GILBERT ST ISPECIAL CONDITIONS FULLERTON CA 92833 (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE IK C ELECTRIC (562) 421-2706- I4440 CHARLEMAGKE AVE LIC NO I ITETPORARY POWER POLE (LONG BEACH CA 90808 699521 C10 (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER TEL NO DUPER GROUND LIC NO IROUG4 CONDUIT (ROUGH WIRING IMAIN WATER LINE IPLASTIC Y/N METAL Y/N I I { I IUTIL:TY COMPANY NOTIFIEDI 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 I I I I IREPORT ID DPR265 ROUTE TO BS0506 I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORM 9701 LAS TUNAS EL 0508 1205290044 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS IBK 105 PG 86 PC 9 5533 ROSEMEAD BL I FEE DESCRIPTION QUANTITY UDM AMOUNT TEMP CA 917801802 (ASSESSOR INFORMATION NUMBER NEARFST CROSS STREET BROADWAY 15387-032-058 Al PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY 1 D3 BOOTH LGT SYSTEM 1 00 BOO 16 15 (TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY ST LUKE'S PARENTS COMMITTEE 05/29/12 SR OWNER TEL NO FI/SAL ZATE FINIAL(g�Y CODE 1 CITY OF TEMPLE CITY (626) 285-2171- 19701 LAS TUNAS DR 'O TEMPLE CITY CA 91780 IDESCION OF WORK I IFIREORKS STAND LIGHTING 2011 1 APPLICANT TEL NO i 1TNT FIREWORKS, BRAD HUDSON (714) 738-1002-159 1555 N GILBERT ST SPECIAL CONDITIONS FULLERTON CA 92833 1 I I 1 CONTRACTOR TEL NO 1 1APPR'VALS DATE INSPECTOR SIGNATURE 1 IK C ELECTRIC (714) 699-0106- 1 1 I 14440 CHARLEMAGNE AVE LIC NO ITEMI:RARY POWER POLE 1 HONG BEACH CA 90808 699521 C10 I- I IUNDERGROUND CONDUIT (ARCHITECT OR ENGINEER TEL NO (OVER GROUND LIC NO ROUGH CONDUIT I I AOWH WIRING MAIN WATER LINE PLASTIC Y/N METAL YIN UTI-1TY COMPANY NOTIFIEDI I i I I I 1 I I I I I I 1 I _ I I I I I I � I I REPORT ID DPR265 ROUTE TO BS0508 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 1306030064 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 FSP LEGAL ID FEES PAID BUILDING ADDRESS 18K 105 PG 86 PC 9 1 5533 ROSEMEAD BL [FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917601802 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BROADWAY 5387-032-058 [A1 PERMIT ISSUANCE FEE 27 10 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY D3 BOOTH LGT SYSTEM 1 00 BOO 16 15 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY PREONANCY HELP CENTER OF SGV 106/03/13 SR TOWNER TEL NO i FINA DATE F BY CODE 1 [CITY OF TEMPLE CITY (626) 285-2171- 19701 LAS TUNAS DR 'I" I TEMPLE CITY CA 91780 DESCRIPTION OFOF WORK FIREWORKS STAND LIGHTING 2013 (APPLICANT TEL NO i[ ITNT FIREWORKS BRAD HUDSON (714) 738-1002-159 1555 N GIL13ERT ST SPECIAL CONDITIONS FULLERTON CA 92833 CONTRACIC7R TEL NOEE ROVALS DATE INSPECTOR SIGNATURE IK C ELECTRIC (714) 699-0106- 14440 CHARLEMAGNE AVE LIC NO PORARY POWER POLE LONG BEACH CA 90808 699521 1 RGROUND CONDUIT I (ARCHITECT OR ENGINEER TEL NO [LIFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING I i [MAIN WATER LINE I I [PLASTIC Y/N METAL Y/N I I I 1VTIL'_TY 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 1 I 1 [ [ REPORT ID DPR265 ROUTE TO ES0508 I I I [ [ I