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HomeMy Public PortalAbout5541 ROSEMEAD BLVD_Electrical__ 75AG63-CE000 11 TI APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER AURDIM s'!J'yC� gSF/ljF � BUILDING AND SAFETY DIVISION LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST �S OUTLETS OWNER ✓��� A. IA1� / s o LGNTT TOTAL FIRST 20 b ADDRESS S.s � /Y VS&; � SWITCH OVER 20 CITY Lq) f,T 1 TEL NO 10 PLANCHECK TOTAL LIGHT! G FIRST 20 m APPLICANT FIXTURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO ERM RANGE_DRYER_WTR HTR_ APPLICANT .R'7 (J� STA COOK_DISP _F A U _ ADDRESS e'746 a '� -eo.141F'Y/ SPACE NTA AIR COND CITY .5*W d;,We'E� TEL NO YP -SQL CLOTHES WASH DISHWASH_ LICENSE NO CLASS FAN OTHER 100 1 HERESY ACKNOWL[D[[ THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AOR[[ TO COMPLY MOTORSTRANSFORMER/ RATING WIT" ALL COUNTY ORDINANCES AND STATE LAWS RESULATING IND H"TENS CTC XP KW RVA ELECTRICAL WIAINS SIZE S TYPE OVER TO I HEREBY CERTIFY THAT 1 AM "OPENLY REGISTERED RHOADS 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES CWNTY AND STAT[ OF CALIFORNIA OR T BLEGAL OWNER W AND INTEND TO O 1 - 10 300 RESIDE IN AO 0[D R[IIpCMTIAL PROPERTY V SIGNATU o 10 - SO SOD OF PERM! T W SO - 100 100=0 DISTRICT NO CL ZONE PROCESSED SY 100 - 500 15MB 4. 1 °- SIGN GAS SIGH AND ONE CIRCUIT SOD NOTES TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER 800 VOLTS OR 20OAMP EGO L 11'/SICMLTpt SERVICE OVER 800 VOLTS OR 200AMP APPROVALS DATE GOP. lODD TEMP POWER POLE TEMP SERVICE,POLE,&APPURTENANCES SOD TEMP LIGHT OR RECUT SYSTEM 300 UNDERSLAS WORK ROUGH CONDIUT WIRINGRIM C L FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO NOTIFIED PLAN CHECK PEE FINAL PER -SUI NO FE! l00 Q b TOTAL FEE PLAN CHECK VALIDATION CA M D CASH PERMIT VALIDATI M o cAa �D6764� JW30 20 8. "' 9 599 BACK OF APPLICATION FOR COMPLETE SCHEDULE FEPAIR ELCTI L0'T= APPLICATION FOR P IT OUNTY OF LOS ANGELES TMENT OF COUNTY ENGINEER �D�RESS `p -J BUILDING AND SAFETY DIVISION (�Q LOCALITY -rem.01Z NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS E OWNER DR //�� S S FIRM NAME G L.- S REPT_ MAIL LIGHT_ TOTAL FIRST 20 �. ADDRESS Pr OVER 20 CITY a EL NO SWITCH_ 10 PLAN GMECK LIGHTING TOTAL FIRST 20 b APPLICANT FI%TURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE_ORYER_WTR HTR_ APPLICANT STA COOK_OISP _F A U _ ADDRESS Q Z SPACE HTR AIR GOND CITY �q TEL NO LL CLOTHES WASH DISHWASH_ 0.EG NUMBER CLASS FAN_OTHER 100 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WIT" ALL COUNTY ORDINANCES AND STATE "INS REGULATING IND HEATERS ETC HP KW KVA CLEC TRICAL WIRING SIZE A TYPE OYER TO IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/O11 O - 1 100 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI 1 AM THE LEGAL OWNER OF THE ABOVE 1 - 10 300 DEICRRED RESIDENTIAL PROPER O 10 - SO 5.00 PERMITEE C� SIGNATURE 50 - IDO IDOG OISTRIC 0 PRO ESS BY d 100 - 500 1500 s O rn Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE UWPEpOR'S SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS IDG TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 300 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP l000 ROUGH CONDUIT TEMP SERVICE,POLE h APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 lei FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES , PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE CoLz PLAN CHECK VALIDATION CK M 0 CASH PERMI ALIDATION cR M O CASH 19f 1 9 8 673 JUL�2 2 D 6.0 0A 299 DAM 01 APPLICATION FOR COMPLETE SCHEDULE ' -i. ✓C( �ir.' ""°°' `E'°"°"' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Ao�REs6 mo�_,2 BUILDING AND SAFETY DIVISION LOCALITYNEAREST FOR APPLICANT TO FILL IN CROSS STOUTLETS M IE OWNER OR $ FIRM NAME tjRECEPT MAIL FIRST 20 E6 AOORES LIGHT_ TOTAL _ OVER 20 CI TV .j-*4 TE 'NO O SWITCH_ 10 12, PLAN CHECK GHTING TOTAL LFIRST 20 25 APPLICANT FI%TURES 10 I OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE_DRYER_WTR HTR_ APPLICANT V STA COOK_DISP F A U _ ADDRESS / SPACE HTR AIR COND IC��I11TY m TEL NO CLOTHES WASH DISHWASH _ REG�NUMB D CLASS FAN—OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION AND STATE THAT THE AB OV[ 15 CORRECT AND AGREE TO COMPLY MOTOR! TRANSFORMER! RATING WITH ALL COUNTY ORDINANCE[ ANo STATE LAW! R[OUI_ATIN[ IND HEATERS ETC HP KW MVA ELECTRICAL WIRING 31[[ B TYPE OVER To I HEREBY CERTIFY THAT I AM PROPERLY REGI[T[R[D ANO/OR p - 1 100 LICENSED AB THAI I Al BY LOS ANGELES COUNTY AND [TAT! OF CALIFORNIA 011 THAT AM T [0 OW NCA OF THE ABOVE 1 - 10 300 OESCRItED REST AL [ V PERMIT 10 - 50 500 SIGNA O 50 - 100 1000 DISTRICT PROCE ED BY 100 - 500 1500 C(.l�T.- it i SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVAL° DATE AsrECT°R IGHATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS IDO TEMP POWER POLE SERVICENOT OVER 600 VOLTS OR 200AMP 300 UNDERSLAS WORK SERVJCEOVER600VOLTSOR200AMP 1000 ROUGH CONDUIT TEMPSERVICE, POLE &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED SZJ UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 30C �Z! TOTAL FEE PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M 0 CASH 9 8 1�%m -O 2 U 6.0 0 e;b SEE BAC% OF APPLICATION FOR COMPLETE SCHEDULE Oven ' °"°°'-`6e°° "'° APPLICATION FOR ELECTRICAL PERMIT �f �.• COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7NFA ,35/� O '2 BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS u N N NT GR BUILDINGL C / 1 FOR APPLICANT TO FILL IN OUTLETS D H ratS S oeRECEPT LIGHT_ TOTAL FIRST 20 20 ADDRESS SWITCH OVER 20CITY TEL NO IO PLAN CHECK LIGHTING FIRST 20 20 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES 10 APPLIANCES CITY f TEL NoPERMIT RANGE_DRYER—WTR HTR_ APPLICANT r T STA COOK_OISP _F A U ADDRESS S` ROTle AA eS SPACE HTR AIR COND CIry TEL NO CLOTHES WASH DISHWASH__ LICENSE NO CLASS FAN_OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMER! RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC NP KW KVA ELECTRICAL WIRING SIZE S TYPE OVER TO HEREBY CERTIFY THAT I AM PROP! EGISTEfl Ef AM L}f 0 - ) I W LICENDEG AS REQUIRED BY LG OFLES NTY 1N° ST OF CALIFORNIA OR THAT T AL OW D 1 _ 10 S W RESI D! IN TH !2 T SIGNATURE 10 - 50 500 OF PERMIT 50 - ,o0 1000 DIB;RICDT NO ASSUP ZONE PR C E yO ,DD _ 500 D00 SIGN GAS SIGN AND ONE CIRCUIT 900 NOTE CL TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVI CENOT OVER 600 VOLTS OR 200 AMP 200 SERVI CEOVER 600 V21SSUINGFEE P D00 APPROVALS DATE INSPECTOR'S INIUNRF TEMP POWER POLE TEMP SERVICE POLEANCES 900 � Q UNDERSLAB WORK N TEMP LIGHT OR RECy ROUGH CON'IUT WIRING y PERMIT FEEB TO FIXTURES POWER AUTHORIZED PLAN CHECK FEE (5E) UTILITY CO NOT, FIE' PERMIT ISSUING FE200 (p<� FINAL SUPPLEMENTARY PEFEE 100JOSEPH C ROOHAN TOTAL FEE , SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M . CASH T. :e,R 5J 2' 0D 5.00- 599 eaa OF APPLICATION FOR cow PLcrc DCNEouLc �/r.t. ]D ABB3A CEBOBA 4,72 APPLI AT18 FOR ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LOCALITY G. FOR APPLICANT TO FILL IN NEAREST CROSS ST OUTLETS NO EACH] FEE S $ OWNER RECEPT MAIL LIGHT_ TOTAL FIRST 20 ADDRESS CITY TEL NO SWITCH OVER 20 -- PLANCHECK TOTAL LIGHTING l FIRST 20 APPLICANT I FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO RANGEPERMIT _DRYER_WTR HTR APPLICANT STA COOK_DISP _F A U ADDRESS SPACE HTR AIR GOND CITY I TEL NO CLOTHES WASH OISHWASH LICENSE NO Cy�y FAN—OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ TH CATION y AND STATE THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY p MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STAT! LAWS REGULATING V IND HEATERS ETC HP KW KVA 6 ELECTRICAL WIRING SIZE B TYPE OVER TO p HEREBY CERTIFY THAT I AM PROPERLY R�fIDTERID AMD/OR 1) 0 - 1 LICENSED AS REQUIRED BY LOS ANG EL EB OJINTY A STATE OF WGl CALIFORNIA OR THAT A THE 1IIITTTT OF INTEND TO I - 10 RESIDE IN TH 1 S OPERTY 10 - 50 SIGNATURE I OF PERMITTEE ow 50 — 100 OID TRICT NO CI ADD 2oN! RO 9SED SY 100 — 600 6 '�—` SIGN GAS SIGN AND ONE CIRCUIT v NOTES TUBE OR MARQUEE ADDITIONAL CIRCUITS SERVICENOTOVER 600 VOLTS OR 200AMP SER VICEOVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR S SIGNATURE TEMP POWER POLE TEMPSERVICE POLE &APPURTENANCES UN DERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM ROUGH CO NDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE FINAL -Z,-17- 77 PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M G CASH 2 6 0iNOV 12 2 0 1 2.0 0 ,&=D m zp 71AMSC- Clill11,19 APPLICATION FOR ELECTRICAL PERMIT BUILDING D SAFETY DI ION FOR APPLICANT TO PILL IN 'GB — �Q New Residential Bldgs &Pools EACH NO FEE ADDRESS G 1 &2 Finally Sq Ft $ — $ LOCALITY Multifamily Sq Ft — NEAREST Residential Swimming Pools CROSS ST OWNER OR FIRM NAME Outlets Light Switch&Receptacle MAIL First 20 ADDRESS Additional CITY Tel No PLAN CHECK Lighting Fixtures APPLICANT First 20 rr OD ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D W / I Oven _ Dryer W M ADDRESS Top _ FAU W H CITY Tel No Hood Fen LICE SE OR _ Disp AC REG NUMB R Class — o „Cwfev ACMNOWL.DG. THAT, Ax. n ucAno„ � Power Apparatus& Large Appliances „APT. T RDINANC....o STAT. LAMS�R.o�.TING Size T HP, KW, KVA,or KVAR L`CTRiCAL WURIN' G w Up to 1 Incl • , „ERe v CERTIFY r P.R neo AND/GDR Z Over 1 to 10 InCI •�� p uGws.D w. o U,„.D S UL..c STAYS Over 10 to 50 Incl •sD i — E.C.Re. ..., oma`L .R or T„: A.ov. Over 50 to 1001ncl PPRMITCR Over 100 SIGNATUR Services DISTRICT NO Q OCE SEDBV 0-200 Amp Under 600 V �1 s 201 - 1000 Amp Under 600 VAPPROVALS DATE IN C R S Over 1000 Amp or Over 600 V Over 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 PERMIT FEE (Sub Tota0 UTILITY CO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) L FINAL PERMIT ISSUING FEE NOTES TOTAL FEE c.70 PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION MO CASH 4 5 5-MB 3 2 0 7 8.7 O •z>, PVZ-P , Tew eaa-c eegq a•eG r'�9w�/ L ~'; APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENOINEER 7ADDRESS40--:g BUILDING AND SAFETY DIVISION RE JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BU ILOING FOR APPLICANT TO FILL IN no ucn FeiRECEIPT 3 0 LIGHT TOTAL FIRST 20 20TEL NO SWITCH_ OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U CONTRACTOR SPACE HTR —AIR GOND ADDRESS CLOTHES WASH _DISHWASH CITY TEL FAN_OTHER 1 00 LICENSE NO CLA MOTORS TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE la CORRECT AND AGREE TO COMPLY SIZE A TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING D — I 1 DD 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR LICENSED AS REOUIREO BY LOS ANGELES COUNTY ANO ATEOF I — 10 3 DO CALIFORNIA OR THAT 1 AM TX LYOAL OW RER 01 ENO TO RESIDE IN THE ABOVE DES SIp iNTIAL PR Y O 0 — SO S 00 V S I G NAT URE 50 — 100 10DO OF PERMITTEE K 0 100 — 500 1500 VROGH T No GnouP xD/j� RRo o rj SIGN in TUBE OR SIGN AND ONE CIRCUIT 3 00 ate' Y `—' MARQUEE ADDITIONAL CIRCUITS 1 00 ? SERVICE NOT OVER 600 VOLTS OR 200 AAP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 DO TEMP SERVICE, POLE, h APPURTENANCES 3 00APPROVALS OAT. NSP.CTOR'S SIGNATURE POWER POLE S LAB WORK CONDUIT GPERMIT FEE (SUB TOTAL) RES AUTHORIZEDPLAN CHECK FEE (507, PERMIT FEE)PERMIT ISSUING FEE 200 Y CO NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1 00 TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTR AL ENGINEER PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION cR M o cABH I pr„9 3 5 O� MAR23 2 D 9.00- • r SE. BACK OF APPLICATION FOR cOMpLrYr rFF 1cuFnulr ieleee;ceeoe 1,TD APPLICATION FOR C TRI AL PER T u COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING • [ BUILDING AND SAFETY DIVISION ADDRES.gS! JOHN A LAMBIE COUNTY ENGINEER LOCALITY COLEMAN W. JHNKINS NTUNCENT G►BUILDING C FOR APPLICANT TO PILL IN NEARESTCROSS ST OUTLETS NO EACH FEE OWNER S RECEPT QfJ ADDR E53 U �C� LIGX 6 TOTAL FIRST 20 20 CITY �� SWITCM� OVER 20 3 10 � PLAN CHECK TEL NO LIGHTING 11j TOTAL FIRST 20 2,(j 10 By APPLICANT FI%TURES J 516 OVER 20 2 1D ADDRESS APPLIANCES OV CITY TEL NO RANGE_ORYER_WTR XTR PERMIT APPLICANTXe,, STA COOK_DISP LF A U ADDRESS.)q edly SPACE HTR AIR COND 'yr, CITY Je TEL NO T CLOTHES WASH DISHWASH LICENSE NO e--3W _27 79.,;)gr CLASS e-/92 FAN-!L-OTHER 3 100 3 o4o, IHEREBY ACKNOWLEDGE THAT IAV[ READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGK[[ TO COMPLY MOTOR[, TRANSFORMERS RATIN[ WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING IND H[AYERS ETC HP KW KVA ELICTRIGAL WIRING •IEC [ TYPE OVER TO I NSED A CERTIFY TMAT AM PROPERLY COUNTY AND AND/OR A('V Tf,,.,,, �'Wi,� O - 1 y 100 LICl NEED AS REQUIRED BY LOB ANGELES COUNTY AMD [iAT[ OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTIND TO /Z 300 O/• RESIDE IN THE MOV[ DESCRIBED R[SIO IAL PROPERTY Lib (/ SIGNATURE 10 - SO 300 OF PERMITTEE 60 - 100 1000 K DurRICT Ho CLASS GxouP zoxE ,nmt to BY � DD _ EDD 1700 5 a . i arum FUL SIGN GAS SIGN AND ONE CIRCUIT 300 pQ NOTES y TUBE OR Z MARQUEE AD0I TIONAL CIRCUITS 100 60IVA SERVI CENOTOVER600 VOLTSOR 200 AMP 200 Q SERVI CE OVER 600 VOLTS OR 200 AMP 000 S O(J APOWER f DATE IHDP[C DDIGNATUIS TEMP POWER POLE TEMP SERVICE,POLE 8 APPURTENANCES 300 UNDERSLAB WORK TEMP LIGHT OR RECEIPT SYSTEM 300 ROUGH CONDIUT WIRING PERMIT FEE (SUB TO FIXTURES POWER AUTHORIZED s PLAN CHECK FEE (507. PERMIT FEE) UTILITY CO NOTIFIED PERMIT ISSUING FEE 200 () FINAL SUPPLEMENTARY PERMIT ISSUING FEE 100 JOSEPH C ROOHAN TOTAL FEE J�_ �D SUPERVISING ELECTR CAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIO CK M 0 CASH DEE BACK 01 APPLICATION FOR COMPLETE SCHEDULE I �^ 9 3 3 $� ��..7 0� MAR 2 3 Q INA"'e""41�1e APPLICATION FOR ELECTRICAL PERMIT 11, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINrF ESS vv BUILDING AND SAFETY DIVISION CA PORAPPUCANTT Pt11INLITY ENew Residential Bldgs &Pools EACH EST !!/'VI &2 Family Sq Ff E 025 l1Multi family$q k OZ NAME � Ct��G R�TI C CVVResidential Swimming Pools 2500MA ESS E Outlets Rec Light_Sw � Tel NoFirst 20 50H KTotal No Additional 30CANTESS Lighting Fixtures First 20 50 1 1 CITY Tel No Total NoAPPLICANT Additional 30 PERMIT r E EG ^ Fixed Appliances Not Over I HP ADDRESS O Range—Heater—D W _ CITY Tel No Oven _Dryer_W M_ LICENSE OR Top —FAU —WH — REG NUMBE Class 0 Hood—Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp _ Room Air Cond I250 THAT THE ABOVE 15 CORNER PL AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCB AND STATE LAWS REGULATING ELERRICAL WIRING Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERTY REGISTERED AND/OR LICENSED AS Up to 2 5D REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM OverIncl THE LEGAL OWNEROF THE ABOVE RIBED RESIDEMW PROPFAIY Over I to 10 Incl 5 00 ,L ,/E•�L� S Over 10 to 50 Incl 1250 PERMITTEE VUJ /NL) Over 50 to 100 Inc 2500 SIGNATURE o Over 100 40 00 DISTRICT NO ROC D BY Services 0 200 Amp Under 600 V 12 APPROVALS DATE I I NA CURE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole 8 Appurtenarces 1000 Sign with One Branch Grcuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits 200 WIRING Mix Conduits&Conductors 1000 FIXTURES Other ISee Complete Fee Sc u 1 POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (Sub Total) NOTES TV PLAN CHECKING FEE (One Fourth Permit Fee PERMIT ISSUING FEE $700 TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH SEE BACK OF APPLICATION FOR COMPLETE SOHEOU& 5 9 nJUN 23 2 U 1 O V AN fern �R�,eYF,��s�r-mrd. � 7411 GE eoe Nl ane APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN _'OB /' New Residential Bldgs &Pools EACH NO FEE ADDRESS J 1 &2 Family Sq Ft b — E LOCALITY Multi family Sq FtNEA RE Residential Swimming Pools T FIRM R NAME I �K Outlets Rec_Lght_Sw MAIL c E. First 20 ADDRESS ' 0111/e Total No Additional CITY EC Tel Noa PLAN CHECK NIT Lighting Futures First 20 ADDRESS Total No Additional CITU Tel No Fixed Appliances Not Over 1 HP PERMIT ��''`` Range—Heater—D W _ APPLICANT S C E Ic Oven—Dryer— W M— ADDRESSACT N A A Top _FAU _ WH _ CITY Vf-W,# Tel No d_Fan Hco _Other_ LICENSE OR Dnp —Room Air Cond REG NUMBER 2—/'� Class :�Q 11 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Sue&Type HP KW KVA or KVAR COMPLY WWIITH ELECTRICAL WIRING ALL COUNTY ORDINANCES AND STATE LAWS y Up to I Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O Over 1 to 10 Ind LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IJ Over 1010 50 Ind CALIFORNIA OR THAT M TH LEGAL O ER OF THE ABOVE 0 DESCRIBED RES A 6 Over 50 to 100 Inc PERMITEE . Over 100 SIGNATURE Services DISTRICT NO 1 P BY 0 200 Amp Under 600 V O ! 201 1000 Amp Under 600 V V Over 1000 Amp or Over 600 V = 2 Temp Power Pole&Appurtenances i Sign with One Branch Circuit Additional Sign Branch Circuits INSPECTION > Mac Conduits BConductors INFORMATION ON REVERSE Other(See Complete Fee Schedule;_ SIDE � R 4 9 6 4 A ° q . . . . . 2 PERMIT FEE (Sub Totall 2 - . 1000 PLAN CHECKING FEE IOne Fourth Permit Feel 1 0 0 0 c2i PERMIT ISSUING FEE 0618-79 TOTAL FEE O • > INSPECTION FINALED date BY 111CCC 01 76" SCE 1106"'"e APPLICATION FOR ELECTRICAL PERMIT fgar. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FETY gpgDDRE55 E'. BUILDING AND ADIVISION FOR APPLICANTTO FILL IN LOCALITY New Residential Bldgs &Foals EACH NO FEE NEAR I &2 Family Sq Ft E 025 — E ST �'vA,,fS WNE OR Multi family Sq H OZ — FIRM NAM E Residentwl Swimming Pools 20 00 MAIL ADDRE 3 4F- )—IUC T� Outlets Rec bght_Sw _ CITY G t' Tel No 6/ First 20 50 PLAN H Total No Addnwnol 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 1 CITY Tel No Total No Additional 30 PPRMIT PUCAN Fixed Appliances Not Over l HP ADDRESS 4,0 d TL Range_Heater_D W _ CITY Tel No Oven _Dryer—W M_ LICENSE OR 974 /I�� Top —FAU —WH — REG NUMBER I Class41-10 Hood—Fan Other— HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APF I ATION AND STATE Dap _ Room Air Cond — 200 THAI THE ABOVE 6 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGUTATING RL RII WIRING Power Apparatus&Lorge Appliances Sae&Ty'pe HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGEL AN STATE OF GW FORNIA OR THAT I AM Up to I Incl 200 THE LEGALOWNER OFT BO ED DENTIAL PRO TY Over 1 to 10 Incl 500 Over 10 to 50 Incl 1000 PERMITTEE Over 50 to 100 Inc 2000 SIGNATURE V Over 100 3000 DISTRICT NO PROLE D B C� Services NN5S p1 0 200 Amp Under 600V 1250 APPROVALS DATE I5IGNATOORE M1M1 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Palen Apirces Sign with One Branch Circuit GO ROUGH CONDUIT 10 00 rcuit 10 Additronal5gn Brunch Circuits200 WIRING Misc Conduits&Conductors 1500 FIXTURES Other(See Complete Fee Schedu el POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE )Sub Total) NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE 46.0er TOTAL FEE ( (90 PLAN CHECK VALIDATION CK M O CASH PEiMR VALIDATION CK M O CASH 0 7 3 iZJUN 17 2 D 9.0 0 AzId SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ms 7646°'CE-W6"1 /78' APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES BUILDING AND SAFETY — FORAP LIGAN TOFIL-1-119 gDDRE55 _ E _yI New Residential Bldgs &Pools EACH -- NO FEE -- 1 &2 Family Sq Ft S 025 — S LOCALITY Multi family Sq Ft 02 — NEARE y _Rpldential Swimming Pools 2500 CROSSST //�� A V ^ FIRM NAME s S W llAa E Outlets Rec_Light_Sw _ _ MAIL First 20 50 ADDRESS s E Taal No Addmonol 30 CITY - u' -Tel-N - - .� PLAN CHK APPLICANT _ Lighting Fixtures First 20 50 ADDRESS Additional 30 _ Total No CITU Tel No , Fixed Appliances Not Over 1 HP PERMIT-- - -- Range.Heater.D W APPLICANT - - Oven_Dryer_W M-- ADDRESS - Top —FAU —WH — CITY s _ Tel No Hood_Fon _Other_ LICENSE OR Disp —Room Au Cond 250 REG NUMBER Z HAVClass�,� (� _ I HEREBY ACKNOWLEDG THAI I E READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES-AND STATE-LAWS REGULATING ELECTRICAL WIRING Up to 1 Incl 2 50 I HEREBY CERTIFY THAT I AM PROPERLYREGISTERED AND/OR' —y Over 1 to 10 Incl 5 DO LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pF - Over 10 to 50 Incl 1250 CALIFORNIA OR THAT I AM THE tEWAL OWNER OF-THE ABOYE _0 2500 DESCRIBED RESIT�C/rlT1.g0.P ER Over SO l0 100 Inc /N/I IMIr_f`/•%Ye Over 100 4000 PERMIT EE SIGNATURE Services - DISTRICT NO2! OPROCE D Bl' - — - 0 200 Amp Under 600 V 12 50 +201 1000 Amp Under 600 V 2500 Q — —' Over 1000 Amp or Over 600 V 5000 , p_ Temp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 1000 4 Additional Sign Branch Circuits 200 INSPECTION 07 8 4 A M,sc Conduits&Conductor 10 00 INFORMATION Othe (See CompI t Fee Schedulel_ ON S TERSE # • • • 2 2 • • 10,00 • • • 10006 PERMIT FEE ISub Total) 0616 -80 PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $700- o TOTAL FEE d d > INSPECTION FINALED date (/. By ®s CORKERS COMPENSATION DECLARATION v 63 tD,Bt APPLICATION FOR ELECTRICAL PERMIT I Hereby affm that I have a certificate CE8 ificote of consent to self � OeG insure, or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec 3800 Lab C ) Pool icy No Company FOR APPLICANT TO FILL M JDDRE55 55 Certified copy is hereby furnished New Residenhal Bldgs 8 Pools EACH NO FEEPTci CITY CA Certified copy is filed with the county building inspec- 18 2 Family Sq Ft f — f LOCALITY ••r• e tion department Multi family Sq Ft CROSS ST BRO w Dote Applicant Residential Swimming Poole OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_light_Sw_ MAIL COMPENSATION INSURANCE First 20 ADDRESS 9150 LAS TUNAS DR_ (This stolon need not be completed H the work Innolrod by Total No Additional CIN TEMPLE CITY CA Tel No286_ O8O the permit Is for one hundred dollop($100)a less) I certify that in the performance of the work for which this PLAN O¢OC permit is issued I shall not employ any person in any manner APPLICANT so as to become subject to the or n mpens hop Laws _ Lighting Fixtures First 20 ADDRESS oO �/,//!s/QLIJ•,v-�qr Total No Additional CITY Tel No Dote 6�1�U7Apphcant Fixed Appliances Not Over I HP PERMIT NOTICE TO APPLICANT 11, aft r rrwkmg this Certificate of Ra Heater_D W — PEAPPLICANTIDARES E Exemption you should become subject to the Workers' Range 11.. Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W M _ ADDRESS P.O. BOX Y 29 with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked Hood _ Fon _Other_ cTYSAN GABRIEL CAJel No'28 _862 LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that 1 am licensed under provisions of Chapter 9 Disp _ Room Air Cored REO NUMBER 276218 Clan C_10 (commencing with Section 7000)of Division 3 of the Business Power Apporarus 8 large Appliances DISTRICT NO P BY >. and Professions Code and my license is in full force and effect O / d Size 8 Type HP, KW, KVA cr KVAR Q License Number 27621 R Lac Class C-10 V -��1�-^-- r7 Up to 1 Incl FINAL Contractor DATES DTIC Dote 6-1-8 Over 1 to 10 Ind DATE � �j VALIDATION Q Over 10 to 50 Incl FI t/ I am exempt under Sec Over 50 to 100 Inc B W B 8P C for this reason Over IDO N Services Swbd , MCC 8 Ponelboards ? °te 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Over IODD Amp or Over 600 V Exemption for Reg Mont Elect SINGLE FAMILY Tem Power Pale 8 Temp 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) Misc Conduits 8 Conductors 1 as owner of the progeny will do the work and the Other See Com let Fee Schedule)_ ► structure m m not intended or offered for sole (Section 7044 Business and Professions Code) 7 2 9 5 A CONSTRUCTION LENDING AGENCYFTREWoEe s e e • 2 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Civ C ) I e e 1 5 5 0 Lender s Name PLAN CHECKING FEE • • • 1 5505 Lender's Address PERMIT ISSUING FEE 0 0622-87 1 certify that I have read this application and state that the TOTAL FEE -j w above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize re resentottves of this County to enter upon the a e- ntiob roperty f spection purposes 6-1-87 SEE REVERSE FOR EXPLANATORY LANGUAGE a Signature of Permittee Date WORKER I haveCOMPENSATION of consent DECLARATION 20-0019 DPW(12 Bt) APPLICATION FOR ELECTRICAL PERMIT 70.001 I hereby affirm that I have a certificate of consent to sell 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) _ 4AJjqLZ4il 87Al 4LS A+ — Policy No Company FM APPLICANT TO RLL IN ADORE65 $141 � � El ' Certified copy Is hereby furnished New Residential Bldgs E Poole NO EACH FEE LOCALITY ❑ Certified copy Is filed with the county building inspection 1 S 2 Family Sq Ft — S S department Multi family Sq Ft — OR�09.455T _ Data, Appkcant Reardenbal Swimming Pools tiSSE MAP 9001( PAGE PARCH CERTIFICATE OF EXEMPTION FROM WORKERSOWNER COMPENSATION INSURANCE Oufals RBC Ught-Sw FIRMNAM First 20 (This section need not be completed It the work Involved by the o MAIL Addxxia permit Is for one hundred dollars($100)or lees) Total No ddnl ADpRE931 Q I certify that in the performance of the work for which this permit C L Is issued, 1 shell not employ any person in any manner so as to , become subject to the Workers Com Pen tion Laws Lighting Fixtures Fust 20 �LIGNT Total No Additional ADDRESS Date Applican RESIDENTIAL APPLIANCES NOT OVER 3 HP NOT&E T APPLICANT a alter t ki g this Certificate Compensation of CITU Tel No Exemption you should become subject to the Workers Compensebon OTHER APPLIANCES NOT OVER 3 MP provisions of the Labor Code you must forthwith comply with such PEgMti provisions or this permit shall be deemed revoked , Power Apparatus 8 Lenge Appliances UT S vJ LICENSED CONTRACTORS DECLARATION Sure d Type HP KW KVA or KVAR ADDRESS I hereby affirm that I em licensed under provisions of Chapter 9 Over 3 to 10 Ind y (commencing with Section 7000) of Division 3 of the Business and C A Tel No G Professions Code and my license Is in full force and effect Over 10 to 50 Ind LICENSE OR CMH } ��/1 Over 50 to 100 Incl REG NUMBER IL L cerree Number T/+ �j7 • Lac Class,r–/0 Over 100 DISTRICT NO �D J pRpCE$9ED BY Q , "� Servxroa Swbtl MCC 8 Parr 600 V av �y/' (�� Canlreclo Date 0 398 Amp Under 800 V OFAWprE1 9q 0 ❑ I em exempt under Sec 400 1000 Amp Under 800 V 64 1 �� VALIDATION V Over 1000 Amp or Over BDO V FINAL W 6 6P C for Ihrt reasonBRANCH CIRCUIT FEES Date 15A or 20A 120V Lighting or Racept Z I To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch ❑ Exemption for Reg Mamt Elect 15A 20A 2DBV To 277V Lighting Sir CeaA1s Circuits SINGLE 2 FAMILY 7emD Power Pula 8 Appurtenances HOME OWNER BUILDER DECLARATION ACCT.: I hereby affirm that I em exempt from the Contractor a License Law Sign with One Branch Circuit for the following reason (Section 7031 5 Business and Professions Addbonal Sign Branch Circuits �j, 48.60 Code) ❑ Miss: Conduits 8 Conductors 1 ITEMS I as owner of the property will do the work end the structure TOTAL fir8 .60 I6 not intended or offered for sale (Section 7044 Business w(SBB CampletB Fee Sch isle) and Profanions Code) TT 011. O�tIE�C/+Ky LLee 6�0r1 1.fLiIGAM� TGI.Or1V�� CONSTRUCTION LENDING AGENCY CT9' a .00 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 0000"0001 6/26/96 Lender a Name PERMIT ISSUING FEE 7126 1 AM10:12 Lender a Address I ceruty that I have read this appllcabon and under penalty of purjury state TOTAL FEE that the above Information rs coned I agree to comply oda ell County ardmanc and State laws regulating Electrical wiring and hereby authorize rW n lives of this County to enter upon the above mentioned property for I pia [�L.ILI� SEE REVERSE FOR EXPLANATORY LANGUAGE �TUFfCIFPERMITV� WORKER I haveCOMPENSATION DECLARATION 71MAW DPW(12 et) APPLICATION FOR ELECTRICAL PERMIT 790057 I hereby affirm that 1 have a certificate of consent to Ball insure or a Certnlcatti Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sect-3800 Lab C) /}' Policy No/60.S /b Comparry.fA-M F'Mb POR APPUcANT TO MLL IN 6Z V40 ❑ ADDRESS .J O 17y/ CemM1ed copy is hereby lumiahed New Residential Bldgs 0 Pools NO EACH FEE LOCALITY I� Cercled copy u filed with the county building inspection 1 0 2 Family Sq Ft — $ S NEAREST /tlepertment /,/ !� ,} l' C Mulls imnity Sq Fl CROSS ST R � Date (O�Z7—C1 / Applicant�T',p. ///f�A� A—�ECS�I Residential Swunming Pools ASSESSOR MAP ROOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Roc —Light Sw Rewe wwR COMPENSATION INSURANCE (This section need not be completed i1 the work involved by the Additional io ADDRE59 permit is for one hundred dollars(S1100)or lava) Total No Additional 0 FFN I certify that in the performance of the work for which this permit CITY ID Issued I shall not employ any person In any manner so as to PIAN CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Addihonal ADDRESS Data Applicam RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If alter making this Certificate of CITY Ta No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP ee . provisions of the Labor Code you must forthwith comply with such PEAP�PLIC N'fi p �! IC p=Wons or this permit shall be deemed revoked Power Apparatus 0 Large Appliances LICENSED CONTRACTORS DECLARATION Sue 0 Type HP KW KVA or KVAR ADDRESS I hereby affirm that I em licensed under provisions of Chapter 8 Over 3 to IO fool (commencing with Section 7000) of Division 3 of the Business and CITY E�/{� TeI No Professions Code and my license is in lull force and effect Over 10 to 501nc1 ••/ } p Over 50 to 100 Incl RRMNUMBIBER 9 / �Q d 4R 7!/ oclaw —!o Over 100 DISTRICT P S6EDBY C(J� License Number p � Services Swod MCC 8 Panelboards Op Q /� �p— A�� 0 38B Amp Under 800 V CamredorOT•8•�icar�c �ZEC Date GF� I— ❑ I am exempt under Sec 400 1000 Amp untler 800 V "¢ W Over 1000 Amp or Over 800 V VALIDATION B 0P C for this BRANCH CIRCUIT FEES reason B NnL fn Date 15A or 20A 120V Lighting or Recept Z 1 To 10 Branch Circuits Signature I I To 40 Branch Circuits E] 41 Or More Branch Cacuits Exemption for Reg Msint Elect ISA 200 20 VV To 277V Lightwig Br Circuits SINGLE FAMILY Temp Power Pole 8 Appurtenances L a HOME OWNER BUILDER DECLARATION W C T.T I hereby affirm that I em exempt from the Contractor a License Law Sign with One Branch Cncult for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 37,03 Code) 1 ITEMSr_1 I as owner of the property will do the work and the structure Msec Conduits 6 Conductors is not intended or offered for sale(Section 7044 Business Other See Complete Fee Schedule)_ , TOTAL 47 r• :11011 and Professions Code) O t�(Yv CONSTRUCTION LENDING AGENCY CHECK 47.10 1 hereby affirm that there is a construction lending agency for the CHANGE 00 performance of the work for which this permit is issued (Sec 3087 PERMIT FEE (Sub-Total) Civ Of PLAN CHECKING FEE M—OROS 6/27/94 Lender a Name �J PERMIT ISSUING FEE p+CO JLOi.'.rlh S AM 11:SU Lender a Address I cwUly that I have read this application and under penalty of purlury state TOTAL FEE that the above informabnn is correct I agree to comply with all County ordinances and State laws regulating Elecmcel wiring and hereby authonze representatives of this County to enter upon the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SxnuTiiRE PERMITTEE DAM 1 WORKERS COMPENSATION DECLARATION paalR�3/V APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self �� insure, ppr a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a cerllrted copy thereof (Sec 3800, Lob C ) 195 �.JCY ET Policy No/005-514A 7 Company SAMAE FOR APPLICANT TO FILL IN JOB �CerMied copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS NT C Q 4G OCALITY Certified copy is filed with the county building inspec- 1 8 2-Family Sq Ft f — $ Fo3.Jt hon departmentx Multi-family Sq Ft NEARESTCROSSs0 h p Q `/ Residential Swimming Pools Date-7-1� (I Applicant -+�- r(�� IC FIRMENAME TL't'-Vb Fmiloin or, CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light_Sw_ MAIL COMPENSATION INSURANCE ADDRESS I XAvaL A'-- (This sectlon need nol be completed If the work lnwhed byFirst 20 CITY the permit is for one hundred dollars($100)or loss ) Total No Additional T Tel No .213 7z/' {f c�-- I certify that in .he performance of the work for which this RAN CHECK permit s issued I shall not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional Date—Applicant CIN 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 /K,• Compensation provisions of the Labor Code, you must forth- Oven _ Dryer —W M _ ADDRESS with comply with such provisions or this permit shall beT FAU —W H — deemed revoked Hood — Fan —Other— CITY ON Tel N�3 p LICENSED CONTRACTORS DECLARATION Dsp _ Room Air Cond LICENSE OR Class hereby offvm that I am licensed under provivoas of Chapter 9 REG NUMBER 9 7Zi" (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PNgSSED BY } and Professions Code,and my license is in full force and effect p d Size 8 Type HP, KW, KVA or KVAR p O License Number q9 7// Lac Class <--/O Up ro 1 Incl FINAL U 4.s J(�c Flrx-- Over 1 to 10 Ind DATE _g VALIDATION Conhactor Dole' O ❑ Over 10 to 50 Incl Fill p- 1 am exempt under Sec Over 50 to 100 Inc Bye W B 8P C for this reason Over 100 d Date Services, SwbCOd MCC& Ponelboards Z 0-200 Amp Under 600 V — Signature 201 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption for Rag Moms Elect SINGLEE DECLARATION Temp Power Pole 8 Appurtenances LY HOME OWNER-BUILDER DDE I hereby affirm that I am exempt from the Controctor's License Sign with One Branch Circuit ACCT•T Law for the following reason (Section 70.31 5 Business and Additional Sign Branch Circuits Professions Code) 11137 y?•l ill ❑ I os owner of thero Msc Conduits 8 Conductors p party, will do the work aril the 1 ITEMS structure is not amended or offered for sole(Section 7041, cher See Com let Fee Sch ule)_ Business and Professions Code) 0 01 4 i 1 , { Tri AL 23 - 1701 CONSTRUCTION LENDING AGENCY _ tHEU, 23•OFI 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) HANGE .GO (Sac 3097 Civ C ) PLAN CHECKING FEE Lender s Name F00[1_-LW 7 v PERMIT ISSUING FEE 3 O Lender s Address 7215 1 fM Y;1e I certify that I have read this application and state that the TOTAL FEE �i Oil 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 Dthe bove mentioned property fa inspechon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Por inee Dare WORKERS COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOId ELECTRICAL PERMIT ereby affirm that I have o certificate of consent to self 806r806r, Insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or p car h c ompa Y800 � 0 0 � om n FON APPLICANT TO RV IN JOB Certified c is hereby furnished EACH NO FEE ADDRESS copy Y New Residential Bldgs B Paola Certified copy is filed with the county budding inspec- 1 8 2 Family Sq Ft { _ S LOCALITY tion department Multi-family Sq Ft — tJEARE57 Residential Swimming Pools CROSS Dote Applicant OWNER OR FI&M NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light_Sw_ IL COMPENSATION INSURANCE First 20 s ADDRESS (This section need not be completed If the work involved by Total No / Additional CITY Tel No the permit a for one hundred dollars ($100)or lass ) PLAN CITY certify that in the performance of the work for which this ICANT permit is issued I shall not employ any person in any manner c so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No_J_— Additional Date Applicant CITY Tel No Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If, after making this Certificate of PERMIT _ Heater_D W _ APPLICANT Exemption you should become subject to the Workers Range 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 _WH deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ I hereby affirm that Disp _ Room Air Cond LICENSE OR am licensed under provisions of Chapter 9 REG NUMBER 136j Clair (commencing with Section 7000)of Division 3 of the Business DISTRICT NO PROCE Y and 6Professions Code a my license ism full force and effect Power Apparatus& Large Appliances {�• /� y 1„ (g '9 Size 8 Type HP KW KVA or KVAR V l�{/ 0 License Number L C lassUp to 1 Incl FINAL x V J Contractor Over 1 to 10 Incl DATE VAUDA N Q ❑ Over 10 to 50 Incl N 15 I am exempt under SecOver 50 to 100 Inc BY W B 8P C for this reason Over 100 Z Dote Services, Swbd , MCC & Ponelboards 0 -200 Amp Under 600 V A l 5119 A Signature 201 - 1000 Amp Under 600 V # e s e s is 2 ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V I e e SINGLE FAMILY Temp Power Pole 8 Appurtenances e 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 0 2 1 1 —8 5 Law for the following reason (Section 7031 5 Business and Professions Code) ❑ I as owner of the property, will do the work and the Mnc Conduits 8 Conductors structure is not intended or offered for sale (Section e m late Fe Sch )_ ► 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 Cry C ) r PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE Q lenders Address I certify that I hove read this application and state that the TOTAL FEE above information is correct I ogree to comply with all County ordinances and State lows regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes —e �24 �� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS COMPENSATION DECLARATION �toCPwVV APPLICATION FOR ELECTRICAL PERMIT O 1 hereby affirm that I have a certificate of consent to sell 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 FOR APPLICANT TO FILL IN i19 PAfflf9Eff6 JOB 1, N ❑Certified copy is hereby furnished New Residential Bldgs S Pools EACH NOFEE ADDRESS 't Certified copy is filed with the county building mspec 1 & 2-Family, Sq Fr S __Fs LOCALITY tion department Multi family Sq Ft — NEAREST Residential Swimming Foals CROSS ST BROADWAY Dote Applicant NER OR FIIRRMNAME DAD'S COM.EXpLg pOsT #lil CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec—Light_Sw_ ML O COMPENSATION INSURANCE ADDRESSAI2 S CAME (This stolon need not be completed If the work Involved by First 20 CITY TEMPLE CITY Tel r�s� the permit Is for one hundred dollars($100)or less) Total No Additional certify that in I s performance of the work f« RAN CHECK which this permit is issued, shall not employ any person in any manner APPLICANT so as to become subject to the Workers Compensation Lows Lighting Fixtures Ftnr 20 ADDRESS Total No Additional Date )+-17-90Applimm DALE'S ELECTRIC CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT D Exemption you should become subject to the Workers' Range— Heater—D W _ APPLICATION DALE'S ELECTRIC Compensation provisions of the Labor Code you must forth- Oven — Dryer —W M _ ADDRESS 672 with comply with such provisions or this permit shall be deemed revoked Top — FAU —WH — CITY LA PUENTE Tel 11187-8627 LICENSED CONTRACTORS DECLARATION Hood — Fan —Other— p Disp _ Room Au Cond _ LICENSE 276218 Class C-10 1 hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT PROLE BY Y and Professions Code, and my license is in full force and effect a- 2'7621 8 Size 8 Type HP, KW KVA or KVAR r O License Number Lic Class C— !��,L Up to 1 Incl FINAL C) Contractor ELECTREC, 4-17-90 over 1 a to Incl °"TE ���'�� VALIDATION F1Over 10 to 50 In FINAL ,J am exempt under Sec Over 50 to 100 Inc BY /} U / / B&P C f« this reason Over 100 111d Dat Services Swbd MCC 8 Ponelboords Z 0-200 Amp Under 600 V Z Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp w Over 60D V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances y HOME OWNER BUILDER DECLARATION ACCT.r I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits 3307 18.00 Professions Code) I ITEM ❑ I as owner of the property will do the work and the M,sc Conduits&Conductors structure is not intended or offered for sale(Section 7004, Other (See Complete Fee Schedule)_ ► TOTAL 1S . 00 Business and Professions Code) TEMPORARY CHECK 18.00 CONSTRUCTION LENDING AGENCY ansC$1 I hereby affirm that there is a construction lending agency for TAND I VU CRANE the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Gv C ) PLAN CHECKING FEE OOOO-000I 5/23I90 Lenders Name PERMIT ISSUING FEE 0867 I AM 8.77 Lenders Address I certify that I have read this application and stare that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby author, ��V_72 ,e4 tives of this County to enter upon the ab m 0y for ction purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 4-17-9 0 ®s Si nature of Permittee Date III I rm &tR S COMPENSATION ate of consent to 76A%3 DPW(12 Bt) APPLICATION FOR ELECTRICAL PERMIT 764883 I hereb a11Rm �iet I have a certificate of convent to vett insure or a ce Iticale 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) _ I '' C A Policy NO ��*me, Company SPHE (� FOR APPIJCANT TO FILL IN JOB y ❑ Certified copy is hereby furnished NO EACH FEE ADORE55 S�! �(.y(p New Residential Bilge a Pools LOCALITY ❑ Certified copy is filed with the county Wilding inspection 1 8 2 Famdy Sq Ft — $ $ V N department w /� Mulb family S4 Ft CROSS ST Date (p—,Z!57--j3 Applicant /%•B• ✓elm •�+-F, Residential Swimming Pods ASSESSOR MAP BOOT( PARE PARS CERTIFICATE OF EXEMPTION FROM WORKERS Outlets RK —Light Sw FlO R�DMRE COMPENSATION INSURANCE First 20 ✓ (This section need not be completed if the work Involved by the ADOLRESB Total No Additional permit Is for one hundred dollars($100)or Ism) 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 to become subject to the Workers Compensation Laws Lighting Fixtures First 20 CHECK Total No Additional ADDRESS Date Applloam RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If alter making this Certificate of CITY Ta No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Cade you must forthwith comply with Such PERMIT provisions or this permit shall be deemed revoked Power Apparatus 8 Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size 8 Type HP KW KVA or KVAR ADDRESS e I hereby affirm that I am licensed under provisions of Chapter 9 Wer 3 to 10 Ind CITY Tel Notes (commencing with Section 7000) of Division 3 of the Business and O P Professions Code and my license is In lull force and effect Over 10 to 50 Ind 12- LICENSE ORq T Over 50 to 100 Inc] REG NUMBER (Q / O� —/o CL QQL Z�� Over 100 DISTRICT NO O License Number Cp U A //AL �� /��� Sernc s, Swbd MCC 8 Panelboards Q O Q Contractor,A•19• I/LTVS `• ACC-Det. 6-7-f 0 399 Amp UMar800V pA� ❑ I em exempt under Sec 400 1000 Amp Under 800 V VALIDATION W Wer 1000 Amp or Over 800 V RNA_ d B 8P C for this reason BRANCH CIRCUIT FEES BY (n Date 15A or 20A 120V Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ e Branch Circuits Exemption for Reg Ma nt Elect 1 S 20A 208V To 277V U hnBr Circuits i SINGLE FAMILY Temp Power Pole 8 Appurtenance. HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit ACCT.i I hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031 S Business and Professions Additional Sign Branch Circuits ^,^OO?� (f 1 Coda) .75 F-1I as owner of the property will do the work and the structure Misc Conduits 8 Conductor _ I ITEM is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ , TOTAL 45.75 and Professions Code) CONSTRUCTION LENDING AGENCY MCK 45.75 1 hereby affirm that there Is a construction lending agency for the lelNIE ,GO performance of the work for which this permit is issued (Sec 3087 PERMIT FEE (Sub Total) Civ C) Lender a Name PLAN CHECKING FEE OOOO-OOOI 6/25/93 PERMIT ISSUING FEE S0470 1 AMID:17 Lender s Address I certify that I he"read this eppficatlon and under penalty of purjury elate TOTAL FEE u{ that the above information Is correct I agree to comply with all County ordinances and State laws regulating Electncel winng and hereby authorize reprevenntrves of this County to enter upon the above mentioned progeny /or i^q on purposes SEE REVERSE FOR EXPLANATORY LANGUAGE L./.jam M��/�.��• DATEE -2� aaNATURa of m—€E WORKER S COMPENSATION DECLARATION 7DPW(12 911 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent 10 bell 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(Set 3800 Lab C) ❑ Policy NO Company FOR APPLICANT TO RU IN JOB AOORESB JJ 7 Certified copy is hereby furnished New Residential Bldga 8 Pods NO EACH FEE ❑ Cemhed copy is filed with the county building inspection Family&2 Fey Sq Ft $ $ LOCALITY department Multi family Sq Ft — NEAREST CROSS STS Date Applicant Resdantial Swimming Poria ASBESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets ROC Light Sw FlRMHEriwE fGAAf OF COMPENSATION INSURANCE perms settlor neetl not completed the Mork inrolretl by the First 20 MAIL Trial No Additional ADDRESS permit is for one hundred dollars($100 )or lets) 6e Joe I certify that in the performance of the work for which this permit CITY SA ,D1*61`45 is issued I shell not employ any person in any manner so as to PUN CHECK become subject to the Workers Compe Gabon Laws Lighting Fixtures First 20 APPUCANT ` Total No Additional Date G^g-h 14+ Apph • ADDRESS NOTICE TO APPLICANT If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CRY TN Nu Exemption you should became subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP Provisions ol'the Labor Cade you must forthwith comply with such PERMIT �, 1 IC- provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLIGNi ' LICENSED CONTRACTORS DECLARATION Sze 8 Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to t0lncl (commencing with Section 7000)of Division 3 of the Business and CITY %00 8 Professions Cade and my license Ia in lull force and effect Over 10 to 80 Ind } 47,17/1 p�f Over 50 to 100 Incl RL p rySUMBEq C, �- d f) LJCenae Number I [ / /1 LiC Clans ��O Over 100 Ol3rtilCT NOF_OSSEO BY ' Services Swbd MCC 8 Panelboarde �� Q Contractor Date 0 399 Amp Under 600 V OAh 0 ❑ I am exempt under Sec 400 1000 Amp Under 600V VALIDATION W Over 1000 Amp or Over 800 V FlNAL LU B 8P C for this reasonBY BRANCH CIRCUIT FEES Z Date ISA or 20A 120V Lighbng or Receipt 1 To 10 Branch Circuits Signature 11 To 40 Branch Cuams 41 Or More Branch Circuits ❑ Exemption for Reg Maint Elect ISA 20A 208V To 277V Lighting Br Q=ral SINGLE FAMILY Tomp Power Pale 8 Appurtenances J7�3 47.85 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit 1 ITEM I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 S Business and Professions Additional Sgn Branch Circuits TOTAL 47 _ $5 Code) ❑ I as owner of the property will do the work and the structure Mise Conduits 8 Conductors CHECK. 47.85 is not intended or offered for sale(Section 7044 Business Other(Sea Complete Fee Schedule) pop. CHANGE .00 and Professions Code) CONSTRUCTION LENDING AGENCYOQQO-OW1 6/28,/95 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac 3097 PERMIT FEE (Sub Total) 1094 1 5:14 CIV C) PLAN CHECKING FEE Lender a Name PERMIT ISSUING FEE Lender a have TOTAL FEE 7 I candy that rd I have read this application and under penalty of puqury elate that the above information is correct I agree to comply with all County ordinances and State laws regulating Electical wiring and hereby aumcrae representatives of this County to enter upon the above morm need property for ins ecban purposes SEE REVERSE FOR EXPLANATORY LANGUAGE TITRE 6 V AnTEE DATE WORKCOMPENSATION DECLARATION 2979 DPW BIBS APPLICATION FOR ELECTRICAL PERMIT LI I hereby affirm thattIhave have a certificate of consent to self 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) I I P�oI{gy ertified No 1005:5-1(0 Company 0474 E FyiJD FGR APPLIGNT ro P7u w S e Ccopy le hereby furnished New Residential BdIgs 8 Poole EACH NO FEE ADDRESS ❑ Certlfled copy b filed w1th the colurdyddbuilM,r[g inspection'- J 7 8 2-Farrvly Sq Ft $ _ = LOCALITY department Muff!family Sq FL NEAREST CROSS ST Date �9z Applicant A A, t"c+�2 b�`t)c' Residential Swimrmrg Poole ASSESSOR _ PME PRAM CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec _Light Sw _ Fw NER 01°e/Ari �Rfo{.pS of he COMPENSATION INSURANCE (This section need not be completed N the work Involved by the First permit to for one hundred dollars($100)a lase) Total No Additional � I certify that In the performance of the work lar which this permit CITY Tel No Is issued I shall not employ any person in any manner so as to �CHECK become subject to the Workers Compensation Laws Lighting Rxtures First 20 Total No Addebnal ADDRESS Date Applicant t6 OR 20A 12UV BRANCH CIRCUITS NOTICE TO APPLICANT It after making this Certificate of CITY TO No Exemption you should become subject to the Workers Compensation I TO 10 INCLUSIVE EACH provisions of the Labor Code you must forthwith comply with such 11 TO 40 INCLUSIVE EACH ,r inion �$ NGTZ7 �Mt provisions or this Permit shall be deemed revoked 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION ADDRESS LIGHTINGZ 1`7 } I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A 2DOV TO 277V LIGHTING EACH L-i (commencing with Section 7000) of Division 3 of the Business and _ CITYMo r M r. Td W Y 0 Professions Cade and my license Is In full force and ellectRESIDENTIAL APPLIANCES UP TO SHP LICENSE OR Q Piww Apparatus$Large Appliances REG NUMBER 9 711 a"e C'N G 0 License Number �J 7 )1 Lk Clem c 1 p Slze a Type HP KW KVA a KVAA DISTRICT n0 BY 0 Up to 3 Incl �l/� LU Contractor /1 $ UI Qu{LET.�4kbate t/o —a6–C72 Over to 10 Incl (L 30W so Ind DATE Z ❑ I am exempt under Sec Over 50 to 100 Incl VALIDATION B$P C for this ree»n Over 100 BY 9v Dale 026"92 Serwces Swbd MCC$Pulelboa ds A' p 0 20D Amp Under BOO V Signature 14 eL 201 1000 Amp Under 600 V - ❑ Exempum for Reg Mount Elect Over 10OD Amp a Over 800 V 7 SINGLE FAMILY Temp Power Pole 8 Appurtenance2 s HOME OWNER BUILDER DECLARATION sign with Orre Branch Cucult ACC 1.Y I hereby affirm that I am exempt from the Contractor a License Law for the following reason(Section 7031 S Business and Professions Additional Sign Branch Circuits �3FN Code) ❑ I se owner o1 the property will do the work and the structure Mnc Conduits 8 Conductors i ITEOC Is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ , TOTAL 44 -m 10 and Professions Code) 1.HEC J 4.A7.ill CONSTRUCTION LENDING AGENCY /�I.1 I hereby affirm that there la a construction lending agency for the CHAA 1GE .11'"I performance of the wok for which thle permit Is issued(Sac 3087 PERMIT FEE (Sub-Totaf) Cw C) PLAN CHECKING FEE 00rfj 0001 6/2--/-72 LeMw a Name _ PERMIT ISSUING FEE � 4.,:.1 1 AMr� 1 Lender s Address TOTAL FEE I certify that I have read this application and elate that the above Information Is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned property for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 91- WORKERS COMPENSATION DECLARATION 764663 ,D,BI APPLICATIO FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self �'�O insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELE BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lob C ) Policy No Company FOR APPLIGtVT 70 RLL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS G'r ❑ Certified copy is filed with the county building impec I &2-Family Sq Ft = — f LOCALITY T, e•/r non department Multifamily Sq Ft — NEAREST Residential Swimming Pools =S T 800 Ad E/``// � Dote Applicant FIRM NAME —A�15 CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL J COMPENSATION INSURANCE Outlets Rec_Light_Sw_ ADDRESS /4L /10i_ SO a4i/C 45 G,CG (This section need not be cornpleted R the work Involved byFirst 20 CITY } /�.r Tel No //liLpp the pennff is for one hundred dollars($100)or less ) Total No Additional G Mool z C/rPLAN I certify that in the performance of the work for which this ICANTx 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 Total No CITY Tel No ' Fixed Appliances Not Over 1 HP ing PERMITDate 1.2s- AWI.cant �t NOTICE TO APPLICANT If, after nr this Certificate of APPLICANTA.J.(..s- 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 Loi U,6- with comply with such provisions or this permit shall be Top FAU —W H deemed revoked Hood _ Fan _Other_ CITY `e Tel No LICENSED CONTRACTORS DECLARATION L16ENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Dap _ Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCESSE V ` and Professions Code and my license is in full force and effect d �s.x n '/r Size &Type HP, KW, KVA, or KVAR O License Number �07 AYR lic Class Up to 1 Incl FINAL // V Over 1 to 10 Incl DATE tP ��' VALIDATION Q Contractor���/✓ ��- Date 4 S_gV Over 10 to 50 Incl FINAL / C ❑ I am exempt under Sec Over 50 to 100 Inc BY 1L.__.—� 11116 su B 8P C for this reason Over 100 Z Dote Services Swbd , MCC 8 Ponelboords ► — 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maintr Elect Oyer 1000 Amp or Over 600 V T SINGLE FAMILY dFm(p� oy CTRsole 8 Appurtenances HOME OWNER-BUILDER DECLARATION wer� Pc Sign with One Branch Gran " Circuit 2 2 Q 5 A I hereby affirm that I exempt from the Contractor s Additional Sign Branch Circuits # • • • •�• 2 Law for the followingg r reason (Section 7031 5 Business ss and d Professions Code) ❑ I as owner of the property will do the work and the Mrsc Conduits 8 Conductors 21..'. 1 550 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)- 0 ... 5,�5 Q Y 44 70Business and Professions Code) ' CONSTRUCTION LENDING AGENCY 0625-84 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 Lenders 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 above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE S�gn�r of Permitteeof Permittee Date :r i WORKERS'COMPENSATION DECLARATION 7BA663 B3 (2 80) CEB APPLICATION FOR ELECTRICAVAMMIT 1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES AND SAFETY insure, or a certificate of Workers'Compensation Insurance or 01 / a certified copy thereof(Sec 3800,Lab C) �C(/ FOR APPLICANT TO FILL IN, JOB Policy No —Company New Residential Bldgs &Pools EACH NO ADDRESS a'J Certified copy n hereby furnished 1 &2 Family,Sci Ft S — $ LOCALITY E C Certified copy a filed with the county building inspection Multi tinnily Sq Ft CROSS ST department Residential Swimming Pools OWNER OR /'O„ / 0 FIRM NAME Cr MCG Date Applicant Outlets Rec—LightSw _ ADDRESS Cr I —first 20 4167 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY E C) Tel No Zg COMPENSATION INSURANCE PLAN CHECK a (Thu section need not be completed if the work Involved APPLICANT by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First Additional ADDRESS Total No p 1 certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No ` permit a issued, I shall not employ any person in any manner PERMIT L �y so as to become subject to the W or nrensalionws Range_ Heater_D W PLICANT C W I -_'Applicant Tap Oven _ Dryer_W Z M ADDRESS / — Dat — FAU _W H , Hood — Fen _Other— CITY E �(� R Tel No NOTICE TO APPLICANT If after making this Certificate of Disp _Room Air Cord_ L CENS OR Exemption, you should become subject to the Workers' REG NUMBER Clen C Compensation provisions of the Labor Code, you must forth Power Apparatus,& Large Appliances DISTRICT NO P C SED BY with comply with such provisions or this perms shall be41 deemed revoked Size&Type HP,KW,KVA or KVA D Up to 1 Incl Over 1 to 10 Ind FINAL / LICENSED CONTRACTORS DECLARATION DATE / _ /IAV VALIDATIO Over 10 to 60 Incl (0 '11' / I hereby affvm that I am licensed under provisions of Chapter Over 60 to 100 Inc FINAL 9 (commencing with Section 7000)of Division 3 of the Busi Over IGO BY ness and Professions Code, and my license is in full force and effect Services License Number Lic Class-C-1O 1 200 Amp Under 600 V ��``-- `� _�-�`�0p 2(11 1000 Amp Under 600 V �> VVIII/`v �0,1 9 3 A Contractorbk«rS Glieew ate Over 1000 Amp or Over 600 V - B�Q a # • • • • • 2 HOME OWNER BUILDER DECLARATION Temp Power Pole& Appurtenances 2'• • 1 Q 0 0 1 hereby affirm that I am exempt from the Contractor's Sign with Ore Branch Circuit License Law for the following reason (Section 7031 5, Basil Additional Sign Branch Circuits • • • 1 0 0 0 6 nese and Professions Code) Mac Conduits&Conductors 0615-81 ❑ 1, as; owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 2:3- 7044, Busmen and Professions Code) CONSTRUCTION LENDING AOENCY I hereby affirm that there is a construction lending agency for the performance of the work for which the permit is PERMIT FEE (Sub-Total) issued(Sec 3097 Civ C) > Lender's Name PLAN CHECKING FEE (One Fourth Permit Fee) Lender s Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE D above information is correct 1 agree to comply with all County , ordinances and State laws regulating Electrical wiring, and hereby authonze representatives of this County to enter upon the she tie one p party to pection purpose n / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Per ittee Date WORKERS'COMPENSATIONDECLARATION 63 CE8080 (T 80) APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or e certified copy thereof(Sec 3800,Lab C) I I-WC Policy No CompanJOB y FOR APPLICANT O EACH N NO FEE ADDRESS v� ❑ New Residential Bldgs &Pools Certified copy is hereby furnished 1 &2 Family,Scl Ft S — S LOCALITY Certified copy u filed with the county budding inspection Multi-family Sq Ft CROSS ST department Residential Swimming Pools OWNER OR n 1� FIRM NAME T� Date Applicant Outlets Rec—LightSw — A first 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CITY Tel No COMPENSATION INSURANCE } PLAN CHECK d APPLICANT Mats section need not be Completed if the work myotyed U by the permit u for One hundred dollars ($100) or leu) Lighting Fixtures AddiFirst ADDRESS Total No ddiLonal C I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No f. permit is issued, 1 shell not empi0 any person in any manner PERMIT W so as to become subject to the rktt ompentat Le Range_ Heater_D W PPLICANT ;x jl III Dat �s+c ^"'Applicant / TTop _ Dryer _WH _ ADDRESS Z Z Hood _ Fen _Other_ CITY F Tel Nii NOTICE TO APPLICANT If after making this Certificate or Disp _ Room Air Cond-_ L C NS R 11- Exemption you should become subject to the Workers' REO NUMBER �W Clair JL 01 Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PFIBV with comply with such provisions or this permit shall be /.q—_ deemed revoked Size&Type HP,KW KVA or KVA l7 VY10 Up to 1 Incl FINAL Over 1 to 10 Incl DATE � —Z z VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl I hereby afformi that 1 am licensed under provisions of Chapter Over SO to 100 Inc LFI9 (commencing with Sec[ion 7000)of Division 3 of the Bust Over 100nese and Professions Code, end my license is in full force and effect ServicesLicense Number Lic Class 0-200 Amp Under 600 V o 201-1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V ' HOMEOWNER BUILDER DECLARATION Temp Power Pole& Appurtenences 1 hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031 5 Busi Additional Sign Branch Circuits nese and Profession%Code) Misors ;@4 3'9 4 A E] 1, as owner of the p Other Conduits&Complete Fee Schedule)— structure property will do the work end the Other(See Complete Fee Schedule)— structure u not intended or offered for sale (Section # • • • • • 2 7044, Business and Professions Code) ' CONSTRUCTION LENDING AGENCY Z • • 1250 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub Total) • • • 12505 issued(Sec 3097 Civ C) ' Lender's Name PLAN CHECKING FEE (One Fourth Permit Fee) 0 6 1 7,-82 Lender's Address PERMIT ISSUING FEE 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 M z eprdenteti es of thn County to enter upon t pprropeperr/py%y/)torr inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ittee /7 Signature of Permittee Date , WORKERS COMPENSATION DECLARATION EB06G (2 80) L1 APPLICATION FOR ELECTRICAL PERMIT ,r� t C � EEO6 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or e certified copy thereof(Sec 3800,Lab C) BURGER KING PARR LOT p FOR APPLICANT TO FILL IN JOB ADDRESS 55+1 N• Rosemead Blvd• Policy No Com any New Residential Bldgs &POOIf EACH NO FEE Certified copy is hereby furnished 1 &2 Family,Scl Ft It — $ LOCALITY TeMle City Certified copy u fled with the county building inspection Multi family Sq FtNeARIE"ICROSS ST Be BroadwayjEbmicrer department Residential Swimming Pools OWNER ORLI) COmmittee Post 171 FIRM NAM Date Applicant Outlets Rec_LightSw _ - MAIL T� ,first 20 ADDRESS 221 E, Olive CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CITY Temple City Tel No 286-5979 COMPENSATION INSURANCE 1' PLAN CHECK a (Thus section need not be completed If the work involved APPLICANT UUV by the perrnit u for one hundred dollar! ($IGO) or less) Lighting Fixtures Additional 20 ADDRESS cc I certifythat in the Total No p performance of the work for which thin CITU 7.1 No permit is issued, I shall not empl y any person in any manner Fixed Appliances Not Over 1 HP .,u PERMIT Dales Electric a so as to become subject to the r s'Comps ion Le Range_ Heater—D W pP (CANT Oven — Dryer_W M _ ADDRESS an_ a • N // �� ty� ) a DeteQ phcen Tap _ FAU _W H _Hood _ Fan —Other— CITY West Covina. Tel No 338-9368 NOTICE TO APPLICANT e r m C NSE C-•1 Exemption, you should - the Wo s Disp _ Room Air Cond_ REO NUMBER ^ Class Compensation provisions o Phe ode, you must orth Power Apperegua& Large Appliances "AL PROCESSED By with comply with such provisions or this permit shell be deemed revoked Size&Type HP,KW,KVA,or KVA O Q- Up to 1 Incl Over 1 to 10 Incl LICENSED CONTRACTORS DECLARATION ���� VALIDATION Over 10 to 50 Incl I hereby affirm that I em licensed under provisions of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000)of Division 3 of the Buri Oyer 100 BY news and Professions Code, and my license is in full force and effect Services 0-200 Amp Under 600 V License Number Lic Class 201-1000 Amp Under 600 V Contractor Date Over 1DOO Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I hereby that I am exempt from the Contractor' Sign with One Branch Circuit -758A License Lawwfor for the following reason (Section 7031 5, Bust s Additional Sign Branch Circuits ness and Professions Code) ' ° • • • • 2 Misc Conduits&Conductors Ell, as owner of the property will do the work and the Other (See Complete Fee Schedule)— 2 ° • 1 Q 5 0 structure is not intended or offered for sale (Section 7044, Business and Professions Code) ° • • 6 5 0 CONSTRUCTION LENDING AGENCY ' 1 hereby affirm that there is a construction lending agency 06 1 4-8 3 for the performance of the work for which this permit is PERMIT FEE (Sub Total) aY issued (Sec 3097,Civ C) Lender's Name PLAN CHECKING FEE (One Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 1 certify that I have reed this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances end Sete laws regulating Electrical wiring and hereby euth ze pr ntatives this County to enter upon th ve c u ed operty f nspectmn purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 6-/ q 3 Signature of Permittee Date WORKERS COMPENSATION DECLARATION 'era, APPLICATION FOR ELECTRICAL PERMIT J'� •� I here': mm eHthat I have a certificate of consent to sell rtuure �-aPaGE-a06 O "I or e certificate of Workers Corpenseticn Insurance or a cemmied COUNTY OF LOS ANGELES BUILDING AND SAFETY ILJI copy thereof(Set 3000 Lab C) ° Policy No Company FOR APPLMANr TO FILL IN JOB EAURGER KING PARKING 10T ElCertifiedcopy la hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRTY osemea B V ❑ Certified copy filed wrath the county budduig inspection 1 8 2-Femly,Sp Ft 3 — $ 1. department Mulb-fainly, SetFt — NEARED CROSS g BrnAflwa Date Applicant Resdentel Svnmmrq Pools ON71ER OR GXIOWIS&I DEdr$ QR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rac_Light _ Sw AWLENpImer Past #171 COMPENSATION INSURANCE ADDRESS (This section need not be completed H the work Imotvad by the First 20 permit Is for are hundred differs($190)or lam) Total No Additional CITY Tel No 286 I certify that in the performance of the work for which thin permt PIAN CHECK APPLMANT is issued I shell net employ any person In any manner so as to become subject to the Workers Compensation Leola Llphting Fixtures First 20 ADDRESS Date ¢11-89 Applicant rA1P'S F31212-17= Total No AdddPniii CITY Tel No NOTICE TO APPLICANT H atter mekng dus Certificate of Fixed Appliances Not Over 1 HP PERNIT Exemption you should become subact to the Workers Corrpensebon Rerge_ Heater_ DW _ APPUCANT i Provisions of the tabor Code you mint fortltvmm coney wrath such Oven _ Dryer— W M _ ADDRESS 672 pricti11a Stre[E�e provrmons or this pemmt shall be deemed revoked Top — FAU _ WH LICENSED CONTRACTORS DECLARATION Hood — Fan _ Otter_ CITY Id P,aTte (� Tel Nom I hereby affirm Chet 1 am Warmed under provisraa of Chapter 9LICENSE OR (commencing with Section 7000)of D 3 of the Business end D6p ROaRoomAir GPrd REG NU BER 27Fi�1 R cimscn of.. C-10 Professions Code and my license is in full face and efeclDfSIRICr NO PROLE E Paver Apparatus 8 Large Appliances Qty. Sze E Type HP KW KVA or KMAR 8 License Numbel�-76m�_Lc Clans _ Up to 1 Incl ' Contractor LHlf Elect I`' Date `ru-89 Over 1 to 10 Iii Z3 VALIDATION ❑ Over 10 to 50 Incl FI I am exempt urKW Sec Over 50 to 100 Inc BV SAP for this reason Over 100 ity D t Services Swbd,MCC 8 Parelboards ► Z O-200 Amp Under 800 V Signeture v 1 �,� 201 - 1000 Amp Under 800 V Over 1000 Amp or Over 800 V ❑ Exemption for Reg Maud Elect SINGLE FAMILY Temp Power Pole 8 Appurtenanoea 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Lew .�.T.a for the following reason(Section 70315 Business and Pr°fessm ie Additional Sign Branch Circuits r Code) 3307 15.50 ❑ Misc Conduits 8 Conductors 1 ITEM I as owner de the propertyeect for do the work and the structure Other(See Complete Fee Schedule) ► ane Praae�Code)ed a sa a (Section loan Business TOTAL 15. 50 CONSTRUCTION LENDING AGENCY CHECK 15.50 1 hereby affirm that there Is a construction lending agency for the ���t� �y�i performance,of the work for which this Permit is rsetiatl(Sec 3097 PERMIT FEE (Sub-Total) GAWK .00 CA, C) PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE O �� 0DOD--0001 5/16/39 Lenders Address 1 �0 3293 1 AM 3:50 1 eerbty that I have read thus applcaten and state that the above TOTAL FEE mformatcn is correct I agree to comply with as County ordnance9 and State leis regulating Electrical wring and hereby audxxure represerdffimea 91 this County to enter upon the above-mentioned ct ossa n� SEE REVERSE FOR EXPLANATORY LANGUAGE Signaturef mrmee �� Date (JY WORKERS COMPENSATION DECLARATION 79A693 10,91 APPLICATION FOR ELECTRICAL PERMIT ��77 I hencby affirm that I have a certArata d consent to self insure �eme0 [, t or a cerfifcate of Vbdrers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY lul copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB ADOREss N R03EMEAD BLVD E] Certifiedcopy is hereby furnished Now Residential Bldgs & Pools EACH NO FEE ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq Ft S — s LOCALITY TEMPLE CITYr CA. department NWIh-famiy Sq Ft CROSSST ST BROADWAY Date Applicant Resdamml Swimming Pools OWNER OR CERTIFICATEOWORKERS COMPENSATION INSURANCE Cutlets Rec Lght _ Sw kM y( $ TUNAS DR. (This sedan need not be completed It the work IrlyoNed by the First 20 permd is for one hundred dollars ($100)or loss 1 Total No Additional CITY TEMpLF CITY C011286-9080 I certify that in the performance of the work for whch this permit PIAN DECK is issued I shall not employ any person in arty mariner so as to APPLICANT become subject to the Wort a Compensation Lawa� Lghtirg Fixtures First 20 ADDRESS � j� p Total No Additional CITY Tel No Date " 3-88 Applicant Fixed AAppliances Not Over 1 HP PERMIT NOTICE TO APPLICANT aft making bus Ce irate of Exemption you shad becomea subject to the Workers Compensation Range— Beater_ DW PPPIKANT DAISS ELECTRIC pnowsiore of the Labor Code you mist forthwith campy with such Oven _ Dryer _ WM _ ADDRESS P.O. BOX 429 pnovstons or this permit shall be deemed revoked Top _ FAU _ WH _ O LICENSED CONTRACTORS DECLARATION Flood — F� — Other— C" IEL Cgs N0 —862 I hereby affirm that I am licensed under provelans Of Chapter BLICENSE OR (commence g with Section 70001 of Dwisnn 3 of Me Busmess and Dsp _ Room Am Gard REO NUMBER 276218 Glass C-1 0 Professions Code and nrry license Is In full force and effectPower Apparatus 8 Large Appliances DISTRICT ND PROCESS BY / �—/O Size& Type HP KW KVA or KVAR u License Num 7 L,c Class ///��� ! Up to 1 Incl FINAL DAT 5-3-88 - Over 1 to 10 Incl �U Connecta Date Over 10 to 50 Incl ❑ I am exempt under Sec Over 50 to 100 Inc FI B B&PC for this re on Over 100 Services Swhd MCC&Perelboerds110111- �97fl4A N 0-200 Amp Under 800 V Z 201 - l000 Amp urger Soo v ❑ Over 1000 Amp or Over 800 V # e e • e e 2 Exemption for Reg Marn[ Elect SINGLE FAMILY Temp Power Pole& Appurtenances • oil 550 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circum • . . 5 5 0€y I hereby affirm that I am exempt from the Contractors License Lew fm the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits Com) 0606-88 ❑ I as owner of the property,will do the work and the structure MSc Conduits&Conductors is not intended or offered for sale (Section 7044 BusmessFee Schedule) _ pool Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a consnuctxxn lending agency for the performance of the work for which this pertnil is saued(Sec 3087 PERMIT FEE (Sub-Total) CN C) PLAN CHECKING FEE Lenders Nemo PERMIT ISSUING FEE, Lenders Address S 1 certify that I have read this application and state that the above TOTAL FEE i inform rtKun is carred I agree to comply with all County Ordinances and State laws, regulating Electrical wining and hereby authorize representatives es of this County to enter upon the above-mentioned nit)' tar in9peC11IX1 Purposes SEE REVERSE FOR EXPLANATORY LANGUAGE -c�� 5-3-88 Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206170007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ENT LEGAL ID: FEES PAID BUILDING ADDRESS: TR 3623 LT. 9 5541 ROSEMEAD BL FEE DESCRIPTION QUANTITY LION. AMOUNT TEMP CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: BROADWAY 5387-032.055 Al PERMIT ISSUANCE FEE 27.75 THOUS PAGE: 596 GRID R4 LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16.20 TOTAL FEES 43.95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON: KNIGHTS OF COLUMBUS 06/17/02 JK 12/14/02 OWNER. TEL NO FINAL DAlf Fl>ffi-,SY: CODE CHRIS CHEN - ©Z 5541 ROSEMEAD BL TRIP 917801802 DESCRIPTION OF WORK HOOK-UP ELECTRICAL FOR FIREWORKSTAND-2002 (HOOK-UP TO BURGER KING RESTAURANT) APPLICANT: TEL NO' SAME AS OWNER SPECIAL )NDITIONS CONTRACTOR TEL NO' APPROVALS DATr-----n9FRTdW-MWMWF-- SAME AS OWNER - LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL NO UFER GROUND LIC NO ROUGH CONDUIT MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFM REPORT ID OPR265 ROUTE TO OS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006200015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 3623 LT 9 5541 ROSEMEAD BL FEE DESCRIPTION QUANTITY LON AMOUNT TEMP CA 917801802 ASSESSOR INFORMATION NLR43ER NEAREST CROSS STREET BROADWAY 5387-032-055 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 GO BOO 16 20 1 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPWESON KNIGHTS OF COLUMBUS 06/20/00 UT 1 7/00 OWNER TEL NO FINAL DATE FINAL BY CODE VAT PARTNERS - �„7/j _ 5541 ROSEMEAD BL -N0r'U TEMP 917801802 INSTALL GENERATOR FOR FIREWORKS STAN -2000 APPLICANT TEL NO SAME AS OWNER - SPECIAL CONDITIONS PNGELES Cp - x,000NTRACTOR TEL NO5 �� APPROVALS DATE SAME AS OWNER TL LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEEff- TEL NO UFR-MUND �/ LIC N(/( / rlI1P1 �I L� ROUGH WIRING ROUGH CONDUIT p 3 /J II II L�(C TV(0 Ro' �C 3 PLAS-IC Y/N METAL Y/N j! `afM IIJJ �I , O ~ t (1 A 0 SerVICeThat� r 1 REPORT ID OPR265 ROUTE TO BS0508 1 • COI%ITY OF LOS,ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0106120024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT- LEGAL ID. FEES PAID BUILDING ADDRESS TR 3623 LT 9 5541 ROSEMEAD BL FEE DESCRIPTION QUANTITY- UOM: AMOUNT TEMP CA 917801802 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET BROADWAY 5387-032-055 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 B00 16 20 TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON: KNIGHTS OF COLUMBUS 06/12/01 UT 12/09/01 OWNER TEL NO F FINAL BY CODE VAT PARTNERS 5541 ROSEMEAD BL TEMP 917801802 DESCRIPTION Ur WUKK HOOK-UP ELECTRICAL F REWGRKST -2001 (HOOK-UP TO BURGER KING RESTAURANT) APPLICANT TEL NO SAME AS OWNER - SPECIAL CONDITIONS. PNGELES Co F Uw2 SCONTRACTOR. ILL NOAME AS OWNER _ SOS �/I/py IIL3 - PATE FECT�F'S'fCW(TQRE— LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO LIFER GROUND LIC NO/// llllill MAIN WATER MiF PLASTIC Y/N METAL Y/N UTILITY COMPANY MOTIFM`6/rc Service lin 't REPORT ID- DPR265 ROUTE TO BS0508 ` COUNTY OF LOS ANGELES TEMPLE CITY C 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS EL 0508 0306120003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 ENT- LEGAL TO __TRW�_ BUILDING ADDRESS: TR: 3623 LT 9 5541 ROSEMEAD BL FEE DESCRIPTION QUANTITY UOM. AMOUNT TEMP CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-032-055 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID. 114 LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 B00 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON KNIGHTS OF COLUMBUS D6/12/03 1, JK n12/09/03 OWNER F] DATjECODE 5541SROSEMEAD BL Z� U/ TEMP 917801802 6ESLIti7Tf� OF (71. v\ `� (i f HO0K-LIP ELECTRICAL FOR FIREWORKSTAND-2003 APPLICANT (HODK-UA TO BURGER KING RESTAURANT) SAME AS OWNER (626) 286-9167- SPECIAL CONDITIONS GERARD GRAVEL CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIMUMaFr— SAME AS OWNER LIC NO TEMPORARY POWER POLE r ` ARCHITECT OR ENGINEER: TEL NO LIFER GROUND LIC NOROUGH CONDUIT -I ROUGH WIRING PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFM REPORT ID. DPR265 ROUTE TO 850508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9906100013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0468 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 3623 LT 9 5541 ROSEMEAD BL FEE DESCRIPTION QUANTITY UOM. AMOUNT: TEMP CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-032-D55 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16 35 IENANT SUED ON PROCESSED BY PLAN BY FxPIRES ON. KNIGHTS OF COLUMBUS TOTAL FEES 44 10 /10/99 UT 12/07/99 OWNER TEL NO FINAL, DATE FINAL BY C VAT PARTNERS - /_q C Q� TEMP 917801&12 L 6ESCQiPILUN 6F(�1WUXKL INSTALL GENERATOR FOR FIREWORKS SAND APPLICANT: TEL NO SAME AS OWNER - SPECIAL CONDITIONS 5 PNGELES CoCONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �.� LTJ- ' LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER ILL NU LIFER GROUND LIC N0MAIN WATER LINE 1111111 ROUGH WIRING PUBLIC WORKS PLASTIC Y/N METAL Y/N UrTMY COMPANY NOTIFIEDI z _ SerVlce Thal � J I REPORT ID DPR265 ROUTE TO BS0508 • COUNIY OF LOS ANGELES TEMPLE CITY @ 0508 �` ELcCTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406170018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID. FEES PAID allILDING ADDRESS TR 3623 LT. 9 15541 ROSEMEAD BL I FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801802 _ NEAREST CROSS STGEET BROADWAY 5387-032-055 Al PERMIT ISSUANCE FEE _ 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 DO BOO 16 20 TENANT ISSUED ON PROLESSED BY PLAN BY. EXPIRES ON KNIGHTS OF COLUMBUS TOTAL FEES 43 95 06/17/04 JK 12/14/04 OWNER --T97 NO CHRIS CHEN 5541 ROSEMEAD BL Y TEMP 917801802 HOOK-UP ELECTRICAL FOR FIREWORKSTAND-2004 (HOOK-UP TO BURGER KING RESTAURANT) APPLICANT TEF-0- SAME AS OWNER (626) 286-9167- SPECIAL GERARD GRAVEL CONDITIONS CONTRACTOR ­W7NO JUIPROVALS DATE I PTfTdW_KfUWXTUR9_— SAME AS OWNER - LIC NO � TEMPORARY POWER POLE � 0 ARCHITECT OR ENGINEEQ ILL NO —_ �— LIC NO ROUGH CO.DUIT RbUGfI-C•ilRll.'7i MAIN WATER LINE PLASTIC YIN AETAL (IN �r7GTi1:TE6 I REPORT ID DPR265 ROUTE TO BS0508 CO(1NTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL D508 9806260004' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT i LEGAL ID FEES PAID BUILDING-ADDRESS TR 3623 LT 9 05541ROSEMEAD BL FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP-CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-032-055 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY D1 CARNIVL ELECT RIDES 1 00 RID 38 85 'ENRNITOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON KNIGHTS OF COLUMBUS 06/26/98 UT 06/26/99 OWNER --rP7 NO FINAL DATE CODE VAT PARTNERS 5541 ROSEMEAD BL TEMP 917801802 INSTALL GENERATOR FOR_FIREWORKS STAND APPLICANT SAME AS OWNERCONTRACTOR TEL - SPECIAL CONDITIONS ��GELE CC) APPROVALS DATE U O� �b SAME AS OWNER TEMPORARY LIC NO ARCHITECT OR ENGINEER IEL NO ( / �� UFER GROUND LIG NO !�� - - - �� -`�„I,� W�� ROUGH CONDUIT ROUGH WIRING �JJ PLASTIC Y/N METAL Y/N UTILITY COMPA97-07TM\6 41 -1ce— REPORT ID DPR265 ROUTE TO BS05D8