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Home My Public Portal About5546 ROSEMEAD BLVD_Electrical__ WORKER S COMPENSATION DECLARATION 20.0019 DPW(1,29f)— ^ 1 hereby affirm that I have a certificate of consent to self insure 76A6W APPLICATION FOR ELECTRICAL PERMIT 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 POR APPDGNT TO FILL IN JOB ❑ CeMf*d AorALr copy is hereby furnished New Residential Bldgs 8 Pods NO EACH FEE r ❑ — $ $ LOCALfTV department copy is bled with the county building inspection 1 ul 2 Family SF Ft depenment Mul4 familySq Ft — NEAREST CR099 Si Residential Swimming Pouts ASSESSOR Dale Appicaril dMAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec —Light_Sw OVAiEt OR ^1 COMPENSATION INSURANCE 1.11 %4t,14trIA F LTjf' (This section need not be completed If the work Involved by the First 20 MAIL permit Is for one hundred dollars(6100)or lees) Toted No Additional AD ss 2 I certify that in the performance of the work for which this permit DfTY Tel No 5_ Is issued I shall not employ any person In any manner so as to titin Fixtures Fret 20 PLAN CNECK became subject to the Workers Compensation Lewd � 9 APPLIGNT Total No Additional ADDRESS Date Applicent RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITY Tel tat Exemption you should became subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus 8 Large Appliances, APPDCANT LICENSED CONTRACTORS DECLARATION Size 3 Type HP KW KVA or KVAR ADDRESS 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 CITY Tei No Professions Code and my license is in full force and effect Over 10 to 50 Intl UOENSE OR Over 50 to 100 Incl REG NUMBER �°e a License Number Lic Class Over 100 DlSiBICT NO PRGQ 'SSEo BY O Servc,as Swbd MCC 6 Panelboards GIS IZ Contractor Date 0 399 Amp Under 600 V DFINAL A Q 400 1000 Amp Under 600 V ..-+n7� ❑ 1 am exempt under Sec Over 1000 Am a Over B00 V — VAUDATION 1.161B&P C far this reason BRANCH CIRCUIT FEES B Nu IL Dale 15A or 20A 120V Lighting or Recept Z 1 To 10 Branch Cucmts Signature 11 To 40 Branch Circuits 041 Or More Branch Circuits 2Exemption for Reg Maim Elect 15A 20A 208V To 277V Ughting Br CRade SINGLE FAMILY Temp Power Pole&Appurtenances ACCT.: HOME OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor a License Law Sign with One Branch Circuit 33 SUM for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Cucuits 1 ITS Code) x1 ❑ 1 as owner of the property sill do the work and the structure Msec Conduits 8 Conductive TOTAL 68. OO is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) , 68.00and Professions Code) �l��u-� 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 3097 PERMIT FEE (Sub Total) 0000-OM1 6/17/96 CIV C) Larder a Noma PLAN CHECKING FEE 6943 1 AN 10:33 PERMIT ISSUING FEE Lender a Address ^ -p I certity that I have read this application and under penalty of pugury state TOTAL FEE that the above mforniabon Is correct I agree to comply with all County ordinances and State leis regulating Electrical winng and hereby authon2e representatives of this County to enter upon the above mentioned property far crepe infer vn pu��` SFE REVERSE FOR EXPLANATORY LANGUAGE OFOF PEF / DATE WORKER SSATION DECLARATION 2D oo,a Dl+Vy(,2 a„ APPLICATION FOR ELECTRICAL PERMIT IJ I hereby ailuro that I have ave a a certificate of consent to self insure ]8A863 _ 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 fC276 ) i Policy No Company FOR APPLICAM TO FILL IN 3ADDRESS ❑ Certified copy is hereby fumumed New Residenbal Bidgs 8 Poole NO EACH FEE LOCALITY L - ❑ Certified copy is filed with the county building Inspection 1 8 2 Family Sq Ft _ 3 $ NEAREST department Multi family Sq Fl CRp89 BrUlls L&-,e.4-S Residential Swimming Pods ASSESSOR Date ApplicantResidential BOOK PAGE PAfiCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light SW C"N n= COMPENSATION INSURANCE First r'f5 )Ik D 20 MNL77 (This section need not be completed If the work Involved by the TOW No Additional ADDRESS permit Is for one hundred dollars(3100)or less) I certify that in the performance of the work for which this permit CIN Co JL k).:,k).:, l/_�qIx Td No816�aftfSu S is Issued I shell not employ any person In any manner so as to PUN CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLLICANT Total No Additional ADDRESS Date Appbcan 4t� RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT II r making thle Certificate of CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus d Large A APPLICANT IJCENSED CONTRACTORS DECLARATION Size 8 Type HP KW(KNA,jilir KVAR ADDRESS 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 -IO✓�d 3 GTS" Tel No, Professions Code and my license Is In full force and effect 7 F R—y Over 10 to 50 Incl Over 50 to 100 InLICENSE cl PEO NUMBER Over r f NO 0License Number LIc Class Services Swbd MCC8 Panelboards Lc / Q 0 398 Amp Under 600 VRNAL Contractor Date DATEF- 4001000 Amp Under 600V (1/' Z 0 m ❑ I aexempt under Sec VALIDATION W Over 1000 Amp or Over BOB V FINAL d B BP C for this reason BRANCH CIRCUIT FEES Tit Date 15A or 20A 120V Lighting or Receipt z 1 To 10 Branch Cncmta Signature 11 To 40 Branch Gz.rUs ❑ 41 Or More Branch Cncuda-Exempuon for Reg Malnt Elect 15A 2DA 208V To 277V Lghbrg Br Gnxide SINGLE FAMILY Temp Power Pole G Appurtenances I 1 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I em exempt Irom the Contractor a License Law - a for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits " f °T tC-o/1de) J JJOJ 0. ?.I IY I I as owner of the property will do the work and the structure Min Conduits 8 Conduct" ' 1 ITDS "C is not intended or offered for Bele (Section 7044 Business Other(See Complete Fee Schedule) and Professions Code) EIITAL 70 - 20 CONSTRUCTION LENDING AGENCY _ CI'ySly 713.20 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) /} LH(NGE CIV C) PLAN CHECKING FEE Lenders Name 7f hl]QI]-13031 1'-/ Cf O4 PERMIT ISSUING FEE 46 40fnl4v 1 F t t t�u.1 _ Lender 9 Address I certify mat I have read this application and under penalty of punury state TOTAL FEE O :J" �T Owl the above information Is correct I agree to comply with all County ordmancee and State laws regulating Electrical wrong and hereby authorize rspresenteuves of Ia County to emer upon the above mentKmetl property , f pectlon pu o ee SEE REVERSE FOR EXPLANATORY LANGUAGE ANTURE OF PEriMiTTEE DATE WORKCOMPENSATION DECLARATION 2044OPW(,2 9„ APPLICATION FOR ELECTRICAL PERMIT LI I hereby affirm ihat i have have a certificate of consent to sell insure 78833 or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Se�c38000 LLaab�C) wily ' mpgnyC�L -G O1rL,(.i FOfi APPLICANT TO FILL IN J06 AO CeNhed copy Is hereby fumished V - New Residential Bldgs S Pools NO EACH FEE .��_ Se t ❑ 1 8 2 Fammy Sq Ft — $ $ LOCAL ,, 4 ^ Certified copy is hied with the county building Inspection department I Muth family Sq Ft CR�06.E96ST ApwI Re6idenhal Swimming Pools A SSOR ?� MAP 900K PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERSOWNER Outlets Ree —Light_Sw FIRM d COMPENSATION INSURANCE First 20 (This motion need not be completed If the work involved by the Total No AddtWnat '� v permit Is for one hundred dollars($1110)or lees) / _ AIIAS I certify that in the performance of the work for which this permit /� ir LTni S 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 APPLKANT Total No Atltlnional ADDRESS Date Appticanl RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CT' T.t Na 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 Power Apparatus 8 Large Appliances e - e c provisions or this permit shall be deemed revoked LICENSED CONTRACTORS DECLARATION Sae 8 T HP KW KVA or KVAR R - C 4 1 hereby affirm that I em licensed under provisions of Chapter 9 yprer 3 to 10 Incl v p (commencing with Section 7000) of Division 3 of the Business and —C �� Professions Code sand my license is in full force and/e`Nacl Over 1010 50 Ind } nsa4J �! 3 y as4"' l Over 60 10'100 Ind M C- d Lice&% r LIc Cl ^ o Oval 100 016TRICT NO ` 39ED BY L) ��7(ng�,,,.�r� y �l �7 Services Swbd MCC 8 Panelboards / p d t�0 Q •'1�tretla�,�/C ecl-/,`��c Dates - G�� c7 0 3B8 Amp Under 800 V 30 O 4D0 1000 Amp Under B00 V -r U LJ I oil exempt under Sec -1- l VALIDATION W Over 1000 Amp or Over 600 V Fll, d B 8P C for this reason BRANCH CIRCUIT FEES BY C/) Date 15A or 120V Lighting or Receipt / /v C O z 1 To 10 Branch Circuits •..% Signature 11 To 40 Branch Circuits 208—V To 41 Or More Branch Cncuns Exemption for Reg Maint Elect 15A 20A 20 To 277V Ug far Crcuim SINGLE FAMILY Temp Power Pale 8 Appurtenances SIU®us1,Ll,m9gy{�yy HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031 5 Business and Professions Additional Sgn Branch Circuits Code) ❑ I as owner of the property will do the work and the structure Misc Conduits 8 Conductors is not intended or offered for este (Section 7044 Business Other(See Complete Fee Schedule)_ ► and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction tending agency for the performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub-Total) D Civ C) PIAN CHECKING FEE Lender s Nameco PERMIT ISSUING FEE Lander s Address I certify that I have read this application and under penalty of pugury state TOTAL FEE that the above mfarmation is correct I agree to comply with all County ordinances and State laws regulating Elecmcal wrong,and hereby author¢e representatives of this County to enter upon the above mentioned property fort rU3060,11 �J SEE REVERSE FOR EXPLANATORY LANGUAGE . & G aknN / 1 DATE COUNTY OF LOS ANGELES TEMPLE CITY Nt 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9712020024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT LEGAL ID FEES PAID RM LDING ADDRESS ON FILE 5546 ROSEMEAD SL FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917801801 ASSESSOR INFORMATION NUMIIER NEAREST CROSS STREET' 5387-027-024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID NW, LOCALITY TEMPLE CITY E1 TEMP SERV POWER POLE 1 00 TMP 43 50 TENANT E3 TEMP XMAS TREE, ADDT 1 00 TEM 21 60 ISSUED am PROCESSED BY PLAN BY EXPIRES ON i TOTAL FEES 92.85 12/02/97 UT 12/02/98 OWNER TEL NO FINAL DATE FINAL BY L�t:: TSAI JIM L;SYOU H,CHIN 20MG,CHIN CH - 15801 VALLEY BL - 2. TEMPORARY POWER FOR CHRISTMAS TREE L T APPLICANT TEL NO PRECISION ELECTRIC (626) 338-4377- SPECIAL CONDITIONS CONTRACTOR TEL NO — APPROVALS DATE INSPECTOR SIGNATUR &eLES COCl PRECISION ELECTRIC 00 (818) 338-4377- 17MMURY POWER POLE IRW DIAZ STREET LIC O-✓ i/� I RWIMDALE, CA 430499 CIOUNDERGROUND CONDUIT ARCHITECT OR ENGINEER. TEL NO % LIC NO ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PUBLIC WORKS PLASTIC Y/N METAL Y/N o (aA UTILITY COMPANY NOTI"m co Service REPORT ID DPR265 ROUTE TO BS0508 COlA1T7 OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0205150031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT* LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5546 0207 ROSEMEAD BL FEE DESCRIPTION QUANTITY: LION: AMOUNT TEMP CA 917801801 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET LAS TUNAS 5387-027-D24 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY K1 SIGNS, OUTLINE LGT 1 00 SIG 38 85 TENANT TOTAL FEES 66 60 . DEREK TONG OD 05/15/02 / JK 17/11/02 OWNER TEL NO FINAL DATE FINAL BY CODE TSAI JIN L,SYOU H;CHIM 20NG;CHIM CH - /_/p/ y (� 15801 VALLEY BL E 6ESCR1 SET OF CHANNEL LETTERS FOR OPTOMETRIST APPLICANT- TEL NO LAVENDER FUNG, SIGNS EXPRESS (626) 443-3333- 2446 MERCED AVE SPECIAL CONDITIONS- SOUTH EL MONTE CONTRACTOR: TEL. NO APPROVALS DATE INsFFUTIJWlTMUTMF-- SIGNS EXPRESS MANUFACTURING COMPANY (626) 443-3333- 2446 MERCED AVE LIC NO TEMPORARY POWER POLL SOUTH EL MONTE, CA 91T33 552097 C45 ARCHITECT OR ENGINEER itL NO UFFR GROUND LIC NO RUUGH WIRING MAIN WATER LINE PLASTIC Y/M METAL Y/N REPORT ID DPR265 ROUTE TO. BS0588 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9810140020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (818) 285-0488 EXT LEGAL ID FEES PAID allILDING ADDRESS ON FILE 5546 ROSEMEAD BL FEE DESCRIPTION QUANTITY- UOM AMDUN T TEMP CA 917801801 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5387-027-024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY E3 TEMP XMAS TREE, ADDT 1 00 TEM 21 75 IENANT TOTAL FEES 49 50 ISSUED ON PROCESSED BY PLAN BT- EXPIRES ON 10/14/98 LIT 10/14/99 OWNER TEL NO FINAL DATE FINAL BY E TSAI JIM L,SYOU H,CHIN ZONG,CHIM CH A 15801 VALLEY BL Io-'IS 6ESCRiFUF WORK TEMPOPARY POWER FOR PUMPKIN/CHRIS MS TREE LOT APPLICANT TEL NO PRECISION ELECTRIC (626) 338-4377- SPECIAL CONDITIONS- CONTRACTOR 5 PNGELES CO APMVALS DATE INSPECTOR PRECISION ELECTRIC 00. (818) 338-4377- 545 DIAZ STREET LIC NO TEMPORARY POWER POLE IRWINDALE, CA 430499 CIO UNDERGROUND ARCHITECT OR ENGINEER TEL. NO LIFER 3ROUND LIC NO' ri ROUGH 1 CONDUIT 1111111 IFOOt`IfT�RTAi; PUBLIC WORKS PLASTIC Y/N METAL Y/N - urm r ffffr= o t Ps Service 7hat`Net� REPORT ID OPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9806290023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5546 ROSEMEAD BL 1 FEE DESCRIPTION QUANTITY U@1 AMOUNT TEMP CA 917801801 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5387-027-024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE- 596 GRID H4 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 800 16 35 TENANT TOTAL FEES 44 10 06/29/98 UTOWNER FINAL DATI_:,, F I MAL CODE 06 99 TSAI JIM L,SYOU H,CHIN 20NG,CHIN CH 15801 VALLEY BL BOOTH-LIGHTING FOR FIRE WORKS TAND G G HESTER d SON (626) 287-4755- 9024 E GREENWOOD AV SPECIAL CONDITIONS SAN GABRIEL, CA CONTRACTOR TEL NO4APPROVALS 6ATr G G HESTER AND SON ELECTRIC (818) 287-4755- 9024 E GREENWOOD AVENUE LIC NO ' TEMPORARY POWER POL SAN GABRIEL, CA 91775 474648/CIO i ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO RbQt -EDg6IIir- ROUGh WIRING PLASTIC Y/N METAL Y/N REPORT ID DPR265 ROUTE TO BS0508 �• COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS • 9701 LAS TUNAS EL 0508 9908130009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT LEGAL ID ---nrg TIM BUILDING ADDRESS ON FILE 5546 ROSEMEAD BL FEE DESCRIPTION QUANTITY- LION AMOUNT TEMP CA 917801801 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET. BROADWAY 5387-027-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY E1 TEMP SERV POWER POLE 1 DO TMP 43.65 TOTAL FEES 71 40 ISSUED ONI- PROCESSED BY PLAN BY EXPIRES ON OB/13/99 Uf 02/09/00 MER TEL NO FINAL DATE IKAL BY: CODE TSAI �IIN L SYOU H;CHIM 20NG,CHIM CH (626) 575-1200- 1005 GARaY AVE. EL MONTE, CA 91733 DESCRIPTION UF WURK I TEMPORARY POWER POLE FOR NEW COMMERCWBUILDING APPLICANT TEL NO: SIMON LEE & ASSO. (626) 575-1200- 140 W VALLEY BLVD SPECIAL CONDITIONS: SAN GABRIEL, CAAPPROVALS DATE INsPnTdW-MVUTWW-- CONTRACTOR: -M-70: KO ELECTRIC (818) 452-8402- 2647 NEVADA AVE. LIC NOTEMPORARY EL MONTE, CA 91733 5915090-10 UNDERGROUND CONDUITARCHITECT OR ENGINEER: TEL NO UFER GROLIND LIC MO. ROUGH WIRING 1 MUWUM LINE PLASTIC Y/N METAL Y/M UTILITY COMPANY MOTITTIED 7 �t7/�O tt0; REPORT ID DPR265 ROUTE TO BS050B • COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC (ARKS 9701 LAS TUNAS EL 0508 9907140015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5546'ROSEMEAD BL FEE DESCRIPTION QUANTITY LION ANCLI(T TEMP CA 917801801 ASSfSSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-027-024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY A5 PLAN CHECK 2067 45 DOL 2,067 45 TENANT G1 OUTLETS-LGT,SW,RECP 500 00 OUT 687 15 ISSUED ON PROCESSEU-97--PLAN BY EXPIRES ON G2 LIGHTING FIXTURES 230 00 LGT 322 65 02/10/00 UT 08/08/00 G3 POLE MOUNTED LIGHTS 7 00 POL 15 75 OWNER HA FAU LESS 3HP 5 00 FAU 54 75 FINAL DATE FINAL BY TSAI JIM L,SYOU H,CHIN ZONG,CHIN CH (626) 575-1200- IS N-RES WTR HTR LT 3HP 13 00 WTR 200 85 10050 GARVEY AVE JA HEAT PUMPS +3-10HP 13 00 HT 257 40 1 EL MONTE, CA 91733 J2 MOTORS, 25HP 1 00 MOT 46 35 6ESL'RT>sTTdr6F — J5 OTHER PWR APP LT 3HP 3 00 PWR 46 35 ELECTRICAL FOR NEW COMMERCIAL BUILDING K1 SIGNS, OUTLINE LCT 15 00 SIG 585 00 AFFLIUANI TEL NO LA 100 AMP PANELS, MCC 14 00 PAN 546 00 SIMON LEE 8 ASSO (626) 575-1200- LH 1200 AMP PANELS, MCC 1 00 PAN 163 50 140 W VALLEY BLVD TOTAL FEES 5,020 95 SPECIAL CONDITIONS SAN GABRIEL, CA CONTRACTOR -Tn---No6 P�yGELES CO APPROVALS DATE iNsnTTM-§rffWRrGkr-- KO ELECTRIC (818) 452-8402- 2647 NEVADA AVE LIC NO TEMPORARY POWER POLE EL MONTE, CA 91733 5915090-10 UNDERGROUND CONDUIT LIC NO ROUGH WIRI NG ROUGH CONDUIT III!!L'JJJ'---/LLL 11 1 l l l 1 (� /j (� 3 Zq-nn G �II IMI �f1 v111�V0��CC v1 PLASTIC Y/N METAL T/N wJ III��J�� "L LL---�� UTILITY COMPANY NOTIFIED 1V� V UUU llllll �] NJ W S> O ❑ Gb//O ServOe ThaIL REPORT ID DPR265 ROUTE TO BS0508