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Home My Public Portal About5561-5563-5573 ROSEMEAD BLVD_Electrical__ °"°°"° °°°"° ° APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ,,IIpp Lr DEPARTMENT OF COUNTY ENGINEER ADDRESS X7.7 BUILDING AND SAFETY DIVISION RAPPLICANTTO ILLIN LOCALITY New Residential Bldgs b Pools EACH NO FEE NEA 1 8 2 Family Sg Ft $ 025 — S 5T Multi family Sq h 02 — OWNERO FIRM NAME 67 Residential Swimming Pools 20 00 MAIL ADDRESS Outlets Rec-.,Light L1Sw �' CITY Tel No z ' First 20 50 PLAN CH K Total No-3 Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 241 v G7 CITY Tel No Total No _ APPLICANT ZZ 17 Additional 30 PERMIT EAoowS CONP Fixed Appliances Not Over l HP ADDRESS 9 (p '� =L Range—Heater_0 W CITY ` 1'' '— Tel NoJLI�W Oven_Dryer_W M_ LICENSE OR Top —FAU WH _ REG NUMBER 3 QHood_Fon Other_ 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ucATEDRp — ROOT Aif COnd THAITHE ABOVE IS CORRECT AND AGREE LO COMPLY WITH PINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING PowerApparatus3LargeAppllonces 5ize&TPe HP KW KVA or KVAR rI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANASREQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFOAMUp toOver ItnCl ��o THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PRO _yam Over 1 to 10 Incl 5 00 �' Over 10 to 50 Incl 10 00 PERMITTEE C Inc Over 50 to 100 20 00 SIGNATOR U0j Over 100 30 00 DISTRICT NO �j ED BY Q Services Ov 2 50 �I$ d 0 200 Amp Under 600V APPROVALS E 15 YWODURE jM 201 1000 Amp Under 600 V 2500 _ Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE Temp Power Pole&Appunenorces 1000 UNDERSLAB WORK Sign with One Branch Circuit 10 00 ROUGH CONDUIT Additional Sign Branch Circuits 200 WIRING Misc Conduits&Conductors 1500 FIXTURES Other(See Complete Fee Schedule) POWERAUTHORIZED UTILITY CO NOTIFIED FINAL ,J PERMIT FEE (Sub Torall, NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $600 TOTALFEE , PLAN CHECK VALIDATION CK MCI CASH PElAIIT VALIDATION CK M O CASH 9749:" 4 2 9 4135Aj8 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TaAi CE eoeR ane APPLIC TI N FOR FOR PERMIT COUNTY OF LOS ANGELES pg DEPARTMENT OF COUNTY ENGINEER ADDRESS 13UIL-DI G AND SAF DIVISION FOR APPLICANT TO FILL IN LOCALITY li _ New Residential Bldgs 6 Pools EACH NO FEETEST I &2 Family Sq Ft S 025 - E T OWNEROR Multi fomily Sq Ft Q2 FIRM NAME Residential Swimming Pools 2000 MAIL ADDRESS Outlets Rec�Llgh6L-/Sw • d A-� CITY • Tel No .�.y First 20 v V N CHKK Total No Additional 1 APPLICANT Al I P,iz D LO 5 4 C ADDRESS 17&loa Lighting Fixtures First 20 y5D CITY Tel Na -7 • SO Tato)NoAPPLICANT-S-0-� /Q Additional �� PERMIT Fixed Appliances Not Over 1 HP ADDRESS Range—Heoter_D W _ CITY Tel No Oven_Dryer_W M_ LICENSE OR ��LI -1 A Top —FAU —WH — REG NUMBERA 3O S I Gloss V Hood_FOn —Other_ Dnp — Room Air Cond 200 HEREBY ACKNOWLEDGE THAI HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE I$CORRECT AND AGREE TO COMRY WITH ALL COUNTY ORDIN ANCES AND STATE IA WS REGULATING RECRRICAL WIRING Power Apparatus&Large Appliances Sae B Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CAI OR THAT I AM Up tolln<I 200 THE LEGAL OWNEROF THEABOVE DESCRIBED RESIDENTIAL PROPERTY Over 1 to 10 Ind Over 10 to 50 Incl 1000 PERMITTEE4aA ad 0 Over 50 to 100 Inc 2000 SIGNATURE V Over 100 30 00 DISTRICT NO P D Y Fu0 Services 6J U 1 ��..�15S EE��T 12 0 200l1�mp Under 600V 1250 SAPPROVALS DA IIGNATOURE z 201, 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600V 5000 TEMP POWER POLE 10 00 UNDERSLAB WORK Temp with On Pole 8 Ap Circuit rces ROUGH CONDUIT Sign with One Branch Grcwt Addrtwnal Sign Branch Circuits 200 WIRING Misc Conduits&Conductors 1500 FIXTURES Other(See Complete Fee Schedule) " POWER AUTHORIZED UTILITY CO NOTIFIED ]FINAL PERMIT FEE (Sub Totals 77 NOTESNOTES00at 0 , PLAN CHECKING FEE (One Fourth Permit Feel 9,/ PERMIT ISSUING FEE $600 r TOTAL FEE A 'I RAN CHECK VALID TION CK III MO CASH PERMIT VALIDATIO CK M O CASH 1 0 49,WN 21 9 1 93 0 AJd 9 2 1i-AUG 1 2 D BEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '� �I 70"663 a`.FA`e t"'° APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES �F., DEPARTMENT OF COUNTY ENGINEER DDRESS BUILDING AND F DO gpp FORAPP ICANT TO FILL-IN LOCALITY _ New Residential Bldgs &Pools EACH NO FEE NEARESTCRQ�S ST I &2 Family Sq Ft S 025 — $ OWNER OR Multi family Sq Ft 02 — FIRM NAME Residential Swimming Pools 25 00 MAIL ADDRESS Outlets Rec Light—Sw CITY Tel No First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Total No Additional 30 PERMIT "XCOU� Fixed Appliances Not Over I HP ADDRESSRange_Heater_D W _ CITVSSW TelOven —Dryer—W M_ LICEN E OR Top —FAU —WH _ REG NUMBER HOad—Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ TDnp — Room Air Cond — 250 THAT THE ABOVE IS CORKER AND AGREE TO COMPAWES ANDSTATE LAMS REGIAATING EIERAICAL W Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PImPERIY REGI RED /OA LICENSED AS Up to 1 Intl 250 THE LIEGAIQED By LOS OWNEROF��DESCRIBED AES TIAL. E"OR iElAi AM Over 1 to 10 Ind 500 Over 10 to 50 Incl 1250 PERMITTEE ¢ Over 50 to 100 Inc 2500 SIGNATURE Over 100 4000 DISTRICT /� ED BY Services 1 `� 1 z 0 200 Amp Under 600V 1250 APPROVALS DATE I NA,iOURE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 50 00 TEMP POWER POLE 1000UNDERSLAB WORK Temp Power Pole&AppurtenarcesROUGH CONDUIT Sign with One Branch Circuit Additional Sign Branch Circuits 200 WIRING l p Mtsc Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED V1� UTILITY CO NOTIFIED L FINAL PERMIT FEE (Sub Total) NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE rSTkll't TOTALFEE CASH PEMW VAUDATION C--rRs M O CASH POLICY HOLDEMICC(�/ 8 0-=DE6 5 2 0 1. 2.0 0 A--d; 5� L��t ' �¢ORCOM 9C77hIEO _ •_ �. Y W ""°63Ge 8OGRO"e APPLICATION FOR ELECTRICAL PERMIT " COUNTY OF LOS ANGELES J�ppg D@PARTMENT OF COUNTY ENGINEER ADDRESS A BUILDING AND SAF DIVISION ORAPFL ANTTOFILLIN LOCALITY New Residential Bldgs &Pools EACH NO FEE N T 1 &2 Family Sq Ft $ 025 — S ST Multi family Sg Ft 02 — FIRM NAME UK Residential Swimming Pools 2-00—0 MAIL �� ADDRESS Outlets Rec Light_LI��Sw Z� CITY Tel No FLnt 20 50 O PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures Fmil 20 50 CITY Tel No Total No —4L� A Additional 30 EMIT NT R D W1 , ,- Fixed Appliances Not Over 1 HP ADDRESS -Fjt—L Range_Heater_D W _ CITY 17 D A) Tel No S-79—SQ Oven _Dryer_W M_ LICENSE OR Top —FAU —WH — REG NUMBER D Class L /6 Hood_Fon Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APRICATICN AND STATE Dlsp _ Room Air Cond 200 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELKTRICAL WIRING Power Apparatus&Large Appl Lances SIRe& ype HP KW KVA or KVAR i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUI RED BY 105 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to l Incl 200 THE LEGAL OWNEROF THE ABOVE DESCRIBED RFSIDFNTIAlRTY — — Over 1 to 10 Incl -6BB 1:Over 10 to 50 Incl 1000 PERMITTEE 0 Over 50 to 100 Inc 2000 SIGNATURE (� Over 100 3000 DISTRICT NO P E O Serves � E� 0 200 Amp Under 600V 1250 APPROVALS DA 1S%EN TOURS 201 1000 Amp Under 600 V' 2500 Over 1000 Amp or Over 600V 5000 TEMP POWER POLE 1000 UNDERSLAB WORK Temp Power Pale&Apiic Sign with One Branch Grantrcuit es 1000 ROUGH CONDUIT Additional Sign Branch Circuits 2 00 WIRING Mlsc Conduits&Conduoors 1500 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (Sub Total) NOTES I Qty / PLAN CHECKING FEE (One Fourth Perme Feel v PERMIT ISSUING FEE $600 TOTAL FEE / � PLAN CHECK VALIDATION CK MO CASH PERMIT VAUDATIO CK M O CASH 976fiAUG 4 2 0 46.75 • i SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TEAE•i]C=CIE"ODIX/zs AP PL ION FOR ELECT ICAL PERMIT BUILDIN D SAFETY DIVISION FOR APPLICANT TO PILL IN JOB L_ New Residential Bldgs & Pools EACH NO FEE ADDRESS Cz 1 &2 Fmeily Sq Ft $ - $ LOCALITY Multi family Sq Ft - NEAREST NF F Residential Swimming Pools CROSS ST ID .FIRNAM ME ILL L- .[ PON Outlets Light Switch & Receptacle MAI L First 20 ADDRESS Additional - CITY Tel o PLAN CHECK Lighting Fixtures Fixtures APPLICANT First 20 ADDRESS Additional CITY TO No PERIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D W TEL T>A Oven _ Dryer W M ADDRESS /} Top _ FAU WH CITY �L. Tel No 5 Hood Fan LICENSE OR O Drip A C REG NUMBER ..3 0 / Clan L ci I HERESY •CMNOw L•OO• THIN i HAVE RMAO THIS APPLICAYIONAND 0 Power Apparatus& Large Appliances wrcNETATE THAT THE RDINAMCt•AND TATE LANE RECT AND En TOCOMPLYF- w Size&Type HP, KW, KVA or KVAR CLE<Tw�cA��vuwlno D a H Up to 1 Incl z T THAT I nLT n TY AN Eo A D/Ow Over 1 to 10 Ind LICENSED AS Lo.wnoi�cE Over 10 to 50 Incl C-L.--PEn PDOICCENT,,I o YN— IEDAL o.NER COUNTYAND TNe APD-• Over 50 to 100 Incl ISERMITEE Over 100 IICNATUR Sery t DISTRICT N (� ROC SED BY 0 200 Amp Under 600 V 0 G 201 1000 Amp Under 600 V APPROVALS DATE CT S Over 1 ODO Amp or Over 600 V NATURE 1` r TEMP POWER POLE Tamp Power Pole&Appurtenances UNDERS LAB WORK Sign with One Branch Circuit ROUGH CONDUIT" j Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITYCO NOTIFIED / PLAN CHECKING FEE (One Fourth Permit Fee) FINAL PERMIT ISSUING FEE TOTAL FEE NOTES L , LAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION M O CASH 6331ZJUL 15 2 D 12.00 •tz n 761.663 CE-SW`11 /781 APPLICATION FOR ELECT ICAL_PERMIT COUNTY OF LOS ANGELESppgg BUILDING AND SAFE TY FOR APPLICANT TO FILL IN pDpRE (p . New Residential Bldgs 8 Pools EACH NO FEE -- 31 1 &2 Family Sq Ft $ 025 — S LOCALITY-J'>EVl .= 'L Multi family Sq Ft 02 — N REST a Residential Swimming Pools 2500 OWNE - - -- - ^ 115 FI NAME q CC (PYAOutlets Rec_Light_Sw First 20 50 ADDRESS 3 C.1=` �� - Total No -Add,i1 30 CITY ( _ _ Tel No - 1 PAN CHECK - APPLICANT .. Lighting Fixtures First 20 50 1 1 1 ADDRESS Additional 30 Total No CITY Tel No Fixed Appliances Not Over I HP PERMIT6 _Rhnia - Range_Heater_ D W APPLICANT s Oven—Dryer_W M _ ADDRESS I I tpcp 0- - 10� --- Top _FAU _WH _ CITY LO21 Tel,No2,2 -(p(.1 Hood_Fan _Other_ LICENSE OR Drsp —Room Air Cond 250 REG NUMBER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO S¢e G Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE-LAWS _ 2 50 REGULATING ELECTRICAL WIRING O Up to 1 Inc] I HEREBY CERTIF THAT 1 AM PROPERLY REGISTERED AND/OR '-Q Over 1 to 10 Incl 5 00 LICENSED AS REQU By LOS ANGELE UNTY AND STATE OF I Over 10 to SO Ind 12 50 CALIFORNIA OR Ai I AM THE LE O ER OF THE ABOVE . -0 Over 50 to 100 Inc 25 00 DESCRIBED RESID TI PROPERTY Ftg=j Over 100 4000 _ PERMITEE _ SIGNATURE ys Services - DISTRICT NO PR SED'BY Z 0 200 Amp Under 600V 12 50 yam/ 201 1000 Amp Under 600 V 25 00 - - Over 1000 Amp or Over 600 V 5000 Temp Power Pole&Appurtenances 1000 t Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 200 t :9 7 7 d 1 A INSPECTION_ > Misc Conduits&Conductors 1000 INFORMATION # • • • • • 2 p W 2 0 . 17.00' ON REVERSE Ocher Isee Complete Fee Schedules_ SIDE PERMIT FEE (Sub Totals (� 0 1 1 1 4-7 9 PLAN CHECKING FEE (One Fourth Permit Feel Q PERMIT ISSUING FEE $7 00 Oil TOTAL FEE ,U > INSPECTION FINALED date /J'//�17/7 By /� r�✓— ` ®s WORKER S COMPENSATIOa DECLARATION 70AM DPW,1291, APPLICATION FOR ELECTRICAL PERMIT 11 I hereby affirm that I have a cerlilicete of con nt self insure ]BAB63 or a certificate of Worker a Compensation Ina enc or a certifietl COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereo Sec/3800 Lb Policy NOJ -�'� (:Ompeny FOR APPIICANT TO FlLL N JOB ADORE99 Cer�iNtl copy is hereby furnished Nee Reudenitsl Bldgs 8 Poole NO EACH FEE LOCALITY ❑ n�� 1 8 2 Family So Ft — $ $ Certified caPY a h MU ins CDIILI Ing N On NEAREbT Mab family Sq Ft c SST Date / Applicant Residential Swimming Paola A55EBOOR NAP BOOK 1N3E PAHOEL 1 .CERTIFICATE OF EXEMPTION FROM RK Outlets RSc _Light Sw OWNERDR COMPENSATION INSURANCE DRNNAME If (This eectlon need not be completed If the work Involved by the Fret 20 HAIL permit Is for one hundred dollen($100)or less) Total No Atltlnionel ADDRESS I certify that in the performance of the work for which this permit CITY TO No Is issued I shall not employ any person in any manner so as to PLAN 11 become subject to the Workers Compensation Laws Lighting Fuduree First 20 APPL1GNi Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITY Tel No Exemption you Should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Coda you must forthwith comply with such PE MPLICRANT provisions or this permit shall be deemed revoked Power Apparatus 8 Large Appliances LICENSED CONTRACTORS DECLARATION Size R Type HP KW KVA or KVAR ADDRESS 1 I hereby affirm that I am'Iicensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 0l the Business and Over 3 to 10 not CITY Tel No 3 Professions Code and my license is in full force and effect Over 10 to 50 Incl LICENSE / Per• d .. Over 5010 100 met REO NUMBERB£R Lcense Number / D Lc Class S/�� Over 100 MTpICT NO ED aY U Services Swbd MCC d Panelbostrds O/ Q Cont Or ate 0 399 Amp Under 800 V FIAL it Q ElI am exempt u11 1nder 400 1000 Amp Under B00 V VALIDATION U Over 1000 Amp a Over 800 V BY d B AP C for this reason BRANCH CIRCUIT FEES ev U Date 1 S or 20A 120V Lighting or Recept - Z 1 To 10 Branch Circuits Signature 11 To 40 F arch Orcurts 41 F1 Exemption for Reg Melnt Elect ISA 20A 208/To Z77VlLi More Branch rCirculrcints , SINGLE FAMILY Temp Power Pole 6 Appurtenances HOME OWNER BUILDER DECLARATION rIL L T.a r I hereby affirm that 1 am exempt from the Contractors License LBranch Lew Sign with One Circuit t for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Orculff, — 63.4 i Cade) I ITEM ❑ I as owner of the property will do the work and the structure Mist Conduits 8 Conductors a not intended or offered for sale (Section 7044 Business Other(Sea Complete Fee Schedule)— TOTAL 63- 45 and Professions Code) , i-ASH 6`.45 CONSTRUCTION LENDING AGENCY �HF'tl' � I 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 0000-110131 4,11,94 Landers Name PERMIT ISSUING FEEa6 � 4�.:,i 1 Ph 4'4'' Lender a Address I cemfr that I have read this application and under penalty of pur)ury,erste TOTAL FEE (O that the above information is correct I agree to campy with all County ' ortlmences and State laws regulating Electrical wiring and hereby audionva repr of I1h my o enter upon the above-mens oned property for i pu /�. BEE REVERSE FOR EXPLANATORY LANGUAGE 91aNAT OFD JTV WTE ITORKERIS COMPENSATION DECLARATION CE 806 t0,81 APPLICATION FOR ELECTRICAL PERMIT 1115reby affirm ifwt I here a certificate of consent to self CE BO6G insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB -4 t' Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS � N ❑ — f LOCALITY Certified copy is filed with the county building inspec- 18 2 Family Sq Ft f tion deportment Multifamily Sq Ft — NEAREST Residential Swimming Pools CROSS ST Dote Applicant OWNER OR /�{ FIRM NAME 924, CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Roc• Ligh Sw I MAIL COMPENSATION INSURANCE Fust 20it ADDRESS (This stolon need not be completed If the work inwhred by Total No Additional CITY Tel Na the permit Is for one hundred dollars($100)or less ) I certify that in the performance of the work for which this APPLICANT CHECK permit o issued I shall not employ any person m any onner so as to become sublect to the Work Compensoho Laws Lighting Fixtures First 20 ADDRESS Additional Total No CITY I No Date — P pphcant '�— _ Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLI T If after making this Ce tduotn o Exemption you s ouId become sublect to the Workers Range_ Heater_D W _ APPLICANT Compensation provisions of the Labor Code you must forth- Oven _ Dryer — W M — ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H deemed revoked Hood — Fan _ Other_ CIN Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that am licensed under provisions of Chapter 9 Disp _ Room Au Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCE D BY >.and Professions Code and my license is in full force and effect IL Size 8 Type HP KW KVA or KVAR O License Number L¢ Claes Up to 1 In FINAL v V Over I to 10 In DATE yA ATION 0 Contractor Date Over 10 to 50 Incl F ❑ FINAL V I am exempt under Sec Over 50 to 100 Inc BY W B 8P C for this reason Over IOD N Date Services Swbd 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 Momt Elect SINGLE FAMILY Temp Power Pole 8 Appurtenonces HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit here y affirm that I am exempt from the Contractor's License Additional Sign Branch CircuitsLow r the following reason (Section 7031 5 Business and Pro aeons Coda) 12 I, as owner of the property, will do the work and the Mix Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— 70" Business and Professions Code) , ;2 7 6 1. O A CONSTRUCTION LENDING AGENCY # e * 9 - 2 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) 1 • • 1-a.75 (Sec 3097 Civ C ) PLAN CHECKING FEE e e e 1 E 7 5 0 Lender s Name PERMIT ISSUING FEE _ O 8 O 6 8 7 Lander s Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State lows regulating Electrical wiring and hereby authorize representatives of this County to enter upon the ova menti tied property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permotee Date WORKERS COMPENSATION DECLARATION 78A863 ,Dys, APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I have a certificate of consent t0 sell - CE sure �eoeG I..I or a ceridr�te d Workers Conpeneaton Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY COW tflsli6of(Sec 3800 Lab C) QQ Policy No Company • FbR APPLICANT TO RLL W JOB ODRESS 5 V�-- ❑ Certified copy M hereby furmahed New Resdentel gs d Pod. EACH NO FEE ❑ 1 8 2-FamiN SQ FL $ — $ LOCA Certified copy a filed with the county, bulldmg YlepeChon department MuIU-famiy Sq Ft — CNEAREST CROSS Si Date Applicsrt Resdentml Svwmmmg Pods OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERSMAIL COMPENSATION INSURANCE Gullets Rec—Light — Sw ADDRESS (This seelfon need not be completed H the work Involved by the Fest 20 CITY Tel permlt Is for one hundred dollars($100)or less) Total No Additional No I certify that in the perfonce of the work for which this panni PLAN p-ECK APPLICANT is levied I .hall not employ arty penin in any manner so as to become bled to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Data Applicant NOTI E O ,n after t Certificate of Fazed Appliances Not Over 1 HP PERM. [T you should becane subtext to Workers Conpensat" Range_ Heater_ DW _ APPLICANT (51 Y4 V415 provisions of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M _ ADDRE provrswne or this permit shall be deemed revoked Top _-FAU _ WH C1 CRY Tel 7 V LICENSED CONTRACTORS DECLARATION Hood — Fan Otter_ A4 Q I hereby affirm that I am licensed under pnoveenn d Chapter g Bryp _ Room Air Comd UCEN OR CLIes (commencing with Section 7000) of Drvison 3 of the Business and REG NUMBER Professions Code and my license a in full force and effect DISTRICT NO SSED BY Power Apparatus 8 Large Appliances O Sae d Type a KW KVA or KVAR �� O Lcanse Number(_ Llc Classqq�1, Up to t Ind FINAL �� p C� Contractor `� Data V Over 1 to 10 Incl • DATE `,1j,�` VALIDATION tOy—�. Over 10 to 50 kcl FINAL U ❑ 1 am exempt under Sec Ower 50 to 1 DO Inc BY W BAPC for this reason Over 100 N Date Services Swbd MCC 8 Pandboards ► Z 0- 200 Amp Under 6DO V •Sgnature 201 - 1000 Amp Under 600 V ❑ Exerptxm for Reg Mant Elect Over 1000 Amp or Over 600 V ACCT.0 SINGLE FAMILY Temp Power.Pde 8 Appurtenances 3303 80,90 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors license Law 1 ITEM f�) following reason (Section 7031 5 Business and Professions Addit1onal Sign Branch Crrwus of1TOTAL 80_Q0 13 I,as owner of the property will do the work and the structure MeConductors c Conduits 8 Couctors CHECK 87.90 is not intended or offered for sale (Sexton 7044 Business Other (See Complete Fee Schedule) .00and Professions Code) CONSTRUCTION LENDING AGENCY tv�n�.fvuf nn 1 hereby affirm that there is a construction lending agency for the 0000-�1 10/30/95 performance of the work for which the perms is issued(Sec 3087 PERMIT FEE (Sub-Total) Cry C) 3055 1 AM10132 PLAN CHECKING FEE Landers Name ,r PERMIT ISSUING FEE d( Lenders Address I certify that I have mad this application and state that the above TOTAL FEE information a correct I agree to comply wmh all County ordinances and State favus regulating Electrical wiring and hereby authorae representatives of the County to enter the atzne-m ritcred prWerb for-spec purposes -\J � SEE REVERSE FOR EXPLANATORY LANGUAGE Sign re ee Dam w COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0301210033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT LEGAL 10 BUILDING ADDRESS BK 105 PG 86 PC. 10 5561 ROSEMEAD BL FEE DESCRIPTION: QUANTITY. UOM: AMOLINT TEMP CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 5387-032-059 Al PERMIT ISSUANCE FEE 27 75 THOUS PAGE 596 GRID H4 LOCALITY TEMPLE CITY K1 SIGNS, OUTLINE LOT 1 00 SIG 38 85 TENANT TOTAL FEES 66 60 . SYLVIA'S WEDDING 01/21/03 JK 07/20/03 OWNER TEL NO FINAL DATE FINAL BY CODE T C ASSOCIATES (714) 997-1100- 747 W KATELLA 0102 3�/2 ORANGE 92867 DESCRIPTION OF WORK NEW NEON SIGN,C/O FACE OF BOX SIGN APPLICANT TEL No ARTIST SIGNS 6 ART SERVICE (626) 625-28BB- 8919 GARVEY AVE #C3 SPECIAL CONDITIONS ROSEMEAD 91770 CONTRACTM TEL. NOSCS PT4GELES Cp/��Tl APPROVALS DATE INSPECTOR SIGMATUR ARTIST SIGNS AND ART SERV CO (626) 288-6780- 8919 E GARVEY AVE #C3 LIC NO / TEMPORARY POWER F-OLE ROSEMEAD CA 91770 811413 C45 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL. NO /� UFER GROUND LIC MO ROUGH WIRING FULEO �C 11/1 1111 0�I)Cl PLASTIC Y/N METAL Y/N LLLSSS O\� l% �1' 11��✓✓J�IIE�JJh llllll U �1 �``�V��J i o SIN 46Li z /'O Service That REPORT ID: DPR265 ROUTE TO SS0508