HomeMy Public PortalAbout5603 ROSEMEAD BLVD_Electrical__ 711 cE 4aslana) APPLICATION_ FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN p8
New Residential Bldgs'&Pools EACH- NO FEE ADDRESS
1 &2 Family Sq Ft E 025 — S LOCALITY 2/M ��' �/ 7 -
Multi family Sq Ft 02 — NEAR1,51
SST - .s / F
Residential Swimming Pools 2500
���� pp--��
FIRM AM tR ,s -ate rte- - '
Outlets Recsi'Light�Sw MAIL
First 20 50 O'fl ADDRESS
Total No L I Addrtanal 30 La 70 SO CITY r..'ti/ Tel No ----
RAN CHECK
APPLICANT
Lighting Fixtures First 20 50 ZO 9± ADDRESS
Additional 30
Tonal No CITY Tel No
Fixed Appliances Not Over 1 HP _ ' RMIT _
Range_Heater_D W APPLICANT r9XVC:7RltC.
Oven_Dryer_W M_ ADDRESSf 17 O 1 //f'',
Top —FAU — WH — _ CITY if p� _ Tel N_o �2, 7 _
Hoodon aL-Oiher_ LICENSE OR
Dnp _oom Air Cond 250 REG NUMBER Class C^/D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
Si e&TYPO HP KW KVA or KVAR - COMPLY WITH ALL COUNTY ORDINANCES AND ESTATE LAWS
Y 2 50 REGULATING ELECTRICAL WIRING
s's Up to 1 Ind I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0
��. Over 1 to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF V_
Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LE OWNER OF THE ABOVE
Over 50 to 100 Inc
25 00 DESCRIBED RESIDE TI PERTV
Over 100 4000 PERMIT EE
SIGNATURE
Services DISTRICT NO ED BY
0 200 Amp Under 600 V 1250 U Q /
201 1000 Amp Under 600 V 2500 '' - r (J
Over 1000 Amp or Over 600 V 5000 ==
Temp Power Pole&Appurtenances 1000 Q ~
Sign with One Branch Circuit 1000 O
Additional Sign Branch Circuits 200 INSPECTION
o bo INFORMATION > R 17 31 A
Misc Conduits&Conductors ON REVERSE
Other(See Complete Fee Schedule)_ SIDE # • • a • • 2
2 - 17230
`
• • 172301
PERMIT FEE (Sub Total) Ip, 1 1 -78
PLAN CHECKING FEE (One Fourth Permit Feel ,p
F �
PERMIT ISSUING FEE
$700 0
TOTAL FEE -i, _ >
INSPECTION FINALED
date �� �� 9 8Y , ms
WORKERS COMPENSATate of consent to 76-606 10,61 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that 111eve a certificate of consent to self insure �-BoeO or a certificate of Workers
ebCompensabon Insurance or a c'rhf sd COUNTY OF LOS ANGELES BUILDING AND SAFETY u
0 O1(S 3
J ' • , parry, a' " FOR APPUCANT TO FILL IN JOB
❑ Certified copy is hereby furmshedEACH NO FEE ADDRESS
New Residential Bldgs 8 Pools
❑
Certified copy Is filed with the county building inspection 1 d 2-Family Sq Ft $ = 5 LOCALITY T
A Mulb-family Sq Ft NEAREST
D 6// �� Residential Swimming Pwis gqq R pq
CF10SS ST
Date Appllcent��_
� FIRM NAA¢ S '
CERTIFICATE OF EXEMPTION FROM WORKERS 3 MAIL
Outlets Rei—Light_ SW MAIL
COMPENSATION � ADDRESS O, 51191,
(This section need not be completed H the work involved by theFirst 20
permit is for one hundred dollars($100)or lase) Total No � Additional CRY Tal No 79f Z91
I certify that in the performance of the work for which this permit - PLA�PLICANT K 1
rs Issued I shall not employ any person in any manner so as to
become wbact to the Workers Compensation Laws Lghting Fixtures First 20ADDRESS - -
' Total No (� Additional CITY Tel No
Date Applicant
NOTICE TO APPLICANT If after making this Certificate Of Fixed Appliances Not Over 1 HP r PERMIT APPLICANT a `
Exemption you should become syb)ect to the Workers Compensation Range— Heater— DIN
provisions of the Labor Code you must forthwith comply with such Oven _ Dryer _ WM ADDRESS `
provisions or the permit shell be deemed rewked Top FAU WH ••11
LICENSED CONTRACTORS DECLARATIONf N
Flood — Fan Other_ CITY "
I hereby affirm that I am licensed under piowsiae of Chapter 9 LICENSE OR
(commencing with Section 7000) of Division 3 of the Business and D�sP Room Air Cad LICENSE. REO NUMBER CJ--In
Professions Code and my license is in full force and effectDISTRK,7 NO
Power Apparatus 8 Largo Appliances
Sue It Type HP KW KVA a KVAR V, u0•
License Number Lic Clew rJ - Lip to 1 Incl- FINAL ('I C�
Over 1 to 10 Incl DATE \_Al VALJDATION
`Cantrecto Date Over 10 to 50 Ind MM
CF J-
❑ am exempt under Sec FINAL
Over 50 to 100 IncBY
BAPC for this reason Over 100 f -
Date Services Swbd MCC d Parielboards - Z
0- 200 Arte Under 600 V ® r.
Signature 201 - 1000 Amp Under 600 V - I -
❑
Exemption Over 1000 Amp or Over 600 V
for Reg Mein) Elect
r
SINGLE FAMILY Temp Power Pde& Appurtenances 'a
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the C Infractoes License Law _ A,(v,T,* '
for the Coital following reason(Section 7031 5 Business and Professions Additional Sign Branch Cheats _ 7
37.30
❑ I as owner of the property will do the work and the structure 'Misc Conduits&Conductors -1-ITEMS'
IS
Is not mtertled or offered for sale (Section 7044 Business' Offer(Sea Complete Fee Schedule) _
and Professions Code) pop. TOTAL 37.30
CONSTRUCTION LENDING AGENCY - "CK 37'330
1 hereby affirm that there is a construction lending agency for the ` . .00performa ice of the work for which this permit a Issued(Sec 3097 PERMIT FEE - (Sub-Total) - -
CN C)
PLAN CHECKING FEE ,
Lenders Name 0000-0001 4/26/90
PERMIT ISSUING FEE A}}O - 1 AN 8:730
Lenders Address
1 certify that I have read this application and state that the above TOTAL FEE -il.
information is correct I agree to comply with all County ordinances
and State laws regulating Electrical wiring and hereby authorue '
repreeentehves of this County to enter upon the above-mentioned
property for inspection purposes
c, SEE REVERSE FOR EXPLANATORY LANGUAGE
/iia/ ,5 ,?
Sfg Pamdt" Dat ,
TION
76A663
WORKERS'that
I haveSATIONcate of corse CE
ID,B, APPLICATION FOR ELECTRICAL PERMIT
I hereby Affirm that I have a certificate of consent to self CE 806G _
insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES / BUILDING AND SAFETY
or a ce bfied co y thereo ( 3800 Lob C ) / z - ,
P 4 No �7G "APPLICANT TO IN o- ADDRESSO
❑ Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE S
Certified copy is filed with t builds g mspec 1 8 2-Family, Sq Ft i — i LOCALITY _
tion epa morel Applica Multi-family Sq F NEAREST J
Residential Swimming Pools OWNER OR
Dote .dam
FIRM NAME
CERT ICATE OF EXEMPTION FROM WORKERS' MAIL
COMPENSATION INSURANCE Outlets Rec_Light_Sw_ ADDRESS 0 3 ZpJNty "
(This section need not be completed M the work involved by First ti CIN I '� Tel No
the perm"Is for one hundred dollen($100)or Ins) Total No Additional HECK ''u.�C(
I certify that in the performance of the work for which this APPLICANTAPLI
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
1 Total No Additional CITY La)S Tel No"Z77j �L{
Date Applicant Fixed Appliances Not Over I HP PERMIT /
NOTICE TO APPLICANT If, after making this Certificate of APPLICANT t✓ I ( Co
Exemption you should become subject to the Workers' Range_ Heater_D W s
Compensation provisions of the Labor Code you must forth- Oven _ Dryer _ W M _ ADDRESS 32'l�' N/`�
with-comply with such provisions or this permit shall be Top _ FAU —W H —
deemed revoked , CITY LOS Tel No G
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ ,
Disp _ Room Air Cond — LICENSE OR _/ 14 �i_ - Clan C-4t
I hereby off irm that I am licensed under provisions of Chapter 9 REG NUMBER 'T
(commencing with Section y tic of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO�- PROCE L
and Professions Cade and my license is in full force and effect S
_ Size 8 Type HP KW KVA or KVAR O
License Number q1Y3 L¢ Class 4S Up to 1 Incl FINAL V V
1 .iV li�� Over 1 to 10 Ind DAA /���a VALIDATION 0
Contractor I/'' /z Date Over 10 to 50 Incl FINAL \ U
❑ 1 am exempt under Sec Over 50 to 100 Inc BY
8 BP C for this reason Over 100 V =
Dote Services, Swbd MCC 8 Ponelboards
0 -200 Amp Under 600 V
Signature 201 - 1000 Amp Under 600 V - -
F-1
Over 1000 Amp or Over 600 V
Exemption for Reg Mamt Elect
SINGLE FAMILY Temp Power Pole 8 Appurtenances _
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby off irm 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) —R7 9 6 2 A
❑ I as owner of the property, will do the work and the Miu Conduits 8 Conductors r `
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , _ # • • • • • 2
7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY _ 2 • • 2 0 `5 0
I hereby affirm that there is a construction lending agency for •mss s 2 0,6 0 5
U
the performance of the work for which this permit in issued PERMIT FEE (Sub-Total)
(Sea 3097 Civ C ) 1 1 30-82
PIAN CHECKING FEE
Lender's Name .�
PERMIT ISSUING FEE
Lender's Address
certify that I have read this application and state shot the TOTAL FEE
above information is correct I agree to comply with all Couny
ordinances and State laws regulating Electrical wiring and qd
representati es of this County to enter upon
authonz
e-m t n ape or inspectio pu see
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Per free Date '
WORKERS COMPENSATION DECLARATION 76A663 ID,B, APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-806G
Msure or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sac 3800 Lob C
Polk .(a 14 Rt{fCL Q
ompony / � FOR APPLICANT TO FILL IN JCB
Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS O S
—
Certified copy is filed with the county building mspec- 1 8 2-Family, 59 Ft $ f LOCALITY
tion deportment Multi-family$q Ft — NEAREST
CROSS ST
Residential Swimming Pools
Dole Applicant OWNER _
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light i Sw_ '^ MAIL
COMPENSATION INSURANCE F rst 20 / (1" ADDRESS
(This section need not be completed If the work Involved by Total No Additional CITY Tel No
the porrrtit Is for one hundred dollars (1100)or loss )
(`certify that in the performance of the work for which this PLAN CHECK
permit is issued I shall not employ any person in any monner
NT
so as to become subject to the Workers Compensation Laws Lighting FuturFirst 20, ADDRESS
es
Total No� Additional
CITY Tel No
Date Applicant Fix pl ces Not Over I HP PERMIT
NOTICE TO APPLICANT If after making this Certificate of APPLICAM ,$ ,
Exemption you should become subject to the Workers RangerT eater_D '
Compensation provisions of the Labor Cade you must forth- Oven 1 D M ADDRESS Sr
with comply with such provisions or this permit shall be HocTop � FAU W H — s
deemed revoked Top Other_ CITY Tel No KY'
LICENSED CONTRACTORS DECLARATION LICENSE OR /�
I hereby affirm that I am licensed under provisions of Chapter 9 Dup _ Room Air d REG NUMBER Class
(commencing with Section 7000)of Division 3 of the Business power Apparatus 8 Large Appliances _ DISTRICT NO PROCESSED BY
and Professions Code and my license is in full force and effect f�' y
11
Si z Type HP, KW, KVA or KVAR (j% U OC O
License Number H2(c,4G Lic Class LID Up to 1 Ind 't AJ FINAL V
Contractor FItC -(t'e Date R/�'2, Over 1 to 10 Ind DAA FINAL L� �Z�o— Z- VALIDATION �0
Over 10 to 50 Ind r
(r�
I am exempt under Sec Over 50 to 100 Inc BY
B&P C for this reason Over 100
Services Swbd MCC 8 Ponelboardii L D / Z
Date 0 200 Amp Under 600V ►/ b
Signature _ 201 1000 Amp Under 600 V
❑
Exemption for Reg MoOver l ODO Amp w Over 600 V
mt Elect
SINGLE FAMILY Temp Power Pole 8 Appurtenances _
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor s License _ Additiorwl Sign Branch Circuits
Law for the following reason (Section 7031 5 Business and -`
Professions Code)
-
I as owner of the property will do the work and the Mix Conduits B Conductor
structure is not intended or offered for sale (Section _ Other(See Complete Fee Schedule)— ►
7044, Business and Professions Code) - 617 6 1 Pi
CONSTRUCTION LENDING AGENCY s• •.• • • Z
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) 2�• • 6 370
(Sec 3097 Civ C J
8*N!09@e*W4G-FeE !�' r•`• • 6370'
Lender s Name
PERMIT ISSUING FEE ,) 008'-82
Lender s Address
I certify that I have read this application and state that the TOTAL FEE _ _ 6 3��j
above information is correct I agree to comply with all County
ordinances and Slate laws regulating Electrical wiring and _
hereby authorize representatives of this County to enter upon
the above-the above-menhon�inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
�ign�rm feefee ale
WORKERS COMPENSATION DECLARATION 76A663 IDB, APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a cernhCE 806Gcate of consent to self
insure, or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec 3800 Lob C )
Policy No Company FOR APPLIGM TO FILL M JOB
Certified 5C►��
Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH na FEE ADDRESS
Certified copy is filed wit a my bml g ms 1 8 2 Family Sq Ft t — f LOCALITY G
` lion de ortment Multi-family Sq Ft — NEAREST 1
''II//��ss//gga�� ST
Residential Swimming Pools OWNER OR
Dole 'low
'' II FIRM NAME z Ili FJ �
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLight_Sw_ MAIL
COMPENSATION INSURANCE ADDRESS'' OI
his section need not be completed IF the work In"Ilv�d b First ,o
R P Y Total No Additional CITY Tel Nog
the permB is for one hundred dollen ($100]or less )
I certify that in the performance of the work for which this APPLICPLAN
AM
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 i
Total No Additional CIN - - Tel No
DateApphcant Fixed Appliances Not Over 1 His PERMIT
-
NOTICE TO APPLICANT If after making this Cemficote of APPLICANT Co.
Exemption you should become subject to the Workers Range_ Heater_D W
Compensation provisions oPthe 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 CITY ( s Qv s Tel No_XZTgl1
LICENSED CONTRACTORS DECLARATION Hood Fan _Other_
Disp _ Room Au Cond LICENSE M I t q Class 951-
(commencing
Ir
I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER U i 7 '!J
(commencing with Section 7000) of Division 3 of the Busman DISTRICT NO D BY
and Professions Code and my license is in full force and effect Power Apparatus 8 Large Appliances
l -1.1 Size 8 Type HP KW KVA, or KVAR Do
-
License Number Uc Class Up to I Ind FINAL �7 V
Over 1 to 10 Ind DATE —� VALIDATION Q
Contractor W F Date__L1� ..� - 50 I
10 t
Over o ncl
ElFINAL — C
I am exempt under Sec Over 50 to 100 Inc BY L
B 8P C for this reason Over 100 Z
Dote Services Swbd MCC 8 Panelboards poll -
0 -200 Amp Under 600 V
'Signature 201 - 1000 Amp Under 600 V
❑
Exemption fOver 1000 Amp or Over 600 V j
fa Reg Moint Elect
SINGLE FAMILY Temp Power Pole 8 Appurtenances _
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby off nm that I am exempt from the Contractor s License Additional Sign Branch Circuits
-
Low for the following reason (Section 7031 5 Business and '
Professions Code)
❑ I as owner of the property-will do the work and the M,sc Conduits 8 Conductors 'R 7'4 5 b A
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ Pilo Business and Professions Code) # • • • • 2
2,• - 2300
CONSTRUCTION LENDING AGENCY - )
i
I hereby affirm that there is a construction lending agency for •r• 023005
the performance of the work for which this permit is issued PERMIT FEE (Sub Total) - -
(Sec 3097 Civ C > ,I 1 09-82
PIAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender s Address '
I certify that I have read this application and state that the TOTAL FEE _
above information is correct I agree to comply with all County
ardm State lows regulating Electncal wiring and
h y honz repr frntalives of this County to enter upon
a ve me o rape for pection p rposes
u Q SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Perm�Hee to
• - COUNTY OF LOS ANGELES TEMPLE CITY N 0508 -ELECTRICAL"PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ELW050819905210022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT
LEGAL ID' FEES PAID BUILDING;ADDRESS.
BK 105 PG: 86 PC: 3 56035RGSEMEAD'BL
FEE DESCRIPTION QUANTITY. UOM AMOUNT TEMP-CA 917801804
ASSESSOR INFORMATION NUMIBER NEAREST CROSS STREET LAS TUNAS
5387-031-063 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
K1 SIGNS, OUTLINE LGT 1.00 SIG 38 85
TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY: PLAN BY EXPIRES ON
DENNY'S 05/26/99 UT 11/22/99
OWNER TEL NO FINAL DATE FINAL BY CODE:
ELTINGE GRAZIADIO,SAMPSON DEV CO - ISI 1 _n n
VV6ESCRTD m-OF1 'L A
3 CHANNEL LETTER WALL SIGNS - ILLUMINATED
APPLICANT TEL NO
MANCHEL AND CO. (818) 894-3883-
16317 DEVONSHIRE ST SPECIAL CONDITIONS:
GRANADA HILLS, CA
5 PNGELES CoCONTRACTOR TEL. NO APPROVALS DATE INSPECTOR SIGNATURE
MANCHEL AND CO. (818) 894-3883- V0 �Ty
16317 DEVONSHIRE ST LIC NO TEMPORARY POWER POLE
GRANADA HILLS, CA 91344 483691
ARCHITECT OR ENGINEER TEL NO LEER GROUND
LIC NO /' 1111111
ROUGH WIRING
('ri■1'U B L I C WORKS PMAIN WATER LINE
LASTIC Y/N METAL Y/N
q � ®y
Service
REPORT ID DPR265 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9805120019
BUILDING AND SAFETY / LAND DEVELOPMENT THMPEE CITY CA
(818) 285-0488 EXT
LEGAL ID' FEES PAID BUILDING ADDRESS
RK 105 PG 86 PC 3 5603 ROSEMEAD BL ' \
FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917801804
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS
5387-031-043 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE '596 GRID. H4 LOCALITY:-TEMPLE CITY
K1 SIGNS, OUTLINE LGT 3 00 SIG 116 55 '
TENANT TOTAL FEES 144 30 ISSUED ON PROCESSED BY PLAN BY
DENNY'S 05/12/98 UT 0 2OWNER TEL NO /99
_ , FINAL DATE FINAL BY&_ CODE�
ELTINGE GRAZIADIO,SAMPSON DEV 00DFSCRIFT ION UF WORK
vv
ELECTRICAL FOR THREE NEW WALL SIGN
APPLICANT TEL NO
SUPERIOR ELECTRICAL ADVERTISING (562) 495-3808-
1700 W ANAHEIM ST SPECIAL CONDITIONS.
LONG BEACH
5 P{dGELES CO
CONTRACTOR TEL NO
SUPERIOR ELECTRICAL ADVERTISING (8DO) 995-9099- VC - �N y APPROVALS DATE INsPnT6FlTZ9Fr0kr-'
1700 W ANAHEIM LIC NO �/'� �1
LONG BEACH CA 90813 5094UNDERGROUND CONDUIT
• f
ARCHITECT OR ENGINEER TEL NO uthK UKUUNU
LIC NO 1111171ROUGH CONDUIT
ROUGH WIRING
I P u L C WAV0 PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTrFM
V N
b/jc SFrvOe That�o
• ADDITIONAL DATA ON FILE
REPORT ID M265 ROUTE TO BS0508
V COUNTY OF LOS ANGELES TEMPLE CITY N 0508 fELR ICA UIPERMITl j► -
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 05089608260028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA -
PHONE: (818) 285-0488 ENT
LEGAL ID' FEES PAID BUILDING ADDRESS-
BK: 1D5 PG- 86 PC- 3 ADSL -
FEE DESCRIPTION: QUANTITY U0M ANOINT TEMP CA 917801804
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5387-031-D63 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY
K1 SIGNS, OUTLINE LGT 1 00 SIG 38 85
TENANT K2 ADDITIONAL SIGN CKTS 1 00 CIR 12 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
DENNY'S TOTAL FEES 79 35 08/26/96 TC 08/26/97
OWNER TEL FINAL DATE FINAL BY CODE
ELTINGE GRAZIADIO;SAMPSON DEV CO - /
6ESCRIA;i-6F
NEON OUTLINE LIGHTING ONE STRIP ON PERIMETER OF BUILDING
APPLICANT t TEL NO:
SUPERIOR ELECTRICAL (310) 495-3808-
SPECIAl CONDITIONS
TEL NO: P�&eLES cOCi .
SUPERIOR ELCTRIGL ADVERTISING INC (310) 495-3808- APPROVALS
1700 NEST ANAHEIM STREET LIC NO O!' /I _ T816t71F1
LONG BEACH, G 90813 1 271598
ARCHITECT OR ENGINEER' TEL NO UFER GROUND
LIC NO
nirn ROUGH CONDUIT
ROUGH WIRING
PUBLIC WORKS MAIN WATER LINE
PLASTIC Y/N METAL Y/N —
% co UTILIT'Z&IPAA4 pBTTF[F6
c �0
Service
i -
1 1
(REPORT ID DPR265 ROUTE TO OS0508
TA
COUNTY OF LOS ANGELES TEMPLE CITY A 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9905070017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 ENT
LEGAL ID' FEES PAID BUILDING ADDRESS
BK 105 PG 86 PC 3 5603 ROSEMEAD BL
FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917801804
ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET LAS TUTUS
5387-031-063 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
G2 LIGHTING FIXTURES 40 00 LGT 66 00
TENANT TOTAL FEES 93 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
05/07/99 VG 11/03/99
OWNER TEL NO rnur-mE FINAL BY 4 LUDE
ELTINGE GRAZIADIO,SAMPSON DEV CO - -� I
�
uE4CRTDTI611 OF WORK
ELECTRICAL FOR MINOR TENANT IMPROVEMENT
APPLICANT TEL NO-
FRED COOK ARCHITECTS (714) 966-1415-
3184-8 AIRWAY AVE SPECIAL CONDITIONS
COSTA MESA, CA
PNGELES CO
GREISEN CONSTRUCTION, INC. (818) 248-1291- 0CONTRACTOR TEL NO. 5 APPROVALS��T�.
1901 BROADVIEW DR LIC NO TEMPORARY POWER POLE
GLENDALE, CA 91208 352551/B
UNDERGROUND CONDUIT
ARCHITECT OR ENGTgnlr-- TEL NO UFER GROUND
FRED COOT( ARCHITECTS (714) 966-1415
3184-B AIRWAY AVE LIC NO: 111111
COSTA MESA, CA 92626 NONE
ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
/2
PUBLIC WORKS PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTITM
i
� ServNce Tha
REPORT ID DPR265 ROUTE TO BS0508