HomeMy Public PortalAbout5604 ROSEMEAD BLVD_Electrical__ 7OA663-CES06 9-64 APPLICATION FOR ELECTRICAL PERMIT
A COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r� m
BUILDING AND SAFETY DIVISION ADDR Ee8 J
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
NEAREST
1FOR APPLICANT TO FIL IN CROSS ST
RECEPT TOTAL NO G<X FEE p/
LIGHT 1 OUTLETS W
FIRST 20 m2O $ ONER
4& MAI
SWITCH /�
OVER 20 10 ADDRESS
LIGHTING TOsTAL I FIRST 20 0 20 ® CITY TEL No ,J
FIXTURES ,( OVER 20 10 ELECTRI IAN
RANO CLO D1IYERS VITA MRSA 100 ADDRESS
GAIm DISP STA COOK"fes /
clTr TEL No
DISNWASH ` AUTO WA1M STATE
KEACE MTS STA AM ISS M P MAX I SO LICENSE NO
MOTORS CVEH NOT OVER MIA DIBTRI N GR UP ZQN F. P
o 1 100
1 a ISO INSPECTION RECORD
a zoo
a 1e EBo
1B 50 300 O0
Bo 100 a oo — 2�1
NO TNN• ' a
SIGNSI c
no• Z
No ue
SERVICE D SOOV NOT OVER 200A too /
SERVICED SOOV OVER 200A 200 If
SERVICE OVER Soov Boo
MISE
�1
�V
PERMIT issuma FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
I HEM[n' ACKNowLEOGE THAT I HAVE READ THIS APPLIGTI P ovwLe DATE I E KA 610MATIM
AMD NATE THAT THE ABOVE IR CORRECT AND AOHEE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS 11EGULATING
ELECTRICAL WIRING WIRING
LICHERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
.ICED A9 REQUIRED ST LOS AND-LES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL ORN[R OF AND INTEND TO
RESIDfi IN THE ABOVE DESCRIBED R ID8 L P O E TY POWER
SIGNATURE
OF PERMITT
VALID#VON JOSEPH C ROOXAN
CK M CADH SUPERVISING ELECTRICAL ENGINEER
9 2 6"8ZE JAN28 2 D 22.40- Q
T - - - -
_L
L �
I
]S A ae:-CFTSOS it/TO APPLICATION FOR ELECTRICAL PERMIT
CCSUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FBUJLDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W JENKINS Ur N N BUILDING LOCALITY tea,((
NEAREST
FOR APPLICANT TO FILL IN CROSS ST /
OUTLETS !ALM- Fee
OWNER
RECEP s MAIL
LIGHT TOTAL
FIRST 20 35 ADDRESS
OVER 20 CITU TEL NO
SWITCH 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ZS APPLICANT
OVER 20 - ADDRESS
FIXTURES 10
APPLIAN S CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT
STA COOK_DISP _F A U _ ADDRESS
SPACE HTP AIR CONO CITY TEL NO
CLOTHES WASH DISHWASH_ LICENSE NO CLJISS
FAN__OTHER100 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AMD !TATE THAT THE ABOVE 1! CORRECT AND AGREE TO COMPLY
MOTOR! TRANSFORMER! RATING WITH ALL COUNTY ORDINANCES ANO STATE LAWS TO
IND HEATER! ETC HI KW KVA ELECTRICAL WIRING
SIZE B TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
Q _ 1 100 LICENSED AS RCOUIgEO By LO! ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LE 0 P
AN I TEND TO
1 - 10 300 I RESIDE IN THE ABOV B ES TIAL JIOPERTT
10 - 60 500 SIGNATURE u
OF PERMITTEE K
50 - IDO 1000 O
DISTRICT MO (L/CCA!! ZOJ{E PRO 8 Y
100 — SOD 1l 00 CL
N
SIGN GAS SIGN AND ONE CIRCUIT S00 NOTES Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS IGO
SERVI CENOT OVER 600 VOLTS OR 200AMP 900
SERVICE OVER 600 VOLTS OR 200 AMP 1000 APPROVAL! DATE INSPECTOR'B SIGNAnn
TEMP POWER POLE
TEMP SERVICE POLE @APPURTENANCES SOD
UNOERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM O00
ROUGH CONOIUT
WIRING
FIXTURES r
POWER AUTHORIZED
PERMIT FEE (SUE) TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3G JOSEP C ROONAN
TOTAL FEE A SUPERVISING ELECTRICAL ENGIN
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0va
cAaN
L11L03 9 1 5 X 1 1 2 D 5.00- Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
TSAESE CSROE 10 EI APPLICATIO FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER T
WIWAM A JENSEN,SUP T OF BUILDING LOCFOR ALITY J
NEAREST
PPLICANYTO FIL IN I cRosa aT
1 T [ M NO GCM IFd '
OUTLETS (FIRST 20) 20 5 OWNER
LIGHTS R[CSPT SW MAIL
OUTLETS (ADD L UNITS) ADDRESS
LIGHTS RECEPT Rw 10
LIGHTING FIXTURES (PIRG 20) 20 CITY gzz� TEL NO "7 7�Jp
LIGHTING FIXTURES (ADDITIONAL) 10ELECTRI ICI1IAN
RANGES CLO DRYER[ wTR WIN, 1 GO ADDRESSlpO-e G(Y4 p �7/,
"Its DISP STA COOK CITY L.pL�yTtr' TEL NOX%/ ! 7�0 !
DISHWARH AUTO WASH STATE
RPAC[HTRR [TA APP (9A N P MAX) SO LICENSE NO O
MOTORS. mKn MOTOY[R NP DIST N GROUP ZONE PR CE ED BY
O 1 100
1 — a ISO INSPECTION RECORD >
a B 200 0_
O
S 15 250 ' L)
15 —' 50 300 O
50 100 1 500
n.
SIGNS, NO TRAMS
NO LAMP,
SERVICE O SOOV NOT OVER 200A 100
SERVICE O 500V OVER 200 A 200
SERVICE OVER SOOV goo
MISC
t
PERMIT ISSUING PEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 '
TOTAL FEE
1 HER[[Y ACKNOWLEDGE TMAT 1 HAVE READ TMIE APPLIGTION APPROVAL OAT[ INY[CTOR RRIONATURK
AND STATE THAT THE AROV[ IS CORRECT AND AOR[E TO COMPLY CONDUIT
WITH ALL COUNTY OROINANC[R AND STAT[ LAW[ RCGULATING
ELECTRICAL WIRING WIRING 1
1 HERESY CERTIFY THAT 1 AM PROPERLY R[OIST[IDD AND/OR
UCENRER
O AREQUIRED EY LO[ ANGELS➢ STAT[ OF AND STATOF FIXTURES
CALIFORNIA OR THAT 1 AM THE L[OAL OWNER OF TMC AWVE
D[RCRIS[D OR PROPERTY POWER !
SIGNATURE UTILITY CO NOTIFIED
OP PERMITTEE FINAL I I I
�IARTHURIC VERT
CK MOO CAS CASH BUPCRVISING ELECTRICAL ENGINEER
L 12 1 3 2► An 16 2 D 400
'°"°""°°"°"' APPLICATII N LE TRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ��oREss OWtl IMG
BUILDING AND SAFETY DIVISION
LOCALITY GQy
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS' NO EACH] FEE ER., FIIRRM NAME B
S S
RECEPT_ MAIL +
LIGHT_ TOTAL
FIRST 20 25 ADDRESS
OVER 20 CITY � TEL NO
SWITCH_ ID PLAN CHICK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES OVER 20 ID AODRE59
RESIDENTIAL APPLIANCES CITY _ TEL yO
PERMIT
RANGE-DRYER_WTR HTR_ APPLICANT JIr
`S
STA COOK_DISP _F A U _ ADDRESS
SPACE HTR AIR GOND IC,IITEYry9 �/^ TEL NO G�
CLOTHES WASH _OISHWASH_ REG NUMBER { 2 cu6s.G/17
FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
AND STATE-THAT THE ABOVE IS CORRECT AND AOREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAW° RESUTATINS
IND HEATERS, ETC HP KW MVA ELECTRICAL WIRINO
SIZE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY IETERED AND/OR
O - 1 100 LICENSED AS REQUIRED OY S A OSCE! N ANO STATE OF
CALIFORNIA OR THAT I TH EOAL HER OF THE ADDY
I - 10 SW DESCRIBED RESIDL NTIA RO TY U
10 - 80 Opp PERMITEE 1
SIGNATURE o
ISO - 100 1000 DISTRICT NO ESSED BV y
N
100 — 500 1500 G� \ _
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE wept SIGNATURE
TUBE, OR
MARQUE! ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS R2OOAMP 300 S'D UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR2O0 P 1000 ROUGH CONDUIT
TEMP SERVICE,POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED ,
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE i
PERMIT ISSUING FEE 300
TOTAL FEE I 9 Ot)
PLAN CHECK VALIDATION CK M 0 CASH PERMly IALIDATION cN M 0 CABH
09 1��EB 9 9.0 0 e
SEE RAM OF APPLICATION FOR COMPLETE SCHEDULE
7e�aa-1 oR.sA n-eG APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
CCOUNTYNTY OFF LOS LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIRTRICT_NO. GROUP I ZONE PERMIT NO.
5 4995c'ELECTRICIAN
RECEIVED BY READY FOR DAT[ ISSUED
ADDRCSB FIRST INSPECTION
CITY TEL NO
-7 T71 .� -s
i
COUNTYLICENSE NO
EXPIRES BUILDING /'/ O OI O-S
PERT FEES ADORERS Jbap
NUMBER EACH rEE LOCALITYAREBT
/ L/I
LIGHT OUTLETS CROSS ST. q �� •V �� r
RECEPTACLES l
WALL SWITCHES OWNER
TOTAL OUTLETS sv S MAIL
ELEC RANGES 25 ADDRESS
ELEC HEATERS 23 CITY TEL NO
FIXTURES S 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NuwecR HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL ROP[RTY OpIBED ABOVE.
N[w Mw HP DYER INe EACH
FEE
A "as 23 CrA
SIGNATURE Or
yll 2 so PERMITTE
2 s 1 G INSPECTION RECORD
s 1s 1 so
15 s0 250 _
s0 200 am _
200 Boo 1000 J
500 1 7000 13 OO Z
OVER IOOO IIS 00 F3
M S B[T FRES CHANGER-HP C
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75RF RRIe)
MOVED MOTORS (76 GF DRIB)
MIBC
BIONS
NO NO TRANS APPROVALS
NO NO LAMPS D,v
FOR EACH PERMITt DAT[ I NSPCCTORIB NAM[
WIRING 0100 1610 CONDUIT
FIXTURES 5100 0401- WIRING
SUPPLEMENTARY 50 rIXTUREG
POWER
TOTAL FEE O� 7� UTILITY Co NOTIrIED
FINAL
76Al6i caa 5A a-[a APPLICATION FOR PERMIT
DEPARTMENT OFiCi AND SAFETY ������I�
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. OROIJP ZONE PERMIT.
ELECTRICIAN J E PARKER
R [IVSD MY READY FOR IR[ ISSUED
ADDRESG / FIRST INSPECTION
CITY AM. T[L NO L L—
COU LICENSE Nd Im EXPIRE" BUILDING SG L O _ Q
PERMIT FEES ADDREGe N
NUMBER EACHFEE LOCALITY
LIGHT OUTLETS NEARERT '_"
RECEPTACLES CROSS ST.
WALL GWITCHCB OWNER
TOTAL OUTLETa So MAIL
[LEO RANGES aS ADDREBB
CLEO HEATERS 26 CITY TEL. NO
rIKTUREG S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGR[[ TO COMPLY WITH ALL COUNTY OROINANOES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LDS
NurR[R HORSEPOWERANGELES COUNTY LICENB[. OR 1 AM THE LEGAL OWNER
�[
N[w Mw HP OVER IXo [ACX Or THE R[HID[ IAL PROPERTY DfBCRIB ABOVE
1/2 • L s 10 .26 SIGNATURE oryx
a SO PERMITT r I
a S a SPECTION RECORD
S 16 1 SO /
aDO sko
COO Sao lolm
BOO O =
os �vA..oLs
aD ao �
M G SET/ REQ ON GER-HP
WELDERS AO-KV S T / O
GENERATORS - KW
TRANRFORMERS - KVA
TEMP MOTORR (7S Or RRIR)
movEp MOTORS (7• or anm.)
MIRO
SIGNS
NO NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMIT DAT[ I NBPECTOR'B NAM[
WIRING 1 DO CONDUIT
rIKTUR[S igloo WIRING
SUPPLEMENTARYSO FIKTUREG
POWER
TOTAL FEE •
LIT
IL;
NOTIFIED L /
FINAL ./S?i
WORKERS COMPENSATION DECLARATION ,iomwoPwarar . APPLICATION FOR ELECTRICAL PERMIT O
I hereby affirm that I have o certificate of consent to sell �
insure' or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES DEPT OF lUBLIC,,WORKS
or a certified copy thereof (Sec 3600 Lab C )
r _
PpI cy No Company FOR APPLICANT TO FILL IN JOB O O --
M Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS
Certified copy is filed with the county building inspec 1 8 2 Family Sq Ft $ — E 1 LOCALITY
hon department Multifamily Sq Ft — NEAREST
CROSS ST
Residential Swimming Pools OWNER OR
Date Applicant / FIRM NAMEID 114A
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec—Light)—Sw_9�i MAIL
COMPENSATION INSURANCE 7 9r7 3 Q ADDRESS &
First 20
Av
(help section I nod not un completed H the work Involved by CIN �1 Tel No - '
Tocol No Additional
the permit is for one hundred dollars ({100)or lou ) � RAN CHECK
I certify that in he performance of the work for which this APPLICANT LU�
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 .190 ADDRESS :2� A r
Additional
Dote Applicant Total No CITY No -O
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—DW _ APPLICATION
rk
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 Hood — Fan —Other_ CITY Tel No
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Diap _ Room Air Cond R NUMBER Clan
(commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO P C SSED BY Y
and Professions Code and my license is in full force and effect �� D !/Z-�! a
Size 8 Type HP, KW, KVA or KVAR O Q
License Number Lic ClassUp to I Incl FINAL r U
Over 1 to 10 Incl DATE 1/ VALIDATION
Contractor Mie Over 10 to 50 Incl FINAL O0
❑ U
I am exempt under Sec Over 50 to 100 Inc BY
B 8P C for this reason Over 100 ci W
Q.
Date Z
Services, SwbZ
d , MCC B Ponelbocrds ,
0 200 Amp Under 600 V
Signature 201 - 1000 Amp Under 600 V
Over 1000 Amp or Over 600 V
Exemption for Reg Mamt Elect -
rSINGLE FAMILY Tem Power Pole 8 -
HOME OWNER BUILDER DECLARATION P Appurtenances y
hereby therm that exempt from the Contractors ss n n with One Branch Circuit
AC- r
Law for the fallowingg r reason (Section 7031 5 Business andd SigAdditional Sign Branch Circuits NSC T.r
IPro�fessions Code) _)707
l as owner of the property, will do the work and the Mac Conduits 8 Conductors
L'J ,
1
structure is not intended or offered for sale(Section 70" Other (See Complete Fee Schedule)— I I 7
Business and Professions Code) , TOTItL 16 - 60
CONSTRUCTION LENDING AGENCY LHGCY.
I hereby affirm that there is a construction lending agency for 1�'u-I
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) b70CHANGE ,1711
(Sec 3097, Civ C )
PLAN CHECKING FEE
Lenders Name n"IJL.1-j-��1 vIZJ75'].
i PERMIT ISSUING FEE
Lenders Address 2`41 1 AN 8,��y
I certify that I have read this application and state that the TOTAL FEE lir
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 above-mentioned property for inspection ppop0s
- / SEE REVERSE FOR EXPLANATORY LANGUAGE
^
Signature of Permittee ���-Do /—'- CpsDooTee--q"
A , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0401060026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE (626) 285-0488 EXT
L\L ID FEES PAID BUILDING ADDRESS
ON FILE 5604 5608 ROSEMEAD BL
FEE DESCRIPTION QUANTITY LION AM"T TEMP CA 917801842
ASaESSOR INFORMATION NUMBER - NEAREST CROSS STREET' LAS TUNAS
,5387-028-017 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 -GRID _H4 _ LOCALITY TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 26 00 OUT 47 10
TENANT G2 LIGHTING FIXTURES 11 00 LGT 21 45 iSSUEL, ON PROCESSFO BY PLAN BY EXPIRES ON
H7 RES EXHAUST FANS 1 00 EX 10 95 01/06/04 VG 07/04/04
JA HEAT PIMPS +3-10HP 3 00 HT 58 95
OWhER LA 100 AMP PANELS MCC 1 00 PAN 38 85 FINAL DATE FINAL BY CODE
NADI - LN OTHER PNL 0-39A AMPS 1 00 PAN 38 85
5608 ROSEMEAD TOTAL FEES 243 90
TEMPEL C,TY 91780 nTnTPTTN_6F WORK
UPGRADE SERVICE, ADD SUB-PANEL AND REWIRE
AP�LTCAN
CdANG (626) 705-2363-
SPECIAL CONDITIONS.
CONTRACTOR TEL NO — APPROVALS DAjE_
CHANG, KUANG-KAI (626) 705-2363-
14424 E 30NELLI ST LIC NO TEMPCRARY POWER POLE
CITY OF NOU'STRY CA 91746 674054010
ARChITEC- c
LIC NO ROUCH CONDUIT
ROUGH wIRING
MXflrgMR LINE PE
PLASTIC Y/N METAL Y/N
i
REPORT ID: DPR265 ROUTE TO BS0508