HomeMy Public PortalAbout5607 ROSEMEAD BLVD_Electrical__ nAIIS�CZSGI 10/74 pppLICATlO ELEC RICAL PERMIT
COUNTY OF LAS ANGELES
DEPARTMENT OF COUNTY ENGINEER '� �Sy�j Q� OS�W1ea
BUILDING AND SAFETY DIVISION
cV
LOCALITY-1 Hn CL
NEAREST
FOR APPLICANT TO FILL IN CROSS -4 Q V N Q
OUTLETS NO EACH " OWNER CR
Mj-L
$ $ FIRM NAM((� "4-1'we, (.-16, / CO ,
`. MAIL C)Q V4 f / I{�
TOTAL FIRST 20 Q�_ OVER 20 4Q 1yD 7 �� CITY QS Fj TEL NO
PLAN CHECK
LIGHTING l FIRST 20 7x $ �� APPLICANT
)) TOTAL
49 OVER 20 ADDRESS
FI%TURES � 0
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT I /a / Lt L` CO
RANGE_ORYER_WTR HTR__ APPLI CAN V LN C
STA COOK_DISP _F A U — ADDRESSNn t ("V
SPACE HTR AIR COND CITY C TE N09 SQ
/ LICENSE SR
CLOTHES WASH DISHWASH__ 'RE NUMBER CLASS G Q
FAN_�DTHER 10011
HERESY ACKNOWLEDGE THAT I HAVE READ THI5 APPLICATION
NO STATE THAT THE ABOVE Ia CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
DIEE & TYPE OVER TO
I NEE[SY CRETIN THAT I AM PROPERLY REGISTERED ANO/OR
O — 1 100 CALIFORNIAAS REQUIRED BY LTH ANGELES COUNTY ANO ETATE OF
CALIFRNOR THAI AM THE LEGAL OWNER OF TXE ABOVE
1 — 10 S00 OE aCRI[EO R[[ID(�[j/Q\IAL�PR�OPE/)RTY �y��
G 10 - 60 y 600 �' SIGNAITURE CD
$0 - 100 IODO DISTRICTTNO LES D BY y
100 - Soo 1600 J 08 _
SIGN GAS SIGN AND ONE CIRCUIT 600 APPROVALS DAT[ INSIP a1IIM
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS I00 TEMP POWER POLE Ab-2.2- 96 cArd,
/
SERVICENOT OVER 600 VOLTS OR 20DAMP SOO UNDERSLAB WORK
SERVICEOVER 600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 600 s(J WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 Itg FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL ��-
PERMIT FEE (SUB TOTAL) NOTES t
PLAN CHECK FEE
PERMIT ISSUING FEE 300 �I„•
TOTAL FEE
PLAN CHECK VALIDATION CE M 0 CASH PERMIT VALVATIO9 K M D CASH
3 2 3nAPP 13 2 0 7 4.3 5 .�e
399 DAM OF APPLICATION FOR COMPLETE SCHEDULE
T[A[[[-CRSCG 10,14 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERf
BUILDING AND SAFETY DIVISION
TYTFOR APPLICANT TO FILL IN STOUTLETS S EACH I[ ME SRECEPT I LIGHT_ TOTALFIRST 20 �, S
CITU TEL NO
SWITCH__ OVER 20 110 PLAN CHECK ♦/ L r it
FIRST 20 25 APPLICANT L.G-J c7 j/
LIGHTING TOTAL Q [7
OVER 20 ADDRESS Rp
FI%TURES 10 !,
RESIDENTIAL APPLIANCES DI TY �W TEL NO s
PERMIT
MNGE_DRYER_WTR HTR_ APPLICANT
STA COOK_DISP _F A U ADDRESS
SPACE HTR AIR COND CII TY TEL NO
CLOTHES WASH DISHWASH _ REG HUMBER CLASS
FAN—OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RA TIME WITH ALL COUNTY ORDINANCES AND STATE LAWS REOUTATINO
IND HEATERS ETC HF XW KVA ELECTRICAL WIRING
S I2E B TYPE OVER TO
I N[R[SY CER FY T T AM ■ ERLY REG STEVA
D/OR
O - 1 100 LICENSED AS R UIRED Y LOS AN E ES COUNT ANE OFCALIFORNIA 0 THAI AM TME AR F SOVE G•
1 - 10 300 DESCRIPED SIDENT PROPE Y
PERMITE
10 - 50 500
SIGNATU
50 - 100 1000 DISTRICT NOeROOII�SED BY h
I5aff
Z100 - 600 O
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE IMY[C SIGNATURE
TUBE 00.
MARQUEE ADDITIONAL CIRCUITS IDD TEMP POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK
SERVICE OVER 600 VOLTS OR ZOOAMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 600 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES '
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE Q
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M 0 CASH
1 3 8['0.,16[, 20 2 O 1 2A 0
SEE SAM OF APPLICATION FOR COMPLETE SCHEDULE
T•A�3 a 1=/75 APPLICATION FOR ELECTRICAL PERMIT �1
tJ
BUILD( AND SAFETY Df4iSION
FOR APPLICANT TO FILL IN JOB
New Residential Bldg$ &Pools EACH NOI FEE ADDRESS'
1 &2 Finally Sq Ft $ — $ LOCALITY („E; 7-1
Multi family Sq Ft — NEARESCAMS T
T
Residential Swimming Poole OWNER OR
FIRM NAME rl
Outlets Light Switch & Receptacle ADDRESS O S
First 20
Additional CITY Tel No
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITU Tel No
PERFixed Appliances Not Over 1 HP APP Li ANT g
Range Heater_ D W
Oven _ Dryer _ W M ADDRESS f�0 Cy S70 0 ��'
Top _ FAU _ WH CITY • r 8 Tel No -9 a
Hood Fan LICENSEORI
AC REO NUMBER y O Clan v
s
i M{w tRv wcxnoN Lt OO• Tw• Vs READ T LIGATION p
Power Apparatus III Large Appliances
O STATE T II
T THE MOVE IE CORRECT AND ROME. TO COYPL♦ H
rv�rH ALL "' Dw OiH..... ANO •FAT. ... ..OULATiHO w
Size&Type HP, KW, KVA,or KVAR EL`cTNl.AL`r IN... d
rn
Up to 1 Ind i HERSEY c RTIPY THAT i AY PROPERLY N.O]VER.D AND/OR =
Over 1 to 10 Incl ..D A. .�DmRm •V L.. ....IS. ....TY AHD .r.T. cP
.A mO.NiA OR rHAT Y rHE L.OwL .RN.. OP IN. A.OV.
Over 10 to 501nc1 ei�cwi•ED RpiD.Nr DP.R
Over 60 to 100 Incl FERMITEE Y�N
Over 100 SIGNATURE
SONIC" 1
DISTRICT NO CES ED BY
0-200 Amp Under 600 V e
201 1000 Amp Under 600 V APPROVALS DATE 1
SiUNMT
ATURE
Over 1000 Amp or Over 600 V
TEMP POWER POLE
Temp Power Pole&Appurtenances U N 0 E RS LAB WORK
Sign with One Branch Circuit — ;D
Additional Sign Branch Circuits 6V ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Tom l) UTILITYCO NOTIFIED �f
PLAN CHECKING FEE (One Fourth Permit Feel FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
35
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION MO CASH
8 5 6fiQEC 27 2 9 1 35 O Ate'
O ✓D--'
ION
WORKERS have
a certificate
of consent to rE SM ,qra, APPLICATION FOR ELECTRICAL PERMIT
� I hereby affirm that J have a certdcate d consent to self misers �noeG
ar a certncat. of Uiloftm Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec 3800 Lab C)
Pokey No z 5 7og Company Nahtt*t d kwiff., 'ftwe FORT APPLICANT TO FILL IN JOB5607 N IZL1$r a Rlv .
❑ Certified copy is hereby Wrmshed New Residential Bilge &Pools EACH NO FEE ADDRESS
❑
Certified ied copy is filed with the county building nspect
1 8 2-Family Sq Ft $ — S LOCALITY
ddeparbrent d ��\,� Mulb-family Sq Ft �•
— y
Date 3- �� ,$v gpplK,A 170..✓/��• Resdemrel Swimming Pools O VAJQ$
raftlFTM LANAE UUHj,,j SAWIlInj
CERTIFICATE OF EXEMPTION FROM WORKERSM
COMPENSATION INSURANCE � — Light — Sw MAL
ADDRESS PUL.-
(This section need not be completed If the work Imclved by the First 20
Permit Is for one hundred dollars($100)or bee) Total No Addnonal Cm' (7 [ � Tel No
I certify that in the performance of the work for which due permit PLAT!CHECK
is issued I Shall net employ arty person in any manner so as to APPUCANT
become sub)ed to the Workers Comporreatior Laws Lighting Fixtures First 20 ADDRESS
Total No Addnionel
Date Applicant CITY Tel No
NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERWT
Exemption you should become subject to the Workers Compartsation Range— Heater— DW — APPLMANT t%ker QRS VLS V
pmvnsiorre of the Labor Code you must forthwith comply with such Oven _ Dryer_ W M — ADDRESS
Provssiosc or this permit shall be deemed revoked Top _ FAU _ WH _ CC
LICENSED CONTRACTORS DECLARATION Hood — Fan — Other— CRY Sa TN17LJ)�TA.154141
I hereby affirm that I am licensed under pmvisbrss of Chapter BLICENSE OR
(comnlen cling with Sectuxt 7000)of Division 3 d the Bus needs and D19P — Room Ain Cord REG NUMBER .2 1-773 O Cis
PrcAeesons Code and my licerse is in full force and effect Power Apparatus 6 Large Appliances INSTRIT NO 5_ PHOCE
t�W,^, Size d Type HP KW KVA or KVAR Q
License Number 77 Lc Class/'/o, -S Up to 1 Incl FINAL
3-.�1-88 Over 1 to 101na DATE o
❑
Con ac ¢ aA—Date over 10 to 50 Ina FINAL
I am exempt under Sec Over 50 to 100 Inc BY W
BdPC for this reason Over 100 a
N
Date Sarvc0 JF Swbd MCC oards
- ► Z
0 200 Amp Underr 6DO800 V
Signature 201 - 1000 Arm Under eGO V ;29224A
❑ Rag Mamt Elect
Over 1000 Amp a Over 800 V # 2
F_xamplion for n•
SINGLE FAMILY Temp Power Pole 8 Appurtenances _ • * 5550
HOME OWNER-BUILDER DECLARATION Sign with One Branch Cnmmt
I hereby offlrm that I am exempt from the Contractor a License Lew s e e 55505
for the following reason(Sector 7031 5 Business and Professors, Addrtnrlol Sign Branch Crrcwts
Code) 0322-88
❑ Misc Conduits a Conductors
I as owner d the Property will do the work(Section
and the Business Other(See Complete Fee Schedule) —
ia rid intended or offered for sale (Section 7044 Business; ►
and Pmfesscns Cade)
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for winch this permit is issued(Sec 3087, PERMIT FEE (Sub-Tota)
Civ C)
PLAN CHECKING FEE
Lenders Name
PERMIT ISSUING FEE
Larders Address
1 certify that I have read this application and state that the above TOTAL FEE O
information is co act I agree to comply with all County ordinances x
and State laws regulating Electrical wiring and hereby authorize
representatives of this County to enter upon the above-mentioned
arty for nspect purpos SEE REVERSE FOR EXPLANATORY LANGUAGE
ere of Permittee Date
WORK-IR I have PENSATIOhi DECLARATION 72D-00196AM DPW 9/69 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have acertnicste of consent to self insure 78AeB3
or a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof(Sec 3800 LLabs C)
Policy No -0-7 �oB�Paq �✓ FOR APPLICAXT TO NUL IN X89 O CA
❑ Certified coq is hereby fltmhhed New Residential Bldgs, 8 Poole EACH - NO FEE
CenlBed copy k filed with the county budding Inapecuon 1 E 2 Family Sq Ft — $ LOCALITY
C�
depart ent Multi family Sq FI — CROSS ST S
Data___ 7�Appkrant Residential Swimming Poo4 MAP BOOR
MAP BOOK PAGE PAIILEL
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec IO Ught3 Sw O Ef'OR r /
COMPENSATION INSURANCE First 20 al
/�/ '✓
(This notion "ad not be completed If the work Involved by the
MAIL
permit Is for one hundred dollars($100)or Nu) Total No IZZLAdditional ADUREW
I certify that in the performance of the work for which this permit CITY i TN W
is issued I shall not employ any person in any manner so as to '3 PtµCHECK
became subject to the Workers Compensation Lave Lig"Fixtures, Fret 20 APPLICANT
Total No Additional
ADDRESS
Date Appl�caNtt 16 OR 211A 120V BRANCH CIRCUITSNOTICE'TO APPLICANT If after making this Certificate of CITY T« ft
Exemption you should become subject to the Workers'Compensation 1 TO 10 MLUSIVE EACH
provisions of the Labor Code you must forthwith comply with Such 11 TO 40 INCLUSIVE EACH PERMWIT
Ap
provisions or this permit shall be deemed revoked p OR MORE BRANCH CIRCUITS EACH
LICENSED CONTRACTORS DECLARATION ADDRESS //,, � O
I hereby 12-411
affirm that I am licensed under provisions of Chapter 9 160R 20A 206V TO 277V LIGHTING EACH V
(commencing with Section 7000) of Division 3 of the Business and _ CILY� �,�� T („)
Professions Code anti my license Is,In full force and effect RESIDENTIAL APPLIANCES UP TO SHP 110ENSE ORCuess Q
//��"� Power Apparatus8 Large Appliances RED NUMBER
Ucanaa Number V U LIC C �/� Size a Type HP KW KVA or KVAR DISTRICT NO n Q� PRO PD BY O
� Up3d
Kd �//!J C LU
d
L. Overr m 3 10 InFMAL
or Data Over 10 m so Incl 8� Z
1 am exempt under Sac Over 60 to 1DD Incl T�CJ VALIDATION
B 8P C for this reaagn Over 100 BY
BY
Services Swbd MCC 8 Parremoards
e 0-200 Amp Under 600V
Signature 201 1000 Amp Under 600 V
❑
Over 1000 Amp or Over 800 V
Exemption for Reg Maint Elect -
SINGLE FAMILY Temp Power Pok 8 AppurtandutenA
HOME OWNER BUILDER DECLARATION " 'v
I hereby affirm that I am exempt from the Contractor a License Law Sign with One Branch Circuit 33
for the following reason (Section 7031 b, Business and Professions Additional Sign Branch Grana
Code) 1 y}rrlr•
❑ I as owner of the property will do the wock and the structure Yrsc Conduits A Conductors TLI I�� ,tL, c
is not intended or offered for eels (Section 7044 Business Other(Se•Complete Fee Schedule)_ ,7[/�
and Professions Code) ► CASH C f.-5
t
CONSTRUCTION LENDING AGENCY O ,_WKE
I hereby affirm that there Is •construction lending agency for the
performance of the work for which this permit is issued(Sec 3087 PERMIT FEE (Sub-Total) O lv
Civ C)
PLAN CHECKING FEE _ 00I3P-13IP f 4,115/92
Lenders Name
PERMIT ISSUING FEE -
Lender a Address
I cerhfy that 1 have read this application and slate that the above TOTAL FEE
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
Pr operty) I • n poses SEE REVERSE FOR EXPLANATORY LANGUAGE
S
SlifflATUR9 W APPLICANT OR ADEM
WORKER I COMPENSATION DECLARATION 7 20 W19 (12 9„ APPLICATION FOR ELECTRICAL PERMIT lJ
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 3x00 Lab ^��C�)
Policy N�O W___ tympany f FOR APPLICANT TO FILL IN JOB <� E),7
ADDRESS✓
❑ Cemfted copy is hereby furnished New Residential Bldgs a Pools NO EACH FEE LOCALITY
fes/ 1 6 2 Family Sq Fl $ $
LI Camlletl Ie filed wish the LOunty bwNllrtg In NEAREST
rtme Mulb family Sq Ft CROSS ST
Dated Applicant Residential Swimming Pools ASSESSOR
NAP BOOK PARE PIRCEL
CE TIFlCATE OF F�(EMPTION FROM WORKERS Cutlets Rec —Light Sw RRMENAME
COMPENSATION INSURANCE 11
(This section head not be completed If the work Involved by the First CRESS �—
permit le for one hundred dollars($100)or leen) Total No Additional
I certify that in the performance of the work for which this permit CITY TO No
is issued I shell not employ any person in any manner so as to PLµCHECK
become subject to the Workers Compensation Laws Lighting Fixtures First 20 APPUCANT Ori/-y ytJJ
Total No Atldnxmel
ADDRESSf'
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP
NOTICE TO APPLICANT If alter making this Certificate of CTel No �P
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 APPLICANT tr
provisions or this permit shall be deemed revoked
LICENSED CONTRACTORS DECLARATION Sae&Type HP KW KVA or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter B Over 3 to 10 Incl(commencing with Section 7000) of Division 3 of the Business and CITY Tel No
Professions Code and my license is in full force and effect Over 10 to 50 Ind �..
LICENSE OR
�` Over SO to t00Ind REO NUMBER Cbee 0
6 z_06 G `h Over 100 DISTRICT NO P SSED BY 0
License Number Yb OIJV Lw Claes y )
Services Swbd MCC 8 Pandboards �DO lwCt/
Contractor to r 0 399 Amp Under 500 V DATE
❑ I annexempt usher Sec 400 1000 Amp Under 800 V W
Over 1(X)0 Amp or Over 800 V VALIDATION
B&P C for this reason BY fn
BRANCH CIRCUIT FEES
Date 15A or 20A 120V Ughtirg or Recept Z
1 To 10 Branch C rcwts
Signature 11 To 40 Branch Circuits
41❑ cuits
Exemption for Reg Mount Elect 15A,20A 20 VV To 277V OUghting B;r More Circuits
2
SINGLE FAMILY Temp Power Pole 8 Appurtenances
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit - ACCT.i
I hereby affirm that I am exempt from the Contractor a License Law p
for the following reason (Section 7031 8 Business and Professions Additonal Sign Branch Circus M7 55.81
Code) 7—
❑ 1 as owner of the property vnll do the work and the structure Misc Conduits G Conductors 1 ITO IJ
is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) TOTAL 55.81
and Professions Code) pop. p
CONSTRUCTION LENDING AGENCY CHECK 55.01
I hereby affirm that there to a construction lending agency for the CHANGE .00
performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total)
Civ C)
PLAN CHECKING FEE 0000--01301 1/15/93
Lender s Name
PERMIT ISSUING FEE 7652 1 AM101 17
Lande{e Address /
I ceMy that I have read this application and under penalty of purlury state TOTAL FEE P
that the above information a cor I agree to ply with all County
ordinances and State laws reg Elecmcalwirin herebyauthonze
rep emativee of This Cou o e upon Ma mention props
for in rpls" — SEE REVERSE FOR EXPLANATORY LANGUAGE
9 Fr
sro
ti
• COUNTY OF LOS ANGELES TEMPLE CITY K 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003180047
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
IBE 105 PG 86 PC 2 5609 ROSEMEAD BL
IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801804
ASSESSOR INFORMATION NUMBER I i NEAREST CROSS STREET BROADWAY
5387-031-062 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C
IX1 SIGNS OUTLINE LOT 3 00 SIG 116 55
ITENANT I TOTAL FEES 149 30 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
103/18/10 SR 03/18/11
OWNER TEL NO I FINlw DATE FII7LLM�A/L BY CODE
GRAZTADIO INVESTMENT CO - t4 ' 11
1149 PAILS VERDES BL
REDONDO BEACH CA DESCRIPTION OF WORK
ELECTRICAL FOR THREE SIGNS
(APPLICANT TEL NO
STEVE TERRIAULT (619) 571-9675-
4444 FEDERAL BLVD f SPECIAL CONDITIONS
SAN DIEGO CA 92102
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
SIGNTECH ELECTRICAL ADVERTISING (619) 527-6100-
14444 FEDERAL BLVD LIC NO TEMPORARY POWER POLE
(SAN DIEGO CA 92102 06/30/2010
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO UFER GROUND
1 LIC NO 1 ROUGH CONDUIT 1 1
ROUGH WIRING
1 MAIN WATER LINE 1 1
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED( I
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I 1
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I• ADDITIONAL DATA ON FILE
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REPORT ID DPR265 ROUTE TO BS0508