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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 I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I• ADDITIONAL DATA ON FILE I I I REPORT ID DPR265 ROUTE TO BS0508