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HomeMy Public PortalAbout5611-5617-5623-5629-5633 ROSEMEAD BLVD_Electrical__ 76AS63C- CE8068 12/73 APPLICATION FOR ELECTRICAL BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN ,JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS (o/r 1 &2 Finaily Sq. Ft. $ — $ LOCALITY sK Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST. L� L �7 'j OWNER OR FIRM•NAME �j 6L.iOge_ Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESS Additibnal CITY Tel. No. PLAN CHECK Lighting.Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT �S Range_ Heater_ D.W. _ ADDRESS Oven _ Dryer _ W.M. _ r�1 Top _ FAU — W.H. _ CITY Tel.No. if��?i7j Hood Fan LICENSE OR ✓ �- .REG. NUMBER b Zi Class. p Disp. A.C. ca 1 THEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 1=. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V ELECTRICAL WIRING. Size&Type HP,KW,KVA,or KVAR a ' Up to 1 Incl. 1 HERES CERTIFY TNA 1 AM R ERLY RE ISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED' LOS G ES C Y AND STATE OF CALIFORNIA R TH 1 AM T E L O OP THE ABOVE Over 10 to 50 Incl. DESCRIBED RE 1 PROP Y. Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE Services DISTRIUO. P CESS 0-200 Amp. Under 600 V S . 201 -1000 Amp. Under 600 V APPROVALS E INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL? PERMIT ISSUING FEE NOTES TOTAL FEE PLAN-CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH' 9 7 AUS 31 2. © 12.0,0 A98 t 76AG63C-CE80613 12/75 APPLICATION FOR ELECTRICAL PERMIT City -of Temple City Busihess License No. 12848 BUILDING AND SAFETY DIVISION POR APPLICANT TO FILL IN ,JOB rr�� New Residential Bldgs.&Pools EACH NO: FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITYR.Osemead at Las Timm Multi-family Sq.Ft. — NEAREST CROSS ST. Temple City . Residential Swimming Pools OWNER OR FIRM NAME E.G.S. Metro Constr:t Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESS P.O.-Box 92959 Additibnal CITY L.A. Tel. No. 649-3850 PLAN CHECK Lighting Fixtures �1 APPLICANT First 20 0 ADDRESS Additional CITY Tel.No.: PERMIT Fixed Appliances Not Over 1 HP APPLICANT E.E.F. Electric C Range_ Heater_ D.W.' .— ADDRESS P.O.Box 1383 Oven _ Dryer _ W.M. Top — FAU _ W.H. _ CITY GardenaTel.No. 323-2808 >_ Hood Fan LICENSE OR 180456 Class. C10 C-')Disp. A.C. = 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q Power Apparatus&Large Appliances ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W Size&Type.HP,KW,KVA,or KVAR ELECTRICAL WIRING, h Up to 1 Incl. Z 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 1.0 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP CALIP ORN IA OR TM' 1 /`M THE L L O ER OP THE ABOVE Over 10 to 50 Incl. OESCRIB ED REBID L PR OPERT Over 50 to 100 Incl. PERMITEE Over 100 SIGNATURE Services DISTRICT NO p P CE D BY 0-200 Amp. Under 600 V 201 -1000 Amp.Under 600 VAPPROVALS E INSPECTOR'S SIGNATURE Over 1000 Amp.or Over 600 V TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING' FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE - NOTES / TOTAL FEE /� c PLAN CHECK VALIDATION CK. M.O. C SH PERMIT VALIDATION CK. M.O. CASH 62rt_%9EL 14 2 .9 1 5NUm 76A663-cE806 12/75 APPLICATION FER E .ET�tICAL PERMIT - :. COUNTY OF LOS ANGELES • DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS 'S Rosemead BUILDING AND SAFETY DIVISION FOR APPLICANTLOCALITYTemple City New Residential Bldgs& Pools EACH NO. FEE NEAREST 1 &.2-Family,Sq. Ft. $ .025 — $ CROSS ST. Las Tunas — OWNER OR Multi-family Sq. Ft. •02 — F RM NAMES.G.S. Metro/Lip's Baker Residential Swimming Pools 20.00 MAIL ADDRESS P.O.Box 92959 Outlets: Light,Switch & Receptacle >'40 20 8 OO CITY I= L.A. Tel.No-649-3850 First 20 761i I PLAN CHECK Additional APPLICANT ADDRESS Lighting Fixtures 40 16 6 40 CITY Tel.No. First 20 .Additional 30 PERMIT APPLICANTE E F. Electric Co. Inc. Fixed Appliances Not Over 1 HP ADDRESS P.O.BOx 1383 Range_HeaterD.W.— CITYTel.No. 321-1227 Oven_Dryer_W.M._ _ �Gardena Top_ FAU _W.H._ REG NUMBL• 290859 Class.C10 Hood_ Fan Disp._A.C. 2.0.0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES. AND STATE, LAWS REGULATING Power Apparatus& Large Appliances ELECTRICAL WIRING: (S� e HP,KW, KVA,or KVAR 1.5 2 3' 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Size&T y LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF s� Up to 1 Incl. xm CALIFORNIA OR TH I AM THE EGAL OWNER OF THE ABOVE Over 1 to 10 Incl. KM DESCRIAED RES TIAL PRO TY. Over 10 t0 50 Incl. 10.00 PERMITEE Over 50 to 100 Incl. 20.00 SIGNATOR Over 100 30.00 DISTRICT NO. P ESS BY Services 1411 0- 200 Amp. Under 600 V 1.2.50 INSPECTOR'S 9+ 201,1000 Amp..Under 600 V 25.00 APPROVALS DATE SIGNATURE g• Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE m Temp.Power Pole&Appurtenances 10.00. UNDERSLAB WORK , Sign with One Branch Circuit 10.00 ROUGH CONDUIT _-7-7 Additional Sign Branch Circuits 2.00 WIRING_ (Other) t FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED ' FINAL �e✓/ PERMIT FEE. _ (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE 4. 5( 4 ISO TOTAL FEE $27..75 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALll AT ON CK. MO. CASH 'TAPHAR 24B _5� A98 27.7 SEE BACK OF APPLICATION FOR COMPLETE.SCHEDLILE � 76A669Cr CE0666,IZ/75 APPLIC ION FOR EL, CTRICAL PERMIT BUILDING AND SAFETY DIVISIGN 617 FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY ' Multi-family Sq.Ft. — NEACROSSST.Residential Swimming Pools OWNER OR y FIRM NAME Outlets: Light,S091tEh&Receptacle MAIL 1 ADDRESS 01 First 20 ja 6 a I Additionally O CITY Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 4 ADDRESS Additional CITY Tel.No. Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU _ W.H. CITY T.I.No. 7 Hood _ Fan LICENS OR REG. NUMBER Class. — v Disp. _ A.C. _ z I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LV Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. (L rn Up to 1 Incl. I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR Z Over 1 to 10 InCI. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM' HE LEGAL OW F THE OWE Over 10 to 50 Incl. tD ED RESIDENTIA ERTY. Over 50 to 100 Incl. TEE Over 100 URE Services CT NO3-1000 OCE SED BY 0-200 Amp. Under 600 V 3 ' 0� 201.-1000 Amp. Under 600 V PPROVALS DATE ISIGNATURE Over 1000 Amp.or Over 600 V OWER POLE Temp.Power Pole&Appurtenances SLAB WORKSign with.One Branch Circuit Additional Sign Branch Circuits CONDUIT(Other) ES / AUTHORIZED PERMIT FEE (Sub-Tote 1) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE TOTAL FEE NOTES PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 4 3 8r'--GGT 1:2 2 1 5 2.4 0 ,&-46 76AS63C- CE808EI 12/75 APPLICATION FOR ELECTRICAL PERMIT TEMPLE CITY BUILDING AND SAFETY DIVISION ~ FOR APPLICANT TO FILL IN .JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 56115633 Rosemead 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Temple Cit Multi-family Sq.Ft. — NEAREST Residential Swimming Pools cRoss sT. Las. TunasOWNER-OR P RM NAME Rlad' o'cShacklz]Df G.S. Metro Outlets-0Q st Light,Switch&Receptacle ADDRESS P.O.BOX 92959 Additibnal CITY L.A., Tal. No. 649-3850 PLAN CHECK Lighting Fixtures /�{ APPLICANT First 20 v ADDRESS Additional CITY' TBI. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT E.E.F. Electric Co. Inc. ' Range_ Heater_ D.W. _ ADDRESS P.O.BOX 1383 Oven _ Dryer _ W.M. Top _ FAU W.H. CITYGardena TBI.No. 3.23-2808 Hood FanLICENSE OR r�� -• REG. NUMBER 290859 Class. C10 Disp. A.C. d' v ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE Is CORRECT'AND AGREE TO COMPLY Power Apparatus& Large Appliances �W.ITH .ALL COUNTY ORDINANCES AND STATE LAWS REGULATING SiELECTRICAL WIRING. Size&T ype HP,KW,KVA,or KVAR a Up to 1 Incl ���� 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LOver 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR T T 1 AM THE EGAL OWNER OF THIS ABOVE Over 10 to 50 Incl. DESCRIBED RES.f,IA It PRO PE .,Over 50 to 100 Inc[. PERMITEE Over 100 SIGNATOR DISTRICT NO. PROCESSED BY Services 6-200 Amp. Under 600 V ff Z., 201 -1000 Amp. Under 600 V APPROVALS DATEINSPECTOWS Over 1000 Amp,or Over 600 V SIGNATURE TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES. POWER AUTHORIZED PERMIT FEE (Sub-Total) aU 'TYCO,NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) L2i2 PERMIT ISSUING FEE TOTAL FEE ES PLAN CHECK VALIDATION CK. M.O. CASH • PERMIT VALIDATION K M.O. CASH •.1� 9 9.0:-MAR 3 8.7 OA98 76A663C- C880613 I3/76 APPLICATION FOR ELECTRICAL PERMIT TEMPLE CITY BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 5611-5633 Rosemead 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Temple Cit Multi-family Sq.Ft. CROSS ST. Lab Tunas Residential Swimming'Pools OWNER OR FIRM NAME P AAe_'r--ed 'CLOdI,.e/E.G.S. et Outlets: Light,Switch&Receptacle MAIL First 20 �'©_ qo ADDRESS P, 92959 Additibnal CITY L.A, Tel. No. 649-385.0 PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. PERMIT E Fixed Appliances Not Over 1 HP APPLICANT'- Range_ Heater_ D.W. _ ADDRESS P.•O.BOX 13.83 Oven _ Dryer _ W.M. Top _ FAU _ W.H. CITY Gardena, Tel. No. 323-2808 Hood _ Fan O LICENSE EG NNUMBER 290859 Class. C10 c Disp. A.C. _ . / cj 1 HEREBY ACKNOWLEDGE:THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0 Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1.. Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. Up to 1 Incl. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR colp Over 1 to 10 InCI. LICENSED AS'REQUIRED BY LOS ANGELES COUNTY AND STATE OF I CALIFORNIA OR T I AM THE GAL OWNER OF THE ABOVE Over 10 to 50 IrICI. DeseRleeo RE81 IA L'PRO PER Over 50 to 100 I ncl. PERMITEE Over 100 SIGNATUR • Zia DISTRICT NO. PROCESSED BY Services r 0-200 Amp. Under 600 V r 201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK •� Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES ]POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE F1 i 1.b o PLAN CHECK VALIDATION CK. M.O. CASH -PERMIT VALIDATION M.O. CASH 9 9.1 I"MAR 3 2 0" 6.C1 s NA6e3C- �88e6B 12/1 APPLICATION FOR ELECTRICAL PERMIT r e BU.1 NG AND S TY DIVISION FOR APPLICANT TO PILL IN JOB ywy New Residential Bldgs.&Pools EACH NO. FEE ADDRE S "V 1 &2 Finally Sq. Ft. $ — $ LOCALITY; G _ Multi-family Sq.Ft. — NEAREST CROSS ST. Residential Swimming Pools OWNER o FIRM NAME Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESSi Additibnal CITY r Tel. No ,d •W a PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel'.No. PERMIT Fixed Appliances Not Over 1 HP APP.LICAN Range_ Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU _ W.H. CITY . Tel.N Hood Fan LICENSE OR Q REG. NUMBER Disp. A.C. CI v 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C~.7 Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I" Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. 13- UpU to 1 Incl. Z p 1 HEREBY CERTIFY THAT 1 AM PROPERLY RE (STERE AND/ Over 1 to 10 Incl. 1 LICENSED AS R,EOU D BY LOS61,ELES TV A BTATfi OF CALIFORNIA OR I AM ABOVE Over 10 to 50 Incl. DESCRIBED RE Over 50 to 100 Incl. PERMITE Over 100 SI'GNATU RE DISTRICT NO. ROC SED Y Services to j 0-200 Amp. Under 600 V 201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S IGNATURE Over 1000 Amp.or Over 600 V TEMP.POWER POLE Temp.Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES. POWER AUTHORIZED PERMIT FEE (Sub-Total)( UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE v NOTES TOTAL FEE -L a PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH d 0 3 1 JAN 4 2- D 1 2.O OAS' 76AG63C.-,CE806H 12/75 APPLICATION FOR ELECTRICAL PERMIT _ ec. 1 S BUIL.D1 AND SAFETY D SION .. FAR APPLICANT TO PILL IN ,JOB f�/ W. New.Residential Bldgs.&.Poo.ls EACH. NO.' FEE ADDRESS. 5;111 /Y e+ /� 1 &'2 Finaily Sq..Ft. $ — $ LO'CAL:ITY91". z-6 Multi-family Sq. Ft. — NEAREST �/ !� CROSS ST.iL4's Residential Swimming Pools OWNER OR FIRM NAME AWeP— Outlets: Light,Switch&Receptacle MAIL. rJ�/`/ 4`_/I First 20 Q8 aU ADDRESS-7463 r Additional NL) pO CITY Tel. N.D.. -122- PLA:N.CHE' K �. Lighting Fixtures- APPLICA First 20 � 0.9 ADDR SS Additional o CITY Tell..No. _ Fixed Appliances Not Over 1 HP' APPLMICANT /,� r l �• Range_ :Heater_ D.W. I �S Oven Dryer _ W.M. ADDRESS. T•op _ FAU _ W.H. CITY 44A9.4S,IQ S Tel.No.9a- p CD a Hood Fan LICENSE G.NUMBER / „� _. 7. Class. Disp. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND'STATE THAT THE ABOVK.IS CORRECT AND AGREE'TO COMPLY V Power Apparatus'&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLI Size&Type HP,KW,K:VA,or KVAR , ELECTRICAL WIRING, y Up to 1 Incl. - 1 HEREBY CERTIPY THAT I AM PROPERLY REGISTERED AND/OR Z Over 1 to 10 Incl. LICENSED AS REOUIROO BY LOS ANG&LES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER -OF THE ABOVE Over 1.0'to 5.0 Incl. DESCRIBED RESIDENTI L PRO It Over 50 to 100 Incl. PER.MITEE Over 100 SIGNATURE" DISTRICT NO.. r:OCSSED B Services /^ t 0-200 Amp. Under 600 V (/ 201 -'1000 Amp. Under 600 V INS CTOR'S APPROVALS DATE S . NATURE Over 1000 Amp.or Over 600 V TEMP.POWER POLE Temp.Power Pole&Appurtenances UND.ERS_LAB WORK Sign.with One Branch Circuit Additiona6Sign Branch Circuits R'O'UGH CONDUIT (Other) ' WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI'.LITY CO.NOTIFIED PLAN.CHECKING FEE (One-Fourth Permit Fee). FINAL PERMIT ISSUING FEE TOTAL FEE NOTES 3 b PLAN CHECK VALIDATION CK'. M.O. CASH PERMIT VALIDATION CK M.O.. CASH. TEMPLE CITY 7GA663-CES06 12/75 APPLICATION FOR---ELECTRICAL PERMIT _ if COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER I JOB FNEAREST 5611x+'6 !3 Rosemead BUILDING AND SAFETY DIVISION F PP I Temple City, New Residential Bldgs& Pools EACH NO. FEE 1 & 2-Family,Sq. Ft. $ .025 — $ CROSS ST. Las .Tunas Multi-family Sq. Ft. 02 — — OWNER OR FIRM NAMEE.G.S. Metro/Pioneer Chi en Residential Swimming Pools 20.00 MAIL ADDRESS P.O.Box 92959 Outlets: Light,Switch& Receptacle CITY L.A. Tel.No. 649-3850 First 20 •50 PLAN CHECr, Additional .30 1 APPLICANT' ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional .30 PERMIT APPLICANT E.E.,F. Electric Co. , Inc. Fixed Appliances Not Over 1 HP ADDRESS P.O.Box 1383 Range_Heater D.W._ CITY Gardena Tel.No. 321-1227 Oven_-Dryer_W.M. LICENSE OR Top_ FAU _W.H._ REG.NUMB Class.cio Hood_ Fan I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Disp�A.C. Z•00 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' Power Apparatus& Large Appliances .E.LECTR ICAL WIRING. Size&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 >+ Up to 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE I'3 $.00 DESCRIBED RESI TIt�L PROP Y. Over 1 to 10 Incl. Over 10 to 50 Incl. 10.00 PERMITEE '�J�—�"° i�v Over 50 to 100 Incl. 20.00 SIGNATOR V1 Over 100. 30.00 DISTRIC1 NN�O. 3CESWP BY Services `� 0 U 0- 200 Amp. Under 600 V 12.50 INSPECTOR'S A. 201.1000 Amp. Under 600 Y 25.00 ] APPROVALS D E SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE o Temp. Power Pole&Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One=Fourth Permit Fee) PERMIT ISSUING FEE $6.00 4.50 TOTAL FEE 19. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIN `CK. M.O. CASH DAg, 3 7 5 NMIVR 28 2 1, SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , . WORKER'S COMPENSATION DECLARATION �66AD663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I hate a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereo f(Sec-.-G800 Lab.C.) Policy NO." CompanT� '~V m2 FOR APPLICANT TO FILL IN ADDRESS p Certified co Is hereby furnished. NO. EACH FEE I^ M rte{ PY Y New Residential Bldgs.&Pools _ $ $ LOCALITY.-tom 4� Cid L�I Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST / -, depa ment. Multi-family Sq.Ft. CROSS ST. +.^ 'TtJki4 J Date Applicant�� Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR COMPENSATION INSURANCE FIRM NAME Q First 20 MAIL (This section need not be completed If the work Involved by the Total No. Additional ADDRESS #1 IPA is for one hundred dollars(S100)or less.) I certify that in the performance of the work for which this permit CIT L t ' Tel.No. is issued, I shall not employ any person in any manner so'a5 to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. CITY Tel.No. 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 PERMIT P y P y provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT UPekto CeT 0-V LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS �70C� GAJ ydtiA � I hereby affirm that I am licensed under provisions of Chapter 9 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 Incl. >_ LICENSE OR • Over 50 to 100 Incl. REG.NUMBER � S Cles 0 �1 1 t—Q y Over 100 DISTRICT NO. SSED BY 0 License Number a ! J !� Lic.Class C' p CC Services,Swbd.,MCC&Panelboards �O -�' it Contractory Date 0-389 Amp.Under 600 V FINAL DATE O ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V 7! III VALIDATION Over 1000 Amp.or Over 600 V FINAL CL B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits i Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances CCIr°'" HOME OWNER-BUILDER DECLARATION h4ti`I Sign with One Branch Circuit —, I hereby affirm that I am exempt from the Contractor's License Law Sig672.45 for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): i ITEM ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 6-3- 45 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). r CHECK rj6.4.- CONSTRUCTION 4t- CONSTRUCTION LENDING AGENCY CHANGE .00 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 0[!0C 0I.1C1 12/1 `3 Lender's Name / 3042 f AM 9'---;g- PERMIT ISSUING FEE (O Lender's Address I certify that I have read this application find:under.penalty of purjury state.;,. , TOTAL FEE C that the above 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 property for inspection purposey/s. i.' SEE REVERSE FOR EXPLANATORY LANGUAGE i C,f ...• SIGNATURE OF PERMITTEE ATE e WORKE1 he:.eby affirm" that I'have Ma cert�ificfate of consentON Oto elf Insure, 76A663,N 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof'(.. c.'Seec...3800 Lab.C.) Policy `�{lu��No. COmpany J;d45RJ fakfalk FOR APPLICANT TO FILL IN JOB ADDRESS r F1 Certified copy fs hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE _ $ $ LOCALITY _ ®' Certified copy is filed with the county building inspection 1&2-Family,Sq.R. department. Multi-family Sq.Ft. CROSS ST. pate Applicant /V Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM,WORKERS' Outlets:Rec._Light Sw. OWNER OE COMPENSATION INSURANCE C (This section need not be completed if the work Involved by the First 20 MAIL permit is for one hundred dollars($100)or less.) Total No: Additional ADDRESS g Q. I certify that in the performance of the work for which this permit CITY nrg6 u Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional � ADDRESS , Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE T .O 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.. provislons of the Labor Code,you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT S [� ' LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ` ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 _� Over 3 to 10 Incl. / p (commencing with Section 7000)of Division 3 of the Business and CITY dam.y Tel.No. Professions Code,and my license is in full force and effect.. Over 10 to 50 Incl. LICENSE.OR .I Over 50 to 100 Incl. REG.NUMBER p Class.L'� d Over 100 DISTRICT NO. PRC ED BY 0 License Number 6 Lic.Class G Services,Swbd.,MCC&Panelboards Contractor Date 0-399 Amp.Under 800 V DATE 0 ❑ I am exe pt under Sec. 400-1000 Amp.Under 800 V VALIDATION U' Over 1000.Amp.or Over 800.V 9Y FINAL B,&P.C:for this reason BRANCH CIRCUIT FEES Date: 15A,or 20A,120V;Lighting or Recept.. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,20 VV To 277V Lighting Br.Circuits 7 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances ACCT A I hereby affirm that I'am exempt from the Contractor's License Law Sigh with.One Branch.C.'ircuft 9 for the following reason(Section 7031:5, Business and Professions Additional Sign Branch Circuits 3303 9°0'1' y )• , (Code , ! ��E�•O ❑ I,as owner of the property,will do the Work and the structure Misc.'Conduits&Conductors Is not Intended or offered for sale(Section 7044, Business Othe.(See Complete Fee Schedule) TOTAL S m 80 and Professions Code). CHECK 79.811 CONSTRUCTION LENDING AGENCY {_ � e .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.) PLA14 CHECKING FEE 0000-0001 6l 8/93 Lender's NameM01,LL 1 AM 9:7 8 PERMIT ISSUING FEE Lender's Address ' p^ I certify that I have read this..applfcatfon and under penalty of'purjurystate TOTAL FEE G v I that the above 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 property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE i SIGNATURE OF P M DA oqr- b COUNTY OF LOS ANGELES TEMPLE CITY # 0508 HLECCTT TCR1-PERM•I� DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS KEW= 9z�►�n4r4zb • BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: - LEGAL D: FEES PAID BU .NESS• BK: 62 PG: 2 PC: 5611 ROSEMEAD BL� FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: MP-CA 0-f804 ASSESSOR ORMA IO NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-031-059 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 TENANT: IA N-RES EX FANS LT 3HP 2.00 EX 30.90 ISSUED 0 PROCESSED Y: EXPIRES ON: ORANGE CHECKEN EXPRESS JF REFRIG CBNT +3-10HP 3.00 REF 58.95 02/04/97 TC 02/04/98 J5 OTHER PWR APP LT 3HP 5.00 FUR 77.25 OWNER: TEL. 0: TOTAL FEES 229.95 FINAL DATE F AL B �DE: ELT I NGE GRA2IAD IO;SAMPSON DEV CO - Ho -41/I 1 DESCRIPTION fiO WORK ELECTRICAL FOR T. I. IMPROVEMENT-RESTAURANT AP TEL. . GARY WANG & ASSO. (818) 288-6898- 573 MONTEREY PASS RD SPECIAL CONDITIONS: . MONTEREY PARK, CA CO TRACTOR: TEL. NO: i `\t I �� •APPROVALS DATE INSPECTOR SIGNATURE EVERSTRONG CONSTRUCTION, INC. (800) 933-8913- �� s��r� l � J r, r% . i 418 BAMBOO LANE LIC. NO T PO POWER POLE LOS ANGELES, CA 90012 721681 - �:�' _ _ UNDERGRO ND CONDUIT N0:C EC OR ENGINEER: rlu�,in ri UFER GROUND GARY WANG AND ASSOCIATES (818) 288-6898- — 1 573 MONTEREY PASS RD. #C LIC. N0: i� ROUGH CONDUIT MONTEREY PARK, CA 91754 NONE �Idi ;OCG H WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPW NOTIFIED ont 3 REPORT ID: DPR265 ROUTE TO: BS05O8 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 iECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 51 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL FEES PAID BUILDING A DRESS: BK: 62 PG: 2 PC: 5611 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801804 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-031-059 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED LA EXPIRES ON: ORANGE CHICKEN 03/13/97 TC 03/13/98 OWNER: TEL. N0: FINAL DATE FINAL BY: CODE: ELTINGE GRAZIADIO;SAMPSON DEV CO - V-19'43 D SC IPTION OFWORK ELECTRICAL FOR NEW CHANNEL LETTER SIGN APPLICANT: TEL. NO: 88 SIGN (818) 442-8033- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE 88 SIGN CORP (818) 442-8033- 1904 DOREEN AVE #A LIC. NO TEMPORARY POWER POLE SOUTH EL MONTE, CA 91733 702474 CIO UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TE 0: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITYCOMPANY NOTIFIED * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508