HomeMy Public PortalAbout5612 ROSEMEAD BLVD_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERDUILOING /
BUILDING AND SAFETY DIVISION ADDRESS G / 1
JOHN A. LAM BIE. COUNTY ENGINEDt
CASIRATTO GRIFFIN,Dun OTDUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PEDW FEW CROSS ST
ITEM mums"I SAGApEE OWNER MAIL
OUHTS REDEPT SW f 10 f �.� ADDRESS
LIGHTING FIXTURES 10 `LO CITY TEL NO ( /I /
ELEC.RANGES OLD DRYERB ELECTRICIAN `
AL-
WATER HEATERS 50 ADDRESSS.
ELEC.RACE HTRDISHWASHERS CITY TEL NO T/ /
GARBAGE DISPOSERS AUTO- STATE
WASHERS RA COOKING UNITE IID LICENSE NO b 7 724
MOTORS OVER INC. H P IS R P P
O— VE ED
VE— S DO MOMMON HECOED
Y— D 100
D— 11% ISO
15— Do 250
DO-200 SOO
SIGNS No TRANS
NO "Mpg
SERVICE O-000V 100 6 O
SERVICE OVER DOOV 500
MISC.
WIRINGPERMIT 100 Q O
FIXTURE PERMIT 100 O Q
SUPPLEMENTARY PERMIT DO
TOTAL FEE Is D
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE IHSPECTORSSIGNATURS
AHD STATE THAT THE ASO" IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND MATS LAWS REGULATING CONDUIT
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ASO"
DESCRIS® RESIDENTIAL PROPSRTT POWER
SIGNATURE ( UTILITYCO NOTIFIED
OF PERMI pp �/g
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COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105040050
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5612 ROSEMEAD BL
FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801849
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15387-028-016 IA1 PERMIT ISSUANCE FEE 21 80 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY C
101 OUTLETS-IOT,SW,RECP 25 00 OUT 45 70 1
TENANT 02 LIGHTING FIXTURES 20 00 LOT 38 80 11SSUED ON PROCESSED BY PLAN BY
ISH KITCHEN RESTAURANT IN OTHER PNL 0-399 AMPS 1 00 PAN 38 80 105/04/11 SR
TOTAL FEES 151 10 1
10WNER TEL NO 1 IFINAL DATE FINAL BY CODE 1
IPHAN DUC K (213) 792-8583- L
1534 E DEWEY AVE !�
ISM GABRIEL CA 91776 f Ip C I OF WORK
TENANT IMPROVEMENT-ELECTRICAL AND SUB-PANEL 200 AMP 1
1APPLICANT TEL NO 1 I
INGUYEN FRANK (626) 523-0366- 1
11711 MAGELLEN RD
1SPEC IAL CONDITIONS
IWEST COVINA CA 91797 1
I
ICONTRACTOR TEL NO 1 IAPPROVALS DATE INSPECTOR SIGNATURE 1
STC CONSTRUCTION CORPORATION (626) 286-1664- 1 1
9089 OLIVE STREET LIC NO
TEMPLE CITY CA 91780 684954B ITEMPORARY POWER POLE I
UNDERGROUND CONDUIT
I I
(ARCHITECT OR ENGINEERTSL NO 1 1UFER GROUND I I
NGUYEN, FRANK (626) 523-0366- 1 111
MAGELLAN
11711 MAGELLAN ST LIC NO (ROUGH CONDUIT
WEST CA 91789 NONE
TROUGH WIRING
(MAIN WATER LINE
PLASTIC Y/N METAL Y/N
I I
I I (UTILITY COMPANY NOTIFIED( 1
I II I 1 I
1 I I
I I
I I I
I I I I I I
I I I t I II
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508
I I I I I I
COUNT( OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105110035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5612 ROSEMEAD SL
(FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801849
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS
5367-028-016 Al PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H4 IACALITY TEMPLE CITY, Cl
ITENANT IK1 SIGNS OUTPLINE L.GT 1 00 SIG 38 80
(NEW ASIAN KITCHEN TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY
05/11/11 SR
(OWNER TEL NO FATE FIL3AA1LL, BY CODE
ICHEN, TONY (626) 696-6355-
15630 ROSEMEAD BLVD 'AI/(f�'LUI 11f/
)TEMPLE CITY CA 91780
(DftdZtPTION OF WORK
SIGNAGE INSTALLATION AND REMOVAL
(APPLICANT TEL NO
CHU, MICHAEL (626) 636-6355-
14156 PECK RD #F
LEL MONTE CA 91732 ISPECIAL, CONDITIONS
I
CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
90CCES9 SIGN AND AWNING, INC (626) 444-8181-
2812 PECK ROAD LIC NO ITEMPORARY POWER POLE
EL M)NTE CA 91731 896068
(UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO IUFER GROUND
LIC NO IROUGH CONDUIT
ROUGH WIRING
I I I
MAIN WATER LINE
IPIASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIED
I
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�• ADDITIONAL DATA ON FILE
(REPORT ID DPR265 ROUTE TO BS0508
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