Loading...
HomeMy Public PortalAbout5646-5648-5650-5652-5654-5656 ROSEMEAD BLVD_Electrical__ i 76A663CE-806(11 /78) APPLICATION FO ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH rNO FEEADDRESSC� / cG� t(�f l/F�A4Q 1 &2-Family,Sq. Ft. .025 $ LOCALIT)�_Multi-famil S Ft. 02 NEAREST Residential Swimming Pools =5.00 CROSS ST. Ou�/'� OWNER OR `� FIRM NAME r7 e"1 Outlets:Rec3-7—Light Sw. Zri �.v MAIL :3.750 First 20 D ADDRESS / te ¢ Total No. Additional 30 rZ LO CITY Ey�.�pl g: ,T✓ Tel. No. PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional .30 Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT Range—Heater—D.W. APPLICANT Z L rfaCr Oven—Dryer_W.M._ ADDRESS 3:5,) /Ji ����tt''✓O�E�(/ Top _FAU W.H.— CITY s,jZytyL,t Iy�gl' :_ Tel. No. y-� ftrtj Hood_Fan —Other LICENSE OR Disp._Room Air Cond. 2.5REG.NUMBER 2- Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS d 2.50 REGULATING ELECTRICAL WIRING O Up to 1 In . 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR U Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF OC Over 10 to 50 Ind. 12.50 CALIFOR�ORTHAj AM TH LEGAL WN OF THE ABOVE O 25.00 DESCRIBPROP !� Over 50 to 100 Inc. w Over 100 40.00 PERMITE0U SIGN y Services DISTRICT NO. (RC) E ED BY 0-200 Amp.Under 600 V 12.50 ,7 0 201-1000 Amp. Under 600 V 25.00 - [/d df ,G Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2.00 INSPECTION > INFORMATION Misc.Conduits&Conductors 10.00 ,4 Other(See Complete Fee Schedule l ON REVERSE v SIDE Z a J CL PERMIT FEE (Sub-Total U Z' PLAN CHECKING FEE IOne-Fourth Permit Fee, O PERMIT ISSUING FEE $7.00 0 J TOTAL FEE ? 'r > INSPECTION FINALED / W date: 1 By a - P'S i6A663 CE-80616/761' APPLICATION FOR ELECTRICAL PERMIT i COUNTY OF LOS ANGELES 5��: �_ B�JIBLDII�Cz�j_ND SAFETY 4/ _S_( FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH • NO. FEE ADDRESS 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY Multi-family Sq.Ft. .02 — NEAREST Residential Swimming Pools 25.00 CROSS ST. OWNER OR FIRM NAME J Outlets:Rec"Light I&SW./2- 50 �O MAIL First 20 ADDRESS - A&=4 64j4AIJ Tel.No Total No. A v •� Additional 30 CITY PLA CHECK APPLICANT Lighting Fixtures First 20 .50 /0. ADDRESS Additional .30 Total No. CITY Tel.No. Fixed Appliances Not Over 1.'HP PERMIT bc:�J Range—Heater—D.W._ APPLICANT ADDRESS Oben_Dryer_W.M.— Top _FAU W.H._ CITY Tel:No _�Wk Hood_Fan Other_ ICENSE OR J Disp._Room Air Cond. 2.50 L ' .3o REG.NUMBER Class.�j-!� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&.Large Appliances TION AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO Size&T e HP,KW,I<VA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Yp REGULATING ELECTRICAL WIRING. 2.50 Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REG TERED AND/OR Over 1 to 10 Incl. 5.00 © LICENSED AS REQUIREDAY LOS ANGELES COON AND STATE OF Oyer 10 to 50 Incl. 12.50 CALIFORNIA OR THAT M THE LEGAL OW OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTI L PERTY..PER0 Over 100 40.00 SIGNATURE U SIGNURE VA S rvices DISTRICT NO. P ESS BY g 0. 200 Amp.Under 600 V 12.5.0 0 3 201.1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 Temp.Power Pole&Appurtenances 10.00 a .� Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > p 8 Q 6 A W Misc. t 0.00 INFORMATION.Conduits&Conductors ON REVERSE x Other(See Complete Fee Schedule) SIDE u # o o o 0 o 2 5 20219.50 021 9.5040 PERMIT FEE 1Sub-Total) Z IR13-78 PLAN CHECKING FEE (One-Fourth Permit Feel O r= PERMIT.ISSUING FEE $7.00 O TOTAL FEE �' > INSPECTION FINALED IL date: By ®s '6A663 CE-80616/701 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB EACH NO. FEE ADDRESS. �6 New Residential Bldgs.&Pools LOCALITY 1 &2-Family,Sq.Ft. $ .025 -- $ Q Multi-family Sq.Ft. .02 — NEAREST Residential Swimming Pools 25.00 CROSS ST. OWNER OR + �rr// FIRM NAME Outlets:'Rec/A 7 Light .$W DADDRESS 20 .50 O u _ .nn Total Noll *X'4 Additional 30 CITY J el.No. ,§-,,�r7o PLAN CHECK APPLICANT " Lighting Fixtures First 20 .50 d �� ADDRESS ��?? Additional •30 Total No: •7 CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT .0 Range_Heater=D.W.— APPLICANT ADDRESS - / Oven—Dryer_W.M.— Top _FAU _W.H._ CITY L/ Tel.No. F�(C 0 Hood—Fan �Other_ 2.50 �, Q LICENSE OR _t Class Disp.—Room'Air Cond. REG.NUMBER pC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND,STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&TYp e HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS to 1 Incl. 250 U REGULATING ELECTRICAL WIRING. ' p . T I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR L Over 1 to 10 Incl. 5.00 He I LICENSED AS REQUIRED BY LOS ANGELES COUNTY.AND STATE'OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 09 Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTIAL PROPERTY. Over 100 40.00 PERMITEE go SIGNATURE Services 12.50 DISTRICT NO P CES ED BY 0-200 Amp.Under 600 V 201.1000 Amp. Under 600 V 25.00 Over 1000 Amp.or Over 600'V 50.00 Z Temp.Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 c Additional Sign Branch Circuits 2'00 INSPECTION > Misc.Conduits&ConductoON REVERSE 10.00 INFORMATION ruji � 1 2 a 1 R x Other(See Complete Fee Schedule) SIDEv o o o o 0 Z. # L'1 . 20165x50 PERMIT FEE (Sub-Total) 00165505 PLAN CHECKING FEE (One-Fourth Permit Feel O 1.09-78 PERMIT ISSUING FEE $7.00 O ,e,•t'w2c� TOTAL FEE -1-Jo INSPECTION FINALEDQ date: By �/�__QQ ' n 78A683 C6 eaeR 10/=7 APPLICATION FOR �E_ LECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JODB BUILDING AND SAFETY DIVISION' AuDRESS FOR APPLICANT TO FILL IN LOCALITY ' yG , �� New Residential Bldgs.&Pools EACH NO. F7EE ' : NEAREST. S 1 &2-Family,Sq.Ft. $ 025 _ $ OWNER OR :Multi-family Sq.Ft. FIRM NAME Residential Swimming Pools 25.00 MAIL ADDRESS cJ�• S `C Outlets:Rec�Ligh�Sw. CITY Tel.Na. First 20 50 90 LLkPLAN CHECK Total No. F If Additional .30 APPLICANT �r►� ADDRESS Lighting Fixtures First 20 .50 (/ CITY Tel.No. �DAdditional 30 . p PERMIT Total.No. APPLICANI:;L Fixed Appliances Not Over 1 HP ADDRESSJ;Z Range_Heater—D.W._ CITY T.I.N 7�`3 Oven_Dryer_W.M. � '� --��---•• LICENSE OR �/�} 0 Top —FAU W.H..�Z REG.NUMBER��" ClassC�l Hood_Fan AZOther— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp.-— RdOm Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances 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 CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C 5.00 Over 1 To 10 Incl. PERMITTEE � Over 10 to 50 Incl. 12.50 CD 25.00 PERMI TU Over 50 to 100'Inc. v Over 100 40.00 DIST NO. OC ED B y &I, z Services �� 0-200 Amp.Under 600 V 12.50 INS OR' 201.1000 Amp.Under 600 V 25.00 7CU7 APPROVALS DATE SJONATURE Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE 10.00. TFIXTURES ERSLAB WORK �f� •? r ' Temp.Power Pole&Appurtenances c 10.00 GH CONDUIT Sign with One Branch Circuit 2 00 1 Additional Sign Branch Circuits ING �! ,, ` Misc.Conduits&Conductors 10.00' g ti ! I Other(See Complete-Fee Schedule' ERAUTHORIZEDITY CO.NOTIFIED AL PERMIT FEE (Sub-Total) NOTA� �G i UNbG PLAN CHECKING FEE '(One-Fourth Permit Fee) t- . PERMIT ISSUING FEE $7.00 j TOTAL FEE r, J PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIpATION o o Gl& M.O. CASH N N C Q' U O` o CA 1 57 9D o J -1 IU M c J SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE OD O O N Dr:- CH CH 6A653 CE-80616/781 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOBEACH NO FEE ADDRESS > > f°j ek New Residential Bldgs.&Pools , 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY Multi-family Sq. Ft. .02 — NEAREST 41 Residential Swimming Pools 25.00 CROSS ST. OWNER OR .— / ! FIRM NAME, /, , � Outlets:Rec'Lighta_, Sw. � MAIL First 20 .50 ADDRESS L Total No. _ Additional .30 CITY Tel.N PLAN CHE-K APPLICANT Lighting Fixtures First 20 50 L ADDRESS Additional .30 cic Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT/70 Range—Heater—D.W. _ ADDRESS Oven_Dryer W.M.—yam 1 Top _FAUW.H.Q >L C3'® CITY y r3 Tel. No. Hood_Fan _Other LICENSE R y /, r–c Disp.—Room Air Cond. 2 50 REG.NUMBER 7 (. Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. d 2.50 Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a Over 10 to 50 Incl. 1 250 CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF THE ABOVE O 25.00 DESCRIBED RESIDENTIA RO ERTY. r 0 Over 50 to 100 Inc. Over 100 40.00 PERMIT EE SIGNATUR( f N Services DISTRICT NO. P SS BY ? 0-200 Amp.Under 600 V 12.50 201-1000 Amp. Under 600 V b�r 25.00 Over 1000 Amp.or Over 600 V 50.00 Z �J Temp. Power Pole&Appurtenances 10.00 R�t� T Sign with One Branch Circuit I 10.00 7 f� Additional Sign Branch Circuits 2.00 INSPECTION INFORMATION Misc.Conduits&Conductors 10.00 ON REVERSE x Other(See Complete Fee Schedule) SIDE v Z Q J d PERMIT FEE (Sub-Totals Z' PLAN CHECKING FEE (One-Fourth Permit Feei O PERMIT ISSUING FEE $7.00 r c TOTAL FEE 9 V / > INSPECTION FINALED o�c W date: 7 - � j; —7 (J By � ©s WORKERS'COMPENSATIONDECLARATION iCE866G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES i BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ LOCALITY t � Certifi d co y is filed wi a coMulti-family Sq. Ft. NEAREST unty b insp ti CROSS ST /7 S UAl depa men Residential Swimming Pools OWNER OR a FIRM NAME �� U�IJ OA✓ Date ppl' ant a Outlets: Re Light Sw. MAIL / First 20 ADDRESS (O ERT KATE O EXE PTION FRM WORKERS' Total No. Additional COMP S ON INSUR CE CITY �� T' el No PLAN HECK �- (This section need not be completed if the work involved APPLICANT V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional Total No. O I certify that in the performance of the work for which this CITY Tel No. Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMITLCL.' so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT -6S Oven — Dryer_W.M._ ADDRES Q �Q Date Applicant Top _ FAU _W.H.,_ Hood _ Fan _Other— CITY Tel N -%S/ NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond— LICENSE OR _ �J�_ Exemption, you should become subject to the Workers' REG.NUMB Class � Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESS with comply with such provisions or this permit shall be deemed revoked. Size&Type HP;KW,KVA,or KVAR r. i C)C?' c • Up to 1 Incl. Q FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE ''�/ • '� VALIDATION Over 10 to 50 Incl. it' I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and effect. Services 0-200 Amp.Under 600 V License Numb L'c.Clas `� _ 201-1000 Amp.Under 600 V ` Contractor ate Over 1000 Amp.or Over 600 V HO EO ER-BUILDER DE ARAT ON Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit :f License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits o o 0.,a o 2 ness and Professions Code): 0 0 1 a 9 C Misc.Conduits&.Conductors I, as owner of the property, will do the work and the .Other(See Complete Fee Schedule)— o '� 1 Q Q L structure is not intended or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 0 .2 6 –'S 2 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this a lication an state that the TOTAL FEE ! o above information is corre gree co with all County ra ) and State g lectncal wiring, and en this County Ps- 'inspection ppurSEE'REVERSE FOR EXPLANATORY LANGUAGE rm I WORKERS'COMPENSATION DECLARATION -803 tout APPLICATION FOR ELECTRICAL PERMIT I hereby affirm 4ha1-r'nave a certificate of,c�nCE-806G or a certificate of Workers' Compensation'Insurancl, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) $rL t� �(. Policy No. ComparnJ/"" _" FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. U New Residential Bldgs.&Pools EACH NO. FEE ADORES ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY -Q�P� -e L ep rtmept. Multi-family 3 Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST OWNER OR Date 14pplicant Ale &a � I FIRM NAME ��"� �' / CERTIFICATE OF EXEMPTION FROM W RKERS' Outlets:Rec—Light Sw.J� IL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 Total,No. Additional CITY dTel.No. p� permit is for one hundred dollars($100)or less.) �� PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not emp!oy any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS 0 pi r Additional N. Total No. CITY �.�Jy� .{1 ( / Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT C Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ L y provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESSg�I •�'�r O-C." provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CITY "PYA r-e- Tel.No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE f� 1/ �• (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER J 1' Class. Professions Code,and my license is in full force and effect. DISTRICT NO PROC ED BY Power Apparatus&Large Appliances ev Size&Type HP,KW,KVA,or KVAR / 0 License Numb r /� y �Liicr.Class r Up to 1 Incl. FINAL V eS QA i J��'� u r 4* x J� Over 1 to 10 Incl. DATE � Contractor "J�f Date j �!` VALIDATION 0 Over 10 to 50 Incl. ❑ I am exempt under Sec. Over 50 to 100 Inc. FINALBY W BAP.C.for this reason Over 100C071-- .� Services,Swbd.,MCC&Panelboards ® Z Date: 0-200 Amp.Under 600 V SignatureWI _ 201 - 1000 Amp.Under 600 V E] Exemption 1000 Amp.or Over 600 V Exemption for Reg.Mamt.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): 37 16.60 I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors �. 1TE53 Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY .+A0H 16.611 1 hereby affirm that there is a construction lending agency for the ,,HtANGE1,1 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) °-'� Civ.C). PLAN CHECKING FEE ��„I_��1 �,+�/�.[ Lenders Name PERMIT ISSUING FEE U , Lenders Address 0872 1 AN B-051 1 certify that I have read this application and state 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 property for inspection purpos;��Dat.? 7SEE REVERSE FOR EXPLANATORY LANGUAGE Ignatu f Permittee WORKERS'COMPENSATIONDECLARATION CE-806G (2.60) CE•806APPLICATION FOR ELECTRICAL PERMIT !� I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES %C BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance.,or / a certified copy'thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB r �Y r Policy No. Company EACH NO. FEE ADDRESS J5 60 5(� �G0Sr+Lk�A New Residential Bldgs.&Pools E] Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ _ $ LOCALITY r Certified co y g• p Multi-family Sq. Ft. NEAREST �,AAn copy is filed with the count building inspection CROSS ST � . � d . department. Residential Swimming Pools OWNEROR . Date- Applicant FIRM NAME Outlets: Rec Light First A Q 3 �() ESS 20 DDR First CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY'—tC C(-t( Tel No. COMPENSATION INSURANCE PLAN CHECK d (This section need not be completed if the work,•involved APPLICANT U by the. permit is for one .hundred dollars ($ Lighting Fixtures First 20 100) ,involved less.) _ ADDRESS Total No. Additional Cc I certify that in the performance of the work for which this CITY Tel No. 0 Fixed Appliances.Not Over 1.HP H permit is lssiied, I shall not employ any person in any manner PERMIT r'C V so as to become subject to the Worker ' Compensation Laws. Range_Heater_D.W._ APPLICANT `` ''.. nn Oven _ Dryer_W.M._ ADDRESS �� Off( S� CO) Date'b' d�'t�a Applicant Top _ FAU _W.H. Hood _ Fan _Other_ CITY Q, �� ���( Tel No.79Q�60 NOTICE TO APPLICA . If, aft making this C rtificate of Disp. _Room Air Cond— LICENSE OR Exemption, you shou 'become subject to the Workers' REG.NUMBER �(p'I(p Class Compensation provisions of the Labor Code,you must forth- Power Apparatus&.targe Appliances DISTRICT NO. (� PROCE4SED BY with,comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR -6• Q Up to'1 Incl. ' FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl., DATE VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FI NAL - 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY 64,E iAess and Professions..Code,and my license is in full force and C ,,effect.. L GIG Services C� License Number 5 V G Lic•Class I 0-200 Amp,Under 600 V 201-1000 Amp.Under 600 V oo7l Contractor% '`a�ST�' Date :-J`�-`^"'Jy Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION. Temp.Power Pole&Appurtenances . I hereby affirm that, I am exempt :from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits. ness and Professions Code): Misc.Conduits&Conductors I. as owner of the property, will do the work and the Other(See Complete Fee Schedule)— '3377A, -structure is not intended or offered for sale (Section 7044,Business and Professions Code), 0 0 0 0 o2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 01 1,5 Q for the performance of the work for which this permit is PERMIT FEE (Sub-Total) O c o 0 1 r issued(Sec.3097,Civ.'C.). 3 � �,,. v Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 024 -q2 Lender's Address PERMIT ISSUING FEE d 1 certify that I have read this application and state that the TOTAL FEE 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-ab ve-meliHerred property or inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE :5 fgnaturUofPermittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 E-L-EC-T R-I C-A F PERM T DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 980727001-4) BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL FEES PAIDBU DING-ADDRESS.: ON FILE 5648 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801800 ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: 5387-028-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 17.00 OUT 33.15 TENANT: G2 LIGHTING FIXTURES 7.00 LGT 13.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: VITAMATRIX, INC. TOTAL FEES 74.55 07/27/98 UT 07/27/99 OWNER: TEL. NO: FINAL DATE FI AL BY: CODE: HUANG MARGARET M TR (818) 447-8001- g-7--Yg 135 WISTARIA AV ARCD 910078008 ESCK Pn ON OF WOR �•EkECTRICAL FOR TENANT IMPROVEMENT APPLICANT: TEL. 0: INTERNATIONAL CONTROLS (626) 917-1125- 16026 DOUBLEGROVE ST SPECIAL CONDITIONS: VALINDA, CA 91744 �t -(3ELE5 Co CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE INTERNATIONAL CONTROL (626) 977-1125- 16026 DOUBLE GROVE ST LIC. NO -S �\ TEMPORARY POWER POLE VALINALINDA, CA 91744 590485C-36 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: \1 FER GROUND LIC. NO: I 1111111 1 ROUGH CONDUIT l , ROUGH WIRING WIN UNE Q L IVf O 3PLASTIC-WATY/NER LIMETAL Y/N d r,, UTILITY COMPANY NOTIFIED ❑ El >Vkj _ J ❑ : r. , �erv6ce'fha��ce * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508