HomeMy Public PortalAbout5827 ROSEMEAD BLVD_Electrical__ I I
WORKERS'COMPENSATION DECLARATION ' 76.A66a 10/81
CE-806G APPUC ATION FOR ELECTRICAL PERMIT
• I hereby affi,=:1 that I have a certificate of consent to self insure, � I
dr•'S certiflA of Workers' Compensation Insurance, or a certified I COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab. ) I
r1iY'y�V�'�1 �s
Policy No. OmpanZ_tndial � � FOR APPLICANT TO FILL IN 1108
ADDRESS
❑ Certified copy is hereby furnishirtl2 ' New Residential Bldgs.&Pools EACH NO. FEE
Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ _ $ LOCALITY
1lepartment, Multi-family Sq.Ft. NEAREST
Residential Swimming Pools CROSS
WNER OR
Date F. ('J AppfC FIRM NAME / ` G L V T C J u4-,
CERTIFICATE OF EXEMPTION FROM WORK S' MAIL
COMPENSATION INSURANCE Outlets:Rea—Light—Sw.— ADDRESS
First 20 I✓t
(This section need not be completed If the work Involved by the 1 Total No. Additional CITYG �,V� l� Tel.No:
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 O Vv A zoI6 Fiz N
is issued, I shall not employ any person in any manner so as to i l
become subject to,the Workers'Compensation Laws. i Lighting Fixtures First 20 f DDRESS
Additional Z i
Total No. CITY Z , A , 900 3 Tel.No. Zz.S'N't
Date Applicant Fixed Appliances Not Over 1 HP• PERMIT
NOTICE TO APPLICANT: If, after making this Certificate ofAPPLICANT � -�
Exemption,you.should become subject to the Workers'Compensation Range_ Heater, D.W. _
provisions of the Labor Code,you must forthwith.comply with such Oven _ Dryer_ W.M._ ADDRESS �[, G
2
provisions or this permit shall be deemed revoked. 9 Top, _ FAU ._ W.H, _
CITY L A 0 0 3 ' I.No: 3 l
LICENSED CONTRACTORS DECLARATION Hood — Fan Other_
I hereby affirrp. that I am licensed under provisions of Chapter 9 Disp. _ Room-Air Cond. 'LICENSE OR
(commi ncing with Section 7000)of Division 3 of the Business and REG'.NUMBER tr 3SJ Clay
Professions.Code,and'my license,is in full force and effect. Power.Apparatus&Large Appliances DISTRICT NO. p PROCESSED BY
Size&Type HP,KW,,KVA,or KVAR �QQ-'
License Number1 y 3 51 Lic.Clv Up to 1 Incl: FINAL �+
Over 1 to.101nal. DATE 0
Contracfo Date VALIDATION
.0 - 6 of Over 10 to 50 Incl. FINAL '
❑ 1 am'exe. under Sec.. Over 50 to 100 Inc. BY W
M1
BAP.C.for this reason Over 100 N
Data.
Services,SWbd.,MCC&Panelboards
, 0-200 Amp.Under'600 V
Signature I 201 - 1000 Amp.Under 6bO V ,
❑ Over 1000•Amp.or Over 600 V w
Exemption'for Reg.Maint.Elect.
SINGLE FAMILY j Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATIONSign 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): ;`
❑ , I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors,
1, �T,
is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code). „ 10
CONSTRUCTION
CONSTRUCTION LENDING AGENCY 1HEr,X.
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) = o� I
Civ:C.).
PLAN CHECKING FEE
ender's Name / i1r `Il–_.i_�R
(D r� Li: ( i_e 1 P
' PERMIT ISSUING FEE /
der's Address I 93 7751 1 . '
rtify that I have read this application and state that the above . TOTAL FEE r
metion is correct.I agree to comply with all County ordinances
State laws regulating Electrical wiring, and hereby authorize
sentativesthis unty to enter upon the above-mentioned ZL�J
for ins ior p poses. le
SEE REVERSE FOR EXPLANATORY LANGUAGE
re of Pe ittee Date(�
WORKERS'COMPENSATION DECLARATION - 10/81
CE'-908G80OG APPLICATION FOR ELECTRICAL PERMIT
CS
I hereby affirm that I have a certificate of consent to self insure, i
or a certificate of Workers'Compensation Insurance,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB07
❑, Certified copy is hereby furnished. EACH NO. FEE ADDRESS
New Residential Bldgs.&Pools
❑ 1 &2-Family,Sq.Ft. $ _ $ LOCALIT
Certified copy is filed with the county building inspection
ST
department., Multi-family Sq.Ft. CROSS ST
Date Applicant Residential Swimming Pools OWNER OR
FIRM NAME. /l 1 'jwE/es
CERTIFICATE OF EXEMPTION FROM WORKERS' SW.._ MAIL
COMPENSATION INSURANCE. i0utlets:Rec—Light_ ADDRESS (,46
(This section need not be completed if the work Involved by the I Firs!20
Total No
:permit is for one hundred dollars($100)or less.) . Additional CITY eWLVPx (jT �A. Tel.No ,2/3), O
PLAN CHECK
I certify that in the performance of the work for.which this permit
APPLICANT
is issued, I shall not employ any person in any manner so as to
become subject to the Workers'Compensation Laws. (Lighting Fixtures First 20 ADDRESS
Total No. Additional CITY Tel.Nb.
Date Applicant
NOTICE TO APPLICANT. If,.after making this Certificate of )fixed Appliances Not Over 1 HP APPLICANT �gd-ovi �_ /' l 6.-4c r
Exemption,you should become subject to the Workers'Compensation i Range_ Heater. D.W. ffC�j �p
provisions of the•Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS
! provisions or this permit shall be deemed revoked. Top _ FAU W.H.
;�• _ CITY S rXA JC,5e6 Tel.N(4)W74AM
LICENSED CONTRACTORS DECLARATION Hood _ Fan Other
—
I hereby affirm. that I am licensed under.provisions of Chapter 9LICENSE OR C} �/
Disp. — Room Air Cond. REG.NUMBER �( �`�T Cless:e
(commencing with Section 7000)of Division 3 of the Business and
Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PRO D BY
4
,`� �� Size&Type HP,KW,KVA,'or KVAR '. GO
'• v v
L'icenst)Number !1G Lic.Class Up to 1 Incl. FINAL V
y a y• . Over_1.o'10 lndi.. DATE `Q VALIDATION
.4
y' Contractor V^Q� 1 ate l� I ! Ovef*r.6 to 50 Incl. FINAL /
H
,❑ I am exempt under Sec. Over 50 to 100 Inc. BY W
B.&P.C..for this reason Over 100
Services,Sw6d.,MCC&Panelboards Z
Date: 0-200 Amp.Under 000•V ®.
Signature 201 - 1000 Amp.Under 600 V
❑ Over 1000 Amp.or Over 600 V
Exemption for Reg.Maint.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 additional Sign Branch Circuits r.L•ti•_
for the following reason(Section 7031.5,Business and Professions
' Code):
Misc.Conduits&Conductors
I,ss owner of the property,.will do the work and the structure ! 3 F„r•��
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code)., Poo. (l-<y;;L a":i=_a® it Cp ,
CONSTRUCTION LENDING AGENCY 65—
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) '•:'li'!iz GE
Civ:.C.). .1
PLAN CHECKING FEE
' Lender's Name
PERMIT ISSUING FEE p( `
"Lender's Address '
I 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 re g Electrical firing, and hereby authorize u ;
present of. is ounty to t upon the above-mentioned
petty r! s ctio rpoies. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of m e Date.
WORKERS'.COMPENSATION DECLARATION (76A663 10/81
I hereby affirm that I have-a certificate of consent to self insure, CE-8060 APPLICATION FOR ELECTRICAL PERMIT
or sicertificsle of-Workers' Compensation Insurance,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.C.) w 1� �i �/� /�/} v1 L2, . 'fl
Policy No, !Z�q7n•'Umpany!?rAW& r V ND FOR APPLICANT TO FILL IN JOB
ADDRESS ✓�� [ �� Y �'v c��
❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE `_�- G!
1 &2-Family,Sq.Ft. $ _ $ LOCALITN � T
Certified copy is filed with t co buildin �ispjecon NEAREST /i G, T
department. Multi-family Sq.Ft. CROSS 3T TF✓ / UIvA5
Date 11 Z'I& � Applicant. Residential Swimming Pools OWNER oR / " �
FIRM NAME'is 4 �� P4E V z_
CERTIFICATE OF EXEMPTION FROM WORKERS' �5 MAIL
COMPENSATION INSURANCE Outlets:Rec—Light Sw. n� ® ADDRESS�� �
(This section need not be completed If the work involved by the / First 20 !•�
permit is for one hundred dollars($100)or less.)
Total No. t 7Z" Additional CITY��C� 41� Tei.No.y37-$
I certify that in the performance of the work for which this permit PLAN CHECK�J.G� LGG
'APPLJCANT
is issued, I shall not employ any person in any manner so as to I o ',3 O
become subject-to the Workers'Compensation Laws.. Lighting Fixtures Fret:20 i ADDRESS }
Additional
Date Applicant Total No. CITY �� `/ff Tel.No.
NOTICE. TO APPLICANT: If, after, making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption,you should become subject to the Workers'Compensation Range_ Heater, D.W. APPLICANT G
provisions of the Labor Code,you must.forthwith comply with such Oven _ Dryer_ W.M._, ADDRESS Q
provisions or this:permit,shall be deemed revoked. Top _ FAU _ W.H.
CITY Tel..No.
LICENSED.COWTRACTORS DECLARATION Hood — Fan _ Other= �. I
I hereby affirm that I am licensed under provisions of, Chapter 9 ,LICENSE OR
(commencing with Section 7000)of Division 3 of the Business and Disp. Room Air Cond. REG.NUMBER Class.
Professions.Code,and my license ta in full force and effect. power Apparatus&Large Appliances DISTRICT NO. p PRf7 SED BY
Size Type HP,KW,KVA,or KVAR
License Number Lie.ClassUp to 1 Incl. SO FINAL
i Over. 1-t'o 10 Incl. • DATE _l� �, - VALIDATION u0
Contractor AL�L0ZT. Date )7_4115-Q t. f .Over 10 to 50 Ind. - FINAL 2, .14 s
❑ I am exempt under Sec. Over 50 to 100 Inca BY r�-s,,.
d W '
Over 100 3307
, - ILL
B.&P.C.for this reason • ,;,3 1 j` _,a
MCC$•Panelboards •
Services,Swbd.,
Date: , '� (EEM e�
0-200 Amp.Under 600 V s , ,3
Signature 201 - 1000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V
❑ Exemption.for Reg.Maint.Elect.. . a-;E{K
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 Additional Sign Branch Circuits
,for the following reason(Section 7031.5,Business and Professions
Code: C C C C-13 0 GJ. ts.l,sL7f�i_
❑ {•.r I,as owner of the property;will do the work and:the structure Misc.Conduits&Conductors '`; -Y`rl
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code). , - '
CONSTRUCTION LENDING AGENCY
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) Jam®
Civ.C.).
PLAN CHECKING FEE
'Lender's Name •�
a
PERMIT ISSUING FEE 9/•`TO/� 90: 04
Lender's Address /
I certify that I have read this application and state'that the above TOTAL FEEto
information is correct.I agree to comply with all County ordinances
and ate ws regulating Electrical wiring, and hereby authorize
re sent ves of this to enter upon the.above-mentioned
1811
ert , insp ion ur SEE REVERSE FOR EXPLANATORY LANGUAGE
�,.9 -91
ature of rmittee Date
WORKERS'COMPENSATION DECLARATIONI 20.0019 DPW 3%87 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent .to self I CE-8066 O
insmre, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a.certified copy thereof(Sec. 3800,.Lab. C.
Policy No. Company FOR APPLICANT TO FILL IN JOB ^^ %L-.
❑Certified copy is hereby furnished. { rResidential
Bldgs. 8 Pools EACH NO. FEE ADDRESS T2. OSEM
Certified copy is filed with the county building inspec- ISq. Ft.
$ _ $ LOCALITY LE CITY
tion department. q. Ft. CROSNEASEST
ST. l)l� .5
IS.
Pools OWNER OR
Date Applicant. I FIRM NAME MPIOU
CERTIFICATE OF EXEMPTION FROM WORKERS' 11 ell �Q MAIL
Outlets: Rect2ZJ_Light Sw4B
COMPENSATION INSURANCE First 20 ADDRESS OQ OCE + '( e
•J3 a
(This section need not be completed If the work Involved by Total No. Additional . CITY �NCr H Tel. No.y37-g04(p
the permit is for one hundred dollars(:100)or less.)
I certify that in the performance of the work for which this PLAN CHECK Rec �.- L 'C
permit is issued, I shall not employ any person in any manner APPLICANT-3
to as to become subject to,the Workers'Compensation Laws. I Lighting Fixtures First 20 as ADDRESS '�gp W. Cr1eoVE ST.
Additional ZZ
Total No. CITY ®-
Date Applicant Nfk IM T► 3.. 9.
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption, you should become subject to the Workers' Range-- Heater—D.W. — APPLICATION
Compensation provisions of the Labor Code, you must forth- l Oven — Dryer —W.M.— ADDRESS ,
with comply with such provisions or this permit shall be Top — PAU —W.H. —
deemed revoked. CITY
Hood — Fan Other—
LICENSED CONTRACTORS DECLARATION ;i t' LICENSE OR '" - :E
Disp. Rogan Air Condi _ REG.NUMBER OPEN-
I I hereby affirm that I am licensed under provisions of Chapter 9 d�l
(commencing with Section 7000)of Division 3 of the Business Power Apparatus& arge AD lionces DISTRICT NO. PROCESSED BY-;,�.
and Professions Code,and my license.is in full force and effect. I t 13+:rzi.- ,� _
Size&Type HP, K..lkKVA or KVAR rti1, .•, }}���
t• e...v . ivy:.LJ
License Number Lic. Class - � Up'to 1 I"n�? _ FINAL
ver to 1�Incl. DATE
.l :-1 ,`-
Contractor Date
l�1IDATION
O`er 10 to 50 Incl. Ar FINAL H
0 to 100 Inc,%f
❑ I am exempt under Sec. Ovet 5gY
B.$P.C. for this reason I� sem. Over 100
i Servic , Sw'd., MCC&Pgnelboards •� ,
Date: A
0- jOOO
mp. Under 600 V'
Signature 201 - Amp. Under 600 V
Over 1mp. or Over 600 V
Exemption for Reg. Maint. Elect.
SINGLE FAMILY T p. Power Pole 8/\ppurtenances
HOME.OWNER:BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor' ense Si.' with One BYanGli'Circuit
Law for the following reason (Section 7031.5, Business a ' Add1'%.na,Sign Branch Circuits • a7
Professions
Misc. uitslWConductors
Ell, as owner of the property, will do the work and the .I li
structure is not:intended or offered for sale(Section 7044„ I Other(See Complete Fee Schedule)_ ,
Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
l
Lender's Name PLAN CHECKING FEE
�
i PERMIT ISSUING FEE
Lender's Address II
I certify that I have read this application and state that the ' TOTAL FEE
above information is correct. I agree to comply with all County I
ordinances and State laws'regulating Electrical wiring, and C {- '♦ (12-,LanTffteRS 63LD&r. 14)
'I hereby authorize representatives of this County to enter upon ,
the above-mentioned property for inspection purposes.. SEE REVERSE FOR EXPLANATORY LANGUAGE
• i. ®s
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECT 0 rKL-PERM.T
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS -EL 0508 987112 42
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID LNG-ADDRESS-7
ON FILE 5827 ROSEMEAD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: P-CA-9T780
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5397-012-043 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
F1 12OV, 15/20A BR CKTS 10.00 BR 172.50
TENANT: F2 208, 277V LGT BR CKT 2.00 BR 54.60 ISSUED ON: PROCESS D Y: PLAN BY: EXPIRES ON:
MEN'S WEARHOUSE G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 11/12/98 UT 11/12/99
G2 LIGHTING FIXTURES 20.00 LGT 39.00 11
OWNER: TEL. NO: JH ELEC HEATERS +3-10HP 1.00 HEA 19.80 FINAL DATE FINAL BY: ODE:
CALAC INVESTMENT 000 - S3 ADDTNL ELECT PLAN CK 4.00 HOU 437.40 I
TOTAL FEES 790.05
SAN DIEGO, CA9211137 DESCRIPTION OF WORK
ELECTRICAL FOR TENANT IMPROVEMENT
A TEL. NO:
GLENN MORLEY (888) 847-0690-
8380 CHURCH ST. SPECIAL CONDITIONS:
GILROY, CA
�NCELES c®
CON
NTRACTSTEPHEN GAMBINO TEL. N342-3680 �.®5 ���� APPROVALS DATE INSPECTOR SIGNATURE
19455 LEMAY ST. LIC. NO TEMPORARY POWER POLE
RESEDA, CA 551107
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ` 1111111 ROUGH CONDUIT
ROUGH RI G 7
6i
P U D L�� ��1 �I, IN WATER LINE
v u PLASTIC Y/N METAL Y/N
6
D µ COMP NNOTIFIED
C
i9 � ��IJJ✓,�5/�
REPORT ID: DPR265 ROUTE TO: SS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9808060001 �.
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5827 ROSEMEAD BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780
ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: LAS TUNAS
5397-012-043 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
K1 SIGNS, OUTLINE LGT 3.00 SIG 116.55
TENANT: TOTAL FEES 144.30 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRES 0 :
MEN'S WAREHOUSE 08/06/98 UT 08/06/9
OWNER: TEL. NO: FINAL DATE FINAL BY: ODE:
3709C INVESTMENT - �/Q_q
SAN DIEGO, CA9211137 DESCRIPTION OIIFC(77WORK
3 CHANNEL LETTER WALL SIGNS, INTERNALLY ILLUMINATED
APPLICANT: TEL. NO:
CAL-NEON SIGNS (408) 289-1883-
1577 ALMADEN RD. SPECIAL CONDITIONS:
SAN JOSE
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CAL-NEON SIGNS (408) 289-1883- f;•'' . ,"-1
1577 ALMADEN RD LIC. NO �. fr- '• � ' ` TEMPORARY POWER POLE
SAN JOSE, CA 95125 385665 C45
UNDERGROUND CONDUIT
ARCHITECT OR E G EER: TEL. NO: �j - �� ER GROUND
LIC. NO-,, __:_ _ r - --- - ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
f I
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806160021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
[LEGAL ID: FEES PAID BQILDING ADDRESS:
ON FILE I 5827 ROSEMEAD BL
IFEE DESCRIPTION: QUANTITY: UOM: A140UNT:1 TEMP CA 91780
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS
15397-012-043 [Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl
I IF1 120V, 15/20A BR CKTS 18.00 BR 289.05
TENANT: ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
AT & T STORE TOTAL FEES 355.65 106/16/08 SR 12/13/08
IOWNER: TEL. NO: IZIPJAL PATE FIW BY: CODE: 1
CINGULAR WIRELESS (719) 439-6304-
11360 HAZALINE LAKE I ! 1
(COLORADO SPRINGS I ID SCRIPTION OF WORK I
I I IE ECTRICAL FOR TENANT IMPROVEMENT AND SERVICE PANEL TO 1
1 I 1200 AMP ]
]APPLICANT: TEL. NO: ] 1 ]
IKAMUS & KELLER ARCHITECTS (562) 216-5244- I 1
1100 W. BROADWAY ] SPECIAL CONDITIONS: 1
ILONG BEACH CA 90802 ] I 1
ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE I
IMENEMSHA DEVELOPMENT GROUP (310) 343-3430- ] 1 I
14950 W. 145TH ST. LIC. NO I ITEMPORARY POWER POLE I I I
1HAWTHORNE, CA 90250 647870 B 1 I 1 1
I 1 (UNDERGROUND CONDUIT I 1 ]
]ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I
IKAMQS AND KELLER ARCHITECTS (562) 216-5244- 1 1 ] 1
1100 W. BROADWAY STE. 6015 LIC. NO: I [ROUGH CONDUIT 1 LONG BEACH,BEACH, CA 90802 C20397
]ROUGH WIRING
I I I I
1 I IMAIN WATER LINE
1 I IPLASTIC YIN METAL YIN I I ]
1 I ]UTILITY COMPANY NOTIFIEDI 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 1 I I I
I I I I I I
I I I I
I IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0804150007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
I
ON FILE 5827 ROSEMEAD BL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 91780
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS
15397-012-043 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl
IK1 SIGNS, OUTLINE LGT 3.00 SIG 116.55
TENANT: i TOTAL FEES 144.30 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
104/15/08 SR 10/12/08
OWNER: TEL. NO: IFINAL DATE FIN Y: CODE:
ICALAC C/O LEW & ASSOCIATES (858) 565-8333- 4j
13709 CONVOY ST. #300
ISAN DIEGO, CA9211137 IDE CRIPTION OF WORK
REMOVE AND RELOCATE ONE ILLUMINATED WALL SIGN FROM 5787
IROSEMEAD BLVD. INSTALL TWO (2) NEW ILLUMINATED WALL SIGNS
APPLICANT: TEL. NO:
ITHERRIAULT (619) 527-6100- ISCONDITIONS:
14444 FEDERAL BLVD.
ISAN DIEGO CA 92102
I
CONTRACTOR: TEL. NO:
APPROVALS DATE INSPECTOR SIGNATURE
ISIGNTECH ELECTRICAL ADVERTISING (619) 527-6100- 1 1
14444 FEDERAL BL LIC. NO ITEMPORARY POWER POLE I I I
ISAN DIEGO,CA 92102 457406 C45 i I
UNDERGROUND CONDUIT I I I
IUFER GROUND I I 1
1ARCHITSCT OR fiNGINEER: TEL. NO: i I I I I
LIC. NO: I IROUGH CONDUIT
IROUGH WIRING
IMAIN WATER LINE I I 1
(PLASTIC YIN METAL YIN I I 1
I -
I (UTILITY COMPANY NOTIFIED 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
IREPORT ID: DPR265 ROUTE TO: BS0508
I