HomeMy Public PortalAbout6128-6138 ROSEMEAD BLVD_Electrical__ D9 B-A 4-40 IOM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
��� �
COUNTY OF LOS. ANGELES
WM J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO.
WIRING FIXTURES SERVICE t 7 a- A
RECEIVED BY READY FOR DATE ISSUED
RANGE HEATER POWER a,7 FIRST INSPECTION/
61GN3 MISCELLANEOUS �"-u;v i/��ell e� �
7 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
CJOB
NAME .s / ZaR� J)�.,,sf,i7,sL� ADDRESS �"� y�.. +n� ,l' �C-v, t, ! i,
ADDRESS ;1 t 1'':�Zf ~. +•' LOCALITY
NEAREST
j CITY(! f`_.�{, ;; I•;?;` 'TEL No. CROSS ST.
41 COUNTY +� `
CERT. NO. jl : EXPIRES
NAME T , y lY ? -, ,� ••� '3
DESCRIPTION OF WORK 3 MAIL
NUMBER OF OUTLETS ON CIRCUITS ADDRESS
LOCATION BY ROOMS C
CITY TEL No.
I LIGHT OUTLETS I SW. PLUGS IPIXT. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
[ lII1 A B C D E F I G H _ a.
LIVING ROOM -- 6 1A, Ile
.� ELECTRICIAN.
DINING ROOM
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
__
BRFST. RMABOVE.. __•�
OWNER.
BATH CORRECTIONS
ENT. HALL
HALL NO.
FRONT PORCH
OUTSIDE
_KITCHEN
SERV. PCH. J
Q
BDRM. NO.
CLOSET 0"
O
BDRM. NO. _T
CLOSET I
e.
R
TOTAL I I
NO. OF OUTLETS ffi APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H. P. S CONDUIT
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER D /
PERMIT FEE ffi e,- UTILITY CO.NOTIFIED
r
TOTAL FEE ffi �Ty FINAL
'."APPLICATION FOR PERMIT
' COUNTY OF LOS ANGELES '
Department of County Engineer
DIVISION OF BUILDING & SAFETY ELECTRIC 1
WILLIAM J. FOX, County Engineer
FORA A^10A T T FI LIN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED Y READY FOR DATE ISSUED
ADDRESS 144 19C011 W. ( FIRST INSPECTION
CITY EL.N0. ► e 'Pi&.1
1 ��. `��'y/•_' ��
COUNTY LICEN O. EXPIRES BUILDING rye
PERMIT FEES ADDRESS +
,3 �! a 1 '
,NUM�ByER EACH � FEE LOCALITY
LIGHT OUTLETS f/ NEAREST qA e r
1 C M
RECEPTACLES CROSS ST.
WALL SWITCHES ,
OWNER
TOTAL OUTLETS Be t0' MAILp� / g y
ELEC. RANGES 25 ADDRESS4O,sf
ELEC. HEATERS. ZS CITY TEL NO d
FIXTURES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ T IS
M18C. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS _ AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
Numsm HORSEPOWER FEE ANGELES COUNTY L NSE. OR I AM THE LEGAL OWNER
NEW MVD: HP OVER enc. EacH OF THE RESIDJ. ENTI L OP RTY ESCR IS ABOVE.
V/2 A LE55 S .25
SIGNATURE"OF
V/z 2 .50 PERMITTE
2 5 l.Do INSPECTION RECORD
-5 1B 1.50
15 50 2.50 �•-
50 ZOO 5.00 P.Q e �\
200 500 10.00 J
50D 1000_ '15.00Q
OVER 1000 20.01) _
41,07,5 - �Tf//.S P /s Z
M.G. SET/FREQ. CHANGER-HP C�� S' J" ` KSS JZ
WELDERS:AC-KVA -2- _S-2 C�i
GENERATORS - KW
TRANSFORMERS - KVA. , / f�J/
TEMP. MOTORS (75%_DF DR �
IB.) Ar 44,1/14� rW,9` 22��4 IT.B:
MOVED MOTORS (75% of DRIG.) )•��! F. �/' -7✓ 'IY 1
M'ISO' 5.1[3NS. 72 finr l,0-,.rF QlJ
NO. NO.TRANS.
NO. NO.LAMPS YMPROVAL$ J?_i) ✓A,wD��' +
FOR EACH PERMIT: DATE 7 INSPECTORPB NAME
WIRING $1.00 'p a CONDUIT
FIXTURES :s1.O0 / D d WIRING
,
SUPPLEMENTARY' .50 FIXTURES /9 (- �l>n
POWEA.. q p
TOTAL FEE' S I UTILITY CO.NOTIFIED I/•+"III MAY ?�'
FINAL ! l'S
7r.A653 D89#5A 2-53 - -
76A663 DBS 6A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � �
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR AP ANT TO FILL IN DISTRICT-NO. GROUP ZONE PERMIT NO.
J� ly T
ELECTRICIAN sW,l9. qtr I
REG EIVEDED BY READY FOR GATE ISSUED
ADDRESS B o FIRST INSPECTION
CITY rm TEL NW K P " .0!
COUNTY LICENSE NO. EXPIRES BUILDING
ADDRESS C9
PERMIT FEES
FEE LOCALITY J
NUMBER EACH
LIGHT OUTLETS NEAREST
CROSS BT.
RECEPTACLES
WALL SWITCHES OWNER 10,AAJ, vt
TOTAL OUTLETS so R O MAIL
ELEC. RANGES gg ADDRESS
ELEC. HEATERS 25. (�
CITY .
- TEL. NO. /.rte
FIXTURES _L 5 �^ '1 HEREBY KNOWLEDG THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOO
NUMBER HORSEPOWER FEE ANGELES COUNTY LI/CE SE, R I AM'THE LEGAL OWNER
NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL P 13EBCRIB D ABOVE.
I/2 A LESS $ .25 SIGNATURE OF ///f
%2 2' .5O PERMITTEE �T"'G of
2 5 1.°° INSPECTION RECORD
_ 5 15 1.50
15 50 2.50
5O 200 5.00
200 560 10.00 7-e-_3_2 f j Ci
a
5DO 113130 15.00 • , �'' 011111611-1+
OVER I OOO 20.00 7"...�n A //(),- a1 7
E
M.G. SET/FREQ. CHANGER-HP n r 0!
WELDERS,AC-KVA J E �S �.��� MJF �✓��"CS O
GENERATORS - KW
TRANSFORMERS - KVA '
TEMP. MOTORS (75% OF.oRl6.)
MOVED MOTORS (75% or ORIS._) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPB
FOR EACH PERMIT, DATE INSPECTOR'S NAME
WIRING $1,pp CONDUIT
FIXTURES y1,pp WIRING
SUPPLEMENTARY .50 FIXTURES l
s POWER
TOTAL FEE B +-' UTILITY CO.NOTIFIED
FINAL A.
r' 4�- 'WORKERS'COMPENSATION DECLARATION 78-663 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that') have a certificate of consent to self insure, CE-Bose I
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY cul
copy thereof(Sec.3800.Lab.C.) L .e ,
POII y No. Company ` 1�, ?C,�� �ry 5 LV' FOR APPLICANT TO FILL IN JOB
ADDRESS [ •
Certified copy is hereby furnished. New Residential Bldgs.& P p EACH NO. FEE
Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. > 3 1 $ $ _LOCALITY
departmJJe��nt. Multi-family Sq.Ft. CROSS ST
NEAREST
I"/ �y Us R OR OW E
Date Applicant. Residential Swimming Pools
FIRM NAMEf`
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light _ Sw. — MAIL
COMPENSATION INSURANCE 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. Additional PLACITY Tel. No.
I certify that in the performance of the work for which this permit APPLICANT CHECK
' 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
Additional
Total No. CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT r
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT lfv
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 S �► P
provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ p
LICENSED CONTRACTORS DECLARATION Hood Fan _ Other_ CITY f d, �') t Tel. No.O��� �3 L
I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR y
(commencing with Section 7000) of Division 3 of the Business and Disp. Room Air Cond. REG.NUMBER �1 �` 0 Class.
Professions Code,and my license is in full force and effect. DISTRI T PR E ED BY
Power Apparatus& Large Appliances ` e� J CL Size & Type HP,KW,KVA,or KVAR O
License Number Lic.Classy Up to 1 Incl. FINALf—; �pOver 1 to 10 Incl.Contractor '/ (//�/ (�U Date ODATEVALIDATION
❑ Over 10 to 50 Incl.
I am exempt under Sec. Over 50 to 100 Inc. FINALBY W
Over 100 0-
B.&P.C.for this reason cn
Date:
Services, Swbd.,MCC & Panelboards T 010'. Z
0- 200 Amp.Under 600 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
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
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)
Civ.C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE 3�
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 inspeionurposes.
`� SEE REVERSE FOR EXPLANATORY LANGUAGE
G � V
Slg lure of ermittee Da)4
V\rORKERs'COMPENSATION DECLARATION CE-806G '0'81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that rhave a certificate of consent to self insure,
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof Sec. 00 Lab. C.) /T C/�
JOB
MOI y No. Company`�r r� ��� FOR APPLICANT TO FILL IN New Residential Bldgs.& Pools ADDR Q
Certified copy is hereby furnished. _ EACH NO. FEE ADDRESS Gil QL
1 & 2-Family,S Ft. $ _ $' LOCALITY
ED Certified copy is filed with the county building inspection Y. q•
�eart ent. Multi-family Sq.Ft. NEAREST I •S 7v /'
I D ' CROSS ST. �f1 �1/
Date Applicant F/�/ U 5c Residential Swimming Pools OWNER OR �/y^
FIRM NAME �� �"•�-�.
TIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light _ Sw. — MAIL
COMPENSATION INSURANCE ADDRESS
This section need not be completedthe First 20
( if the work involved b y Total No. Additional CITY Tel.Nos-7�) 8
permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit APPLICANT CHECKPLAN
• 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
Additional
Total No. CITY Tel.No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
YYr
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT V V`w�UJC-0
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
A z75-6 ��R (>/ f! 'r'At�
provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CITY Kjr Ci454)�l #t-1,5*V rTel.Nor f—33., 3
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_
WF
I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR t-
(commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER S� 7� Class. 0
Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. PR CE EAD BY
Size& Type HP,KW,KVA,or KVAR
O
License Number Lic.Class Up to 1 Incl. FINAL O V
Over 1 to 10 Inc]. DATE i�` VALIDATION 0
� O
Contractor Date Over 10 to 50 Incl. t� U
❑ FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY
B.&P.C.for this reason Over 100 (j N
Date:
Services,Swbd.,MCC & Panelboards Y� , Z.
0- 200 Amp.Under 600 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
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
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) _ i
Civ.C.).
PLAN CHECKING FEE
Lender's Name PERMIT ISSUING FEE
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 regulating Electrical wiring, and hereby authorize
representatives of this County to enter upon the above-mentioned
property f9f ins ection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
I
WORKERS' COMPENSATION DECLARATION 76A663 10/81
1 hereby affirm that I have a certificate of consent to self insure, CE-8066 APPLICATION FOR ELECTRICAL PERMIT {�
of a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY LJ
copy thereof (Sec. 3800,L
Policy NoU_� o pany i,— � ` "' FOR APPLICANT TO FILL IN JOB
RESS
El Certified
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE
Certified copy is filed with the unty building inspec' n 1 & 2-Family,Sq.Ft. 5 = S LOCALITY
e L CROSS STMulti-family Sq. Ft. NEAREST 110 ^�""�.Date Applic t Residential Swimming Pools OWNER OR
FIRM NAME,depar
R FICATE OF EXEM ION OM WORKERS* Outlets:Rec— Light _ Sw. MAIL
COMPENSATION INSURANCE ADDRESS �t}5
(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. Additional CITY \ No.
I certifythat in the performance of the work for which this permit PLAN CHECK
p P 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
Additional
Total No. CITY Tel.No.
Date Applicant Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT: If, after making this Certificate of PERMIT
Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT -
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 Tel.No.
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_
1 hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR It L
(commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG NUMBER Class .
Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. `.�.L PROCESSE BY �.
_ Size & Type HP,KW,KVA,or KVAR 7 a
O
License Number `Lic.Class �" Up to 1 Incl. FINAL
Over 1 to 10 Incl.
Contractor M �` rLpal / I / VALE TION
ff Over 10 to 50 Incl.
❑ F W
I am exempt under Sec. Over 50 to 100 Inc. By
/ d
B.&P.C.for this reason Over 100
Services,Swbd.,MCC & Panelboards ; Z_
Date: 0- 200 Amp.Under 600 V
Signature 201 - 1000 Amp. Under 600 V
Over 1000 Amp.or Over 600 V
Exemption for Reg. Maint.Elect. _
I T s
T
SINGLE FAMILY Temp.Power Pole& Appurtenances f .
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit - ) Z_ -1-1
I hereby affirm that I am exempt from the Contractor's License Law Tl Cit
h Ci
B
Sign gn rancCircuits i .
for the following reason(Section 7031.5,Business and Professions Additional1 T T
Code):
F1 1,
Conduits& Conductors TOTAL w_ - 50
I,as owner of the property,will do the work and the structureI!q CT
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) HECK -1-
and Professions Code). , CHANGE E
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) 0000-013(i I
Civ.C.).
PLAN CHECKING FEE ! >' ? 1 ACM'
Lender's Name F ��
PERMIT ISSUING FEE U
Lender's Address_ I,
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 regulating Electrical wiring, and hereby authorize
repre atives of this Cou y to enter upon the above-mentioned
pro fty for inspectio ur ses. SEE REVERSE FOR EXPLANATORY LANGUAGE
Z;
ture of Per ittee D e
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304230014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS: I
ITR: 5904 LT: 100 1 6128 APT A ROSEMEAD BL 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801500 1
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI AVE
15384-006-011 IAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
IF1 120V, 15/20A BR CKTS 2.00 BR 34.60
]TENANT: IH2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
] TOTAL FEES 73.40 104/23/13 SR [
[OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: 1
RICHWELL DEVELOPMENT LLC (626) 535-0388-
I2500 E FOOTHILL BLVD ' I
(PASADENA CA 91107 1 [ SCRIPTION OF WORK [
[ I 12 BRANCH CIRCUITS AND GARBAGE DISPOSAL
I
[APPLICANT: TEL. NO: I I [
[DAM, QAN V (626) 757-3442- I ] [
1306 ELIZABETH AVE I [SPECIAL CONDITIONS: 1
MONTEREY PARK 91755
I ] I
(CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I
IT & A CONSTRUCTION CO (626) 757-3442- 1 1 I
1306 N ELIZABETH AVENUE LIC. NO (TEMPORARY POWER POLE I I I
IMONTEREY PARK CA 91755 852143 * I [ 1 I
I I [UNDERGROUND CONDUIT [ [
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I
I LIC. NO: 1 IROUGH CONDUIT I [ [
[ [ ROUGH WIRING [
[ 1 MAIN WATER LINE I I
I IPLASTIC YIN METAL YIN I 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 I
I I I I I I
I ] I I I
I I I I 1
I I* ADDITIONAL DATA ON FILE I [ [ ]
I I I I I I
[ IREPORT ID: DPR265 ROUTE TO: BS0508 [ 1 [ I
I I I I I I
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1211270046
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 5904 LT: 100 1 6128 APT F ROSEEMAD BL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:) TEMP CA 917801500
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI AVE
5384-006-011 JAI PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
IGl OUTLETS-LGT,SW,RECP 2.00 OUT 4.00
TENANT: TOTAL FEES 31.80 ISSUED ON: PROCESSED BY: PLAN BY:
111/27/12 SR
OWNER: TEL. N0: IFINAL DATE FINAL BY: CODE:
IRICHWELL DEVELOPMENT LLC (626) 535-0388- � 1 I•Y.�/�/ ,�A �
2500 E FOOTHILL BLVD I t 1" _ ' K
PASADENA CA 91107 IDESCRIPTION OF WORK
TWO OUTLETS
APPLICANT: TEL. NO:
DAM, QAN V (626) 757-3442-
1306 ELIZABETH AVE iSPECIAL CONDITIONS:
MONTEREY PARK 91755
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
IT & A CONSTRUCTION CO (626) 757-3442-
1306 N ELIZABETH AVENUE LIC. NO ITEMPORARY POWER POLE
MONTEREY PARK CA 91755 852143
UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND
LIC. NO: i ROUGH CONDUIT
d�L!�
T'ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
�* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF IAS ANGELES TEMPLE CITY # 0508
ELfiCTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1211270044
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 5904 LT: 996138 6138 APT B ROSEMEAD BL I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801564 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
I
15384-006-009 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
1G1 OUTLETS-LGT,SW,RECP 2.00 OUT 4.00 I 1
ITENANT: I TOTAL FEES 31.80 (ISSUED ON: PROCESSED BY: PLAN BY: I
111/27/12 SR 1
(OWNER: TEL. NO: I IFINAL DATE FIN BY: CODE: I
IRICHWELL DEVELOPEMENT LLC (626) 535-0388- I 1 'f
12500 E FOOTHILL BLVD I I !-
1PASADENA CA 91107 I JDESCRIVTION OF WORK u1
ITWO OUTLETS 1
1APPLICANT: TEL. NO: 1 I I
1DAM, QUAN V (626) 757-3442- 1 I I
306 ELIZABETH AVE (SPECIAL CONDITIONS:
MONTEREY PARK 91755
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
T & A CONSTRUCTION CO (626) 757-3442- I 1 1
306 N ELIZABETH AVENUE LIC. NO I ITEMPORARY POWER POLE I I
MONTEREY PARK CA 91755 852143
I 1 1UNDERGROUND CONDUIT I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND I I I
1 LIC. NO: 1 IROUGH CONDUIT 1
I 1 1ROUGH WIRING I
1 I IMAIN WATER LINE
I 1 IPLASTIC YIN METAL YIN
I 1 (UTILITY COMPANY NOTIFIED 1
I I I I I
I I I I I
I I I I I I
I I I I I 1
1 1 I 1 1
1 I i I I I
I 1 1 I I
1 1* ADDITIONAL DATA ON FILE 1 I 1
I (REPORT ID: DPR265 ROUTE TO: BS0508 I I 1 I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
EL 0508 1207160037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: i FEES PAID BUILDING ADDRESS:
ITR: 5904 LT: 99 6138 ROSEMEAD BL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801564
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI AVE
15384-006-009 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY 1
I 1G1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 1
ITENANT: H2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 ISSUED ON: PROCESSED BY: PLAN BY: 1
I I TOTAL FEES 44.80 107/16/12 SR
(OWNER: TEL. NO: FINA.L6 DATE FI Y: CODE: I
I TDA - I
16138 ROSEMEAD BLVD.
ITEMPLE CITY CA 91780 I 1D SC IPTION OF WORK 1
I I ELECTRICAL 3 OUTLETS AND GARBAGE DISPOSAL FOR KITCHEN AND 1
I I IBATHROOM REMODEL 1
IAPPLICANT: TEL. NO: 1 I
[DAM, STEVEN (626) 625-5248- I
1 I ISPECIAL CONDITIONS:
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
[SEASON CONSTRUCTION INC. (626) 625-5248- 1 1
19824 HOWLAND DRIVE LIC. NO 1 [TEMPORARY POWER POLE 1 1 [
ITEMPLE CITY, CA 91780 827959-B * I I I I [
1 1 ]UNDERGROUND CONDUIT I 1 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I
LIC. NO: i IROUGH CONDUIT 1 ]
1 I TROUGH WIRING I 1 1
1 IMAIN WATER LINE
] 1PLASTIC Y/N METAL Y/N I [
[ ]UTILITY COMPANY NOTIFIED[ 1 [
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I I* ADDITIONAL DATA ON FILE
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[ IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 [
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