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HomeMy Public PortalAbout6264-6276 ROSEMEAD BLVD_Electrical__ WORKERS' COMPENSATION DECLARATIONA663 DPW 3/87 !� fry 1�r1 �CAT M r�� ®®rte ren rm,Iyacm M � L ra E R n 7 I hereby affirm that;,have a certificate of consent to self CE-806G [PLlN1lFlYJlllrill7� 1111 N!F FOR IIb�IL1SILL�,{@s Illi 111=AJ G/1\1 Il1JILS�IIIv�/1UIN�/n111 1111 insure, or a !srtificatelf Workers' Compensation Insurance,`- COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C I Policy Nq/ 9 7 Company f FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS Certified copy is filed with the county building inspec- 1 &2-Family, Sq Ft $ — $ LOCALIT tion dgpa tme t Date pplican *, Multi-family-Sq Ft NEAREST CROSS ST Residential Swimming Pools OWNER OR A FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ AMAIL DDRESS COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by Total No At ditional CITY Tel No- 't o- 1 the permit is For one hundred dollars ($100)or less.) PLAN CHECK I certify that in ;he performance of the work,for which this APPLICANT permit is issued, I sholl'not employ any person in any manner' so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Additional Date Applicant Total No CITY 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' Range— Heater—D W APPLICATIO rrle�'63 (J� Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M ADDRESS `~ with comply with 'such provisions or this permit shall be Top — FAU —W H — deemed revoked Hood — Fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE 09t I hereby affirm that I am licensed under provisions of Chapter 9 D1sp — Room Air Cond — REG NUMBER CJ ClassC (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO /� PROCESSED BY >- and Professions Code,and my license is in full force and effect � 0 tQ/ d Size &Type HP, KW, KVA, or KVAR �/ 0 License Number s,4:��� Lic ClassUp to 1 Incl FINAL U ���a�, E Over 1 to 10 Incl DATE, ^�J �J f VALIDATION ❑ Cc Contracto to – C/v � Over 10 to 50 Incl I am exempt under Sec Over 50 to 100 Inc gY U Over 100 LU B&P C for this reason d D Date Services, Swbd , MCC& Ponelboards Z -' 0-200 Amp Under 600 V — Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V ❑ Exemption for Reg Mamt Elect � ,0 9 5A SINGLE FAMILY ' HOMEOWNER-BUILDER DECLARATION Temp Power Pole &Appurtenances # e o 0 0 10 2 I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit I ° ° 2 5 5 0 Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) - � � � ° ° ° 2 5.5 0 x Ell, as owner of the property, will do the work and the Misc Conduits&Conductors 1. 081-88 structure is not intended or offered for sale(Section 70.44, 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 ) PLAN CHECKING FEE / Lender's Name ' PERMIT ISSUING FEE U Lender's Address v 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 ordinances and State laws ulating Electrical wiring, and hereby authorize represen tiv sof this County to enter upon the abo -mentioned pr er for inspection purposes \ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Perm Date v r ©s VJDRKERS'COMPENSATION DECLARATION,_ 76A6A�3 ;i0i81 �+,, (� p 6+' H n 2A 2 n pP2f�/�,� `� I hereby affirm that I have a �ertificate`'ot,conA nt to self~ CE-806' Qlr�L;II�Q��®l1V �OII� L�L�LS�����QL� Il-15[i�llC%l10 ° inure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) Po cyNd�► ZCompany]EIZ EA C-2(\ Z _ FOR APPLICANT TO FILL IN' JOB - 7-Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS ❑ 1 8 2-Family, S Ft $ — s LOCALITY Certified copy is filed with the county building inspec- y, q tion department Multi-family Sq Ft — NEAREST ( 2.�1 �_�/ Residential Swimming Pools CROSS ST Date Applica OWNER OR FIRM NAME. L CERTIFICATE OF EXEMPTION FROM ORKERS' Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE ADDRESS Z lilt First 20 (This section need not be completed If the work involved by Total No Additional CITY Tel No S the permit is for one hundred dollars ($100iona )or less.) PLAN CHECK I certify that in the performance of the work,for which this APPLICANT " permit 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 l r Additional CITY � Tel No Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If, after making this Certificate of PERMIT PERMITAPPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D W Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION, Hood _ Fan _ Other_ i Disp _ Room Air Cond LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business DISTRICT NO P SSED BY and Professions Code,and my license is in full force and effect Power Apparatus& Large Appliances y. J Size &Type HP, KW, KVA, or KVAR Q2,4 0 License Number `Z Lic Class_ Up to 1 InclV FINAL (211 4-�� Over 1 to 10 Incl DATE ^ � ,��_ O Contract ate �e„� VALIDATION ❑ Over 10 to 50 Incl FINAL,, U I am exe t under Sec Over 50-to 100-Inc BY uVi B&P C for this reason Over 100 y Services, Swbd , MCC & Pan6lboards Date 0 -200 Amp Under 600 V ;9 1 ,2 8 ASignature 201 - 1000 Amp Under 600 V 0 0 o e o 2 ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V I - 25,50 SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit C O ° 2 5,5 0 5 j hereby affirm that I am exempt from the Contractor's License Additional Sign-Branch Circuits-Law for the following reason (Section 7031 5, Business and 12 1 4-84 Professions Code) ❑ j, as owner of the property, will do the work andthe Mi sc Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, 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 ) , PLAN CHECKING FEE Lender's Name PERMIT-ISSUING FEE Q Lender's Address 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 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 - ignatur f Permittee Dote - r �ORKEdS'COMPENSATION DECLARATION CE-806 10/81 APP C /,a TPON FOR (fin ECTRP� /,� p PERRA � y i rhere6y affirm that I have a certificate of consent to self ¢CE-8o6G • L� hGSU U Cl FOR L�L� P�1L's dFY� �j insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING'AND SAFETY FIJI or a certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN �Sc' ❑ Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE DDRESS 42 ,:01 A017 ❑ 1 & 2-Family, S Ft $ — $ LOCALITY Certified copy is filed with the county building inspec- y. cl I n d partment Multi-family Sq Ft NEARESTCROSS ST /T G 1 Residential Swimming Pools OWNER OR Dat Applicant +s�► FIRM NAME /O l CERTIFICATE OF EXEMPTION FROM WORKERS' al / MAIL Outlets Rec�Light Sw G COMPENSATION INSURANCE' • ADDRESS First.20 (This section need not be completed'if the work involved by Total No Additional CITY Tel No the permit is for one hundred dollars ($100)or less.) J-7 0 PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner [ yq so as to b come sublect to the ers'C mpensation Laws Lighting Fixtures, First 20 ADDRESS /��� / Total No Additional CITY n Tel No/ Date pplicant ,.ed Appliances Not Over 1 HP PERMIT NOTIC TO AP LICANT If, after m king this Certificate of APPLICANTLAI Exemption, you should become subject to the'Workers' Range_ Heater_D W — . 12 -Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _W M ADDRESSG with comply with such provisions or this permit shall be Top — FAU —W H deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION Hood _ Fan —,Other-- Disp LICENSE _ )/��� r I hereby affirm that I am licensed under provisions of Chapter 9 � Room Air Cond REG REG NUMM BER 7 Class (commencing with Section 7000) of Division-3 of the Business power Apparatus 8 Large Appliances DISTRICT NO PR XESSED BY �} and,Professions Code,and my license is in full force and effect O Size &Type HP, KW, KVA, or KVAR _ C> L�cense'Number Lic Class_ ,r;�' Up to 1 Incl FINAL G= Over 1 to 10 Incl DATE �� O Contractor to VALIDATION l'— Over 10 to 50 Incl FINA W ❑ 1 am exempt under Sec Over 50 to 100 Inc BY CL 100 B&P C for this reason Over Z Date Services, Swbd , MCC 8 Panelboards 0 -200 Amp Under 600'V > 2657.3A Signature 201 - 1000 Amp Under 600 V # o e 0 0 0 2•' ❑ Amp Exemption for Reg MamOver 1000 t Elect or Over 600 V- �I ,o•1 •1 Q 5 0 SINGLE FAMILY Temp Power Pole & Appurtenances ,o 0.1 .1 Q 5 0 60- HOME HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 0225-87 1 hereby affirm that I am exempt'from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section,7031 5, Business and Professions Code) ❑ I, as owner of the property, will do the work and the MLsc Conduits & Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY _ c't/i 3 1 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 ) PLAN CHECKING.FEE Lender's Name PERMIT ISSUING FEE Lender's Address U, I certifythat 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 )0herebuthorize representatives of this Cou to enter upon e-menti9ned pr rtyri sp purposesSEE REVERSE FOR EXPLANATORY LANGUAGE l of Permittee Date WORKERS'COMPENSATION DECLARATION 76A663 10/81 ��,UCAUMN FOR ELECT o CAL PERMIT I,hereby affirm that I have a certificate tof consen'r to self CE=8066 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF.LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C') Policy No Company FOR APPLICANT TO FILL IN JOB- v Certified co is hereby furnished EACH NO FEE ADDRESS PY Y New Residential Bldgs �& Pools ❑ 1 & 2-Family, q LOCALITY Certified copy is filed with the county building inspec- y, S Ft $ — $ t" tion department Multi-family Sq Ft — 'NEAREST Residential Swimming Pool1, CROSS STs OWNER OR N Date Applicant FIRM NAME 10 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec�?Q LightSw ''11 MAIL COMPENSATION INSURANCE First 20 y otiJ J� ADDRESS (This section need not-be completed if the work Involved by Total No�� Additional- CITY c '�+ Tel No the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this - APPLICANT \ permit is issued, I shall not employ any person in any manner _ so as to become subject to the Workers'Compens ion Laws Lighting Fixtures First 20 ADDRESS Additional 33 !IQ Total No CITY Tel No Date 0^ pplicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making thi ertificate of APPLICANT e� Exemption, you should become subject to the Workers' Range_ Heater_D W — Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESSp� S' r with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked CITY 1�.4fyiTel No LICENSED CONTRACTORS DECLARATION Hood Fan _ Other— LICENSED _ Room Air Cond LICEREGNSE ORNUMBER j Class �l V I hereby affirm that I am licensed under provisions of Chapter 9 ' (commencing with Section 7000) of Division 3 of the Business DISTRICT NO., PR SED BY and Professions Code, and my license is'in full force and effect Power Apparatus& Large Appliances } d �7 Size &Type HP, KW, KVA, or KVAR ( O License Numbers / 7 ?girLic Class�+_/_LL_ Up'to 1 Incl FINAL V Zkow EG to 7�r�" Over 1 to 10 Incl- DATE D' VA DATION 09 Contractor, Over 10 to 50 Incl V ❑ FINA , I am exempt under Sec Over 50 to 100 Inc Over 100 BY Lu d B 8P C for this reason 1 Services, Swbd MCC & Panelboards Date J 0 -200 Amp Under 600 V 1 v Signature 1 Ol-=1000 m 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 2 4 2 5 A I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and # o 0 0 0 0 2 Professions Code) ❑ 1, as owner of the property, will do the work and the Misc Conduits &Conductors ;I o 1 4 2 50 structureis not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code) o o.1 4 2 5 0 6 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for O 7_1_0-8'5 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name 2 - PERMIT ISSUING FEE �( Lender's Address I certify that 1 have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property or inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 7- gnature ofeigrmittee Date �1 WORKERS'COMPENSATIONDECLARATION 1 76A663 - APPUCATION FOR ELECTRICAL PERMIT CE-806G (2-801 I hereby affirm that I 'have a ctertificatel'of.Fonsent tcfwIf COUNTYOF LOSANGELES BUILDING,ANDSAFETY insure, or a certificate of Workers'Compensation Insgirance,or . a certified copy thereof(Sec 3&00,Lab CC.y)� FILL JOB Policy No 7mpany FOR APPLICANT TO EACH NO. FEE ADDRESS *,New Residential Bldgs &Pools Certified copy is hereby furnished 1 &2-Family,Sq. Ft $ $ LOCALITY a Certified co Multi-family Sq Ft — NEAREST copy is filed with t ounty ildi g rasp on CROSS ST, kda,tmentResidential Swimming Pools /� �/.\`FORMNAME � /%GatePPlicant Outlets Rec —Light—Sw MAIL ADDRESS f �� f� =�`��/� '1 - First'20 ��.�+r _Nci CERTIFICATE OF EXEMPTION FR M W RKERS' Total No Additional CITY ,��QY ��Tel �, c. +COMPENSATION INSUR CE PLAN CHECK >- (This section need not be,completed if the work involved APPLICANT 4 by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No Additional O I certify,tHat in the perforinance'of the-work for which this,I Fixed-Appliances Not Over 1 HP CITY Tel,No, permit is`issued, I shall `not employ-any person in any'manner PERMIT - /ia�� �� T�fTf W so as to become subject to the Workers' Compensation Laws Range_ Heater_D W. APPLICANT CTS`+ :��, v a a Oven _ Dryer_W MADDRESS Top _ FAU _W H Z ' Date Applicant - Hood Fan- _Other_ CITY 04,41V& Tel No NOTICE TO APPLICANT. If,-after making this Certificate of Disp Room Air Cond._ LICENSE OR �n/ -Exemption, you should become subject to the' Woikers' REG NUMBER �-24V —6 Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO, PROCESS Y with comply with such provisions or,this permit shall bei Size&Type FiP,KW, KVA,•or KVAR + deemed revoked. Up to 1 Incl FINAL Over 1 to-10 Incl DATE LICENSED CONTRACTORS DECLARATION � VALID ION Over 10 to 50 Incl _ , I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINA " c 9 (commencing wrth Section 7000) of Drvisiori 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and ; effect Services License Number Class C 7`� 0-200 Amp. Under 600 V { Lam- /' �7 201-1000 Amp Under 60.0 V Contractor � �cS Date —2 moi , Over 1000 Am or Over 60 T� 0 V 2 A HOME OWNER=BUILDER DECLARATION Temp Power Pole& Appurtenances Sign with One Branch Circuit ' # 0 0 o e o 2 I hereby. affirm that I am exempt from the Contractor's, !+,� Additional Sign Branch Circuits �, 0 0 2'S 5 - License Law for the following reason,(Section 7031 5, Busi- ,r+-• ness and Professions Code) Misc Conduits&Conductors - �o o 0'25,5 0 5 -I, as owner of,the property, will'do the work and the Other(See Complete Fee Schedule)— structure is not mtended or offered for sale (Section 7044, Business and Professions Code). p 23t85- ' CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constructwn,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-hav rea®ree n and state,that the TOTAL FEE zs above information i rrmply with all County _ ordma nd St to laElectrical wising, and here aut raze r r enCounty to enter upon th above-mention oion purposesSEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Per itteeDate . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF- PUBLIC WORKS 9701 LAS TUNAS EL 0508 0504140001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: FEES PAID BUILDING TR: 5904 LT: 15 6264 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA.917801560 INFORMATIONASSESSOR NEAREST CROSS STREET: 5384-005-001 Al PERMIT ISSUANCE,.FEE 27-.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 M1 CONDUITS, CONDUCTORS 5.00 MIS 326.25 I I . CINGULAR WIRELESS TOTAL FEES 392.85 04/14/05 JK 10/11/05 OWNER: TE FFINAL BY: SMALDINO LOUIS P;DOROTHY A (562) 696-6900- 13583 WHITTIER BL WHIT 906051935 IO WORK A 1 200 AMPS PANEL AND 5 MISC CONDUITS & CONDUCTORS N0: BROOKSTONE TELCOM, INC. (951) 694-4114- 27450 YNEZ ROAD #300 SPECIAL CONDITIONS: TEMECULA, CA 92591 CONTRACTOR: . N0: APPROVALS DATE iNSPECTOR SIGNATURE BROOKSTONE TELECOM, INC. (951) 694-4114- 27450 YNEZ ROAD SUITE 300 LIC. NO TEMPORARY POWER POLE TEMECULA, CA 92593 8402446 UNDERGROUND CONDUI ARCHITECT OR ENGINEER: -TrE-70: UFER GROUND MICHAEL SHEWBRIDGE - (949) 251-1177- 1800 E. DEERE AVE LIC. NO: ROUGH -CONDUIT SANTA ANA, CA 92795 C19797 ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N COMPANYUTILITY REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0503170031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: BUILDINGLEGAL ID: TR: 5904 LT: 15 6264 ROSEMEAD BL FEE DESCRIPTION: QUANTITY; UOM: AMOUNT: TEMP CA 917801560 AS NEAREST CROSS STREET: 5384-005-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C LB 200 AMP PANELS, MCC 1.00 PAN- 38.85 TOTAL FEES 66.60 ISSUED 0 : P PIR . CINGULAR WIRELESS 03/17/05 JK 09/13/05 . OWNER: TEL. NO: B CODE SMALDINO LOUIS P;DOROTHY A (562) 696-6900- 13583 WHITTIER SL WHIT 906051935DCRIF I I STALL 200 AMPS SERVICE FOR CINGULAR WIRELESS APPLICANT: TEL. NO: BROOKSTONE TELCOM, INC. (951) 694-4114- 27450 YNEZ ROAD #300 SPECIAL CONDITIONS: TEMECULA, CA 92591 CONTRACTOR: TEL. NO: APPROVALS DATE INSPFCTOR SIGNATURE BROOKSTONE TELECOM, INC. (951) 694-4114- 27450 YNEZ ROAD SUITE 300 LIC. NO TEMPORARY POWER PO TEMECULA, CA 92593 8402448 ENGINEER: UNDERGROUND CONDUIT ARCHITECT OR OU MICHAEL SHEWBRIDGE (949) 251-1177- 1800 E. DEERE AVE LIC. N0: ROUGH CONDUIT SANTA ANA, CA 92795 C19797 ROUGH WIRING MAIN WATER I PLASTIC Y/N METAL Y/N COMPANYUTILITY F REPORT 1D: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ELs,0508 9.705;1,50022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL FEES PAID BUILDING-ADDRESS: TR: 5904 LT: 15 6264:'ROSEMEAD' BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: �T�EMP CA=917801560 ASSESSOR A R: NEAREST,CROSS-STREET: LONGDEN 5384-005-001 Al PERMIT ISSUANCE FEE 27.75 �THOMAS_PAGE:=596 1 GRID: H2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 TE G2 LIGHTING FIXTURES 2.00 LGT 3.90 I U R SS PLAN EXPIRES . LA 100 AMP PANELS, MCC 1.00 PAN 38.85 05/15/97 TC 05/15/98 TOTAL FEES � 78.30 OWNER: TEL. N0: FINAL DATE FINAL BY: CODE: SMALDINO LOUIS P;DOROTHY A - 13583 WHITTIER BL WHIT 906051935 ESRIPIION 0 p� " � INSTALLATION OF BASE TRANCEIVER STAT NON ROOF W/ 3 ARRAYS APPLICANT: T 8O31 " OF ANTENNA INSTALLATION (1 J. M. CONSULTING CO. (310) 981-1660- C� O SP CIAL CONDITIO CONTRACTOR: TEL. NO: ,APPROVALS DATE INSPECTOR SIGNATURE CORD COMMUNICATIONS (818) 255-0373- i 1 10741 SHERMAN WAY, SUITE 9 LIC. NO -,TEMPORARY SUN VALLEY, CA 91352 701410 B * J0) � uNDERGRO ONDUIT ARCHITECT E N` (U�}L(/n\�(U �Ea n oi DCI PACIFIC (714) 475-2525- 2 EXECUTIVE CIRCLE #275 LIC. NO: ROUGH CONDUIT IRVINE, CA 92614 NONE ��� j� WIRING ' MA W ER LINE PLASTIC Y/N METAL Y/N UT L T Y N �O STI " I I * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT 'DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1005180002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS ITR 5904 LT 15 - 6264 ROSEMEAD BL I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801560 1 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: LONGDEN 15384-005-001 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY ' I ILA 100 AMP,PANELS, MCC 1.00 PAN 38-85 TENANT TOTAL FEES 66 60 JISSUED ON PROCESSED BY PLAN BY ICLEARWIRE 105/18/10 SR 1 I I I I OWNER TEL. NO IFINAL DATE FINAL BY CODE: ISMALDINO FAMILY TRUST - f1 16262 ROSEMEAD BLVD I V TEMPLE CITY CA 91780 ID S RIPTION OF WORK 14 II STALL NEW 100 AMP SERVICE TO PROPOSED NEW COMMUNICATIONS CABINETS NEW SCE METER APPLICANT TEL. NO BEMIS DEVELOPMENT, JEFF PARRISH (714) 730-0606- 1250 EL CAMINO REAL ISPECIAL CONDITIONS- TUSTIN, CA 92780 1 1 1 1 ICONTRACTOR- TEL NO: 1 - 1APPROVALS DATE INSPECTOR SIGNATURE 1 INETWORK COMMUNICATIONS INSTALLATION (714) 278-1019- 1 1 12478 E. FENDER AVENUE SUITE H LIC NO 1 ITEMPORARY POWER POLE I I - 1FULLERTON, CA 92831 B,C10 I I I (UNDERGROUND CONDUIT I 1ARCHITECT OR ENGINEER: TEL NO I IUFER GROUND I IDERRA DESIGN, INC (714) 730-0606- I I I _ 1250 EL CAMINO REAL, SUITE 216 LIC NO: I (ROUGH CONDUIT I ITUSTIN, CA 92780 NONE I I I I I IROUGH WIRING i I I I (MAIN WATER LINE I PLASTIC Y/N METAL Y/N 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 11 I I 1* ADDITIONAL DATA ON FILE I I IREPORT ID DPR265 ROUTE TO. BS0508 I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0910200020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT- ILEGAL ID FEES PAID BUILDING ADDRESS ITR. 5904 LT 15 I I 6272 ROSEMEAD BL - I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801560 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 15384-005-001 lAl PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT 1 00 SIG 38 85 ISEENNANT- TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON. 110/20/09 SR 10/20/10 I I I I (OWNER TEL NO 1 IFINAL DATE FI CODE: 1 IVICKY (626) 623-0592- 16272 ROSEMEAD BLVD /'� � ITEMPLE CITY CA 91780 1 IDIE�CR TION F WORK 1 IONE SET INTERNALLY ILLUMINATED LIGHT BOX I I I I (APPLICANT TEL NO IPHAM (626) 448-1166- 19437 VALLEY BLVD I ISPECIAL CONDITIONS. 1 IROSEMEAD, CA 91770 I I I I I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE IAD SIGNS (626) 448-1166- I 19437 VALLEY BLVD LIC NO I ITEMPORARY POWER POLE I I I IROSEMEAD CA 91770 927951 C45 I I - I I I 1 (UNDERGROUND CONDUIT I- I I I I I I (ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I I I - I I I I I LIC NO I IROUGH CONDUIT I I I I I i I I I IROUGH WIRING I I I 1 I JMAIN WATER LINE I I I (PLASTIC YIN METAL YIN I (UTILITY COMPANY NOTIFIEDI 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 I I I I I I I I I I I I I I I IREPORT ID- DPR265 ROUTE TO BS0508 I I I I I I I I I • - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT ' pEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003300027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626)_285-0488 EXT ILEGAL ID. FEES PAID BUILDING ADDRESS { ITR 5904 LT 15 1 6264 ROSEMEAD BL 1 I {FEE DESCRIPTION t QUANTITY UOM AMOUNT TEMP CA 917801560 - 1 (ASSESSOR INFORMATION NUMBER { _ 1 { � NEAREST CROSS STREET { {5384-005-001f 1A1 PERMIT ISSUANCE-FEE 27 75 THOMAS PAGE 596 GRID H2 LOCALITY. TEMPLE CITY, Cl { - IK1 SIGNS,; OUTLINE LGT 1 00 SIG 38 85 ITENANT I1 TOTAL FEES 66 60 {ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON { ILITTLE CAESARS { 103/30/10 SR 03/30/11 {OWNER TEL NO. (FINAL DATE FINAL BY, CODE { {SMALDINO LOUIS (562) 693-8292- - { 113583 WHITTIER BL IWHIT 906051935 { - - {DESCRIPTION OF WORK 1 { { 11 SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS (WALL SIGN) { I I I { APPLICANT. TEL NO {MONICA PIERCE (909) 923-3075- 11028 E ACACIA ST { -{SPECIAL CONDITIONS { {ONTARIO, CA 91761 I { I I {CONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE { 1EAGLE SIGNS (909) 923-3034- 1 { { 11028 E ACACIA ST LIC NO { {TEMPORARY POWER POLE (ONTARIO, CA 91761 _ 619628C-45 { I 1UNDERGROUND CONDUIT I { { (ARCHITECT OR ENGINEER TEL. NO { {UFER GROUND { { { 1 LIC NO IROUGH CONDUIT 1 { { { I I { I { { {ROUGH WIRING { { { - • - I MAIN WATER LINE { { _ PLASTIC YIN METAL YIN { { { (UTILITY COMPANY NOTIFIED( I I I { { I 1 { EXPInED { { I I I �7 I I I I I { I I { I I I I I { I { I { I I I I { { {REPORT ID- DPR265 ROUTE TO BSO508 _ y-' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302270035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ PHONE (626) 285-0488 EXT ILEGAL ID _ FEES PAID BUILDING ADDRESS 1 ITR 5904 LT 15 1 6272 ROSEMEAD BL I IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 917801560 _ • I (ASSESSOR INFORMATION NUMBER' I • I NEAREST CROSS STREET LONGDEN 15384-005-001 1A1 PERMIT'ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 2 00 OUT 4 00 I (TENANT. I TOTAL FEES 31 80 (ISSUED ON PROCESSED BY PLAN BY 1 102/27/13 SR _ (OWNER _ TEL NO: I _ - IF.IINNAL DATE FINAL BY: CODE 1 ILI, WAN XING (626) 623_-2479- I .I 16272 ROSEMEAD BLVD ITEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK 1 (ADD 2 OUTLETS 1 1APPLICANT TEL NO- - 1 - • _ I 1 IZHENG, KEN (626) 674_-2336-, 11352 CARVIN AVE 1 ISPECTAT CONDITIONS. - 1 ROWLAND-HTS CA 91748 I I I I ICONTRACTOR - TEL NO I - (APPROVALS DATE - INSPECTOR SIGNATURE 1 IMIRACLE DEVELOPMENT INC (626) 674-2338- I 1 11352 CARVIN AVENUE LIC NO I _ ITEMPORARY POWER POLE IROWLAND HEIGHTS CA 91748 928751 I 1 I _ I (UNDERGROUND CONDUIT - ARCHITECT OR ENGINEER TEL NO IUFER GROUND ' I LIC NO - ,. IROUGH CONDUIT - IROUGH WIRING --- 1 ---- -- ---------- - - -- - - -- --- - - -I ---------- - -- --- - ----- ------I-------- - IMAIN WATER LINE _ PLASTIC Y/N METAL Y/N I I I I I I (UTILITY COMPANY NOTIFIEDI 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 I I I I I I I I I IREPORT ID DPR265 ROUTE TO BS0508 I COUNTYOF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1301150028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT. ILEGAL ID- FEES PAID BUILDING ADDRESS- ITR 5904 LT 15 J 6272 ROSEMEAD BL I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917801560 (ASSESSOR INFORMATION NUMBER, I NEAREST CROSS STREET LONGDEN 15384-005-001 JAI PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY CAI I JG2 LIGHTING FIXTURES 10 00 LGT 20 00 J I ITENANT JH5 RES WASH MACH LT 3HP 1 00 WAS 11 00 (ISSUED ON PROCESSED BY PLAN BY I TOTAL FEES 58 80 101/15/13 SR (OWNER TEL NO IFINAL DATE AFINY CODE ILI, WAN XING (626) 623-2479- 16272 ROSEMEAD BLVDITEMPLE CITY CA 91780 J ID CRIPTION OF WORKIT/I ELECTRICAL 10 OWASHING MACHINE FOR NAIL SALONI I I JAPPLICANT TEL NO I I JZHENG, KEN (626) 674-2338- 1 11352 GARVIN AVE I ISPECIAL CONDITIONS ROWLAND HTS CA 91748 1 1 I I I I I I I I (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE IMIRACLE DEVELOPMENT INC (626) 674-2338- 11352 CARVIN AVENUE LIC NO I ITEMPORARY POWER POLE IROWLAND HEIGHTS CA 91748 928751 1 1 1 I (UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER TEL NO JUFER GROUND I 1 LIC NO TROUGH CONDUIT I I I J I I IROUGH WIRING I IMAIN WATER LINE IPLASTIC Y/N METAL Y/N 1 JUTILITY COMPANY NOTIFIEDI 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 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 DS0508 L I