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HomeMy Public PortalAbout6276 ROSEMEAD BLVD_Electrical__ :SCS 5-A 6-46 1• A PLICe� ION FOR TDL�g)71�41r DEPARTMENTU ®pt pyg}7g S AN LR SAFETY A 4*T�' ('�C x�EJi�IrL'8�A A�1��1`i9 I-L�l1�AYY C®ECOUNTY iJ i!r OLi�J'Y1A�TITGE1g��99S a`91 S�a iL • WBJM. J.SFOX. CHIEF ENGINEER Q NAME c/!e�p.Q DISTRICT NO. GROUP ZONE PERMIT NO. a ADDRESS JlVdq&0o F41 4 RECEIVED BY READY FOR DATE ISSUED U CITY FIRST INSPECTION A COUNTY ti G Q_y6 W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS 4.677 A® 6S e 16142; . NUMBER OF OUTLETS ON CIRCUITS LOCALITY=42 42. ^ LOCATION BY ROOMS NEAREST LIGHT 0UTLET6 SW.I PLUGS FIXT CROSS ST. CIRCUIT A B C D E F I G 'H W NAME C Q 3 Z MAIL 3 ADDRESS CITY TEL. O. 1 AM. THE LEG SESSOR HE B•VE ANGELES COUN CER !GATE O AL1 T!O ELECTRICIAN. I AM THl;LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. COR�CTIONS J Q Z_ C7 _ !Y - O TE TOTAL Z-/ r/ NO. OF OUTLETS /�S $ 7J APPROVALS NO. OF FIXTURES $ �J' DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING ` NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOU $ POWER PERMIT FEE $ �-J UTILITY CO.NOTIFIEDI TOTAL FEE 1Y4 r:jFINAL DZL > D138 SA ZSM SETS 2-47 A DEPARTTHE, II' OT WaDIIrig AND SAY" ' 'i �'��tTr.,j COUr=' OIC ILOS �:0ELES WC _ FPJ�1. J. FOX CHIEF ENGINEER 1319TO. GROUP ZONE PERMIT NO. Q NAME t C ESr 1` Rc'C S6:ED BY Pt INS FOR DATEISSUED CITY TFL.NO. c\{t]^'� [IS`Se SPdaPEC7iOri1 ,.1 COU�ST•� v CPT.1•.IO. �� _EN PIRES �s i APPLECAIT IFILIL M HEAVE Y O"J'HUN ED PGR uRON 61�%yJOB a D.glsc m'.�'II'oN OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLET sw. PLUGS FIXT CROSS ST. CIRCUIT A 8 C I ® I E F G IH n; NAME MAIL, ADDRESS CITY TEL.NO. S AM THE LEGAL POSSESSSOOROF THE ABOVE L03 AP1:sELE£ COUN'T'Y C CA I XbQUALIFICATION.. _r ELECTRICIAN. I AM 'THE LEGAL OWMER OF THE PROPERTY DESCRIBED ABOVE OWNER. ' CORREMOI' S I J Q Z_ L7 tY D 1 TOTAL NO. OF OUTLETS APPROVALS 1 NO. OF FIXTURES w DATE INSPECTOR'S NAME NO. OF MCTORS H.P. `v COfdDUiT NO. OF SIGNS TRANS. Wit R'.N. �} NO. OF RANGES OR HEATERS £ Fix,URES MISCELLANEOUS Y PCW ER PERMIT FEE t$ ,001 UTILITYCO.NOTiFIRD 4� v s T f TOTAL FEC __— _ � FINF.d_ 1 i 76"63 D98'5A 11-49 , APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' COUNTY OF LOS•ANGELES ELECTOR�'� WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GRF ZONES PERMIT N ELECTRICIAN : � C Gp , 1 FOR 7 ADDRESS 6,/ ,�`�V n,� '��/. RECEIVED Y READY FOR DATE ISSUED FIRST INSPECTION (/� CITY l- A TEL No.Z-.?5 t23-?y COUNTY LICENSE NO.- EXPIRES BUILDING J PERMIT FEES ADDRESS FEE NUMBER OUTLETS EACH LOCALITY LIGHT Sc $ CROS88T. RECEPTACLES 5 FIXTURES s OWNER WALL SWITCHES 5 MAIL / ELEC. RANGES 23 ADDRESS b� ELEC. HEATERS 25 y CITY TEL. NO.' MISC. - NUMBER OF CIRCUITS INSTALLED: 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS - - TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER • FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEW MVD. HP OVER IHC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER I/2 6 LESS B .25 OF THE RESIDENTIAL PROPERTY PROPE/RT/Y DESCRIBED ABOVE. I .50 SIGNATURE OF 2 5 ) a-;,2 S 1.00 PERMITTEE 5 15 1.50 INSPECTION-RECORD 15 SO 2.50 5o' 200 5.130 zoo 500 10.00 ' Sao 1000 15.00 J OVER 1000 20.00 - - Z M.G. SET/FREQ. CHANGER-HP E7 WELDERS:AC-KVA R' GENERATORS - KW O TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRIS,) - MOVED MOTORS (75% OF DRIG.) MISC. SIGNS TYPE: /12P/�j�, NO.TRANS. r - TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES4 POWER TOTAL.FEE UTILITY CO.NOTIFIED I A 41 v AV"" i FINAL L 76A663 DBS•SA 12-54 APPLICATION LICATION FOR E,LECT'R-IC PERMIT 1 DIVISION OF,BUILDING AND SAFETY Department of County Engineer 't County of Los Angeles - BUILD=G ,7P767 IDWM.J. FOX, COUNTY ENGINEER, ADDRE CASSATT D. GRIFFIN, SUPT OR BUILDING FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES NEAREST CROSS ST FEE NUMBER EACH LIGHT OUTLETS 04 OWNER RECEPTACLES MAIL r ADDRESS WALL SWITCHES - TOTAL OUTLETS 5d $ D CITY TEL NO Immm ELEC RANGES 25 ELECTRICIA J ELEC. HEATERS 25 ADD R SS KW EA CITY , TE O FIXTURES3 5 LICENSE NO NUMBER OF LIGHT CIRCUITS DISTRNO IGROUP ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS C.. MOTORS NUMBER HORSEPOWER - FEE INSPECTION RECORD , NEW MVD HP OVER INC EACH I�&LESS $ 25 2 ,50 2 5 1.00 5 15 150 15 50 2 50 50 200 500 MISC NO SIGNS NO TRANS - - NO SIGNS NO: LAMPS , FOR EACH PERMIT. WIRING $100 FIXTURES - S1 00 aD - SUPPLEMENTARY - .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING - ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES ' LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT AM THE LEGAL 0 ER OF THE ABOVE DESCRIBED RESIDENT PROPERTY. _ UTILITYCO NOTIFIED SIGNATURE OF PERM TTEE FINAL WILLIAM J. FO , COUNTY ENGINEER _ VALIDRIM'l 6 UP 'MAR 9 2 2.3 5 BY DEPUTY O ' WORKERS'COMPENSATION DECLARATION 76A663 10/81 0\0 0 0 1 hereby affirm that I have a certificate of consent to self CE-806G APPUCAUON FOR [ELEC` MCad pERNT in';b4e, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a cerTified copy thereof ( c 380 Lab C ) Policy N� Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New'Resi'dent,ial-Bldgs & Pools EACH NO FEE - ADDRESS ��7b Cert fled copy is file �cotying inspec- 1 & 2-Fbmily, Sq Ft L — $ LOCALITY ho de rtment - Multi-family Sq Fr — 'NEAREST Date A lir �ROSS ST Residential Swimming Pools 1 OWNER OR PP FIRM NAME CERTIFICATE'OF EXEMPTION FROM WORKERS/ Outlets Rec Light Sw pl f', ' I MAIL COMPENSATION INSURANCE First 20 ADDRESS (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.) PLAN CHECK I ceHify 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 AdditionalDate Applicant 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 — APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESSCJq with comply with such provisions or this permit shall be Top deemed revoked FAU —W H — ,Z ,/1 Hood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE R I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class s (commencing with Section 7000) of Division,3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROCESS BY } and Professions Code,and rQy license is in full force and effect G, Size &Type'HP, KW, KVA, or KVAR O License Number be Class Up to 1 Incl FINAL V �� g' Over 1 to 10 Incl DATE VA ATIOPJ 0 Contractor Date FINAL Over 10 to 50 InV ❑ 1 am exempt under Sec Over 50 to 100 Inc BY W 112- Over 100 B 8P C for this reason N Services, Swbd , MCC & Panelboards Z Date 0 - 200 Amp Under 600 V 2 2 7 21 A Signature 201,- 1000 Amp Under 600 V- #-0'0 0 o;o 2 Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances 1 - 4050 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit j o • 0 4 a 5 Q v 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 Professions Code) Q 8 1 4—8 5 ❑/ I, as owner of the property, will do the work and the Misc Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ : 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 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 jaws regulating Electrical wiring, and hereby authorize representatives of this County t enter upon the ove-mentioned property for inspection pu po(se� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permitt a Date • \ r WORKERS'COMPENSATION DECLARATION 176A6690Pw9 87 APIl�l��V-li TMT FOR EL EC u � MCAD PERN7 hereby affirm that I have a certificate of consent to self .CE-8066 C� insure ,or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or„a`(*fled copy thereof'(Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB �1 n BL,!❑Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS 6276,1��i o RO►SEMEAD BLS , ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY TEMPLE CITY tion department Multi-family Sq Ft NEAREST Date Applicant Residential Swimming Pools CROSS STWNELONGDEN I FIRM NAME - y.C.DIST. CAMP FIRE CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE ' ' ADDRES4510 DARLOW AV. . Tel No287 1 (This section need not be completed if the work involved by First 20 Total No Additional CITY ROSEMEAD CA � 3 42 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'sublect to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS \ Additional Date- 5- -91 8Applicant DALES ELECTRIC Total No CITY f 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 _ APPLICATION DALES ELECTRIC Compensation provisions of the Labor Code, you,must forth- Oven — Dryer —W M — ADDRESS 9923 E. LIVE OAK with comply with such provisions or this permit shall be Top — FAU —W H — p p deemed revoked Hood — Fan —Other— y CITY TEMPLE CITY Ck-L No 207-8627 LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond LICENSE OR p I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER 276218, Class C-1 0 (commencing with Section 7 of Division 3 of the Business ' ( 9 000) Power Apparatus& Large Appliances DISTRICT NO' and Professions Code,and-my license is in full force and effect _ P O SSED BY p Size&Type HP, KW, KVA, or KVAR � License Number 276218 Lic Class 'C1'O' - Up to 1 Incl FINAL � U r DALES ELECTRIC 5-8-91 Over 1 to 10 Incl DATE --,/` VALIDATION Contracto ❑ Over 10 to 50 Incl FINAL � I am exempt under Sec Over 50 to 100 Inc BY U B&P C for this reason Over 100 Wd Z Date Services, Swbd , MCC& Panelboards U) • \n ,, �0- 200 Amp Under 600 V N Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect Over 1000 Amp -or Over 600 V SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License �!i_ . Law for the following reason (Section 7031 5,,Busihess and 'Additional Sign Branch Circuits Ir Professions Code) _ 1 ? y?_os"hl E] 1, as owner of the property, will do-the work and the Misc Conduits&Conductors 1 y?L structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— D Business and Professions Code) ` T:(11 L( —3 013 CONSTRUCTION-LENDING AGENCY Q l_"�E�E �!✓ �,: 12L, I hereby affirm that there is a construction lending agency for -FIREWORKS STAND the performance of The work for which this permit is issued PERMIT FEE (Sub-Total) a •i1Hf3:3` ,slil (Sec 3097, Civ C I I - , Lender's Name PLAN CHECKING FEE l PERMIT ISSUING FEE r Lender's Address o e I certify that I have read this application and state that the , TOTAL FEE OLS 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 theabove- nt ed o rty for i ection purposes I SEE REVERSE FOR EXPLANATORY LANGUAGE 5-8-91 Sign ure f er ttee Date WORKERS'COMPENSATION DECLARATION CE-806G 10181 - 6=�11f"U"UCATPON FOR EL EC ll UCAL� PLSl1�Ol'9 7 „ I hereby affiyn that I have a certificate of consent to self � nsJe, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certif1ereof 3800, Lob C ) w �� ^ �� FOR APPLICANT TO FILON JOB ;r— Policy No Company ADDRESS � Certified copy is hereby furnished New Residential Bldgs & Pools EACH. NO FEE' ❑ Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY • tion department Multi-family Sq Ft — 'NEAREST _,�— Residential Swimming Pools CROSS ST Date Applicant OWNER OR FIRM NAME Iq as e Von CERTIFICATE OF EXEMPTION FRO WORKERS' Outlets Rec�Li g ht Sw�' MAIL 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.) I certify that in PLAN CHECK the performance of the-work for which this � APPLICANT permit is issued, I shdll'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 No Dote Applicant Fixed Appliances Not Over 1 HP PERMIT /^ NOTICE TO APPLICANT If, after making this Certificate of APPLICANT &-1 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 y deemed revoked Hood _ Fan _ Other_ CITY�Gf �4 Tel Nd' LICENSED CONTRACTORS DECLARATION LICENSE OR }�� I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER Zf Class ^+ (commencing with Section 7000) of Division 3 of the Business DISTRICT NOS PRO E ED BY Power Apparatus & Large Appliances and Professions Code,and my license is in full force and effect - - --- a� � ry, Size &Type HP, KW, KVA, or KVAR r O 'License Number �- 3_ r L Lic Class y Up to 1 Incl-, . FINAL - U ` ^V / Over 1 to 10 Incl DATE _� LIDATION 0 Contractor Date —� Over 10 to 50 Incl � FIN V ❑ I or, ex pt under Sec Over 50 to 100-Inc BY ur B&P C for this reason Over 100 d t/f Date Services, Swbd , MCC & Ponelboards- D 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 Additional Sign Branch Circuits ' ;22 6 Q 5 A Low for the following reason (Section 7031 5, Business and Professions Code) I _ #,o 0 0 0 0 2 ❑ 1, as owner of the property, will do the work and the Mise Conduits & Conductors ? structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— D ) o 0 2 7.2 5 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY . .o,0 02 Z2 5.= I hereby dffirm that there is a construction lending agency for' 08.07_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 Lender's Address PERMIT ISSUING FEE _ �� - • ' 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-mentio'57ned roperty for ins ection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signa rqFof Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1002250019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID- FEES PAID BUILDING ADDRESS ITR 5904 LT 15 6276 ROSEMEAD BL I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801560 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, Cl I IG1 OUTLETS-LGT,SW,RECP 4 00 OUT 7 80 I TENANT I TOTAL FEES 35 55 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON ROSE DONUTS & SANDWICHES 102/25/10 SR 02/25/11 OWNER TEL NO IFI➢TAL DATE FINAL BY CODE IYIP, SIV - (626) 287-1488- 16276 ROSEMEAD BLVD I I �� I ITEMPLE CITY CA 91780 IDESCRIPTION OF WORK 14 OUTLETS (APPLICANT TEL NO: I I I IXU (626) 388-4919- 16260 TEMPLE CITY BL I (SPECIAL CONDITIONS ITEMPLE CITY CA 91780 I (CONTRACTOR TEL NO- (APPROVALS - DATE INSPECTOR SIGNATURE 1 (UNITED STAND CONSTRUCTION (909) 709-0405- 1 17748 SAN FRANCISCO ST LIC NO I (TEMPORARY POWER POLE (HIGHLAND, CA 92346 840168 B 1 (UNDERGROUND CONDUIT 1 I I I ARCHITECT OR ENGINEER: TEL NO i IUFER GROUND 1 1 I I I LIC -NO i TROUGH CONDUIT IROUGH WIRING 1 - IMAIN WATER LINE 1 IPLASTIC YIN METAL YIN 1 (UTILITY COMPANY NOTIFIEDI I I I I I I 1 I I I I I 1 1 I I I I 4 I I I I I 1 I I I I I 1 I I I I I 1 I I I I I 1 1 I I I I (REPORT ID. DPR265 ROUTE TO BS0508 1 1 1