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HomeMy Public PortalAbout6322 ROSEMEAD BLVD_Electrical__ III 76A663-CE80612-58 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ' BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING _LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. PERMIT FEES ITEM NUMBER EACH FEE OWNER OUTLETyS: g MAIL ' LIGHTS,4- REEPT. SW. ,IO ,.,,J ! ADDRESS LIGHTING FIXTURES -7 .10 _.y' CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN -.- WATER HEATERS .50 ADDRESS %V -- ELEC.SPACE HTRS. DISHWASHERS CITY.,' -- TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRI�NO. I GROUP ZQ PROCESSED BY !. i:. 1/2- 2 .50 INSPECTION RECORD 2- 5 1.00 5- 15 1.50 IS- 50 2.50 50-200 5.00 SIGNS: NO.TRANS. I r NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL CKNOWLAPPROVALS EDGE THAT 1 HAVE READ THIS APPLICATION 1 HEREBYAINSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING ! 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �- S CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. /" POWER r SIGNATURE i�-:. ,;�.�j'.': i r ';�y!v %''t-'h UTILITY CO.NOTIFIED OF PERMITTE�"-'�''� 1 FINAL ®F VALIDATION SU CK MO CASH SUPERVISING ELECTRICAL ENGINEER - l 76A663 CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB FRedenidential Bldgs`&Pools EACH NO, FEE ADDRESS. Family,Sq. Ft. $ .025 — $ LOCALITY family Sq.Ft. 02 — NEAREST ntial Swimming Pools 25.00 CROSS ST. OWNER OR_ FIRM NAME ec`".Light Sw. MAIL First 20 .50 ADDRESS No. } Additional .30 CITY Tel. No. PLAN CHECK APPLICANT Fixtures First 20 .50 ADDRESS Additional .30 No.T1CITY Tel. No. pliances Not Over 1 HP PERMIT APPLICANT - Range_Heater_D.W. Oven_Dryer—W.M. ADDRESS ! Top —FAU — W.H._ CITY TeL No. Hood_Fan —Other LICENSE OR Disp.—Room Air Cond. 2'50 REG.NUMBER Class. IHEREBY ACKNOWLEDGE TRAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO d Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS O 2.50 REGULATING ELECTRICAL WIRING. U Up to 1 Incl. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR W Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE,OF 2.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE U. Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY. Over 50 to 100 Inc. 25.00 Over 100 40.00 PERMIT EE SIGNATURE r. O Services DISTRICT NO. PROCESSED BY 0-200 Amp.Under 600 V 1 250 201-1000 Amp. Under 600 V =5.00 ~ 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 v Misc.Conduits&Conductors 10'00 ON REVERSE _ Other(See Complete Fee Schedule) SIDE U ++ ^ Z PERMIT FEE PLAN CHECKING FEE (One-Fourth Permit Fee, O• a • '`'� i'I PERMIT ISSUING FEE $7.00 �s J Q TOTAL FEE > INSPECTION FINALED ode W date: By CL its 76A669—CES06 12.5" APPLICATION F'O R ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS � Z »�- !�dQ e�1.• JOHN A.LAMBIE.COUNTY ENGINEER CA83ATT D.GRIFFIN.SUPT of BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSSNEAREST CROSS ST. PERMIT FEES OWNER ITEM NUMBER EACH FEE OUTLETS: $ $ MAIL �D` LIGHTS , RECEPT. SW. x .10 ADDRESS LIGHTING FIXTURES .10 CITY T .N .d 2 Z. d ELEC.RANGES CLO.DRYERS ELECTRICIAN d W A T E R HEATERS .50 ADDRESS d r ELEC.SPACE HTRS. DISHWASHERS T �7 L, CITY /, EL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS •25 LICENSE NO. < r ! !J MOTORS/: OVER INC. H.P. DISTRICT NO. GROUP P ESSED BY 0— 1/a .2 557 ✓ 1/2— 2 .50 INSPECTION RECORD- 2— ECORD2— 5 1.00 5— 15 1.50 15— 50 2.50 50—200 5.00 SIGNS: NO.TRANS. NO. LAMPS SERVICE 0-600V 1.00 ✓� SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE g�,f ti APPROVALS 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS XPPLICATION - DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - �•- DESCRIBED RESIDENTIAL PROPERTY. POWER �51JA SIGNATURE �4�,_' „AQ�s UTILITY CO.NOTIFIED 4`� 4•fo,+i.F1:1'f 0 OF PERMITTE FINAL OF LIDATION S PERv SINGELECTRICAL ENGINEER CK MO CASH C- �aC�,5 2 3 2 MAY 6 2 A Z 3 .2 0 Ka 76A663-CEUO6-11-57APPLICATION FOR ELECTRIC PERMIT - 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 6322 No .Rosemead Blvd BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMSIE, County En eer !1 CLO D. GRIFFIN. Supt of Building LOCALITY - �� NEAREST Balfour St. FOR APPLICANT TO FILL IN CROSS ST. I T E M PERMIT FEESNUMBER EACH FEE OWNER Laundramitc & Dry Cleaning OUTLETS: TS.L LIGHTS RECEPT. SW. $ .10 ADDRESS 6322 DTo.Rosemead Blvd• LIGHTING FIXTURES .10 CITY TEL. NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN ''{t��A•A•Sl�l (Do. LI WATER HEATERS .50 ADDRESS 61 • er Ave. ELEC.SPACE HTRS. DISHWASHERS ']r GARBAGE DISPOSERS AUTO.- CITY T STATE �J �` TEL.NO. 2 WASHERS STA.COOKING UNITS •25 LICENSE NO.11 56 MOTORS: OVER INC. H.P. o — Ii2 z 5 DISTRICT NO. IGROUPJZONE READY FOR INSPECTION S! I 1/2 — 2 .50 _ INSPECTION RECORD 5 1.00 5 — 15 1.50 U.Lable will be Posted. 15 — 50 2.50 SO— 200 5.00 SIGNS: l NO.TRANS. NO.LAMPS 11,00 SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 _ MISC. I WIRING PERMIT 1.00 d FIXTURE PERMIT R MIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE s 2.00 APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQ ED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR T . 1 AM TH LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDE L PR E T r SIGNATURE .) " UTILITY CO. NOTIFIED �---- OF PERM171 FINAL �X VALIDATION ARTH U R C.VEIT. CK MO CASH SUPERVISING ELECTRICAL ENGINEER G�3527 � �; 2n 2.00 II 76A663CE-806(11 /78) APPLICATIO FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL INj New Residential Bldgs.&Pools EACH NO. FEE ADDRESS (0-� G✓ 1 &2-Family,Sq. Ft. $ .025 — $ LOCALI Multi-family Sq. Ft. .02 — NEAREST CROSS ST. ✓��. Residential Swimming Pools 25.00 OWNER OR FIRM NAME ' Outlets::Rec_j__L ght.�Sw. MAI L -First 20 50 Q ADDRESS 3a Z P -Total.No.� Additional .30 j j 5.6 CITY G: ,, Tel.No. PLAN CHECK APPLICANT Lighting Fixtures First 20 .50 o7 0 ed ADDRESS Additional .30 Total No: � CITY Tel. No. Fixed Appliances Not Over l HIP PERMIT Range_Heater_D.W. _ , APPL ICA I� OvenDryer—W.M. ADDRESS a 9 Top _FAU —W.H._ CITY I Tel.No�CJ�-J/C�3 Hood_Fan _Other_ TCENa OR C/// Disp._Room Air Cond: 2'50 REG. UMBER ,% / '� ') Class.(E j 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&T COMPLY WITH ALL COUNTY ORDINANCES,AND 'STATE LAWS v� Type HP, KW, KVA,or KVAR 2.50 REGULATING ELECTRICAL WIRING. Up to 1 In . I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR QA Over.1 to 10 Incl. 5.00 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,ABOV 25.00 DESCRIBED:RAESIDL PROP TY.Over 50 to 100 Inc. DERMIT SCRIBEER Over 100 . - SIGNATUREV, Services DISTRICT NO. SED BY 0-200 Amp. Under 600 V 12.50 v1 201-1000 Amp. Under,600 V 25.00 Over 1000 Amp.or Over 600 V 50.00Ji. Gy . Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 2 Additional Sign Bronch'Circuits 2.00 INSPECTION INFORMATION ' Misc.Conduits&Conductors 70.00 ON REVERSE _ Other ISee Complete Fee Schedule) SIDE u 6 6 5 5 A Z . Q J 0 0 6 0 0 2 d PERMIT FEE. • (Sub-Total) �2003930 Z 0 0 0 39,307- PLAN CHECKING FEE )One-Fourth Permit'Fee) O PERMIT ISSUING FEE $7.00 9 1 3 1 9 J TOTAL FEE. , > r INSPECTION FINALED c�c W date: –ZS�9 By �•' �, ©S 76A663 CE-806 II /781 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING VD SAFETY FOR APPLICANT TO FILL IN JOB /tl New Residential Bidgs.&Pools EACH NO. FEE ADDRESS 1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY 4 ^ Multi-family Sq. Ft. .02 — NEAREST 25.00 CROSS ST. It010:12,a,0 A,"Reside-ntial Swimming Pools. OWNER OR -- - FIRM NAME Outlets: Rec_ L,_ SWI �� MAIL /r2 First'00 1 t5Q ° ADDRESS b Total No. 3Q, _ CITY. „ _ „ •- Tel..No. PLAN CHECK APPLICANT Lighting Fixtures First 20 X50 ADDRESS « Additional .30 Total No. ho* CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT- - - APPLICAN © GCJJ Range_Heater_ D.W. Oven Dryer_W.N1— ADDRESSVIF Top _FAU — W.H._ CITY C Tel,No Hood_Fan —Other LICENSE OR Disp._Room Air Cond.. 2'50 REG.NUMBER Class'fo 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&T COMPLY WITH' ALL COUNTY"ORDINANCES AND STATE LAWS ype'HP, KW, KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING. 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 COUNT AND STATE OF.. � Over 10 to.50 Incl. 12.50 CALIFORNIA OR THAT I AM.THE_LEGAL.OW F TH�YBON�E 25.00 DESCRIBED RE IAL PROPERTY. p9 Over 50 to 100 Inc. U Over 100 40.00 PERMITEE ,.- EM SIGNATU pq Services DISTRICT NO. PRS SED 0-200 Amp.Under 600 V 12.50 201-1000 Amp. Under 600 V 25.00- Over l 000.Amp.or Over 600 V 50.00 Z 2 Temp. Power Pole&Appurtenances 10.00 4 Sign with One Branch Circuit 10.00 0 Additional Sign Branch Circuits 2'00 INSPECTION > Misc.Conduits&Conductors 10.00 INFORMATION ®� REVERSE - S Other(See Complete Fee Schedule) SIDE u 2 6 7 7.6 A- Z 9900002 2.a - 2 .50 PERMIT FEE (Sub-Total) PLAN CHECKING FEE (One-Fourth Permit Fee) g0 000,26506 PERMIT ISSUING FEE $7.00 r .2 9'2 0 79 Q TOTAL FEE > r ' INSPECTION FINA.LED a W date:. 25-7 By j'f ©s . WORKERS'COMPENSATION DECLARATION 76- 10/81 APPLICATION FOR ELECTRICAL PERMIT �1 I hereby affirm that I have a certificate of consent to self insure, CE-806G 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 JOB ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS New Residential Bldgs.& Pools ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ $ LOCALIT'^ � C department. Multi-family Sq.Ft- NEAREST Date Applicant Residential Swimming Pools OWNER- CROSS T. � 1 FIRM NAME 1. E QlCf — (,(/ ��(N�iT°✓ �j�� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light _ Sw.— MAIL COMPENSATION INSURANCE ADDRESS/Aro, 5 f7�.�ieaux- 151 (This section need not be completed if the work involved by the First 20 11 permit is for one hundred dollars($100)or less.) Total No. Additional CITYl�P��J�. Tel.No. .773 -!S I certify that in the performance of the work for which this permit PLA CK is issued, I shall not employ any peranner so as to APPLICANT become subject to the Workers'Com Cl,ensa' s. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Dat /_?d Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after a his Certificate of Exemption,you should become subje or Compensation Range_ Heater_ D.W. APPLICANT �/�S provisions of the Labor Code, you ust forthwith comply with such Oven _ Dryer _ W.M._ ADDRES provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _ r LICENSED CONTRACTORS DECLARATIONHood — Fan _ Other_ CITY � e/N Tel.No. 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 %_&Z5 !� Class.G Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSE B Power Apparatus& Large Appliances r Size& Type HP,KW,KVA,or KVAR n' License Number SJy Lic.Class Up to 1 Incl. FINAL 11V-C5reASOver 1 to 10 Incl. DATE )�x �+i J 1 ! VALIDATION Contractor Date Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 C-CT o g CL Services,Swbd.,MCC&Panelboards .3307 37,.C1[12 Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V 1 ITEMS ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V TOTAL AL 33 ® 00 SINGLE FAMILY Temp.Power Pole & Appurtenances CHECK 33.0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit CHANE .00I 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): ❑ 90 I,as owner of the property,will do the work and the structure Misc.Conduits& ConductorsI�I]Q-f} (�� ���I� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) r� # and Professions Code). pop.. 0614... 1 AM 8'.14 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 t thavead application and state that the above TOTAL FEE nformati n isto comply with all County ordinances and St a lactrical wiring, and hereby authorize represe tativeto enter upon the above-mentioned propert for ies. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur Date �/ WORKERS'COMPENSATION DECLARATION CE-806G APPLICATION FOR ELECTRICAL PERMIT I•he eby affirm that I have a certificate of consent to self ceeoac insbre, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certifiedlcopy thereof (Sec. 3800, Lab. C.) PolicyoNo. Company. FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS "L2- %f Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY fJ Ott A1C' 4 tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. L CJ(j pe OR Date Applicant ''11 FIRM NAME NAL) S CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec1l—Light Sw._ MAIL c gQ� COMPENSATION INSURANCE First 20 O ADDRESS 2_Z O. (This section need not be completed if the work involved by Total No. Additional CITY r— Tel. No. � 7SIM the permit is for one hundred dollars ($100)or less.) PLAN CHECKo0III • 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 Additional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION 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 beTop FAU —W.H. — deemed revoked. CITY Tel. No. Hood — Fan —Other— LICENSED OtherLICENSED CONTRACTORS DECLARATION LICENSE OR Disp. Room Air Cond. REG. NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus &Large Appliances DISTRICT NO. P ESSED BY and Professions Code,and my license is in full force and effect. O Size &Type HP, KW, KVA, or KVAR G License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE - �� VALIDATION Im Contractor Date Over 10 to 50 Incl. O ❑ FINAL W I am exempt under Sec. Over 50 to 100 Inc. BY l W B.&P.C. for this reason Over 100 '�J U) Services, Swbd., MCC& Panelboards Z Date: 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits �T 1 ri-7 Professions Code): ___ «=i I U Misc. Conduits& Conductors I, as owner of the property, will do the work and the structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ 2'2 90 Business and Professions Code). Poo. I 11 Ar-rL -r_ CONSTRUCTION LENDING AGENCY 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) D N61INGE oitj I (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address y?r' 64 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-me Xtio �oroperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of P rmittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0212020036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ' EGA I D BUILDING ADDRESS: ON FILE 6322 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801544 " ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY E1 TEMP SERV POWER POLE 1.00 TMP 43.65 TENANT: G2 LIGHTING FIXTURES 32.00 LGT 55.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: CHRISTMAS TREE DEPOT/SANTAS FOREST TOTAL FEES 126.60 12/04/02 JK 06/02/03 OWNER: TEL. NO: FINAL DAT - FINAL BY: CODE: GVD PROPERTIES (714) 639-2131- 1915 A E KATELLA AVE / J� '�� ORANGE 92867 DE P ON OF TPP FOR CHRISTMAS TREE LOT APPLICAN TEL. NO: PRECISION ELECTRIC (626) 338-4377- 5454 DIAZ ST SPECIAL CONDITIONS: IRWINDALE 91706 � t CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE PRECISION ELECTRIC CO. (626) 338-4377- 5454 DIAZ ST. LIC. NO TEMPORARY POWER POLE IRWINDALE, CA 91706 697907C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 FLECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0407150037 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: _ FEES PAID BUILDING ADDRESS: ON FILE 6322 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOi.- TEMP CA 917831544 ASSESSOR INFORMATION UI`?BER: NEAREST CROSS STREET: LONGDEN 5382-021-026 jAl PERMIT ISSUANCE FE= 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY; TEMPLE CITY, C _jG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 TENANT: ' TOTAL FEES 35.55 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRE a'A TRAM, MINH I 07/15/04 JK 01/11"u-15 OWNER: TEL. N0: FINAL DATE OAL BY: CO r) - - TRAN, MINH ANN 6322 ROSEMEAD SL I �l PICO 906603232 DESCRIPTION OF WORK t-— -4 GFI FOR THE SPA CHAIRS I APPLICANT: TEL. NO: 1 LE (562) 412-1813- 11071 DUNE ST I ISPECIAL CONDITIONS; NORWALK, CA 90650 1_- CONTRACTOR: _ TEL. N0: '- - � APPROVALSDATE INSPEi,7'u.-Site'tA"Us"<E LE, JHON - 4903 DOREEN AVE LIC. NO I �TEMPORARY POWER POLE TEMPLE CITY, CA 91780 NONE I i ;UNDERGROUND CONPUT y IARCHITECT OR ENGINEE��C: — — T=L. NO:— j 'fJFcF? (:ROUND -� LiC. it�J j !<ll'l1Gii' CCNDUI T lf"OUGH WIRING -� :JH?ER LINE �j - PLASTIC Y/N METAL Y/N I DTILITY COMPANY NOTIFIE-i -� I 1 f � r REPORT ID: DPR265 ROUTE TO: BS0508 _--�