HomeMy Public PortalAbout6334 ROSEMEAD BLVD_Electrical__ 76A663-CE806.11.67 A• P L I C A T I®ISI FOR ELECTRIC PERY BI tlI 0
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 6334 No. iROSEMEAD
BUILDING AND SAFETY DIVISION ADDRESSJOHN A. C S
CA SATT D.GR GRIFFIN, Supt of IE. County Building LOCALITY SAN GA BR I EL, CAL I F ORNZ A
FOR APPLICANT TO FILL IN CROSS ST.01yGDE1�
PERMIT FEESSTEPHA�! /S HAIR TYL I STS
I T E M NUMBER EACH FEE OWNER
OUTLETS: $ $ MAIL 6 33 1 tO. OSEMEAD,
LIGHTS RECEPT. SW. .10 ADDRESS
r LIGHTING FIXTURES .10 CITYSAN GABR I EL TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN EONRODUCTS SIGNS
WATER HEATERS .50 O HAPEL
ADDRESS • S
ELEC.SPACE HTRS. DISHWASHERS q �j
GARBAGE DISPOSERS AUTO.- CITYA L HA ITBRA, V/Y A Lo TEL. NO. AT9-4-2
71
WASHERS STA.COOKING UNITS .25 STATE 89027
LICENSE NO.
MOTORS: OVER INC. H.P.
O — I/2 25 DISTRICT O. GROUP NE READY FOR INSPECTION
• �� _�-
+/x — 2 .5 O
INSPECTION RECORD
2 — 5 1.00
5 — 15 1.50
15 — 50 2.50
J 2 - .. 5.00
� SIGNS: 1 NI .
y NO.LAMPS
2 SERVICE 0-60OV 1.00
SERVICE OVER 600V 5.00
g„ MISC. —
rr ,
WIRING PERMIT 1.00
° FIXTURE PERMIT 1.00 '
SUPPLEMENTARY PERMIT .50 _
TOTAL FEE -s'2_ �- APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE '
,p. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1HEREBY 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 RESIDENTIALFRTY,/� POWER
SIGNATURE !j^'^`7 -gY��l,f y � UTILITYCO. NOTIFIED -�''--- ,r 1,r _ r
OF PERMITTEE -rte
FINAL lf(7L
VALIDA ON ARTHUR C.VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER.
rr 3 2 2 2 IcAt 141AF, 9 2 A 2.00
76A6t3-CE806 3-69 s
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBKINE, S , COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY s C
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE
$ $ OWNER ` f
RECEIPT._ MAIL
0 y p
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 ,10 -CITY jl/ ��, TEL.
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,2p APPLICANT
FIXTURES I OVER 20 .10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.N0.
STA. COOK DISP. F.A.U. CONTRACTOR
SPACE HTRAIR COND. ADDRESS
CLOTHES WASH. DISHWASH. CITY s//a��G' .`,�+ TEL.N0
FAN OTHER 1.00 LICENSE NO. �,/ ..• CLASS. CS
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. ANo STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 — 1 1.00 (/✓ 1 HEREBY CERTIFY THAT I AM PROPER REGISTE D/OR
LICENSED AS REQUIRED BY LOS ANGEL - COUNTY AND STA F
1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGA N OF, AND INTE T CL
RESIDE IN, THE ABOVE DESCRIBED SI NTIA OPERT O
10 - 50 5.00 U
SIGNATURE Dr
50 - 100 10DO OF PERMITTEE 0
N
100 — 500 15.00 DISTRI T NO. GROUP O /rte P ED BY W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 0 n ` N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL d
��`��
JOSEPH C. ROOHAN
TOTAL FEE 0 SUPERVISING ELECTR CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
!,A 4 2 3 ,A R 2 4 2 D .4.00
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663_CEB06 5.62 APPLICATION FO ELECTRIe L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING `j
BUILDING AND SAFETY DIVISION ADDRESS J
JOHN A. LAMBIE, COUNTY ENGINEER D �J
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY ./Q �.1'
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.'
RECEPT. TOTAL NO. EACH FEE -J
OUTLETS FIRST 20 $ 20 $ OWNER
LIGHT MAIL, a
SWITCH. ADD'L 10 ADDRESS J
OVER 20 / ' y
[TOTAL CITY TEL. NO. J
LIGHTING FIRST 20 20
FIXTURES ADD'L 10 ELECTRICIAN
OVFR 2O
RANGES CLO.DRYERS WTR.HTR3. 1.00 ADDRESS (/
GARB.DISP. STA.COOK J p�
CITY , TEL.NAY �? 7'�✓
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(V.H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. D1STR1 T N h G UP ZON I, PR CE ED BY
O 1 1.00 9
Cl,*y, 1 3 1.50 INSPECTION RECORD r
3 8 2.00
8 15 2.50
d
15 50 3.00 O
_ U
50 100 5.00
O
SIGNS: NO.TRANS H
NO.LAMPS U
W
d.
SERVICE 0.600V.NOT OVER 200A 1.00 N
SERVICE 0.60OV•OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.100
SUPPLEMENTA$Y PERMIT ISSUING FEE 1.00
TOTAL FEE S
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPL TION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
ON
'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDJOR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES _
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED OR P RTY. POWER
SIGNATURE 9 UTILITY CO.NOTIFIED
OF PERMITTE
FINAL
)DATION ARTHUR C. VEIT
/ SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
i
3 2 4 6 a' AUG 2 0 2 D 4.5 O N
�� ����_
WORKERS' COMPENSATION DECLARATION 78- 10/81 APPLICATION FOR ELECTRICAL PERMIT _
I 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 (Se,;.3800,L,9b.C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
ADDRESS
Certified
��"• �
Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE AV
❑ 1 & 2-Family, S Ft. $ — $ LOCALITY _
Certified copy is filed with the county building inspection y q
department. Multi-family Sq.Ft. CROSS ST
NEAREST
Date Applicant
Residential Swimming Pools OWNER OR /v
!J p
FIRM NAME (,IC �1/�i�M 1A /N !-�✓/
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light Sw. MAIL
COMPENSATION INSURANCE
First 20 ADDRESS fa o /C
completed if the work involved b
p y ovC
(This section need not be com the Total No. Additional CITY 4 t/1 Tel.No. ?, 3 1,w
permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit APPLICANT K
is issued, I shall not employ any person in any manner so as to
become subject to the Workers'Comp a ion L��VC
Lighting Fixtures First 20 ADDRESS
s� � /247-- Total No. Additional CITY Te.
Date J✓ Applicant
Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT
Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W.
provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS
provisions or this permit shall be deemed revoked. Top. — FAU _ W.H.
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CIT �� Tel.
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. LICENSE REG.NUMBER B Clas
(commencing with Section 7000) of Division 3 of the Business and
sy
Professions Code,and my license is in full force and effect. DISTRICT N�. Q� PROCEs
Power Apparatus& Large Appliances .
(� S BYQ
Size & Type HP, KW,KVA,or KVAR
(L
License Number / Lic.Class c^ 14 Up to 1 Inc]. FINAL U
Over 1 to 10 Incl. DATE
A / A A'
ContractorAA?J 6�JDate VALIDATION O
❑ Over 10 to 50 Incl. FINAL 17—
I
I am exempt under Sec. Over 50 to 100 Inc. BY W
B.&P.C.for this reason Over 100 ,t N
Services, Swbd.,MCC & Panelboards ` Z
Date: 0- 200 Amp,Under 600 V ACCT,$
.......... .
Signature 201 —1000 Amp.Under 600 V❑
Exemption for Reg.Maint.Elect. 311307
!� � 33.00 Over 1000 Amp.or Over 600 VITEMS
SINGLE FAMILY Temp.Power Pole& Appurtenances TOTAL 33- 00
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ` s
I hereby affirm that I am exempt from the Contractor's License Law CHECK —��
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits CHECK 33.00
Code): CHANGE .00Misc.Conduits& Conductors '
I,as owner of the property,will do the work and the structure
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code). , 0000-000 1 5/11/90
CONSTRUCTION LENDING AGENCY 0615 1 Aid 8:15
1 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
informationflagulating
I agree to comply with all County ordinances
and St Electrical wiring, and hereby authorize
represe tos County to enter upon the above-mentioned
proper f n purposes.
4/� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signae Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0701090010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6334 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, C
K1 SIGNS, OUTLINE LGT 1.00 SIG 36.85
TENANT: TOTAL FEES - 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
MI OFICINA INCOME TAX 01/09/07 JK 07/08/07
OWNER: TEL. NO: FINAL DATE 1 19a Y: CODE:
G. V. D. COMERCIAL PROPERTIES INC. (714) 639-2131-
1915 A. E. KATELLA
ORANGE, CA 92867 DESCRIPTION-6F WORK
ONE SET OF ILUMINATED LETTERS AND LOGO SIGN READ INCOME TAX
(CHANNEL LETTERS)
APPLICANT: TEL. NO:
MF SIGN FACTORY (909) 920-9656-
1495 W. 9TH ST. #305 SPECIAL CONDITIONS:
UPLAND, CA 91784 '
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MG SIGN FACTORY (909) 920-9656-
1495 W. 9TH STREET. #305 LIC. NO TEMPORARY POWER POLE
UPLAND, CA 91784 863995 C45
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