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Home My Public Portal About6420 ROSEMEAD BLVD_Electrical__ 7SA663 CEBDS fD,T2 APPLICATION FOR ELECTRICAL PERMIT NZ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEEJR ADpBOREss V BUILDING AND SAFETY DIVISION LOCALITY X64 IF FOR APPLICANT TO FILL INNEAREST CROSS ST P.4T OUTLETS EACH OWNER OR $ FIRM NAMRECEPT MAIL 42 . /LIGHT_ TOTAL FIRST 20 25ADDRESSOVER 20CITY ,Q,(� n[( TEL NOSWITCH_ 10PLAN CHECK LIGHTING FIRST 20 2SAPPLICANT TOTAL OVER 20 ADDRESS N FI%TURES 10 (/t RESIDENTIAL APPLIANCES CITY TEL NO RANGE_DRYER_WTR HTR_ APPLIT ICANT ILLI ON STA COOK_DISP _F A U _ ADDRESS SS2 St SPACE HTR AIR COND CITY p�5� p //T L NO `Z CLOTHES WASH DISHWASH _ LEG MBFp '� 8Z2(O CLASS FAN_OTHER 100 1 NEARBY ACKNOWLEOYE THAT 1 HAVE READ THIP APPLICATION AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY MOTOR! TRANSFORMERS RATING WITH ALL COUNTY ORDINANCE! AND $TAT WE REOULATI NO IND HEATERS ETC HP KW NVA ELECTRICAL WIRING SIE E B TYPE OVER TO I HER CE Y THAT I AM PROPE Y REGI T ED AMO/OR 0 _ I 100 LICENS[ A$ A IACD S LOS ANGELES OUNT A TATE OF CALIFORNIA OR 1 I THE LlO AL HE E ABOVE I - 1O 300 DESC RIES DARE ENT ROEERTY O PERMITEE G 10 - 50 SOO SIGNATURE H- $O - IGO 10.00 cD DISTRICT MCI PROCE ED BY Lu d N 100 - $00 1500 = SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVAL$ DATE INS[ SSIS11AYuIC TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP IODO ROUGH CONDUIT TEMPSERVICE POLE 6 APPURTENANCES 500 (�D WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 0 Q TOTAL FEE PLAN CHECK VALIDATION CA M 0 CASH PERMIT VAL DATIONcK M 0 CASH f ar., 0 6 9 273 APR G C) 8.0 Osru SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - 78A °' ` EQ6 10:72;APPLICATION FOR ELECTRICAL PERMIT ` •,COUNTY OF LOS ANGELES ``,, /DEPARTMENT OF COUNTY ENGINEER ADDRESS V S BUILDING AND SAFETY DIVISION LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST OUTVTS NO EACH FEL OWNER OR 7/ FIRM NAME RECEIPT s $ MAIL FIRST 20 25 M AOGRESS LIGHT TAL (ii/ OVER 20 CITY TEL NO SWITCH 10 PLAN CHECK LIGTURES 10 HTING T L FIRST 20 25 APPLICANT FIX OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO RANGE—DRYER— TR HTR APPMI CANT PERIT �N�� STA COOK-01 SP -EF A U ADDRESS SPACE HTR AIR CONO CITY TEL NO IQ CLOTHES WASH OISHWASH A LEGE NUMBER CLASS FAN OTHER 100 /r 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V AND STATE THAT THC ABOVE If CORRECT AND AGREE TO COMPLY MOTOR TRANSFORMERS RATING WITH ALL COUNTY ORDINA RIC E9 ANO STATE LAWS REGULATING ENO HEATERS LTC HP X RYA ELECTRICAL WIRING SIZE S TYPE OVER TO I HEREBY CERTIFY THAT I AM OP[RL Y ReG Ie TERED AXDXR _ }- 105 /1 LICEXf CD AS REQUIRED BY L08 A ELEB COUNTY AXD STATE Of E/ CALIFORNIA OR TXAI I AM THE L OAL OWNER OF THE ABOVE 1 — 10 SOD �l DESCR ILEO TIAL P RO P E R pdp (/ PERMITEE 10 - SO S00 U SIGNATURE IY O SO - 100 1000 ti DISTRICT NO ED BY w 100 - SOD I50D r o z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DAT[ S19LC a°Imu1uw TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVE CENOTOVER 600 VOLTS OR 200 AMP 300 Q UNDERSLAB WORK SERVE CE OVER 600VOLTS OR 200 AMP 100 ROUGH CONDUIT Gr' TEMP SERVICE,POLE &APPURTENANCES SOD RE '/- 7Z TEMP LIGHT OR RECEPT SYSTEM 300 �.[�� D FIED PERMIT FEE (SUB TOTAL)PLAN CHECK FEE PERMIT ISSUING FEE 300 OTOTAL FEE PLAN CHECK VALIDATION CK O CAIN IDATION cR M G CASH SE[ 73 AUG �D 3 7.7 5 A v TACK 01 APPLICATION FOR COMPLETE SCHEDULE 6 a� p�_ a 9 28 I TEA669-a.t�D I1:M AW TION FQjR ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LOCALITY CIL FOR APPLICANT TO FILL IN NEAREST ouTLers CROSS ST .LE � OWNER RECEPT_ $ MAIL LIGHT_ TOTAL FIRST 20 .. ADDRESS SWITCH OVER 20CITU TEL NO 0 PLAN CHECK LIGHTING l TOTAL FIRST 20 APPLICANT FI%TURES 10 )} OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE_DRYEN_WTR HTR_ APPLICANT ' C+x�S STA COOK_DISP_F A U _ ADDRESS SPACE HTR AIR COND CITY TEL N CLOTHES WASH DISNWASH_ LICENSE NO CLASS fe FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORSTRANSFORMERS RATING WITH ALL COUNTY ORDINANCE/ AIG) STATE LAW/ REGULATING IND HEATERS CTC HR KW KVA ELECTRICAL WIRING SIZE / TYPE OVER TO I HERESY CEATIFY THAT I AM PROPERLY REOISTERED ANDN11 0 - I 100 LICEN/ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OIL THAT 1 AM TN[ LEO OWNER OF AND INTEND TO O I - 10 300 Al/IDE IN THE ABOV DCBCRIB `RESIDENTIAL PROPERTY 10 - 60 300 SIGNATURE OF PERMITTEE ^ 60 — 100 1000 DISTRICTNQo CIA// ZONE RocE ED By 100 - 600 1800 ,08 —L % w SIGN GAS SIGN AND ONE CIRCUIT 300 NOTES ? TUBE OR MARQUEE ADDITIONAL CIRCUITS IOD 5 SERVICENOTOVER 600 VOLTS OR 200 AMP 900 tic Of APPROVALS DATE ImSr9CTdPS SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP IOLO TEMP POWER POLE TEMPSERVICE,POLE,6 APPURTENANCES BOG UN DERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 900 �rI ROUGH CON DIUT v v WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE 900 DO FINAL TOTAL FEE PLAN CHECK VALIDATION CA M o CASH PERMIT VALIDATION OCKM 0 CASH I ar,. 1 0 4 173 FAY g z o 14.00— $99 BACK 01 APPLICATION FOR COMPLETE SCHEDULE 76AS53 CEB06 10,72 APPLICATI FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER nooOOREss /_ �� BUILDING AND SAFETY DIVISION (O LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO E.- FE OWNER OR [1 W E(` f $ S FIRM NAME Y J 1 RECEPT MAIL n O LIGHT_ TOTAL FIRST 20 35 ADDRESS 04 AZeV441K�_"!Oe OVER 20 CITY TEL NO SWITCH-_ 10 PLAN CHECK LIGHTING TOTAL FIRST 20 23 APPLICANT FIXTURES OVER 20 10 ADDRESS A7J RESIDENTIAL APPLIANCES CITY TEL No 4VJ473 PERMIT RANGE _DRVER_WTR HTR_ APPLICANT STA COOK_DISP_F A U _ ADDRESS SPACE HTR AIR COND CITY TEL NO CLOTHES WASH DISHWASH_ LICENSE OR n REG NUMBER -/ CLASS FAN_OTHER IDD HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE S TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANOPoR 0 - 1 100 LICENSED AS N[GUIR[D BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE y, 1 - 10 300 DESCPIrED RESIDENTIAL P OPERTY 1 O PIGNATEE U 10 - 50 500 SIGNATURE K CC I Gr O 50 - 100 1000 tt3 DISTRICT NO PRO C SED BY 100 - 500 1500 Q 8 z SIGN GAS SIGN AND ONE CIRCUIT 500 TUBE, OR G� APPRO IA LS DAT[ BwECT011' NRIATUIIE MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 500 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP IODO ROUGH CONDUIT TEMP SERVICE POLE &APPURTENANCES SOO WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL r =FEE ) NOTES (� PLAN CHECK VALIDATION CK M O CASH PERMITLIDA TION cK M o CASH er,. 2 67 5�3 nus 2 v 8.0 Os SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING r BUILDING AND SAFETY DMSION ADDRESS X P..Q n JOHN A LAMBIE. COUNTY ENGINEER CASSATTD GRIFFIN SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST ITEM Numa"I EACH FEE OWNER A I1 G CA. r OUTLET f f ADDRESS /V • 1 C.I LIGHTS RECEFT SW d. 10 AD g LIGHTING FIXTURES 10 AQ CITY 3 TEL NO C A L 7 j ,71 E.RQ RANGES cLo DRYERS ELECTRICIAN OI,C 1 OY WATER HEATERS BO ADDRESSgs I S• ION .T BLED.SPACE HTRS DISHWASHERS CITY L TEL NO 1 GARBAGE DIBPOBERB AUTO- STATE ww"mm BTA cooKlxa uNTfS E5 LICENSE NO I MOTORS OVER INC. H P DIS P O— YR z6 — 2 1 5o DISPECfION RECORD z— 5 100 5— ID 150 ID— 50 250 50-200 500 SIGNS No TRANS NO LAMPS SERVICEO-500V 100 1 100 SERVICE OVER OOOV 500 MISC. WIRING PERMIT too (�Q FIXTUREPERMIT 100 Q SUPPLEMENTARY PERMIT 50 TOTAL FEE f 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPEDTOR 5BIGNATURE AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING r I HERESY CERTIFY THAT 1 AY "OPERLY REGISTERED AND/OR WIRING LIC "SED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES Ir G CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THABVE DESCRIBED RESIDENTIAL E O POWER SIGNATURE UTILITY CO NOTIFIED /TIL/i OF PERM ITTE I MNAL. p y� EDT D ASH SUPERVISING ELEC CII YO CASH TRICAL ENGINEER SyI�• M8037S X22 2 A 3.40 :R ,WORKERS IS COMPENSATION DECLARATION 72��s DPW(12 B+) APPLICATION FOR ELECTRICAL PERMIT I hereby e111rm that I have a certificate of consent to sell Insure or a certificate of Worker a Compensation Insurance or a Certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sac 3800 Lab CII3 TN . Policy No qf&CQny !�, � Aml FOR APPLtCAfr TO FILL IN JOB E] Certified Dopy Is hereby famished New Residential BldgATRESSs 8 Pools NO EACH FEE LOCALITY El 1 E 2 Family Sq Ft — $ $ Cendree cagy is bled with the county building inspection NEAREST depart ant MUIh familySq Ft — CROSS ST Appl�anl Residential Swimming P0043 ASSESSOR _ Date MAP BOOK PAGE PANCEL ERTI CAT!OF EXEMPTION F WORKERS pullets Am —LgM,Sw �NE�OMRE COMPENSATION INSURANCE Pont20 OK wof-16M (This section need not be completetl'It the work Involved by the Total No Pnt20Additional Ao R) ESs z Eedt.� permit Is for one hundred dollars($100)or less) I certity that in the performance of the work for which this permit CITYTN No is issued I shell not employ any person In any manner so as to PLMI CHECK become subject to the Workers Compensation Laws Ughtli,g Fixtures First 20 APPLICANT TOW No Additional ADDRESS �. Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT 11 after making this Certificate of CITY O No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP PERMIT provisions of the Labor Code you must forthwith comply with such Power Apparatus&Large Appliances APPLICANT provisions or this permit shall be deemed revoked LICENSED CONTRACTORS DECLARATION Slay A Type HP KW KVA or KVAR ADDRESS 1 hereby affirm that 1 am licensed under provisions of Chapter a Over 3 to 10 Incl(commencing with Section 7000) of Division 3 of the Business and CRY Tr No Professions Code and my license Is In lull force and effect Over 10 to 50 Incl Cu.. L+C Class d LICENSE OR p Over Over 50 to 100 InCI REO NUMBER License Number r1 �� Over �1DISTRICT NO SSE)BY O X /ry U qp!!Tv'v,rr Services Swbd MCC A Panalboartls d/ �I O Contrector_ +�, ""Data 0 399 Amp Under BWV n 0 ❑ I am exempt under Sec 600 1000 Amp Under 800 V ' ! Z' VALIDATION LLLI Over 1000 Amp or Over 900 V Fa d B$P C for this reason BRANCH CIRCUIT FEES BY (n ISA = Lighting or Recept z 1 To 10 Branch Circuits O Sgneture 11 To 40 Branch Cactuls 41 Br In Circu ElExemption for Reg Lt Elect 154204 208V To 277VLi hMorWe W CucuAa its SINGLE FAMILY Temp Power Pole$Appurtenances ' 44.40 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I am exempt from the Contractor a License Lew for the following reason (Section 7031 5 Business and Professions Addbooal Sign Branch Cvcmta Code) ❑ I as owner of the property will do the work end the structure Mrsc Conduits$Conductors Q I� w4 44M is not Intended or offered for sale (Section 7044 Business Other(Sea Complete Foe Schedule) , and Professions Code) UUW�IlLlO1 7�10� CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the 47 1 Pit 5:40performance of the work for which this permit is Issued(Sec 3097 PERMIT FEE (Sub-Total) Q Civ C) G I 1 PLAN CHECKING FEE Lenders Name I S 7 F-I s� PERMIT ISSUING FEE a Lander s Address 2 A-1—5x4 I Cori that I he"read thin eppkca antl under penalty of puq y Mete TOTAL FEE that the above Information In correct I agree to Comply with all County ordinances and State laws regulating Electrical winng and hereby authorize iepreeentahvee of thin County to enter upon the above mentioned property for inapec SEE REVERSE FOR EXPLANATORY LANGUAGE /gl9s aaNANPE OFP nTEE W�iE • COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1009130030 BUILDING AND SAFETY / [AND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 6420 ROSEMEAD BL FEE DESCRIPTION QUANTITY DOM AMOUNT SGAB CA 917751935 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET @IPEROR 5382-021-007 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY C IF1 120V 15/20A BA CKTS 5 00 BR 86 60 TENANT G1 OUTLETS-LGT,SW,RECP 26 00 OUT 47 00 ISSUED ON PROCESSED BY PLAN BY PEN LAI GE RESTAURANT G2 LIGHTING FI%TURES 51 00 LGT 80 60 09/13/10 SR IOWNEA TOTAL FEES 242 00 TEL NO FIDATE IWONG JENNY (626) 376-5156- S I FIE BY CODS 16420 ROSEMEAD BLVD 1 1SAN GABRIEL CA 91775 DESCRIPTIO OF WORK i1 ELECTRICAL FOR TENANT IMPR VEMENT 1APPLICANT TEL NO 1 IKEN PANG/MONICA WU (909) 569-2069- 124321 CLAYWOOD DR ISPECIAL CONDITIONS DIAMOND BAR CA 91765 1 I I CONTRACTOR TEL NO JAPPROVALS GATE INSPECTOR SIGNATURE MT1Y {AO (626) 827-9567 12532 EDdARDS AVE g6 LIC NO ITEMPORARY POWER PO-R 1 SO EL MONTE CA 91733 836054 B JUNDERGROUND CONDUIT I I ARCHITECT OR ENGINEER TEL NO UFER GROUND KEN (909) 569-2069- 1 I 1 24321 CLAYWOOD DR LIC NO ROUGH CONDUIT DIAMOND BAR CA 91765 NONE 1 ROUGH WIRING _ MAIN WATER LINE PLASTIC YIN METAL YIN 1 UTILITY COMPANY NOTIFIED I � � I I � I I I � I � � 1 I I 1REPORT ID DPA265 ROUTE 1O 850508 I