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Home My Public Portal About6515 ROSEMEAD BLVD_Electrical__ �EIry Y f ilic-a ilityr sift-Al 'leAesa Ce stae Nrene APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANTTO PILL IN B New Residential Bldgs &Pools EACH NO FEE ADDRESS I &2 Family Sq Ft L — $ LOCALITY Multi family Sq F — RE ST q:60 Residential Swimming Pools WNN MOutlets Rec_L,ght_Sw _ ADDRESS /f/ESMAIL First 20 Total No Additional CITY IE CI Tel No PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Fixed Appliances Not Over 1 HP MI Range—Heater—DW _ APPLICANT ES E/ C 1G Oven_Dryer—W M— ADDRESS 0/;q p�� Top _FAU _WH _ CITY Vj � Tel No �JOKo';t Hood—Fan _Other_ LICENSE OR Disp _Room Ae Cond REG NUMBER a r8 Clossc—lo I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T HP KW, KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Type REGULATING ELECTRICAL WIRING Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Y Over 10 to 50 Inc] CALIFORNIA OR THA I T LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE L Q Over 50 to 1 OO Inc All PERMIT EE Over 100 SIGNATURE ServKes DISTRICT NO E ED BY 0 200 Amp Under 600V O s ` 201 1 DOO Amp Under 600 V v OOJAC Over 1000 Amp or Over 600 V i, Z O Temp Power Pole&Appurtenances i Sign with One Branch Circuit Additional Sign Branch Circuits INSPECTION Mist Conduits&Conductors INFORMATION ON Other(See Complete Fee Schedule)_ TERSE u Z 24965A ge .•. e02 PERMIT FEE (Sub Total) 00 ZZ PLAN CHECKING FEE (One Fourth Permit Feel F 2.00 1 G Fi • .r PERMIT ISSUING FEE . o 1GOOis TOTAL FEE b rood >3 0618-79 INSPECTION FINALED I date X-11-71 —/1_71 By ms �eAee3ce eo.NFane APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING ND SAFETY FOR APPLICANT TO FILL IN J 8 New Residential Bldgs &Pools EACH NO FEE A DRESS ETT I &2 Family So F Y — E LOCALITY Multi family Scl F — N Residential Swimming Pools ST �/ NNAME EROR Outlets Rec 7 Light_Sw ✓ IL First 20 20 Za pt, ADDRESS .9011 Af Total No Additional CITY Tel No67 PLAN&EC APPLICCAA Lighting Fixtures First 20 2 b lb *0 ADDRESS Totol No4-3 Additional CITU Te No Fixed Appliances Not Over 1 HP PERMIT Range_Heater_D W — APPLICANT Oven—Dryer_W M_ ADDRESS ,0J Top _FAU W H _ CITY _ Tel No61 y� Hood—Fan ¢Other_ Q LICENS Disp _Room Air Cond bD REG N BER yyf.3 (c Class 0-40 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA Power Apparatus&Large Apphances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O Over 1 to 10 Ind LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V Over 10 to SO Ind CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE Over 50 to 100 Inc DESCRIBED RESIDEN IAL P PERTY Over 100 PERMITEE SIGNATURE s� Services DISTRICT NO P ED ? 0 200 Amp Under 600V 201 1000 Amp Under 600 V Over 1000 Amp or Over 600 V / Temp Power Pole&Appurtenances e. 3 $ i 9 q L S Sign with One Branch Circuit a Additional Sign Branch Circuits INSPECTION > Mix Conduns&Conductors INFORMATION Other(See Complete Fee Schedule]_ ON REVERSE u SIDE PERMIT FEE (Sub Total) �2 • 979, 10 PLAN CHECKING FEE (One Fourth Permit Feel C+� O PERMIT ISSUING FEE r g bj' o 'e e e 7 9 7 9 oaza—�9 TOTAL FEE D INSPECTION FINALED date By i its 7eAe.a Ce ace HF a/'le APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES QB BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADD New Residential Bldgs &Pools EACH NO FEE RESS IS -C 1 &2 Family Sq Ft Y — $ I LOCALITY G Multi family Sq F — NRARE QAT Residential Swimming Pools RM NA C Outlets Rec_Ltght_SwMAILJ� First 20 ADDRESSPJC✓ Total No Additional CITY _ Tel No ';(I PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Total No Additional ., CITY Tel No Fixed Appliances Not Over 1 HP PE RMIT /� Range_Heater_D W _ APPLICANT IP Oven_Dryer_W M— ADDRESS '0 Top _FAU —WH — CITY _ Tel No Hood_Fan —Other— LICENSE R Dnp _Room Air Cond REG NUMBER ,( Class - lip I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Applionces TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Type REGULATING ELECTRICAL WIRING Up to I Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O Over 1 to 10 Incl 0 2 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V Over 10 to 50 IMI CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE OW DESCRIBED RFSIDENTI ROPERTY Over 50 to 100 Inc '_ iOver 100 PERMIT 51 GN Services DISTRICT NO PROCE D BY 0 200 Amp Under 600 V 201 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Temp Power Pole&Appurtenances i Sign with One Branch Circuit Addilional Sign Branch Circuits INSPECTION > 3 9 0 2 8 A Misc Conduits 8 Conductors INFORMATION ('�J # • • • • • 2 Other(See Com lete Fee Schedulel_ ON REVERSE IVII p SIDE Al 2 ,I • • 1 7.0 0 • • • 17,006 PERMIT FEE (Sub Total) '/J D 0215-80 PLAN CHECKING FEE (One Fourth Permit Feel IIT(/ _ PERMIT ISSUING FEE 7O TOTAL FEE _ �(� > INSPECTION FINALED date By APPLICATION FOR_ ELECTRiCA PERM TT� "'`�_ 766,663 CE-1106(11 /78) COUNTY OF LOS ANGELES o BUILDING AND SAFETY AN �y FOR APPLICTTO FILL IN ADDRESS ET✓ •� New Residential Bldgs &Pools EACH NO FEE -^ 1 &2 Family,Sq Ft S 025 - E LOCALITY Multi family Sq Ft 02 - E RESTT Residential Swimming Pools 2500 WN O FIRM NA C fy LEJO 7_ Uli Outlets Rec_Light_Sw MAIL _- First 20 50 AD RE 3 _C V 6h. hv Total No Additional 30 CITY C PLAN HECK APPLICANT , .>. Lighting Fixtures First 20 50 ADDRESS �\ t Additional- 30 __.... Total No CITY Tel No Fixed Appliances Not Over 1 HP - MIT - - - Range—Heater— D W =MCANT Oven—Dryer_W M_ ADDRESS - - -- - -- Top _FAU _ WH _ CITY Tel Nom _ _ Hood_Fan _Olher_ LICENSE OR h Dtsp _Room Air Cond 250 REG NUMBER /0 C Class C HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus B Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO S¢e 8 Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS "� 2 50 REGULATING ELECTRICAL WIRING og Up to 1 Inch I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR V Over 1 to 10 Ind 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d Over 10 to 50 Ind 1250 _ CALIFORNIA OR THAT I ATA THE L OWNER F TyE ABOVE _ Q 25 00 DESCRIBED RESID TIAL PROP Y Over 50 to 100 Inc pERM17 EE Over 100 4000 - ---- SIGNATURE Services 12 50 DISTRICT NO _ PROCE D BY f 0 200 Amp Under 600V /Ny 201 1000 Amp Under 600 V 25 00Over 1000 Amp or Over 600 V 5000 Z Temp Power Pole&Appurtenances 1000 •S3SJ - •2 Sign vnrh One Branch Circuit r 1000 =C Additional Sign Branch Circuits 2 00 _ INSPECTION > INFORMATION 07 6 6 R Mac Conduit]8 Conductors Sn 10 00 ON REVERSE- # • ' • • 2 Or r ISee Completete Fee ehedulel_ SIDE 2 • • 2000 • • • 20005 PERMIT FEE (Sub Totals 130 6 1 '6-8 0 PLAN CHECKING FEE (One Fourth Permit Feel g` PERMIT ISSUING FEE $7 00 TOTAL FEE ; . INSPECTION FINALED /// / ' date / /n ]�L By / '�L _� . 0h 7eAe0.l on eoe lend APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR A LICANT TO FILL INpg / New Residential Bldgs &Foals EACH NO FEE ADDRESS 6 S�s 1 &2 Family Sq N S 025 — b LOCALITY Multi family Sq Ft 02 — NEAREST - Residential Swimming Foals 25 00 57 W R _ FIRM NAME /'_ .0 —1 GG-.i Outlets Rec—Light__Sw MAIL First 20 50 ADDRESS .'r1 Total No Additional 30 CIT Tel No PLAN CHECK APPLI NT Lighting Fixtures First 20 50 ADDRESS Additional 30 _ Total No CITY Tel No Fixed Appliances Not Over 1 HP PERMIT Range_Heater_D W _ 'APPLICANT Oven—Dryer_W M_ ADDRESS 70� Top —FAL) —WH — CITY Tel No Hood—Fan —Other—, LICEWOR /C/� Dnp —Room Air Cond 250 REG NUMBEa41 /Yj Class e /'q I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2 50 REGULATING ELECTR{CAL WIRING Up to 1 Intl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over I to 101ncl Soo 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 ABOVE DESCRIBED RESIDENTIAL PROPERTY Over 50 to 100 Inc 2500 4000 PERMITEE Over 100 SIGNATU - n Services DISTRICT NO P D BY 0 200 Amp Under 600V 1250 �. 201 1000 Amp Under 600 V 2500 49 Over 1000 Amp or Over 600 V 5000 0 Temp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 200 INSPEON K CTI L9 3 5 7 9 A Mrsc Conduits 8 Conductors 1000 INFORMATION ON REVERSE 5 # • e e e e 2 Other(See Complete Fee Schedule)_ SIDE e r; .y 2 • • 17.00 rte ~ ` - e e 017.006 PERMIT FEE 15ub Toialt 0 &05-79 PLAN CHECKING FEE (One Fourth Permit Fee) PERMIT ISSUING FEE $7 00 70 TOTAL FEE > INSPECTION IN LED` date ,( � / f B IC WORKER I haveCOMPENSATION DECLARATION ,2 6,;DPW(12 97, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to Bell insure or a certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT40F RUBUC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy No Company POR APPLICANT TO RLL M 0616-1.5- OB / ❑ Certified copy M hereby fumished New Reeitleal Bldgs R Pods NO EACH FEE ❑ Candied copy Is filed with the county budding umpecbon 18 2 FamilyResidential Sq Ft — $ It LOCA _�) department Multi faintly Sq Ft NEAREST l' CROSS ST / Date Applicant RBalderrual Swimming Pouts ASSESSOR MAP BDDI( I PAGE PNC CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec —Light_Sw OWNER OR COMPENSATION INSURANCE R.M r1AlAE G/ O (T P Y First 20 MNL y g S Ms t Is for need not be completed 0 the Work Involved b the Total No Additional &LR Of permit Is for one hundred dollars($100)or Ifea) � (� 1 certify that in the performance of the work for which this permit rN0<77 9 is issued I shall not employ any person in any manner so as to ' become sublect to the Workers Compensation Lewy Lighting Fixtures Fuel 20 APPUC Le 6 i ?,r,, � Total No Additional ADDRESS NOTICE TO APPLICANT If after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY Tel rlo Exemption YOU Should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PEA i7/t s provisions or this permit shall be deemed revoked Power Apparatus 3 Large Appliances APP G LICENSED CONTRACTORS DECLARATION Sae 8 Type HP KW KVA or KVAR I hereby affirm that I em licensed7000) o under provisions of Chapter B Over 3 to 10 Incl (commencing with Section 7000) of under 3 of the Business and r Professions Code and my license is in full force and effect Over 1010 50 Incl OR Over 50 to 10O Incl LICENSE NU llU� REO MBER L, ! L LICenim Number Lnc Class ^z O Over 100 DISTRICT NO 9EV BY Conuorsa 6 C`�� Date-� "�' �rn�s 0 399 Amp Under BOON DATE ❑ I em exempt under Sec 400 1000 Ap Under 600V VALIDATION W Over 1000 Amp or Over 800 V RNAL EL B 8P C for this reeso BRANCH CIRCUIT FEES W % 9 1S or 20A 120V Lnghung or Receipt ? Slgnatu f 1 To 10 Branch Circuit 11 To 40 Branch Circuits ❑ Exemption for Reg Maim Eleanch Circuits 15A 20A,208V To 277V Ughbrig Br More Circuits 2 SINGHOME OWNER BUILDER(LY DECLARATION Temp Power Pole 3 Appurtenances ACCTei I hereby affirm that I am exempt from the Contractor s License Law Sign with One Branch Circuit for the following48.60 reason (Section 7031 5 Business and Professions Addibonel Sign Branch Circuits Code) 1 ITEMS ❑ I as owner of the property will do the work and the structure Mrec Conduits 8 Conductors TOTAL 4$ W�Q is not intended or offered for sale(Section 7044 Business ^gy. ule) end Professions Code) 0 /reAC6�\ , CFECK 48.60 CONSTRUCTION LENDING AGENCY 4`HGE CD I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3087 PERMIT FEE (Sub-Tolaq On, C) PLAN CHECKING FEE 0000—O01 6/ 3/96 Lander a Name 6717 1 AM 9:25 PERMIT ISSUING FEE a Lwow a Address I certify Net 1 have mad this application and under penalty of pufiury state TOTAL FEE ,60 that the above information is correct I agree to comply with all County Ordinances and State leve regulating Electrical wiring and hereby euthonze p aeentatrves of thmQpunty to enter upon the above-mentioned property f napec piny SEE REVERSE FOR EXPLANATORY LANGUAGE Xt 3-46 ATUBE OF PFAMIr1EE DATE WORKERS COMPENSATION DECLARATION �aeiooPwvm APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to eel( �� insure or a certificate of Workers'Compensation Insurance COUNTY OF LOS�ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof (Sec 3800 Lob C ) Policy No Company FOR APPLICANT TO FILL IN JOBRESS \ Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADD Certified copy is filed with the county budding inspec- 1 8 2-Family Sq Ft S — $ LOCAUTI"�K _ tion department Multi family Sq Ft NEAREST CROSS ST Dote Applicant Residential Swimming Pools OWNER FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_Lfghf_Sw_ MAIL COMPENSATION INSURANCE AOORE Fust 20 (This Permit I need not un completed ga it the work Imrolred by Total No Additional CI Tel No the perml}Is for one hundred dollen($I OD)or less ) PLAN CH 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 Dote 4—\\A� Apphcant��M �`�A V FCS Additional Total No CIN Tel No NOTICE TO APPLICANT If, after making this Certificate of Fixed Applwntes Not Over 1 HP PERMIT Exemption you should become subject to the Workers' Range— Heater_D W — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven _ Dryer —W M ADDRESS with comply with such provisions or this permit shall be T — FAU —W H — deemed revoked Hood — Fan —Other_ CI Tel No 'l.a LICENSED CONTRACTORS DECLARATION LICENSE OR Disp _ Room Au Cond I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER Claes`- (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO P ESSED BV d and Professioro Code and my license n in full force and effect ` �pp ((��,,,�� Size 8 Type HP KW KVA, or KVAR 0• 0 License Number 2-i 0 Lk?'J Lic Class ` %\D Up to 1 Incl FINAL Over I to IO Incl DATE 6—� `�� VALIDATION Contractor Date Over 10 to 50 Incl U OFINAL I am exempt under Sec Over 50 to 100 Inc BY W 8 8P C for this reason Over 100 d Services, Swbd , MCC 8 Panelboards , to Z ° 0-200 Amp Under 600 V gnojure Si201 - IODD Amp Under 600 V ` ❑ Exemption for Reg Mcint Eject - Over 1000 Amp or Over 600 V SINGLE FAMILY Temurtena HOME OWNER BUILDER DECLARATION p Power Pole 8 Appnces I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit 1 ITEM-:,Low for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits TOTAL 47 - 10 Professions Code) A4u Conduits 8 Conductors 47'1i EJI as owner of the property will f o the work and the s structure is not intended or offered for sole(Section 7044 Other (See Complete Fee Scheduled � t,f{Ahltg ,I11) Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 0009-0001 5/ 6/Y4 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) j i31 1 Ari O�y� (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender s Address I certify that I have recd this application and state that the TOTAL FEE , 0 above mformotion 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 ,r the abov ti ed pro eny for nspecti purposes V/ 4 /nL,A� SEE REVERSE FOR EXPLANATORY LANGUAGE mi Signa re Perm,"" Dat "� WORKERS COMPENSATION DECLARATION CE 806 10,81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self �806G _ /' insure or a certificate of Workers'Compensation Insurance COUNTY OF LOS ANGELES T (!, BUILDING AND SAFETY ,pp caYfeed co{p)L thereof($ec 3800 Wb C ) r Policy 2 / d 7compony FOR APPLIrAW TO FILL IM JOB Certified co is hereby furnished EACH NO FEE ADDRESS 6515 ROSEMEAD BLVD. Py Y New Residential Bldgs 8 Pools $ _ s LOCALITY TEMPLE CITY Certifmd copy is filed with the county budding iaapec 18 2-Family Sq Ft — SSS hon department Multi-family Sq FtNEAREST Dote6-Z£— 0_/ Residential Swimming Pools CROSS ST EMPEROR PIICOni �� OWNER OR TEMPLE CITY LIONS CLUB FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rei:—Light_Sw_ MAIL P.O.BOX COMPENSATION INSURANCE First 20 ADDRESS (This stolon need net be completed if the work Imulved by Total No Additional l C1T`TE LE CITY Tel No 287-423 the permit Is for one hundred dollars($100)or lose ) PIAN CK CHECHE 1 certify that in the performance of the work for which this FUN permit is issued I shall not employ any person in any manner APPLICANT so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Addmo al Date Applicant CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over I H PERMIT Exemption you should become subject to the Workers Range— Heater_D APPLICAM �^ Compensation provisions of the Labor Code, you must forth Oven _ Dryer ADDRE &, s with comply with such provisions or this permit shall be To FAU _ �..� ,o! , SFC)deemed revoked Hood _ Fan har— CI G� Tel No 2:5?e LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp i and REG NUMBER 3 Class —�Q (commencing with Section 7000)of Division 3 of the Business Powe Appo s urge Applian s DISTRICT NO PROCE BY �4 and Professions Code,and my license is in full force and effect V O 3Co3Z,7 9 , 10 Si 8 , KW Inc R tJ License Number Lic Clain Up to 1 Inc FINAL �,�p ry7� ��r� ((��ra_ ��.�S3 OverI o j l DATE VALIDATION 09 Contract— rz —cite Over 0 to Incl FINAL ❑ I am exempt under Sec Over BY G %o 1 Inc as CIL B 8P C for this reason Ove' 1 inZ Date Services, Swbd MCC& Panelbourds , P 7 y� 0 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Rog Maisel Elect -233 1 0 A SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit # ' • • s e 2 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 2 e e1550 Professions Code) ❑ r I as owner of the property, will do the work and the Misc Conduits 8 Conductors * 0.0 1 5 5 0 6 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 7044 Business and Professions Code) 0 630-83 CONSTRUCTION LENDING AGENCY I hereby affirm that there iso construction lending agency for the performance of the work for which this Permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Qv C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE U Sd 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 uthonze rel rose of this County to enter upon the bov menhone pr art action purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permat a Date WORK PENSAITON DECLARATION 7&0019 DPW 112 911 APPLICATION FOR ELECTRICAL PERMIT I hereby e1/Ron that I have have a certificate of of consent to sell insure 7Bl or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3&10 Lab C) •1 r Policy No Company Inco APPLICANT TO FILL IN JDa Certified copy is hereby fumuhed New Resldenual Bldgs 3 Poole NO EACH FEE LOCA o ❑ Certified copy is filed with the county building inspection 1 8 2 Family So Ft — E $ department Muth family Sq Ft ST e� Date Applicant Residential Swimming Pools AgREggOR MAP BOOK P0iOE PPACEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec —Light_Sw OWNER R ORE e COMPENSATION INSURANCE t (This section need not be completed If the work Involved by the First 20 WJL permit Is for one hundred dollen(6100)or lees) Total No Additional AfIORE I cattily that in the performance of the work for which this permit CITY iei is Issued I shall not employ any person In any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First APPNT Total No Additional ADDRESS Date APpficanl �-E y`- ��\`� 1 C RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If alter making this Certificate of CT' Td No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP R proions of the Labor Code you must forthwith comply with such Power Apparatus 8 Large Appliances APPLPERMICANT p promweions or this permit shall be deemed revoked LICENSED CONTRACTORS DECLARATION Sze 8 Type HP KW KVA or KVAR ADDRE I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 101rKa (commencing with Section 7000) of Division 3 of the Business and T Professions Code and my license is in full force and effect Over 10 to 50 Incl USNsE OR } Over 50 to 100 Ind REG NUMBER /-z� \O Over 100 pISrRICT NO P $6Ep BY O LIcenee Numlxs 1,Aui11 I.Ic Class r ^ e Sernces Swbd MCC& der 6 0 V 0 ��av O Connector p o 399 Amp Under 600 vRNAL ❑ I am exempt under Sec 400 1000 Amp Under 600V (`{� VALIDATION W Over 1000 Amp or Over 600 V FINAL CL B 8P C fa this reason By BRANCH CIRCUIT FEES U) Date 15A or 20A 120V tughung or Recept z • .[/ .-J-/ _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ Exemption for Rep Mamt Elect 15A 211A, 208V To 277VOr More Branch Circuits , SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I am exempt from the Contractor a License Law for the following reason (Section 7031 5 Business and Profeamons Additional Sgn Branch Circuits Code) ❑ I as owner of the property will do the won arid the structure Misc Conduits&Conductors Is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) , a and Professions Code) CONSTRUCTION LENDING AGENCY 330' 47.85 1 hereby affirm that there is a construction lending agency for the i ITEMS EMS performance of the work for which this permit is Issued(Sec 3097 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE TOTAL 4-7 . 35 Lander3 Name CHECK 47.8` PERMIT ISSUING FEE UMGE •00 II Lender a Address I wrty, have that I have read this applicenon and under penalty of pu0ury stele TOTAL FEE that the above information Is correct I agree to comply with all County , ordlnences and State lave regulaung Electrical wining and hereby authorue 0000-01301 5/10/95 representatives of this County to enter upon the above mentioned property 1w in [an purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 0360 1 AN 9=34 BgNARIR'OF PERAp E DATE WORKERS COMPENSATION DECLARATION somwovwsrer APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm OD1 m that I have a certificate of consent to self CE eoeG insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lob C ) Policy No - Company FOR APPLICANT TO RLL IN JOB ❑Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county building nspec 1 & 2-Family, Sq Ft $ — S LOCALITY tion department Multi family Sq Ft NEAREST CROSSST Dote Applicont Residential Swimming Pools OWNER FIRM NAMFCA \-Nq3CX CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec__Light_Sw_ MAIL COMPENSATION INSURANCE Fust 20 (This section naafi not be completed H the work involrad by Total No Additional C1= Tel No r the permit Is for oa hundred dollars ($100)or Ins ) PinN I certify that in .he performance of the work for which this APPLICANT permit is issued I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become sublect to the Workers Compensation Laws Ay zv-,oAdditional Dote �3 Applicant�Q�Q,1. maf'% Total No CITY Tel No Fixed Appliances Not Over 1 HPIT NOTICE TO APPLICANT If after making this Certificate of gPRPML CATION 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 — ADDRE with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked Cl Tel No • Hood _ Fan —Other_ LICENSED CONTRACTORS DECLARATION Disp _ Room Air Canal RE ENN OBER Class.� I hereby affirm that I am licensed under provisions of Chapteg9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO ,f PR SSED BY d and Professions Code and my license is in full force and effect Size 8 Type HP, KW, KVA or KVAR ` � License Number�T–W)IO ) Lic CIassS.LLV_ Up to 1 Incl FINAL o �eQ�Do,. A-34- 3 Over 1 to 10 1nc1 DATE O' VALIDATION 0 Contractee Over 10 to 50 Incl FINAL F ❑ I am exempt under Sec Over 50 to 100 Inc BY '� W B 8P C for this reason Over 100 d Services Swbd MCC& Panelboards , Z Z 0 200 Amp Under 600 V c gnat re 201 - 1000 Amp Under 600 V ❑ Exemption for Reg MaiOver 1000 Amp or Over 600 V Maim Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ALLT•a I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits 3307 +5,75 Professions Code) 1 ITEMS ❑ I as owner of the property, will do the work and the Misc Conduits S Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— ► TOTAL 45.715 Business and Professions Code) 5 CIEiK 45.7_ CONSTRUCTION LENDING AGENCY •0(1 I hereby affirm that there is a construction lending agency for it�Ar the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE - I]Lp,rO–yai+�l S�1JlC/� Lenders Name �5 PERMIT ISSUING FEE pCp'j 9705 1 Ah 8:it 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 ordmonces and State laws regulating Electricol wiring, and hereby authorize representatives of this County to enter upon thea ve- ho a propert for mspecuon purposes , SEE REVERSE FOR EXPLANATORY LANGUAGE 4 ZLS•9� m, Signoture of Permittee Date � WORKERS COMPENSATION DECLARATION ro 'vsrV 1 APPLICATIOWFOR ELECTRICAL PERMIT O 'I'hereby affirm m that I have a certificate of consent to self �� insure or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES ` DEPT OF PUBLIC WORKS or a certified copy thereof (Sec 3BW Lab C ) P I icy No Company FOR A/FDCANT TO FILL IN !OB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO I FEE \ ADDRIESS6515 N. ROSEMEAD BL. F-1 Certified copy is filed with the county building inspec 1 &2-Family, Sci Ft S — s LOCALITY TEMPLE CITY eon department Multi-family Sci Ft — NEAREST EMPEROR Residential Swimming Pools Sr'C Dote Applicant - f NAME O CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light_Sw_ \�\ s MNL Ii AS INSURANCE � ADDRESS 2 E. S TUNAS (This section need not be completed 1f the work Involved by Fust 20 CITY r Tel No the pormit is for a"hundred dollars ($10D)or loss ) Total No Additional \ TEMPLE CITY 286-6 2 I certify that in the performance of the work far which this pCHECKPLAN " 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 I Date 5-25-92 Applicant DALES ELECTRIC Total No Additional CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Hxed Apphances Not Over 1 HP PERMIT Exemption you should become subject to the Workers' Range— Heater—DW _ APPLICATION DALES ELECTRIC Compensation provisions of the Labor Code you must forth- Oven — Dryer —W M _ ADDRESS9923 E. LIVE OAK with comply with such provisions or this permit shall be T — FAU —WH _ deemed revoked Hood — Fan —Other_ CITY TEMPLE CITY Tel No287-8627 LICENSED CONTRACTORS DECLARATION Disp _ Room Air Cord — U�NSE 27 21 Class — 1 hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 70DD)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCESSED BY d Size 8 Type HP KW, KVA, or KVAR and Professions Code,and my license is in full force and effect v 0 License Number 276218 Lic Class C-1 O Qp Up to 1 Incl FINAL DALES ELECTRLC 5-25-92 Over I to 10 Ind DATE ��9� VALIDATION 0 Contractor to Over 10 to 50 InclFINAL U ❑ I am exempt under Sec Over 50 to 1 W Inc BY LUB 8P C for this reason Over 100 d t ° It, Services, Swbd , MCC 8 Panelboards , Z Under '( {_ z 0-200 Amp Uer 600 V ZL.CIJI_--, a Signature—ao e 201 - IOW Amp Under 6W V❑ 7-1�7 0't 1,c Exemption for Reg Maim Elect Over 1000 Amp or Over 6W V L ,_ lT;7 SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License - r,c Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits (HE_), �'-,7 . Professions Code) f ViriE ,1_11I ❑ I as owner of the property, will do the work and the Mix Conduits 8 Conductors structure is not intended or offered far sale(Section 7044, Other (See Complete Fee Schedule)— Business and Professions Code) CONSTRUCTION LENDING AGENCYFIREWOMf _ I hereby affirm that there is a construction lending agency for rANJU _ ��' 1 All 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 jJ 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 abov - enho pr r for mspe hon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 5-25-92 ms Signature of Permittee t Dote ypRKERS COMPENSATION DECLARATION 0 I hl4'byuern that I have a certificate of consent to self a 806 gppLICATION FOR ELECTRICAL PERMIT insure or o certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof (Sec 3800 Lob C ) - Pcy No" Company FOR APPLICANT TO FILL IN nEu(51�r N. ROSEMEAD BL. Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH r,q FEE ❑Certified copy is filed with the county building inspec 1 8 2-Family Sci Ft $ — S LOCALITY TEMPLE CITY hon deportment Multi family Sci Ft — NEAREST EMPEROR Date Apphcont Residential Swimming Pools CROSS SOIR T FIRM NAME CITY OF HOPE CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light_Sw_ \ MAIL COMPENSATION INSURANCE Fust 20 ADDRESS 2 E LAS TUNAS (This stolon need not be completed R the work Invohnd by Total No Additional of CITY TEMPLE Cil TY O�1.Na86-82 the permit Is for one hundred dollars($100)or leu) PLAN CHECK I certify that in the performance of the work for which this PLANC HE permit is issued, I shall not employ any person in any manner APPLINT L� titin Fixtures Fust 20 ADDRESS so as to become subject to the Workers Compensation Laws g g Dote 5-8-91 Apphcont DALES ELECTRIC Total No Additional CITY Tel No NOTICE TO APPLICANT If, after makingthis Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption APPLICATION DALES ELECTRIC p you should become subject to the Workers' Range— Heater—DW — Compensation provisions of the Labor Code, you must forth- Oven — Dryer'—W M — ADDRISS9923 Ea LIVE OAK with comply with such provisions or this permit shall be To — FAU —WH — deemed revoked Hood _ Fon —Other_ CITYTEMPLE CITY, CgSJ No287-8627 LICENSED CONTRACTORS DECLARATION Dep — Room Air Cond LICENSE OR I hereby affirm that I am licensed under prova,ons of Chapter 9 R[G NUMBER 276218 ClossC-10 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO and Professions Code,and my license is in full force and effect ,Q D BY d Size &Type HP KW, KVA, or KVAR �BV O License Number 276218 Lic Class C'-1 0 Up to 1 Incl FINAL U O11 DATE Q Conhactor DALES ELECTRIE„e 5-8-91 Over 1 to 10nc i VALIDATION O ❑ _ Over 10 to 50 Incl FI I am exempt under Sec Over 50 to 100 Inc gy U B 8P C for the Over 100 W reason d U Data Services, Swbd , MCC& Panelboards Z (/ 0 200 Amp Under 600V 1100. ruJ/' Signature 201 1000 Amp Under 600 V Exemption for Reg Mainz Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Tem Pole HOME OWNER BUILDER DECLARATION P Power 8 Appurtenances I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit ALL T.i Low for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) 33117 21ll_t ❑ 1, as owner of thero rt will do the work and the Misc Conduits B Conductors 1 ITER: p y' Other See Complete Fee Schedule ► Business s not intended a offered far sole(Section 70A4 ( P )— TOTAL 23- 00 Business and Professions Code) CONSTRUCTION LENDING AGENCY '.HECK 1'(3,i?I) 1 hereby affirm that there is a construction lending agency for CHAH� .L41 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097, Civ C ) Lender s Name PLAN CHECKING FEE PERMIT ISSUING FEE �3 UIJI I I i + Lender B Address 722* 1 AN10:5D I certify that I have read this application and state that the TOTAL FEE Ob above information is correct I agree to comply with all Count' ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon ' the abo v en sed op ty for ins ction purposes yIu SEE REVERSE FOR EXPLANATORY LANGUAGE 5-8-91 Signature of Permittee - ®s WORKERS COMPENSATION DECLARATION 867 ,D,B, t APPLICATION FOR ELECTRICAL PERMIT �I hereby affirm that I have o certificate of consent CE ent to self � ' insure or a certificate of Workeri Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec 3800 Lab C ) Policy No Company FOR APPLIC"TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS 6515 N. ROSEMEAD BLVD. ❑ Certified copy is filed with the county budding inspec- 1 & 2-Fomily Sq Ft f —is I LOCALITY TEMPLE CITY, CA. tion department Multi-family Scj Ft — NEAREST Date Applicant T EMPEROR Residential Swimming Pools Fl�RNAME TEM ICHAPTE TY CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Ught_Sw_ MAIL P1 i COMPENSATION INSURANCE Fust 20 ADDRESS9523 E. LAS TUNAS p (This section need not be completed N the work Involved by Total No Additional CITU TEMPLE CITY, �'i�el No 286+6 the permit Is for one hundred dollars ($100)or less ) PIAN CHECK certify that in the performance of the work for which this PLANCHET permit is issued I shall not employ any person in any manner so as to become subject to rhe Work s C mpensatio aws Lighting Fixtures First 20 ADDRESS j o Total No Additional 6,1,,,87 CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICANT D S ELECTRIC Exemption, you should become subject to the Workers' Range_ Heater_D W t'f Compensation provisions of the Labor Code you must forth Oven _ Dryer _ W M — ADDRESS P.O. BGX 29 with comply with such provisions or this Parma shall be Top _ FAU _WH _ deemed revoked Hood _ Fon _Other_ CITY SAN GABRIEL CATel No 287-862 LICENSED CONTRACTORS DECLARATION Disp _ Room Au Canal LICENSE OR Class C+ I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER 1 (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO D BY Y and Professions Code and my license is in full force and effect ppliap y Size&Type HP, KW KVA or KVAR DO O License Number 276218 tic Class C-10 Up to 1 Incl FI V 99 Contractor DALES ELEC. Date 6-1-87 Over 1 to IO Incl DA — VALIDATION O F-1 Over 10 to 50 Incl FIN / 15 I am eRenfpt_urder Sec Over 50 to 100 Inc BY d B &P C for this reason Over 100 ate = Services, Swbd MCC& Panelboards ► 0 _ 200 Amp Under 600 V - Stgn tuns 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Mom Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole&Appurtenances i HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor%License Additional Sign Branch Circuits for the following reason (Section 7031 5, Business and Professions Code) ❑ I, as owner of the property, will do the work and the fisc Conduits&Conductors structure is not intended or offered for sale (Section Other ($ea.CpmdWa iam5chedule)_ pool 7044 Business and Professions Cade) f19ffiUtlI ft ;2729.3A CONSTRUCTION LENDING AGENCY MWOMM STM I hereby affirm that there iso construction lending agency for . . . . . 2 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) I . . 1 5 5 0 (Sec 3097, Civ C ) PLAN CHECKING FEE Lander s Name is.- - 1 5 5 0 L5 PERMIT ISSUING FEE U Lender s Address 0622-87 1 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 to enter upon the ab ve en: grope for inspection purposes / 7 SEE REVERSE FOR EXPLANATORY LANGUAGE no ure of Permittee Date r WORKERS'COMPENSATION DECLARATION, 76AS63 CE bOeG (2 80) APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELESrj' e , BUILDING AND SAFETY insure or a certificate of Workers'Compensation Insurance or / 1 a certified copy thereof(Sec 3800,Lab C) JOB Policy No Company FOR APPLICANT TO EACH FILL N NO FEE ADDRESS 6515 N. Rosemead Blvd. ❑ New Residential Bldgs &Pools Certified copy is hereby furnished 1&2 Family.Sci Ft 8 — $ LOCALITY Temple City Certified copy is filed with the county building inspection Multi family Sq Ft CROSS ST Emperor department Residential Swimming Poole OWNER OR e e Chapter FIRM NAME Date Applicant Outlets Rec_LightSw _ ADDR first 20 ESS 2 E. Las Tunas Dr. • CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CITY Temple City Tel No 286-6L+8 > COMPENSATION INSURANCE a PLAN CHECK APPLICANT (Thn section need not be completed if the work involved by the permit is for one hundred dollars ($100) or lets) TotaLightingFixtures First ADDRESS R onal 1 certify that in the performance of the work for which this Fixed( AdditioAppliances Not Over 1 His CITY Tel No O permit is issued, I shall not employ any person In any manner PERMIT W so as to be o e ject the rk Core on Laws Range_Heater D W P (CANT O 1 d / Oven — Dryer_W M ADDRESS 1 668 Sandia St. Z Dat Applicant Top _ FAU _W H Hood _ Fen _Other_ CITY West Covina Tel No 338-9368 NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond_ L O p 10 Exemption you should become subject to the Workers' R N MBEs 2 6210 Class Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE40ED BY with comply with such provisions or this permit shall be Size&Type HP,KW KVA,or KVA deemed revoked Up to 1 Incl 1 FINAL Over 1 to 10 Incl DATE Ux VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 60 to 100 Inc FINAL 9 (commencing with Section 7000)of Division 3 of the Bust Over 100 BY nese and Profession Code, and my license is in full force and effect Services p� License Numb Llc Class 0 200 Amp Under 600 V 201 1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031 5, Bust Additional Sign Branch Circuits P12 0 2 9 A nese and Professions Code) Msec Conduits&Conductors • • • • • 2 1, as owner of the property will do the work and the Other(See Complete Fee Schedulel— I J structure n not intended or offered for sale (Section y 2 • • 1 5 5 0 7044, Business and Professions Code) i CONSTRUCTION LENDING AGENCY m r ary • • • 15505 I hereby affirm that there is a construction lending agency Virnworlirs qt..q fl ' for the performance of the work for which this permit is PERMIT FEE (Sub Total) 06 1 5—84 issued(Sec 3097,Civ C) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel Lender's Address PERMIT ISSUING FEE I certify that I have reed this application and state that the TOTAL FEE ' above information is correct I agree to comply with all County F ordinances and State laws regulating Electrical ennng and here aut d re reaentab es of this County to enter upon t ov a r prope for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ature of Permitteea`D to r WORKERS'COMPENSATIONDECLARATION 'CEB06G (280) APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that 1 have a certificate of cement to self COUNTY OF LOS AN ELES ILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or e certified copy thereof(Sec 3800,Lab C) • Policy No Compans y FOR APPLICANT TO FILL IN JOB New Residential Bldgs &Pools EACH NO FEE ADDRE Certified copy Is hereby furnished 1&2 Famdy,Sq Ft 9 — $ LOCALmr ITY ;f-, , C ` Certified copy is filed with the county budding inspection Multi family Sq Ft CROSS S' G Rap— department Residential Swimming Pools OWNER OR FIRM NAME .C. .41iAs C U Date Applicant Outlets Rec_LightSw _ ADDRE first 20 U� CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CIT C Tel No IL 417 COMPENSATION INSURANCE PLAN CHE K • d i APPLICANT (This section need not be completed Lf the work involved-by Fixtures First 20 -by the pernu h ut for one hundred dollars (SI00) or leu) Total No Additional ADDRESS O I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No !— permit Is issued 1 shell not employ any person in any manner PERMIT U so es to become subject to the W e =CemationLawit Range_Heater_OW APPLICANT 6�EG ♦' a _/C�/ Oven ,.._ Dryer_W M ADDRESS S/t Mc�� Z Date Applicant Top _ FAU _W H _ — Hood _ Fen _Other_ CITY4jfSfOViWjjTel No 3 NOTICE TO APPLICANT If after making this Certificate of Disp , Room Air Cond_ S n' Exemption, you should become subject to the Workers' RE NUMBER Li Class C Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO P E D BV with comply with such provisiow or this permit shall be deemed revoked Size&Type HP KW,KVA or KVA Up to 1 Incl a FINAL LICENSED CONTRACTORS DECLARATION , Over 1 to 10]net DATE �7// VALIDATION Over 10 to 50 Incl I hereby affirm that 1 em licensed under provisions of Chapter Over 50 to 100 Inc FINAL —` 9 (commencing with Section 7000)of Division 3 of the Bwi Over 100 BY nos and Professiow Code, and my license Is in full force and effect Services � C —j 1) 0 200 Amp Under 600 V License Number —yLic Clan 201 1000 Amp Under 800 V Contraclorbk S QEdW';.te Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances 1 hereby that I em exempt from the Contractors Sign with One Branch Circuit Additional Sign Branch Circuits r License Lawwfor for the following reason (Section 7031 S Bwi ' ness and Professions Code) I �0 1 9 6 A Mix Conduits&Conductors El I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— # • • • • 2 structure Is not intended or offered for sale (Section t 7044, Busmess and Professions Code) CONSTRUCTION LENDING AOLNCY 2 " 1 G O O I hereby affirm that there Is a construction lending agencysmv, 6 .,. for the performance of the work,for which this permit is PERMIT FEE (Sub-Total) 1 Issued(Sec 3097 Civ C ) Lender's Name0 6 1 '5-8 1 PLAN CHECKING FEE (One Fourth Permit Feel Lender s Address PERMIT ISSUING FEE I certify that 1 have reed this application and state that the TOTAL FEE above Information Is correct 1 agree to comply with all County - ordmances and State laws regulating Electrical wrong, and hereby !A horse epresentatives of this County to enter upon the a dG in it a prope y4turmspectionpurposes tYn /Js tteSEE REVERSE FOR EXPLANATORY LANGUAGE Stgnn re of Permie Date I/ CEAOBG (Z 80) WORKERS COMPENSATION DECLARATION E4306 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of cement to self COUNTY OF LOS ANGELES BUILDING AND SAFETY Insure or a certificate of Workers Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) Policy No Company w _ADD FOR APPLICANT TO FILL IN JOB � S / 0 New Residential BldgsI&Pools EACH NO FEE Certified copy is hereby furnished 1 &2 Family,Sq Ft $ — $ LOCALITY Cernhed coST Multi family Sq Ft — i copy a filed w ount b ng Inspection CROSS ST .( '7meennt J Residential Swimming Pools p N NAME 7 Xv j/1�✓� C Date�BA�phcant ,�s.�� Outlets Rec—Light Sw _ ADDRESS 4,0 d=L If must 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No 7^QZ9 COMPENSATION INSURANCE PLAN CHECK SQ (Thug section need not be completed If the work involved APPLICANT �.1 by the permit u for one hundred dotlan ($100) or less) Lighting Fixtures First 20 ADDRESS 8 Total No Additional tL 1 certify that In the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No O permit u issued, 1 shell not employ any person In any manner PERMIT OF so as to become subject to the Workers Compensation Laws Range_ Heater—D W APPLICANT L5; W Oven _ Dryer_W M _ p all US Date Applicant Top _ FAU _W H L _Z Hood _ Fen _Other CITU r r Tel No NOTICE TO APPLICANT If attar making this Certificate of Disp _ 4-W7 ROS Room Air Co LICENSE OR Z/ leu —� Exemption you should become subject to the Workers' REO NUMBER Compensation provutons of the Labor Code you must forth Pourer Apparatus& I as DISTRICT NO PROCESSED BY with comply with such provmons or this permit shell be Size&Type Wy KfA ✓�/"f— deemed revoked FINAL LICENSED CONTRACTORS DECLARATION Incl GATE �—� �' 9 VALIDATION I hereby affirm that I am licensed under provisions of Chapter nc FINALoBY 9 (commencing with Sectmn 7000)of DIVL910n 3 of the Bmi ness and Professions Code and my license is in full force and effect �/1 Services ��Z7� —/0 0.200 Amp Under 600 V Lice Lic Class �—za—GO -a- 201 1000 Amp Under 0 V re Contct ate Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION ;946 1.O A Temp Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit # e se'e • • 2 License Law for the following reason (Section 7031 5, Bmi Additional Sign Branch Circuits ness and Professions Code) I .2 - '-A 2J50 ' Misc Conduits& Conductors I, as owner of the property will do the work and the Other(See Complete Fee Schedule)— e e e 1 2 rJ 0 5 structure Is not Intended or offered for sale (Section 7044, Busmen and Professions Code) 0628-82 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is PERMIT FEE (Sub-Total) issued (Sec 3097 Civ C ) n Lender's Name PLAN CHECKING FEE (One Fourth Permit Fee) Lender s Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above information u correct I agree to comply with all County ordinances and State laws regulating Electncel wiring and a sentatives of this County to enter upon tendo ed p spection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE e Signature of P minae Date WORKERS COMPENSATION DECLARATION ^Pw3,e, APPLICATION FOR ELECTRICAL PERMIT O I herebyy affirm that I have 6 cdrtdmate of consent to self a� insure br a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof (Sec 3BO0, Lob C ) c Policy No Company FOR APPLICANT TO FILL IN i ❑Cemfied copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS6 N. ROSEMEAD BLVD ❑Certified copy is filed with the county building inspec 1 &2 Family Sq Ft $ 1LOCALITY TEMPLE CITY iron department Multi-family Sq Ft — NEAREST CROSS Residential Swimming PoolsOWNER OR 57 EMPEROR Date Applaa^' FIRM NAME T.C.CHAP. CITY OF HOPE CERTIFICATE OF EXEMPTION FROM WORKERSMAIL COMPENSATION INSURANCE Outlets Rec_Light_Sw_ ADDRESS 2 S Fust 20 TEMPLE CITY CAJ 286-6482 (This Permit I need not un red dolga N she work tentInvolved by Total No Additional CIN el No the permN h for one hundred dollars ($100)or less j PLAN CHECK I certify that in the performance of the work far which this APPLICANT permit is issyed I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Futures First 20 ADDRESS Date 4-23-90 Applicant DALES ELECTRIC Total Na Additional CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT APPLICATION DALES ELECTRIC 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 — ADDRE556 2 ARDILLA ST. with comply with such provisions or this permit shall be Top — FAU —WH — CITY pp deemed revoked Hood — Fan —Other_ LA PLTENTE CA. Tel No20ry/— 627 LICENSED CONTRACTORS DECLARATION Disp _ Room Air Cond — UCENSE OR 2762 8 Class Ci—�O I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NPROCOWD BY Yrs and Professions Code,and my license is in full farce and effect Size 8 Type HP, KW, KVA, or KVAR / O License Number- 276218 Lic Class C-10 Up to 1 Incl FINAL Nn V Contractor DALES ELECTRIC,. 4-23-90 Over I to 10 Incl DATE / V VALIDATION p ❑ Over 10 to 50 Incl FINAL V I am exempt under Sec Over 50 to 100 Inc BY W B 8P C for this reason Over 100 d Services, Swbd , MCC 8 PanZ elboards ► N ` 0-200 Amp Under 600 V n Signature ate 201 - 1000 Amp Under 600 V r,LU� Exemption for Reg Momt Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole 8 Appurtenances 2 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit A I hereby affirm that I am exempt from the Contractor s License ACCT.r Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits _ Professions Code) M7 33.00 ❑ 1 as owner of the property will do the work and the Mix Conduits 8 Conductors - 1 ITEMS structure is not intended or offered for sale(Section 7044 Other (See Complete Fee Schedule)— , TOTAL 3.J - 00Business and Professions Code) CONSTRUCTION LENDING AGENCY CHECK 33.01 I hereby affirm that there is a construction lending agency for CHAH� �� 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 ADO-0001 5/23/911 PERMIT ISSUING FEE p Lender s Address DI'r� 1 AME' 1 certify that I have recd this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State jowl regulating Electrical wiring, and hereby authorize representatives of this County to enter upon ,the obo m o operty for spection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE f� 4-23-90 ms Signature o Permi tee Date - ;YORKERS'COMPENSATION DECLARATION 7SA8 CE-806G 12 801 APPLICATION FOR ELECTRICAL PERMIT I hereby, affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES / BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance or a certified copy thereof(Sec 3800,Lab C) FOR APPLICANT TO FILL IN JOB Policy No Company New Residential Bldgs &Pools EACH NO FEE ADDRESS 65'S J ❑ Certified copy is hereby furnished 1 &2 Family,Sq Ft $ — 9 LOCALITY ❑ Certified copy is filed with the county budding inspection Multi-family Sq Ft NEARE ST CROSS ST department Residential Swimming Pools OWNER OR r FIRM NAME Date Applicant Outlets Re,—Light SIN _ SS must 20 ADORE CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY TN No } COMPENSATION INSURANCE ' d PLAN CHECK (Thu section need not be completed if the work Involved APPLICANT VY by the permit u for one hundred dollars ($100) or less) Lighting Fixtures First 20 gDORE r Additional Q I certify that in the performance of the work for which this Total No Q Fixed Appliances Not Over 1 HP CITY Tel No — S 0 OF permit n issued, I shall not employ any person in any manner PER IT so as to become subject to th orkers' Compensation Laws Range_Heater_D W AP' IT ANT y r Oven _ Dryer_W M ADDRE Z Dat Applicant -v/'ss n v Tap _ FAU W H _ CITY Tel No Hood _ Fen ,Other_ NOTICE TO APPLICANT If after making this Certificate of Disp _Room Air Cond_ 0 L C 77 Exemption, you should become subject to the Workers' SE 0" M REO cl.as C.� Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO ES BV with comply with such provisions or this permit shell be deemed revoked Size&Type HP,KW, KVA,or KVA ./e Up to 1 Incl INAL LICENSED CONTRACTORS DECLARATION � Over 1 to 10 Ind DATE 7_f/6o rz VALIDATI Over 10 to 50 Incl U I hereby affirm that I em licensed under provisions of Chapter Over SO to 100 Inc FINAL 9 (commencing with Section 7000)of Divnron 3 of the RuaBYi Over 100 ness and Professions Code, and my license is in full force and effect Services License Numbe 6/q/6 '� Lic Class- �� 0-200 Amp Under 600 V O 201-1000 Amp Under6OO V Contractor Date ��—/ L Over 1000 Amp or Over 600 V HOMEOWNER- UILDER DECLARATION - Temp Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with Ona Branch Cirwn License Lew for the followmg reason (Section 7031 5 Bust Additional Sign Branch Circuits nets and Professions Code) Mix Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure n not intended or offered for sale (Section 4 3 5 8 A 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY a • • • ' 2 I hereby affirm that there is a construction lending agency for the performance of'the work for which this permit u PERMIT FEE (Sub-Total) 2—_ - 57. 50 issued(sec 3097 Civ c) � 5 7 5 0� Lender's Name PLAN CHECKING FEE (One Fourth Permit Feel a . Lenders Address PERMIT ISSUING FEE 06614-82 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 wising and euthonre representatives of this County to enter upon the a ve mann rte roperty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE r Signature of Permittee Date WOjtKERS COMPENSATION DECLARAJION 76A663 (2 80) APPLICATION FOR ELECTRICAL PERMIT L!I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELESC BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or 71 a certified copy thereof(Sec 3800,Lab C) Policy No Company FOR APPLICANT TOE EACH Fl i-L N NO FEE ADDRESS New Residential Bldgs &Pools Certified copy is hereby furnished 1 &2 Family,Sq Ft $ — $ LOCALITY Certified copy is filed with the county building inspection Multifamily Sq Ft CROSS ST department Residential Swimming Pools OWNER ORZ MZ 01 e— J FIRM NAM Date Applicant Outlets Rec _Light Sw _ AMAIL DDRE S 04 EdA4,4� CERTIFICATE OF EXEMPTION FROM WORKERS most 20 COMPENSATION INSURANCE Total No Additional C1T� Tel N 3 d PL CHECK O (This section need not be completed tf the work involved APPLICANT e 0 by the pertnrt is [or one hundred doBara ($100) or leas) Lighting Fixtures First 20 ADDRESS cc Total No Additional 0 I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No U permit is issued I shall not employ any person in any manner PERMIT W so as to become subject t t Wor tars' ompensation Laws Range_ Heater_D W _ APPLICAN 6 Oven _ Dryer_W M AODREI,S flair — y Z Date /Apphcant 1 Top _ FAU _W H _ / Hood _ Fan _Other— CIT Tel N C NOTICE TO APPLICANT If, after making this Certificate of Dtsp _ Room Air Cond._ L C N E R Exemption, you should become subject to the Workers' REG NUMBE Is Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE ED BY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA or KVA p deemed revoked Up t0 1 Incl FINAL LICENSED CONTRACTORS DECLARATION Over I to 10 Incl DATE ¢—_ VALIDATION Over 10 to 50 Incl ✓ 1 hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL BY 9 (commencing with Section 7000)of Division 3 of the But Over 100 near and Professions Code and my license is in full force and effect Services 0 200 Amp Under 600 V �� 1 License Number W)49 Lin Class (� 201 1000 Amp Under 600 V Contract ` Date —�J Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Tamp Power Pole&Appurtenances 0 ' I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031 5 Bust Additional Sign Branch Circuits ness and Professions Coda) —451 4.4 A Mise Conduits& Conductors I, as owner of the property will do the work and the Other (See Complete Fee Schedule)— # a e a a a 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code) 2 • • 1 7 0 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency a a a 1 7, 006 for the performance of the work for which this permit is 'PERMIT FEE (Sub Total) issued(See 3097,Civ C) b 0 507-81 Lender's Name PLAN CHECKING FEE (One Fourth Permit Fee) Lenders 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 an tele laws regulating Electrical wiring and hereby a or repmentetives of this County to enter upon a me oned DroDerly for irepection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee r Date �/ WORKERS have a COMPENSATION DECLARATION to 7eAe0a ,D,e, APPLICATION FOR ELECTRICAL PERMIT � I hereby affirm that I have a certRlcate of consent to sell assure CE-spec or a cWftflcdte a ftrkers Compensation Insurance, or a cer6fled COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3000 Lab C) Policy No Cpnnpany ,FOR APPLICANT TO RLL IN p�ADDRESS 6515 la• ROSEc11'YYL 11Y Elrfil ed copy m hereby furnished New Residential Bldgs &Pools EACH NO FEE ❑ Certified copy a filed wash the county twdding nspeclron 1 8 2-Famly,Sq Ft $ — $ LOCAL" QA- department Mulh-family,Sq Ft NEAREST CROSS EMPHROR Date Applcant Residential Swimming Pools ONMER OR FIRA7 NAME CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION COMPENSATION INSURANCE Outlets Rao—Lght _ Sw_ ADDRESS 2 E. LAS TWAS (This section need not be completed n the work Involved by the First 20 A perish le for one hundred dollars($Roo)o lees) Total No Addntioral cIMWPLE CITY CAZW N�fi-61182 I certify that in the performance work permit of the k for which thus J aLAf�CHECK APPLICWT a roomed I subject not employ Work arty parson m any manner so as to _ - become suhled to the Workers Comperes was Laws Lghbrig FaNres First 20 ADDRESS Date 5-348 Applicant , Tafel No Additional CrrY Tel No NOTICE TO APPLICANT It after malung this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become sublect to the Workers Compensalon Range_ Heater_ DW _ APPLICANT DALES ELECTRIC provisiare of the Labor Code you must forth wth comply with such Oven _ Dryer _ W M _ ADDRESS P.O. BOX 112 provisions or this permit stall be deemed revoked Top — FAU _ WH LICENSED CONTRACTORS DECLARATION Hood _ Fa„ _ Oma_ C T'SAN GABROL Tel N I hereby affirm that I am licensed under proviwo`me of Chapter 9 Dnp — Ronm Air Cond SEN 0 Clair C-10' (conmem�n mg wm with Section 7000) of Dsmon 3 of the Burmese and REO NUMBER 2 Professore Code and my license a in fall force and effect Power Apparatus 6 Large Appliances DISTRICT NO SN PROC License Clew Size 8 Type HP KW KVA o KVAR `7 I Num �" LJc 1]��- Up to 1 Incl FINAL ` Contractor t to 5-3-88 Ova Ito 10 find DATE / ` ALIDATK7N Over 10 to 50 Intl FI ❑ I am exempt under Sec Over 50 l0 100 Inc BSPC for thre as Over 100 fn D Services Swbd MCC 8 Parolboerde Z o- 200 Amp Under e00V �9795A SigraNre 201 - 1000 Amp Under 000 V ❑ Over 1000 Amp or Over 000 V Exemption to Reg Ment Elect � e e e e s 2 1 • • 1550 SINGLE FAMILY Temp Power Pole S Appurtenances HOME OWNER-BUILDER DECLARATION . . . 1 5 5 0 5 I hereby affirm that I am exempt from the Cotrados License Law for the follovnrg reason(Section 7031 5 Business and Profasaens Additional Sign Branch Circuits Code) 0606-88 ❑ as tuner of time property will do the work and the structure Cordata& Conductorsre Schedule) — a not intended or deemed far sale (Sectio 7044 Btmnnesa ► and Professions Code) - F11MWQF&S STAND CONSTRUCTION LENDING AGENCY - I hereby affirm that there Is a construction lending agency for the performance of the wank for Which this permit m issued(Sec 3007 PERMIT FEE (Sub-Total) Cm C) RAN CHECKING FEE Lender Name PERMIT ISSUING FEE �U Lenders Address I certify that I have read this application and state that the above TOTAL FEE �Sv Information Is correct I agree to comply with all County ordnamces and State laws regulating Electrical wrong and hereby aunnanze representatives of this County to order upon the abo a menboned rtytar SP Gan purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 5-3-88 Signature of Permittee Date 'I.ARKERS COMPENSAT,GNDEc` " 7E 0'81 APPLICATION FOR ELECTRICAL PERMIT {� ' • I hereblefnm 4:1121I have a cert�IMate of consent nsem tto sen more CE-6060 �J or a certAicate of VAorkers Conpersatan Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof (Sec 3800 Lab C) Policy No Canpan)' FOR APPLICANT TO FILL IN JOB❑ r N. Rosemead Blvd.Certified lad ooPY hereby furnished New Residential a Pods EACH NO FEE aDmEss 6_S15 ❑ Certrtied copy is filed with the county Gnldmp mpecbon 1 a 2-Family Sci FL $ — S LOCALITY Temple City CA . department, Muni-family Sq Ft — CRO ST Emperor Date Applicant Residential Swimming Pods OWNER OR1 C t Chapter FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS outlets Re(:—Lam , 9523 E. Las Tunas COMPENSATION INSURANCE ADDRESS MIS section need not be completed If the work Involved by the First 20 permit Is for one hundred dollars(5100)or bee) Total No Additional CITY Temple City CA Tel No 286-6482 1 certify that in the performance of the work for which this permit PLAN CHECK Is resuad I stall rat employ any person in any manner so as to APRJCANT become subject to the Workers Conpersabon Laws LpRnng Fixtures Brat 20 ADDRESS Total No Additional Date d-1___,__1 1—89 Applicant Dale's ri .,,,a-.-J CfFV Tel No Fixed Appliances Not Over 1 HP PEFIMIT NOTICE TO APPLICANT If after making this Certacaba Of AppucANT Dale's Electric Exemption you should become subject to the Workers Compensation Range— Heater_ DW APPLIC provisions of the Labor Code you must forthwith campy wvith such Oven _ Dryer— W M — ADDRESS 672 Ardilla Street provisions or the permt shall be deemed revoked Top — FAU _ WH LICENSED CONTRACTORS DECLARATION crry La Puente CA Tel No 287-8627 1 hereby affirm that Item licensed under provisions of Chapter B Flood — Fan Other— LICENSE OR (commencing with Section 7000)d Division 3 of the Business and Disp — Room Air Cord — REG NUMBER 276218 Claim C-10 Professions Gods and my license is in full force and effect DISTRICT NO Power Apparatus a Largo Appliances PITT Illy Size a Type HP KW KVA or KVAR License Number 276218 Lic Class r-10 Lip to 1 Incl FINAL Q-1 Over 1 to 10 Incl DATE Contractor Dalen,. har..ebr- +Date . 1—A9 VALIDATION Over 10 to 50 IrcJ FINAL� ❑ I am exempt under Sec, Over 50 to 100 Inc BY W BAPC for the reason Over 100 - a Services Swbd MCC 8 Panelboards , N Date 0-200 Anry Under 600 V Z n Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 800 V ❑ Exemption fix Reg Maim Elect SINGLE FAMILY Temp Flower Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign mth One Branch Cucutt 2 1 hereby affirm that I am exempt from the Contractors License Lex Code) (S following reason ection 7031 6 Busbess and Professors Additional Sign Branch Clrcuits ACCT• ❑ I as owner d the property win do the work and the structure Akx a Conductors I 15.50 is rot intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) — 1 ITEM5 and Professors Code) 11110- TOTAL 15.50 CONSTRUCTION LENDING AGENCY I hereby affrm that there Is a construction fondling agency for the DEC�1Kr�� 15.50 Fikewoecs Stand � mm performance of the work to(which this perit Is issued(Sec 3007 PERMIT FEE (Sub-Total) Crlr9lw>G .00 —1 D PLAN CHECKIN,`'S}CL D �f7 nnnn�nnn Lantlers Name PERMIT ISSUING FEE F� r•� V y� O w+wtiWl 5/16/89 ty Address nrarhhave read thus application and state that the above TOTAL FEE " 3296 1 AM 8149 information Is correct I agree to comply oath all Ccunty ordnergea and State laws regulating Electrical wimp and hereby authorize representatives of the County to enter upon the above-mentioned Pu poses SEER R FOR E%Pion�IwTDRY LANGUAGE CO 100 p ion Sig tura of Permittee Date 6 IF I / WORKERS COMPENSATION DECLARATION 764iD,et APPLICATION FOR ELECTRICAL PERMIT I hereby off um that I have a certificate of consent to self CEAO6X)6 G / insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3BOO Lab C ) Pal ay No company FOR AMLID/1M TO RLL IN ADDREss 6 N• ROSEMM BLVD. Certified copy is hereby furnished New Residential Bldgs & Pools EACH W) FEE ❑ Certified copy is filed with the county building inspec- 1 &2-Formly, Sq Ft s — ! LOCALITY tion department Multi-family Sq Ft — NEAREST Residential Swimming Pools CROSS ST Dote Applicant OWE OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERSMAIL COMPENSATION INSURANCE Outlets Rec_Light_Sw_� ADDRESS 9523 E. LAS TUNAS DR. (This suction nand not be comet.fad N the work Involved by First 20 the porri Is for one hundred dollars($100)or lass ) Total No Additional crY TEMPLE CITY Tel No28 2 I certify that in the performance of the work for which this IAN CHECK permit is issued, I shall not employ any person in any manner APPLICANT sc as to become sublect to the Work e C p ation Law Lighting Fixtures First 20 ADDRESS Total No Additional Date 6-6-86 Applicant CITY Tel No NOTICE TO APPLICANT If after making thn Certificate of Fixed Appliances Not Over 1 HP PERMIT APPLICAM DALES ELECTRIC Exemption, you should become sublect to the Workers Range— Heater_D W Compensation provisions of the Labor Code you must forth Oven _ Dryer — W M _ ADDRESS P O BOX 1}29 with comply with such provisions or this permit shall be Top FAU —W H deemed revoked CITY SAN GABRIEL Tel No 28 -862 LICENSED CONTRACTORS DECLARATION Hood _ fan _ Other— OR I hereby affirm that I am licensed under provisions of Chapter 9 Dtsp — Room Air Cond LREGICENSE MMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCESSED Y and Professions Code and my license is in full face and effect ¢ .1 P d 2 6218 Size 8 Type HP KW, KVA, or KVAR Va O License Number--?Z umber V Li Clam C-10 Up to 1 Incl FINAL V Over 1 to 10 Incl DATE VALI TION Q Contractor to Over 10 to 50 Incl FINALG ❑ I am exempt under Sec Over 50 to 100 Inc BY W B 8P C far this reason Over 100 IL Date Services Swbd MCC 8 Ponelboo rds 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ ExemptOver 1000 Amp or Over 600 V Exemption far Req Moms Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances 2 4 8 3 0 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # • • • o a 2 1 hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits Low for the following reason (Section 7031 5 Business and ( • it 550 Professions Code) ❑ I as owner of the property, will do the work and the M,sc Conduits B Conductors . a structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ' b 1 7-86 1 5' 7044 Busmess and Professions Code) O 8 6 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 Gv C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE Lenders Address I certify that I have read this application and statethat the TOTAL FEE S above mformobon is correct I agree to comply wnh,,;hat ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above- nti d p p rty for ins ction purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 6-6-86 SignotJTe o rmiftee Dote ` WORKERS COMPENSATION DECLARATION 63 ta,B, APPLICATION FOR ELECTRICAL PERMIT 6 I hereby affirm that I have a certificate 8ate of consent to self ��' insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES T r Cr BUILDING AND SAFETY ,Or P�ertiv _,c,��o((p��y thereof (��3800 Lob C ) WP❑olicy No "v Company EOR A►PUGM TO FRL W JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools 7EACHNO FEE � �s LocALITv -e.ertified copy 's filed with4thecoudntybudng c 1 &2-Family, Sq FtMulti-family Sq Ft NEAREST Residential Swimming Pools p NER OR Dole �� Applicant FIRM tJAAAE Ick (Ll ti KATE OF M WORKERSMAIL COMPENSATION INSURANCE Outlets Rec_Light_5w_ ADDRESS V his section need not be cam leted If the work Involved First 20 R P Total No Additional CITY Op Tel No the pemtlf n for one hundred dollars($100)or less ) PLAN CHKK �+ 1 certify that in the performance of the work for which this APPLICANT SUP l e Q c permit is issued I shall not employ any person in any manner J so as to become subject to the Workers'Compensation Lows Lighting Fixtures First 20 ADDRESS 06 d t ;� 5il Total No Additional CIN O Tel No NOTICE TO APPLICANTT If after making this Certificate of Dole aFixed Appliances Not Over 1 HP PERMIT If tAPPLICAtJi Exemption you should become subject to the Workers' Range_ Hooter_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 _WH _ CITY Tel No deemed revoked LICENSED CONTRACTORS DECLARATION Hood — Fan —Other— LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Dup _ Room An Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus 0 Large Appliances DISTRICT NO PROCE BY and Professiom Code and my license is in full force and effect d ,' Size 8 Type HP, KW, KVA, or KVAR c O License Number I is Class y 5Up to FINAL V SuP�2t,oR 2k�+ uek77r4 Over I Incl `� �a Over 1 to IO Incl DATE z�_� VALIDATION Q Contractor Date Over 10 to 50 Incl ❑ FINA I am exempt under Sec Over 50 to 100 Inc BY W 6 B 8P C for this reason Over 100 N Z Dote Services, Swbd , MCC 8 Ponelboards 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V ❑ Exemption for Reg Malnt Elect Over 1000 Amp or Over 600 V —40861 A SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION # e e e e 0 2 Sign with One Branch Grant I hereby affirm that I exempt from the Contractor'sLicense Law for the followingg r reason (Section 7031 5 Business and Add'nortal Sign Branch Circuits ( • • 2 5 5 0 Professions Code) e . e 2 S 5 0 5 ❑ I as owner of theprop erty, will do the work and M,sc Conduits 8 Conductors structure is not intended or offered for vile (Sectithe on Other (See Complete Fee Schedule)— 44 ► ( 0 1 1 8 4 70Business 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 D Lenders Address I certify that I have read this application and stole that the TOTAL FEE S-S 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 th bove menr ed operry for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE O /Signature of Perini^tie to i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 r-ELECTRICAL P�ER111T DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS k--EL--05D8 9706130023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHDNE• (818) 285-0488 EXT- LEGAL L DING ADDRESS: ON FILE E 6515`ROSEMEAD BL 1 FEE DESCRIPTION: QUANTITY U)1 AMOUNT L_SGIIB:CA 9177519363 ASSESSOR INFO RMA,TiON NUMBER NEAREST-CROSS STREET 5381-030-008 Al PERMIT ISSWINCE FEE 27 75 THOMAS PAGE: 596 GRID: H1 LOCALITY TEMPLE CITY E3 TEMP XMAS TREE, ADDT 1 00 TEM 21 60 TOTAL FEES 49.35 ISSUED ON' PROCESSED BY PLAN BY EXPIRES ON CITY OF HOPE 06/13/97 TC 06/13/98 OWNER: TEL NO: FINAL DATE FINAL BY: DUBINIIOODCHARD (KAREN E4242 - +_.-�S_�� 6ESL9l OF WORK BOOTH LIGHTING FOR FIREWORKS ST DALE'S ELECTRIC (818) 287-8622- &eLEIS co CONTRACT TEL. NO APPROVALS DATE INOTMFMNATURE DALES ELECTRIC (818) 287-5064- 9923 E. LIVE OAK LIC NO TEPU70RARY POWER POLE TEMPLE CITY, CA 2762180-10 11n6ERaR LIC. NO ROUGH CONDUIT n�, ROUGH WIRING MAIN WATER LINE PUBLIC Vel O py�D K C V r^ PLASTIC Y/M METAL Y/N UTILI1T COMPANY NOTIFIED 0 0 Ali- r rv►ce � REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL D508 9906090035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT: LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 6515 ROSEMEAD BL FEE DESCRIPTION QUANTITY LION AMOUNT SCAB CA 917751956 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET EMPEROR 5381-030-008 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16 35 TENANT TOTAL FEES 44 10 ISSUED ON. PROCESSED BY. PLAN BY. EXPIRES ON PONY BASEBALL 06/09/99 UT 12/06/99 OWNERTEL NO FINAL DATE FINAL d CODE DISIN•RICHARD B,KAREN E - 4242 WODDLEIGH LNUEMWMTIUN OF WORK ELECTRICAL FOR FIREWORKS STAND- R POLE IN PLACE APPLICANT TEL. NO WEST END ELECTRIC (213) 225.4840- 1523 1/2 BRIDGE CT SPECIAL CONDITIONS LOS ANGELES, CA CONTRACTOR TEL 5 PNlu IS CO�j APPROVALS DATE I NsnTTN-9r6UTUff-- WEST END ELECTRIC (626) 793-8790- 1523 1/2 BRIDGE CT LIC NO TEMPORARY POWER POLE LOS ANGELES, CA 90033 722246 C10 UNDERGROUND CONDUIT TEL NO ARCHITECT OR ENGINEER: UFER GROUND • LIC. NO 1111111ROUGH CONDUIT ROUGH WIRING � 'U B L I C WORKS) PLASTIC Y/N METAL Y/N UTILITY COMPANY MOTT q ® i g //Q Service REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9911290033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGALAD - P AID BUILDING ADDRESS ON FILE 6515 ROSEMEAD BL FEE DESCRIPTION QUANTITY LION AMOUNT SGAB CA 917751936 ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET EMPEROR 5381-030-008 - ' - Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 B00 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES PONY BASEBALL 11/29/99 UT 05/27/00 OWN CCt�-- fI1.AL DATL FINAL DE DUBIN RICHARD B,KAREN E 4242 WOODLEIGH LN DEscR.P K FIREWORKS STAND DOWER DOLE IN PLACE-MILLENNUM APPLICANT WEST END ELECTRIC (213) 225-4840- 1523 1/2 BRIDGE CT SPECIAL CONDITIONS LOS ANGELES, CA PNGELES CO COnIRf �d -- -1 n� OBJ 4O:ALS--- .c INSPECTOR'SIGNRfJ E WEST END ELECTRIC (620) 793-8790- 1523 1/2 BRIDGE CT LIC uO TIEWORARY-POAER_POL LOS ANGELFS, CA 900"53 722246 C10 UPDERGIFOUND CTINZIT ARCHITECT OR EW6,IDEEII TEL 0 / LIFER-1�IFOUND LIC nV 1111111 ROUGH,CONDUIT ROUG WI UBLIC WORKS MSN W TER NSE PLASTIC Y/N METAL Y/N UTILITY COMPANY— ff6TlTrEG q.Fli� q Q� Dg vb/rc Service ThaIL REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY d 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006150027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID - FEES PAID BUILDING ADDRESS ON FILE 6515 ROSEMEAD BL FEE DESCRIPTION QUANTITY L04 AMOUNT SGAB CA 917751936 ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET EMPEROR 5381-030-008 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 TENANT TOTAL FEES 43.95 ISSUED ON PROCESSED BY PLAN BY EXFrWEFMF PONY BASEBALL 06/15/00 UT 12/12/00 OWNER FINAL DATE DIBIN RICHARD B,KAREN E (J CODE 4242 WOODLEIGH LN vz_ � UnTUMON OF WORK lr� FIREWORKS STAND-POWER POLE IN PLACE-2000 APPLICANT _7n_vu__ C N S ELECTRIC CO (626) 836-5881- 130 E MONTECITO SPECIAL CONDITIONS SIERRA MADRE,CA CONTRACTOR TEL PNGELES CO C N S ELECTRIC CO 626 836588 -1 (JryT� 130 E MONTECITO LIC NO TEMPORARY POWER POLE SIERRA MADRE, CA 91024 630482 UNDERGROUND MUM-_ ARCHITECT OR ENGINEEIF_ NO UFER GROUND LIC NO/I ROUGH CONDUIT ,/L 1111111 Y/N C /F ---- PLASTIC METAL u U � UVO� ]NCOMPANY IFI ED 0 0 a Service That REPORT ID DPR265 ROUTE TO BS0508 COURITY-ur LOS ANGELES TEMPLE CITY A 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS EL 0508 0106060035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10- FEES PAID BUILDING ADDRESS ON FILE 6515 ROSEMEAD BL FEE DESCRIPTION QUANTITY. UOM AMOUNT SGAB CA 917751936 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET EMPEROR 5381-030-008 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID. H1 LOCALITY TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 800 16 20 FFNANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY. PLAN BY EXPIRES ON PONY BASEBALL 06/06/01 JK 12/03//01nq ,�,, OWNER FINAL DATE CODE 4422442NWOODLEIGHRICHD BLKAREN E k I Z<I of mz RFPTIUM Of WORK FIREWORKS STAND-POWER POLE IN PLACE-2001 APPLICANT TEL NO C N S ELECTRIC CO. (626) 836-5881- 130 E. MONTECITO SPECIAL CONDITIONS SIERRA MADRE,CA CONTRACTOR TEL PNGELES Co APPROVALS DATE C N S ELECTRIC CO 626 836588 130 E MONTECITO LIC NO TEMPO W Y POWER POLE SIERRA MADRE, CA 91024 630482 ARCHITECT OR ENGnMTV-- TEL kO_ UFER GROUND �/ LIC N// 'l lli nl ROUrH CONDUIT qROUGH WIRING U L C \y /7 L U S MIN WATER LINE PLASTIC Y/N METAL Y/N G6/�c Serve Tha��e` REPORT ID MR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CIT+ k 0508 RECTRILAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406170007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (a6) 285-0488 EXT- LEGAL ID FEES PAID ON FILE 6515 ROSEMEAD BE FEE DESCRIPTION QUANTITY UOM AMOUNT SGAS CA 917751936 INFORMATIONASSESSOR NUMCER NEAREST CROSS-STREET -EMPEROR.- 5381-030-008 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGF 596 GRID H1 LOC.:IT TEMPLE CITY D3 BOOTH LGT, SYSTEM 1 00 BOO 16 20 TENANT E1 TEMP SERV POWER POLE 1 00 TMP 43 65ISSUED ON J C S 0 PONY BASEBALL TOTAL FEES 87 60 06/17/04 Jr' 12, 14/04 OWNERMW DUBIN RICHARD B,KAREN E NO 719�L F ^ CODE TEL4242 WOOL/ DLEIGH LN Jq-L l- UESCRIPIIUN Ut WORK FIREWORKS STAND-POWER POLE IN PLACE-2004 APPLICANT TEL NO J S A ELECTRICAL SERVICE (626) &36-5881- SPECIAL CONTRACTOR T=11O ` ` , _ APPROVALS DATE NSPECTOR SIGNATURE J S A ELECTRICAL SERVICE (626) 836-5881- ) . 38 E MONTECITO, UNIT 9 LIC NO TEARY-'PMFR POLE SIERRA MADRE, CA 91024 760126010 ' UNDERGROUND CONDUIT ARCHITECT OR SEC—T3--- um-aw6uWb LIC NO --- POUGH WR,nu WATERMAIN LIW PLASTIC Y/N METAL Y/N UTILITY CUMPA.f NOT= REPORT ID DPR265 ROUTE TO 850508 COUNTY OF LOS ANGELES TEMPLE CITY A 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206120026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS: ON FILE 6515 ROSEMEAD BL FEE DESCRIPTION: QUANTITY. UOM. AMOUNT SGAS CA 917751936 ASSESSOR INFORMATION NLxwtK- NEAREST CROSS STREET EMPEROR 5381-030-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY D3 SODTH LGT, SYSTEM 1.00 BOO 16.20 TENANT E1 TEMP SERV POWER POLE 1.00 TMP 43 65 ISSUED ON- PROCESSED BY PLAN BY EXPIRES ON PONY BASEBALL TOTAL FEES 87 60 06/12/02 JK 12/09/02 OWNER TEL NO FIML DATE- FINAL BY CODE. DUBIN RICHARD B;KAREM E - / Z 4242 WOODLEIGH LN DESCRIFTIGN OF WORK FIREWORKS STAND-POWER POLE IN PLACE-2002 APPLICANT TEL NO C N S ELECTRIC CO. (626) 836-5881- 130 E MONTECITO SPECIAL CONDITIONS SIERRA MADRE,CA CONTRACTOR TEL. NO APPROVALS DATE INSPECTOR SIGNATURE C N 5 ELECTRIC CO (626) 836-5881- 130 E. MOMTECITO LIC NO TEMPORARY POWER POLE SIERRA MADRE, CA 91024 630482 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 NUTIFI M 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 0306190030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT' ON FILE 6515 ROSEMEAD SL FEE DESCRIPTION QUANTITY: OCR- AMOUNT: SGAB CA 917751936 ASSESSOR INFORMATION MUKSER-. NEAREST CROSS STREET' EMPEROR 5381.030-DOB Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID H1 LOCALITY: TEMPLE CITY D3 BOOTH LOT, SYSTEM 1 DO BOD 16 20 TENANT E1 TEMP SERV POWER POLE 1 DO TIP 43 65 ISSUED ON PROCESSED BY PLAN BY MmTffrgw PONY BASEBALL TOTAL FEES 87 60 06/19/03 JK 12/16/03 OWNER ---nc No FIMADATE FI BY owe DLBIN RICHARD B;KAREN EOD - 4242 WOLEIGH LN (o 2-(,O 1 o 1 f V�,'Z(, FIREWORKS STAND-POWER POLE IN PUCE-2003 APPLICANT TEL No C N S ELECTRIC CO (626) 836.5881- 130 E. MONNTECITO SPECIAL CONDITIONS SIERRA MADRE,CA CONTRACTOR TEL NO C N S ELECTRIC CO (626) 836-5881- APPROVALS DATE INSPEEW 130 E. MONTECITO LIC NO TEMPORARY'RO SIERRA MADRE, CA 91024 630482-CIO • . / ; UNDERGROUND CONDUIT la ARCHITECT OR ENGINEER: TEL NO UFER GROUND i, LIC MOROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N • ADDITIONAL DATA ON FILE REPORT ID DPR265 ROUTE TO: 850508