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HomeMy Public PortalAbout5637 SANTA ANITA AVE_Electrical__ #YORKER'S COMPENSATION DECLARATION 700 1 DPW(12-91)63 /r�PPlL��9 p T�®gyp FOR ELECTRICAL ®�®pNIg I hereby affirm that I have a certificate of consent to self insure, GG,�11 �ul�']] il7 PERMIT 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 ec.380 ab.C.) �f Policy No. Company �/ FOR APPLICANT TO FILL IN JOB ADDRESS: Certified copy is reby furnished. JVew Residential Bldgs.&Pools NO. EACH FEE LOCALITY +C7'11&2-Family,Sq.Ft. _ $ $ L� Certified copy is filed with the county building inspection NEAREST departme Multi-family Sq.Ft. CROSS ST. ate Applicant Residential Swimming Pools ASSESSOR D MAP BOOK PAGE PARCEL CERTIFICATE.OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FFIRMENAME COMPENSATION INSURANCE' (This section need not be completed if the work Involved by the First 20 MAILTotal No. Additional ADDRESS ' permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work'for which this permit CITY Tel. become,sub'ject•to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT (p, Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel..IrYA (0 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 PERMIT P p y Power Apparatus&.Large Appliances APPLICAN provisions or this permit shall be deemed revoked.' LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRES tj I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. CITY Tel.N. �• �/ (commencing with Section 7000)of Division 3 of the Business and Y L Professions Code,and my license is in full force and effect. / Over 10 to 50 Incl. LICENSE O Class. d Over 50,t0 100 Incl. REG.NUMBER Over 1110 DISTRICT NO. P SSED BY V License Number Lic.Class y1 �j Services,Swbd.,MCC&Panelboards Contractor to ( 1 3 I 0-399 Amp.Under 600 V DATE O ❑ j 400-1000 Amp.Under 600 V ~ I am exempt under Sec. _ _. ' VALIDATION W Over 1000 Amp.or Over 600 V FINAL B.&P.C,for this reason BRANCH CIRCUIT FEES BY 19N Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Be.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances ; HOME OWNER-BUILDER DECLARATION 'E p Sign.with One Branch Circuit ( I herebyaffirm that I am exempt from the Contractor's License Law 63.45 for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 i T EME d &C i d Conuts Conductors a? ❑ , I,as owner of the property,will do the work and the structure Misc. , TtITPL �-s is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) �' and Professions Code). (~ i 63.4= CONSTRUCTION LENDING AGENCY CHANGE oI30 I hereby affirm that there is a•construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 0000-0010-11 r 30/9 -31 Lender's Name ` 410 i 1 AM 8.0 PERMIT ISSUING FEE (p i Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE e 3, that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this Countyt�6�enterupon th`eJ�above-mentioned property i for Ins on purpose (//` (/ _ SEE REVERSE FOR EXPLANATORY LANGUAGE 1� / I SIGNATURE OF PERMITTEE DATE I + pp {� y� 1 WORKER'S COMPENSATION DECLARATION 200079 DPW(12-91) Ar�r�y,p IC A T60 FOR ELECTRICAL RI'CAL PERMIT 76A6B3 Gr {�"LL, V 6� I hererby affirm that I have a certificate.of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS: BUILDING AND SAFETY DIV. copy thereoffl(fec..3800 Lab.C.) �1ft Polif No..v T company. -fQf'e �v�.. FOR APPLICANT TO FILL IN JOB /� , y ADDRESS• s >,"T ck Anits Certified copy is hereby furnished. New,Residential Bldgs.&Pools NO. EACH FEE LOCALITY C 7,&2-Family,Sq.Ft. — $ $ i Certified copy is filed with the county til ' inspection — NEAREST depar ment. qs� Multi4amily Sq.Ft. CROSS ST: // If✓{�i O Ul K Date Applicant �aJ Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION.FROM WORKERS' Outlets:Rec.—Light Sw. FIRM NAME 00&1±4. j Ad� t/Yf COMPENSATION.INSURANCE First 20 MAIL (This section need not be cofnpleted If the work Involved by the Total No. Additional ADDRESS 30 9 �,vCa permit Is for one hundred dollars($100)or less.) I certify that in the performance of the Work for which this permit CITY r AdA T.I. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Ligliting Fixtures First 20 APPLICANT ©^ A Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO AP L CANT: If, after making this Certificate of CITY 67. �.1 Reyl-pg Tel.No. 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 PERMIT. L provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am. licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY .�.ir� Tel.No. Professions Code, my license is in full force and effect. �. Over 10 to 50 Incl. _ LICENSE OR Claes.. lE I Over 50 to 100 Incl. REG.NUMBER 0 C. O trig Ta 1 Over 100 DISTRICT NO. SEED BY V License Number U_ 01C.Class cc Contractor i Date T Services,Ow399 Amp.Un dere 00 V s DATE s O ❑ I 400-1000 Amp.Under 600 V _ V I am exempt under Sec. ., VALIDATION ' LU + Over 1000 Amp.or Over 600 V FINAL 11 B.&P.C.for this reason. BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. — 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits z ❑ 41 Or More Branch Circuits + i Exemption for Reg.Maint.Elect. 15A,2DA,2DBV To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&.Appurtenances ra HOME OWNER-BUILDER DECLARATION '(SCC I a s I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit .............. for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ,3303 61.65Code): l ITEMS ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 65 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOTAL and Professions Code). ® CHECK61.65 CONSTRUCTION LENDING AGENCY l] I hereby affirm that there is a construction lending agency for the CHANGE a performance of the work:for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) ' Civ.C.) PLAN CHECKING FEE I [( J—Q[i j� 5/27/93 Lender's Name PERMIT ISSUING FEE a ......9975 l Aid 8:48 Lender's Address I certify that 1 have read this-application and under penalty of purjury state TOTAL FEE lr that the above Informn is correct. I agree to comply with all County ordinances and State I s regulating Electrical wiring,and hereby authorize representatives of th County to enter upon the above-mentioned property for inspecti urp s. SEE REVERSE FOR EXPLANATORY LANGUAGE j I I L TURE OF PERMITTE Y�_) ATE T 2 I + I + WORKER'S COMPENSATION DECLARATION ,7MB67SA663 9 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure, `` or a certificate of Worker's Compensation Insurance, or a certified 1 COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) y�f 1 POIi y No. Com an AZ LgIE ®" " FOR APPLICANT TO FILL IN JOB p y NO. EACH FEE I ADDRESS AAWA Certified copy is hereby furnished. New Residential.Bldgs.&Pools LOCALITY •�:,�e 1 &2-Family,Sq.Ft. — $ $ Certified copy is filed with the county buil In ' spection _ I NEAREST depa ent. Multi-family Sq.Ft. CROSS ST. Date 4q Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIF CATE OF EXEMPTION F M W RKERS' OWNER OR Outlets:Rec._Light Sw. FIRM NAME COMPENSATION INS ANCE I First 20 MAIL ,(This section need not be completed f the work Involved by the Total No. Additional ADDRESS 0 �J� L�t�� ® , permit Is for one hundred dollars($100)or less.) I certify that in the'performance of the work for which this permit I CITY He j,L(j„ T.I. . is issued, I shall not employ any person in any manner so as toI PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional 1 16 ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY TeL No. 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 PERMIT Power Apparatus&Large Appliances APPLICANT i� provisions or this permit shall be deemed revoked. �L _ LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS A 4l_ O-40 I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and f CITY )-to Tel.No. Professions Co a andl y, I ense is in full force and effect. Over 10 to 50 Incl. �W 9 3 T Over 50 t0 100 Incl. , REG"NUMOR BER f Clase' a ex ��J// Z�Q� Over 100 License Number f !! Lic.CIeSS DISTRICT NO. py PROCESSED BY U ,c�t�-'� ^ _ Services,Swbd.,MCC&Panelboards ( 6J ���`'��-� IY Contractor ' ` �`��� atet4 0-399 Amp.Under 600 V ' DATE 0 400-1000 Amp.Under 600 V ~ ❑ I am exempt under Sec. — 0" n � V Over 1000 Amp.or Over 600 V FINAL r VALIDATION W B.&P.C.for this reason BRANCH CIRCUIT FEES BY ACC''o v CO) Date: 15A,or 20A,1.20V,Lighting or Recept. i, Z 1 To 10 Branch Circuitsf• X301 65.70 Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits 1 ITEMS EMS Exemption for Reg.Maint.Elect. 15A,20A,2DBV To 277V Lighting Br.Circuits I�TAL SINGLE FAMILY Temp.Power Pole&Appurtenances �07 HOME OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch CircuitCHECK for the following reason (Section 7031.5, Business and Prdfessions Additional Sign Branch Circuits �� �7� .01I Code): ; ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors / �_ is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® (�] (�—Sf13 � 4/20/9+Y and Professions Code). AMID-277 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Z� Lender's Address `�^� I certify that I have read this application and under penalty of purjury state TOTAL FEE ✓ r that the above information is correct. I agree to comply with all County ordinances and State laws, gulating Electrical wiring,and hereby authorize representatives of this C my to enter upon the above-mentioned property 1 1 for inspection p SEE REVERSE FOR EXPLANATORY LANGUAGE y/?_1�)r2- SIGNATURE OF PER E DATE *OR ATION TION .i I hereby affi that ER'have Ma certificate caste Of conse t to self insure, 20-0019 DPW(12-91)76A663 APPLICATION FOR ELECTRICAL PERMIT ' 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.3800 Lab.C.) �, Policy No. r vO ompany � J L LLQ + FOR APPLICANT TO FILL IN JOB _ _rj� SWM J /1` y� s� /*• ��C-rtlfled ADDRESS (Oc,,.) s'1'Ar �T/�L�'JfyVFled copy is.hereby furnished. New Residential Bid s.&Pools NO. EACH FEEg $ $ LOCALITY ; VJ copy is filed with the count building inspection 1 &2=Famlly,Sq.Ft. _ NEAREST j department. Multi-family Sq.Ft. CROSS ST. 6s Date �� Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FR WORKERS' Outlets:Rec._Light Sw. OWNER OR COMPENSATION INSURANCE FIRM NAME First 20 MAIL (This section..need not be completed if the work Involved by the Total No. Additional ADDRESS permit is for one hundred dollars($100)or less:) I certify that in the performance of the work for which this permit CITY TeL.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. l '` ,� IT p'rovisidns of the Labor Code, you must forthwith comply with such PER power Apparatus&Large Appliances APPLICANT + . provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type H ,KW, 0 10 Incl. K*,or KVAR ADDRESS J7'7v) SY f� �i I hereby affirm that I am licensed under provisions of Chapter 9 - .341.(commencing with Section 7000)of Division 3 of the Business and CITY I541& Tel.No.3°,34 Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSEh Over 50 t0 100 Incl. REG.NUMBER Class. /- ER JQ�/� C'�D O .1e/� over 100 License NumberA 0901.1 Lie.Class ' DISTRICT NO. SSED BY U � Services,Swbd.,MCC&Panelboards �/� 6e l YO M43 2_1"D 0-399 Amp.Under 600 V FINAL 0 Contractor Date DATE !� ❑ 400-1000 Amp.Under 600 V — -9 VALIDATION U I am exempt under Sec. LU Over 1000 Amp.or Over 600 V FINAL IL B.&P.C.for this reason BRANCH CIRCUIT FEES BY Cn Z Date: 15A,or 20A,120V,Lighting or Recept. _ 1 To 10 Branch Circuits ��✓� ��✓r Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATIONi"" a- I'hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit AC*C,t.T for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits " 33033 2-y1.65 Code): I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 ITEMS is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® TOTAL 247-65 and Professions Code). CONSTRUCTION LENDING AGENCY �•iHA/+{/N 247.65 I hereby affirm that there is a construction lending agency for the I,HiJE .)) performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name // l � _ 0 ? 15f Or:; PERMIT ISSUING FEE �.& Q si•ti 53 1 A11111:10 Lender's Address 1 certify that I have read this application and under penalty of purjury state TOTAL FEET that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this Clliunty to enter upon the above-mentioned property for inspection urpose l� SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF UAMITTEU DATE V WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-si.) 76A683 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I Opela certificate of consent to self insure, or a certificate ol'Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No Company � � �" FOR APPLICANT TO FILL IN JOB Policy ADDRESS �� Certified copy i ereb furnished. NO. EACH FEE y New Residential Bidgs.&Pools LOCALITY 7 &2-Family,Sq.Ft. _ $ $ Certified copy is filed with the county building inspection NEAREST goartypent. _ Multi-family Sq.Ft. CROSS ST. Date Applicant 041- 64654ELir Residential Swimming Pools ASSESSOR MAP BOOKPAGE ARCEL OWNCERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Re�Light Sw� / FIRM N oR COMPENSATION INSURANCE ® 1b b FIRM NAMEoe First 20 MAIL (Thissectlon need not be completed If the work Involved by the Total No. Additional ADDRESS X90 perm, it is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. / is issued, I shall not employ any person in any'm ner so as to /8ta PLAN CHECK become subject to the Workers'Compensatio Law Lighting Fixtures First 20 APPLICANT 1/� � Total No, �� Additional '}� gDDRESS, j�t3 �, Date 5 Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after mak i this iflcate of / ® CITY Tel.No. Exemption,you should become subject to't W-; s'Compensation OTHER APPLIANCES NOT OVER 3 HP. PERMIT provisions of the Labor"Code,you mus orthwith comply with such power Apparatus&Large Appliances APPLICANT provisions or this permit shall be dee d revoked.. ff 'LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR Q J;J ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. ✓'� ��` �,/ (commencing with Section 7000)of Division 3 of the Business and Over 10 to 50 Incl. CITY "J D �/T�g' y Tel.No. Z Professions Code,and my license is in full force and effect. LICENSE OR 1� a Over 50 t0 100 Incl. d REG.NUMBER Class. L� Over 100 DISTRICT NO. PRC ED BY V License Number `o� 0 Lic.Class Services,Swbd.,MCC&Panelboards FINAL Contractor AL � 101E&I— Date 4 0-1000 Amp.Under 600 V 0-399 Amp.Under 600 V6O DATE O ❑ I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL �— _ VALIDATION a B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,12OV,Lighting or Recept. ' 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 23 ❑ 41 Or More Branch Circuits f- Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances "`�1— HOME OWNER-BUILDER DECLARATION ,•';�T,ti f- a I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits — Code): Sry- -Ir 1, ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors �_,�)� lva e llj is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® �'"' and Professions Code). r y i PE v CONSTRUCTION LENDING AGENCY TOTAL 19 I hereby affirm that there is a construction lending agency for the jOop performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) / CHECK 191-1.4 . Civ.C.) , PLAN CHECKING FEE ) CHANGE .101 Lender's Name � I PERMIT ISSUING FEE of Lender's Address I'Ijl]I;—jljl f j / ;`�'.i I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County :I�s 1 Ar x•`22 ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this C unty to enter upon the above-mentioned property for inspection pur 11���� SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMI E / DATE a b Jp • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT lip .• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0005080016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: EG I • FEES PAID BUILD-11UG ADDRESS: TR: 10898 LT: 7 BL: A 5637 SANTA ANITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802909 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8573-020-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED AN BY: EXPIRES 0 : SANTA ANITA CAR WASH 05/08/00 VG 11/04/00 OWNER: TEL. NO: FINAL DATFnn BY: CODE: ORIENTAL ROYAL INVESTMENT INC ( -, 5637 SANTA ANITA AVE yo n TEMPLE CITY 91780 DESCRIPTI 0 IDL ELECTRICAL FOR SIGN APPLICANT: TEL. NO: DONCO & SONS, INC. (714) 771-5730- SPECIAL CONDITIONS: ��(sELES CO CONTRACTOR: TEL. NO: S APPROVALS DATE INSPECTOR SIGNATURE DONCO AND SONS (714) 771-5730- 725 N. CYPRESS STREET LIC. NO TE POR RY POWER POLE ORANGE, CA 92667 435616/C61� / UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: L. NO: FER GROUND LIC.-N[ 1111111 ROUGH CONDUIT ROUGH WIRING F)U(� Q L C ��0� � MAIN WATER LINE ur lu'�Suu uK PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 17 El ServiJce'Yha� * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0011090028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: EGA D: FEES PAID-- BUILDING AD RESS: TR: 10898 LT: 7 BL: A 5637 SANTA ANITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802909 ASSESSOR INFORM TION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8573-020-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLA RES ON: SANTA ANITA CAR WASH 11/09/00 UT 05/09/01 OWNER: ��_VL] 5637 SANTA ANITA AVE ff TEMPLE CITY 91780 DESCRIPTION 0 OR ILLUMINATED WALL SIGN APP ICA T: TEL. NO: 14ANCHEL & COMPANY (818) 894-3883- P.O. BOX 55067 SPECIAL CONDITIONS: VALENCIA, CA _ GEKE �S � MANCHELCONTRACTAND CO. (818)N894-3883- APPROVALS DATE INSPECTOR SIGNATURE P.O. BOX 55067 LIC. NO ��. TEMPORARY POWER POLE VALENCIA, CA 91385-0067 483691 C45 j UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: - /A� '1 UFER GROUND LIC. NO p(/ �J_� -L � -I ROUGH CONDUIT JJL - �'� �_� ROUGH WIRING MAIN WATER LINEr��� ` Irrl ^",If rI, PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED ce I REPORT ID: DPR265 ROUTE TO: BS0508