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Home My Public Portal About5953 TEMPLE CITY BLVD_Electrical__ W(RKERS',COMPENS%1TION DECLARATION 76-803 10/8"1 APPLICATION FOR ELECTRICAL PERMIT Pf" a ,l vt I Have•s ce •.ifiL to of consent to self insure, CE=Bose of Wo kenl�►Cp +sn4ion 4�suranpe,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY opy thei juf(Sec.3800rt;ati,C ' • 'Policy No,-company FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ❑ Certified copy is filed with the c rdy buildin Zpe 1 &2-Family,Sq.Ft. $ — $ LOCALITY depart.ent, Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST df DateM. Applicant OWNER OR pp`` FIRM NAME /.�lJ 2I WAJ4 64 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec—Light_Sw.— MAIL S s COMPENSATION INSURANCE ADDRESS 6 ,(This section need not be completed if the work involved by the First 20 permit Is for one hundred dollars($100)or less:) Total No. Additional CITY (,( Tel..No$/ ^'�C-7/' I certify that in the performance of the work for which this permit PAPPLICANT K 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 Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT. If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. ; APPLICANT provisions of the Labor Code,you must forthwith comply with such. Oven Dryer_ W.M._ ADDRESS z, provisions-or.this permit shall be deemed revoked. Top . _ FAU _ W.H. _ CITY Tel.'NO 3 LICENSED CONTRACTORS DECLARATION �'Hood _ Fan, _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000)of Division 3 of the Business and Disp. Room Air Cond. class. REG.NUMBER Professions Code,and my license is in full force and effedt. DISTRICT NO. PROCESS&j/ Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR U' U License Number 3 3 to SS l Lic,Class �� Up to 1 Incl. FINAL �j Contractor �`�SO� pate Over 1 to 10 Incl. DATE �Zl—4 V (DATION Over 10 to 50 Incl. FIN GGG��, ❑ I am exempt under Sec. Over 50 to 100 Inc. LLL Over 100 BAP.C.for this reason i Z Services,Swbd.,MCC&Panelboards Date: 0'-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over 1.000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole&.Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 7031.5,Business and Professions Code): ' ❑ Misc.Conduits.&Conductors 2706,4A I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete-Fee Schedule) _ # 0 0 0 0 0 2 and Professions Code). ► ` f - - 2S50. CONSTRUCTION LENDING AGENCY o'o - 2S505 I hereby affirm that there is a construction lending agency for the performance of the workfor which.this permit is issued(Sec.3097, PERMIT FEE (Sub Total) civ.C.). 0 51'9=8 7 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's'Address I certify that I have read this application and state that the above TOTAL FEE information is correct.I agree to comply with all County ordinances and Statg laws regulating Electrical wiring, and hereby authorize representatives of this County tqo%niler u n the above-mentioned ;;"prestip os SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of Permittee Date WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR �L�C�'RICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G ihsurter. or a certific6te of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY 9r4a certified copy thereof(Sec.38015,Lob. C_.) Policy No.—Company n �[+6 � FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs- $Pools EACH NO. FEE ADDRESS Certified copy is filed with the county buildin inspec- 1 $2-Family,Sq. Ft. g _ $ LOCALITY tion department. t. Multi-family Sq. Ff. NEARESTCROSS ST. d®. '. r` S.�`a� Residential Swimming Pools OWNER OR Date Applicant FIRM NAME �d CERTIFICATE OF EXEMPTIO FROM WORKERS' Li MAIL. COMPENSATION• FROM Outlets: Re ght Sw. Q All. (This section need not be eom ted If the work Involved by First 20 ( Total No.L Additional / ,CITY Tel. No. the permit Is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this d APPLICANT permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. :Lighting Fixtures. First 20 ADDRESS Additional Total No.� CITY Tel. No: Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, .after making. this Certificate of ',,. APPLICANT ��J �T Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS ALABAY&aL with comply with such provisions or this permit shall be Top , _ FAU W.H. — deemed revoked. Hood _ Fan. �Other_ CITYG _ `Tel. I`4o.8 2'b. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG.NUMBER � C� lass l (commencing with Section 7000).of Division 3 of the Business DISTRICT NO. PROCES D BY and Professions Code,and my license is in-full force and effect. Power'Apparatus$Large Appliances v Size.&Type HP, KW, KVA, or KVAR' ,J IL0i 0 License Number. Lic. Class lr-- FINAL V Up to 1 Incl. ^ / �} - C` �� '` Dafen ' S� Over 1 to.10 Incl. DATE, / ^ ALIDATION 0 Contractor FIN 666 v ❑ Over 10 to 50 Ihcl. I am exempt under Sec. Over 50 to 100 Inc. B lu B.$P.C. for this reason Over 100 ta Services;Swbd.,MCC&•Parielboards Date: 0 -200 Amp. Under 600 V Signature 20.1 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V ❑ ' Exemptio Reg.•Maint. Elect: SINGLE FAMILY Temp. Power Pole&Appurtenances H E OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affir. that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section.7031.5; Business-and Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section. Other(See Complete Fee Schedule)_ ® ;2.7 2S 8 A 7044, Business and.Professions Code). CONSTRUCTION LENDING AGENCY # 0 0 0 0 0 2 1 hereby affirm that there is a construction lending agency for � d.2 6 2.0 0 the performance. of the work-for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097,Civ. C.). x PLAN CHECKING FEE. ° ° 2 6 2 O O Lender's Name `` 6-87 PERMIT ISSUING FEE V 010� Lender's Address I certify that I have read this application and state that the TOTAL FEE �O V 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 t above-mentioned operty for inspection.purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE S' n 6t&e of Permittee Date e igffir'Eth COMPENSATION DECLARATION � DPW 3/117 APPLICATION FOR ELECTRICAL PERMIT Q J hereby:'affirm. that I have a certificate.of consent to self CE-806G insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS. t oua certified copy the eof Sec. 3800, Lab. C.) 0 Policy No.� Company g .�T� �� FOR APPLICANT TO FILL IN JOB 14 Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS Sat L� fJ aCertified copy is filed with the ou gy nidi s 1 9 2-Family, Sq. Ft. $ _1$ LOCALITY (� Z .tion department. ��'� ""�F, Multi-family Sq. Ff. NEAREST CROSS ST. Date pplicont y Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL COMPENSATION INSURANCE ADDRESS 7l ou . tThis section need not be com leted.if the work Involved b First CITY Tel. No. he permit is for one hundred dollars($100)or less.) y Total No. Additional I certifythat in the performance of the work for which this PLAN CHECK P..eAPPLICANT permit is issued,I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. Additional Date Applicant Total No. � CITY Tel. No. Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: -If, after making this Certificate of PERMIT Exemption, you should become subject to the Workers' 'Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code,.you must forth- 10ven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. _ Room Air Cond. — Class. I hereby affirm that I am licensed under prodisions,of Chapter 9 REG.NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PRO . S D d .and Professions Code,and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR5. Ar , U License Number. Lir. Class Up to 1 Incl. FINAL Contractor Dote i Over 1 to 10 Incl. DATE VALIDATION. 0 ❑ Over 10 to 50 Incl. U FINAL I am exempt under Sec. Over 50 to 100 Inc. BY W BAP.C. for this reasoh Over 100 d Dat � ,�d "o, Services, Swbd., MCC&Panelboards 0-200 Amp. Under 600 V Signature 201 -1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg..Maint. Eject. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances Sign with One.Branch Circuit ACCT.'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 1�fio7 Professions Code): ❑ . Conduits&Conductors. 1 ITEMS I, as owner of the property, will do the work and ,the Misc • structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ , TOTAL 14.75 Business and Professions Code). CONSTRUCTION LENDING AGENCY CHECK 14.75 1 hereby affirm that there is a construction lending agency for CHANGE .00 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 0000-0001 11/21/89 PERMIT ISSUING FEE 6939 1 Af�11�31 Lender's Address I certify that I have read this application and.state that the TOTAL FEE etap above information is correct. I agree to comply with all County n ordinances and State laws regulating Electrical wiring, and hereby authorize representati sof this County to enter upon the abov. me boned pr a for inspection purposes. SEE.REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ®' l� COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0106250068 BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I S P , U SS: ON FILE ' 5953 TEMPLE CITY BL f FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFOR 0 NUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY i D3 BOOTH LGT, SYSTEM 1.00 600 16.20 TENANT-. TOTAL FEES 43.95 S D . PROCESSED AN EXPIRES O : TEMPLE CITY YOUTH FOOTBALL 06/25/01UT 12/22/01 OWNER: TEL. NO: i FINAL ATE FINA BY: CODE: CHANG, BOB C (818) 289-4088- 238 S. ATLANTIC BLVD 40 t ALHAMBRA, CA 91801 UNCRIPTIOR 10F WORK FIREWORKS STAND - SELF INED-20 (PLUG IN) APPLICANT: 0: FISH (626) 287-3713- 9342 BLACKLEY SPECIAL CONDITIONS: TEMPLE CITY CA 91780 ��po-EC� I �- Lt 000NTRACTOR: TEL. N0: r �/ �i NONE * APPROVALS DATE INSPECTOR SIGNATURE LIC. NO (� �✓^�i� � TEMPORARY0 R OL NONE / 1 � „ `'� - `� UNDERGROUND CONDUIT JV ARCHITECT OR ENGINEER: TEL. 0: Y , �`I r UFER GROUND LIC. N0�:1' ','�v ROUGH CONDUIT ROUGH WIRING �5,1,� 'i1��1i1;1_J)�� N AIN WATER LINE LED) J t -=' l,' �I ti`s!; �s�;�'_.:� 1V - 11 PLASTIC Y/N METAL Y/N -- UTILITY CO 0 jr--7' r ; I I 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 0306190018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10:ON FILE FEES AI 5953 TEMPLE CITY•BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFINFORMATION-NUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 800 16.20 TENANT: JI GENERATORS +3-10HP 1.00 GEN 19.65 S ED S : P P ON: TEMPLE CITY YOUTH FOOTBALL TOTAL FEES 63.60 06/19/03 JK 12/16/03 OWNER: TEL. NO: CHANG, BOB C (818) 289-4088- FI AL DATE F N B CODE: 238 S. ATLANTIC BLVD ALHAMBRA, CA 91801DESCRI,PTION10F WORK ELECTRICAL FOR FIREWORKS STAND -2003 APPLICANT: GONZALEZ (323) 567-9391- 3205 INDEPENDENCE SPECIAL CONDITIONS. SOUTH GATE CA 90280 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HJG ELECTRICAL CONTRACTOR (323) 567-9391- 3205 INDEPENDENCE AVE LIC. NO TEMPORARY POWER POLE SOUTH GATE, CA 90280 526364 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: . N0: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH IR G MAI WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEff REPORT ID: DPR265 ROUTE TO: SS0508 r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0206210014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID B ING D ESS: ON FILE 5953 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 800 16.20 TENANT: JI GENERATORS +3-10HP 1.00 GEN 19.65 ISSUED ON: PROCESSED BY: P EXPIRES ON: TEMPLE CITY YOUTH FOOTBALL TOTAL FEES 63.60 06/21/02 JK 12/18/02 OWNER: TEL. NO: FIN L DAIE FINAL BY: CODE: CHANG, BOB C (818) 289-4088- moo 238 S. ATLANTIC BLVD ALHAMBRA, CA 91801 DESCRIPTION OF WORK FIREWORKS STAND - 2002 APPLICANT: TELNO: GONZALEZ (323) 567-9391- 3205 INDEPENDENCE SPECIAL CONDITIONS: SOUTH GATE CA 90280 - CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HJG ELECTRICAL CONTRACTOR (323) 567-9391- 3205 INDEPENDENCE AVE LIC. NO TEMPORARY POWER POLE SOUTH GATE, CA 90280 526364 C10 I - ` _ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER-:- TEL. 0: UFER GROUND LIC. NO: ROUGH CONDUI ROUGH G MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR26? ROUTE TO: BS0508 i I COUNTY OF LOS ANGELES r TEMPLE CITY # 0508 I ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006280063 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING 5953 TEMPLE F ON FIBL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBE : NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 B00 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES TEMPLE CITY YOUTH FOOTBALL 06/29/00 UT 12/26/00 OWNER: TEL. NO: FINAL DATE FINAL BY: CHANG, BOB C (818) 289-4088- 238 S. ATLANTIC BLVD ALHAMBRA, CA 91801 DESCRIPTIO 0 OR I FIREWORKS STAND - SELF CONTAINED-204t0 APPLICA -T-Er. N0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: Cj L S C�� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO i' TEMPORARY POWER POLE iUNDERGROUND CONDUIT i ARCHITECT OR ENGINEER: TEL. 0: I UFER GROUND LIC. N0: % 1111111 ROUGH CONDUIT L ROUGH IRING I r n n ��1 n n/j MAN WATER LINE I I �f L \ G I r,5 1�` PLASTIC Y/N METAL Y/N UTILITY COMP Y NO IFIED G ! ❑ Qlf 46Elof Service i I r 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 9906290034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: . LEGA ID: FEES PD BUILDING ADDRESS: ON FILE 5953 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 - ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 B0O 16.20 TENANT: TOTAL FEES 43.95 ISS ED 0 : 0 ESSE B PLAN BY: EXPIRES 0 : TEMPLE CITY YOUTH FOOTBALL 06/29/99 UT 12/26/99 OWNER: TEL. 0: FINAL DATE FINAL B CODE: CHANG, BOB C (818) 289-4088-. 7--/ g ( , 238 S. ATLANTIC BLVD C ALHAMBRA, CA 91801 UNERIPTION OF WORK FIREWORKS STAND - SELF CONTAINED APPLICANT: TEL. 0: SAME AS OWNER — SP ' '. SPECIAL CONDITIONS: S c® CONTRACTOR: TEL. NO: Cj APPRO ALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE O \ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: T L. NO: - `•. \1 R GROUND LIC. N0: `alllllll ROUGH CONDUIT ROUGH G U OUC � 0K MAIN NATER LINE uuu PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED vu �c Service That REPORT ID: DPR265 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MCTRM9__P_Eii9IT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS kkL 050 - 160010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: EG S PAID G REB .:, ON FILE 5953 TEMPLE CITY 9L FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEFIP CA 9'1780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY E3 TEMP XMAS TREE, ADDT 1.00 TEM 21.60 TENANT: TOTAL FEES 49.35 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES TEMPLE CITY YOUTH FOOTBALL 06/16197 TC 06/16/98 OWNER: TEL. N0: FINALiD TE FINAL BY: COD CHANG, BOB C (818) 289-4088— 238 S. ATLANTIC BLVD ALHAMBRA, CA 91801 DESCRIPTIUN UP WOR FIREW6RKS STAND — SELF CONTAINED APPLICANT: 0: SAME AS OWNER — SPECIJL CONDITIONS: CONTRACTOR: TEL. N0: ` '"'{ -—= — — �� Y SAME AS OWNER _ A- Z� _ ` .� ' > APPRUIVALS ATE INSPECTOR SIGNATURE LIC. NO TEMPO'IRY POWER POLE NDER3ROUND CONDUIT ARCHITECT 0 ENGINEER: EL. } E u 0 ND LIC. N0: ROUGH CONDUIT i NOW!WIRING i 14A IN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPAMIDUFTED s i I I 1 i REPORT ID: DPR265 ROUTE TO: RS0508 COUNTY OF LOS ANIUES�ll TEMPLE CITY # 0508 ECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL OSU87980611006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADQ,QSS'm ON FILE EMPLE CITY BL FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: EMP-CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY D3 BOOTH LGT, SYSTEM 1.00 B00 21.60 TENANT: TOTAL FEES 49.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TEMPLE CITY YOUTH FOOTBALL 06/12/98 UT 06/12/99 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: CHANG, BOB C (818) 289-4088- a 238 S. ATLANTIC BLVD "1 --V g 'b4x ALHAMBRA, CA 91801 __DE_SC 0- OR — •F-MEWORKS.-STAND--�S E L-F-CONtT-A I'N ED— APPLICANT: SAME AS OWNER - SPECIAL CONDITIONS: s1 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO . TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. 0: I; -- �� ` . UFER GROUND LIC. N0: -__- I' ii_�-- I ! l' ROUGH CONDUIT ROUGH WIRING i MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED t I i REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 .ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS -EL-0508 9904140019 -- BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: EGA ID: FEES PAID— BUILOfNGADDRESS: ON FILE -5953 TEMPLE CITY BLr FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY E1 TEMP SERV POWER POLE 1.00 TMP 43.50 TENANT: TOTAL FEES 71.25 ISSUED ON: PROCESSED Y: PLAN B RES ON: 04/14/99 UT lei 04/14/ OWNER: TEL. NO: FINAL DATE FINAL BY: ODE: CHANG, BOB C (818) 289-4088- 238 S. ATLANTIC BLVD 46 ALHAMBRA, CA 91801 DESCRIPT 0 OF 0 K TEMPORARY POWER POLE FOR CONSTRUCT RAILER AND SITE APPLICANT: 0: A-1 COAST TEMPORARY SERVICES (310) 325-3300- 24000 CRENSHAW SPECIAL CONDITIONS: TORRANCE, CA LES c® CONTRACTOR: TEL. NO: oCJ ��/�. APPROVALS DATE INSPECTOR SIGNATURE A-1 COAST TEMPORARY SERVICES (310) 325-3300- V 24000 CRENSHAW BLVD. LIC. NO TEMPORARY POWER POLE TORRANCE CA 90505 571520 C10 UNDERGROUND CONDUIT ARCHITECT OR ENG R: UFER GROUND LIC. NO / 1111111 ROUGH CONDUIT L , ROUGH G FDU D L LI ��` 0�� IN WATER LINE �I PLASTIC Y/N METAL Y/N -0wTI COMP OTIFIE nD �o ig ❑ �' a El : T,�T El ®� � a46�'c El Service-ghat * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508