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Home My Public Portal About6032 AGNES AVE_Electrical__ 76A663 DBS 5A 11 49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT N? �� 3 z_ ELECTRICIAN ADDRESS /Q� s � CITY TEL NO /�/�� y,cf RECEIYED BY READY FOR DAT 168UED JT/� �'/J FIRST INSPECTION COUNTY LICENSE NO EXPIRE -J �V BUILDING / PERMIT FEES ADDRESS /Z NUMBER OUTLETS EACH FEE LOCALITY r+ nc LIGHT Sc Q NEAREST CROSS BT RECEPTACLES 5 40.4- •1�7/'��/ t FIXTURES 5 JO OWNER /20 _ WALL SWITCHES 5 11.r4, MAIL ELEC RANGES 25 ADDRESS ELEC HEATERB 25 O CITY TEL NO M", 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED TOTAL APPLICATION AND STATE THAT THE ABOVE 19 CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NUMBER HORSEPOWERFEE 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS New MVDHP OVER INC EACH ANGELES COUNTY LICENSE, OR 1 �)THE/L'EGAL OWNER V2 & LESS $ 25 w� OF THE RESIDENTIALPfiOPERTY DESCRIBED ABOVE %2 2 50I / SIGNATURE OF 1 NfE p/ 2 s 1 00 PERMITTEE c VVV11i rvi vi ///vvviai s is 1 so INSPECTION RECORD 15 50 2501 y so 200 s ao 200 500 1000 ^ 500 1 000 15 00 OVER 1000 2000 Z MG BET/FREQ CHANGER HP Ij WELDERS AC KVA D (Y GENERATORS KW O TRANSFORMERS KVA TEMP MOTORS (75% OF DRIG) �bY MOVED MOTORS 175% OF ORIG) tem w✓ MISC SIGNS TYPE NO TRANS TYPE NO LAMPS APPROVALS FOR EACH PERMIT DATE t INSPECTOR 9 NAME WIRING $1130 00 CONDUIT FIXTURES $1 00 WIRING SUPIdLEMENTARY 50 FIXTURES �1 1 POWER TOTAL FEE UTILITY CO NOTIFIED —� I FINAL I U f► 76A663 DBS SA 7 Sl APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES TAK WILLIAM J FOX, CHIEF ENGINEER DISTRICT NO GROUP Z PERMIT NO FOR APPLICANT TO FILL IN i ELECTRICIAN 0 �rJ/t/ RE EIVED BY READY FOR DATE 198UE0 ADDRESS FIRST INSPECTION //JJ// a `'•` CITY /.p TEL NO/ XyA ydC COUNTY LICENSE NO _EXPIRES '¢O S BUILDING PERMIT FEES ADORE 9 !D A/40 &PP � C FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST ��Ry9 , IOWA ' CROSS ST /l IO/�'7"/\ RECEPTACLES WALL SWITCHES OWNER/) TOTAL OUTLETS Sc $ MAIL ELEC RANGES 25 3 ADDRESS ELEC HEATERS 25 CITY TEL NO FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER FEE NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PR PERTY/DESCRIBED ABOVE I/2 a LESS $ 25 SIGNATURE OFA/j1/�� I/2 2 50 PERMITTEET -- 2 5 1 DD INSPECTION RECORD 5 is 1 50 15 50 2 SO 5 1 200 5 OO 200 _500 1000 J Soo 1 DOO 1500 Q Z OVER 1000 2000 M G BET/FREQ CHANGER HP Q WELDERS AC KVA O GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (751/a ov ORIG) _ MOVED MOTORS (75% OF ❑RIG) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR S NAME WIRING $1 OO oO CONDUIT FIXTURES 1111 00 WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE s8 / UTILITY CO NOTIFIED to !� /J FINAL Y' _ W0Rk{RS COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT ^I reby ii1irm that I have a certificate of consent to self CE 8066 insure �or� certifi:eite of Workers Compensation Insurance COUNTY OF LOS ANGELES I BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) I Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS /VGA ❑ 4 1 8 2 Family S Ft $ — $ LOCALITY"� M Certified copy is filed with the county building inspec q tion department Multi family Sq Ft — NEAREST Residential Swimming Pools CROSS ST &V(1ODK14 F� Date Applicant OWNER OR FIRM NAME _r.40M&S CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE First 20 ADDRESS �1JGy (This section need not be completed if the work involved by Total No Additional CIT el 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 APPLICANT permit is issued I shall note joy q.W person in any manner so as to become subject to t e or s Comp s ion ghting Fixtures First 20 ADDRESS Additional a(p Total No CITY Tel No Date pplican ed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making thi tificate of APPLICANT Exemption you should become subject t Workers Range_ Heater_D W — Compensation provisions of the Labor Code ust forth Oven _ Dryer — W M — ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H — deemed revoked Hood Fan _Other CITY-rP Gf rry Tel No Jt� LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond REG NNUMBER Class } (commencing with Sectionof Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO P E ED BY and Professiions Code and myy license is in full force and effect O Size & Type H 8 P KW KVA or KVAR d License Number Lic Class Up to 1 Incl FINAL 0: Contractor Date Over 1 to 10 Incl DATE /� — — VALIDATION Over 10 to 50 Incl FINAL W ❑ I am exempt under Sec Over 50 to 100 Inc BY / N B&P C for this reason Over 100 Z LZ Date Services S MCC & Panelboards A / 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect 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 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)_ ® 5 9 9 A 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY # o o a e o 2 j 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) ° - 2550 (Sec 3097 Civ C ) PLAN CHECKING FEE o 0 0 2 x 5 0 c=) Lender s Name PERMIT ISSUING FEE 1 1 18;-86 Lender s Address I certify that I have read this application and state that the TOTAL FEE �f above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and Veherebb authorize representatives of this County to enter upon ove ment n ro =for ectionur oses SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of P V I e Date r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9908040010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PBUILDING ADDRESS TR 6561 LT 52 6030 AGNES AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801707 ASSESSOR-INFORMATION NUMBER NEAREST CROSS STREET GARIBALDI/LAS TUNAS 5385 028 031 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY F1 120V, 15/20A BR CKTS 6 00 BR 103 50 TENANTJB AC UNITS +3 10HP 1 00 AC 19 65 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON LA 100 AMP PANELS, MCC 1 00 PAN 38 85 08/04/99 UT 01/31/00 TOTAL FEES 189 75 OWNER TEL NO FINA C ATE FINAL Y DE LIU DON,PHUNG KIN M 6030 AGNES AV I TEMP 917801707 DESCRIPTION ELECTRICAL FOR ADDITION AND NEW S ICE PANEL UPGRADE ALSO ADDING A/C TO EXISTING SYSTEM APPLICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS 3 ELES CO CONTRACTOR TEL NO Oc3 v�A APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO TEMPORARY POWER7POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO 1111111 ROUGH CONDUIT ROUGH s WIRING 11 MAIN WATER LINE�� PLASTIC Y/N METAL Y/N TILITY COMPANY NOTIFIED 46��c 8ervlce REPORT ID DPR265 ROUTE TO SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL-0508.-9909020002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING DRESS TR 6561 LT 52 6030 AGNES AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801707 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GARIBALDI/LAS TUNAS 5385 028 031 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY LB 200 AMP PANELS MCC 1 00 PAN 38 85 TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 09/02/99 UT 02/29/00 OWNER TEL NO FINAL DATE FINAL BY LIU DON,PHUNG KIN M �_lg�Z000 6030 AGNES AV 1 c-V TEMP 917801707 DESCRIPT15W OF WORK 6QJ:7 RELOCATE SERVICE PANEL 200 AMP APPLICANT EL NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO Cy S c®`l/� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO ROUGH CONDUIT "' 1111111 ROUGH WIRING G MIN O ��C W O K S PLASTICTER Y/NLINE METAL Y/N UTILITY COMPANY NOT O 0 FfF O0 *� ❑ ® ®y � 'C �ePVIDOCE: Q REPORT ID DPR265 ROUTE TO BS0508