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Home My Public Portal About4916 1/2 BALDWIN AVE_Electrical__ (2) 76A66C CE#'806 5 6I APPLICATION FOR ELECTRICL PERMIT Ll COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING / �+ BUILDING AND SAFETY DIVISION ADDRESS / / 1/,� r JOHN A LAMBIE COUNTY ENGINEER ,y WILLIAM A JENSEN SUP T OF BUILDING LOCALITY L NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNER 1 T E M NUMBER EACH FEE MAIL OUTLET l� ` s $ ✓ ADDRESS LIGHTS ECEP SW �J 10 5 CITY TEL O LIGHTING FIXTURES f0 ELEC RANGES CLO DRYERS ELECTRICIAN E ATE R s 50 ADDRES LEC SPACE HT ISHWASHER5 CI TEL NO GAR E DISP AUTO STATE WASH STA COOKING UNITS 25 LICENSE NO MOTORS ER INC HP DIST ICT N0 GRQUP Z NE ESSED BY 0— 1/2 25 - O v2— 2 1 50 IINNSSPE�C�TION �R(ECORD/ 2— 5 1 00 ''� �/2��- /r'-�!T//i ��✓l� E�i F if�lfllC" � O 5— 15 I SO 15- 50 250 - O 50— 200 500 V W SIGNS NO TRANS d NO LAMPS h Z SERVICE O 600V 100 SERVICE OVER 600V Soo MISC WIRING PERMIT 100 0 FIXTURE PERMIT loo O SUPPLEMENTARY PERMIT 50 TOTAL FEE SAO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT n[ A A / ELECTRICAL WIRING WIRING //;2d h� !y I HEREBY CERTIFY TH 1 AM PROPER RE FRED lOR LICENSED AS REQUIRE Y LOS ANG OU T AND E OF FIXTURES CALIFORNIA OR THAT AM THE G W OF ABOVE .� DESCRIBED RES NTI PROPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITT FINAL V�I,MO CASH IDATION ARTHUR C VEIT 4 p SUPERVISING ELECTRICAL ENGINEER � CK LJito,7404 -0 JAN ?4 2 0 1055 In 76A66C CE#806 5 61 APPLICATION FOR ELECTRICAL PERMIT 0 COUNTY OF LOS /ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING i }" BUILDING AND SAFETY DIVISION ADDRESS s JOHN A LAMBIE COUNTY ENGINEER e WILLIAM A JENSEN SUP T OF BUILDING LOCALITY 77, NEAREST FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES OWNER I T E M NUMBERI EACH FEE MAIL OUTLET S S o ADDRESS LIGHTS ECEPT SW 10 CITY f TEL NO LIGHTING FIXTURESO 10 Q� ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRES ELEC SPACE HTRS DISHWASHERS �rC GARBAGS-DISPOS AU O Ct TEL NO PZ� l/rJ� +S/ STATE ASHE STA COOKING UNITSS 25 .,/ f LICENSE NO Morons OVER INC H P DISTRICT O GROUP NE CESSED BY o— +/Z 25 112.— 2 so INSPECTION RECORD 2— 5 100 d 5— t51 SO U 15— 50 250 O 50— 200 5 00 ~ U W SIGNS NO TRANS d NO LAMPS ' SERVICE 0 600V 1 00 L_ SERVICE OVER 600V 500 MISC WIRING PERMIT 1 00 Po FIXTURE PERMIT 100 104 SUPPLEMENTARY PERMIT 50 TOTAL FEE g Q IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM Y CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS GUL I ELECTRICAL WIRING WIRING y(//�� J n I HEREBY CERTIFY TH I AM PROP G 7 ED AND OR LICENSED AS EQUIRE Y LOS AN L U Y ND TA OF FIXTURES ZPA CALIFORNIA R HAT AM THE WN OF E ABOVE 1 �� DESCRIBED R SID NTI PROPS RT POWER SIGNATUR UTILITY CO NOTIFIED OF PERMIT FINAL DATION ARTHUR C VETT CK//MO CASH SUPERVISING ELECTRICAL ENGINEER � 07403 JAN 24 2 D 850 F WORKER S COMPENSATION DECLARATION 7200019 6A663 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT I hereby afflrRi 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 thereof(Sec 23800 Lab - q /�a Policy No 3! 1Coe 0 Company FOR APPLICANT TO FILL IN JOB - ❑ r ICertified'copy is hereby furnished' New Residential Bldgs &Pools NO EACH FEE ADDRESS sn u>yV _ $ $ LOCALITYG1-1- Certified copy is filed with the county bwl ng i spe n' _ 1 &2 Family Sq Ft NEAREST de artment 4 Multi family Sq Ft CROSS ST Date tU J��I Applicant Y Residential Swimming Pools ASSESSOR MAP PAGE PARCEL CERTIFICATE OF EXEMP PJ FRO ORKERS Outlets Rec Light Sw OWNER OR i COMPENSAT11 N INSUR CE g FIRM NAME �^ 1 '1 J.. First 20 MAIL (This section need not be completed if the work Involved by the _ ADDRESS � 0 permit Is for one hundred dollars'($100)or less') : Total No Additional I certify that in the performance of the work foPwhich this permit _ CITY Tel No U 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 - — b Total No Additional ADDRESS / Date Applicant - RESIDENTIAL APPLIANCES NOT OVER 3 HP Tel No NOTICE TO APPLICANT If after making this Certificate of CITY 1 Exemption you should become subject to the Workers,Compensation OTHER APPLIANCES NOT OVER 3 HP IT provisions of, Labor Code you must f&rthwrth comply with such APPLICANT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances I 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 CITY Tel No (commencing with Section 7000) of Division 3 of the Business and Professions Code and my license is In full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE B / ` EL -may REG NUMBER Class L7 v License Number i�(S O LIC Class G 2y Over 100 DISTRICT NO y P SSED BY U 7 r Services Swbd MCC&PanelboardsFINAL Contractor Date L 0 399 Amp Under 600V J DATE _ O ❑ X, -,. 400 1000 Amp Under 600 V V em der Se VALIDATIONWOver 1000 Amp or Over 600 V FINAL LU for this reason - BRANUIT FEES ByZ 1-7 Date 15A or 2 120V Lighting or Recept Z _ 1 To 10 Branch Circuits U n Signature 11 To 40 Branch Circuits El Exemption Or More Branch Circuits R Exemption for Reg`Maint Elect 15A 20A 208V To 277V Lighting Br Circuits _ f r SINGLE FAMILY ACC 1 T a Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION E 1 hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit 3'03 69.60 for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits i ITEMS� Code) } ❑ I as owner of the property will do the work and the structure Misc Conduits&Conductors _ TOTAL 65 m 60 is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) ® f1E`�i p�oRV and Professions Code) CHECK �t�y CONSTRUCTION LENDING AGENCY C GE .00 I hereby affirm that there Is a construction lending agency for the y T Y performance of the work for which this permit is Issued (Sec 3097 PERMIT FEE (Sub Total) c Civ C) -' � /� /�G+ PLAN CHECKING FEE 6073 1 FM 9:00 Lender s Name < - PERMIT ISSUING FEE Lender s Address E ° I certify that I have read this application and under penalty of purjury state TOTAL FEE J 6 0 that the above Information is correct I agree to comply with all County ordinances and State laws regulatin$klctrical wiring and hereby authorize y representatives of thisty to to upon the above mentioned property - for inspectio ur s SEE REVERSE FOR EXPLANATORY LANGUAGE /l- ,S2 SIGNATURE 9 PERMITTFy DATE Y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0506060004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0486 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 4916 1/2 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804008 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA 8585-009 026 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY C LA 100 AMP PANELS MCC 1 00 PAN 38 85 TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 06/06/05 JK 12/03/05 OWNER TEL NO FIN L DATE FINAL BY CODE HARNESS ELIZABETH A TR (818) 817 0554 4916 1/2 BALDWIN AV TEMPLE CITY CA 91780 i DESCRIPTION OF WORK 100 AMPS SERVICE UPGRADE APPLICANT TEL NO BERRY (626) 357 5311 1630 S MYRTLE AVE SPECIAL CONDITIONS MONROVIA CA CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE AIR TRO (626) 357 5311 1630 S MYRTLE LIC NO TEMPORARY POWER POLE MONROVIA CA 258228 C20 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE j PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED i I i REPORT ID DPR265 ROUTE TO BS0508 ! r J t