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Home My Public Portal About5120 BALDWIN AVE_Electrical__ (2) A663 CE806 S 62 APPLICATION FOR ELECTRIC PERM'1T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING -/7 BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST RECEPT TOTAL NO EACH FEE OWNER OUTLETS FIRST 20 $20 $ LIGHT �/ MAIL � ADD 10 ADDRESS SWITCH OVER 20 —F LIGHTINC�,�,I TO TAL F1Rsr 20 20 CITY E FIXTURE ADDL 10 ELECTRICIAN OV R 2O � RANGES CLO DRYERS WTR HTRS 1100 ADDRESS GARB DI9P STA COOK CITY L NO DISHWASH AUTO WASH STATE / (�— SPACE HTRS STA APP (ys H P MAX) 50 LICENSE NO G �J MOTORS OVER NOT OVER HP DISTRI NQ IGROUPI Z NE ESSED BY 0 1 10017— 1 3 150 ��^ INSP�EECTION RECORD 3 8 200 v:2-143163 (/ �l r4,�-A �� ✓�/ 2t9t��11 6 15 250 ,F�i^✓i� 18 50 3 00 a , � f ou 50 100 5 00 / /7� �� e� y /l IX Q SIGNS ~ NO TRANS � C /�I NO LAMPS /ff O� Ln' }✓9 oY � ✓P,Y�) `b W SERVICE O 600V NOT OVER 200A too Z SERVICE O 600V OVER 200 A 200 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 �JQ TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �J ELECTRICAL WIRING WIRING I/�� Jl�♦b'rA M I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0� 7/dC..d LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES , CALIFORNIA OR THAT THE LEGAL OWNER OF TH ABOVEDESCRIBED RES=IAM POWER SIGNATURE UTILITY CO NOTIFIED ��JOF PERMITT / FINAL t/�Z r-5 r, i C (DATION ARTHUR C VEIT ' CK MO CASH SUPERVISING ELECTRICAL ENGINEER Li',UCO 9 9 7 8 J`N 2 2 2 D Q 8 0 vvu42KERS COMPENSATION DECLARATION 63 CE 806G (2 80) APPLICATION FOR ELECTRICAL PERMIT CE 8 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) i Policy No Com any V Q&/ r FOR APPLICANT TO FILL IN JOB p � New Residential Bldgs &Pools EACH NO FEE ADDRESSvo .eAL /7w1N iQr.6> Ili Certified copy is hereby furnished1 &2 Family Sq Ft $ — LOCALITY `E�pL� Multi family Sq Ft NEAREST Certified co ` d copy is filed with the county building inspection CROSS ST f-.�`✓�� 5/�ua department r Residential Swimming Pools /fir 0 ,/w�/1 /� O W N E R O R Date - Apphcant,vf/�s' "��=,.(/ %�,! FIRM NAME --�— -- o f Outlets Rec�Light Sw �' �Q MAIL First 20 ADDRESS 7'+4S p CERTIFICATE OF EXEMPTION FROM WORKERS Total No -=^ / Additional CITY Tel No �C/�Z } COMPENSATION INSURANCE PLAN CHECK d (This section need not be completed if the work involved j�. APPLICANT 0 by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 f ADDRESS Additional Total No __* Q I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No 1- permit is issued I shall not employ any person in any manner r ` / U so as to become subject to the Workers Compensation Laws Range_ Heater PERMIT D W _} V APPLICANT �� r�nom/// a t� ��JJ Oven _ Dryer_W M _ ) ( ADDRESS Z Date "1 Applicant Top FAU W H 1 Hood _ Fan J_Other—, CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Disp Room Air Cond lQ LICENSE OR Exemption you should become subject to the Workers doMtrIJ-1.477,91V REG NUMBER Class Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCESSED BY with comply with such'provisions or this permit shall be deemed revoked Size&Type HP KW KVA or KVAR /� O Up to 1 Incl Over 1 to 10 Incl DATE FINAL AEL LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000) of,Division 3 of the Busi Over 100 BY ness and Professions Code and my license is in full force and 1/ effect Services J 0 200 Amp Under 600 V License Number Lic Class 201 1000 Amp Under 600 V t 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 Contractors Sign with One Branch Circuit a License Law for the following reason (Section 7031 5 Busi Additional Sign Branch Circuits ness and Professions Code) Misc Conduits&Conductors, I as owner of the property will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044 Business and Professions Code) ;21 2 7 7 A s 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) 0 0 0 0 0 2 ; i issued(Sec 3097 Civ C) 1 2 ° - 2030 Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) Lender s Address PERMIT ISSUING FEE ro - 20305 I certify that I have read this application and state that the TOTAL FEE Jl p 0 922-81 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 the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE i r ty-22- Sig ature of Permittee Date I WQRKERS COMPENSATION DECLARATION CE 806G (2 80) 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 ( u a certified copy thereof(Sec 3800 Lab C) � / /^ i FOR APPLICANT TO FILL IN JOB D ^D 8 /- � VI Policy No Company �f�lU � ,v�y' ADDRESS l//+ F7/SrL/1 New Residential Bldgs &Pools EACH NO FEE El Certified copy is hereby furnished 1 &2 Family Sq Ft $ — Is LOCALITY Multifamily Sq Ft NEAREST kq department copy Bled with the county building inspection Residential Swimming CROSS ST Pools QQ Certified co �- p OWNER OR Fcnn ninnnF �j��p� � ,� Date � � �� Applicant utlets Rec—Light Sw MAIL First 20 CERTIFICATE OF EXEMPTION FROM WORKERS Total No` Additional COMPENSATION INSURANCE CITY Tel No ,U g �� } PLAN CHECK IF 9L ^� APPLICANT 0 (This section need not be completed if the work involved Lighting Fixtures First 20 U ig by the permit is for one hundred dollars ($100) or less) g ADDRESS Additional Total No 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No F_ permit is issued I shall not employ any person in any manner PERMIT W W as to become subject to the W rkers Compensation Laws Range_ Heater_D W APPLICANT W Oven Dryer_W M ADDRESS z Date Applicant Top FAU _W H Hood Fan _Other_ CITY Tel NOTICE TO APPLICANT If after making this Certificate of Disp Room Air Cond_ LICENSE OR Exemption you should become subject to the Workers \ REG NUMBER Class Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCES8tQ BY with comply with such provisions or this permit shall be deemed revoked Size&Type HP KW KVA or KVAR Up to 1 Incl Over 1 to 10 Incl FINAL LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl DATE / �'-_y / VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 BY "r ness and Professions Code and my license is in full force and ' effect Services 2Qo 0 200 Amp Under 600 V License Number Lic Class 201 1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V HOME OWNER BUILDER� DECLARATION Temp Power Pole&Appurtenances I here y iaffvm that I am exempt from the Contractors Additional Sign Branch Circuits Licen a Law foSign with One Branch Circuit 2 1 8 3,8 A r the following reason (Section 7031 5 Busi 0 0 0 0 0 2 ness nd Professions Code) Misc Conduits& Conductors 2 0 1 9 5 0 I as owner of the property will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section u 0 0 1 9 5 0 c=. 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY r I hereby affirm that there is a construction lending agency 1 0 4—81 for the performance of the woik for which this permit is PERMIT FEE (Sub Total) /� issued (Sec 3097 Civ C) 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 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 ) the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE A&Ag2:, 4&1,1 —n —,?d Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1401080038 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID I FEES PAID BUILDING ADDRESS 1 ITR 10821 LT 1 BL 001 1 5120 BALDWIN AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803901 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18585-007 001 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI 1F1 120V 15/20A BR CKTS 2 00 BR 34 60 TENANT IG1 OUTLETS LGT SW RECP 20 00 OUT 40 00 (ISSUED ON PROCESSED BY PLAN BY IG2 LIGHTING FIXTURES 10 00 LGT 20 00 101/08/14 SR 1 ILB 200 AMP PANELS MCC 1 00 PAN 38 90 1 (OWNER TEL NO I TOTAL FEES 161 30 IFI AL DATE FIN Y CODE IFLORENCIA PILPA 1 I 1 15120 BALDWIN AVE (TEMPLE CITY CA 91780 1 IDESCRIPTIO OF WORK 1 1 12 BRANCH CIRCUITS 20 OUTLETS 10 LIGHT FIXTURES WASHING 1 1 IMASHINE AND UPGRADE SERVICE PANEL TO 200 AMP I (APPLICANT TEL NO I 1 IKATIGBAK MAGNO (909) 267 8749 I 1961 CALLE HERMOSA 1 (SPECIAL CONDITIONS 1 ISAN DIMAS CA 91773 I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IM S K BUILDERS (909) 267 8749 1 1 i 1961 CALLE HERMOSA LIC NO I (TEMPORARY POWER POLE I I ISAN DIMAS CA 91773 720840 1 1 1-1 1UNDERGROUND CONDUIT 1 I 1 1 (ARCHITECT OR ENGINEER TEL NO 1UFER GROUND I 1 1 IMENOR PETER (323) 255 3934 1 1 1 1 1 11511 OAK GROVE DRIVE LIC Nn (ROUGH CONDUIT I 1 1 ILOS ANGELES CA 90041 C28539 I 1 IROLGH WIRING 1 IMAIN WATER LINE 1 1PLASTIC Y/N METAL Y/N 1 1 (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I* ADDITIONAL DATA ON FILE I I I I IREPORT ID DPR265 ROUTE TO BS0508 1 1 1 1 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT, DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9907280006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 10821 LT 1 BL 001 5120 BALDWIN AV 1 FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803901 ASSESSORINFOR14ATION NUMBER NEAREST CROSS STREET 8585 007 001 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY G1 OUTLETS LGT,SW,RECP 20 00 OUT 39 00 TENANT HA FAU LESS 3HP 1 00 FAU 10 95 ISSUED ON PROCESSED PLAN BY EXPIRES ON H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 07/28/99 UT 01/24/00 H3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 OWNER TEL NO H4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 FINAL DATE FINAL BY PILPA FLORENCIA I H5 RES WASH MACH LT 3HP 1 00 WAS 10 95 5120 BALDWIN AVE H7 RES EXHAUST FANS 1 00 EX 10 95 TEMPLE CITY, CA JB AC UNITS +3 10HP 1 00 AC 19 65 DESCRIPTION OF WORK TOTAL FEES 152 10 ELECTRICAL FOR ADDITION, REMODEL KITC N ND NEW HVAC SYSTEM APPLICANTL NO M S K BUILDERS (909) 592 3465 129 W THIRD ST SPECIAL CONDITIONS SAN DIMAS, CA GELES C� M CONTRACTOR RS (909)TEL N592 3465 ®5 � APPROVA S D INSPECTOR SIGNATURE 129 WEST THIRD STREET LIC NO TEMPORARY POWER POLE SAN DIMAS, CA 91773 720840 B UNDERGROUND CONDUI ARCHITECT 0 UFff LIC NO lilllll ROUGH CONDUIT R599FdIRING e-12 U oLC W0�KS IN WATER LINE �v PLASTIC Y/N METAL Y/N 0 T-Tf1TIr COMPANY NOTIFrff 67 8 nn 8er 0 �TO�� o� ICS REPORT ID DPR265 ROUTE TO BS0508