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Home My Public Portal About5546 BALDWIN AVE_Electrical__ (2) 76A663 CE /906R 1077 APPLICAT 10N+&"& <CVTIAL 1 T r COUNTY OF LOS ANGELES J ' 'DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS ��6 LJ �/ a BUILDING AND SAFETY DIVISION FOR APPLICANTTO FILL IN LOCALITY TcM�l� e New Residentiol.Bldgs.&Pools EACH NO. FEE NEAREST 1 &2-Family,Sq. Ft. $ .025 — $ CROSS ST. OWNER OR O,E Multi-family Sq. Ft. •02 — FIRM NAMEl�iQ �nZS Cf� Residential Swimming Pools 25.00 MAIL _ dd � ADDRESS /�� fie' Outlets:RecLightLSw. CITY ,41e f� Tel.No. -79_' /.z v First 20 .50 C PLAN CHECK Total No.--J--5 Additional .30 C/ APPLICANT ADDRESS Lighting Fixtures First 20 .50 e70 CITY Tel. No. Additional .30 PERMITC4 T Total No. 4k T APPLICANT Ka Cc 2/(t Fixed Appliances Not Over 1 HP ADDRESS/3//DeSC4�--�I,/a ZA.) IAI Range Heater_D.W./Alf CITI3)/d A4®.K> Tel. No. —,;7;;0'' Oven—Dryer—W.M._ LICENSE OR Top —FAU —W.H. REG.NUMBER C`V -3.3;Lk3A Class.e Hood Fan _Other I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Dis 2.50 V 4 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- p•c Room Air Cond. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVARHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 250 REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM a . Up to 1 Ind. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O Over 1 to 10 Incl. 5.00 v Over 10 to 50 Incl. 25.00 12.50 SIGNATU PERMITTE o Over 50 to 100 Inc. 8 LLj Over 100 40.00DISTRICT PROCESSED BY C/D z Services 0-200 Amp. Under 600 V 12.50 INSPECTOR'S 201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT 2.00 Additional Sign Branch Circuits WIRING " ' f Misc.Conduits&Conductors 10.00 FIXTURES 7' Other(See Complete Fee Schedule) POWER AUTHORIZED 6 UTILITY CO.NOTIFIED - FINALf x PERMIT FEE (Sub-Total) NOTES f1 0 0 0 0 0 7 PLAN CHECKING FEE (One-Fourth Permit Feel 'J n 7 A F n PERMIT ISSUING FEE $7.00 TOTAL FEE n v n v PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A688-CEBO6 4.66 APPLICATION FeELECTR&L PERMIT- ''G°OUISTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 676-1-/6 ��/ IVo. G BUILDING AND SAFETY DIVISION ADDRESS kk�� a /Y1 JOHN A. LAMBIE,.COUNTY ENGINEER COLEMAN-W. JENKINS, SUPT. OF BUILDING LOCALITY Te NEA REST FOR APPLICANT TO FILL IN CROSS ST. e, RECEPTACLE TOTAL •NO. EACH FEE ,!y LIGHT OUTLETS FIRST 20 $.20 $ OWNER MAIL /� F SWITCH ADD'L f0 ADDRESS, S 11T® � / Bl 1—:3— OVER 20 / yCLIGHTING FIXTURES FIRST 20 .20 CITY ` / TEL.NO.FIXTURES ADD•L �O 'CONTRACTOR OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(1/8 H.P.MAX.) ;SO LICENSE NO. MOTORS. OVER NOT OVER H.P. •DISTRCTc�NO. G QUP ONE P ESSED Y O 1 1.00 a 1 8 1. o INSPECTION RECORD ry 15 5o 8.00 U so 100 5.00 oe SIGNS. NO.TRANS. O NO.LAMPS W SERVICE 0-600V-NOTOVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 112 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ APPROVALS DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �• �' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ROUGH CONDUIT lam ELECTRICAL WIRING. WIRING ��/�+)"v.r•� r , I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES /1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOVE ESCRIBED RESIDE ]ALP SIGNATURE ` UTILITY CO:NOTIFIED OF PERMITTEE FINAL LIDATION JOSEPH C. ROOHAN CK MO . CASH SUPERVISING ELECTRICAL ENGINEER LACO'7 2 3 2 t2 NOV 9 . 2 0 590- NIORhat I COMPENSATION DECLARATION CE-806G 10/$1 APPLICATION FOR ELECTRICAL PERMIT I tee I that I have a certificate of consent to self insure, CE-aosG or`&d ,e of Workers' Compensation Insurance, ora certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy tht.. ec.3800,Lab.C.) �/(p t Policy N it mpany FOR APPLICANT TO FILL IN JOB ffiADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE Certified copy is.filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY de arm t Multi-family Sq.Ft. — NEAREST, CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FRO WORKERS' ' MAIL COMPENSATION INSURA CE Outlets:Rec—Light —Sw. ADDRESS• This section need not be,com leted if,the work involved b the First 20,_'..._ p p y Total No. Additional CITY Tel.No J permit is for-one hundred dollars($100).or less.) J certifythat in the performance of, work for which this permit PLAN CHECK P P APPLICANT 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 PERMIT �,� �� NOTICE TO APPLICANT: If—after making this Certificate of APPLICANT .Exemption,you should,become subject to the Workers'Compensation Range_ Heater_ D.W. �1 provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer W.M._ ADDRESS/�t � !U^ �� .provisions or this permit shall be deemed revoked. Top FAU W.H. LICENSED CONTRACTORS DECLARATION CITY Name, Tel.No. Hood — Fan , _ Other_ I,hereby affirm,that I am licensed under provisions of Chapter 9 1 LICENSE OR Disp. Room Air.Cond. REG.NUMBER _ Cla�s • (commencing with Section-7000) of Division 3 o the Business and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO.,, PROCESSE BY Size&,T_p HP,KW,KVA,or KVAR o 0 License Number �� Lic.Class `� °� Up to 1 Incl. FINAL ///��jjj U' Over 1 to 10 Incl. DATE fad✓ v VALIDATION Contractor Date `� Over 10 to 50 Incl. (� V FINAL ❑ I am exe p under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 Services,Swbd.,MCC&Panelboards Z Date: 0-200 Amp.Under 600 V Signature 201- 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances Z HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law `�'� for the following reason (Section 7031.5,Business and Professions - Additional Sign Branch Circuits ..§ +7 rte0 Code): M07 2 is 0 ❑ Misc.Conduits&Conductors ' I,as owner of the property,will do the work and the structureI ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). TOTAL 21.00 CONSTRUCTION LENDING AGENCY `'WY rCirUV 1 hereby affirm that there is a construction lending agency for the p�y performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) f ® 1r11t'tlt]G 100 Civ.C.). PLAN CHECKING FEE Lender's Name } d / "WV1 810/89 PERMIT ISSUING FEE Lender's Address5023 2 AM 8:21I 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 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 Signature o Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1403060025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 16957 LT: 11 I I 5546 BALDWIN AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802627 (ASSESSOR INFORMATION NUMBER: I 1 . NEAREST CROSS STREET: 1 18586-022-011 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI I 1G2 LIGHTING FIXTURES 1.00 LGT 2.00 1 1 (TENANT: I TOTAL FEES 29.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 I 103/06/14 SR (OWNER: TEL. NO: 1 IFINAL DATE FINAL Y: CODE: 1 PHIL, LE (626) 236-2462- 1 1 I 15546 BALDWIN AVENUE 1 1NI 1TEMPLE CITY CA 91780 1 ID�I�O OF WORK I I I 15 LIGHT FIXTURES FOR KITCHEN REMODEL I 1APPLICANT: TEL. NO: I I 1 1SAME AS OWNER - 1 1 1SPECIAL CONDITIONS: 1CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I 1SAME AS OWNER - 1 1 I LIC. NO 1 1TEMPORARY POWER POLE I I I I I (UNDERGROUND CONDUIT 11 I I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I _ 1 1 I I LIC. NO: 1 IROUGH CONDUIT I 1 I I I IROUGH WIRING I 1 I I I I I I IMAIN WATER LINE I I 1 PLASTIC Y/N METAL Y/N I I I (UTILITY COMPANY NOTIFIEDI I 1 I I I I I I I I I I I I 1 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 I I I I 1 I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I