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Home My Public Portal About5419 BALDWIN AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARJMEN-T OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0104030058 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT II I LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5419 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802625 ASSESSOR F TIO NEAREST CROSS STREET OLIVE 8588 019 024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY LA 100 AMP PANELS MCC 1 00 PAN 38 85 TENANTTOTAL FEES 66 60 ISSUEVON PROCESSED BY PLAN BY EXPIRES ON 04/03/01 UT 09/30/01 OWNER TEL NO It FINAL DT FI Y CODE CHANG PETER (626) 485 9308 e--i 2 5419 BALDWIN AVEUE TEMPLE CITY CA 91780 D SCRIPTION OF WOR PANEL CHANGE OUT U ADE FROM 3 AMP TO 100AMP APPLICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS i ES Co CONTRACTOR TEL NO I �� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO � PORF i RY POWER POLE i UNDERGFOUND CONDUIT ARCHITECT OR ENGINEERTEL NO UFEE OUND LIC NO �, 1111111 ROUGH CONDUIT ROUGH UIRING FU'Log-'M(C WOO � S MAIN WIfTER LINE PLASTIC Y/N METAL Y/N UTILIT COMPANY NOTIFIED o � El �y Q ® Service'Ttol i { I l I { + REPORT ID DPR265 ROUTE TO SS0508 { t WORKERS COMPENSATION DECLARATION 63 10/81 CE 8o6G APPLICATION FOR ELECTRICAL PERMIT I hersby affirm that I have a certificate of consent to self CE ieu e or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a ceT4ified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB �t- 9 Q4' Wl� P Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS71 1 vTem Je (A ❑ Certified copy is filed with the county building inspec 1 & 2 Family Sq Ft y $ — $ LOCALITY tion department Multi family Sq Ft NEAREST CROSS ST C)i �Ve Residential Swimming Pools OWNER OR Date Applicant �/ FIRM NAME j I -- N P CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light�Sw� MAIL ,y p ,dw� ,,- COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work involved by Total No 1 _ Additional CITY e Tel No( Z the permit is for one hundred dollars ($100)or less ) that in the performance of the work for which this PLAN CHECK I certify p 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 Total No 4_ Additional CITY I Date - {+pelican Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after king this ertificate APPLICANT Exemption you should becom subject to the Worke Range_ Heater_D W — Compensation provisions of the Labor Code you must 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 Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NOPROCE BY and Professions Code and m license is in full force and effectCL Size &Type HP KW KVA or KVAR O License Number Lic Class Up to 1 Incl FINAL V 09 Over 1 to 10 Incl DATE C,_�� VA ATION Contractor Date U ❑ Over 10 to 50 Incl FIN V I am exempt under Sec Over 50 to 100 Inc B LL B &P C for this reason Over 100 Date Services Swbd MCC & Panelboards - X 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V 8 0 3 A Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect # e e o o o 2 SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit - ' I . - 390-0--, j 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 0 0 0 3 9 0 0 Professions Code) r �'• /�a� V - - ❑ I as owner the prop;will dot work and the Misc Conduits& Conductors o930-87 structure is t intende or offered r sale (Section Other (See Complete Fee Schedule)_ I 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY I 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) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender s Name /0 PERMIT ISSUING FEE Lender s Address 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 jaws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes y� SEE REVERSE FOR EXPLANATORY LANGUAGE ,nature of Pe mitt a Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0008160005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL EES PAID BUILDING ADDRESS ON FILE 5419 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802625 ASSESSOR IRT-0-R-RATION NUMBERNEAREST CROSS STREET OLIVE 8588 019 024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY HA FAU LESS 3HP 1 00 FAU 10 95 TENANT JB AC UNITS +3 1OHP 1 00 AC 19 65 ISSUED N PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 58 35 08/16/00 UT 02/13/01 OWNER TEL NO FINAL DATE FINAL BY CODE CHENG YIN LUNG,JENNY (818) 330 2878 15614 TALOGA ST HACH 917456045 D SCRIP F WORK ELECTRICAL FOR HVAC SYSTEM APPLICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS ES Co CONTRACTOR TEL NO Sj APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO TEMPORARY POLE a UNDERGROUND CONDUIT ARCHITECT R ENGINEER TEL NO UFER GROUND LIC NO / 1111111 ROUGH CONDUIT LROUGH WIRING LoLo n D n C n /1 /70��/J 3 MAIN WATER LINE U U ILI�� \V//�\�'1/ IIILJJI^LLLSIII IL.11((� PLASTIC Y/N METAL Y/N UTILITY C014PANY NOTIFIED 0 ❑ F .t o �er��e Y�a�'`N REPORT ID DPR265 ROUTE TO BSO5O8