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Home My Public Portal About5221 BARELA AVE_Electrical__ DBS-SA APPLICATION FOR ELECTRIC'- PERMIT RM IT- DBB.Bw ta•sa• ' DIVISION OF BUILDING AND SAFETY Department of County Engineer ' County of-Los Angeles BUILDING WM.J. FOX, COUNTY ENGSNIEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING FOR APPLICANT TO FILL 1N Lo.CALI.TY PERMIT FEES NEAREST. CROSS ST. NUMBER EACH FEE LIGHT OUTLETS OWNER• d RECEPTACLES I`1A11 WALL SWITCHES ADDRESS. TOTAL OUTLETS. 5¢. CITY TEL. NO. ELEC. RANGES 2r. —ELECTRICIAN ELEC.HEATERS . 25 ADDRESS KW EA CITY' TEL. NO FIXTURES5 LICENSE NO. @' NUMBER OF LIGHT CIRCUITS NUMBER O REC PTHC E clRculTs ! DISTRICT NO: GROUP ZOQNE READY FOR INSPECTION MOTORS • 'I NUMBER HORSEPOWER• FEE` INSPECTION RECORD NEW MVD. HP OVER INC. EACH &LESS $ .25 ]fi 2 .5'O 2 5 1.00 1 5 15 1..50 1.5. •50 2.50 1 5.0 200 5.00 MISC.' NO.SIGNS NO.TRANS: NO.SIGNS NO. LAMPS FOR EACH PERMIT' WIRING $1.00 FIXTURES $1.00 ' SUPPLEMENTARY .50 APPROVALS TOTAL FEE: $ .� DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION CONDUIT w AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES-AND STATE LAWS REGULATING WIRING- ELECTRICAL IRINGELECTRICAL WIRING.' 1 HEREBY CERTIFY THAT 1•.AM PROPERLY REGISTERED AND/OR FIXTURES- ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i CALIFORNIA OR THAT, POWER I M THE.LEGAL ER OF THE ABOVE '1 DESCRIBED RESIDE OPER UTILITY CO.NOTIFIED Z `Z• S g` J ��CJ^— S'IGNATU.RE OF PERM ITTE FINAL• WILLIAM J.FO OUNTY ENGINEER ' V .91-2-f By ® EPUTY'. 76A663-CESOG 6/63 APPLICATION_ FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FB ILDING �ry BUILDING AND SAFETY DIVISION DRESS Z 13 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING CALITY tiY_ r L--/AREST • .FOR APPLICANT TO FILL IN OSS ST. L RECEPT. TOTAL CH FEE OUTLETS FIRST 20 $2O i .� �� OWNER LIGHT MAIL ADD'L 10 ADDRESS SWITCH. OVER 20 LIGHTING TOTAL FYRST 20 .20 i o CITY TEL.NO. FIXTURES } ADD'L 10 ELECTRICIAN OV R 20 ff [[�• RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 1� J Cl GARB.DISP. STA.COOK - 2 a. • CITY TEL.NO.O DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(1/a H.P.MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER,. H.P. DISTRICT NO. GROUP NE PROCESSED BY O 1 1.00 �7 s Vg / - �'� ��S•q 1 s 1 11.50 f INSPECTION, RECORD 3 8 2.00 Y� j "71�fi11O Y:�✓ S J+�✓ ! a O 8 15 2.50 15 50 3.00 y 50 100 5.00 u V NO.TRANS. d SIGNS: NO.LAMPS Z SERVICE 0-600V-NOT OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. i PERMIT ISSUING FEE 2.00 4 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 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 ELECTRICAL WIRING. WIRING ' IP�/'I. d}4M11:-�I �1^'. �%^'"''I'�."•: � I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR n/Ar fjld titb�;�' l 1J a LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES _n..• l!�'' 'T—j^LrK `•�' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIIAA FE POWER ' SIGNATURE ( UTILITY CO.NOTIFIED ! -e—a OF PERMITTEE �� FINAL YALIDATION ARTHUR C. VETT ` CK MO ' CASH SUPERVISING ELECTRICAL ENGINEER MRY 2 8 2 D 4.6 0- WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I herebi a.firm that I have a certificate of consent to self insure, A. 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. 3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ 1 &2-Family,Sq.Ft. $ $ Certified copy is filed with the county building inspection NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools MAP BOOK ¢ y �y C �lJ p PAGE C/�s PARCEL 10 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Li ht Sw. ^d OWNER OR r� 66 9 FIRM NAME �RR-I s r((V f- �C6"11,d COMPENSATION INSURANCE �/C/ �, (This section need not be completed the work involved by the First 20 MAIL permit is for one hundred dollars($100)or less.) Total No..rAdditional ADDRESS 21 P3ZA9.1:, A AV6. p C I certify that in the performance of the work for which this permit CITY T,/ygrli3 TY. c A e—;T ll.No. ((rt C)',;;,y cm i is issued, I shall not employ any person in any manner so as to PLAN CHECK 4� become subject to the Workers' Compensation Laws. Lighting Fixtures ! First 20 APPLICANT Total No. 6A Additional ` ADDRESS JANOTDate Applicant � WOER ICE TO APPLICANT: If, after making this Certificate oLAPI �R3HP. CITY Tel.No. Exemption,you should become subject to the Workers' Compensation PLIANCT OVER 3 HP.' provisions of the Labor Code, you must forthwith comply with such PERMIT � � p y Power Apparatus&Large Appliances APPLICANT !�' _�,z� provisions or this permit shall be deemed revoked. 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. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code, and my license is in full force and effect. Over 10 to 50 Incl. LICESE OR >_ Over 50 to 100 Incl. REGNNUM ER Class. CL Over 100 DISTRICT NO. PR ESSED BY O License Number Lic.Class Services,Swbd.,MCC&Panelboards �J P!� - t�a� T_ 0-399 Amp'Under 600 V FINAL O Contractor Date DATE I--' 400-1000 Amp.Under 600 V 'meg VALIDATION U ❑ I am exempt under Sec. Over 1000 Am or Over 600 V — W P• FINAL d B.&P.C.for this reason BRANCH CIRCUIT FEES BY U) Date: 15A,or 20A,120V,Lighting or Recept. 6.1tZ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits .s. 41 Or More Branch Circuits ACCT. CC i . ❑ Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits .Js -d 99.40 SINGLE FAMILY Temp.Power Pole&Appurtenances ! �:��3 rL HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law TOTAL o for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits .40 Code): CHECKrt-- 99=40 El1, as owner of the property,will do the work and the structure Misc.Conduits&Conductors C.I�t-NGE .00 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). CONSTRUCTION LENDING AGENCY 0000-000 1 4/11/96 1 hereby affirm that there is a construction lending agency for the r i performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) �' ! t'-' 1 AN � 9'st Civ. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE �� O Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 SIGNATURE OF PERMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0307090015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING-AID—DRESS: TR: 15683 LT: 63 5221 BARELA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803849 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BLACKLEY 8589-012-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 07/09/03 JK 01/05/04 TOTAL FEES 97.20 OWNER: TEL. NO: FINAL DATE FINAL BY: / CODE: LIU ROBERT YUNG-PING;SUN CHRISTINE (626) 285-8176- `-7, �� , o l fl/5221 BARELA AV TEMP 917803849 DESCRIPTION OF WORK ELECTRICAL FOR HVAC; UPGRADE ELECTRICAL PANEL TO 200AMP APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: 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 ROUGH WIRING '] MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED / REPORT ID: DPR265 ROUTE TO: SS0508