The URL can be used to link to this page

Home My Public Portal About5826 BURTON AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0402270003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL FEES PAID BUILDING ADDRESS: TR: 3623 LT: 118 BL: .001 5826 BURTON AV N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917753075 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5387-006-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 48.00 OUT 76.80 TENANT: G2 LIGHTING FIXTURES 18.00 LGT 35.10 ISSUED ON: PROCESSED BY: PLAN BY: --EXPIRES ON: LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 02/27/04 VG 08/25/04 TOTAL FEES 178.50 OWNER: TEL. N0: F DATE F BY: CODE: BASILE STEVEN L;LINDA A (626) 286-5096- `-� 5826 BURTON AV SGAB 917753075 DESCRIPTION OF WOR ELECTRICAL FOR NEW GARAGE/WORKSHOP AND INSTALL NEW SUB-PANEL APPLICANT: TEL. N0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO- APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ZO (� ARCHITECT OR ENGINEER:Ems- TEL. Nom- UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOT F D REPORT ID: DPR265 ROUTE TO: BS0508 r� KERS' COMPENSATION DECLARATION A 6 t3 DPW3/87APPLICATION FOR ELECTRICAL PERMIT O affirm that have a certificate of consent to self 7CE CE806e6G or a certificate of Workers' Compensation Insurance, r COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS entified copy thereof (Sec. 3800, Lab. C.) �.•-tcy No. Company FOR APPLICANT TO FILL IN JOB J/ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ,j" `�-'Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $i — $ LOCALITY �h' tion department. Multi-family Sq. Ft. NEAREST Date Applicant CROSS ST. Residential Swimming Pools OWryFR OR iii _rZLA17,0 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_Light—Sw._ MAIL r/'1 COMPENSATION INSURANCE - First 20 ADDRES �A (This section need not be completed if the work involved by Total No. Additional CITY / 7hJ Tel. No. the permit is for one hundred dollars ($100),or less.) - PLAN CHECK 1 certify that in the performance of the work for which this AP N(ANT permit is issued, I shall not employ any person in any manner " so as to b come subject to the Workers'Compensation Laws. Lighting Fixtures, First 20 ADDRESS Additional Date Applicant Total No. CITY G - Tel. No. �- Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after aking this C r ficate o APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D,W, Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or thispermit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No, LICENSED CONTRACTORS DECLARATION - LICENSE OR Disp. — Room Air Cond. REG. NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROED BY d and Professions Code, and my license is in full force and effect. CE Size 8 Type HP, KW, KVA, or KVAR 1 O License Number Lic. Class Up to I Incl. FINAL` Over 1 to 10 Ind. DATE v Q M Contractor Date V (DATION U EJ _ U Over 10 to 50 Incl. FI L am exempt under Sec. Over 50 to 100 Inc. LL) B.BP.C. for this reason Over 100 VflJ d GO Services, Swbcl_ MCC& Ponelboards Z Z Date: 0- 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V \ El Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V :2 9 9 Z,9 A SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pae 8 Appurtenances # e e•e e e 2 hereby affirm that exempt hContractor's License Sign with One Branch Circuit ') •,e 2 CJ.5,0 Law for the followingg r reason (Section 7n 7031.5, Business and Additional Sign Branch Circuits • Professions Code): e.. • 2 5.5 0,5 ❑ I, as owner of the property, will do the work and theMisc. Conduits 8 Conductors rom structure is not intended Complete Fee Schedule ended or offered for sale(Section 7044, ( P )— 0 624-88 Business and Professions Code). D 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 PERMIT ISSUING FEE I Q Lender's Address I certify that I hove read this application and state that the TOTAL FEE -7 , , above information is correct, I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representativesof this County to enter upon the above-mentioned property for inspection pur oses. SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature oPermittee Q ate WORKERS' COMPENSATION DECLARATION s0_oow DPW 3/8z O r AP�LBCA��®�I �CA� �d�C�I�OCA� �fRilflOg S herb y cffirm shot I have a certificate of consent to self c eoW inSuye, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS "-yr a c xtified copy thereof (Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS ❑Certified co is filed with the count buildinginspec- 1 8 2-Family, S Ft. S — $ LOCALITY PY y P y q NEAREST Onn tion deportment. Multi-family Sq. F. CYT ' Dote Applicant Residential Swimming Pools OWNECROSS R ST.OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_LightSw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS (A (This section need not be completed if the work involved by !t Total No. Additional CITY , Tel. No.6r7—)the permit is for one hundred dollars ($I00) or less.) PLAN CHECK I certify that in :he performance of the work for which this 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 Additional Total No. CITY Tel. No. Dale Applicant Fixed Appliances Not Over I tlP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of �� APPLICATION`' Exemption, you should become subject to the Workers' Rang'0Z Heater—D.W. Compensation provisions of the Labor Code, you must forth- Over n'— Dryer —W.M.— •O0 CO ADDRESS with comply with such provisions or this permit shall be _ deemedrevoked. Hoo�d�.I— Fon —Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION Dis LICENSE OR I hereby affirm-that I am licensed under provisions of Chapter 9 Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. ESSED BY Y and Professions Code,and my license is in full force and effect. Size 8 Type HP, KW, KVA, or KVAR •�0 O License Number Lic. Class O Up to 1 Incl. FINAL Contractor Date Over 1 to 10 Incl. DATE 4y 7 /J L VALIDATION M F- F-1 Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY U W 8.8P.C. for this reason Over 100 11 Date. Services, Swbd., MCC& PonelboardsD Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mainf. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances < HOME OWNER-BUILDER DECLARATION ' 1 herebyaffirm that I am exempt from the Contractor's license Sign with One Branch Circuit P Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): :•I!i __.'JI! as owner of the property, will o the work and the Misc. Conduits&Conductors 1 1 Itii structure f not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ D Business and Professions Code). H I j HL :3 0f-3 CONSTRUCTION LENDING AGENCY _ CHECK 17 11 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 fIi I(hi—!I[I(ly 311:1�rbL PERMIT ISSUING FEE g- Lender's Address � 3 6*_?1� 1 F7 �.1— 41 1 certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County MW ate laws regulating Electrical wiring, and pre latives ofthis County to enter upon ed r erty f r inspection p poses. SEE REVERSE FOR EXPLANATORY LANGUAGE r tttee Dote WORKERS'COMPENSATION DECLARATION 7sn663 10/81 + CE806GAPPLICATION FOR ELECTRICAL PERMIT {� - LJ 'I'here'oy affirm that I have a certificate of consent to self insure, or{oacertlticate•ot Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy,thercof (Sec.3800,Lab. C.) • j Policy No. ` Company FOR APPLICANT TO FILL IN JOB ❑ " Certified copy is hereby furnished. EACH NO..'. FEE ADDRESS New Residential Bldgs.& Pools LOCALITY ❑ 1 & 2-Family, $ — $ Certifi d c py is filed with the y buildi inspection Y.Sq.. NEAREST d r n n. Multi-family Sq. Ft. CROSS ST. Date .Applicant r Residential Swimming Pools OWNER OR - r / FIRM NAME MAIL CEPTIF XEMDT[A ROM WORKE Outlets:Re Light SwADDRESS INSURANCE VV An (This section need not be completed if the work involved by the Total No. First 20 �••�� CITY Tel. permit is for one hundred dollars($100) or less.) --� Additional N..(%K(4_ 5 I certify that in the performance of the work for which this permit PLAIN CANCK is issued, I shall not employ. any person in any manner so as to APPSA 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 NOTICE TO APPLICANT: 11, after making this Certificate of PERMIT Exemption,you should become subject to the.WorkersCompensation Range_ Heater, D.W.— APPLICANT provisionsof the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ - I hereby affirm that,I:am licensed under provisions of Chapter 9 _ UCENSE OR (commencing with Section 70001 of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER - class. Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESS BY Power Apparatus & Large Appliances Size& Type HP,KW,KVA,or KVAR `J• �.? .Ca U License Number Lia Class - - Up to 1 Incl FINAL Contractor Date Over 1 to 10 Inc[. DATE Z` VALIDATION n- ❑ Over 10 to 50 Incl FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY 0 68P.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboartls ACCT. Signature Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V JJI)7 - bc.il3 ❑ Over 7000 Amp.or Over BOON Exemption for Reg.Maint. Elect. 1 ITEMS SINGLE FAMILY Temp.Power Pole& Appurtenances TOTAL 65- 20 HOMEOWNER-BUILDER DECLARATION Sign with One Branch Circuit �. I hereby affirm that I am exempt from the Contractor's License Law CHECK b.r„,fl for the following reason(Section 7031.5, Business and Professions - Additional Sign Branch Circuits Code): - - CHANGE .00 ❑ I,as owner of the property,will do the work and the structure Misc.Conduits & Conductors ' is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) nnnn and Professions Code). > QO0O'0001 10/ 3/90 CONSTRUCTION LENDING AGENCY - a 3103 ..1 AM 8:47 '••['hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE (p 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 0209180037 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY LA 91780 PHONE: (626) 285-0488 EXT: EG D: FEES-PAID BUILDING ADDRESS: TR: 3623 LT: 118 BL: .001 5826 BURTON AV N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917753075 ASSESSOR NFO R: NEAREST CROSS STREET: HERMOSA 5387-006-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 17.00 OUT 33.15 G2 LIGHTING FIXTURES 8.00 LGT 15.60 ISSUED N: PROCESSED LAN EXP RES ON: TOTAL FEES 76.50 09/18/02 JK 03/17/03 OWNER: TEL. N0: FINAL OAT NAL BY: CODE: 5826BASILEB STEVEN L;LINDA A (626) 266-5096- K// zDL 5826 BURTON AV SGAB 917753075 DESCRIPTIONF WURK ELECTRICAL FOR CONVERSION APPLICANT: . SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY ER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: L. N : UFER GROUND LIC. N0: ROUGH CONDUIT RO GH W N OZ �� MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NO IF REPORT ID: DPR265 ROUTE TO: BS0508