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Home My Public Portal About5928 BURTON AVE_Electrical__ 76AB53-CP80610172 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS /� BUILDING AND SAFETY DIVISION LOCALITY NEAREST ` FOR APPLICANTTO FILL IN CROSS ST. Jv n OUTLETS No. EACH FEE OWNER AME .� �.t%,.C/` J RECEPT._1 S $ ADDRESS J �. r' U LIGHT ) TOTAL FIRST 20 p0 J1 OVER 20 CITY .y TEL. NOc�j ffr SWITCH �� _IO PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES .10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CIrY. • TEL. NO. PERMIT RANGE_DRYER_WTR, RTR._ APPLICANT STA. COOK O15P. F.A.U._ g00RE55 SPACE HTR. AIR GOND. CI TV TEL. NO. CLOTHES WASH. DISHWASH._ LICENSE OR REG. NUMBER CLASS. FAN_OTHER 1.00 1 MENEBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. RVA. ELECTRICAL WIRING. SIZE A TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 300 DESCRMED RESIDENTIAL PROPERTY. IQ- O PERMITEE 6A 10 - 60 500 SIGNATURE O 50 - 100 1000 DISTRICT NO. PROC EO BY - U W 100 - 600 1500 G� "'—e_ Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 300 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL Z_ PERMIT FEE (SUB TOTAL) 21 NOTES' PLAN CHECK FEE PERMIT ISSUING FEE 3.00 `3 la e TOTAL FEE PLAN CHECK VALIDATION CK.. M.o. CASH PERMIT VALIDATION CK. M.O. SH l 2 a 3.5 0 A�� J 7 r; _ . . . SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE / • COUNTY- OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENTS OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0103010011 BUILDING AND SAFETY / [AND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5903 LT: 100 5928 BURTON AV N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752630 ASSESSOR IN 0RMA ION NUMBER: NEAREST CROSS STREET: HERMOSA 5386-014-057 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY Gl OUTLETS-LGT,SW,RECP 23.00 OUT 43.05 TENANT: G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 03/01/01 LS 08/28/01 H7 RES EXHAUST FANS 1.00 EX 10.95 OWNER: TEL. NO: TOTAL FEES 112.20 FINAL DA E B CODE: GASSER, ERIC; ELLEN (626) 309-0560- / 5928 BURTON AV SGAB 917752630 DESCRIPTION OAF K 2 BEDROOM, BATH ADDITIOi N APPLICANT: -T-EE-NO. : M.P. CONSTRUCTION COMP. (626) 852-5866- P.O. BOX 116 SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE M. P. CONSTRUCTION CO. (626) 285-8202- P. 0. BOX 116 LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 6771366 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WISR]NG iL MAIN WAT E9R' LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0104260014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5903 LT: 100 5928 BURTON AV N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752630 ASSESSOR INFOR AT ON NUMBER: NEAREST CROSS STREET: HERMOSA 5386-014-057 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 3.00 BR 51.75 TENANT: G1 OUTLETS-LGT,SW,RECP 11.00 OUT 21.45 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 8.00 LGT 15.60 04/26/01 JK 10/23/01 H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95 OWNER: TEL. NO: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 FINAL D TE C+BY CODE: BEISSER ERIC A;ELLEN M (626) 309-0560- H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 to , O I 5928 BURTON AV TOTAL FEES 149.40 SGAB 917752630 DESCRI TI N OF 1 ELECTRICAL FOR KITCH I REMO EL APPLICANT: T 0: M.P. CONSTRUCTION CO (626) 852-5866- P.O.BOX 116 SPECIAL CONDITIONS: TEMPLE CITY,CA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SI GNAT RE M P CONSTRUCTION CO. (626) 852-5866- P.O. BOX 116 LIC. NO TEMPORARY•POWER POLE TEMPLE CITY, CA 91780 677136 B UNDERGROUNDPCONDUIT " ARCHITECT OR ENGINEER: TEL1i . N0: TER GROUND, - J LIC. NO: ROJHICONDUIT ROUGH WIRING 11 2-7 O� MAIN WAltK LINE 1 PLASTIC Y/N METAL Y/N ./ UTILITY Y COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION 76-66310/81 CE-8e60 APPLICATION FOR ELECTRICAL PERMIT I hereby•affirn7 that I-have a certificateof consent to self insure, or acertificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab. C.) ' Policy No. Company • FOR APPLICANT TO FILCIN- JOB �. ,❑ ADDRESS Certified copy is hereby furnished. New Residential Bldgs.& Pools -EACH NO., FEE yJ VA On ❑ ' 1 & 2-.Family.Sq. Ft.' $ — S LOCALITY. - Certified copy is-filed with the county building inspection department. Multi-family Sq.FL NEARESTGROSS ST _ 67 • Date Applicant Residential Swimming Pools OWNER OR - - ' - - FIRM NAME \aAc CERTIFICATE OF EXEMPTION FROM WORKERS' - MAIL COMPENSATION INSURANCE- Outlets:Rec_Light _ Sw. ADDRESS ti\ (This section need not be completed If the work involved by the First 20 permit is for one hundred dollars ($100).or less.) Total No. Additional - CITY .. Tel.No.%17 I certify that in they performance of thework for which this permitPLAN CHECK` • is issued, F shall not employ,any person APPLICANT in any manner so as to - .become subject to the Workers'Compensation Laws.. - Lighting Fixtures First 20 ADDRESS --1� Additional .� _\z, b Total No. CITY- Tel.No. Date e � Applicant \ Fixed Appliances Not Over.1•HP NOTICE TO'AP UCANT: if, after making -this- Certificate of. - PERMIT V ,Exemption,you should became subject to the Workers'Compensation* r. Range_ Heater_ DW _" _ APPLICANT .provisions of the Labor,Code,you must forthwith comply with such Oven__ Dryer — W.M._ ADDRESS Vv0kQ\w g provisions or this permit shall be deemed revoked. Top — FAU W.H. l� .LICENSED CONTRACTORS DECLARATION � Hood — Fan _ Other— CITY Tel.No.`+ 0. IgC I'hereby affirm that-I am licensed under,provisions•of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and . 'Disp. .— .Room Air Cond. REG.NUMBER 'C p class. Professions Code,and my license is in full force and effect. DISTRICT NO. PR Eo BY Power.Apparatus 8-Large Appliances (y MSize&Type HP,KW,KVA,or KVAR - i�� - ?i. Q License Number FjQ�{O -1 "\IClass C_\ D Up to.1 Incl. FINAL U . x Over 1 to 10 Incl. DATE. Q_ Contractor ��e < < Date "D�L• b �J -" �(r 6 � l VALIDATION- ._ .0 ❑ Over 10 to 50 Incl: FINAL am exempt under Sec. Over 50 to 100 Inc. BY U W B&P.C.for this reason Over 100 Z N .. Services,: zn Swbd.,MCC & Pelboards - ? Z If Date: 0- 200 Amp.Under 600 V.1010 Signature 201 1000 Amp.Under 600 - - - ❑ Over 1000 Amp.or Over 600 V , Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&.Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law aI,GT�� for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): l7 ❑ . 7 - Tt= ,- I,as owner the:property,will do the work and the structure Misc.'Conduits& Conductors _}-i.` is not intended d or offered for sale (Section 7044, Business Other(See Complete Fee Sc edule) _ - and Professions Code). '1�\1� D TOTAL �. m 55 CONSTRUCTION LENDING AGENCY' ':f,��•i1 `=ij,�Pl I hereby affirm that there is a construction lending agency for the performance of the work for which this'permit is issued(Seo.3097, ' PERMIT FEE (Sub-Total) Il .- Civ. C.). PLAN CHECKING FEE- Lender's Name - 1 .. 1131QI1 I(f 111 'j /P'1 PERMIT ISSUING FEE Lender's Address - ` - 1 certify that I have read this application and state that the above TOTAL.FEE. ,J' , . •. 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 RV\ 1\0 'nuc '3,cA p1 (. Si nature of Permittee Date .