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Home My Public Portal About5932 BURTON AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 (ELECTRICAL PERMIT ` 6EPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 'EL 0508 9806190003 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRE S: TR: 5903 LT: 101 UN: .002 f 5932 BURTON AVN <` FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ` SGAB CA 917752630 ASSESSOR IN FORMAT ION NUMB R: NEAREST CROSS STREET: HERMOSA 5386-014-058 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRE5-0 H7 RES EXHAUST FANS 1.00 EX 10.80 06/19/98 UT 06/ 99 TOTAL FEES 71.70 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: STEELE THOMAS A;JEANNE S (626) 287-2344- 5932 BURTON AV SGAB 917752630 UESLRIFlIUN OF WORK ELECTRICAL FOR EXTENTION OF BEDR00 AND NEW BATH APPLICANT: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL- N0: SAME AS OWNER APPROVALS DATE INSPECTOR SIGNATURE - LIC. NO G TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT ORENGINEER: TEL. N0: f � -� UFER GRO D LIC. NO: - -- - I ROUGH CONDUIT ROUGH W ING ]� MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY 0 FLED i REPORT ID: DPR265 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION 76-683 10/61 CE-806G .APPLICATION FOR ELECTRICAL PERMIT {� ' I.hereby �ffirm that I.have,a certificate of consent to self insure, LJUr a certi irate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(See. 800, ab.C.) - Pof Company G FOR APPLICANT TO FILL IN JOB .� Certified copy i herebyfurnished. 'EACH NO. - FEE- ADDRESS New Residential Bldgs:& Pools 1 & 2-Family,S Ft. IS $ LOCALITY Certified copy is "led with the c b ng inspe n Y� q dep me 6 Muiti-family Sq.Ft. CROSS ST. Date Appllcam Residential•Swimming Pools N\ , OWNER OR AG/ .• FIRM NAME CERTIF ATE OF EXEMPTION FROM WORKERS' / a + MAIL COMPENSATION INSURANCE Outlets:Rec-JJY — Light Sw. ' -ADDRESS (This section need not be completed if the work involved by the hist 20. -F ,permit is for one hundred.dollars($100)or less.) Total No. Additional CITY - Tel,No. ' I'certify that in the performance of the work for which this permit PLAN CHECK ls�lssued,.I shall not employ-any person in any manner so as to WPLICANT become subject to.the Workers;Compensation Laws- Lighting Fixtures First 20 ADDRESS Additional Total No._/__ 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, _ _ provisions of-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 IJCENSE OR (commencing with Section 7000)of Division'3 of the Business'antl Disp. — Room Air Cond. REG.NUMBER Class. Professions Code,and my license is In full force and effect. DISTRICT NO. PRO 5 0 BY Power Apparatus&Large Appliances Size&Type HP,KW,KVA,.or KVAR License Number Z7 Lic.Class Up to 1 Incl. FINAL r {• - Over 1 to 10 Ind. DATE (/// $C/ VALIDATION' 0 Contractor Date Over 10 to 50 Incl..' ❑.. I am exempt under Sec. Over 50 to 100 Inc. gyA W B&P.C. for this reason Over 100 r d Services,Swbd„MCC & Panelboards D N Date! 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V• - �t8855A ❑ Over 1000 Amp.or Over 600 V # e e o o 1 Exemption for Reg.Maint.Elect. ^ ?,l 3 5 0 SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ' 13505 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 - - 0 1 26^8 8 Code): - IDMisc. Conduits & Conductors - - I,as owner of the property;will do the work and the structure Other.(See Complete Fee Schedule) ' is not intended or offered for sale (Section 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(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 - informationis correct. I agree to comply with all County ordinances _and State laws regulating Electrical wiring, and hereby authorize representativ of this C ty toe er upon the above-mentioned Pro perty ection pose / SEE REVERSE FOR EXPLANATORY LANGUAGE Si e or Pqwteri Oafe WORKERS'COMPENSATI ON DECLARATION 76A66 CE 806G G 12-801 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES `y� BUILDING AND SAFETY insure, or a certificate oI Workers'Compensation Insurance,or / r a.certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS C New Residential Bldgs.&Pools EACH NO. FEE A/ V �t Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITYJ SGC Certified co g p Multi-family Sq. Ft. — NEAREST copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Rea_Light_Sw. MAIL First 20 � CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY !7/ n Tel No. COMPENSATION INSURANCE PLAN CHECK 1 (This section need not be completed if the work involved APPLICANT U by the permit is for one hundred dollng Fixtures First 20 dollars (5100) or IessJ LightiAdditional ADDRESS I certifythat in the Total No. 0 performance of the work for which this CITY Tel No. F Fixed Appliances Not Over 1 HP permit is issued, 1 shall not Ars' person in any manner PERMIT I ' W so as to become subject to Compensation Laws. - Range_ HeaterD.W. APPLICANT �//tf a-J0 /r�LL'''--ys�,�,,�^�M� .`/ �Ylc �F�W;J \l Oven _ Dryer_W.M. r/ ADDRESS Z 1�Uate_�/ [Jpplicant s+�'-� Top _ FAU _W.H.. Hood _ Fan _Other_ CITY Tel No.J7.31r_?396' NOTICE'TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond:_ LICENSE OR Exemption, you' should become subject to the Workers' REG. NUMBER I Class ) Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances - DISTRICT NO. PROLE ED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. � FINAL Over 1 to 10 Incl DATE ,3 — S'-- VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. 1 hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services / 0-200 Amp.Under 600 V ^} License Number �((r/ Lic.Class �� 201-1000 Amp. Under 600 V �rA / Contractor0Y_iELdlCI4 C4LzT Date 3— /� Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances 1 hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5. Busi- Additional Sign Branch Circuits - ness and Professions Code): <3 3 2 2 A Misc.Conduits&Conductors 1, as owner of the property, will do the work and the Other (See Complete Fee Schedulel— ' structure is not intended or offered for sale (Section o'o e e o 2 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY 2 e * 2350 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) olo 0 2350 . issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel 03-1 9'_82 Lender's Address - PERMIT ISSUING FEEF�' ua it 1 certifv that 1 have read this application and state that the TOTAL FEE Mo )r aJ 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 entioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si na urc of Permittee lDate ' , :WORKER`,+COMPENSATION DECLARATION 76A663 10/el p PP C A MN FOR (fig IGCTII'lOrp p p PERNT "I het§'�/ gffirm that I have a certificate of consent to self CE-806G Y'i IL W Iltl IG IL '4si"i IL EtlY a' a Certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY ocia,certified copy thereof (Sec. 3800, Lab. C.) hlicy No. Company - FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- I &2-Family, Sq. FL S — S LOCALITY tion department. Multi-family Sq. Ft. — 'NEAREST 1,s CROSS ST. C N B Residential Swimming Pools OWNER OR Date Applicant �f FIRM NAME - 111Y C, Nr�vv f I- CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec a Light 13Sw. L� MAIL p'�� C /� O� COMPENSATION INSURANCE .ADDRESS t l (This section need not be completed if the work involved by Total No. l�/ Additional CITY Jq 7 '[..I Tel. No.� the permit is for one hundred dollars ($100)or less.). I certify that in the performance of the work for which this PLAN CHECK. 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. Additional Date Applicant CITY Tel. No. Fixed Appliances Not Over I HP PERMITNOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Range_ Heater D.W. APPLICANT Compensation provisions of the Labor Code, you must forth- Oven _ Dryer Z W.M. ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. r- s deemed revoked. Hood _.Fan _ Other_ CITY J Tel. No. LICENSED CONTRACTORS DECLARATION ,L LICENSE OR 1 hereby affirm that am licensed under provisions of Chapteriii Disp. _ Room Air Cond. v REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large pp DISTRICT NO. PROCES E BY and Professions Code,and my license is in full force and effect. e A liances _ } Size &Type HP, KW, KVA, or KVAR' FINAL O License Number Lic. Class Up to 1 Incl. V Contractor Date Over 1 to 10 Incl. DATE VALIDA 1 N Q ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY w. B.&P.C. for this reason Over 100 % ;2 1261 A H Services, Swbd., MCC 8 Panelboards Z Date: 0 -200 Amp, Under 600 V # e o e e e `Z Signature 201 - 1000 Amp. Under 600 V ( e e 2 5,O O _ Over 1000 Amp. or Over 600 V e o 0 `2 5,Q Q E f Exemption for Reg. Mainz. Elect. - ( 2 2 1 8 4 SINGLE FAMILY Temp. Power Pale& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I 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 g -' Pr fessions Code): I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete fee Schedule)_ D - 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 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE S• 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 ve-mentioned.4ryperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date