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Home My Public Portal About5435 CAMBURY AVE_Electrical__ CID 7SA663 CE-606 NF 6/78 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES BUILDING AND SAF FOR APPLICANTTO FILL IN JOB ADDRESS C/ ' New Residential Bldgs.&Pools EACH NO. FEE 1 &2-For y,.5q. Ft. V — $ LOCALITY Multi family Sq. Fr. — NEAREST CROSS ST. Residential Swimming Pools OWNER OR tl ,I FIRM NAME h 7 Outlets:Rec—(;L LightA�Sw. MA L ADDRESS P /Q First 20 Total No. 14A_ Additional CITY Tel. �-(0 PLAN CHECK .� APPLICANT Lighting Fixtures First 20 5 ADDRESS Total No. Additional CITY Tel.No. Fixed Appliances Not Over I HP PERMIT. APPLICANT _ Range—HeaterD.W. Oven_Dryer�W.M.:X__ - ADDRESS A Top _FAU — W.H._ ` CITY L TeL No. Hood_Fan —Other— LICENSE OR Dlsp._Room Air Cond.- — REG.NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. G Up to I Incl. - V HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Ind. LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Inc). CALIFORNIA THAT A THE LEGAL OWNER OF THE ABOVE O - _ - DESCRIBED RESISIDEN L PROROPE TY. Over 50 to 100 Inc. PERMITEE [1 Over 100 SIGNATURE ZL"� N Services DISTRICT NO. ROC D BY Z 0 200 Amp.Under 600 V JJJJIlI —>. . 201-1000 Amp. Under 600 V Over 1000 Amp.or Over 600 V Z O Temp. Power Pole&Appurtenances C Sign with One Branch Circuit — Additional Sign Branch Circuits INSPECTION > INFORMATION v Misc.Conduits&Conductors ON REVERSE z Other(See Complete Fee Schedule)_ SIDE - V i529.9A #'6o16 < a2 PERMIT FEE (Sub-Total) Z 2 0'02 1.5 0 PLAN CHECKING FEE Ione-Fourth Permit Feel O 00 21.50� PERMIT ISSUING FEE G TOTAL FEE �,....� > 0 8.0'6—7 9 INSPECTION/EINALED /�date: 4 i�; 96A663 Das SA D-S. APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �� WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL INn DISTR ICT NO. GRMl ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS Q � � 464 FIRST INSPECTION CITY TE NO. -O /�LS� T' • "-� _ 1 � / COUNTY LICENSE NO. O L EXPIRES BUILDING PERMIT FEES ADORES- 3 ' NUMBFEEgER EACH LOCALITY LIGHT OUTLETS ( NEAREST / s _ RECEPTACLES CROSS BT. WALL SWITCHES U OWNE3A I TOTAL OUTLETS 5C S 17 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL NO. EB 5 MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 47r— MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER New MvD. HP .VER I INC. EACH OF THE RESIDENTIAL PROPERTY DE CRISED ABOVE. I/ a E[es - .25 SIGNATURE OF��/y I/E a .50 PERMITTEE : I 2 9 1.00 INSPECTION RECORD s is nsp 1s so z.sp 50 ZOO 5.00 '2DO 600 10. J 500 1000 15.00 00 Z OVER 1000 20.00 0 M.O. BET/FRED. CHANGER-HP R' WELDERS:AC-KVA D GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% of oRIG.) MOVED MOTORS (75% OF URIC.) misc. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'-NAME FOR EACH PERMIT: WIRING 51.00 G b CONDUIT FIXTURES WIRING SUPPLEMENTARY .SO FIXTURES POWER TOTAL FEE ® H UTILITY CO. NOTIFIED �qFO�Y I/ FINAL ///sV I/ G-4 11 'v 7GA603.CE806.10.56 APPLICATION( FOR (ELECTRIC PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County of Los Angeles ADDRESS J 7 ' JOHN A. LAMBIE, COUNTY ENGINEER YJ CASSATT D. GRIFFIN. 6UP•T of BU1LOING LOCALITY Y l NEAREST FOR APPLICANT TO FILL IN c..... 0G3 aT PERMIT FEES LIGHTS / RECEPTACLES SWITCHES OWNER NUM6ER ITEM EACH FEE MAIL ADDRESS TOTAL OUTLETS $ .10 $ rJ ELEC. RANGES, WATER HEATERS, CITY 'TEL. NO. CLOTHES DRYERS .50 ELEC. SPACE HEATERS, STAT-Y. COOK- ELECTRICIAN ING UXITS. GARBAGE DISPOSERS, ADDRESS S� 1 AUTO WASHERS. DISHWASHER .25 LIGHTING FIXTURES .10 TEL. NO. I^767 MOTORS STATE LICENSE NO. HORSEPOWER ° H.P. OVER INC. -DISTRIIICTT NO. I GROiJpj ZONE I READY FOR INSPECTION �/t @ LESS .25 / 72; - 2 .50 SO INSPECTION RECORD 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. .SIGNS I NO.TRANS NO.LAMPS I.. SERVICE 0 500 1.001 I� SERVICE OVER 600V. 5'.00 WIRING PERMIT 1.00 1 DC) ' I` FIXTURE PERMIT 1.00 LV O SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE E o DATE INSPECTOR'S,SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE.READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY*ORDINANCES AND STATE LAWS REGULATING E ELECTRICAL WIRING. WIRING Vr4 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PEAT I SIGNATURE' UTILITY CO. NOTIFIED OF PERMITTEE I FINAL JOHN A. LAMBIE, OLIDATION ARTN UR C.VEIT, COUNTY ENGINEER SUPERVILING ELECTRICAL ENGINEER CK/ K MO GSH j 2.5 7'7—� SEP23 2 2.90 n WORKERS' COMPENSATION DECLARATION 76.00,caawJ,$) APPLICATION FOR ELECTRICAL PERMIT hereby affirm that I have a Certificate of consent to self !CEA , .insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS e ( a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB S r ❑Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS F-1CertifiedCertified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — $ P tion department. Multi-family Sq. Ft. — NEARESTCROSS r Date Applicant Residential Swimming Pools OWNERSOR �� V M NAME ^ FIRUVO C�s�a CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_Light_Sw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work Involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, sholl not employ any prson' an mannerA Lighting Fixtures First 20 ADDRESS so as to become subject to the Worke Co n g g jj�� Additional Dote Applicom Total No. CITY Tel. No. NOTI TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT / Exemption, you should become subject t- the Workers' Range— Heater—D.W. _ APPLICATION Lrr /' I,Ls� /q,6l�Cp Compensation provisions of the Labor Code, you must forth- Oven _ Dryer —W.M.— ADDRESS I3G G. /�L/v0, with comply with such provisions or this permit shall be Top — FAU —W.H. — c deemed revoked. Hood — Fan —Other_ CITY �E V7� Tel. No. LICENSED CONTRACTORS DECLARATION Dis — Room Air Cond. LICENSE OR M I hereby affirm that I am licensed under provisions of Chapter 9 p REG. NUMBER ^2.�'r (p Class.0i (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROCESSED BY >_ and Professions Code,and my license is in full force and effect. p CC Size 8 Type HP, KW, KVA, or KVAR G t - -/ Q License Number 2.rr5 ///7/ Lic Class Up to 1 Incl. FINAL , j / U ! 7n� y Over 1 to IO Incl. DATE Y .� VALIDATION 0 Contractor Date i Over 10 to 50 Incl. FINAL I_ ❑ 1 a exempt under Sec. Over 50 to 100 Inc.Over 100 W BY U B.BP.C. for this reason d Date: Services, Swbd. MCC 8 Panelboords D Z 0 200 Amp'. oder 600 V r Signature 201 - mp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Mo int. Elect. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp. Power Pole 8 Appurtenances a I hereby affirm that I exempt from the Contractor's license Sign with One Branch Circuit =�"t`T Low for the followingg r reason (Section 7031.5, Business and Additional Sign Branch Circuits 7j,4_IJ Professions Code): - 1❑ ITEM'.' 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 7044, Other (See Complete Fee Schedule)_ D TOTAL i HL 35 1 00 Business and Professions Code). -1 CONSTRUCTION LENDING AGENCY _. I hereby affirm that there is a construction lending agency for - !.i;HPiflt the performance of the work for which this,permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Ilfl�if-_I�t(Ii zr/1 11 i Lender's Name PERMIT ISSUING FEE �3 1 t�l� �.�1C• 7,t Lender's Address B.O 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 Taws regulating Electrical wiring, and herebyloth rize for s atives of this County to enter upon the ova-me party f inspection purposes. -4 SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Per ttee Date COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1209050030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ITA: 17002 LT: 30 I I 5435 GAMBDRY AV I IEEE DESCRIPTION: QUANTITY: CUM: AMOUNT: ( TEMP CA 917802640 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: NADINE 8588-020-004 IAS PERMIT ISSUANCE FEE 27.80 i THOMAS PAGE: 597 GRID: A9 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 18.00 OUT 36.00 I I TENANT: IG2 LIGHTING FIXTURES 22.00 LOT 41.70 JISSUED ON: PROCESSED BY: PLAN BY: IH2 RES GREG DISP LT 3HP 1.00 DIS 11.00 09/05/12 SR H4 RES RANGE HDS LT 3HP 1.00 H00 11.00 I TOWNER: TEL. NO: IH5 RES WASH MACH LT 3HP 1.00 WAS 11.00 IFINAL RATE FINAL BY: CODE: SCHEN, PO-HAN - TOTAL FEES 138.50 15435 CAMBURY AV F/ ` 6RTEMP 917802690 IDE�CRIPTION OF WORK ADD NEW RECESSED LIGHTS (18) GFCI PLUGS IN KITCHEN AND BATH IROOM REMODEL (APPLICANT: TEL. NO: (JIMMY'S HELPING HAND (626) 695-3591- 118565 FIELDEROOK ST. (SPECIAL CONDITIONS: OW RLAND HIS CA 91748 � � I I (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1S HELPING HAND (626) 695-3591- ( 11856518565 FIELDCROOK STREET LIC. NO I TEMPORARY POWER POLE ROWLAND HIS, CA 91748 898080-B (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I LIC. NO: IROUGH CONDUIT TROUGH WIRING WAIN WATER LINE (PLASTIC Y/N METAL Y/N T UTILITY COMPANY NOTIFIED I I I I I I I I I I I I I I I I I I I I (REPORT ID: DPR265 ROUTE T0: BSO508 I