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Home My Public Portal About5227 DEGAS AVE_Plumbing__ 7CA663.CESOG 10-62 APPLICATION F®R ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING saa BUILDING AND SAFETY DIVISION 11 ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER - WILLIAM A. JENSEN, SUPT OF SUILBING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. -C FT 1 TOTAL NO. EACX !FIU UTLETS FIRBT 20 S 2O S OWNERMAIL noo•L ADDRESS OYER 20 .10 TTAL ^ CITY TEL•. NO. NG FIRsr 20 f .20 `RES �/ ADB•L 10 ELECTRICIAN L:O • "' OYER 2O ��/f RANGES CLO.BRYERS WTR.HTRS. 1.00 ADDRESS oc— STA.COOK CITYef�'Y + TEL NO. (�! DISnw = - AUTO.-WASH. STATE SPACE HTRS. STA.AP : .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTTF T NO. GROUP ONE P 7�ESSED BY O 1 LOO 1 3 1.50 INSPECTION RECORD ' 3 5 12.00 �.�` �SI — O ��i/,� V S IS 12.50 7 TF{CRM 011LLAST T' v Is 50 3.00 O 0 50 f00 5.00 ZS = cc _ C,g' I& kSIGN : NO.TRANS, f/Z� NO.LAMPS UTSC C1fY. L 1GTU Rr I CE 0.600V.NoT OVER 200A1.00CE 0.60OV-OVER 200 A. 2.00 CE OVER 600V 5.00 PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 6 1,6- I S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS BATE, INSPECTOR'SSIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING � / ��J/ ELECTRICAL WIRING. WIRING L r �L• 124,A ,A&14" I I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ' LICENSED AS REQUIRE. BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED O— G OF PERMITTEE / FINAL LIBATION ARr utt C. vE' W SUPERVISING ELE R ICAL ENGINEER CAL ENGINEERCK MO CASH Ltvlo 14 4 6:o MAY 11 2 D 1 5.//12 0 WORKERS'COMPENSATION DECLARATION 76A663 /7 CE-806G (280) APPLICATION FOR ELECTRICAL PERMIT : ylull I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES �+$"it Q,ING AND SAFETY insure, or a certificate of Workers'Compen ion Insurance,or c/�f a certified cop�t¢erV ,,.3800,L r7% OOGG NN /�J I FOR APPLICANT TO FILL IN ,JOg Policlf No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDR Certified copy is hereby furnished. _ �n Y 1 &2-Family,Sq. Ft. $ — $ LOC ITV Certified copy is filed with the county building inspection Multi-family Sq. Ft. NEARESTCROSS ST de rim�C�TIE t Residential Swimming Pools OWNER OR ��///�//f�1��/// ��// //A / f7 FIRM NAM E Date ApplicaRt�L_d/'K ' /`-��--- Outlets: Rec._L fight_Sw. MAIL C V First 20 ADDRESS CE RTIP OF EXE PTION FROM WORKERS' Total No. Additional CIT Te o3 COMPENSATION INSURANCE PLAN CHECK a (This section need not be completed if the work involved APPLICANT O by-the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS U Total No. Additional 2 I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No. O permit is issued, I shall not employ any person in any manner PERMIT 0 so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT W Oven _ Dryer_W.M. ADDRESS / W Date Applicant Top _ FAU _W.H. ��//�� _ Hood _ Fan Othed� CI TV el No. NOTICE,TO APPLICANT:'If, after making this Certificate of Disp. _ Room Air Cond._ LICENSE OR Exemption, you should become subject to the `Workers' REG. NU IRE Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSZD BY with comply with such provisions or this permit shall be / deemed revoked. Size&Type HP,KW, KVA,or Up to 1 Incl FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE 'VAL DATI N s Over 10 to 50 Ind. S eZ S �Z I herebyaffirm that I am licensed under p FINAL provisions of Chapter Over 50 to 100 Inc. FI 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 S�j _ 3 0-200 Amp. Under 600 V License Numbe��Lic.Class a 201-1000 Amp. Under 600 V Contractor�(.iy Date 271120 Over 1000 Amp.or Over 600 V HOME OWNER-BU ILDER.DEC ARATION Temp.Power Pole& Appurtenances I 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): El Misc.Conduits& Conductors :24858A i, as owner of the property, will the work and the Other (See Complete Fee Schedule)— structure is not intended or offerem d for sale (Section e 'Z 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY. Z onye 9.50 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) o.e o 0 9.5 x issued (Sec.3097,Civ.C.). r Q Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) _ 0 Q;2.0—8 ) Lender's Address PERMIT ISSUING FEE AP 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 laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon _ the above-mentioned property for inspection purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE ' Si a ature of Permittee a e /78A 997-C FO6t7 10-82 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER I ADDRESS 9227 Degas Aye WILLIAM A. JENSEN, SUPT OF B. LOING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST cross sr. ick NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 .7 Dnal COI' MAIL 1 BATH TUB 1.25 1.25 ADDRESS CITY TEL. NO. 7 SHOWER 1.25 50 3 LAVATORY 125 3.75 CONTRACTOR 1 SINK 1.25 1.25 ADDRESS 4265 No. Baldwin Ave. DISHWASHER 1.251 2 CITY 1Monte TEL. NO. 443-0078 LAUNDRY 'IUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. 231741 COUNTY Cl CLOTHES WASHER 1.25 25 DISTRICT NO. GROUP /�ZOONE P OCESSED BY 1 WATER HEATER 1.50 1.50 q S' _ ff ,[/(,.. � 1 GAS SYSTEM 5 OUTLETS 1.50 1.50 INDUSTRIAL 1O OUTLETS OVER 5 PER SYSTEM .20 WASTE APPROVAL INSPECTION IN•S 1PECTIOOqNNy RECORD•• '' y-D V UJ"r3 L.HI NG 1Fa�+ f mo K W PTU GAS LI O L= W h1taT 1 IJ e?T. CK LATB� z i IFA_) APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK �Z ��PPW,�iT'W� �lT�/1�,.�.Ypi,yl4 > ROUGH PLUM BING _. .[�� a_A4.,DAALdt' Q- TOTAL FEE 20.00 / GAS PIPING IH ACKNOWLEDGE THAT HAVE READ THIS APPLICATION GASVENT AND $TATE.TRRT THE ABOVE ICORRECT AND AGREE COMPLY / WITH ALL COUNTY ORDINANCES S ANO STATE LAWS' REGULATING HOT WATER HEATER �y PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY RE GI STEREO AND/OR PLUM SING FIXTURES •.s(.( LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO - T... RESIDE IN, THE ABOVE D SCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL VALIDATION ROBERT A. W066 U 0 M.O. CASH SUPERVISING MECHANICAL ENG'R ILh;ltl 9 3 5 0 5 D 2 0.0 0- r �v WORKER'Shave a certificate DECLARATION 76A66 A 9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby-affirm That I have a certificate of consent to self insure, or a,�,ertificate of Worker's Compensation Insurance, or a certified copy thereof(Sec. 3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No Company ❑ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGS eZ 7 J �G'r4-S E Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET. '�(� NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 15 L`/�C COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or less.) LAVATORY OWNER G` A�, I certify that in the performance of the work for which this permit MAIL is issued, I shall not employ any person in any manner so as to SINK ADDRESS sa 27 GI-X-C /4 JJ F become subject to the Workers' Compensation Laws. DISWASHER CITY iwi PL E C j r TEL.NO. PC- Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption, you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR you must forthwith comply ADDRESS provisions of the Labor Code, y p y with such provisions or this permit Shall be deemed revoked. IAWN SPRINKLER SYSTEM , LICENSED CONTRACTORS DECLARATION CITY TEL.NO. } I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER d (commencing with Section 7000)of Division 3 of the Business and — STATE LIC.GAS SYSTEM OUTLETS LICENSE NO. CLASS O Professions Code,and my license is in full farce and effect. V OUTLETS OVER DISTRICT NO. PROCESSED BY cc 5 PER SYSTEMr�/ Q License Number Lic.Class 1,) I— FCATIN A40 7'- VALIDATION d Contractor Dale �! ElBI am exempt under Sec. FINVAL�J �� Z U L B.BP.C.for this reason Date: Plan check fee PLUMBING PERMIT ISSUING FEE$ /--��1 J✓ Signature ❑ TOTAL FEE �.(/ _ T E•Ni C; . SINGLE FAMILY Plan check applicant ?'i Iyy!y o HOME OWNER-BUILDER DECLARATION Name (.AC. '_1 j! I hereby affirm that I am exempt from the Contractor's License Law - for the following reason (Section 7031.5, Business and Professions Address - r- II;0 Code): :e lhff I '_ City Tel. No. Y� , I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business OC![!!_ 1 :f_f)j' r�r and Professions Code). > 1, jC- 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, Civ.C.) Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances , and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE -.2G-9� Signature of Permittee r Date