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Home My Public Portal About4903 DOREEN AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0112260005 BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: - LEG _ - EES PAID - BUILDING ADDRESS: TR: - TR: 13645 LT: 51 - - 4903 DOREEN AV, FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP, CA 917804117 - ASSESSOR INFORMATION NUMBER - NEAREST•CROSS STREET: LOWER AZUSA 8585-024-037 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 .GRID: C4 LOCALITY: TEMPLE CITY F1 120V, '15/20A BR CKTS 8.00 BR 138.00 TENANT: G1 OUTLETS-LGT,SW,RECP 37.00 OUT 61.95 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON: G2 LIGHTING FIXTURES 12.00 LGT 23:40 12/26/01 JK 06/24/02 LB 2_00 AMP PANELS, MCC 1.00 PAN. OWNER: TEL. NO: TOTAL FEES 289.95 FINAL DATE. ,� �{,J BY: CODE: LE;PHOC _ (626) 350-6798- - E. �Ir�'y� - 4903 DOREEN AVE - - - J TEMPLE,CITY 91780 DESGRIPTIOR'U 0 ELECTRICAL FOR ADDITION APPLICANT: TEL. ` . SAME AS OWNER _ - _ - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: - - `'i�. APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - - LIC. NO TEMPORARY POWER POLE f _ UNDERGROUND CONDUIT -t ARCHITECT OR ENGINEER: TEL. N0: / UFER.GROUND TRAM, (626)(626) 401-9183- i I� - 12028 CELINE ST LIC. N0: ROUGH CONDUIT - EL MONTE.CA 91732 NONE -� - ROUGH WIRING . MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTI [ D - „ - REPORT; ID: DPR265. ROUTE TO: BS0508'„ TFEM,PLE CiTIF 76A663-CE806 8-62 APPLICATION F®RELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING 03 � BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE: COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST 1FOR APPLICANT TO FILL IN Mj CROSS ST. RECEPT. I TOTAL ND. TEACH FEE Jk O lllly OUTLETS FIRST 20 6.2OS �Q OWNER /�1 LIGHT MAIL / SWITCH. / OVERADD 10 OVER 2O O �j ^/ . , 3- LIGHTING TOTAL l FIRST 20 .20 �o CITY TELNO FIXTURES If / ADp L 1O ELECTRICIAN /V Dv R 20 ANGE$ ` CLO.PRYERS WTR.HTRS. 1.00 / ADDRESS GARB.OISP. STA.COOK % CITY TEL,NO. O19HWA9H. AUTO.-WASH. STATE SPACE HTRS. STA.APP.('/.H.P.MAX.) ,50 LICENSE NO MOTORS: OVER NOT OVER r H.P. DISTRICT � G Z NE O 1 1.00 -5 r �/ �xL•`�� 1 — 3 1.50 INSPECTION RECORD 3 8 2.00 p r� _ LGt'f iAtS'F j , 8 15 2.50 ` Y / / Ping y ( - �Ia i J IS 50 3.00 / .E r 0 yr ! U CAI`tt.� d 50 100 5.00 bG `6 Ai 6 jpoxr "10 I c. O lys NO.TRANS. SIGNS: NO.LAMPS � P"6-4 - —ta- AD O qI T I SERVICE O.6OOV-NOT OVER 200A 1.001 • I V W SERVICE 0-600V-DYER 200 A. JABOVE C N SERVICE OVER 600V Z MISC. PERMIT ISSUING FEE SUPPLEMENTARY PERMIT ISSUING FEE TOTAL FEE1HEREBY ACKNOWLEDGE THAT I HAVE READ LICATION APPROVALSJHUR INSPECTOR'S SIGNATUREAND STATE THAT THE ABOVE 19 CORRECT AND ACOMPLY CONDUITWITH ALL -COUNTY ORDINANCES AND STATE LULATINGELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPEPLY ftEANO/OR / _ _ n _LICENSED AS REQUIRED BY LOS ANGELES COUNTATE OF FIXTURES S.11F\A$`�'m`CALIFORNIA OR THAT I AM THE LEGAL OWNEE ABOVE MALI RESIpENTIA ROP Y , POWER SIGNATURE UTILITY CO.NOTIFIE OF PERMITTEE (� FINAL ,YJA.P/V✓-'^A'-"LID � IT K AS, SUPERVISING ELECTR/IGAL ENGINEER LiL,07 :523:3 APR 1C 2 DD ^ 3.4C 76A663-cE8069-64 elpy��1/y�I1I' 11y�A I4I B��p� FOR p/� IS I'1y�/ITy IO1��,IryAE I�I� I1 B"iE Y L ICA Y V®f 4 Y OR ELE Y Yom'V Ea Y IL.`N Y If COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING D (I BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SOP'T. OF BUILDING LOCALITY ^� -�• � "' NEAREST FOR APPLICANT TO FILL IN CROSS ST. r RECEPT. TOTAL NO. EACH FEE Y t OUTLETS FIRST 20 1$20 $ OWNER _ p LIGHT 1 MAIL I ADDRESS swlicn. OVER 20 .10 A'v I 3 a LIGHTING TOTAL . FIRST 20I .20 CITY TEL. NO. 3 FIXTURES } _ I OVER 10 ELECTRICIAN OVDR'L RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. DISH WASH. AUTO.-WASH. STATE SPACE HTRS. STA.APR.(gy H.P.MAX.) •50 LICENSE NO. MOTORS: OVER NOT OVER H.P. .DI^�Ty2ICTN1�' ZONEO o t t.00 n; y�-y J t 3 1.so INSPECTION RECORD 3 e 2.001 a O B is 2.50 V is 50 — 3.00 yr 50 100 5.00 0 V SIGNS: NO.TRANS- W NO.LAMPS a N SERVICE 0.60OV-NOT OVER 200A 1.00 ? SERVICE 0.60OV-OYER 200 A. 2.00 C SERVICE OVER 600V 5.00 MISC. r PERMIT ISSUING FEE 12.00 ' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 L S TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY q CONDUIT WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. V WIRING HEREBY-CERTIFY THAT AM PROPERLY REGISTERED ANO/OR FIXTURES LIC ENSEO AS REQUIRED BY LO ANGE LES COUNTY AND STATE OF CALIFORNIA OR THAT I AM OS LEGAL OWNER OF. AND INTEND TO RESIDE IN, THE ABOVE OE RIBEo RESIOENr L R P Tr. ?; POWER IGNATURE �'. OF PERMITTEE IL UTILITY CO.NOTIFIED FINAL .�iSRJ.F A VALIDAIEPH RV JOS , ROOHAN CK ID CASH SUPERVISING ELECTRICAL ENGINEER Lr1L.o2 2 9 2JUN 4 2 0 3,00`" WORKERS COMPENSATION DECLARATION 10u61 I hereby affirm that I have a certificate of consent to self CE-B06G ` APPLICATION DDLVCATION FOR E ECT fflC p L PERMIT Insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES/ BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) P❑ollcy No% LCo pony New Residential FOR APPLICANT TO FILL IN - 106 ' Certified copy is hereby4urn fished. NRidtil Bldgs. 8 Pools EACH NO. FEE ADDRESS Certified copy is filed wC2 Sir ith the county building unspec- 1 & 2-Family, Sq. FL $ — $ LOCALIT Z% tion dep tment. Multi-family Sq. Ft. — 'NEAREST CROSS ST. Residential Swimming Pools OWNER OR Date plicont� _ - FIRM NAME R L ERTIF CATE OF EXEMPTION FR M ORKERS' Outlets: Rec�Light_Sw._ p 'MAIL COMPENSATION INSURR C EGD 1� ADDRESS ( R This section need not be completed if the work involved by 3 First 20 --� the 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 PLAN CHECK permit is issued, shall not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Lows. Lighting Fixtures First 20 j I 6Z ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HE PERMIT NOTICE TO APPLICANT: If, after making thisCertificateof APPLICANT Exemption, you should become subject to the Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Cade, you must forth- Oven — Dryer — W.M._ ADDRESS 1 with.comply with such provisions or this permit shall be Top _ FAU —W.H. It — deemed revoked. Hood Fan _Other_ CITY Tel. N _ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Cla _ (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY and Professions Code,and m license is in full force and effect. Power Apparatus 8 Large Appliances } Y d < Size &Type HP, KW, KVA, or KVAR' L /6 �` O License NumberzI ti Llc. Class - Up to 1 Ind. FINAL V Contmctoric"�• iV� `� Date Over 1 to 10 Incl. DATE VALIDATION 'O Over 10 to 50 Incl. FINAL F ❑ I am exempt under Sec. Over 50 to 100 Inc. BY L B.&P.C, for this reason - Over 100 W Date: Services, Swbd., MCC& Ponelboards D 0 -200 Amp, Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Mount. 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 Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): z 8 0 4 0 A ❑ Muec. Conduits & Conductors , I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)_. o e,e a e 2 structure is not intended or offered for sale (Section D 7044, Business and Professions Code). 2 e a 1.0 9 Q CONSTRUCTION LENDING AGENCY — I hereby affirm that there is a construction lending agency for e o e 1, 0,4 Q the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 1,206-82 PLAN CHECKING FEE - Lender's Name PERMIT ISSUING FEE a1 S c _Lender's Address 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-mentio property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig,di of no ittee I bye,