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Home My Public Portal About5019 ENCINITA AVE_Electrical__ l ' 76A663-CE806 4-68 APPLICATION FOR ELECTRI AL PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING C JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS O C. COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. E4 NO. EACH FEE - $ $ OWNER RECEPT.L MAIL LIGHT TOTAL FIRST 20 .20 rj ADDRESS --�/- iZ VE i SWITCH_ OVER 20 .10 CITY ��s/�?' L�r TEL. NO. _ PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP._F.A.U._ CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY EL. NO. Ld�7 FAN_OTHER 1.00 LICENSE 14 0. CLASS. �^ Q MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 — SO 5.00 RESIDE IN, THE ABO V SCRIrED RE ENTIAP O L PERTY. C7 SIGNATURE U 50 - 100 10.00 OF PERMITTEE 'G O 100 - 500 15.00 U DISTRICT NO. G P ZONE P D SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP / 2.00 Z SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, Be APPURTENANCES .3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING e- '.�', FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 2 60 I �✓ UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE 20 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION M.O. CASH t n� 0 5 + r s. "0 —. 4 v iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ere` WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affiwn that I'have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, La C ) Policy No Compan FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS S — Certified copy is filed with the county b 'Iding inspec- I'& 2-Family, q• Ft. $ $ LOCALITY— tion department. Multi-family Sq. Ft. 'NEAREST /1 7 Residential Swimming Pools CROSS ST. Date G Applica OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' c2� MAIL Outlets: Re Light Sw. Q COMPENSATION INSURANCE First 20 Q 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, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 Q ADDRESS Total No. Z-V Additional 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' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAUW.H. — deemed revoked. CITY V Tel. o. LICENSED CONTRACTORS DECLARATION Hood Fan Other_ Disp. Room Air Cond. SS LICE E 4- Hood Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000) of Division 3 of the Business power Apparatus& Large Appliances DISTRICT NO. PROCES ED BY and Professions Code, and my license is in full force and effect. S Q r,+� Size & Type HP, KW, KVA, or KVAR' ✓ t U License Number_ � Lic. Class Up to 1 Incl FINAL � //JJnn /�� Over 1 to 10 Incl. DATE r VALIDATION Contractor Date„ "177 Over 1010 50 Incl. a ❑ FIN I am a mpt under Sec. Over 50 to 100 Inc. BY moi_:=-•-� B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC& Panelboards ► 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Moint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances ;01 76,5A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 0 0 0 0 0 � 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 �'o - 83,00 Professions Code): I, as owner of the property, will do the work and the Misc Conduits&Conductors o 0 0 8 3 Q 0 5: structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ pop.7044, Business and Professions Code). 0329-85 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 3r�b 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 thA�av enti fled property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 5 7 gnature of Permittee Date WORKERS'COMPENSATIONPEt1LARATION 78- tD/st CE-806G APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I Aave a certificate of consent,to self insure, CE-806G or a certificate of Workers' Compensation IRsuranc"tr,a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab. C.) Policy No. 230735 CoRlAcyi f 1 r National T n S, FOR APPLICANT TO FILL IN JOB /')�� ❑ Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS !J �, � 7 Certified co 1 & 2-Family,Sq.Ft. $ — $ LOCALITY I �f copy is filed 'With the cou ildin specti n department. Multi-family Sq.Ft. — NEAREST, �/ �< Residential Swimming Pools CROSS ST.' ( Date ApplicantX uOWNER OR SAN GABRIEL JAPANESE COMMUN TY CERTIFICATE OF EXEMPTION FROM W ERS' SOutlets:Rec Light W. �G3 MAIL CENTER INSURANCE "` g � ADDRESS (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 Temple City Tel.No. I certify that in the performance of the work'for which this permit PLAN CHECK is,issued, I shall not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Date C Applicant Total No. � CITY Tel.No.NOTICE TO APPLICANT: If, after. making this CertificaFixed Appliances Not Over 1 HP 00 PERMITte of APPLICANT G. � S. ELECTRIC 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 531 S. Atlantic Blvd. provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. CITY Monterey Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ •y Park 213 233- 317 (,.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 248057 Class. Professions Code,and my license is in full force and effect. .DISTRICT NO �/ PR CE B,Y Power Apparatus& Large Appliances Size& Type HP,KW,KVA,or KVAR License Number 243057 Lic.Class C I 0 Up to 1 Incl. FINAL contractor G R S F l Art r it&te C " Over 1 to 10 Incl. DATE V VALIDATION Q ❑ Over 10 to 50 Incl. U FINAL I am exempt under Sec. Over 50 to 100 Inc. gY W B.&P.C.for this reason Over 100 N Services,Swbd.,MCC & Panelboards Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg.Maint.Elect. 7 SINGLE FAMILY Temp.Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCTos I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 703 1.5, Business and Professions Additional Sign Branch Circuits 3d� 93.21,Code): 3 0 3. ❑ I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors 1 ITEMS _, is not intended or offered for sale (Section 7044, Business Other (See-Complete Fee Schedule) TOTAL 93®2113 -and Professions Code). t NECK 93020 CONSTRUCTION LENDING AGENCY -_ CHANGE •.. .... 001 1 hereby affirm that there is a construction lending agency for the CHANGEflet performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ. C.). PLAN CHECKING FEE 0000-00013/30/90 Lender's Name PERMIT ISSUING FEE 9813 1 AIS 90.26 Lender's Address D I certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to,comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize "representativeCount o enter upon the above-mentioned urp s s. SEE REVERSE FOR EXPLANATORY LANGUAGE to COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0402180008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5019 ENCINITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803708 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-009-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C F1 120V, 15/20A BR CKTS 1.00 BR 17.25 TENANT: G3 POLE MOUNTED LIGHTS 4.00 POL 9.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 54.00 02/18,04 VG 08/16/04 OWNER: TEL. NO: FINAL D E FINAL BY: CODE: SAN GABRIEL JAPANESE COMMUNITY CENT (626) 286-9850- p 5019 ENCINITA AV TEMP 917803708 I DESCRIPTIONOF WORK 4 POLE LGHTS FOR PARKING LOT APPLICANT: TEL. 0: i G & S ELECTRIC (323) 283-6317- i SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE G & S ELECTRIC (323) 283-6317- 531 S. ATLANTIC BLVD. LIC. NO TEMPORARY POWER POLE MONTEREY PARK, CA 91754 248057 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING -� MAIN WATER 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 0102080022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5019 ENCINITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803708 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 5388-009-007 AW PC CITY $109.35 MIN 109.35 109.35 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY Al PERMIT ISSUANCE FEE 27.75 TENANT: LD 400 AMP PANELS, MCC 1.00 PAN 76.05 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 213.15 03/20/01 UT 09/16/01 OWNER: TEL. NO: FI DA E FINAL BY: CODE: SAN GABRIEL JAPANESE COMMUNITY CENT (818) 286-9850- 5019 ENCINITA AV a a 1 TEMP 917803708 D CRIP ION OF WORK Loll UPGRADE TO 400 AMP SERVI APPLICANT: TEL. NO: G S ELECTRIC (323) 283-6317- 531 S. ATLANTIC BL. SPECIAL CONDITIONS: MONTEREY PARK, CA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE G AND S ELECTRIC (323) 283-6317- 531 83-6317 531 S ATLANTIC BLVD LIC. NO TEMPORARY POWER POLE MONTEREY PARK CA 91754 248057 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: — - UFER GROUND LIC. N0: ----- ROUGH CONDUIT -— — ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 1 REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0203080002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILMING ADDRESS: ON FILE 5019 ENCINITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803708 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: 5388-009-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 2.00 FAU 21.90 TENANT: JB AC UNITS +3-10HP 2.00 AC . 39.30 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 88.95 03/08/02 JK 09/04/02 OWNER: TEL. NO: FIN L DATE FINA BY: CODE: SAN GABRIEL JAPANESE COMMUNITY CENT (626) 286-9850- / _ 5019 ENCINITA AV % TEMP 917803708 DESCRIPTION OF WORK ELECTRICAL FOR HVAC APPLICANT: TEL. N0: GARY IMUTA (323) 283-6317- 531 S ATLANTIC BLVD SPECIAL CONDITIONS: MONTEREY PARK 91754 P �(C) CONTRACTOR: TEL. NO: ".Lyf ' APPROVALS DATE INSPECTOR SIGNATURE G AND S ELECTRIC (213) 283-6317- 531 ATLANTIC BLVD LIC. NO , TEMPORARY POWER POLE MONTEREY PARK CA 91754 248057 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: j UFER GROUND LIC. N0: �� a �`�111111 ROUGH CONDUIT ' j_I ROUGH WIRING ' MAIN WATER LINE PLASTIC Y/N METAL Y/N — — - — — — — UTILITY COMPANY NOTIFIED i vW ry 17 REPORT ID: DP0265 ROUTE TO: BS0508