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Home My Public Portal About5350 ENCINITA AVE_Electrical__ �6t(w-cEdOfi1-68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5350 Encinita JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST Olive CROSS ST. NO. EACH FEE RECEPT.5 $ $ OWNER James Bartoli (OTAL MAI` 5350 Encinita LIGHT l FIRST 20 ! .20 0 ADDRESSI� LSWITCH OVER 20 .10 CITYTemple City TEL. NOAT5-3964 PLAN CHECK LIGHTING �TOTAL FIRST 20 l .20 0 APPLICANT Rodine Builders FIXTURES l OVER 20 .10 ADDjj��'RESS 532!ryN. Peck Rd. //'� RANGE—DRYER—WTR.HTR.— CIT' l Momte TEL. NO. 4T"-3862 STA.COOK_DISP. F.A.U._ CONTRACTORROdlne Builders SPACE HTR. AIR COND. ADDRESS 5327 N'6Peck Rd. CLOTHES WASH._DISHWASH. CITY El Monte TEL. NO. 442--3862 FAN—OTHER 1.00 LICENSE I,io.253390 CLASS. B-1 MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO 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 REOUI ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR T T I AM THE LEGAL OWNER D INTEND TO 10 — 50 5.00 RESIDE IN, T SIGNATURE V OVE "HE RES ENTI L OPERTY. O 50 - 100 10.00 OF PERMITTE ad 100 - 500 15.00 0 DISTRIOt GRROO IP ZDNE PROCESS5e BY USIGN,GAS �ADDI IGN AND ONE CIRCUIT 3.00 � UJ TUBE, OR - - �- MARQUEE TIONAL CIRCUITS 1.00I N NOTES: Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, & APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) 16 FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 20 UTILITY CO.NOTIFIEDI SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE t_/ JOSEP C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION OK. M.O. CASH �'.. 9509:; AFR22 2 D 3.6.0w 3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A163-C4f4-61, APPLICATION FOR ELECTRICAL PERMIT -COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ® JOHN A. LAMBIE. COUNTY ENGINEER �y COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 7r"601100/14-7 `J� NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE s RECEPT.� $ $ OWNER r MAIL LIGHT TO L FIRST 20 .20 Thr ADDRESS SWITCH OVER 20 .10 CITY 0,17 TEL•. N0. PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 9<ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COO K_DISP. F.A.U._ CONTRACTOR SPACE HTR. AIR COND. ADDRESS ��}LY �b ✓a2J� J 'Z CLOTHES WASH._OISHWASH._ CITY T TEL. NO. `J- FAN—OTHER 1.00 1 LICENSE 1.10. 2 -e7�O CLASS. -6MOTORS,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 - 50 5.00 RESIDE IN, THE ABO E OESCRIP.ED RES ID NTIAL PROPERTY. ' SIGNATURE } 50 - 100 10.00 OF PERMITTEE O U 100 - 500 15.00 DIST ICT NO-1 GRQUP Z N P OCE SED B o TUBE, A SIGN,GAS �S, IGN AND.ONE CIRCUIT 3.00MARQUEE DDITIONAL CIRCUITS 1.00 NOTES: a_ N SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 Z s SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, & APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50q PERMIT FEE) 7 POWER AUTHORIZED PERMIT ISSUING FEE 2.00 Q UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEEI 1.00 IT FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. "CASH LAA,9 4 4G F*f 2 2 D 3.80 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE806 9-64 APPLICATION FOR E. /ECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS !3sa �C( IVIS JOHN A. LAMBIE, COUNTY ENGINEER // COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY ( V�I'1 LC= 4--,f NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. ' TOTAL • NO. I EACH FEE OUTLETS FIRST 20 $20 $ OWNER �q(Z TO L I LIGHT / MAIL ADD'L ADDRESS SB,� GMGfNl 72-7-5SWITCH. �j OVER 20 10 FT-OTAL , CITY . C: TEL. NO. LIGHTINGF1RST20 .20 FIXTURES ADO'L 10 ELECTRICIAN OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK / `� CITY wl " TEL.NO.4V3 DISH W' H. AUTO.-WASH. STATE SPACE HTRS. STA.APP.I'/z H.P.MAX.) .50 LICENSE NO. I_Vkl9 7,7 MOTORS: OVER NOT OVER H.P. DISTR CT O. I G.BQJJP ZONE PR ESSED leYY O 1 1.00 1 3 1.50 INSPECTION REC RD @. 3 8 2.00 4J 8 15 2.50 15 50 3.00 0 O 50 100 5.00 V Lu SIGNS: NO.TRANS d NO.LAMPS H SERVICE 0-60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT II 'i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING s '�4.Y _ y' ✓r• f.i I HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE C /� UTILITY CO.NOTIFIED _��. OF PERMITTEE ate, q FINAL 4 LIDATION JOS90H 01ROOHAN v CK MO CASH SUPERVISINGG ELECELEC TRICAL ENGINEER LI i 1 :� �tY ? 3.10 76A663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER 5350 Enctinita COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 01 JV9% NEAREST City, FOR APPLICANT TO FILL IN CROSS ST r}�a le Calif. NO EAC FEE $ $ OWNER RECEPT MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH OVER 20 10 CITY TA=le rli TEL NO Mt 5396A LIGHTING �TOTAL FIRST 20 20 CONTRACTOR BuUdersFIXTURES OVER 20 10 ADDRESS 5350 N_ Peck Rd- RANGE—DRYER—WTR HTR CITY TEL NO STA COOK_DISP F A U — LICENSE NO Bi 253390 SPACE HTR AIR GOND I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING - FAN-OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AtA THE LEGAL R OF, AND INTEND TO IND HEATERS, ETC HP KW KVA RESIDE IN, THE BONE DESGRIBE� RE ENTIAL ROPERTY SIZE & TYPE OVER TO SIGNATURE 0 - 1 1 00 OF PERMITTEE d 1 - 10 3 00 DISTRICT GROUPIjq NE I PROCESSED BY 0 10 - 50 5 00 99 50 - 100 10 00 NOTES 100 - 500 15 00 O. N SIGN,GAS SIGN AND ONE CIRCUIT 3 00 TUBE OR MARQUEE ADDITIONAL CIRCUITS 1 00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING ISSUING FEE 2 001 21W FIXTURES SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED PERMIT FEE UTILITY CO NOTIFIED ) PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE 3.60 JOSEPH C ROOHAN SUPERVISING ELE ICAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 CASH 1 o 14 7 JLA3 0 ? D 3.6 0,y iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORK,$ BUILDING AND SAFETY DIV. copy thereof(S&c.3800 Lab..C.) Policy NO. Company _ FOR APPLICANT TO FILL IN JOB ADDRESS l �J"' f E/V C`1°�•� A � Certified co is hereby furnished. NO. E H FEE PY Y New Residential Bldgs.&Pools LOCALITY $Ft Sq. . — $ Certified copy is filed with the county building inspection 1 &2-Family, NEAREST department. Multi-family Sq.Ft. CROSS ST. OL f v"-.- Date Applicant Residential Swimming Pools ASSESSOR SS SSOR �J ( tel ^ /� PAGEO`l r PARCEL(�/a..+ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.—Light Sw. OWNER OR COMPENSATION INSURANCE g FIRM NAME rZ First 20 - (This section need not be completed if the work involved MAIL by the Total No. Additional ADDREs'��?� !j� /LfZ J.�!�/1 /p(/ permit is for one hundred dollars($100)or less.) / _u certify that in the performance of the work for which this permit CITYe t r,_kTel.No.Z85 t 7Y6 is issued, I shall not employ any person in any manner so as t0 PLAN CHECKIV become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE,TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT /y provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. /(commencing with Section 7000) of Division 3 of the Business and CITY � !CI Tel.No.Z��/ Y6 Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 100 Incl. LICENSE B Class. REG.NUMBER Q. Over 100 DISTRICT NO. ESSED BY Q License Number Lic.Class � fi 0 ervices,Swbd MCC Panelboards Q O cc FINAL 57 Contractor Date A nder 600 V A DATE ❑ 400-1000 Amp. Under 600 V / ~ I am exempt under Seca ! VALIDATION V Over 1000 Amp.or Over 600 V FINAL Wa - B.&P.C.for this reason BRANCH CIRCUIT FEES BY Date: 15A,or 20A, 120V, Lighting or Recept. _Z 1 To 10 BranchCircuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg.Maint.Elect, 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances ~- g HOME OWNER-BUILDER DECLARATION I I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits - y Code): T �y Misc.Conduits&Conductors I, as owner of the property,will do the work and the structure 5 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ' 's i c'L ____P =a and Professions Code). I"Iw S: 6 a�t CONSTRUCTION LENDING AGENCY ^r I hereby affirm that there is a construction lending agency for the 1= AN"Ul- performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) t Et PLAN CHECKING FEE %%=y Lender's Name i r p PERMIT ISSUING FEE U _ �'I=? Lender's Address certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize re resentatives of thi u to enter upon the above-mentioned property to inspection purpo es. SEE REVERSE FOR EXPLANATORY LANGUAGE /UIc)3 IG T E OF PERM DAT