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Home My Public Portal About5432 ENCINITA AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY #.0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1007080013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS 1 ON FILE I 5432 ENCINITA AV I I 1 IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803116 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BROADWAY I 18588-031-018 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, CI I IG1 OUTLETS-LGT,SW,RECP 13 00 OUT 25 20 TENANT IG2 LIGHTING FIXTURES 6 00 LGT 11 60 JISSUED ON PROCESSED BY PLAN BY TOTAL FEES 64 60 107/08/10 SR (OWNER TEL NO FINALATE FINAL B CODE (EDEN, DEAN & SANDRA (626) 309-9991- 1 15432 ENCINITA AV 1 ITEMP 917803116 IDESCRI TIO OF WORK I I I JELECTRICAL FOR NEW ADDITION D REMODEL 1 APPLICANT TEL NO INYBORG, SCOTT (626) 614-4874- 14499 VIA MARISOL 116 ISPECIAL CONDITIONS I ILOS ANGELES CA 90042 I I I I I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 (EDEN, DEAN & SANDRA (626) 309-9991- 1 1 1 15432 ENCINITA AVENUE LIC NO I ITEMPORARY POWER POLE I I I ITEMPLE CITY, CA 91780 NONE I I I I (UNDERGROUND CONDUIT I I I I I I I I I (ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND I 1 LIC NO 1 IROUGH CONDUIT I I I I I I IROUGH WIRING 1 I IMAIN WATER LINE I I I (PLASTIC YIN METAL YIN I I I I I I I (UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I i REPORT ID DPR265 ROUTE TO BS0508 1 I I I I I I I DBS SA 2SM SETS 7-47 a DEPARTMENT OF BUILDING AND SAFEA��CA'�'IO�T FOR PERT '➢"W COUNTY OF LOS ANGELES Ei LE ' IC - M J FOX CHIEF;ENGINEER ` a NAME �� DISTRICT NO. GROUP I ZONE PERMIT NO. UADDRESS 260' -mT& / va CITY TEL NO O RECWEP BY FIRST INSPECTION DY FOR DATE ISSUED JCOUNTY D CERT NO —?� EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCREMON OF WORK ADDRESS volo NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS ISW PLUGS FIXT CROSS ST. �+ CIRCUIT A B C D I E I F G H W NAME Z MAIL } ADDRESS O CITY TEL NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGRIwR COUNTY CERTIFICATE OF QUALIFICA N. E RICIAN. I AM THE LEGAL OWNER PROPQILTY DESCRIBED ABOVE OWNER D CORREC BONS i +a • J _ Q _Z L9 D TOTAL NO. OF OUTLETS $ APPROVALS NO OF FIXTURES $ c. DATE INSPECTOR'S NAME NO OF MOTORS H P. $ CONDUIT \ NO OF SIGNS TRANS. $ WIRING 1 NO OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER q ((yy PERMIT FEE $ UTILITYCO NOTIFIED /`?Sri) ti QA-6 TOTAL FEE FINAL r RKfiR s COMPENSATION DECLARATION 20 001976A6&3 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I herB4y affni, at I have a certificate of consent to self Insure, .. T� or a certificate of Worker's Compensation Insurance or a certified COUNT`',". F LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS Z Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY ` 1&2-Family,Sq Ft — $ $ "Y Certified copy Is filed with the county building Inspection _ NEAREST department Multi-family Sq Ft CROSS ST Date Applicant Residential Swimming Pools _ ASSESSOR Z_ MAP BOOKPAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec/—je—Light Sw OWNER OR COMPENSATION INSURANCE FIRM NAMEFirst 20 MAIL (This section need not be completed If the work Involved by theTotal No- ex Additional , ADDRESS permit is for one hundred dollars($100)or less) I certify that intheof the work for which this permit CITY ��-UY\ rE Tel No 30 Is Issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP L� 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� p N p y Power Apparatus&Large Appliances APPLICANT VV provisions or this permit shall be deemed revoked 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 Tel No Professions Code, and my license is in full force and effect Over 10 to 50 Incl LICENSE OR Class Over 50 t0 100 Incl REG NUMBER d Over 100 DISTRICT NO A SSED BY Q License Number LIc Class I Services,Swbd,MCC&Panelboards 0-399 Amp Under 600 V FINAL- / Q Contractor Date DATE El 1000 Amp Under 600V I am exempt under Sec VALIDATION V Over 1000 Amp or Over 600 V FINA W B&P C for this reason BRANCH CIRCUIT FEES BY CL Date 15A,or 20A, 120V,Lighting or Recept Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits _ SINGLE FAMILYa YY 7 Temp Power Pole&Appurtenances ZTSy HOME OWNER BUILDER DECLARATION _ . 1 here affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for th following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits 1�1 '�� Cod x LLf� a 1, as owner of the property,will do the work and the structure Mlsc Conduits&Conductors Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 4i11'tNGE e00 and Professions Code) CONSTRUCTION LENDING AGENCY a 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097, PERMIZLe- T FEE (Sub-Total) o/i[�8c 0 —OOD1 Civ C) 6 G v 7: PLAN CHECKING FEE ,✓� p Lender's Name PERMIT ISSUINGFEEOC � V i AN10:36 Lender's Address I 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 9 J� „I ordinances and State laws regulating Electrical wiring,and hereby authorize �/f _0 rep r entatives of this County to enter upon the above mentioned property ` for i ection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE fo SIG ATURE OF PERMITTE DA WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATIOU 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 WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS 7 Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE p ❑ _ $ $ LOCALITY vv� Certified co is filed with the count building inspection 1 &2-Family,Sq.Ft. PY Y 9 P NEAREST department. Multi-family Sq.Ft. CROSS ST. LA.D ' Date Applicant Residential Swimming Pools ASSESSOR MAP O PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FIRMOWN NAME �v Z ER OR COMPENSATION INSURANCEDoi First 20 MAIL +• (This section need not be completed if the work involved by the Total No. Additional ADDRESS S 3 iCj permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY e �• Tel.No..cJ?S 7fO is issued, I shall not employ any person in any manner so-as to PLAN CHECK 1 3 0 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 witWSLIch PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT yr/ci 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 Tel.No. Professions Code,and my license is in full farce and effect. Over 10 to 50 Incl. LICE } SE OR Over 50 to 100 Incl.: - REGNNUM ER Class. d Over 100 DISTRICT NO. PROCESS D44t�� License Number Lic.Class ``r- U Services,Swbd.,MCC&Panelboards J ®� PIX Contractor Date 0-399 Amp.Under 600 V DATE O ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V �� _q- VALIDATION W Over 1000 Amp.or Over 600 V FINAL 11 B.&P.C.for this reason BRANCH CIRCUIT FEES BY U) Date: 15A,or 20A, 120V,Lighting or Recept. 4 ,i Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances f, HOME OWNER-BUILDER DECLARATION -__ = I hereby affirm that I am exempt from the Contractor' s License Law Sign with One Branch Circuit •- y for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). 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, PERMIT FEE (Sub-Total) ;PIC e..i;. �f t Civ. C.) -:. PLAN CHECKING FEE j f ri1 3 Lender's Name Ir PERMIT ISSUING FEE Lender's Address ;I�r ?:.';1 J_f '21,sjJ certify that I have read this application and under penalty of purjury state TOTAL FEE -1: --w that the above information is correct. I agree to comply with all CountyEli ;== ordinances and State laws regulating Electrical wiring,and hereby authorize r r entatives of this County toe upon the above-mentioned property fo in pection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE cJ SIGNATURE OF PERMITTEE DATE