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Home My Public Portal About5469 ENCINITA AVE_Electrical__ COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0607140015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ERT LEGAL ID FEES PAID BUILDING ADDRESS TR 7796 LT 1 5469 ENCINITA FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802302 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5388-001-027 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C LA 100 AMP PANELS, MCC 1 00 PAN 38 85 TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 07/14/06 JK 01/10/07 OWNER TEL NO FINAL DATE FINAL-BY CODE PACK WESLEY,CHRISTIE A (213) 705-2332- �j / 9170 BROADWAY L �— y TEMP 917802302 D`2SClffPTION OF WORK UPGRADE SERVICE PANEL 100 AMP APPLICANT TEL NO SAME AS OWNER - SPECIAL CONDITIONS CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO , TEMPORARY POWER POLE 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 a� PEPORT ID DPR265 ROUTE TO BS0508 3 ` DEISBSA355 ' A Y LeICATION FOR ELECTRIC PERMIT �. DIVISION OF BUILDING AND SAFETY Deportment of County Engineer a County of LCs Angeles BUILDING WM J FOX. COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CRoss Sr NUMBER EACH FEE b LIGHT OUTLETS OWNER' MAIL RECEPTACLES ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY TEL NO ELEC RANGES 25 ELECTRICIAN E _ELEC HEATERS 25 ADDRESS KW EA CITY TEL NO FIXTURES 5 LICENSE NO NUMBER OF LIGHT CIRCUITS - DIST�TNO IGF3QUP RE��;oRINSPECTION NUMBER OF RECEPTACLE CIRCUITS _t MOTORS Al NUMBER HORSEPOWER FEE INSPECTION CORD / NEW MVD HP OVER INC EACH ^1� �"(e I SNIV`.th\A 1� C .+�_�V 4-1/�Q &LESS $ 25 �-1 e—T.IV 1/i 2 50 2 5 1 00 5 15 1 50 15 50 250 50 200 !-SCIC, MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $1 00 FIXTURES $1 00ID O SUPPLEMENTARY 50 APPROVALS TOTAL FEE g OV DATE INSPEC OR S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT A AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING in ELECTRICAL WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES jq LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWEFZ DESCRIBED RESIDENTIALPfO RTY. ' UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL I � � WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C VEIT,CHIEF ELECT. INSPECTOR 7 1 2 -0 U JUN 19 2 5.0 0 WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION FOR E,LECTRICASL, PERMIT I hereby'affirm�.hat-�I have a certificate of consent'to=self +� 'G � _ _ PERMIT ar cPrtif,cate of Workers; Compensation Insurance, COUNTY,OF LOS ANGELES BUILDING AND`SAFETY ora a fieri copy thereof (Sec 3800, Lab Policy No Company 4 r °h FOR APPLICANT TOrFILI+INR P _v `'~ 't t ,VJOB � p ADDRESS Certified y,is hereby furnished r++ ;New iisidenfiol)'blags &'Pools ""ICH_p NO FEE, � - �1 S LOCALITY Certified-ccpyfi led w,th'the'county�build1 9 inspec' I'&2�Fam,ly, Sq,'Ft- a S hon department 9 ••- Multi`family,Sq Ft a CROSS�ST ► ,p �r / a-Res,denhol Swimming Pools �a ,'a �� _ OWNER OR - -- Date Applicant +dr a FIRMNAME�" CERTIFICATE`OF EXEMPTION'FROM'WORKERS'' Outlets�iRecLight �Sw_ ` •Iti�� + + , �, 'MAIL °COMPENSATION°INSURANCE : - ADDRESS y r,j Fir"st 20 a ti -V i T - ,- •� • "(This'section',need not,be cornpleted'if'the'work erivolLe by ,Total No -a -' s _ v CITY�t .�- " Tel ,the permit ts3or one hundred;dollorsr($100),0r,less ) . " Addihonalr I certify that in the performance,of,the4work-forwhicF this ' v + PLANCHE �"`�" APPLICAN " $ permit is issued, I shalb not employ any person ,many manner �y s ,, sa.as to'become subject to'the Workers"Compensate n L Lighting'F,xtur`ess First 20 - " "" 4- ADDRESS" t s• ! {, _ ,_ fw s'Addihonal f �� .��. .a s ✓Y� — A 1 rj `' GWS Total No y �, �, � fin' v OIY �` Tel°No, TY" Date Applicant ' _ r Fixed Appliances Not Over 1,HP- ' ,PERMIT NOTICE k'A141PkANT If,-after` making VTis Certificate of APPLICANT ,Exemption, you tshould become,subject to •the,�,Workers' �Range_wHeate��1D Wim— �, r _ 'Com pensotion,proveseons of the,Labor,Code°you must forth- Oven Dryer —W M y / „ +;ADDRESS ,With comply with such provisions-or this Eperr r shrill beFAU, p ti — y " TO a—� «Wy H s «. 9 a -r c -deemed(revoked- +.Xc 'P ^'_Y s+ t eCITY�� Tel No^yl�� Hood Fan _ Other— LICENSEDCONTRACTORS DECLARATION , s + 'LICENSE OR ° ,I hereby affirm that I amil,censed under,prov,s,ons.of,Chapter 9 -Desp = Room-Air ^--i REG NUMBER ,(commencing with Section 7000 of Division 3_of„the-Business DISTRICT NO PROCESSED BY �' ( g ) Power Apparatus:&Large Appliances _ _ _ _ _ /�� 'd >• and Professions Code,and my license,s,n full-force andeffect _, ar „� =D(� "�"+ /G � r 0. O Size& Type HP, KW, KVA,`or KVAR` �cr License Number Lic ClassL�� '” r" " Up to l llncl `FINAL "` _ �'' ^"- 9 `" U / Over 1 to'10 Incl DATE VALIDATION 0 Contr r Dote -- -_ - _� . O ❑ Over 10 to 50 Incl FINAL U am exempt un e,Sec Over-50 to_100 Inc BY" W Over.,100 H B &P C for this reason Z Serv,ces,'Swbd MCC-& Panelboards Date m, ® S ' 0 -200 AUnder 600 V Y Signature G �" 201 --1000 Amp Under 600 V QOver 1000 Amp or Over 600 V _ 1 Exemption for Reg Mai t 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 - - -2, 7 C 6 3 A � Law for the following reason (Section 7031 5, Business and Professions Code) ire o m o e o 2 ' I, as owner of the property, will do the work and the Mesc Conduits& Conductors � structure ,s not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 2 0 a 1 • 5 7044, Business and Professions Code) ® o 0 0 7 5 C, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for [ t 6 -R 3 the performance of the work for which this permit ,s issued PERMIT FEE (Sub-Total) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender's Name l PERMIT ISSUING FEE l 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 above-mentioned r perry for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date