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76AG63-CE806 I0-62 APPLICATION FOR .ELEC RT ICAl. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 7
BUILDING AND SAFETY DIVISION ADDRESS J /V E C� LT14
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY G
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST.
RECEPT. TOTAL NO. EACH FEE J/
` OUTLETS FIRST 20 $ z0 S OWNER
LIGHT eZ MAIL Nn LJ
SW TEH aoD•4 ADDRESS
L OVER LO .10 ,/' ��++ (, Q
LIGHTING I TOTAL FIRST 20 1 .20 U CITY / Ci - L TEL. NO. U—S1SI+
FIXTURES I l V. F 1O ELECTRICIAN 046/S bi-; Uid /O
OVER L
RANGE. CLO.DRYERS WTR,HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
clTv Aieo kvioe10- TEL.NO.O D�a-
OISHWA.H. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(:/a H.P.MAX.) ,50 LICENSE NO. �SgD37
MOTORS: OVER NOT OVER H.P. DIS ICT ROUP ZONE PROC SSED Bjj
Y
o 1 1.00
1 B 1.50 / INSPECTION RECORD ,, r
S S 2.00 o- / ✓Y�F q .fi. I �.�1'�"���-� 0
f=n
V
of
Is 50 3.001 1 O
50 100 5.00 IIVVrYY
a
SIGNS: NO.TRANS. h
NO.LAMPS Z
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 12 00 �G
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS Al DATE, INSPECTOR:S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PI �J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT C �T'
ELECTRICAL WIRING. WIRING 1.
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RE IDENTIQ (,^AL PROPERTY. POWER
SIGNATURE / ^ UTILITY CO.NOTIFIED
OF PERMITTEE IAA FINAL
/ 1 VALIDATION ARYHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Llll07 5 6 3G APR 10 2 D 3.50- v
v �
76A603.CEB06 10-62 A yL ICpFOR EL:.�PC�} // A�b� `R.I�M/�//' } /'III1"11III
�1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING Q
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A, LAMBIE, COUNTY ENGINEER ?��'
WILLIAM A, JENSEN, SUPT OF BUILDING LOCALITY /
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL
sw rtcx.
ADD-1-
1- 10 ADDRESS..
OY" 2D
TOTAL CITY TEL. NO.
LIGHTING I FIRS L .20
FIXTURES I A°D'L
ovsa 20 .10 ELECTRICIAN
RANGES CLO.DRYERS' WTR.HTRS. 1.00 ADDRESS % 1 L yVCJ
GARB. OISP. ETA.COOK - T
SCITY TATE L TEL. NO. G-��9/
DISH WASH. AUTO..WASH. STATE
SPACE HTRS. STA.APP.(y H.P.MAX.) ,50 LICENSE NO. 9A
MOTORS: OVER NOT OVER H.P. DISTRICJ N G_R UPZ NE P SSED BY
o 1 1.00 T '
1 s 1.50 J , INSPECTION RECORD
s B 2.00 C) ��� �Af� .ir.�...�I, r••�` Gif iA . i'v'�t a
.. e 1s 250 ^�,M Irl—4,4-vs , OV
is 50 3.00 / •d _ lam'' w
` rc, O
so 100 5.00 // 9
NO.TRANS. /1 pp��4,n
SIGNS:. NO.LAMPS I.T.CA 'A-[ed"v I Z
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.60OV.OVER 200 A. 2.00 � pn�_!A� ' ✓9NI✓/ �� '� �� —
SERVICE OVER 600V 5.00 - XX���'''�UUYYJJ 66QQ�, al✓A .
MISC. v
V
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE IOO
TOTAL FEE s
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS /EATS INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I1/GPS.
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. T -
WIRING
1HEREBY CERTIFY THAT 1 PROPERLY REGISTERED AOR
LICENSED AS REOVIPED BY LOS ANGELES COUNTY AND STATE
OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE �` UTILITY CO.NOTIFIED ODP �T� 1 A✓
OF PERMITTEE A ✓1.!
FINAL
V /* I II ARTHUR I C. VETT
CK � MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
LLj;��8 2 3 3 APR 29 2 D 5.0 0"
De68SA 11-SB APPLICATION FOR' ELECTRIC PERMIT
DIVISION OF BUILDING AND SAFETY
Department of County Engineer BUILDING
Canaty of Los Angeles ADDRESS
JOHN A. LAhIB IE, COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSSST.
NUMBER OWNER _
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CTTYZ*"11a4/&e.;tLTEL. NO.
TOTAL OUTLETS @ 54 S ELECTRICIAN 0tI
ELEC. RANGES 25 ADDRESS 5 O//�, w 7J3L/P./uuS
ELEC. HEATERS 25 CITY Ss )!9'I,vko e9,F� TEL. NO. .] g
MW EA STATE" V
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION
Nums6a HORSEPOWER FEE F
NEW' MVO. HP OVER INC. EACH
INSPECTION RECORD
yi 2 r\r� ]A ��' 1P ,I e ../.Ior
2 5 1.00 /�_.+-Wrf/ �,L._Cf R... ,__44'1.A-..�-
5 15 1.50
15 50 2.50
50 200 5.00
MISC. Ar
1
NO.SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1,00
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S DATE INSPECT R'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES ', gb
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL 0 THE AS POWER
DESCRIBED RESIDENTI p
SIGNATURE UTILITY CO.NOTIFIED 1
OF PERMITTEE FINAL U q C_
JOHN A.LAMBIE.COUNTY ENGINEER VALIDA ARTHUR C.VETT,CHIEF ELECT. INSPECTOR
CK MO W3H
,. 1 4 5N 'S912 2 32 5 :m
WORKERS'COMPENSATION DECLARATION •z000ty opw aie>663 APPLICATION
PPL IC p TION FOR ELECTRICAL
p ECTRI p. A n PERMIT O�
�,:h kereby affirm that I have a certificate of consent to sell cEAaoaG P9 IL i"i II CI IL 'bP'i 1L 9H9
+vsure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS Jr 609 6V(—(d iCA
Certified
L H
Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ff.— $ LOCALITY -'F.61
tion department. Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST
Date Applicant OWNEFIRM.NAME r
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec 3 Light—Sw.2 MAIL
COMPENSATION INSURANCE ADDRESS �l &WCA6JV sem
First 20
(This section need not be completed if the work involved by Total No. Additional CITY M Q �L Tel. No.2 -_1
the permit is for one hundred dollars ($100)or less.)
I certify that in the performance of the work for which this PLAN
ANCA—APPLIMK
permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS
so as to become subject to the Work s'C� rPsation ws.
Additional i.
�� ��i:(f{ Total No. CITY
Date Apf,aft t t Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making This G rt Work of APPLICATION
Exemption, you should become subject to Workers' Range— Heater—D.W. —
Compensolion provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS
with comply with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked. CITY Tel. No.
Hood Fon —Other_
- LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cone. — REG. NUMBER Class.
{commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROCESSED BV d
and Professions Code,and my license is is full force and effect. y Cti
Size 8 Type HP, KW, KVA, or KVAR ✓[ U O
License Number Lic. Class Up to I Incl. FINAL U
Over I to 10 Inc]. DATEX_' LIDATION CI_Contractor Date Over 10 to 50 Incl FINA 0 0
❑ am exempt under Sec. Over 50 to 100 Inc, BY # g Q as—"
;3 A. W
B.BP.C. for this reason Over 100 d
Services, Swbd., MCC 8 PonelboardsD
Date: 0- 200 Amp. Under 600 V -{ T^ '11575 Z
Signature 201 - 1000 Amp. Under 600 V • • •f� 5.7 5
❑ Over 1000 Amp, or Over 600 V
Exemption for Reg. Moint. Elect. 0624-88
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit t
Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits
Professions Code):
I, as owner of the property, will do the work and the Misc Conduits 8 Conductors
structure is not intended proffered for sale(Section 7044, Other (See Complete Fee Schedule)_ D
Business 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 PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE _
Lender's Name a
PERMIT ISSUING FEE
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 i
ordinances and State laws regulating Electrical wiring, and
herein authorize represe tives of this County to enter upon
e ave-m ali ned pr rty for inspection purposes. i
SEE REVERSE FOR EXPLANATORY LANGUAGE
r
6 �d
Ignoture of Pe tt Dote ? os.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
.DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9906010029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
. PHONE: (626) 285-0488 EXT:
L AL 1D: FEES-PAID IB IL ING ADDRESS:
ON FILE 5609 ENCINITA AV
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917802416
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
5387-019-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: TOTAL FEES 33.60 ISSUE ON: PROCESSED BY: PLA BY: EXPIRES ON:
06/01/99 UT 11/28/99
OWNER: TEL. NO: FINAL DATE FINAL Qpp�.y, CODE:
WEILAND
5609 ENCINITA - D G- 7 FAQr:
TEMPLE CITY, LA SC�TI� WO
3 NEW GROUNDED OUTLETS
APPLICANT: O:
MARTIN PAUL ELECTRIC (626) 285-6722- -
314 N. IGLESIA ST. SPECIAL CONDITIONS:
SAN DIMAS, CA -
Ph1GELES CO
CONTRACTOR: TEL. N0: SOS V/VAPPROVALS DATE INSPECTOR SIGNATURE
MARTIN PAUL-ELECTRIC (909) 592-1042-
314 N. IGLESIA ST. LIC. NO. TEMPORARY POWER POLE
SAN DIMAS, CA 91773, UNDERGROUND CONDUIT
ARCHITECT.OR ENGIN EL. NO: - UFER GROUND
LIC. NO: 1111117 ROUGH CONDUIT
`lLl—lll '
ROUGH WIRING
�n (1 O n " (� /1 //O�u\\\ (C� MAIN WATER LINE
L U IILS \11 JII\l\/1/ I111R\1 N\tiJ PLASTIC Y/N METAL Y/N
L TY OMPA Y NOTIFIED
Q p
Serviic That��t�
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0702280011
BUILDING AND SAFETY /'LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5609 ENCINITA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802416
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK
15387-019-008 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 1 _
(TENANT: TOTAL FEES 38.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
102/28/07 JK 08/27/67 1
I
OWNER: TEL N0: FINAL AT FINi CODE:
JWEILAND, MONIQUE (626) 286-4221- 1I \ G
rr
15609 ENCINITA AVE. ✓
TEMPLE CITY CA 91780 ITDESCRI PTIOI� OF WORK
I 1 1REPLACE GARBAGE DISPOSAL J 1
1APPLICANT: TEL NO:
SAME AS OWNER -
I SPECIAL CONDITIONS:
I
I
CONTRACTOR: TEL. NO: , 1APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I-
LIC. NO I (TEMPORARY POWER POLE
IUNDERGROUND CONDUIT
I_
ARCHITECT OR ENGINEER: TEL. NO: 10FER GROUND
LIC. NO: IROUGH CONDUIT
I
(ROUGH:WIRING
IMAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED(
I 1 II I ' II I
II I I I I I
I I I I I I
1I I I I I I
I II III I 11 I
I11 1I I I II I
11 1 I 11 I I
I
I I I I
REPORT ID: DPR265 ROUTE T0: 850508
1 II
COUNTY OF LOS ANGELES .TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308070031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
UEGAL D: FEETS-PAID BUILDINGADDRESS:
ON FILE 5609 ENCINITA AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917802416
ASSESSOR INFORMATION N NEAREST CROSS STREET: LIVE OAK
5387-019-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
C3 POOL ALTERATIONS 1.00 POO 54.45
TENANT: TOTAL FEES 82.20 ISSUED ON: PROCESSED AN B %P rn-S N:
08/08/03 JK 02/04/04
OWNER: 0:N
TEL. FINAL DATE ` 1v8Y: CODE:
WETLAND MONIQUE C (626) L. NO:12-WK /y� H UU
5609 ENCINITA AVENUE
TEMPLE CITY 91780 DESCRIPTION F WORK
REPLACE POOL DECK, TILE, COVE TILE; PLASTER, REPLUMB 8 REQ
ELECTRICAL AND MOVE POOL EQUIPMENT
APPLICANT: TE NO:
JEFF KERBER POOL & PLASTER (909) 465-0677-
10841 FREMONT AVENUE SPECIAL CONDITIONS:
ONTARIO 91762
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
JEFF KERBER POOL PLASTERING INC (909) 465-0677-
10841 FREMONT AVENUE LIC. NO T MPORARY POWER POLE
ONTARIO, CA 91762 571304 C53
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY 0 ANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: SS0508