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Home My Public Portal About5719 ENCINITA AVE_Electrical__ 76A663 SA 25M BETS ')-4R APPLICATION FOR PT111.f1� DEPARTMENT OF BUILDING AND SAWIT ��L�l ill 1� Y� L1�� COUNTY OF LOS ANGELES ELECTRIC �� WM. J. FO CHIEF ENGINEER NAME [/r�SS®CIAYED EHEC i 21CA[. Cfl. DISTRICT NO. GROUP ZONE PERMIT NO. U ADDREBS�' iLO34I ST F — / / Q T [ ! 7 1- -,ja __ _—C L E Z�y IVED BY READY FOR DATE ISSUED W CITY - 4E - L.NO. FIRST INSPECTION M CCENBNTIENO.' EXPIRESG .30/.SD Z APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK AoDRESS 1G / NUMBER OF OUTLETS ON CIRCUITS LOCALITY E�r�/ �'� C eT Y' LOCATION BY ROOMS NEAREr LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. `` • G CIRCUIT A B I C D E F IG JH 0: 1 NAME L . T S R AI A- R X MAIL ADDRESS O clTr 1 AM THE LEGAle8EBS0 OF THE A VE L09 ANGFI IE COUNTY IFICAT U - ON.. ELECTRICIAN. L ) I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE p n In OWNER. r CORRECTIONS 1 � 37� z !�5 0 47 pp NO. OF OUTLETS _ l-3 -7 g S APPROVALS 1` NO. OF FIXTURES O « DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT r NO. OF SIGNS TRANS. S WIRING I'�� S-' y° G NO. OF RANGES OR HEATERS S FIXTURES / MISCELLANEOUS S POWER A /,( J� PERMIT FEE S •� UTILITY CO.NOTIFIED'�sA-�/O�Yj.dd TOTAL FEE FINAL . 0/r '7411 7641%3 CE-806(11 /78) APIr l �� ®R IGLE�r� F•i IL IC IGII'CMI ' COUNTY�Dlc LOS ANGELE BUILDING AND SAFETY FOR APFLICANTTO FILL IN JOB J-• q' EYU CI n11TA S�` New Residential Bldgs:&'Pools EACH NO, -FEE - ADDRESS-� 7� - /- ..-.___._ rc_ 1 &2 Family,Sat Ft.' S .025c — $ LOCALITY ' �e &l - Multi-family Sq. Ft .02"'C= - '" "- ` NEAREST kP6 TVry R_S fir, CROSS ST. Residential Swi.mming_Pools 25.00 _ OWN=- ARM NAME I _ Outlets:lec �) Light_:�—Sw.�-_ t.50 _ MAIL _ First 20 OR" ADDRESS. FU C _. .- T- _..Total No:4.L_ -Additional .30 t CITY _ .Tel.No.� -•s_, _ PIA FEE APPLICANT. ... - Lighting Fixtures First 20 .50 ADDRESS' -Additional :30_ Total No.� onaCITY _ T.I. No. - Fixed.Applionces.Not.Over I.HP._ _. _. .PERMIT ---• -- - - • --- -- - - - --- Range_Heater_D.W. APPLICANT Oven—Dryer_W.M._ - - ADDRESS- - • - ---- — - Top _FAU W.H. _ _ _ CITY _ •y Tel.•No__ _ �•,— ,_,�•• Hood_Fon _Other_ < LICENSE OR Disp.__ Room Air Cond. •_ 2'50_ - REG.NUMBER _Class. _ _ _ •_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT.AND AGREE TO COMPLY WITH'ALL'COUNTY,•ORDINANCES-AND STATE' L'AWS' Size&T "A Type HP,KW, KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING. 0 Up to I Incl, __ 1 HEREBY'CERTIFY-THAPItAM PROPERLY REGISTERED'AND/OR' Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V OC - Over 10.to SO Incl: 12.50 _ CALIFORNIA SI THAI) AMTHRO ERT LEGAL]OWNER OF-THE'_A@QVE- —.Q 25.00 DESCRIBED RESIDENTIAL PROPERTY r Over 50 to 100 Inc PERMIT EE ,__ '� _ ; � _ ;:�•._�. _ 1(YJ - - Over'100 - •40.00 . SIGNATURE •-'N Z Services- - - - - DISTRICTS._ - 0-,'200 Amp.Under 600 V 12.50 201-J 000 Amp. Under 600 V 25.00- Over7000Amp.or Over b00V 50.00 Z p Temp. Power Pole&Appurtenances 1-0.00• - •^ - •-xT^ < Sign with One Branch Circuit 10.00 Additional Sign BranchCircuits 2'00 INSPECTION _ > _ Misc.Conduits&'Conductors10.00 'INFORMATION � Other(See Complete Fee Schedule)_ r QN REVER$E� S f �- u r. 5 28'6Q2,A -- , PERMIT FEE _ [Sub Torc-H .2 0 01,500 Z PLAN CHECKING FEE 10ne Fourth Permit Feel 1 Tj 0 o g PERMIT ISSUING FEE - _S7.00 4.. 1 5_8 O ,c Q TOTAL FEE J > INSPECTION FINALED ode 6 r W date: 3-z S'�8/ BY �Cr G 1-.am L WORKERS' COMPENSATION DECLARATION 20�0019DPW 3/87 APPLICA'�ION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self 76AW (� (�' (t insure, or a-cert if i[ate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lob. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS 7/ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. 41 Dole Applicant Residential Swimming Pools �• OWNER OR •� ` 'FIRM NAME f, CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec / LightSw. -/ - MAIL _ COMPENSATION INSURANCE First 20 25 ADDRESS r AIA (This section need not be completed If the work involved by Total No. CITY Tel. No. the permit is for one hundred dollars ($100)or less.) Additional .'' G. I certify that in :he performance of the work for which this PLAN CHECK permit is issued, I shall not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS ' / �r / ` Additional Dote 7L �y Tr//,;, VN.Yt✓/L7/ Total No. CITY Tel. No. Applicant- NOTICE TO APPLICANT: If, corer making this Certificate Fined Appliances Not Over 1 HP PERMIT re of Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION 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 — FAU —W.H. — deemed revoked. Hood — Fan —Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. — REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROC ED BY r and Professions Code,and my license is in full force and effect. d Size 8 Type HE, KW, KVA, or KVAR O License Number Li c. Class Up to I Incl. FINAL O Over 1 to IO Incl. DATE 49 VALIDATION 0 Contractor Date Over 10 to 50 Inc[. FIN Flam exempt under Sec. Over 50 to 100 Inc. gy W B.BP.C. for this reason Over 1170 / d ---Date:- ,,Under Services, Swbd., MCC& Panelboards D Z 0-200 Amp 600 V Signature 201 - 1000 AmInd':r 0 4:1.0 A OOver IOOO Amp. or Over 600 111.- e,e;e • 2 Exemption for Reg. Mainz. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances ) -.- 43.70 HOME OWNER-BUILDER DECLARATION hereby affirm that exempt from the Contractor's License Sige o • Law for the followingg r n with One Branch Circuit reason (Section 7031.5, Business and Additional Sign Branch Circuits 4 3.7 0 5 Profe ions Code): o 81„ 2-88 I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered 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 - PERMIT ISSUING FEE Lender's Address ' I certify that I hove read this application and slate 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 the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 1 ig ure of Perm iltee Dote Os WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) 6A663 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent 10 self insure, 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 Q(Sec.3800 Lab..C.)7 (I w� �i 1 .T P❑oIICy NO.0 l�7/Z� Company 2.1-_L�w rN FOR APPLICANT TO FILL IN ADDRESS 57 /q /it Certified copy is hereby f rin ed: New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ /{�//)/y i &2-Family,Sq.Ft. $ $ Certified copy is fIP@Illlfl LOU ui g iaspecti NEAREST department. Multi-family Sq.Ft. CROSS ST. qqq[` Residential Swimming Pools ASSESSOR Date Appl' nt MAP BOOK I PAGE PARCEL CERTIFICATE EXEMPTION FROM WORKERS' Outlets:Rec. Light L Sw._ FlPM NAME V COMPENSATION INSURANCE A (/L:Q r,- First io MAIL �1 Ci c (This section need not d completed 0 for work involved by the Total No. Additional ADDRESS 5 [ 1 N permit is foT�one hundred dollars($100)or less.) I bertif aCITY Tel.No. t in the performance of the work for which this permit I (L P Q e I ed. I shall not employ any person In any manner 50 as t0 PLAN CHECK come subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT / Total No. Additional ADDRESS Date ` Applicant Cort GLLT Te•[�i:+Ct' 4 'G NOTICE O PPLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP. 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 p y with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 1 — LICENSED CONTRACTORS DECLARATION Size&Type HP,KW, KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Ind. CITY U A Professions Code,and my license Is In full force and effect. Over 10 to 50 Incl. LICENSE OR Over 50 to 100 Incl. REG.NUMBER /O Fi U Class.C-ZU } Over 100 DISTRICT NO. P SSEO BY 0 License Number Lia Class r `CD� p Services,Swbd.,MCC&Panelboards ��Occ Q�nx / 0-399 Amp.Under 600 V FINAL 0 Contractor g f Date_/( DATE Ce r+TKCC— 400-1000 Amp.Under fico V ❑ I em exempt under Sec. VALIDATION W Over 1000 Amp.Or Over 600 V FINAL 8.&P.C.for this reasonCL BRANCH CIRCUIT FEES BY in Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits O Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,2DA,208V To 277V Lighting Br.Circuits ACCT.: SINGLE FAMILY Temp.Power Pole 8 Appurtenances _ HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 3JOJ 67•vD I hereby affirm that I exempt from the Contractor's License Law for the following reason (Section 7031.5. Business and Professions Additional Sign Branch Circuits 1 ITEMS Code): ❑ Misc.Conduits&Conductors TOTAL 67 - 80 I,as owner of the property,will do the work and the structure a o is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ D CHECK 67.8D and Professions Code). - CHANGE .DD 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) 0000—(DO1 6/ 696 Civ.C.) PLAN CHECKING FEE 6770 1 AM 9:10 Lender's Name PERMIT ISSUING FEE C> Lender's Address D 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 ordinances and State laws rag acing Electrical wiring,and hereby authorize reW s of this Cou o enter upon the above-mentioned property fo / SEE REVERSE FOR EXPLANATORY LANGUAGE (/f/•• l/O AsBNATURE OF PERMITTEE OA E COUNTY OF LOS ANGELES TEMPLE CITY # 0508 -ELECTRICAL PERMIT - DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ' EL _0508 981106001.7 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 —' - PHONE: (818) 285-0488 EXT: GAL ID: FEES PAID BIJUD-IN77MDRESS: ON FILE 5719 ENCINITA AV FEE DESCRIPTION: QUANTITY: LON: AMOUNT: TEMP CA 917802418 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 5387-018-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 8.00 BR 138.00 TENANT: F2 208, 277V LGT BR CKT 2.00 BR 54.60 ISSUED 0 : PROCESSED : PLAN BEXPIRES ON: G1 OUTLETS-LGT,SW,RECP 51.00 OUT 80.85 11/06/98 UT 11/06/99 G2 LIGHTING FIXTURES 10.00 LGT 19.50 OWNER: TEL. NO: H7 RES EXHAUST FANS 2.00 EX 21.60 FINAL DATE FINAL BY: CODE: CHAVEZ JULIAN E;KATHLEEN K - LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 -�77-� /J 5719 ENCINITA AV TOTAL FEES 381.15 ✓`/v c TEMP 917802418SCR7FE�IP 0� WORK ELECTRICAL FOR BATHRM, WASH RM, SITTING RM 8 DINING AREA APPLICANT: - . NO: SAME AS OWNER - SPECIAL CONDITIONS: GELES Co CONTRACTOR: TEL. N0: OS A APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWERPOLE- --UNDERGROUND CONDUIT ARCHITECT OR ER: TEL. NO: UFER GROUND LIC. NO: lllll tl ROUGH CONDUIT ROUGH ING �?n c T �O �� U( 1 PH MAIN WATER LINE v wJ PLASTIC Y/N METAL Y/N UTILITY COMPANY OTIF 7/8�' �D( ServiceTha< REPORT ID: DPR265 ROUTE TO: BS0508