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Home My Public Portal About5820 ENCINITA AVE_Electrical__ 76AR65-CE806.756 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department o1 County Engineer BUILDING S County o1 Los Angeles ADDRESS �J U JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY t CA5SATT D. GRIFFIN.SUPT OF BUILDING FOR APPLICANT TO FILL IN CROSS ST. 1- o Y1 Q PERMIT FEES NUMBER OWNER .d`. C qq LIGHT OUTLETS AMAIL DO,ESS N C I I rA RECEPTACLES WALL SWITCHES FEE CITY / TEL. NO.. TOTAL OUTLETS ® 5¢ s ELECTRICIAN �9S�` /y ELEC. RANGES 25 ADDRESS IF I V ELEC. HEATERS 25 CITY A� TEL. NO. KW EASTATE FIXTURES 5 Q LICENSE NO. MOTORS DISTRICT NO. GUP JZ'7O READY FOR INSPECTION NUMBER HORSEPOWER FEE IROI NEW MVO. HP OVER INC. EACH 54 B LESS s .25 INSPECTION RECORD 2 50 2 5 1.00 � 7 1s so z.5o L� ?t�T,^. 50 200 5.00 ..-�_ t2 ` ` ct...A�__ �.r MISO. NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING PERMIT 51.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE S IS DATE INSPECTORS SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES , I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I PM THE LEGAL OW OF THE ABOVE DESCRIBED RESIDENTI LYPROPE Y. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE kou FINAL JOHN A. LAMBIE. �ATION ARTHUR C. ELECTRICAL COUNTY ENGINEER vH MO CASH SUPERVISING ELECTRICAL ENGINEER fig9 1 5 JU 1? 2 2.1 5 in ION DECLARAT r' WORKER'S thatIhave a certificate of consent to 76A663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to 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(Seo.3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN ADDRESS .61 ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE _ $ $ LOCALITY El Certified &2-Family,Sq.Ft. , Certified copy is tiled with the county building inspection ST r department. Multi-family Sq. Fl. CROSS CROSSST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rep._Light Sw._ 2`272RE COMPENSATION INSURANCE First MAIL �l (This section need not be completed B the work involved by the Total No. Additional ADDRESS permit Is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which this permit CITY Y PKL,;r T.I.No. 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. NOTICE TO APPLICANT: II, 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 Cade, you must forthwith complywith such PERMIT Power Apparatus 8 Large Appliances APPLICANT 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 Ind. (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 Ind. LICENSE OR Over 50 to 100 Incl. REG.NUMBER Class. d Over 100 DISTRICT NO. P O SSED BY O License Number Lip.Class V Sd Ices,S bd.,MCC$Pane cards � Y Z�m1P..i'n 0 V FINAL Q Contractor Date DATE p GI ❑ 400-1000 Amp. Under 600 V �Z / - [ V I am exempt under Sec. Over 1000 Amp.or Over 600 V VALIDATION FINAL W 8.8 P.C.for this reason CL BRANCH CIRCUIT FEES BY �/_l (13 Date: 15A,or 20A, 120V,Lighting or Recept. (G�f� 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 - - - - a HOME OWNER-BUILDER DECLARATION 'rf- I .s 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 t' = Code) � Misc.Conduits&Conductors ITEM 1=1 1, as owner of the property,will do the work and the structure n C is not intended or offered for sola (Section 7044, Business Other(See Complete Fee Schedule) , TF�TAL �+� o �'�-r and Professions Code). CHEC I CONSTRUCTION LENDING AGENCY nA1 j U I hereby affirm that there is a construction lending agency for the CHANGE performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE LIIJIJO'pQIJI Lender's Name / ,/ ry67p c- PERMIT ISSUING FEE 4�(p TO ✓-' � 1 l�Nli"U-- 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 ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property for in action purposes. ]^ SEE REVERSE FOR EXPLANATORY LANGUAGE NAM.L pF PERMITTEE DAT COUNTY OF LOS ANGELES TEMPLE CITY q 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 1403060056 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0486 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 775 BE: .001 GJ: .002 5620 ENCINITA AV 1 I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802420 1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 18587-002-020 JAI PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI F1 120V, 15/20A BR CKTS 10.00 BR 173.00 I I ITENANT: ALN OTHER PNL 0-399 AMPS 1.00 PAN 38.90 IISSUED ON: PROCESSED BY- PLAN BY: 1 'IT2 NO PERMIT R3 OWN-BLD 344.00 DOL -344.00 103/06/14 SR TOTAL FEES 583.70 1 OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: ZHANG, CHRISTINA (626) 226-3806- 5820 ENCINITA AV ITEMP 917802420 1 DIPTION OF WORK �� (REPLACE EXISTING LOAD CENTER (ELE) UPGRADE SUB-PANEL i IMP TO CIRCUIT BREAKERS APPLICANT: TEL. NO: SAME AS OWNER - ISPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR EIGNATURE ISAME AS OWNER - I I LIC. NO I ITEMPORARY POWER POLE (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL, NO: 1UFER GROUND LIC. NO: I IROUGH CONDUIT IROUGR WIRING MAIN WATER LINE PLASTIC YIN METAL YIN I I I I I I[TTILITY COMPANY NOTIFIED I 1 II 1 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 RE PORT ID: pPR265 ROUTE T0: 850508