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Home My Public Portal About6021 ENCINITA AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508ELECTRI CAL:-PERM IT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL-0508-9709240024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: FEES PAIDBU G-ADOR TRL-.:A5904 LT: 379 BL: .001 6021 ENCINITA AVf FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA'917801935 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5384-013-023 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 TENANT: HA FAU LESS 3HP 1.00 FAU 10.80 MUED ON: PROCESSED BY: PLA EXPIRES ON: JB AC UNITS +3-10HP 1.00 AL 19.65 09/24/97 UT 09/24/98 TOTAL FEES 60.15 OWNER: TEL. NO: FINAL DATE INAL CODE: PAUL YOLANDA C;PAUL DONALD W - 6021 ENCINITA AV /D 1 11 TEMP 917801935 CR P7Tof�OR W �R�— ELECTRICAL FOR NEW HEATING AND() IR CONDITIONING SYSTEM APPLICANT: . NO: DANIELS HEATING 8 A/C CO. (909) 599-8552- SPECIAL CONDITIONS: LES c CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DANIELS HEATING AND AIR (909) 599-8552- 438 W ARROW HWY #10 LIC. NO UNDERGROUND UI POLE SAN DIMAS CA 610726 C20 k9�1 UNDERGROUND CONDUIT ARCHITECT OR ENGIN . NO: UFER GROU D LIC. NO: ROUGH CONDUIT ROUGH WIRING ,y- PUBUC CG O'b ', KS MAIN WATE LINE -11 PLASTIC Y/N METAL Y/N All UTILITY COMPANY NO ED 09 �c REPORT ID: DPR265 ROUTE TO: OS0508 WORKERS' COMPENSATION DECLARATION':. '76A663' I0/81 APPLICATION IrOR ELECTRICAL PERMIT I hereby offinn that I have a certificate of consent to self CE-8066 insure, or.a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES '�C BUILDING AND SAFETY `red certified copy thereof (Sec. 3800, Lab. C.) F Policy Na. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ❑ I & 2-Family, LOCALITY .r Certified copy is filed with the county building inspec- y, Sq. Ft. $ — $ L� G NEAREST tion department. Residential Swimming CROSS ST. T /( Dote Applicant Residential Swimming Pools OWNER OR .FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_Light_Sw. MAIL COMPENSATION INSURANCE ADDRESS This section need not bom completed if the work involved b - First 20 ( e cP T Total No. Additional CITY Tel. No. RK IFZ6� the permit is for one hundred dollars or less:) I certify that in the performance of thee work for which this PLAN CHECKAPPLICANT permit is Issued, 1 shall not employ any person in any manner so as to become subject Io the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS - - - pp Total No. Additional DOte�A licantolj �/ -C kL-rG IPo/( CITY Tel. No. PIf Fined Appliances Not Over 1 HP PERMIT NOTICE AP LI should t If, after making't o Certificate of Exemption, you d become subject to the Workers' Range_ Heater—D.W. APPLICANT L Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M.— ADDRESS -'g9 O f ' n wish 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. t REG. NUMBER Class. - O (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY and Professions Code, and my license is in full force and.effect. Power Apparatus 8 Large Appliances y 11 T / / Size & Type HP, KW, KVA, or KVAR' O License Number 3 1 � f,+ 6 I Class J..—L`� Up to 1 Incl. I FINAL - tI Coniractor//n2/70/L/ FL�L�-0ate aZ Over 1 to 10 Ind. DATE VALIDATION 0 ❑ Over 10 to 50 Incl. V FINAL I am exempt under Sec. Over 50 to 100 Inc. BYE , W B.&P,C. for this reason Over 100 /,p/ ,/ y Dote' Services, Swbd., MCC& Ponelboards i D © //f/ __;: - Z 0 - 200 Amp. Under 600 V I 7 Signature 201 - 1000-Amp. Under 600 V , ❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V 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 Law for the following reason (Section 7031.5, Business and - - Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code). - z9'$4 1'9 A CONSTRUCTION LENDING AGENCY j1�0 °,e e • 2 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) ,° ° 2550 (Sec. 3097, Civ. C.). PLAN CHECKING FEE. . °`° ° 255 0 6 Lender's Nome qq PERMIT ISSUING FEE . .. V f .( 1 -7-8.2 Lender's Address 1 r� 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 - he above-mentioned property fection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignoture of Permittee Da)