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Home My Public Portal About6152 ENCINITA AVE_Electrical__ -rEMPLE COTY APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS 67 JOHN A. A.JEN E, COUNTY ENGINEER am"�� may/-Ll WILLIAM A.JENSEN.SUPi of BU U_o ING LOCALITY T�1 / (� ' FOR APPLICANT TO FILL IN NEAREST OSS sT. CS' r1 PEMT FEES I TEM NUMBER I EACH FEE OWNERS OUTLETS: $ $ ADAIL O KESS ,uZ LIGHTS REOEPT. SW. .IO /J LIGHTING FIXTURES 10 CITY Q h7 `-i EL.NO. ' ELEC.RANGES - LLQ.DRYERS ELEGTRICIA WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY ,S ) TEL. NO. GARBAGE DISPOSERS gUTQ- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER Wc. H.P. DISTRIIC NO. I GR UP ZONE I P G SSED SY O— y .25 L li— 2 50 INSPECTION RECORD 2— 5 LOO 5— 15 L50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 ' SERVICE OVER 600V SOO MISC. WIRING PERMIT - 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 _ TOTAL FEE U S y M) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY q nen WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING + CON QUIT _ ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR , VVI RING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATS OF _ FIXTURES CALIFORNIA OR THAT 1 A E LEOgL OWNER OF THE ABOVE DESCRIBED RESIDETIf /NROPE d POWER SIGNATURE / UTILITY CO.NOTIFIED OF PERMITT ., :...:. .. _ r ,........ FINAL -I —r�+11 NIY I21/ • O� ®, CK Mo '� ARTHURN VETT, SUPERVISING ELECTRICAL ENGINEER CK MO CASH LACD 9 o 2 4 s 04 2 3 2 D 2.0 0 WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION p g l�� 1� 1� ELECTRICAL I� r� p p 1��1��p�p� -_'�� I hereby dlfirm that I have a certificate of consent to self CE-8066 APPLICA 0 ION If OR ELECTRICAIL PIGRM, infure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY 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. & Pools EACH NO. FEE ADDRESS 4'14:$� E/YG//L✓/ T/f ❑ Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — S LOCALITY rC'�j7�LE tion department. Multi-family Sq. FI. — NEAREST Residential Swimming Pools CROSS ST. DateWNER OR _ Applicant ORM NAME YAN — DE Su.✓e� CERTIFICATE OF EXEMPTION FROM WORKERS' � MAIL COMPENSATION INSURANCE Outlets: Rec Light_Sw._ �1 Z ADDRESS �/�/ First 20 OG 7 ,,'! � �• (This section nerd not be completed If the work Involved by Total No. Additional CIT L�'YW Cy/},� E L. Tol' N°' X 7 D/ the permit is for one hundred dollars ($I00)or less.) I certifythat in the performance of the work for this PLAN CHECK P or wAPPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures_ First 20 ADDRESS Tolol No. 3 Additional Date Applicant TiQ/PLE E L` ./-1 CITY Tel. No. tlt Fixed Appliances Not Over 1 HP PERMIT NOTICE n, APPLICANT: If, after making this Certifi APPLICANT ,Q/ L G E G'Gd'�j- �oN Exemption, you should become subject to the Workers' Range_ Heater—D.W. —. Compensation provisions of the Labor Code, you must forth- Oven — Dryer L W.M._ ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. _ �r deemed revoked. CITY ,Z rE Tel. No. 3�(� LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ Dis LICENSE M �U p. ,_ Room Air Cond. �REG. NUMBER u Class. I hereby affirm that I am licensed under provisions of Chapter 9 Hio�� Y (commencing with Section 7000) of Division 3 of the Business DISTRICT P $SED O. Power Apparatus 8 Large Appliances and Professions Code,and my license is in full force and effect. / t'' y141-6 a Size 8 Type HP, KW, KVA, or KVAR 5' V License Number Li<. Class Up to 1 Inc[. FINAL IV Q: ••fi�e' //SLE �JO.VT- Over 1 to 10 Incl. DATE /�Q�90 VALIDA ION rac Conttor E ELEC/• ate I- ❑ Over 10 to 50 Incl. NAL W - FI am exempt under Sec. Over 50 l0 100 Inc. BY d.' B.BP.C. for this reason Over 100 N Z Date: Services, Swbd., MCC 8 Ponelboords D 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ - - Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.i I hereby affirm that I am exempt from the Contractor's License n Branch Circuits Law for the following reason (Section 7031.5, Business and Additional Sig3307 20.70 Professions Code): 1 ITEMS ❑ 1, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)_ D TOTAL 20 - 70 7044, Business and Professions Code). - CHECK 20.70 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHANGE Oct. the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE 0000-0001 1/17/90 Lender's Name PERMIT ISSUING FEE O 8316 1 AM11*49 Lender's Address ' I certify that I have read this application and state that the TOTAL FEE z above information is correct. I agree to comply with all County ordinances and State lows regulating Electrical wiring, and hereby authorize representatives of this County f°enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 4nn !- l7 - 90 Signature of Permitlee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1312100037 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0486 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ON FILE 1 6152 ENCINITA AV IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801638 1 1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15385-002-014 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE; 596 GRID: J2 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 12.00 I 1 (TENANT: IG2 LIGHTING FIXTURES 8.00 LOT 16.00ISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 55.80 (112/10/13 SR 1 OWNER: TEL. NO: (F// // IALL DATE FINN/ALL BB�Y\/:'/J CODE: 1SUNG, DAVID (510) 968-8775- {�/ "'�`JI � u 16152 ENCINITA AVE NA TEMPLE CITY CA 91780 DESCRIPTION OF WORK 16 OUTLETS AND LIGHT FIXTURES FOR PATIO ENCLOSURE (APPLICANT: TEL. NO: (BERG, DWAYNE (909) 636-7505- 1 121661 BROOKHURST ST SPECIAL CONDITIONS: IHUNTINGTON BEACH 11 I CONTRACTOR: TEL. NO: X11 (APPROVALS DATE INSPECTOR SIGNATURE IDB CONTRACTING (909) 656-3505- 121661 SROOKHURST STREET #326 LIC. NO ITEMPORARY POWER POLE I I I HUNTINGTON BEACH CA 92646 832929 (UNDERGROUND CONDUIT I ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I LIC. NO: IROUGH CONDUIT 11 IROUGH WIRING 11 (MAIN WATER LINE 11 JPEASTIC YIN METAL YIN (UTILITY COMPANY NOTIFIEDI I I III 11 II I I 11 I 11 I I 11 1 I I I I I II i 111 i (III 111 11 1 I I III I lI li I I I I II I 1111 I I I I (III I I I 11 IREPORT ID: DPR265 ROUTE TO: DS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1403100041 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91700 PHONE: (626) 265-0408 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 6152 ENCINITA AV ON FILE IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801638 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FLAHERTY 15385-002-014 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CA IG1 OUTLETS-LGT,SW,RECP 12.00 OUT 24.00 1 TENANT: IG2 LIGHTING FIXTURES 16.00 LOT 32.00 (ISSUED ON: PROCESSED. BY: PLAN BY: I IH2 RES GREG DISP LT 3HP 1.00 DIS 112.00 103/10/14 SR - I IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 1 1 OWNER: TEL. NO: TOTAL FEES 105.60 IFINAL DATE FINAL BY: CODE 1 : SUNG YAUDOU DAVID - 16152 ENCINITA AVE TEMPLE CITY CA 91780 =SCRIPTION OF WORK 12 OUTLETS, 16 LIGHT FIXTURES, GARBAGE DISPOSAL AND DISHWASHER (APPLICANT: TEL. N0: ILD, CONEY (626) 584-9929- 16108 ENCINITA AVE ISPECIAL CONDITIONS: 1 TEMPLE CITY CA 91780 I I 11 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE (RIGHT BUILDER CONSTRUCTION (626) 584-9929- 1 1 16108 ENCINITA AVENUE LIC. NO 1TEMPORARY POWER POLE 1 TEMPLE CITY CA 91780 976954 1 ONDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: 111 IUFER GROUND LIC. NO: IROUGH CONDUIT (ROUGH WIRING MAIN WATER LINE W \� PLASTIC Y/N METAL Y/N 1UTILITY COMPANY NOTIFIED( 1 11111 1111 11 1111 11111 11111 1 11111 11111 111 I � I I 111 I I 11 111 I I I I I I I I II I11I i i 111 11111 (REPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I