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Home My Public Portal About6367 ENCINITA AVE_Electrical__ COUNTY OF,LOS ANGELES TEMPLE CITY rY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1207100058 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID BUILDING ADDRESS: ITR: 12115 LT: 20 6367 ENCINITA AV I IFEE DESCRIPTION: QUANTITY: UOM:• AMOUNT: TEMP CA 917801318 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 15382-023-012 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.40 1 TENANT: IG2 LIGHTING FIXTURES 25.00 LGT 45.70 (ISSUED ON: PROCESSED BY: PLAN BY: H2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 107/10/12 SR IH3 RES DISHWASHR IT 3HP 1.00 DIS 11.00 1 OWNER: TEL. NO: IH4 RES RANGE HOS LT 3HP 1.00 HOD 11.00 FINAL DATE FIN Y: CODE: ILIN, DAVID (626) 675-1449- H5 RES WASH MACH IT 3HP 1.00 WAS 11.00 1 16367 ENCINITA AVE ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 1h ITEMPLE CITY CA 91780 TOTAL FEES 208.80 IDESCRIPTION OF WORK IELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE PANEL 1 1200 AMP 1APPLICANT: TEL. NO: IKU BY DESIGN, LARRY KU (626) 679-5238- I 1828 E. VALLEY BLVD I ISPECIAL CONDITIONS: SAN GABRIEL CA 91776 I I I I I CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATORE I ITSH CONSTRUCTION AND DEVELOPMENT (626) 688-6255- 15605 TEMPLE CITY BLVD. #B LIC. NO I ITEMPORARY POWER POLE ITEMPLE CITY, CA 91780 952913-8 I II - I IUNDERGRODND CONDUIT I (ARCHITECT OR ENGINEER: TEL. NO: I 0FER GROUND LIC. NO: I IROUGH CONDUIT I IROUGH WIRING SII I I (MAIN WATER LINE I I I PLASTIC YIN METAL YIN I I I 1UTILITY COMPANY NOTIFIED( I I I I/�/��,✓�I-If 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 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 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 I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I TION i ,>,Wfirm that t I have a certificate of corse 'zo-oowDPW aie7 APPLICATION FOR ELECTRICAL PERMIT O aAab I hereby affirm that I have a certificate of consent to self cE.goyG 'insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS 'oG) certified copy thereof (Sec. 3800, Lab. C.) t ` Policy No. Company FOR APPLICANT TO FILL IN JOB 6ein Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITY �'Q�/yL tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Residential Swimming Pools OWNER OR- Dote Applicant /�n/TT�,�Ll� FIRM NAME AIJ4 ii 1,0,e CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Ligh �Sw. MAIL COMPENSATION INSURANCE L First 20 ADDRESS (This section need not be completed if the work Involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK N,,,^,^^ - Icertify that in the performance of the work for which this APPLICANT f✓YI I t4 permit is issued, I shall not employ any person in any manner Lighting Fixtures Firs, 20 ADDRESS so as to become subject to the Workers' thpensetior,Laws. Additional 13 if f)A III Total No.�_ CITY _n Tel. No.�� Date f( } Applicant r 7 Fixed Appliances Not Over I HP PERMIT z NOTICE O APPLICANT: If, after el m mg th is rCert' icote of APPLICATION Exemption, you should become subject tb th Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, 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 — Fan —Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR r I hereby affirm.that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER ClossL-),V (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRIC NO. PR!j BY . Y and Professions Code,and my license is in full force and effect. Q. 'a-0 /� Size 8 Type HP, KW, KVA, or KVAR cce».-�� O License Number �^+ 7� Lic. Class Up to I Incl. FINAL ✓� O �a Man L iGt /l Over 1 to 10 Incl. DATE VALIDATION fr Contractor Date_ O ❑ Over 10 to 50 Incl. I— am exempt under Sec. Over 50 to 100 Inc. gY FINAL '�///y� O B.&P.C. for this reason Over 100 �'�/ a Services, Swbd., MCC& Ponelboards D U) Date: 0- 200 Amp. Under 600 V - Z Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp, or Over 600 V Exemption for Reg. Mainz. Elect. ^} SINGLE FAMILY Tem Power Pole &Appurtenances 4 + HOME OWNER-BUILDER DECLARATION p' AC:C:T.AT I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit 7 1 14.2 Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits .37kI7 Professions Code): 1 ITEMS ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors TOTAL 14 - 25 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ D �� Business and Professions Code). CHECK 14.25 CONSTRUCTION LENDING AGENCY CHANGE •C1LI I hereby affirm that there is o construction lending agency for - the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 1)000-001]1 11!29/3.7 PLAN CHECKING FEE Lender's Name 7107 1 AM O'1'1 PERMIT ISSUING FEEI Ing Lender's Address TOTAL FEE I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize rep sewonves of this County to enter upon - the aDo e. emion5 prop ! for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si6notdre of Per itte Date ®' WORKERS'COMPENSATIONDECLARATION CE 863 APPLICATION FOR ELECTRICAL PERMIT 76A66 G (2-801 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab.C.) FOR APPLICANT TO FILL IN SOB C Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESSAwleilv,(1-4 441,F Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ + LOCALITY ❑ Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools r I OWNER OR "t FIRM NAME w LLi Gc Q� Date Applicant Outlets: Rec._Light_Sw. MAIL First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY - Q - Tel No.� } COMPENSATION INSURANCE d PLAN CHECK (This section need not be completed if'the work involved" APPLICANT OU by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First ADDRESS 2 Total No. Additioonal 0 1 certify that in the performance of the work fnr which this Fixed Appliances Not Over 1 HP CITY Tel No. ~ permit is issued, 1 shall not employ any person in any manner - + PERMIT♦ tll so as to become subject to-the Workers' Compensation Laws. Range_ Heater—D.W. + - APPLICANT Tt. N/ Oven Dryer_W.M._ �� t tEG S e 36 _ _ z Date Applicant �t�F/l/%'� fLt/-r/�ff'-f Top — FAU W.H. ,f _ CITY Tel No' + 1EG Hood — Fan —Other— - NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ LICENSEOR e O Exemption, you should become subject to the Workers' MBER O t/0- Class Compensation provisions of the Labor Code, you must forth. Power Apparatus& Large Appliances T NO. D PROCESSED BY with comply with such provisions or this permit shall be - 5 deemed revoked. Size&Type HP,KW, Ind.VA,or KVAR J Up to 1 Incl. t 'r Over 1 to 10 Incl. FINA �LICENSED CONTRACTORS.DECLARATION Over t0.to 50 Incl, fV VALID TION I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc. k9 (commencing with Section 7000)of Division 3 of the Busi- Over 100ness and Professions.Code, and my license is in full force.and effect. Service License Number I"G891F@' Lic. Class G /d 0- 200 0Am . Under 600 VIS- ;535&2A 20 - 0 Amp. rider 600 V Contractor_&REA//�Q l�tT,Date /l-,,96 �i'4 Over 1000 Amp.or Over 600 V # e e e e e 2 HOME OWNER-BUILDER DECLARATION Temp. Power Pole'&Appurtenances I o o255.0 1 hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit Additional Sign Branch Circuits o e e 2 S501-' License Law for the following reason (Section 7031.5. Busi- ness and Professions Code): , 2 5 8 5 Misc.Conduits&Conductors '� 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or-offered for sale (Section 7044, 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 PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). - Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE Q I certify that 1 have read this application and state that the TOTAL FEE ASt above information is correct. I agree to comply with all County ' ordinances and State laws iegulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SHE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of Permittee Date '