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Home My Public Portal About4820 FIESTA AVE_Electrical__ 76A6P3A'i c �O6A 4/72 APP.LICATI 'N iOR ELECTRICAL PERMIT TEMPLE CITY COUNTY OF LOS ANGELES p DEPARTMENT OF COUNTY ENGINEER BUILDING ADDRESNG S 4$20 . N. FIESTA BUILDING AND SAFETY DIVISION LOCALITY TEMPLE CITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. ✓ FRES TS NO. EACH FEE OWNER THURSTON, EV TT $ $ MAIL FIRST 20 ADDRESS ABOVE S7� Q TOTAL CITY TEMPLE. CITBEL. NO. 286-2864 OVER 20 PLAN CHECK FIRST 20 APPLICANT TOTAL OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. No. RANGE DRYER_WTR. HTR. PERMIT TRANE HUG APPLICANT STA. COOK DISP. F.A.U. ADDRESS 2034 NORTH PECK ROAD p SPACE HTR. AIR COND. CITY MONTFL. N0. 579-798 CLOTHES WASH. DISHWASH. LICENSE NO. 265094 CLASS.0-20 FAN OTHER Z 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C_'.) IND HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 0 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR � 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF C3 CALIFORNIA OR THAT I AM THE LEGALOWNEROF, AND INTEND TO 13- 1 - 10 4 1 50 RESIDE IN, THE �AB)OVV�E DESCRIP.ED RESIDENTIAL PROPERTY. cn SIGNATUE 10 - 50 OF PERM RITTEE W V ,t� 4-26-76 50 — 100 DISTRICT NO. CLASS PIJ&ZA E P;PD BY100 — 500 (�( r� SIGN, GAS SIN AND GONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVI CENOT OVER 600 VOLTS OR 200 AMP' 100 - APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) lO SO POWER AUTHORIZED UTILITY CO. NOTIFIED _T_ PLAN CHECK FEE n PERMIT ISSUING FEE 4 50 FINAL TOTAL FEE 1 no PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 5 i 0 N AnR 2.7 2 1) j 1 5.0 0 �:� WORKER^(��P�'NS°T`IONPECLARF�ION CE806GrD/81 APPLICATION FOR ELECTRICAL PERMIT mm I hereby affirm that I have a certificate of consent to self insure, 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 — Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ $ LOCALITY tion department. Multi-family Sq. Ft. NEAREST CROSS ST. Residential Swimming Pools OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec ' Light Sw. MAIL COMPENSATION INSURANCE First 20 ADDRESS (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 that in the performance of the work for which this PLAN CHECK I certify p APPLICANT 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 Additional Total No. CITY Tel. No. Date ;'' Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO'APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater—D.W. — 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 DISTRICT NO. PROCESSED BY a and Professions Code, and my license is in full force and effect. Power Apparatus & Large Appliances O Size & Type HP, KW, KVA, or KVAR V License Number Lic. Class Up to 1 Incl. FINAL Lu Over 1 to 10 Incl. DATE •- " M Contractor Date VALIDATION F-1 Over 10 to 50 Incl. FINAL } oe I am exempt under Sec. Over 50 to 100 Inc. BY Q B.&P.C. for this reason Over 100 0 O Services, Swbd., MCC & Ponelboards , a Date: 0 - 200 Amp. Under 600 V W Signature 201 - 1000 Amp. Under 600 V � �,� r ❑ Over 1000 Amp. or Over 600 V f Exemption for Reg. Maint. Elect. 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): El1, 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)— , 6 k P +l 4 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 issued PERMIT FEE (Sub-Total) s (Sec. 3097, Civ. C.). PLAN CHECKING FEE ` Lender's Name PERMIT ISSUING FEE Lender's Address 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 the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0107100040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14647 LT: 1 4820 FIESTA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803814 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8590-017-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 3.00 BR 51.75 TENANT: F2 208, 277V LGT BR CKT 1.00 BR 27.30 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 07/10/01 UT 01/06/02 G2 LIGHTING FIXTURES 9.00 LGT 17.55 OWNER: TEL. NO: H7 RES EXHAUST FANS 1.00 EX 10.95 FINAL DATE_ L BY: CODE: JORDAN, PHILLIP; PAMEL (626) 285-6401- TOTAL FEES 154.80 �� 4820 FIESTA AV TEMP 917803814 DESCRIPTION OF WORK ADD BRANCH CIRCUIT TO 298SQ.FT. ADDITION AND DET, GARAGE PLACE ALL APPLICABLE OUTLET AND LIGHT FIXTURES APPLICANT: TEL. NO: SAME AS OWNER SPECIAL. CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO "�•" �'�`.. TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR NGINEER: TEL. N0: UFER GROUND LIC. N0: - - ROUGH CONDUIT ROUGH WIRING b / o MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY OTIFIED REPORT ID: DPR265 ROUTE TO: BS0508