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Home My Public Portal About20134 GRAND AVE_Electrical__ �75,,6ea-cee0e 1/70 APPLICATION FOR E IC �L-�&M&IT L COUNTY OF LOS ANGELES DEPARTMP-NT OF COUNTY ENGINEER BUILDING g BUILDING AND SAFETY DIVISION- ADDRESS JOHN A. L.AMIBIE, COUNTY ENGINZKR LOCALITY COLEMANW. ENKINE u N NBUILDING NEARES FOR APPLICANT TO FILL IN CROSS ST. Ol1TLETS F[ OWNER Alf [!SLd R EC EP T. $ MAIL c FIRST 20 Y0 ADDRESS LIGHY,4_ TOTAL _ CITY TFL. N0. SWITCH OVER 20 JO FLAN CH CK FIRST 20 20 APPLICANT LIGHTING J` TOTAL OVER 2b ADDRESS FiXTURE8 •1Q APPLIANCES CITY TES. No, PERMIT RANGE DRYER_WTR. HTR: APPLICANT STA. COOK MSP_ F.A.U. ADD REBS SPACE HTR. AIR COND. Cl Ty TEC. NO. CLOTHES WASH. DISHWASH. LICENSE NO. 6 7 CLAB$t FAN OTHER 1.00 I HF94SY ACKNOY(LEDSE THAT I HAVE READ TH-IS A-PPLICATION AND STATE THAT THIS ABOVE Uf COR-IECT AND AGREE TO COMPLY MOTOR S TMNI FORM 111S RATING WITH ASL COUNTY ORDINA. AND STATE. LAWS RESULA'TIHS IND. H[4 TE 12 ETC. HP. W. KVA. ELECTRICAL WIRING. SIZ"[ } TY►t OVER TO I HERESY CgRT/FY THAT I AN RIOPiRLY "RESISTEREP AND/QR O — 1 1.00 LICE7I5tD Al REQUIRED ■Y LOS ANGEL¢* COUNTY AND STATE OF CALIFOR".OR THAT I AM THE LEGAL OWNFR OF, AND 1KTI'NU TO 1 — 1O �0p RESIDE IN, THE AQOVE DESCRIBED RESI-DEN71AL PROPERTY. 9 10 � 50 6.00 OFF PERMITTEE EO - 100 10.00 DISTRICT NO. CLAD •ROOF ZON I FR SSED'aY 100 - 500 1bAOAT,41 �l/�L�IJ .�1►--r 1L $IGN, GAS SIGN AND ONE CIRCUIT 3.60 NOTES; •a TUBE, OR MARQUEE ADDITIONAL CFRCUITS 1D0 $kRVICENOT OVER 600VOLTS OR2OOAMP 2.00 APORo VA B DA,Tf UfSP[CTWS SW4ATURE SERVICEOVER 600VOLTS OR200•AMP 0.00 TEMP.POWER POLE TEMP SERVICE.POLE, h APPURTFNANCFS e.00 UNDERSLAB WORK TFMR LIGHT OR R6CEPT. SYSTEM 9AQ ROUGH CONQIUT WIRING FIXTURE$ PERMIT FEE (SUB TOTALL POWER AUTHORIZE PLAN CHKCK FEE (50% PERWT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2-00 FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JO P C. ROOHAN TOTAL FEE SUPERVISi,NG ELECTRICAL ENGINEER PLAN CHErK VALIDATION CK. M.O. CATH PERMIT VALIDATION CK. M.O. � 9 3 1 39 W22 2 D- 4.00- � SEC SACK OF API-LICATION FOR COMPLETE SCHEDVLE WORKERS'COMPENSATIONDECLARfICION E-BM CE�06Crt(2-801 4 APPLICATION FOR ELECTRICAL PERMIT • .- � I hereby affirm that I have .a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, ore car ;ifidato of Workers'Compo t;F41"- r■certiflecLFo��3800, �[[ FO.R APPLICANT TO FILL IN JOB Poilc m anNew Residential Bldgs.&Pools EACH NO. FEE ADDRESS ❑ Certlfled copy is hereby futnished. — 1 &2-Famlly,Sq. Ft. $ Is LOCALITY YVCertlfl co Is filed with th n build Multi-family Sq. Ft. dap ant.Py tnspectlo❑ Residential Swimming Pools OWNER OR 3� FIRM NAME G Date ppllcant Outlets: Roc LI t Sw. MAIL —girst 20 ADDRESS RTI ATE OF EXEMPTION FROM WORKERS' Total No. Additional IF CITY Tel No. COMPENSATION INSURANCE } PLAN CHECK tL (This section-need not be completed if the work hwotved APPLICANT 8 by the permit Is for one hundred dollars ($100) or len.) Lighting Fixtures FFirst 2o0ADDRESS tr Total No. � nal I certify that In the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. permit is Issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers' Comperuatlon haws. Range_ Heaterlis _D.W. P I AN QU Oven _ Dryer_W.M._ ADDRESS Q Z Data Applicant Top _ FAU _WA_ — Hood _ Fen _Other_ CITY Q Tal No NOTICE TO APPLICANT: If, after making thls Certificate of Dlsp. _ Room Air Gond— LICENSE Exemption, you should become subject to the'Workers' REG.NUMBER / Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE2SED BY with comply with such provlpions or this permit shall be deemed revoked. Size&Type HP, KW, KVA,or KVA Up to 1 Incl. Over 1 to 10 Incl. FINAL DATE LICENSED CONTACTORS DECLARATION Rf�1 _� � VALIDATION Over 10 to 60 Incl. J GJ I hereby affirm that 1 am licensed under provisions of Chapter Over 60 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY zJ v i nese and Professions.Code, and m ansa Is in full force and q effect. Servlces 0-200 Amp. Under 600 V License N ,''21 Llc.Clan 201-1000 Amp. Under 800 V Contracto Data Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECL ON Temp. Power Pole&Appurtenances I I hereby that I am exempt from with One Branch Circuit om the Contractor's Additional Sign Branch Circuits p 3 7 9, 6 A License Lawwfor for the following reason (Section 7031.5, Bull- neo and Professions Code): Misc.Conduits& Conductors 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— o 0 3 3 0 structure is not intended or offered for sale' (Section 7044, Business and Professions Code). 3 O O CONSTRUCTION LENDING AOENCY opo o v I hereby affirm that them Is a conitructlon lending atency for the performance of the work for which this permit V PERMIT FEE (Su�Totsl) 7. 1 9 — 8 3 blued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that 4Iveroad thisapplication and state that the TOTAL FEE above(nformatIs correct.I s to comply with all County ordinances tate Is 9 rical wiring, and hereby ■uth ze ro f this unty to onto pon the above tlo pert Imp n purposes SEE'REVERSE FOR EXPLANATORY LANGUAGE tura of ate WORKERS'COMPENSATIONDECLARATION CE-8o (2-80) APPLICATION FOR ELECTRICAL PERMIT I heteby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY Insure, or a'certiflcate of Worker'Com tioA�ac e, r a cerJl�e ooh ftiSdc.380 .C.) f r/v azl FOR APPLICANT TO FILL IN JOB /y Policy Nd. Company • EACH NO. FEE ADDAE88 ❑ Nor Residential Bldgs.&Pools Certified copy Is hereby furnished. 1 &2-Famlly,Sq. Ft. b — $ LOCALITY Multl-femlly Sq. Ft. ' Certifl copy is filed with tf} building inspection CROSB ST IIV dap ant. Resldentlal Swlmminp Pooh OWNER OR / f} FIRM NAME c.'T [FSS Dat pLlcant Outlets: Rec L ht r SW. AMAIL DDRESS r C IRTI CATE OF EXEMPTION FROM WORKERS' Total No. Add ditionalCITY _: Tel No.� W COMPENSATIQN INSURANCE -J PLAN CHECK LL (This section need not be co�appleted if the work Involved APPLICANT by the permit is for ossa hundrdd doom ($100) or t,,$L) Lighting Fixtu Flrrt 20 AD15NESS � Total No. Additional. Q I certify that in tea performagce of the work for which this Fixed Appliances Not Over 1 HP CITY Tai No. W permit Is Issued, I ahall not employ &ny person in any manner I PCRMIT S so as to become subject to the Worker' Compensation Laws. Range_ Heater_D.W. P ICAN t �if. r Oven — Dryer_W.M. ADD-RESS Date Applicant Top — FAU _W:H. ` Hood _ Fen _Other_ CITY .Tsl NOTICi TO APPLICANT: If, after making this Certificate of Dlsp. _ Room Air Condom C f Exemption, you should become subject•to the Workers' RE . NUMBER Claw r Compenastlbn provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances D18TRICT NO. PROC ED BY with comply with such provisions or ,this ,permit shall be Slie&Type HP,KW, KVA,or KVA deemed revoked. Up to 1 Incl. Over 1 to 10 Incl. FINAL DATE LICENSED CONTRACTORS-DECLARATION Over 10 to 60 Incl. VALIDATION I hereby affirm that I am licensed under ptovi}ions orf Chapter Over 60 to 100 Inc. FINAL 9 (commencing with Section 7000) of giviaion 3 of tee Buri- Urer 1Q0 BY nowand Profosdons.Code, an cense-is In full force and effect. Services ,Ll0-200 Amp. Under,600 V cense Nuffiber -� Llc.Clara (2201-1000 Amp. Under 600 V �CntnFt 'r r Date Over 1000 Amp.or Over 600 V 1-I0MI;OWNER-BUILbP-R DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for thefollowing reason Additional Sign Branch Circuits Gs g (Section 7031.5, Bust- •>��7':, �j nese and Professions Code): I, as owner of the o Mlac.Conduits&Conductor pr perty,,.wlll do the work and the Other (�Complete Fee Schedule)— I (� structure Is Rot Intended or offered for sale (Section + 7f 7044, Business and Professions Code). CONSTRUCTION LENDING AOENCY I hereby affirm that there is a construction lending agency ryy for the performance of the work for which this permit is l�7-� V a Issued (Sec'. 3097,Civ.C..). PERMIT FEE (SutrTotel) ti Lender's Name PLAN CHECKING FEE (One-Foui`th Permit Fee) t Lender's Addrass PERMIT ISSUING FEE I certify that 1 .4ve.read this applicatiop and state that the TOTAL FEE above Informs 6d,fi correct.I agredto comply with all County ordinances State I sting f}ectrical wiring, and hereby auth ze re ad this ounty to ente pon the above- entio 6d ope r insp on purp �, yo SEE"REVERSE FOR EXPLANATORY LANGUAGE tune o Date COUNTY Of LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0105110013 BUILDING AND SAFEST' / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 10234 GREEN ST FEE DESCRIPTION: QUANTITY: UCM: AMOUNT: TEMP CA 917803336 ASSESSOR INFORMATION NLPBER: NEAREST CROSS STREET: GLICKMAN 8585-006-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW RECP 11.00 OUT 21.45 G2 LIGHTING FI�(Tll�tES 4.00 LGT 7.80 . LM OTHER PNL 0-399 MPS 1.00 PAN 38.85 05/11/01 JK 11/07/01 TOTAL FEES 93.85 FIKA CODE: SWARTZNICHOLAS J (626) 448-1185- 10232 GREEN ST t r] I o TEMP 917803336 DESCRIPTION OF WO ELECTRICAL FOR N E APPLICANT: TEL. SAME AS OWNERCONTRACTOR: TEL. - SPECIAL CONDITIONS: P�GELES co APKQVALS DATE INSPECTOR SIGNATIFIt SAME AS OWNER _ �Q� T_ �V�• LIC. NO �\ \ TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. .� — -_ �1 ROUGH CONDUIT ROiUGH WIRING n n nIMAIN WATER LINE ,�7(v�� n, l PLASTIC Y/A METAL Y/N REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF.LOS ANGELES TEMPLE CITY f 0508 ELECTR CAL PERMI09 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 050 00080408 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING A DRESS: ON FILE 10234 GREEN ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TERP CA 917803336 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GLICKMAN 8585-006-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 G2 LIGHTING FIXTURES 3.00 LGT 5.85ISSUED PROCESSED BY: PLAN BY: . EXPIRES . . TOTAL FEES 53.10 08/04/00UT 02/01/01 . OWNER: TEL. NO: FINAL DATE FI CODE: SWARTZ, NICHOLAS J (626) 448-1185- 10232 GREEN ST _g TEMP 917803336 DESCRIPTION ELECTRICAAPPLICANT: TEL--. NO: L FOR ADDITION SAME AS OWNERCONTRACTOR: TEL. - SPECIAL CONDITIONS: PNGELES co APPROVALS DATE INSPECTOR SIGRATURF- SAME AS OWNER - /SGS �Ty LIC. NO TE14PORARY POWER POLE UNDERGROUND CONDUITj ARCHITECT OR ENGINEER: J LIC. NOROUGH WIRING / 111111 II MAIN 6ATER LINE PLASTIC Y/N METAL Y/N L � c Service mat REPORT ID: DPR265 ROUTE TO: RS0508 CDUITY OF LOS ANGELES TEMPLE CITY X 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0101310003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: FEES PAID BUILDING ADDRESS: ON FILE 10234 GREEN ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803336 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GLICKMAN 8585-006-022 Al PERMIT ISSWNCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: RROCESSED BY: PLAN BY: EXPTlZrg ONF- TOTAL FEES 43.35 01/31/01 UT 01[30/01 OWNER: TEL. NO: FINAL DATE FT CODE: SlWTZNICHOLAS J - 10232 GREEN ST TEMP 917803336 DESCRIPTION OF WORK ELECTRICAL FOR BATHROOM ADDITION APPLICANT: TEL. NO: SAME AS OWNERSPECIAL- CONDITIONS: 57 or APPROVALS DATE INSPECTOR SIGXATURE CONTRACTOR: TEL. NO: SAME AS OWNER LIC. NO �l.�' T �� ARCHITECT OR ENGINEER: TE L. NO: LIC. --- i' ROUGH WIRING MAIN WATER LINE �. FI" Ll 1 - PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED j. i� 6. REPORT ID: DPR265 ROUTE TO: BS0508