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Home My Public Portal About5921 HART AVE_Electrical__ 76A663 DBS 5A 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOSOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRI�:I=NO. GROUP ' ZONE PERMIT ND. ELECTRICIAN — r REC LVED BY READY FOR DATE ISSUED ADDRESS (�, - 1(- 1� FIRST INSPECTION ,. CITY TEL. NO. COUNTY LICENSE NO. EXPIRES UILDING ` PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY - LIGHT OUTLETS NEAREST ' RECEPTACLES t-- CROSS ST. WALL SWITCHES .. % OWNER/ TOTAL OUTLETS Sc 5_ MAIL ESS ADDRr ELEC. RANGES 25 _ �, •- r- ------- --- ------ ELEC. HEATERS 25 - CITY f. - TEL. NO. - FIXTURES !i` 5 1 HEREBY ACKNOWLEDGE THAT t HAVE READ 7N15 MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NuMeER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER NEW MVD. HP AVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. _ I/2 6 LESS $ .25 SIGNATURE OF _ %2 2 .50 PERMITTEE-- 2 ° 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 ZOO _ 500 10.00 _ J 500 1 000 1S.013 Q - Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA _ O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or CRIB-) MOVED MOTORS (75% OF DRIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS - FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 f p CONDUIT FIXTURES $1.00 WIRING PPLEMENTARY .50 FIXTURES POWER TOTAL FEE 8 r UTILITY CO.NOTIFIED FINAL DBS SA 25M SETS 1-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFL'IT ELECTRIC COUN'T'Y OF LOS ANGELES M. J. FOX. CHIEF ENGLNEER _e NAME DISTRACT NO. GROUP ZONE PERMIT NO. U ADDRESS RECEIVED BY READY FOR DATE ISSUED CITY TEL.NO. FIRST INSPECTION .1 COUNTY IA CERT.NO. EXPlfmS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CaRCUITB LOCALITY LOCATION BY ROOD" NEAREST LIGHT OUTLETS W. PLUGS PO(T C&PM ST. CIRCU9T A B C D E F G Hi E NAME W MAIL ADDRESS O CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. A AM TRIM LEGAL OWNER OF TATE PROPERTY DESCRIBED A®OVE OWNER. 5 CORRECTIONS J — Q _Z L7 I � TOTAL I NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HF'ATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ I UTILITY CO.NOTIFIED TOTAL FEE a' iT� FINAL '.B 5 SA 25M SETS 10-47 - ' DEPARTMENT APPLICATION FOR PEEM cm �E� A � �� OS1NvAND SAFETY COUNTY OF LOS ANGELES MF 1F EGIEER z NAME DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESIS�e_'N A1911,o"11, U CITY /1 nATEL.NO. RECEIVED BY ISSUED FIRST INSPECTION DATE". �7+ ,J COUNTY N CERT'. O. / EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS i NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NST LIGHT OUTLETS l9w. PLUGS I FIZT CROSS ST. CIRCUIT A B C D I E F Jr. � H a NAME y r�^j ♦y��y'* �- �s�� i x � MAIL ADDRESS 1� O CITY (/ j TEL.NO; X®BR Ff 3 / D / 1 AM THE LEGAL eOSSESSOR OF THE ABOVE. LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROP "DESCRIBED ABOVE + OWNER. CORRECTIONS n e9.!`� . '�oJ` S 2.J"Y' llrC•�.. t S� V f rC. L eaa eA r 911 C ^ flal 1.& . \ 9 C f TOTAL NO. OF OUTLETS / / ffi �_� - APPROVALS NO. OF FIXTURES ! $ J DATE ))INSPECTOR'S NAME NO. OF MOTORS H:T. $ CONDUIT // —,/ T V NO. OF SIGNS TRANS. $ WIRING- L v NO. OF RANGE OR 4EATERS ffi 5 FIXTURES ISCEL NEOUS $ POWER ci - PERMIT FEE $ � r�J ,rUTILITYCO.NOTIFIEQ MTAFEE FINAL a WORKERS' C9MPENS4?ION DECLARATION 76-803 n PP CAMON FOR ELECT ICA PERNT _o I'�reby-,affirm that I hav&,a certificate of consent to self insure, CE-806G /�i11� LLQ �5 L� 111/11 �br-�a gerti)cate bf•' rkers' compensation Insurance;or a�artified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(sec.3E!00,Lab.C.) Policy No. Compa • FOR APPLICANT TO FILL IN - JOB �+�� . ❑ •Certified,co is,hereb furnished. EACH• NO. FEE ADDRESS `I PY Y New Residential Bldgs.& Pools 1 $ _ $ LOCALITY Certified copy is filed with. the county 'building inspection 1 & 2-Family,Sq.Ft' — de artme t. Multi-family Sq.Ft. NEAREST. CROSS ST. Date Applicant Residential Swimming Pools OWNER OR /r�Jpp FIRM NAME /? G�/I� �'• CERTIFICATE OF EXEMPTION FROM WORKERS'• Outlets:Rec�ight � Sw.. J MAIL COMPENSATION INSURANCE , D l ADDRESS (This section need not be completed if:the work involved by the / ? First 20 "r CITYTeL N permit s'for one hundred dollars($100)or less.) Total No. Additional PLA I certify that in the performance of the work for which this permit APPLICANT CHECK 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.' D / Fixed Appliances Not Over 1 HP PERMIT �t NO ICE TO APPLICANT: If, after making this.,Certificate, of. gPPLICAN Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. provisions of the Labor Code, you must forthwith comply with such Oven Dryer W.M._ ADDRESS D � provisions.or this permit shall be deemed:revoked: Top FAU W.H. CITY Tel.No 7 LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Air Cond. CENSE OR (commencing with Section 7,000)of Division 3 of.the Business and REG.NUMBER Class. Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED By Power.'Apparatus& Large Appliances G� Size& Type HP,KW,KVA,or KVAR License Number ZLic.Class f Up to 1 Incl q To FINAL /� V Over 1 to,10 Incl ' DATE. /Z _ c� (J Contractor Dated r VALIDATI N O ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. - Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 N Services,Swbd.,MCC& Panelboards Date: 0, 200 Amp.Under 600 V Signature 201 1000 Amp.Under 600 V r ❑ Over 1000 Amp.or Over 600 V 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 Law for the following reason(Section 7031.5,Business and Professions 'Additional Sign Branch Circuits Code): ❑ Misc.Conduits & Conductors n I,as owner,of the property,will do the work and the structure' Other(See Complete Fee Schedule) @ 8 64,0 A' is not intended or offered for sale(Section 7044, Business . and Professions Code).; " D o 0 0 0 02 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the, k o o 6 7 00 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). 0 6 7, 0 015 PLAN CHECKING FEE Lender's Name 12`2 2 —87 PERMIT ISSUING FEE Lender's Address I.certify that 1 have read this application and state that the above TOTAL.FEE. 1 CA information correct. f agree to mply with all County,•ordinances. and Stat ws regulatin EI r' al wiring, and hereby authorize .. represe ivies of t ' n enter upon the above-mentioned proper for inspe i pu s. SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Perm Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207300042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: --LEGAL ID: FEES PAID BUILDING A RESS: TR: 5904 LT: 330 5921 HART AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801913 ASSESSOR INFORMATION NUB : NEAREST CROSS STREET: HERMOSA 5384-015-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 15.00 OUT 29.25 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.95 08/09/02 JK 02/05/03 TOTAL FEES 75.75 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: TRUONG;VI 5921 HART AV TEMPLE CITY 91780 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �� +f TEMPORARY POWER POLE ✓ �� `)_-✓I \ UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: ��i,� ✓ ��`,� �� V UFER GROUND LIC. N0. �` _ _ I._ _!_ I �� l_i ROUGH CONDUIT ROUGH WIRING .Z 63' MAIN WATER LINE PLASTIC Y/N METAL Y/N - - UTILITY COMPANY NOTIFIED v REPORT ID: DPR265 ROUTE TO: BS0508