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Home My Public Portal About6244 HART AVE_Electrical__ F'f,11 l=i:.a F�^J •^"a'tA.<. /• -ter �� P1 62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES PARTMENT OF COUNTY ENGINEER FNEAREST. BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN RECEPT. 5 TOTAL NO. EACH FEE OUTLETS FIRST 20 $ $ OWNER LIGHT �/' f Z� .20 MAIL ADO'L c r ADDRESS ti SWITCH. OVER 20 1211 .10 _ TOTAL CITY TEL. NO. !>— J in IL LIGHTING FIRST 20 IL .20 -L. FIXTURES I ADD'L Ov R 20 10 ELECTRI N CLO.DRYER WTR.HTR 1.00 ADDRESS C ( , ARB.DI STA.COOK L � J CITY F A47—TEL.NO. 7 i1"tG7 ISH WASH AUTO.—WASH. STAT SPACE HTRS. STA.APP (%p H.P.MAX.) .50 L . L LICENSE NO. MOTORS: OVER NOT OVER H.P. 7 DISTRICT NO. GROUP ZONE PROCESSED BY 0 11 1.00 C �=—I C'C, ,. �. I 3 L. 1.50 s INSPECTION RECORD 3 8 2.00 8 15 2.50 - 15 50 3.00 } 50 100 5.00 - O _ U SIGNS: NO.TRANS - NO.LAMPS cx O F— SERVICE 0.60OV-NOT OVER 200A 1.00 J �.s U W SERVICE 0.60OV-OVER 200 A. 2.00 0_ c/I SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWOF THE ABOVE DESCRIBED RESIDE IAL PROP Y. NE POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL -�� LIDA)3OK ARTHUR C. VEIT 7 � r CK M CASH SUPERVISING ELECTRICAL ENGINEER 76A663-CE806 1074 //-'U!I PUC(I"•VYM v V FOR EUCUIlllllll��CCC]]]u A, Lv-PER � r u COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS °� /�7 BUILDING AND SAFETY DIVISION LOCALITY �� NEAREST FOR AP-PLICANT TO F-ILL IN CROSS ST.. _ tn••1i3 .y OUTLETS N0. EACH FEE OWNER OR ,,ppiAa $ $ FIRM NAME �� 1�,�i.1 RECEPT.� MAIL // '/ _ LIGHT � � TOTAL /� FIRST 20 ADDRESS 10:�4U- if OVER 20 CITY �"nt.(7(�� 1.[L TEL. N0. SWITCH PLAN CHECK FIRST 20 p APPLICANT A-�e,� LIGHTING TOTAL , FIXTURES . OVER 20 40, ADDRESS. (j��(�. RESIDENTIAL APPLIANCES clrY• fir. TEL. NO._;Z_k6 PERMIT ^ , RANGE DRY ER_WTR, HTR._ APPLICANT +3' STA.-COOKDISP. F.,A:U. I ADDRESS SPACE HTR. AIR COND. CITY�{'j1� _ (� TEL, CLOTHES WASH. DISHWASH. LICENSE OR . REG. NUMBER CLASS. FAN OTHER i 1.00 ` 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KV.A. E L ECTR I CAL.W IR ING. SIZE & TYPE OVER TO ' I HEREBY 'CERTIFY THAT 6 AM PROPERLY REGISTERED AND/OR 0 — 1 t00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF > R H CALIFORNIA OR THAT I AM THE LEGAL OWNEOF. THE ABOVE 1 — 1O 3.00 DESCRIBED RE IDE NT IAL PROPERTY. V PERMITE ' 10 - 50 5.00 SIGNATURE C..JCD 50 - 100 10.00 = LLJ d DISTRICT .� OCES E BY N 100 - 500 15.00 Z SIGN, GAS=,,G ONE CIRCUIT 5:00 APPROVALS DAJW INSPECTOR'S SIGNATURE TUBE, OR - MARQUEE ADDITIONAL CIRCUITS t.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK - SERVICEOVER600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT - TEMP SERVICE,'POLE,.&APPURTENANCES 5.00 WIRING '��✓� TEMP LIGHT OR RECEPT, SYSTEM 3.00 -FIXTURES 'POWER AUTHORIZED ' UTILITY CO. NOTIFIED A FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE • doe TOTAL FEE Ad- PLAN CHECK VALIDATION CK. M,O.' CASH PERMIT VALIDATION CK. M.O. CASH 9 41 _ C ; SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKER'S I have a certiIONficate of consent to 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A663 �- I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB f' r ADDRESS >> .c Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ❑ _ $ $ LOCALITY Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. PY Y 9 P NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. > FlRM NAME COMPENSATION INSURANCE ... (This section need not be completed the work involved by the First 20 MAIL Total No. Additional ADDRESS permit is for one hundred dollars($1000)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compe nsgdion Laws. Lighting Fixtures First 20 APPLICANT Total No. :-= Additional f ADDRESS Date f^tf Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO'APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT P Y P Y provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. >' (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. of Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSEClass Over 50 t0 100 Incl. REG.NUMBER .ER V / Over 100 DISTRICT NO. PROCESSED BY LLJ License Number ' Lic.Class J_ Services,Swbd.,MCC&Panelboards LL 0-399 Amp.Under 600 V FINAL Contractor Date DATE 0 400-1000 Amp. Under 600 V I am exempt under Sec. VALIDATION Q Over 1000 Amp.or Over 600 V FINAL cc B.&P.C.for this reason BRANCH CIRCUIT FEES By Date: 15A,or 20A, 120V,Lighting or Recept. 1 To 10 Branch Circuits W Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 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): , F] I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , 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 (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 0611070002 ` BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 235 6244 HART AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801630 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5384-009-026 - Al PERMIT ISSUANCE FEE ' 27.75 THOMAS PAGE: 596 GRID: .H2 LOCALITY: TEMPLE CITY, C G2 LIGHTING FIXTURES 1.00 LGT 1.95 TENANT: - TOTAL FEES 29.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 11/08/06 JK 05/07/07 OWNER: TEL. NO: FINAL DI E FIn CODE: CROWLEY JOSEPH A;NANCY C TRUST (626) 286-2829- 6244 HART AV TEMP 917801630 DESCRIPTION F WORK 1 LIGHT FIXTURE APPLICANT: TEL. NO: DREAM HOME CONSTRUCTION (626) 672-7069- 6323 LIVIA AVE SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DREAM HOME CONSTRUCTION (626) 672-7069- 6323 LIVIA AVENUE - LIC. NO TEMPORARY POWER POLE" TEMPLE CITY, CA 91780 744854 B UNDERGROUND CONDUIT ARCHITECT OR.ENGINEER: - TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGE WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508