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Home My Public Portal About5913 IVAR AVE_Electrical__ ,76A663-CE806 3-69 TEd'b1C1LE CITE e 1 _ COUNTY OF LOS ANGELES 7DRE DEPARTMENT OF COUNTY ENGINEERBUILDI,NG AND SAFETY DIVISION qD5 13 Nolvmr9 Temple City JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W',JENKINS, SUPERINTENDENT OF BUILDING LO" NEFOR APPLICANT TO FILL IN CR 5 - NO. EACH FEE RECEIPT. ' 3 S S OWNER ". �' C&ti'��18 MAIL ADDRESS Same as above LIGHT TQTAL FIRST 20 .20 CITY TEL.NO2 l p 3 05-9/O/p�+ 8 SWITCH, OVER 20 .10 PLAN CHECK LIGHTING TOTAL APPLICANT FIRST 20 .20 - • FIXTURES OVER 20 .10 ADDRESS RANGE -OR YER_WTR. HTR. CITY I• - TEL.NO. STA. COOK_DISP. _F.A.U. CONTRACTOR G & S Electric SPACE HTR. AIR COND. ADDRESS 621 E-- Sunset , p q CLOTHES WASH. DISHWASH. CITY San Gabriel TEL.,NO. 285,A559 FAN_OTHER 1.00 LICENSE,N04JW �` 94CLASS.0-10 •` Y MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS qANGELES COUNTY AND STATEOF } I — 10 3.00 CALIFORNIA OR THAT 1 AM HE CGAL OWNER OF, AND IN ND TO RESIDE IN, THE ABOVE DE RI E .RESIDENTI L PROPE O 10 - 50 5.00 SIGNATURE , f 50 - 100 10.00 OF PERMITTEE 100 — SOO 15.00 " DISTRICT NO. GRO Z JE PR SE /) W SIGN,GAS SIGN AND ONE CIRCUIT 3.00 ei ® TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 •, 'NOTE : ,�,y 61 ,W SERVICE NOT OVER 600 VOLTS OR 200 AMP /1 2.00 2 00 - SERVICE OVER 600 VOLTS OR 200 AMP 5.00 b o _ n1,Lv TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK - ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) 2 60 FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) 2. PERMIT ISSUING FEE - 2.00 2 100 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE �0 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH f � 7 7'2,6 NOV 20 2 0 4.60- v SEE BACK OF APPLICATION FOR COMPLETE FEE SCHFnULF. - 76A663-CE806 3-69 TEMPLE CITY APPUCAMN FOR ELECTMAL PERWT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 593-3 Ivar JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH I FEE RECEIPT.__ :3 $ $ OWNER MrP,, Cardella MAIL LIGHT_ TOYL FIRST 20 .20 ADORES 5913 N. Iva. SWITCH— OVER 20 .10 CITY Tem-p 1® C:Lty TEL.NO. 285-7878 PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT ADDRESS FIXTURES OVER 20 .10 CITY -7 RANGE DRYER_WTR. HTR. TEL.NO.71 STA. COOK—DISP.4—F.A.U. CONTRACTOR U_vmr Electric Co� SPACE HTR. AIR COND. ADDRESS 319 S. San Gabriel Blvd.] CLOTHES WASH.—DISHWASH. CITY San Gabri®1 TEL.NO. 287-0477 FAN OTHER i.po --3 00 LICENSE NO. CLASS. C-10 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND HEATERS, ETC. HP. KW. KVA. AND MOTORS,TRANSFORMERS RATING STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IND. & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 1 HEREBY CERTIFY THATA AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED B LOSANGELES COUNTY AND STATEOF 1 — 10 3.00 CALIFORNIA OR THAT LEGAL EGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE 5 IBED RES IDENT?IPRO RTY. 0 10 - 50 5.00 SIGNATURE 50 - 100 10.00 OF PERMITTEE • 0 100 — 500 15.00 DISTRICT NO m GRO ZONE: Pp 55 Y S I G N,G A S SIGN AND ONE CIRCUIT 3.00 TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 2 0, SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) -3 60 FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) ISSUING FEE 1 UTILITY CO.NOTIFIED qq PERMIT ISSU 2.00 I � 2 ,00 — ISSUING FEE FINAL 0/770 SUPPLEMENTARY PERMIT 1.001 1 TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAENGINEER . 7�777777=, TION C K. M.O. CASH M.O. CASH PLAN CHECK VALIDATION PERMIT VALIDATION I Al" 8 01'-0-,fi;3 DEC 1 10 2 D SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEnULr 76A663 CE806 10;72 QppUCAMN FOR ELECT.MC AL Mffiff �. p COUNTY OF LOS ANGELES DEBPARTMENTU LDING ANDD SAFETY DIV SIONCOUNTYER ADBDR SSS } 1 , U t LOCALITY 'NEARESTy��1�.a.. pQ.//��7�r' FOR APPLICANT TO FILL IN CROSS ST. '?C�S� Im 4_S\ l✓ L=. . OUTLETS' I NO. EACH FEE OWNER,OR (� n $ $ FIRM NAME RECEPT._ '� MAIL Q g �(�!7' - - ADDRESS"�i�� 1 fo,1 Y l!C'"tK. LIGHT. TOTAL FIRST 20 '25 CITY; \CJTEL. NOP.&-3`6'2_ SWITCH OVER 20 .10 - - , PLAN CHECK , �l FIRST 20 APPLICANT - LIGHTING, .25 TOTAL Il - OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL, NO. RANGE DRYERWTR.,HTR. - APPLIIcc CANT s �s .STA: COOK DISP.�F.A.U. ADDRESS (J?e - SPACE HTR. AIR COND. CITY TEL. N0. RNR7 ✓7 j. CLOTHES WASH. DISHWASH. EG. UMBER �O CLASS. FAN OTHER 1.00 OC) I HE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1..j4.1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,MOTORS,,TRANSFORMERS -RATING WITH ALL COUNTY ORDINANC ES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. - SIZE & TYPE OVER TO ^ ` I HEREBY CERTIFY THAT IAM. PROPERLY REGISTERED AND/OR . . 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI' I 'AM THE LEGAL OWNER OF THE ABOVE r 1 - 1O 3.00 DESCRIFlED RESIDENTIAL PROPERTY. p_ O P E R M I T E Ei ,[t��71 C.7) 10 - 50 �• 5:00 SIGNATURE- ��°' �-� e '-'�• /tom O 50 -. 100 .10.00 DISTRICT NO. h-' ROESED BY C_') 100- 500 15.0013-1, Z SIGN., GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS" DATE INSPECTOR'S SIGNATURE TUBE, OR _ MARQUEE ADDITIONAL CIRCUITS 1.00 • TEMP. POWER"POLE - - SERVI CE,NOT OVER 600 VOLTS OR 200 AMP .3.00 UNDERSLAB.WORK SERVI CE OVER 600 VOL-TS OR 200 AMP 10.00 ROUGH,CONDUIT ', TEMPSERV.I:CE,POLE, &APPURTENANCES 5.00 WIRING ' TEMP-LIGHT OR RECEP.T. SYSTEM 3.00 FIXTURES - POWER AUTHORIZED UTILITY CO. NOTIFIED �[ ' - FINAL --'�`f' . '7/ PERMIT FEE '(SUB TOTAL) NOTES: - 1 PLAN CHECK FEE PERMIT ISSUING FEE 3.00 _ TOTAL .FEE IL00 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 8"1-2 .0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 78A883-CE808 10,74 APPLACQMN FOP, ELEC UMC A P RWT ` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB p� BUILDING AND SAFETY DIVISION ADDRESS !sg a) K1`` TV Pa . _. LOCALITY ' NEAREST, -1 FOR APPLICANT TO FILL IN CROSS ST. LRS OUTLETS NO. EACH FEE OWNER OR � FIRM NAME RECEPT:_ 1 - $ $ MAIL J. r FIRST' 20 ADDRESS ` -r- LIGHT TOTAL 25 CITY TEL, NO. - 'SWITCH OVER 20 f0 PLAN CHECK � LIGHTING FIRST 20 25 APPLICANT + - TOTAL ADDRESS - .�. FIXTURES OVER 20 10 RESIDENTIAL APPLIANCES CITY TEL. No., 'RANGE 'DRY,ER_WTR. HTR. _ PERMAPPLIICANT R Un LQCT n STA. COOK DISP. F.A.U. ADDRESS '3 r- o DW- SPA IC T_SPACE HTR. AIR COND. CITY EA6LAD TEL..NO.- R LICENSE OR CLOTHES WASH. DISHWASH. REG. NUMBER 2„ CLASS. FAN OTHER 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. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _3 O - 1 1.00 LICENSED, AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �. CALIFORNIA OR THAT I AM TH LEG OWNER OF THE ABOVE DESCRIBED RESIDENTIAL TPRO TY� C') I `� 1 - 10 3.00 � V PERMITEE ,J/./-� C> 10 - 50 5.00, SIGNATURE `'' U LLI 50 100 I 10.00 DISTRICT NO. PROCE SED 6Y a _ N 100 - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE, INSPECTOR'S SIGNATURE TUBE, OR 4 MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE ' SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP'LIGHT OR RECEPT. SYSTEM 3,100 FIXTURES, POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL -77 a--- PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 pi7 TOTAL FEE PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDATION CK. M.O. CASH 4 31.�'SEP 3 2 a 6.0 0 &98 . , SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) 76A663 APPUCAM WI n FOR ELECT ICAL PERNT • jJ I hereby affirm that I havea 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 DRESS /, t./4R /.L AD3 J �V I N G ❑. Certified copy is hereby furnished. New Residential Bldgs..&Pools NO. EACH FEE f $ $ LOCALITY 7EML� CZ1 ❑ CROSCertified copy is filed with the county building inspection 1&2-Family,Sq.Ft. S ST. �� 0514. Ave NEAREST I department. Multi-family Sq.Ft. Date Applicant Residential Swimming Pools .- ASSESSOR / MAP BOOK �� (� PAGE 4- PARCEL' CERTIFICATE OF EXEMPTION FROM WORKERS' a. �� ,OWNER OR 'COMPENSATION INSURANCE' .41 Outlets:Rec._Light---111---Sw. FIRM NAME First 20 MAIL (This section need not be completed if the work involved by the Total No. Additional MAILADDRESS permit is for one hundred dollars($1.00)or less.) I certify that in the performance of the work for which this permit CITY L v Tel.No. 1-,Q is issued, I shall not employ any person'in any manner so as t0 PLAN CHECK become subject to.the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT ' Total No. r Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. - NOTICE TO APP.LICANT:.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 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.th'e Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl Over 50 to 100 Incl. LICENSE OR Class. REG.NUMBER IZ _ - Over 100 DISTRICT NO.. PSSED BY O License Number Lic.Class RO V Services,Swbd.,MCC&Panelboards 0-399 Amp.Under 600 V FINAL O Contractor Date DATE ? El 400-1000 Amp.Under 600 V J'Z -� VALIDATION V I am exempt under Sec. Over.1000 Amp.or Over 600 V.. FINAL e W B.&P.C.for this reason BRANCH CIRCUIT FEES BY EL Date: 15A,or 20A,120V,Lighting or Recept. z 1 To 10 Branch Circuits Signature 11 To 40 Rranch 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 (_;(:: o c I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit I for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ; iti1 _,a;j; Code): Ful I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors. - �'•;-'•f� is not intended or offered for sale • (Section 7044, Business Other(See Complete Fee Schedule) D I_i HL 3 _ and Professions Code). _ HECI CONSTRUCTION LENDING AGENCY ` I hereby affirm that there is a construction lending agency for the fiGL tl_t performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) b Civ. C.) PLAN CHECKING FEE C- + • 't+: Lender's Name PERMIT ISSUING FEE t y jl (s�i�y(_i;L7a Lender's Address TOTAL FEE I certify that I have read this application and under penalty of purjury state J �1, !/Q 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 IJ in pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE - SIG ` •eP'PERMI ` DATE WORKERS'COMPENSATION DECLARATION 76A663 O(O�(� /r-� (� (� CE-806G (2-80) l� P IS�CMN FOR ELECUWD� CAL If ERNT I hereby affirm that I have a certificate of cogsent to,self COUNTY OF LOS ANGELES f7— BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or r a certified copy thereof(Sec. 3800,Lab.C.) lrlicy L l Q+ FOR APPLICANT TO FILL IN JOB � r �r , /o�! ° Company, 8a New Residential Bldgs.&Pools EACH NO. FEE ADDRESS J ��' /J+ !l t4P. 4 tr 0 Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY OTS/ L,15 e,/7-1 ® Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR _. FIRM NAME Date Applicant Outlets: Rec Light-Z=-Sw.IMAIL :5� First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. � •+ } COMPENSATION INSURANCE ' PLAN CHECK , a APPLICANT 0 (This section need not be completed if the work involved. U . by the.permit is for one hundred dollars ($100) or less.) Lighting•F.ixtures First 20 ADDRESS Additional Total No. C!9 1 O I certify that in the performance of the-work for which thisCITY Tel No. V Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT '/ ^^ LL so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT P�'�(tom• L.®�— I d Oven Dryer_W.M._ ADDRESS Z Top _ FAU _W.H. C�/',, �T'� 6d _ ' Date Applicant, .� Hood Fan _Other_ CITY �� Tel No NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBE 5 77 Class �. Compensation provisions of.the Labor Code, you must forth- Power Apparatus 8i Large Appliances DISTRICT NO. PROCE SED BY with comply with such provisions or this*permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. `� ,Up to 1 Incl, J FINAL LICENSED'CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE `�_) � VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY �. ness,'and Professions,Code, and my license is in full force and �I O 6A effect. Services License Numbe Lia Class /.7" 0-200 Amp. Under 600 V J /" 7.y ff o o o o o 2 201-1000 Amp. Under 600 V /� a 2 - 16.50 Contracto , LD(`Date 7-2-1•-�J Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole& Appurtenances o ° o 1 6..5 O Qx I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit 072 9-83 License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&.Conductors ❑ I, 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 1 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 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- entioned property for inspection purposes. SEE-REVERSE FOR.EXPLANATORY.LANGUAGE Signature of-Permittee Date ,