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HomeMy Public PortalAbout9153 LAS TUNAS DR_Electrical__ WORKERS'COMPENSATION DECLARATION 76A663 - CE-606G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self. COUNTY OF LOS ANGELES, BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or ` a certified cop hereof(Sec. 3800,Lab.C.) 392-71 3� 0-2 Co' Ins. FOR APPLICANT TO FILL IN JOB Policy No. Company EACH NO. FEE ADDRESS 9153' Las Tunas .. of the- West New Residential Bldgs.&Pools Certified copy is hereby furnished. 1'&2-Family,Sq. Ft. $ _ $- LOCALITY Tem le Cit. Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST' HermO.Sa department. Residential Swimming Pools OWNER OR 4-6-81 Applicant Electric FIRM NAME Date Applicant Outlets: Rec._Light_Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No., Additional CITY Tel No. COMPENSATION INSURANCE tL PLAN CHECK 0 (This section need not be completed if the work involved APPLICANT U b the Lighting Fixtures First 20 y permit is for one hundred dollars ($100) or less.) g ADDRESS Additional Total No. O 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 LL1 so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT Edwards Electric tL Oven Dryer_W.M:_ ADDRESS 2535' S. 3rd Ave. z Date Applicant Top _ FAU _W.H.._ Hood _ Fan _Other_ CITY Arcadia Tel No. 447-5096 NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond._ LICENSE OR. Exemption, you should become subject to the Workers' REG.NUMBER Class — 10 Compensation provisions of the Labor.Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be ©� deemed revoked. Size&Type HP,KW, KVA,or KVAR Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license is in full force and effect. Services License Number 257191 Lia Class C-10• 0-200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor Edwards Electi# July 1982 Over.1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances ` I .hereby affirm that I am exempt from the Contractor's Sign with One Branch.Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): � I ;24.717.14 A Misc.Conduits&Conductors Ell, as owner of the property, will do the work•and the Other (See Complete Fee Schedule)— # o e m Ole 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code). m o o a 0.0 e z CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency [j 1 4—8 1 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 No 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-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE c- J�. � vtc-Gi(iJ 4-6-81 Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS' 9701 LAS TUNAS EL 0508 0904280001 BUILDING AND SAFETY / LAND DEVELOPMENT � TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID:• I FEES PAID 1 BUILDING ADDRESS: I ITR: 5905 LT: 13 BL: .001 I 1 9153 LAS TUNAS DR .1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801906 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15387-016-038 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3• LOCALITY: TEMPLE CITY, Cl 1 IF1 120V, 15/20A BR .CKTS 28.00 BR 433.05 1 1 (TENANT: 1G2 LIGHTING FIXTURES 3_6.00 LGT 60.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I (CAFE ROULE, INC. IIA N-RES EX-FANS LT 3HP 1.00 EX 15.30 104/28/09 SR 10/25/09 1 ' 1 1 TOTAL FEES 536.70. 1 (OWNER: TEL. NO: 1 IFINA(�]L DATE FINAL BY: CODE: I IGUAN, ROBERT (626) 236-6661- i 1 .) \V 1 M19149 LAS TUNAS DR (TEMP 917801906 I IDESCRIPTI N OF WORK I ITENANT IMPROVEMENT ELECTRICAL I 1APPLICANT: TEL. NO: 1 1 I IKWOK (323) 697-2120- I 1 1 1260 E. GARVEY AVE. I ISPECIAL CONDITIONS: I (MONTEREY PARK 91755 I 1 -• 1 I I I I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE . INSPECTOR SIGNATURE 1 IK-ONE'CONSTRUCTION MANAGEMENT, INC. (626) 272-6868- 1 _ 120873 MISSIONARY RIDGE ST LIC. NO I ITEMPORARY POWER POLE I I 1 (DIAMOND BAR, CA 91789 897280 B I I 1 I 1 I 1 1UNDERGROUND CONDUIT I 1 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 - 1UFER GROUND I I I IKWOK, TERENCE (323) 697-2120- I 1 1 1 1 1260 E GARVEY AVE. LIC. NO: I _ IROUGH CONDUIT I IMONTEREY PARK, CA 91755 C24796 1 I 1 I 1ROUGH WIRING I 1 1 1 IMAIN WATER LINE 1 I IPLASTIC YIN METAL YIN 1 1 1 1 1 (UTILITY COMPANY NOTIFIEDI I I I 1 1 I 1 1 - I I I f I I I I I I I I I I i I I I I I I I I I I II i I I 1 (REPORT ID: DPR265 ROUTE TO: BS0508 ( I I 1 I I I I I I COUNTY OF LOS AAT^ELES TEMPLE CITY- # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS` 9701 LAS TUNAS - EL 0508 0906300015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL.ID: - 1 FEES PAID I BUILDING ADDRESS: - 1 ITR: 5905 LT: 13 BL: .001 I I 9153 LAS TUNAS DR I - IFEEDESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801906 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15387-016-038 _ - IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: CAFE ROULE 1 I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 -1 ITENANT: I TOTAL FEES 66.60 IISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I I I 106/30/09 SR 12/27/09 I I I I I TOWNER: - TEL-. NO: i IFINAL� E FINAL, BY: CODE: 1CHENG (EMERALD 2000 FINANCIAL), VIC (626) 451-6999- 9149 LAS TUNAS DR ITEMP 917801906 I IDESCRIPTI N OF WORK 1 I I (ILLUMINATED CHANNEL LETTERS 2' X 14.5' I I I I I (APPLICANT: TEL.. NO: 1 I I ICHEN (626) 733-2960- 12213 SASTRE AVE. I ISPECIAL CONDITIONS: IS. EL MONTE CA 91733- I 1733I I I I I I I I ICONTRACTOR:' TEL. NO: I (APPROVALS DATE INSPECTOR'SIGNATURE 1 IFARGO ADVERTISING, INC. (626) 733-2960- 1 1 1 12213 SASTRE AVE. LIC. NO I ITEMPORARY POWER POLE I I I IS. EL MONTE, CA 91733 932785 C45 I I I I I I I (UNDERGROUND CONDUIT I I - I I I 1 11 1 (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I 1 LIC. NO: 1 IROUGH CONDUIT 1 I I I L I I IROUGH WIRING I I 1 I I I I I I I I IMAIN WATER LINE I 1 I IPLASTIC Y/N METAL Y/N I I 1 I I I I I I 1 I (UTILITY COMPANY NOTIFIED1 I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: 2SO508 I I I I I I �f s COUNTY OF;-LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0907080029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES, PAID BUILDING ADDRESS: 1 ITR: 5905 LT: 13 BL: .001 I 1 9153 LAS TUNAS DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ) TEMP CA 917.801906 (ASSESSOR INFORMATION NUMBER: I ' I NEAREST CROSS STREET: 1 15387-016-038 1Al PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 (TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 ICAFE ROULE, INC. I 107/08/09 SR 07/08/10 10WNER: TEL. NO: 1 IFINAL DATE FINAL Y: CODE: 1 IGUAN,- ROBERT (626) 236-6661- 1 I/� 1 19149 LAS TUNAS DR - 1 _. I Tf'CD� I ITEMP 917801906 I 1DESCRIP ION OF WORK I 1 1 (UPGRADE ELECTRICAL PANEL TO 200 AMP I 1APPLICANT: TEL. NO: 1 I IKWOK (323) 697-2120- I I 1.260 E. GARVEY AVE. 1 ISPECIAL CONDITIONS: - 1 IMONTEREY PARK 91755 I I I I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IYU ZHENGGUAN (626) 695-7373- 1 1 I 16154 OAK AVENUE LIC. NO 1 ITEMPORARY POWER POLE 1 I 1 ITEMPLE CITY, CA 91780 713400 B 1 I (UNDERGROUND CONDUIT 1 1 1ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND 1 1 IKWOK, TERENCE (323) 697-2120- 1 1 I IQ I 1260 E GARVEY AVE. LIC. NO: IROUGH CONDUIT 1 _ 1 IMONTEREY PARK, CA 91755 C24796 I I I IROUGH WIRING I I IMAIN WATER LINE I 1PLASTIC YIN METAL YIN I 1 1 1UTILITY COMPANY NOTIFIEDI I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I R I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 1 I I I I I I