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HomeMy Public PortalAbout9061 LONGDEN AVE_Electrical__ 76A66C-CE#806 5-61 X1111 CI L7ll C!/" VOC V FOR ELECTM /�Fl PE ST COUNTY OF LOS ANGELES +�1� u DEPARMENT OF COUNTY ENGINEER BUILDING (1 BUILDING AND SAFETY DIVISION ADDRESS Q) O'� Nw JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY L 1T o NEAREST FOR APPLICANT TO FILL IN cRoss ST PERMIT FEES OWNER S 1 T E M ,/ NUMBERI EACH FEE MAIL ' OUTLE n ADDRESS $ S LIGHTSF RECEPT: SW., .IO l CITY TEL. NO. LIGHTING FIXTURES \l .10 . (('� VIi (� ( �\/ ELEC, RANGES CLO DRYERS ELECTRICIAN V` LQ-((C-+ �71^`'r4 \//�{`�• WATER HEATERS .50 ADDRESS` '�A.JCS `} UVJM(J ` ELEC.SPACE HTRS, DISHWASHERS CIT Yr JLj}J 1 TEL NO GARBAGE DISPOSERS AUTO.-'' STATE LICENSE NO. � — , WASHERS STA COOKING UNITS .25 a - MOTORS OVER INC H.P DIST CT Y G U E CESSED BY O— 1/2 .25 j 1/2- 2 50 INSPECTION Hit= 2— 5 100 0 5— is 150 V 15— 50 2.50 0 0 50— 200 5.00 U W NO TRANS a SIGNS NO LAMPS N SERVICEO-600V �� 1.00 SERVICE OVER 600V Boo misc. WIRING PERMIT 100 Q V FIXTURE PERMIT ' 00 - Q SUPPLEMENTARY PERMIT TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT I 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 U h7/A/ • I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR f LICENSED AS REQUIRE U1RE BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THA 1 M E EGAL O NER OF THE ABOVE „ DESCRIBED RESIDENTI L O RTY. POWER g9 SIGNATURE UTILITY CO NOTIFIEDp OF PERMITTEE t c FINAL DATION AR TIl-IUR C. VEIT cK MO' CASH SUiERVISING ELECTRICAL ENGINEER r1a '-2. 2 1. '.tit'1°7 p 3.93 DEC TION WORKERS'COMPENSATION cafe of corse 76A669Drw3ie7 n nn��C n MH FOR ELECT ICA PERNT O I hereby.aff rm that I have a certificate of consent to self CE-806G l G�1lT lT (� u�J �L (� �] insLre, or a certificate of Workers' Compensation Insurbnce, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB Q Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS (p FCertified copy is filed with the county building inspec-- 1 &2-Family, Sci Ft $ — $ LOCALITY �— �-�k 'oL /f tion department Multi-family Sci Ft — NEAREST n Residential Swimming Pools CROSS ST' u 1 Date- Applicant OWNER OR ,` r FIRM NAME ►�V 1 am HrA. CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLight--I—Sw MAIL COMPENSATION INSURANCE First 20 c •ADDRESS (This section need not be completed if the work involved by Total No Additional CITYTem el Noah�j the permit is for one hundred dollars($100)or less.) that in the performance of the work for which this PLAN CHECK I certify P APPLICANT , permit 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 CITY Tel No Total No — Date Applicant - NOTICE TO APPLICANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D W _ APPLICATION Compensation provisions of the Labor Code,you must forth- Oven Dryer —W M _ ADDRESS with comply with such provisions or this permit shall be -Top FAU —W H — deemed revoked Hood — Fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION Disp Room Air Canal — LICENSE OR Class I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO P O ED 1-• and Professions Code,and my license is in-full force and effect d Size BYType HP, KW, KVA, or KVAR i�5 Z� Q License Number Lic Class Up to 1 Incl FINAL C.) Contractor Date Over 1 to 10 Incl DATE �3 VALIDATION cc ❑ Over 10 to 50 Incl FINAL O I am exempt under Sec Over 50 to 100 Inc By �) U W B &P C for this reason Over 100 (� - 5ervi d.rM�B.-Epa�l�ards Date D Z 0 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ElExemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY i HOME OWNER-BUILDER DECLARATION Temp Power Pore 8 Appurtenances I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ANT uB Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) .fjl IXJ j, as owner of the property, will do the work and the Misc-Conduits &Conductors 1 ITEMS ' \ structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ D TOTAL 39 -00 Business and Professions Code) CONSTRUCTION LENDING AGENCY CHECK 39.0[l I hereby affirm that there is a construction lending agency for C CHANGE .013 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING'FEE C d Lender's Name - �-�—C�1 1�. u�u? PERMIT ISSUING FEE 7373 1 AM 9:03 Lender's Address 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 bov mentioned property f inspection purposes _ - SEE REVERSE FOR EXPLANATORY LANGUAGE &19 ©t gnature of Permittee Dote • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0310210019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUI 07rWrXUWSS: TR: 12048 LT: 1 9061 LONGDEN AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801512 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA 5382-021-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 70.00 OUT 106.50 G2 LIGHTING FIXTURES 20.00 LGT 39.00 A X . HA FAU LESS 3HP 2.00 FAU 21.90 10/21/03 JK 04/18/04 H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 OWNER: . NO: H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 FINAL DATE FINAL BY: CODE: NAKAMURA TOSHIYUKI;TOMOMI (626) 285-7134- H4 RES RANGE HDS LT 3HP 1.00 HOD 10.95 9061 LONGDEN AV H7 RES EXHAUST FANS 1.00 EX 10.95 TEMP 917801512 JB AC UNITS +3-10HP 2.00 AC 39.30 DESCRIPTION OF WORK LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ELECTRICAL FOR ADDITION/REMODEL TOTAL FEES 317.10 APPLICANT: TE TET INTERNATIONAL (626) 285-2562- 145 N EARLE ST SPECIAL N T ONS: SAN GABRIEL 91775 GELES CONTRACTOR: TEL. N0: Qd61 APPPOVALS DATE INSPECTOR SIGNATUkff- RICHARD WU (626) 285-2562- 145 N EARLE ST LIC. NO TEMPORARY POWER POLE SAN GABRIEL, CA 91775 540918 B/// UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: �// I UFER ND LIC. N _ _ 7111111 ' ROUGH CONDUIT ROUGH �3� j�` �' NE PLASTIC Y/NMAIN WATER LIMETAL Y/N Lu1� luuJ \] UTILfTY COMPANY NOTIFIED � f- Li Se vic REPORT ID: DPR265 ROUTE TO: BS0508