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76A663-CE806 4.65 APPLICATION FOR EL TRIC IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING L , L AS
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE,.COUNTY ENGINEER
COLEMAN.W. JENKINS, SUPT. OF BUILDING LOCALITY LE C T
NEAREST .
FOR APPLICANT TO FILL IN CROSS ST. _
RECEPTACLE TOTAL NO. EACH FEE L
LIGHT 1 OUTLETS FIRST 20 l♦ $.20 $ .Zc OWNER 'TS'�, L-2.$ 5S J O G .
MAIL
SWITCH 1 ADD'LtO ADDRESS
OVER 20
1 TOTAL FIRST 20 .20 CITY TEL. NO.
LIGHTING l FIXTURES ,
FIXTURES )( 10 CONTRACTOR
OVER VER 2 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS r7 J J (I_'_A
GARB.DISP. STA.COOK
CITYtjob4-r_ie&'Y' K TEL. NO. O s
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.('/H.P.MAX.) .50 LICENSE NO. /00745-V C_10
MOTORS: OVER NOT*OVER H.P. DIST CThL0. I GROU 'I ZONE jPRTrZC S D Y
O 1 1.00
1 s j% 1.50 1 INSPECTION RECORD
3 8 2.00
8 is 2.50
a
15 50 3.00
50 100 5.00 U
at
NO.TRANS
SIGNS: NO.LAMPS I-
U
lu
SERVICE 0.600V-NOT OVER 200A 1.00 a
N
SERVICE 0.60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE) .
PERMIT ISSUING FEE 2.00 DO
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION UNDERSLAB WORK Jfj
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ! �` �^ 7/:'=✓_�
ELECTRICAL WIRING.
WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I A THE LEGAL OWNER OF, AND NTEND TO POWER
RESIDE IN,THE ABOV E RIB RESID NTI R TY. ��-••�
SIGNATURE - UTILITY CO.NOTIFIED yy // `�- i'`�F _.e..,a/
OF PERMITTEE FINAL A 114'. 7.:. \mem-i,J ' OJ
�LIDATION JOSEMH d ROOHAN V J
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
_!uo 6 5 a2'S JAS! 1:0 2 p 3.70—
el I—
\ � -- �� Ll?
76A663-CE806 4-65 APPLICATION. FOR ELECTRICA4�ERMIT-
COUNT'Y OF 00S ANGELES
DEPARTMENT OF COUNTY ENGINEER FAD
NG
BUILDING AND SAFETY DIVISION S
JOHN A. LAMBIE,.COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING TYT
FOR APPLICANT TO FILL IN ST.
RECEPTACLE, TOTAL NO, EACH FEE
LIGHT J}
OUTLETS FIRST 20 $.20 $ _OWNER
MAIL
_ +t�
SWITCH ADD'L 10 ADDRESS
OVER 20
TOTAL CITY TEL. NO.
LIGHTING I--
FIXTURES FIRST 20 .20
FIXTURES ADD'L 1O CONTRACTORCJ
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / �-
GARB.DISP. STA.COOK
CITY EL. O
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(+/z H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N G OUP Z N PR D
O 1 1.00
1 3 1.50 INSPEC ON RECORD
-
3 8 2.00
8 15 2.50
a
15 50 3.00- O
V
so 10 5.00
09
NO.TRANSO
SIGNS- NO.LAMPS ` '`'�-y� V
W
SERVICE 0.600V-NOT OVER 200A 1.00
H
SERVICE 0.60OV-OVER 200 A. 2.00 ?
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTAIRY PERMIT ISSUING FEE 1.00
TOTAL FEE # 10v
APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES CO NTY AND STATE OF
CALIFORNIA OR THAT I AM E LEGAL OWN OF,AND INT D TO POWER
RESIDE IN,THE ABO C RE DE 1 PROPER / �
SIGNATURE UTILITY CO:NOTIFIED /�j
OF PERMITTEE FINAL Y� V�/!/ /
LIDATION JCNSEPH C. ROOHAN_ r
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
_. . 8 3.6 2. MAY 4 2 D 4.0 0~ d
76A663-CE806 4-65 , APPLICATION. FOR ELECTRIL PERMIT"-
GOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE,.COUNTY ENGINEER p /
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY C—
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE TOTAL 1 No. EACH FEE �^OUTLETS FIRST 20 $•20 $ MAIL
LIGHT J} MAIL
SWITCHADD'L f0 ADDRESS
OVER 20
TOTAL FIRST 20 .20 CITY TEL. NO.
LIGHTING �—.Ov
FIXTURESFIXTURES ADD'L CONTRACTOR ER 20 .10
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �)
GARB.DISP. STA.COOK
CITY TEL. NO
DISHWASH. AUTO.=WASH. STAT
SPACE HTRS, STA.APP.(1/2LICENSE NO.
z H.P.MAX.) .50 '
MOTORS: OVER NOT OVER H.P. DISTRICT NO. G CUP NE PR SSED BY
O 1 1.00 Z-
1 3 1.50 INSPE ION RECORD
3 8 2.00
8 15 2.50
15 50 3.00 0
so foo 5.00
V
oc
I N NO.TRANS O
NO.LAMPS I-
-V
W
SERVICE 0-600V-NOT OVER 200A 1.00 D_
N
SERVICE 0.60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
LEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
L COUNTY ORDINANCES AND STATE LAWS REGULATING � QQA--,
CAL WIRING. WIRING
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER
IN,THE ABOV RIBED RESIDENTIAL P PERTY,
UREUTILITY CO:NOTIFIED d 'AMITTEE I)d "A"
- FINAL .V .Y
OVA IDATION JOAPH'C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
it tLo 8 1 7 2'—. DEC 2 0 2 D 4.0 ON
WORKERS'COMPENSATION DECLARATION CE-663 foist APPLICATION FOR ELECTRICAL PERMIT �I
I hereby affirm that I have a certificate of consent to self insure, CE-806G
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab. C.) /1
Raolicy No Company v f� FOR APPLICANT TO FILL IN JOB (^
❑ Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE 1796 ADDRESS J
Certified copy is filed with the county building inspection
1 & 2-Family,Sq.Ft. $ _ $ LOCALITY
department. Multi-family Sq.Ft: NEAREST
CROSS
Date Applicant Residential Swimming Pools O OWNER OR
FIRM NAME Y�
CERTIFICA E OF EXEMPTION FROM W RKERS' Outlets:Rec— Light Sw. — MAIL
COMPENSATION INSURANCE ADDRESS , J
9 CPQ'F_yAM
(This section need not be completed if the work involved by the First 20
permit is for one hundred dollars ($100) or less.) Total No. Additional CITY ` Tel.No. '
I certify that in the performance of the work for which this permit PLAN CHECK
APPLICANT
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 ADDRESS44E K 64A
Additional '
Total No. CITY ` T .No.
Date Applica
NOTICE TO APPLICAN Fixed Appliances Not Over 1 HP after making this Certificate of PERMIT
Exemption,you shou ecome subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT
provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS
provisions or this permit shall be deemed revoked. Top _ FAU _ W.H.
LICENSED CONTRACTORS DECLARATION Hood _ Fan _ OtherCITY Tel.No.
_
I hereby affirm that I am licensed under provisions.of Chapter 9 Disp. — Room Air Cond. LICENSE OR , y Class.(�
(commencing with Section 7000) of Division 3 of the Business and REG.NUMBER
Professions Code,and my license is in full force and effect. DISTRICT NO. SSE
Power Apparatus&Large Appliances
Size& Type HP,KW,KVA,or KVAR .0
IgA
License Number I Yv Lic. Class Up to 1 Incl. FINAL V
�_ Over 1 to 10 Incl. DATE VALIDATION 0
Contractor Date 0
7-- Over 10 to 50 Incl. FINAL �' V
❑ I am exempt u der Sec. Over 50 to 100 Inc. BY W
B.&P.C.for this reason Over 100 N
Services,Swbd.,MCC& Panelboards ® / Z
Date: 0- 200 Amp.Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp.or Over 600 V
Exemption for Reg. Elect.
n
SINGLE FAMILY Temp.Power Pole& Appurtenances
OWNER-BUILDER DECLARATION Sign with One Branch Circuitf 4
T a
I hereby a irm that I am exempt from the'Contractor's License Law ACNC °
for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits 33.010Code): 3307
❑ I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors IL ITEMS__
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ poll.
TOTAL .. 3 m (30
and Professions Code).
CONSTRUCTION LENDING AGENCY I*'�ECK �}Y���
I hereby affirm that there is a construction lending agency for the CHANGE °[( i
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total)
Civ.C.).
Lender's Name PLAN CHECKING FEE Q 100WI-00131 71113/9913
PERMIT ISSUING FEE 1791 1, AAi �3 a��:
Lender's Address �I °
I certify that I ha read this application and state that the above TOTAL FEE
3�
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
proper for inspection purpose—7 _ SEE REVERSE FOR EXPLANATORY LANGUAGE
Signa re of Permittee Dat
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ,ELECTRICAL PERMIT .
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS r EL 0508 9710290033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAIDI.LD.ING.ADDRESS:
TR: 6561 LT: 672 BL: .001 '9532;,LAS-TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -TEMP CA-917802104
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-012-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/29/97 UT 10/29
OWNER: TEL. NO: FINAL DAT FINAL BY: CODE:
WONG OTTO;BETTY TRS
20 SANTA FELICIA CT liv
DESCRIPTION OF WORK
ELECTRICAL FOR PROJECTING SIGN
APPLICANT: TEL. NO:
SUCCESS SIGN (626) 280-8932-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: go
APPROVALS DATE INSPECTOR SIGNATURE
SUCCESS SIGN (626) 280-8932- \�(aU
820 E VALLEY BLVD LIC. NO TEMPORARY POWER POLE
SAN GABRIEL CA 91776 739177 C45
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: c:-/, UFER GROUND
LIC. N0: l r ROUGH CONDUIT
��
ROUGH WIRING
(� - IOC i MAIN WATER LINE
1(� J 0 p)i(\\NJ�I PLASTIC Y/N METAL Y/N
11--- -- --- ---- --
/ UTILITY COMPANY NOTIFIED
17
7 9
REPORT ID: DPR265 ROUTE TO: BS0508