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Home My Public Portal About9553 LAS TUNAS DR_Electrical__ 76A663-CE806 10/74 A P P L I C A a OR ELEITRICAL P RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESs 6j 1j j Zo T,,� F LOCALITY ,p,/ NEAREST. FOR APPLICANT TO FILL IN CROSS ST, OUTLETS N0. EACHI FEE OWNER OR $ $ RM NAME R.�--i1 ,171e PIAL A-C^ /, RECEPT._ MAIL ..LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 10 -PLAN CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR, HTR. APPLICANT y ., < �. (7 STA. COOK DISP. F,A.U. ADDRESS%/ CGILdY�LOLI SPACE HTR. AIR COND. CITY TEL. N-6f/ 4b I CLOTHES WASH, DISHWASH. LICENSE 0 j REG. NUMBE ti Xa 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 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR OR THAT I AM THE LEGAL 0 ER OF THE ABOVE 1 - 10 3.00 DESCRIBED RESID IAL PROPERTY. - CD PERMITEE 10 - 50 5.00 SIGNATUR [[.YXii o 50 - 100 10.00 DISTRIT N SSED BY 1''j 0., 100 - 500 15.00 SIGN, GAS SIGN A TUBE, OR ,AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATURE MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. 'POWER POLE SERVICENOTOVER 600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT ' TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING -7,-XI-) ,�rNIArY TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES �+ � �/` POWER AUTHORIZED UTILITY CO. NOTIFIED p��nn FINAL I/--r-74_ . I,Gyr PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.001 1 TOTAL FEE FEE WAIVED PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK, M.O. CASH I -k V 4 4 v D 0 � ' SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE DBS-5A 11.55 APPLICATION FOR ELECTRIC.PIE RMIT DBS-5A DIVISION OF BUILDING AND SAFETY Deportment of County Engineer BUILDING County of Los Angeles ADDRESS y JOHN A. LAMBIE,COUNTY ENGINEER CASSATT D. GRIFFIN,SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST �= PERMIT FEESC osS sT. NUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS .7 WALL SWITCHES FEE CITY TEL. N TOTAL OUTLETS @ 5¢ $ 6J ELECTRI IAN ELEC. RANGES 25 ADDRE ..ter-'tiNd.-,r ELEC. HEATERS 25 CITY �'�"`'�� TZ. NO. '� KW EA STATE FIXTURES 5 LICENSE NO. MOTORS DISTRICT�VO. I GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE `h/r/ �2 NEW MVD. HP OVER INC. EACH 1/2&LESS $ .25 INSPECTION RECORD 1%2 2 .50 l c-, "-t' F=r-- 1=i1 r 2 5 1.00 d d 5 15 1.50 15 50 2.50 50 1 200 1 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 1&c FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ U.S DATE INSPECTORS SIGNATURE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING lC� pt�Q ELECTRICAL WIRING. I HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL P bPE Y. SIGNATURE UTILITY CO.NOTIFIED _ OF PERMITTEE C �� FINAL �i t JOHN A.LAMBIE.COUNTY ENGINEER VALIDATM ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR CK MO Civ "o h 8 i C APR5 \ .v 5 to ., TEMPLE CITY 76A663A-CEB06A 4/72 APPLICATION FOR ELECTRICAL PERMIT u COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Las Tums Dr. LOCALITY Temple Cit NEAREST yam,, FOR APPLICANT TO FILL IN CROSS ST. PrimrOSe OUTLETS NO. EACH FEE OWN ERre 1 Ci $ $ t Chamber of Commerce RECEPT._ MAIL LIGHT TOTAL FIRST 20 ADDRESS 5827 Te=le City Blvd- SWITCH_ OVER 20 CITY Te=le Cit `Z TEL. NO. 6- PLAN CHECK LIGHTINGTOTAL FIRST 20 APPLICANT- - - FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERT RANGE DRYERWTR. HTR._ APPLIICANT Creative DisplaY CO STA. COOK DISP. F.A.U. ADDRESS 11258 RamonaBl- SPACE HTR. AIR COND. CITY El Monte TEL. N0. 443-6155 CLOTHES WASH. DISHWASH. LICENSE NO. 249036 CLASS. Ci..Jo FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r_.')IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO Q I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1... 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF `G7 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d 1 - lO RESIDEIN, THE A E DESCRIP�ED IDE NTIAL PROPERTY. N Z SIGNATURE .m 10 - 50 OF PERMITTEE 50 - 100 DISTRICT NO. 1. SS ZONE daSSED BY 100 - 500 08 SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOT OVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM ROUGH CONDIUT Xims Light SerV WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) PLAN CHECK FEE UTILITY CO. NOTIFIED / PERMIT ISSUING FEE FINAL TOTAL FEE VW-Ira Tl&J PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH y 76A663-CE80611.71 APPLICAGELES r Nj6R EL"TRL PERMIT COUNTY OF LOS AN DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS 'S LOCALITY' NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADORES SPACE HTR. AIR COND. CITY K/ � L. N0�¢ CLOTHES WASH. DISHWASH. LICENSE NO CLAS FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE-THAT TME 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 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF, AND INTEND TO O 1 - 1O 3.00 RESIDE IN, E ABOVE- DESCRIBED RESIDENTIAL PROPERTY. V 10 - 50 5.001 SIGNATURE wOF PERMI EE O 50 100 10.00 DISTRICTNO. CLAS ` Z E PROCE SED B u 100 - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT .5.00 NOTES: ? TUBE, OR A MARQUEE ADDITIONAL CIRCUITS _ 1.00 SERVICENOT OVER 600 VOLTS OR 200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OV ER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP SERVICE, POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING 1,f"`a.7 2 4-/07,ftLi/n*! FIXTURES POWER AUTHORIZED .PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE �y PERMIT ISSUING FEE 3.00 _ FINAL -,2-3 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIIT. LI ATIONCK. M.O. CASH 5 1673 Jul, D 8.00- 1 � SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663.CE806 M/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS v //� !V f BUILDING AND SAFETY DIVISION LOCALITY _ G` - NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH I FEE OWNER RM NAME $ $ - RECEPT._ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS — Cl TY TEL. NO. SWITCH_ OVER 20 .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES1p OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR GOND. CITY L. N0. CLOTHES WASH. DISHWASH. LICENSE OR � REG. NUMBER CLASS.<:!:L J 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 ERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED A QU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA AM THE LEGAL OWNER OF THE ABOVE 1 — 1O 3.00 DESCRIBED TIAL ROPERTY. a- O PERMIT E U 10 — 50 5.00 SIGNA URE O 50 — 100 10.00 v DISTRICT N0. SED BY LV 100 - 500 15.00 � Z SIGN', GAS=AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR ap MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING e� r',,-'GX1�4„a �- _ ,� TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES '/ �'AA�f.zsae_v�o POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 3 [j TOTAL FEE ad PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH I °^ X 8 4 3 73 MAY 1 2 D 8.0 Q- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE8061-67 APPLICATION FO E iCTRIlfAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 7-01m, x ®2 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. C17 cs3�C Ind RECEPT. 1 TOTAL NO. I EACH FEE OUTLETS FIRST 20 $.20 $ OWNER � �5 J-�4jle LIGHT J} MAIL SWITCHADD'L 10 ADDRESS J OVER 20 �p/ n! �`'f"�7W O E-A I¢-.,g TEL.NO. LIGHTING 1 FIXTURES FIXTURES FIRST 20 .20 CITY /� FIXTURES )( 10 CONTRACTOR �'®E/c- L 61'6-Al OVVERER 20 2 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS .11040 /vl141AI .57- GARB.DISP. STA.COOK CITY 4 -/L TEL. NO. L 2-1 '(p DISHWASH. AUTO.-WASH. STATE p !7 SPACE HTRS. STA. APPL. .SO LICENSE NO. •�r 4 3� MOTORS: OVER NOT OVER H.P. DISTRICT ryNO. G ,OUP ZONE PROC S ED BY O 1 1.00 1 3 1.50 INSPEC ION RECORD 3 S 2.00 e 8 ,5 2.50 15 50 3.00 d 50 100 5.00 0 SIGNS: NO.TRANS / �, Q dr NO.LAMPS bSERVICE 0.600V-Nor OVER 200A 1.00 W CL SERVICE 0-600V-OVER 200 A. 2.00 h SERVICE OVER 600V 5.00 ? OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURC TOTAL FEE Q I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UND ERS LAB 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL O ER OF,AND INTEND TO POWER RESIDE IN,THE ABOVE E C D REST NTIAL PR ERTY. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL VALIDATI JOSEPH C. R OHktr CK MO CASH SUPERVISING ELECTRICAL ENGINEER Ltil,� G 0,:3 8 7 Rtv 1 � 2 D 4.0 0sr r 7GA663-CE806 10-60 — APPLICATION FOR ELECTRICAL P MIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER eu1LDING g BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES owNER. ✓ I T E M NUMBERI EACH FEE MAIL OUTLETS: $ $ ADDRESS LIGHTS RECEPT. SW. .10 CITY TEL. NO. LIGHTING FIXTURES .10 ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS / ELEC.SPACE HTRS. DISHWASHERS CITY TEL NOf GARBAGE DISPOSERS AUTO.- STATE WASHERS STA,COOKING UNITS .25 - LICENSE NO. MOTORS: OVER INC. H.P. DISTRIC NO GROUP r �� ZONE I PROCES D Y 0— 1/2 .25 . azly — y2— 2 5O INSPECTION RECORD 2— 5 1.00 1- O. 5— 15 1.50 O ' U 15— 50 2.50 50— 200 5.00 O SIGNS: NO TRANS. d % NO.LAMPS N SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 OLD FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ LDESCRIBED BY ACKNOWLEDGE THAT 1 HAVE, READ THIS APPLICATION APPROVALS DATE . INSPECTOR'S SIGNATURE TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT AL WIRING. WIRING EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES NIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ED RESIDENTIAL PROPERTY POWER URE -UTILITY CO.NOTIFIED MITTE / FINAL LIDATION ARTHUR C. VEIT U c mo CASH SUPERVISING ELECTRICAL ENGINEER Iii1 1 0 4 AU_ 4 2 D �y ,0 ll � . cm i WORKER'S COMPENSATION DECLARATION 9 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT 76A66 I hereby affirm that I have a certificate of consent to self insure, 76A663 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.3800Lab. C.) POIICy NO.� ^Company FOR APPLICANT TO FILL IN JOB ADDRESS - ❑ CertifiPcIppy Is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE LOCALITY $ — Cert1 &2-Family,Sq.Ft. $ (fied`copy is filed with the county building inspection _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR COMPENSATION INSURANCE Outlets:ReC._Light SW. FIRM NAME First 20 MAIL (This section need not be completed if the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional 1 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'Compensation Laws. Lighting Fixturey First 20 APPLICANT Total No. Additional ADDRESS Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of 15 OR 20A,120V BRANCH CIRCUITS CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT P Y P Y APPLICANT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION ADDRESS d 1 hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH O U (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. ULI Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR J Power Apparatus&Large Appliances REG.NUMBER Class. LL Size&Type HP,KW,KVA,Or KVAR DISTRICT NO. PROCESSED BY License Number Lic.Class > ._ Up to 3 Incl. Ir r T- • Over 3 to 10 Incl. FINAL Contractor Date Over 10 to 50 Incl. DATE ❑ I am exempt under Sec. Over 50 to 100 Incl. VALIDATION O- B.&P.C.for this reason Over 100 By AL W Services,Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V Signature 201 -1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. 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 t f .at Code): ❑ I, as owner�f the pfrLiperty,will do the work and the structure Misc.Conduits&Conductors r is not intand�d or 6ffered 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 state that the above TOTAL FEE information i5 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 I , SIGNATURE OF APPLICANT OR AGENT DATE - WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT LJ I hereby affirm that I have a certificate of consent to self insure, 76A663 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/L -�U°f'i"�]Company } /`/ FOR APPLICANT TO FILL iN� ' s /-I/z �/Vl - JOB iG. L+ EJADDRESS i i � [.>/Ttil Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY. 1 &2-Family,Sq.Ft. — $ $ GL' G-1 Certified copy is filed with the county building inspecti _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date n A licant Residential Swimming Pools gSSESSOR p� PP MAP BOOK / PAGE /` PARCEL Vl CERTIFICATE OF EXEM. ION FROM WORKERS' q OWNER OR COMPENSATION INSURANCE Outlets:Rec. Light Sw.1- v FIRMNAME First 20 MAIL _ (This section need not be completed if the work involved by the ADDRESS 1 C , f V6:' permit is for one hundred dollars($100)or less.) Total No. Additional c�7,1?.AR -7 I certify that in the performance of the work for which this permit CITY —,PA /✓lt�W,5 Tel.Nom ?733 is issued, I shall not employ any person in any manner s0 as t0 PLAN CHECK become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date 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. PERMIT SMC46z.�3) 6&7QJ7 Z?4I provisions of the Labor Code, you must forthwith comply with such APPLICANT /-Y77,[{/J c7�/�z/ provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size Type tH'P'W,KVA,or KVAR ADDRESS FZ� I hereby affirm that I am licensed under provisions of Chapter 9 �'L Over 3 to 10 Incl. ' t (commencing with Section 7000) of Division 3 of the Business and CITY IP�- Tel.No. z1-4 Professions Code, and.my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR / 4 Class. Over 50 t0 100 Incl. REG.NUMBER 6 v a License Number `� / 9 446 Lic.Class Over 100 DISTRICT NO. PROCESSED BY 0 /��p/ / Services,Swbd.,MCC&Panelboards t/ ContractorC �- �r� � DOC FINAL 0 ate S 0-393 Amp.Under 600 V DATE ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION Over 1000 Amp.or Over 600 V FINAL W B.&P.C:for this reason a BRANCH CIRCUIT FEES BY fn Date: 15A,or 20A, 120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ED -41 Or More Branch Circuits Exemption for Reg.Maint. Elect. 15A,20A,208V To 277V Lighting Br.Circuits A •f a SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions .Additional Sign Branch Circuits i is EMS Code): El 1, Conduits&Conductors 11"I 1 A s a I,as owner of the property,will do the work and the structure }; r.• -,�I is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) MCI". 74°'=0 and Professions Code). fit? ° 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 T i'1 f P P ( (Sub-Total) �iti�l^16,^41�I�� =5;�s�: :•- Civ. C.) PLAN CHECKING FEE 9 646 1 AM 10:1-14 Lender's Name PERMIT ISSUING FEE Lender's Address I certify that 1 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 ordinance's and State laws regulating Electrical wiring,and hereby authorize representatives of this County enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE //,,,VI5NATURE OF PERMITTEE J/-'_ /DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0209040038 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 242 BL: .001 9553 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802107 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-014-016 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: 09/09/02 JK 03/08/03 OWNER: TEL. NO: FINAL DATE Y: CODE: STROH HERBERT;ESTHER TRS 61 ORANGE GROVE AV SIER 910242505 DESCRIPTION OF WORK 1 SET OF CHANNEL LETTERS APPLICANT: TEL. NO: SIGNS EXPRESS 626443333 2446 MERCED AVE SPECIAL CONDITIONS: SOUTH EL MONTE 91733 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SIGNS EXPRESS MANUFACTURING COMPANY (626) 443-3333- 2446 MERCED AVE LIC. NO TEMPORARY POWER POLE SOUTH EL MONTE, CA 91733 552097 C45 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: SS0508 G COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0702130002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE*CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID BUILDING ADDRESS: I ITR: 6561 IT: 242 BL: .001 1 I 9553 LAS TUNAS DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( - TEMP CA 917802107 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18587-014-016 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 1 I (TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 IGARDEN ESCROW 1 102/13/07 JK 08/12/07 1 (OWNER: TEL. NO: 1 IFINAL DATL. Lvm BY: CODE: 1 ISTROH HERBERT;ESTHER TRS - I I I 161 ORANGE GROVE AV 1 ISIER 910242505 I (DESCRIPTION OF WORK I ZONE SET INTERNAL ILLUMINATED CHANNEL LETTERS WALL SIGN 1 1APPLICANT: TEL. NO: 1 I (JOHN YU - (626) 448-1616- 1 I I 19647 E. RUSH ST. I (SPECIAL CONDITIONS: 1 IS. EL MONTE 91733 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 (FIRST SIGN CO. (626) 448-1616- 1 1 19647 E. RUSH ST. LIC. NO I (TEMPORARY POWER POLE I (SOUTH EL MONTE, CA 91733 605688 C45 *1 I I I I I (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 I I 1 LIC. NO: 1 (ROUGH CONDUIT 1 I I I I (ROUGH WIRING I I I IMAIN WATER LINE I I I (PLASTIC YIN METAL YIN I I I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I 1 I I I I 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 1* ADDITIONAL DATA ON FILE I I I I I (REPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I