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HomeMy Public PortalAbout10229 LOWER AZUSA RD_Electrical__ 76A663-CE806 8-62 APPLICATION FORT ELECTRICAL PERMIT COUNTY OF LOS ANGELES Ply DEPARTMENT OF COUNTY ENGINEER BUILDING /� l Y 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. REC EP T, TOTAL NO. EACH FEE OUTLETS FIRST 20 A $.20 $ OWNERIf ' LIGHT MAIL ADD'L f0 ADDRESS SWITCH. OVER 20 TOTAL CITY TEL. NO. LIGHTING FIRST 20 .20 FIXTURESI ADD'L OV R 20 10 ELECTRICIAN )�• RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS t GARB.DISP. STA.COOK CITY TEL. NO. DISHWASH. AUTO.-WASH. j STATE SPACE HTRS. STA.APP.(yz H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOTOVER H.P. DISTRICT N ,gG�{�OUP NE IPR,2 _Z D B O 1 1.00 1 3 1.50 INS OW RECORD 3 8 2.00 8 15 2.50 15 50 3.00 '- a. 50 100 5.00 O U SIGNS: NO.TRANS- NO.LAMPS SERVICE 0.600V-NOT OVER 200A 1.00 Vt.LI SERVICE 0.60OV-OVER 200 A. 2.00 D- N SERVICE OVER 600V 5.00 MISC. r PERMIT ISSUING FEE 2.00 SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 9 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS A ELES COUNTY AND S OF FIXTURES CALIFORNIA OR THAT 1 AM THE EGAL OWNER OF T OV DESCRIBED RESIDENTO PROPE POWER SIGNATURE UTILITY CO.NOTIFIED L5 OF PERMITT E pit n FINAL - /6� �/tp�) 3 ,�„��',..Z LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 1 2 9 0 OCT 10 2 D 3.40- 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Z JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN,ISUP•T OF BUILDING LOCALITYNEAREST FOR APPLICANT TO FILL IN CROSS ST. f RECEPT•1/ TOTAL NO. EACH FEE � LIGHT OUTLETS FIRST 20 'O $20 $ d OWNER p 5��4 �y/ � A/S ')7 .5� -n/ MAIL ADD'L ADDRESS ,Q"Z_/7 SWITCH . .1O . �� OVER 2O TOTAL LIGHTING FIRST 20 0 20 (!Q CITY TEL. NO. u FIXTURES7 I ovDe 20 10 Q ELECTRICIAN S6 V RANGES CLO.DRYERS<GTR.HTRS. Zj 1.00 ADDRESS -- ARB.DISP.' STA.COOK / /�` /� • I� / CITY /5 L A • /y TEL. NO. ' AUTO.-WASH. STATE SPACE HTRS. STA.APP.(l/.H.P.MAX.). .50 S LICENSE NO. -2— (L� C•--�,-b MOTORS: OVER NOT OVER H.P. DISTRICTP GROUP ZONE P ED 912- O 1 1.00 O i 1 3 1.50 INSPECTION RECORD - 3 8 2.00 i I n 8 15 2.50 - 50 100 5.00 ,.j - O R r rr U NO.TRANS . ',•^J SIGNS: - NO.LAMPS ��'� E k"sf ` 4 �: a .4. tyL O SERVICE 0.600V-NOT OVER 200A 1.00 t 4 �-QI "h„ nw• ,q ��gs ,� -:N-' �s;k _ IU SERVICE D-600V-OVER200-A. 2.00 2_ c® / �, � � no=."Y a. SERVICE OVER 600V 5.00 " f MISC. 4-�"h� PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ;R ;� ^ V TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE .INSPECTOR'S SIGNATUAE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. - WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS'=REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES `1'��/D'p CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P ERTY. POWER SIGNATURE UTILITY CO.NOTIFIED h/f l /i 44 OF PERMITTEE M'74, y1 - OmniFINAL if VALIDATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER -� LAo1094 OCT 7 2 D 6a:5OM 76A663 CE-80616/78) APPLICATION FORELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING ANPSAFETY FOR APPLICANT TO FILL IN JOB �y New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 1 &2-Family,Sq. Ft. $ .025. — $ LOCALITY Multi-family Sq. Ft. .02 — NEAREST Residential Swimming Pools 25.00 CROSS ST. i31 at✓is.� OWNER OR FIRM NAME Outlets:Rec Light—Sw. MAIL First 20 .50 ADDRESS �5 'w d% Total No. Additional .30 CITY Tel. A PLAN Lighting Fixtures First 20 50 ADDRESS Additional .30 Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT C— Range_Heater_ D.W. _ ADDRESS 7 Oven—Dryer_W.M. �75P. ���% a`'/�/�✓�f'—v� Top _FAU W.H._ CITY Tel. No.7"..or Hood_Fan _Other_ LICENSE OR Disp.—Room Air Cond. 2.50 REG.NUMBER j� Class. e l& I HEREBY ACKNOWLEDGE THAJST AD THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVET AND AGREE TO Size&T e HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDIND STATE LAWS yp REGULATING ELECTRICAL WIRING. @� Up to 1 Incl. 2.50 I HEREBY CERTIFY THAT I AM PGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY.LOS ANGTY AND STATE OF Over 1010 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LER OF THE ABOVE Over 50 to 100 Inc. 25.00 DESCRIBED RESIDENTIAL PROPERTY. 40.00 PERMITEE Over 100 SIGNATURE �"`� "l1 Services 12 50 DISTRICT NO. s D B, Y 0-200 Amp. Under 600 V LL^�'i-�� 201-1000 Amp. Under 600 V 25.00 �,- ) `� Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION. Misc.Conduits&Conductors 10.00 u Other(See Complete Fee Schedule) ON REVERSE u 0'� A SIDE a # o 0 o o 0 2 ' J d 2 - 3200 PERMIT FEE (Sub-To'tol) o o o 3 2,0 0 C5 Z PLAN CHECKING FEE (One-Fourth Permit Fee) O © R14-78 PERMIT ISSUING FEE $7.00 TOTAL FEE . > r INSPECTIL D c�c /� W date: y `� By a ©s 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS �z JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL 1N CROSS ST. RECEPT, TOTAL NO, EACH FEE OUTLETS FIRST 20 $.20 $ OWNER' ,)L1 ,yw le, LIGHTMAIL /!'2� - ADD'L 10 ADDRESS !s' SWITCH. OVER 20 .. / LIGHTINGTTOTAL F1RsT 20 ,20 CITY 77p« �% TEL.NO.Z, 3040Z/ FIXTURES I ADD'L 10 ELECTRICIAN �--;w -nf4 �7/ OV R 20 101492—)i, �^ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS !{O/4 Z GARB.DISP. STA.COOK CITY <"r/'- -�'Pcs TEL.NO. �(07L-✓� DISHWASH. AUTO.-WASH. LICENSE NO. {7V SPACE HTRS. STA.APP.(1/z H.P.MAX.) .50 - MOTORS: OVER NOT OVER H.P. DIS_T�JC NT G OUP Z NE P O B O 1 1.00 � 1 3 1.50 INSPE ION REC RD 3 8 A;, B 15 15 50 .so 100 0 NO.TRANS 57 SIGNS: NO.LAMPS O F'. SERVICE 0.60OV-NOT OVER 200A 1.00 - w CL SERVICE0.60OV-OVER 200 A. 2;00 N Z SERVICE OVER 600V 5.00 ' MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 - TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ.THIS APPLICATIO 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ,CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIALSIGNATURE PROPERTY. �% �/� POWER OF PERMITTEE -U �� �'`� '^' UTILITY CO.NOTIFIED {7 /1 /7, p_ ]n FINAL' 3 'r -6 `- OLeJ—e_. (DATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Vt =Oa 6 9 9- FEB 19 ? D 4.25N a 16AG63-CEB064.60 APPUC /\ TI® FOR ELECT IC ^ym PERMIT COUNTY OF LOS ANGELES �� \V/ DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. PERMIT FEES 'y OWNER _ ITEM NUMBER EACH FEE MAIL OUTLETS: $ $ ADDRESS LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES10 CITY TEL.NO. 1 ELEC. RANGES CLO. DRYERS ELECTRICIAN r WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS v., CITY-;( EL.NO.I_ Z GARBAGE DISPOSERS AUTO.. STATE LICENSE NO. L 4` WASHERS STA.COOKING UNITS .25 MOTORS: OVER INC. H.P. DISTRICT NO. I y GZONE O I/2 .25 r Ii, — 2 .50 INSPECTION RECORD 2 — 5 1.00 e �- 0. 5 151.50 O 15 — 50 2.50 O 50 200 5.00 ~ ss U SIGNS: NO TRANS. - d N NO. LAMPS Z SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ o THEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE t, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE. ABOVE DESCRIBED RESIDE P PE TY. POWER A .z SIGNATURE UTILITY CO. NOTIFIED, -(1 'p��nY:.-At i`'..'x`r� nQfl.i�_t.�e-- OF PERMITTE - :.. Le VALIDAT� ARTHUR C.VETT. CK MO CASH SUPERVISING ELECTRICAL ENGINEER WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G � insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES P' BUILDING AND SAFETY or a certified,cop thereof (Sec. 3800, Lac. _Policy N '� Company J �;'`�� FOR APPLICANT TO FILL IN JOB ®�CerTified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS IOL1�1 (.Oct - A�SiI ❑ 1 & 2-Famil S Ft, $ — $ LOCALITY s �{ Certified copy is filed with the county building inspec-• Y. 4 tion department. Multi-family S Ft. NEAREST P &A-5 F7 Residential Swimming Pools OWNER OR / Date Applicant ,i�j(I7S6� FIRM NAME 3Dt CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL COMPENSATION INSURANCE ADDRESS S � (This t be com leted if the work involved b First 20 ( s section neenop Y Total No Additional CITY T¢— L,2 Tel. No. - the permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which This 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 TAdditional Total No. CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT �•;� NOTICE TO APPLICANT: If, after making this'Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M.—. ADDRESS 2 with pcom I with such provisions or this permit shall be y ~�b� comply p p Top FAU —W.H. — deemed revoked. CITY C�i9610 Tel. No. - t Hood Fan _Other— LICENSED CONTRACTORS DECLARATION 'LICENSE OR r I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Class. Qj ,( (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO. PROCESSED BY >_ and Professions Code,and my license is in full force and effect. tI6 r(' Size &T pe HP, KW, KVA, or KVAR' . ® ` License Numberr3��� Lic. Class' _ �� FINAL Up to 1 Incl. DATE > B3 /f� ���� Over 1 to 10 Incl. '�f °' __-� VALIDATION Contractor v Date Over 10 to 50 Incl. r-1 FINAL I am exempt under Sec_ Over 50 to 100 Inc. BY �� _�.,,. � B.&P.C. for this reason Over 100 V) Date: Services, Swbd., MCC&Panelboards 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 Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): z 8,3 QJ A ❑ I, as owner of the property, will do the work and the Misc. Conduits & Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , #'o ojo 0 0 2 7044, Business and Professions Code). 2023.50 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for o 0 0 2 3,55 0 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) f.+� (Sec. 3097, Civ. C.). 1 21 4-82 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE yt 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 above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Flermittee Date WORKERS' I have cera DECLARATION CE-806 to/ei APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance,. COUNTY OF LOS ANGELES _i < f BUILDING AND SAFETY or a certifie�dd copy thereof (Sec. 3800, Lab. C.) 9- Poli No.'✓ 242-' Com an �41 p y FOR APPLICANT 70 FILL IN JOB Kr Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ©ZZLj Oi ❑ 1 & 2-Family, S Ft. $ _ $ LOCALITY Certified copy is filed with the county building inspec- y, q tion department.• Multi-family Sq. Ft. CROSSNEAREST CROSS ST. Date Applicant Residential Swimming PoolsOWNER ORNAME J)' FIRM N ME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL COMPENSATION INSURANCE ADDRESS �S�}� 1 (This need not be completed b First 20 ( s sepleted if the work involved Y Total No. Additional CITY �6L/4C Tel. No. ��� •�!33' the permit is for one hundred dollars ($100)or less.) [•1PLAN CHECK I certify that in the performance of the work for which this 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 Total No. CITY - Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT ` NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT 610�C390 AZIfe- Exemption, you should become subject to the Workers' Range_ Heater—D.W. — 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 (�yp�/;!1/�, Tel. Na. M/"a LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. .— Room Air Cond. REG. NUMBER (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED B and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances J Size &Type HP, KW, KVA, or KVAR' o p O License Number 95/'36 ell Lic. ClassJ�305 � Up to 1 Incl. FINAL r !sf>IJ;j/' GO' Date 1-� l�� Over 1 to 10 Incl. DATE VALIDATION Contracto Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY "' 0. B.&P.C. for this reason Over 100 L1 Date: Services, Swbd., MCC& Ponelboards 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 Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): F-1 1, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ® a 8.6 6.4 A 7044, Business and Professions Code). Wo CONSTRUCTION LENDING AGENCYPI° °'2.5 5 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) to,0 025.5 0 IJ– (Sec. 3097, Civ. C.). PLAN CHECKING FEE 1229'-82 Lender's Name PERMIT ISSUING FEE O �V Lender's Address I certify that I have read this application and state that the TOTAL FEE F 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 y� Signature of Permittee Date WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT reby affirm that I have a certificate of consent to self CE-806G re, ora certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY certified copy thereof (Sec. 3800, Lobb..�C.)) A� cy No. Company/ -'- d A& FOR APPLICANT TO FILL IN JOB m"yq ry A Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS/40LiZ� I-OW�y�AZcrS44 RO Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY �Lc tion department. Multi-family Sq. Ft. NEAREST I CROSS ST. Residential Swimming Pools �Q e 1,^ 3 Applicant 43­55t TE L Z �' OWNER OR n� / �/ L/s! FIRM NAME + h 7[O CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Rec Light Sw. ADDRESS �E is section need not be completed if the work involved b First 20 p y Total No. Additional CITY'f��pl� Tel. No.ZS�sZ i permit is for one hundred dollars ($100)or less.) PLAN CHECK =rtif that in the performance of the work for which this Y P _ APPLICANT emit is issued, I shall not employ any person in any manner as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional tCITY Tel. No. o Applicant Fixed Appliances Not Over 1 HP PERMIT /"� )TICE TO APPLICANT: If, after making this Certificate of APPLICANT O � Esc--cT�� w amption, you should become subject to the Workers' Range_ Heater—D.W. — Impensation provisions of the Labor Code, you must forth- Oven — Dryer — W.M.— ADDRESS f j th comply with such provisions or this permit shall be Top FAU —W.H. — iemed revoked. CITY Tel No. S Z(� LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ I Disp. — Room Air Cond. LICENSE �r 2 ry r9S Class.G`Q ereby of that I am licensed under provisions of Chapter 9 REG. NUMOR BER CX�JI.i � :)mmencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY id Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances _. +� Size&Type HP, KW, KVA, or KVAR' FO ense Numberwg&�`�19Lic. Class Up to 1 Incl. FINAL '` � � j Over 1 to 10 Incl. DATE (�//)�/f7� IJ� VALIDATION ntractor atet7 Over 10 to 50 Incl. d Q I- FINAL I am exempt under Sec. Over 50 to 100,Inc. BY ��,� Baa B.&P.C. for this reason Over 100 #A 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. i SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2 0 0 A hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits ft'o 0 o 0 o 2 -aw for the following reason (Section 7031.5, Business.and professions Code): o 0 2 O 0 17 Misc. Conduits & Conductors u I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ® o 0 0 2 0 351 7044, Business and Professions Code). +/Z iA`P` Z�V O���p• CONSTRUCTION LENDING AGENCY t/2 14,P, ZO Ut P`t.3-f4P 0 5 1 7—'8 3 1 hereby affirm that there is a construction lending agency for o00 w. At2 t e-Yee the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, 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 TOTAL FEE O+� above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and uthorize representatives of this County to enter upon the above- ention d p per coon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit ee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1303200019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 11148 LT: 2 BL: '.001 1 10229 LOWER AZUSA RD' I __(FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917804027 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDEN 18585-015-004 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI I IG2 LIGHTING FIXTURES 212.00 LGT 296.90 (TENANT: I TOTAL FEES 324.70 11SSUED ON: PROCESSED BY: PLAN BY: 1 103/20/13 SR I OWNER: TEL. NO: I IFIVAL DATE - FINAL BY: CODE: 1JK EVERGREEN MANAGEMENT INC (626) 350-4198- 1 L �. 14820 ARDEN DRIVE I /n TEMPLE CITY CA 91780 IDE RIi5=oN OF WORK I I I INEW 212 LIGHT FIXTURES APPLICANT: TEL. NO: ILIANG, DAVID (310) 977-3737- I1137 SHASTA ST ISPECIAL CONDITIONS: WEST COVINA CA 91791 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ID L MASTER CONSTRUCTION (310) 977-3737- 1 1 11137 SHASTA ST LIC. NO ITEMPORARY POWER POLE (WEST COVINA CA 91791 866169 I (UNDERGROUND CONDUIT I ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND LIC. NO: IROUGH CONDUIT I IROUGH WIRING I IMAIN WATER LINE I (PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIEDI I I 1 1* ADDITIONAL DATA ON FILE 1 I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0506060011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11148 LT: 2 BL: .001 10229 LOWER AZUSA RD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804027 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8565-015-004 - Al PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: - TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 06/06/05 JK 12/03/05 OWNER: TEL. NO: FINtL D4TE- FINA CODE: UNITED BEAUTY COLLEGE (818) 712-9322- 10221 LOWER AZUSA RD TEMP 917804027 DESCRIPTION OF WORK INSTALL ONE LIGHT BOX APPLICANT: TEL. NO: KYI CHOW SHAR (626) 444-6027- 9868 KALE ST - SPECIAL CONDITIONS: - S.EL MONTE CA 91733 - CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE KYI CHOW SHAR (626) 444-6027- 9868 KALE STREET LIC. NO TEMPORARY POWER POLE SOUTH EL MONTE CA 91733 652665 C45 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: - UFER-GROUND - LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED * ADDITIONAL DATA ON FILE REPORT ID: DPR265ROUTE TO: BS0508