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Home My Public Portal About9428 LOWER AZUSA RD_Electrical__ 76/66"3-CESg61/70 APPLICATION FOR ELECTRICAL P MIT LJ ' rOUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 28 A BUILDING AND SAFETY DIVISION ADDRESS �LrJ JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY C l` COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUETS N0, EACH FEE / OWNER RECEPT._ $ $ ADDRESS . LIGHT TOTAL FIRST,20 .20 CITYTEL. N0. SWITCH OVER 20 10 ' L / PLAN CHECK LIGHTING TOTAL F .f0 FIRST 20 20 APPLICANT FIXTURES OVER 20 ADDRESS APPLIANCES CITY TEL. Nov PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR CONO. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 AM ROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED S GELES COUNTY A�. STATE OF CALIFORNIA OR THAT 1 E GAL OW OF, t1iD INTEND TO 1 - 1O 3.00 RESIDE IN, THE V D L PROPERTY. SIGNATURE . C- 10 - 50 5.00 OF PERMITTEE o U 50 - 100 10.00 DISTRICTNO. LASS GRO ZO.NQ PJ0 SS BY 0 100 - 500 15.00 C 1 ! l ( 0 U SIGN, GAS=AND ONE CIRCUIT 9.00 NOTES: W a TUBE, OR to MARQUEE ADDITIONAL CIRCUITS 1.00 ? SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTSOR200AMP 8.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 9.00 UNDERSLAS WORK TEMP LIGHT OR RECEPT. SYSTEM 8.00 ROUGH CONDI UT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50%, PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00cp— SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL JO PH C. ROOHAN TOTAL FEE aD SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA X ? AP,.0 0 4 3.ti APR 3 0 2 U 3.2 0- SEE NSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - �� COUNTY OF LOS ANGELES • APPLICATION FOR PERbUT DEPARTMENT OF COUNTY ENGINEER ELECTRIC � DIVISION OF BUILDING & SAFETY WILLIAM J. FOL COUNTY ENGINM FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN -M!9' 7 71& ADDRESS RECEIVED Y READY FOR DAT ISSU D �� FIRST INSPECTION � / CITY TEL. NO., ✓✓✓ n ® aw COUNTY LICENSE NO. EXPIRES BUILDING 47 //�u �Q P .j.FUS ADDRESS L d �' ///TTT ra NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES OS T WALL SWITCHES gr OWNER A TOTAL OUTLETS SC S MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 2S CITY TEL. NO. FIXTURES 5 FIXTURES HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT L er -6 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBBS HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW Mvo. HP OVER INC. FAaN OF THE RESIDENTIAL PROP CRIB ABOVE. _ V2 a LESS S •2S SIGNATURE OF va 2 .SO PERMITTE ' 2 S 1.00 INSPECTION RECORD 5 15 1.SO iL�i� 15 SO 2.50 SO 200 5.00 200 Soo 10.00 J' Soo 1000 15.00 a Z OVER 1000 20.00 a M.G. SET/FREQ. CHANGER-HP it WELDERS- AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75% of ORic.) MOVED MOTORS (79% OF ORIS.) MISC. SIGNS NO. NO.TRANS: APPROVALS NO. NO. LAMPS FOR EACH PERMIT. DA INSPECTOR'S NAME WIRING $1.00 CONDUIT l FIXTURES $1.00 WIRING A s`.] SUPPLEMENTARY SO FIXTURES POWER TOTAL FEE $ q0 UTILITY CO. NOTIFIED w g:6--+ a 1 AL 76A 663 DBS# GA. 4-5Z 0+VRKERS'COMPENSATIONDECLARATION , CE.806 APPLICATION FOR -ELECTRICAL PERMIT I Vlereby affirm that I have a certificate of consent to self Ir COUNTY OF LOS ANGELES + BUILDING.AND SAFETY insure,.Pr a certificate of Workers'Compensation Insurance,or 1 a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN: JOB ^ Policy No. Company G ' New Residential Bldgs.&Pools EACH NO. FEE ADDRESS. Certified copy is hereby furnished. ( 1 &2-Family,Sq. Ft. $ — $ LOCALITYCUqV.,Jq 4r Certified co is filed with the count building + Multi-family Sq.Ft. NEAREST copy y g CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME Or Date Applicant Outlets: Rec.—Light Sw. MAIL (� First 20 ADDRESS ok Um Z� CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITYel No. COMPENSATION INSURANCE PLAN CHECK �� APPLICANT (This section need not be completed N the work involved C) Lighting Fixtures 'First 20 by the permit is for one hundred dollars ($100) or less.) ADDRESS Additional � Totai Nb. '0 I certify that. in the performance of the work for which this CITY Tel No. i- permit is issued, I shall not employ any erson in any manner Fixed.Appliances Not Over 1 HP C) PERMIT lL so.as to become subject to t Worker, om ensaNen Laws.• Range—Heater D.W.,_ APPLICANT d I N ��r- Oven _ Dryer_W.M._ ADDRESS ��•� Z , Date)=1%% Applicant t&7 _ Top _FAU _W.H..._ CI `' ZIA Tel No. Hood— Fen _Other— NOTICE TO APPLICANT; If, after maki his Certificate of Disp. _Room Air Cond— LICENSE.O'R Exemption, you,should become subjec MBER! Class 0--kO 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 hereby CONTRACTORS DECLARATION Over 10 to 50 Incl. VALI DATION t I 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 ,,�� ` 0 20.0 Amp.Under 600 V -� a � _ 201-1000 Amp.Under 600 V Contractor's-31- Data �5 —'�� Over 1000 Amp,or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances License Numb N�� Lic.°Class��t� , I hereby "affirm that I am exempt from the Contractor's Sign with One Branch.Circuit R License Law for the following reason (Section 7031.5; Busi- i Additional Sign Branch Circuits ness and Professions Code): ' A 0 0 0 0 0 2 �Misc.Conduits&Conductors aI, as owner of the property, will do .the work and the (Other(See Complete Fee Schedule)— ° ° 2 k 5 Q structure is not intended or offered for sale (Section l 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY o 0 0 2[ 5 I hereby affirm that there'.is a construction lending agency 0 7 1,5-80 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). I /;? Sb Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING 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 la ulating Electrical wiring, and authorize rep reseVertyfothis County to enter upon - t e ab e-mer�fioned pro purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE �-t�- Sign a rmittee Date J r 11 WORKERS'COMPENSATION cafe of cons .[E-863 iaiBl APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self E-806G , insure, or a certificate of Workers'Compensation Insurance,'' COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec.3800, Lab, C.) Policy No. Company FOR APPLICANT TO FILL IN JOB L e r]Certified co is hereby furnished. ADDRESS Ilr PY Y' New Residential Bldgs. &Pools EACH NO. FEE I �� ❑ $ $ LOCALITY._— Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. — e L tion department. Multi-family Sq. Fi. — NEAREST CROSS lir+ Residential Swimming Pools CROSS ST. l ` Lf Date Applicant rr�� RCR 0�NAM ��" a 1Z_ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light S-11) f MAIL COMPENSATION INSURANCE Q AJ ADDRESS coItr o-kJ (This section need not be completed if the work Involved by First 20 CITY p Tel. No.' the permit is for one hundred dollars(:100)or less.) Total No.� Additional CK le� � ' 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 CN Total No.�_ Additional I CITY Tel. No. Date I'. pplicant' t NOTICE TO APPLICANT: If, after making this Certificates Fixed Appliances Not Over 1 HP APPLICANT 1' Exemption, you. should become subject to the Workers' Range_ Heater D.W. I Compensation provisions of the Labor Code, you must forth- Oven —Dryer W.M.— ADDRESS qqas 1,quicrAzd` with comply with suck. provisions or this permit shall be Top FAU —W.H. CITY, Tel. No-,2G2_0 deemed revoked. Hood Fan. _Other_ LICENSED CONTRACTORS DECLARATION �p LICENSE OR I hereby affirm that.I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. — -3�d D �' REG.NUMBER Class. (commencing with Section 7000)of Division 3 of the BusinessDISTRICT NO. PROCESS BY Power Apparatus&Large Appliances >° and Professions Code,and my license is in full force and effect. s— � Size&Type HP, KW, KVA, or KVAR• 0 O License Number: Lic: Class I FINAL U Up to 1 Incl. Over 1 to 10 Incl. DATE,.6 �Q VALIDATION 09 Contractor 1 Date Over 1.0 to 50 Incl. FIN C/ t1i ❑ UM I am exempt under Sec. � Over 50'To 100 Inc. Ry � B.&P.C. for this reason Over 100 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 : Law for the following reason (Section.7031.5; Business and 1Additional Sign Branch Circuits _7 55.5 3.8 A Profession's.Code): I , ❑ . Conduits&Conductors +� ° ° o ° o I, as owner of the property, will do the work and the Misc ' structure is nbt intended or offered for sale (Section Other(See Complete Fee Schedule)_ , ° ° J.Q 7 0 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 1 °,° ° 3 07 0 I hereby affirm that there is a construction lending agency for „ o 2 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total-) ( i, G'— t. (Sec'. 3097, Civ. C.). p 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 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 75ignature ofPerm. ee 4 DateF WORKERS'COMPENSATIONDECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT I herebyaffirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,Or Krtificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL INJOB Policy No. Company • EACH NO. FEE ADDRES 1m n- New Residential Bldgs..&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY`ter Certified co Multi-family Sq. Ft. — EAREST copy is filed with the county building inspection Residential,Swimming Pools ROSS ST department.. OWNER OR > > FIRM NAME Date Applicant'. Outlets: RecLight.,Sw. MAIL First 20• ADDRESS kel CERTIFICATE.OF EXEMPTION FROM WORKERS' Total No. AdditionalCITY'"- ' Tel N. Q 'COMPENSATION.INSURANCEJS ).' LAN CHECK C- i APPLICANT ` O (This section need not be completed if the, work involved U Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or less:) � AIib,RESS ' TotaAppliances Not Over 1 HP l.No. Additional O Fixed I certify that in the performance of the work for which this CITY. Tel No. F- permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Word ers'Compensationr Laws. Range_Heater D.W._ APPLICANT � Oven _ Dryer_W.M._ ADDRESS N Date Applicant Top _FAU _W.H. , Hood _ Fan _.Other_ CITY Tel No: 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 Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROC SED BY with,comply with such provisions 'or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1. Incl. P FINAL Over 1 to 10 Incl. DATE' .�',. VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000).of Division 3 of the Busi- Over 100 BY - ness and Professions.Code,and my license is in full force and effect. Services 0-200 Amp.Under 600 V License Number Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1.000 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 °6 2 G,']A License Law for the following reason (Section 7Additional Sign Branch Circuits 031.5, Busi- j' o a '0 0 0 ness and Professions'Code): 2 Misr..Conduits&Conductors 2 0 0 1 9,z 0 I, as owner of the property, will do the work and,the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Sectiono , o•1 ;1 ` Ll 7044,Business and Professions Code). i CONSTRUCTION LENDING AGENCY \' C O 1 + O I hereby affirm that there is a construction lending agency +• 8 2 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 F - PERMIT ISSUING 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 EME ordinances and State laws regulating Electrical wiring, and I 1 hereby authorize representatives of this County to enter--upon I the above-mentioned pr p for nspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE SignaSigEa turihf Permittee Date a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL-0508-000.7-110019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID B I-L_ G- D.,RESS• . TR: 12998 LT: 3 FAI DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA 917804219RD ASSESSORINFORMATIONNUMBER: NEAREST CROSS STREET: CLOVERLY 8592-003-025 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY OUTLETS-LGT,SW,RECP 9.00 OUT 17.55 ENA : LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLA B EXPIRES 0 TOTAL FEES 49.20 07/11/00 UT 01/08/01 OWNER: TEL. NO: FINAL DATE FINA CODE: GALAVIZ ANTONIO;MARGARET - �� 9428 LOWER AZUSA RD TEMP 917804219 DESCRIPTION OF WORK ELECTRICAL FOR FAMILY ROOM AND ADDITION/REMODEL APPLICANT: TE O: DIMA CONSTRUCTION (626) 369-5397- 304 S. 5TH AVE. SPECIAL CONDITIONS: LA PUENTE, CA CONTRACTOR: TEL. NO: ES co APPROVALS DATE INSPECTOR SIGNATURE DIMA CONSTRUCTION (626) 369-5397- 304 S. 5TH AVE. LIC. NO TEMPORARY POWER POLE LA PUENTE, CA 91746 772254 i UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO• / 1111111 ROUGH CONDUIT LROUGH I G R)U f1 D L C W0'L D-,)A S IN WATER LINE J ILJ�((� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 16F o' All r❑1 f u A ❑ El Service��at REPORT ID: DPR265 ROUTE TO: BS0508