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Home My Public Portal About9621 LOWER AZUSA RD_Electrical__ TEMPLE CITY T'Y 76AS63 CESOS 10-61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY Id NEAREST FOR APPLICANT IN CROSS ST I T E MEACH FEE FIRST 20) 120 r$ OWNER RECEPT SMAIL OUTL . (ADD-L UNITS) ADDRESS LIGHTS2. RECEPT S10 Q LIGHTING FIXTURES (FIRST 20) 20 CITY TEL NO LIGHTING FIXTURES (ADDITIONAL) to ELECTRICIAN RANGES CLO DRYERS WTR MRS 1100 ADDRESS GARB DISP BTA,COOK CITY TEL NO 00 DISHWASH AUTO-WASH STATE SPACE HTRS STA APP (Va H.P MAX) Bo LICENSE NO MOTORS/ OVER NOT OVER HP DISTRICT N GROUP I ZONE P OC BY O 1 100 I s t so INSPECTION RFC RD 9 S 200 a O 9 is 250 V m Is so soo O Iso too Boo n. 91GNBt NO TRANS t� NO LADS z SERVICE O-SOOV-NOT OVER 200A 100 SERVICE 0-000V OVER 200 A 200 SERVICE OVER 800V Boo MISC PERMIT ISSUING FEE 200 SUP LEMENTARY PERMIT ISSUING FEE 100 OTAL FEE _ 1 HEREElY ACKNOWLEDGE THt VE READ THIS TI N APPROVALS DATE INSPECTORI"I NATURE 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 CERI7FY THAT i AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 A TN LEGA ER OF E ABOVE DESCRIBED REBIDHNTIA POWERAV SIGNATURE UTILITY CO NOTIFIED OR PERMITTE FINAL LIDATION ARTHUR c vE1T CK MO CASH SUPERVISING ELECTRICAL ENGINEER L&W2 6 4 7FJ AM 7 2 0 1590- 124 7eAe63 CES06 10 61 APPLICATION FOR ELSC TRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST 1 T E M NO EACH FEE OUTLET FIRST 20) $ ; OWNER uGHra RE— 61N 20 MAIL OUTLETS, (ADD-L UNITS) ADDRESS LIGHTS RECEPT SW IO LIGHTING FIXTURES, (FIRST 20) 20 CITY TEL NO LIGHTING FIXTURES, (ADDITIONAL) to ELECTRICIAN RANGES CLO DRYERS WTR HTRS too ADDRESS GARB DISP STA COOK CITY TEL NO 01SHWASH AUTO-WASH STATE SPACE HTRS BTA APP (Ya H P MAX) so LICENSE NO MOTORS, R NOT OVER P DISTRI O Z N P D O eAr too t ISO INSPECTION RECORD 8 1200 d O s to 950 U 18 so 300 SO too Soo SIGNS NO TRANS NO LAMPS Z SERVICE 0.600V-Nor OVER 200A 100 SERVICE 0.600V OVER 200 A 200 SERVICE OVER 600V Soo M18C PERMIT ISSUING FEE 200 , SUPPLEMENTABY PERMIT ISSUING FEE 1100 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS N APPROVALS DATE IN 'S 81 AND STATE THAT THE ABOVE IS CORRECT AND AGREE T C PLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CEITTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT t AM THE WRIAL OBR OF THE ABOVE DESCRIBED RESIDENTIAL-PRCIPER ER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL VALMoAT H SU ARTHUR c EEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER „ ,� LoI 3.3 7Q! 5 2 D 8AON 9 t WORKERS'COMPENSATION DECLARATION 76A663CE-80B ,o/B, APPLICATION FOR ELECTRICAL PERMIT I hereby affjlf that t have a clartrfioatd of consent to self insure, CE-BoffC9 gr a SeTfifioa a of Workers Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY Atdbp*thereof(Sec 3800 Lab C) Policy No . _ Company FOR APPLICANT TO FILL IN JOB ❑ Cerhfied copy Is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS (p ❑ 1 & 2-Family,Sq Ft $ — $ LOCALITY JM Certified copy is filed W11i1 the county building inspection NEAREST department Multi-family Sq Ft — CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME �i AV iD CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLight Sw MAIL COMPENSATION INSURANCE First 20 ADDRESS � (This section need not be completed d the work irnohred by the Total No Additional CITY Tel No permit is for one hundred dollars($100)or less) I certify that In the performance of the work for which this permit PLAN CHECK CANT 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 Date " Applicant a Total No Additional CITY Tel No NOTi TO APPU ANT If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject to the Workers Compensation Range_ Heater_ DW _ 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 _ WH _ LICENSED CONTRACTORS DECLARATIONCITY Tel No Hood _ Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9QISP Air�� LICENSE OR Class (commencing with Section 7000)of Division 3 of-the Business and REQ NUMBER Professions Code,and my license is in full force and effect Power Apparatus&Large Appliances DISTRICT NO ESSE BY Size&Type HP,KW,KVA,or KVAR License Number Lic Class Up to 1 Ind FINAL Contractor Date Over 1 to 10 Incl DATE VALIDATION Over 10 to 50 Ind O ri FlNAL C) I am exempt under Sec Over 50 to 100 Inc gY BAPC for this reason Over 100 N Date Services,Swbd,MCC&Panelboands 0-200 Amp Under 600 V , *44W , Signature) 201 - 1000 Amp Under 600 V t►jIi! 4 Over 1000 Amp or Over 600 V ❑ Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole&Appurtenances 2 �d 1 hereby affirm tthhat01 am exempt fmm the Contractor's License Law Sign with One Branch Circuit ACCT.* for the following reason(Section 70315,Business and Professions Additional Sign Branch Circuits Code) 3M7 J�i�ry I,as owner of the property,Will do the work and the structure Mlsc Conduits&Conductors 1 ITEMS Q 0! Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ and Professions Code) TOTAL 27.7 CONSTRUCTION LENDING AGENCY NECK 27.75 1 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) Lender's Name PLAN CHECKING FEE 0000—MOI 11/30/89 PERMIT ISSUING FEE 7155 1 AM $:31 Lender's Address I certify that I have read this application and state that the above TOTAL FEE nnfor ation is correct I agree to comply with all County ordinances and ate laws regulating Electrical wrong, and hereby authorize re ntatrvpofiunty to enter upon the above-mentioned p r for pQses SEE REVERSE FOR EXPLANATORY LANGUAGE SI ore of Perms ee Date J WORKERS' thq COMPENSATION DECLARATION 72D-001966663 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O I hereby affi that I ave`a zertif�te of consent to self CE� insure, or a c rtificat f Workers' Compensation It, 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 ID Certified copy is hereby furnished New Residential Bidgs &Pools EACH NO FEE ADDRESS 46 ICertified copy is filed with the county building inspec- 1 &2-Family, Sq Ft $ — $ LOCALITY tion department Multi-family Sq Ft — NEAREST _ Residential Swimming Pools CROSS ST OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw_ MAIL COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed If the work involved by Total NoAdditional CITY 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 Lighting Fixtures First 20 ADDRESS so as to become subject to the Work Compe ion Laws g g _ Total No Additional CITY Tel Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLkANT If, after making this Certificate of 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 Cond — LICENSE OR Class I hereby affirm that I am Iicensed.under provisions of Chapter 9 REG NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO SSED BY >_ and Professions Code,and my license is in full force and effect 13- Size Size&Type HP, KW, KVA, or KVAR l/ OU License Number Lic Class Up to 1 Incl FINAL Contractor�te Over 1 to 10 Incl DATE VALIDATION ccJW a Over 10 to 50 Incl F- FINAL � I am exempt under Sec Over 50 to 100 Inc BY7Vi ) 0 B&P C for this reason Over 100 N W,4 d , MCC&Ponelboards Z Date mp Under 600 V�" 100.Signature Amp Under 600 V ❑ Exemption for Reg MaiOver 1000 Amp or Over 600 V Maim Elect SINGLE FAMILY 7 HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances ACGT.T I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Prof ssions Code) 320731.009Misc Conduits 8 Conductors iT� -- i, as owner of the property, will do the work and the �- structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule) , TOTAL 31 0(3 Business and Professions Code) CAM 31 •0[1 CONSTRUCTION LENDING AGENCY T I hereby affirm that there is a construction lending agency for —- _ •00 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE 1 /{ I Lender's Name PERMIT ISSUING FEE 3 1 AM11:54 Lender's Address I certify that 1 have read this application and state that the TOTAL FEE d a ve in is correct I agree to comply with all County or i ances and State laws regulating Electrical wrong, and hbrelby ouch resentatives of this County to enter upon t bove- �io�',property for inspection purposes, SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Per ittee Dat ®` COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT •► DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9707070031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING TR: 14467 LT: 51 9621 LOWER AZUSA:RD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804226 ASSES SOR BER: NEAREST CROSS STREET: CAMELLIA 8589-015-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW RECP 4.00 OUT 7.80 G2 LIGHTING FIXTUkES 1.00 LGT 1.95ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES . H7 RES EXHAUST FANS 1.00 EX 10.80 07/07/97 TC 07/07/98OWNER: TEL. NO: . TOTAL FEES 48.30 FINAL DA E FINAL BY: CASTRO JAVIER;ADELA - 4803 CAMELLIA AV TEMP 917804241 UUMMIUM Of WORK CREATE 3RD BATHROOM NO ADDITIONAL FT. APPLICANT: TEL. NO: G. FELIX CONSTRUCTION (626) 401-1391- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: O,�,LES APPROVALS E INSPECTOR SIGNATUffg— G. FELIX CONSTRUCION, 8184011391 (818) 401-1391- C� 4924 N. HALIFAX RD LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 449477 BUNDERGROUND OUIT 2� ARCHITECT OR ENGINEER: TEL. . _ O umnimu— LIC. N0: ROUGH CONDUIT ROUGH WIRING PUBLIC WORKS PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED co cl Se rvice REPORT ID: DPR265 RATE TO: BS0508