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Home My Public Portal About10708 MILOANN ST_Electrical__ Z y ` COUNTY OF LOS ANGELES APPLICATION FOR PERMIT i Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County EnBlueer FOR APPLICANTFILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN / eo (0 cj, Q / RECEIVED BY READY FOR DATE ISSUED ADDRESS f11/� FIRST INSPECTION CITY. TiL NO':-2149 X'21- COUNTY LIDENBE NO. Q! EXPIRES ar.� Bull- NS11 yt/J PERMIT FEES ADORES B�o�pS f I, y //G(�4,61 �'i!1 NUMBER EACH FEE LOCALITY % y LIGHT OUTLETS ® NEAREST RECEPTACLES CROBS ST. WALL SWITCHES OWNER TOTAL OUTLETS 00 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 26 CITY TEL. NO. FIXTURES 5 T? 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. 'APPLICATION AND. STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS i CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw Mvo. HP . ovER IND. EAC" OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. '/pLEee & $ .25 SIGNATURE OFya 2 .50 PERMITTE -- •- 2 B 1.110 INSPECTION RECORD 5 is 1.50 is 50 2.50 50 200 5.00 200 500 i0.00 J 600 IDOO 15.00 Z OVER 1000 20.00 0 M.G.-OFT/FREQ. CHANGER-HP 0! WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP: MOTORS (75% OF GRIM-) MOVED MOTORS (760A OF GRIM.) MISC. - PH:I SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMITS' DATE INSPECTORS NAME WIRING $1.00 CONDUIT FIXTURES $1,00 WIRING Z SUPPLEMENTARY .50 FIXTURES /n POWER _ T13TAL FEE $ UTILITY CO.NOTIFIED • FINAL TOA663 DBS#5A 4-52 76A663-CE8. ,D,72 APPLICATION OR ELECTRICAL PERMIT COUNTY OF LOS ANGELES AEPARTMENT OF COUNTY ENGINEER JOB /�� K( BUILDING AND SAFETY DIVISION ADDRESS (J LOCALITY eA NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR FIRM NAME RECEPT.� $ $ MAIL LIGHT TOTAL FIRST 20 8D ADDRESS 0 Q NN CITY AAj 32 LE TEL. N0. SQ SWITCH O OVER 20 tp PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT - OVER 20 ADDRESS FIXTURES ip RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT ILI Lir STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND.' CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORT 7 I AM THE LEGAL OWNER OF THE ABOVE - 10 300 DESCRIf.ED RES NTIAL PROPERTY. a 40 PERMITEE _ w+'��'�AA� V lo .— 50 5.00 SIGNATURE w 50 - 100 10.00 11 0 O � DISTRICT N0. pl OG SS BY W 100 - So0 15.00 z SIGN, GAS=SIGN ONE CIRCUIT 5.00 APPROVALS DATEV INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECE14T. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00, TOTAL FEE O PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDA N CK. M.O. CASH 7 9 4't"_j AY IU z 0 Y//5SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ' , WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have CEw8W a certificate of consent to self CE-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 ADDRESS17d r 16 , Certified copy is hereby furnished. New Residential Bldgs. &Pools $ EACH NO. $ FEE LOCALITY t ❑ Certified copy is filed with the.county building inspec- 1 &2-Family, Sq. Ft. tion department. Multi-family Sq. Ft. 'NEAREST Residential Swimming Pools CROSS ST. WNER OR Dates Applicant FFIIRM NAME w. CERTIFICATE OF EXEMPTION.FROM.WORKERS' Outlets: Rec �f Light Sw� MAIL. COMPENSATION INSURANCE T ADDRESS tThfstsection need not be completed if the work involved b First 20 he permit is for one hundred dollars(;100)or less.) Y Total No. Additional CITY G Tel. N d1 .CHECK I certify that the performance of the work for which this PLANCANT Y P � � .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 20ADDRESS' `p I Total NO. 2. Additional Date licarx'�/(1 zz CITY Tel. No. PP. Fixed Appliances Not Over 1 HP PERMIT NOTICE T APPLICANT: If, 6frAv 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 with comply with'such. provisions of this py p permit: shall. be Top _ FA..0 •—,W.,.H. — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ , Disp. Room Air Cond. LICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER (commencing with Section 7000)of Division 3+of.the Business DISTRICT NO. ` �� PROCES and Pmfessions.Code,and my license-is in full force and effect. Power Apparatus:&Large Appliances �. Size&Type HP, KW, KVA; or KVAR' License Number.. Lic.Class Up to 1 Incl. r FINAL V Over 1 to.10'Incl. DATE 9—G VALIDATIO C9 Over Date Over-10 to 50 Incl. FINAn ❑ U a.' 1 m'exempt under Sec. Over 50 to 100 Inc. BY B.&P:C:for this reason Over.100 y J IV Date: Service's, Swbd., MCC'& V. Panelboards 1� 0 ,► Z 0 -200 Amp. Under 600 Signature 201 -1000 Amp. Under 600 V ❑ ).. Over 1-000 Amp. or-Over 600 V , Exemption for Reg. Maint. Elect. I SINGLE FAMILY Temp. Power Pole&Appurtenances. ` HOME OWNER-BUILDER DECLARATION �� 1 Sign with.One.Branch.Circuit I.hereby affirm that I am exempt from:Ae Contractor's License. Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): i I, as owner of the property, will do the work Jind the Misc. Conduits&Conductors, ) ?',a-3 675 structure is not intended or offered for sale (Section Other(See.Complete Fee Schedule)_ ► 3 7 5= O O o U 7044, Business and Professions Code). 1 CONSTRUCTION LENDING,AGENCYj O 6,1 7 ' 85 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) (Sec. 3097, Civ. C.). r PLAN CHECKING FEE ' Lender's Name + PERMIT ISSUING FEE Q f Lender's Address I certify, that.;have read this application and state'.that the TOTAL FEE '�jr. is above informatibn 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 thhele above-mentioned property for inspection/purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ��7 Signature of.Permittee 1 r •; Da �y 1, R r ^ a r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0611150003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17867 IT: 29 10708 MILOANN ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803413 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON 8574-002-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C G1 OUTLETS—LGT,SW,RECP 1.00 OUT 1.95 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 31.65 11/15/06 JK 05/14/07 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: GALASSI DENNIS J;LINDA (626) 442-5048— 10708 MILOANN ST f0 TEMP 917803413 DESCRIPTION OF WORK 1 OUTLET AND 1 LIGHT APPLICANT: TEL. N0: SAME AS OWNER — SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER — LIC. NO TEMPORARY POWER POLE 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 REPORT ID: DPR265 ROUTE TO: BS0508