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Home My Public Portal About6012 MUSCATEL AVE_Electrical__ IAB6�CES06 5-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES , DEPARTMENT OF COUNTY ENGINEER BUILDING 6012 N MUSCATEL BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY SAN GABRIEL FOR APPLICANT TO FILL IN CROSS ST. L.ONMON RECEPT. ' TOTAL NO. I EACH FEE ,2 OUT•LETS FIRST 20 10 S•2O S 2 00 OWNER T LIGHT -� n SWITCH. 3 - OVER 20 .10 ADDRESS 0 TOTALCITY TEL.NO. LIGHTING FIRST 20 2 .20 0 FIXTURES 2 ER'2 OV R'20 .10 ELECTRICIANC.ONLEE & SON ELECTRIC RANGES CLO.DRYERS WTR.HTRS. 1.00 1. ADDRESQ10 0 N GRAND W GARB.0I8P1, STA.GOOK CITYSO. SAN CABRIMEL.No: AT D18HWASH. AUTO.-WASH. STATE - SPACE HTRS. STA.APP.(Va H.P.MAx7k 2 .5o 1_0C LICENSE NO. -137567 C-10 MOTORS, OVER NOT OVER H.P. DISTRIC O. 1 GROUP I ZONE I PR CES D 111 O 1 1.00 1 '3 1.50 - i �!'°�y/ INSPECTION RECORD 3. S 2.00 B 15 2.50 /� a 1s so 3.00' F �f u so 100 5.00. a / 41 �0. SIGNSt NO.TRANS. JF NO.LAMPSco {Tj d SERVICE O•BOOV-NOT OVER 200A 111.00 1 OO Z SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 2. 00 SUPPLEMENTARY PERMIT ISSUING FEE 11.00 TOTAL FEE 6,40 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS - DATE INSPECTOR'881GNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING yy //4 - y ELECTRICAL WIRING. WIRING,&w 3_015 5 A.4//1.4f/•��.%f 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR +� ' LICENSED A8 REQUIRED 3,L08 ANGELES COUNTY AND STATE OF FIXTURES e7 CALIFORNIA OR THAT ATH GA OWNS OF THE ABOVE _ DESCRIBED RE8IDENTI PR E POWER' SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE ' FINAL OCK ALIDATION ARTHUR C. VEIT MO CASH SUPERVISING ELECTRICAL ENGINEER :sI�Q 2 5 1 3 f Vul 2 8 2 n 6.4 O N `•j ; w WORKERS'COMPENSATION DECLARATION ?&A663 10/81 APPLICATION FOR ELECTRICAL PERMIT 1 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�+ BUILDING AND SAFETY or a certified copy thereof(See. 3800, Lab. C.) Policy No. Company FOR:APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 1 &2-Family,S Ft. $ _ $ LOCALITYZr 6- e TV Certified copy is filed with the county building inspec- y' q' ',NEAREST tion department. Multi-family Sq. Ft. SS ST Residential Swimming Pools _OWNER OR Date Applicant (FIRM NAME ,t CERTIFICATE OF EXEMPTION FROM.WORKERS' Outlets: Rec Light Sw._ 'MAIL COMPENSATION INSURANCE I First 20 ADDRESSf�L' (This section need not be completed if the work Involved by -Total No. Additional CITY e T.I. No. f(�/gy) 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 .ter Total No. Additional ;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' I 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. iHoodFan _Other_ CITY Tel. No. �J� . _ LICENSED CONTRACTORS DECLARATION :LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp.. _ Room Air Cond. REG. NUMBER Class. e-10 (commencing with Section 7000)of Division 3 of the Business IDISTRICT NO. PROCES BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances +� IL Size&Type HP, KW,.KVA, or KVAR'• So U/ O License Number r' �/ Lic. Class C Up to 1 Incl. FINAL V Contractor �ipr' Date el—Zg=r- 'Over I to 101ncl. IDAT �� VALIDATION O Over 10 to 50 Incl. FINAL ~ I am-exempt under:Sec. Over 50 to 100 Inc. by BAP.C. for this reason 1 Over 100 Z Services, Swbd., MCC&Panelboards ► / Date' 0 -200 Amp. Under 600 V Signature I 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY j Temp..Power Pole&Appurtenances ` HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ! I hereby affirm that I am exempt from the.Co.ntractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and • Y Professions Code): I -Ho `o o Misc. Conduits&Conductors El I, as owner of the property, will do the work and the G J? �� [) �k Schedule)— structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ o-ro o v 7044, Business and Professions Code). 0 CONSTRUCTION LENDING AGENCY ,V/ J _50 I hereby affirm that there is a construction lending agency for i o 0 2 5 C the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 0 0 0 l 5, n?. a PLAN CHECKING FEE Lender's Nome PERMIT ISSUING FEE �0 a Lender's Address �� I certify that I have. read this.application'and state that the TOTAL.FEE J , above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby,ekuthorize representatives of this County to enter upon i the o e-ment' ned fro y for inspection purposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE Signoture of Permittee Date. �' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9608190015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAIDB ILDING ADDRESS: TR: 5904 LT: 106 6012 MUSCATEL AV N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752623 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5386-011-039 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 ENANT: G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON: IA N-RES EX FANS LT 3HP 1.00 EX 15.45 08/19/96 TC 08/19/97 TOTAL FEES 93.90 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: NELSON ARTHUR J TRUSTEE;NELSON ARTH 6012 MUSCATEL AV 1 Z-3 "7/l9 SGAB 917752623 —DE-S-CR-I—PT-16N OF WORK NEW OUT/LGT/EXHAUST FAN FOR NEW B TH ADDITION APPLICANT: TE O: TRINITY CONSTRUCTION CO. (818) 285-6060- SPECIAL CONDITIONS: �L, � CONTRACTOR: TEL. NO: — �, (�� APPROVALS DATE INSPECTOR SIGNATURE TRINITY CONSTRUCTION CO. (818) 285-6060- 8936 GREENWOOD LIC. NOs� ,�'% ��'`��' � TEMPORARY POWER POLE SAN GABRIEL CA 382958 By .A4 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: - LIFER GROUND LIC. N0: rr �, i ��9 �� 1� ROUGH CONDUIT - —-- ---- --�'---= ---- TOUGH WIRINGA- 7I%��\ � MAIN WATER LINE - PLASTIC Y/N METAL Y/N ,` UTILITY COMPANY NOT I F I E err '��'��.V• 9�J REPORT ID: DPR265 ROUTE TO: BS0508