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Home My Public Portal About6129 MUSCATEL AVE_Electrical__ '6A663 CE-806(6/78) APPLICATIO FOR EL-E RICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN w ADDRESS ..� New Residential Bldgs.&Pools EACH NO. FEE 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY' �^ Multi-family Sq.Ft. .02 — NEAREST Residential SwimmingPools 25.00 CROSS ST.. . 6 OWNER OR• 1 FIRM NAME ' Outlets:Red Light fQ Sw. L MAIL � First 26 •.50 ADDRESS. Total No. Additional .30 CITY ��' Tel.N r PLAN. HECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Addition6l .30 Total No. CITY Tel,No. Fixed Appliances Not Over 1 HP PERMIT / Range—Heater—D.W. '+� APPLICANT E. % Oven—Dryer_W.M. ADDRESS Top _FAU —W.H.._ CITY �� Tel.NIT Hood_Fan —Other p! Disp._Room Air Cond. 2.50 REG NUMBER /J,/ z.� Closs.`Z�er I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type e HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS. YP REGULATING ELECTRICAL WIRING. 2.50 Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl.• 5.00 LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA ORT T AM THE.LEGAL OWN OF BOVE Over 50 to 100 Inc. 25.00. DESCRIBED RE PROPERTY.: 0 Over 100 -40.00 PERMITEE SIGNATURE Services DISTRICT NO. PROC. SED B 0-200 Amp.Under 600 V 12.50 201.1000 Amp. Under 600 V 25.00 Over 1000 Amp,or Over 600 V 50.00 Z O Temp.Power Pole&Appurtenances 10.00 ':Sign with One Branch Circuit 10.00 (Additional Sign Branch Circuits 2.00 INSPECTION > INFORMATION u Misc.Conduits&Conductors 10.00 ON REVERSE z Other(See Complete Fee Schedule) SIDE u Q 0 5S 9 A Z g # 000002 s 20O2Q50 PERMIT FEE (Sub-Total) i o 0 0 2 Q 5 03 PLAN CHECKING FEE (One-Fourth Permit Feel _O 0it02 78 PERMIT ISSUING FEE $7.00 o TOTAL FEE > INSPECTION FINALED • as W I WORKER'S COMPENSATION DECLARATION -001 DPW(12-91)63 APPLICATION FOR ELECTRICAL PERMIT I herby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) _ nTyn �s� Policy No. r>l7/ Company '_ `'�•�'� FOR APPLICANT TO FILL IN JOB / p ADDRESS V I$ N Q,t,�j ca klL Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY .,�a❑ C A; 775 1&2-Family,Sq.Ft. — $ $ Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq.Ft. CROSS ST. r Date Z Applicant j� Residential Swimming Pools ASSESSOR MAP OOK I PAGE 'Oe! PARCEL CERTIFICATE OF EXEMPTION FA/OM WORKERS' Outlets:Rec. Ligh _$: Sw. 6 OWNER OR F / l� �` COMPENSATION INSURANCE �� FIRM NAME First 20' MAIL (This section need not be completed If the work Involved by the ADDRESS �� Ai 'r permit Is for one hundred dollars(5700)or less.) Total No. Additional r� `- �� ='�- I certify that in the performance of the work for which this permit CITYj /�� ,f' TeI.NoFT6 < is issued, I shall not employ any person in any manner so as to PLAN CHECK ,�L become subject to the Workers'Compensation Laws. Lighting Fixtures l First 20 APPLICANT Total No. �+ Additional ADDRESS RESIDENTIAL APPLIANCES NOT OVER Date Applicant 3 HP. �1 f' NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Y ' _ Pe Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT J p p y provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. 7 (commencing with Section 7000)of Division 3 of the Business and CITY L . Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. s.�a C. LICENSE OR / G lC IL Claw. _ Over 50 t0 100 Incl. REG.NUMBER K% License Number Lic.Class -j` L ) Over 100 DISTRICT NO. PRORPSED BY O (� Services,Swbd.,MCC&Panelboards lt/ OO Contractor I/ Date S r` 0-399 Amp.Under 600 V FINAL O ❑ DATE / I am exempt under Sec.11 400-1000 Amp.Under 600 V VALIDATION V Over 1000 Amp.or Over 600 Vd FINAL B.&P.C.for this reason BRANCH CIRCUIT FEES BY Date: 15A,or 20A,120V,Lighting or Recept., Z 1 To 10 Branch Circuits Vl` Signature ' 11 To 40 Branch Circuits F141 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits " SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION . ACCT. I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit -- 1"f4G1 oT for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits L q(]] 76e7 Code): + ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors --� 1 ITEMS is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) Tt1TA! 76.34 and Professions Code). - CONSTRUCTION LENDING AGENCY CHECK 76.34 1 hereby affirm that there is a construction lending agency for the IC'*'G no performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 6 -0001 11/25/9, Lender's Name - PERMIT ISSUING FEE a � AMA I An $:48 Lender's Address TOTAL FEE I certify that I have read this application and under penalty of puqury state lo. that the 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 in 3pect' n purposes. _ SEE REVERSE FOR EXPLANATORY LANGUAGE 7 SIGN RE OF PERMITTEE DATE "'WORKERS'COMPENSATION DECLARATION ,A663 10/131 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that 1 have a certificate of consent to self insure, CE7808G or a certificate of Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) �p_,y,,��/�hy-� j Policy No.��'Company f(//V FOR APPLICANT TO FILL IN JOB I EACH NO. FEE ADDRESS fy1 Certified copy is hereby furnished.. New Residential Bldgs..&Pools LOCALITY � a/ ❑ Certified co is filed'with the county building 1 &2-Family,S Ft. $ _ $ copy g inspection y' Q NEAREST �ypj�� 4ERTIFICATE. rtm�et. - Multi-family Sq. m CROSS sT. 01 Residential Swimming Pools OWNER OR y y �� Date ApplicarR FIRM NAME f� ��(� OF EXEMPTION FROM WORKERS' (Outlets:Re Light--�J--•Sw.� MAIL ��• COMPENSATION INSURANCE ADDRESS First 20 (This section need.not be completed if the work involved by theTotal No. Additional. � CITY permit is for one hundred dollars($100)or less:) PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as tode become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances Not Over 1.HP PERMIT �L NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ 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 _ W.H. CITY Hood _ Fan Other LICENSED CONTRACTORS DECLARATION r y (fi _ I hereby affirm that I am licensed under provisions of Chapter 9 LICE EOR (commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER `f $ Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSE BY Power Apparatus&Large Appliances //►` AV Size&Type HP,KW,KVA,or KVARIWD C V� License Number070f Lie.Class Up to 1 Incl. FINAL / V d��t/ 9 Over 1 to 10 Incl. DATE Contractor_, Date ! d (J (j V ATION Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboards Z Date: 0-200 Amp.Under 600 V ;9-G 2 5 8 A Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V # o o 0 0 0 2 Exemption for Reg:Maint.Elect. ' 0 0 3 5,Q O SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o 0 0 3 J C 0 I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 7031.5,Business and Professions Code): o7,22-88 ❑ 1,as owner of the property;will do the work and the structure Misc.Conduits&Conductors Other(See Complete Fee Schedule) _ is not intended or offered for sale (.Section 7044, Business pool Professions Code). CONSTRUCTION LENDING AGENCY I 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address (J 6 10^, I certify that I have read this application and state that the above TOTAL FEE V(J 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 r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE �dT Signature of Permittee ate %' WORKERS'COMPENSATION DECLARATION ,' 76Aa63 1W81'' APPLICATION FOR ELECTRICAL PER , l9by affirm that I have.a certificate of consent to.self insure, TT P certificate of Workers' Compensation Insurance, or,a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY oo'py thereof(Sec.3 00,La licy No.. mpany •�:� FOR APPLICANT TO FILL IN JOB Certified copy is herebyfurnished. EACH NO. FEE ADDRESS. • New Residential Bldgs.8&Pools ❑ 1 &2-Famil S Ft. $ — $. . LOCALITY Certified copy is filed with ,the county buildinOnspeetion y' q' dep. ment. Multi-family Sq.Ft. — NEAREST CROSS ST. JQh Residential Swimming Pools OWNER OR OFAII Date Applicant r i FIRM NAME C RTIFICATE OF EXEMPTION FROM•WORKERS' Outlets:Rec Light—Sw. MAIL COMPENSATION INSURANCE I r 1 ADpRESS (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100.)or less.) Total No.. Additional CITY t Tel.No. I certify that in the performance of the work for which this permit. UP CANT CHECK 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 i Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO 'APPLICANT: If, after making this Certificate of PERMIT Exem tion, u should become subject to the Workers'Com Range— Heater D.W. _ APPLICANT Exemption:you � , Compensation 9 provisions of the Labor Code,you must forthwith comply with such Oven — Dryer_ W.M._ ADDRESS provisiohs or this permit shall be deemed revoked. Top FAU _ W.H. LICENSED CONTRACTORS DECLARATION CITY V.Hood _ Fan — Other— No. O. I hereby affirm that I am licensed under provisions of .Chapter 9LICE E. R (commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. Claw. REG.NUMBE Professions Code,and my license is in full force and effect. DISTRICT NO. / PROCESS. .BY . Power Apparatus&Large Appliances Size&Type HPI KW,KVA,or KVAR Q License Number Lie.Class. Up to•1 Incl. FINAL �+ Over 1 to 10 Incl. DATED— LIDATION 0 Contractor /-1�y� 1 Date Over 10 to a01ncl. 0 •❑ FINAL. C�I am exempt under Sec.. Over 50 to 100 Inc. gy LLI B:&P.C.'for this reason Over'100 0- rn Services,Swbd.,.MCC&Panelboards Z 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:' A11'5,4A SINGLE FAMILY Temp.Power Pole&.Appurtenances HOME OWNER-BUILDER DECLARATION o 0 0.'0 0 I hereby affirm that I.am exempt from the Contractor's License Law, Sign with One Braneh.Circuit # 2 for the.following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits ( o o2,75 Code): .1 ❑ "• Misc.�Coriduits A.Conductors o o b 2 7 7 5 5 I,as owner of the property,will do the work and the structure is.not intended.or offered for sale (Section 7044,-Business Other(See Complete Fee Schedule) and.,Professions Code). CONSTRUCTION LENDING AGENCY 1, 16 88 I 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE fQ Lender's Address I certify ,that I have read this application and state that the above TOTAL FEE `IS 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 props ty inspection puLposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature od6r Permittee Date i a � ti COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0807150030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BQILDING ADDRESS: 1 JTR: 5903 LT: 53 UN: .002 1 1 6129 MUSCATEL AV N J IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752624 1ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: LONGDEN 15386-009-052 JAI PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 1 1 ITENANT: JHA FAU LESS 3HP 1.00 FAU 10.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I JJB AC UNITS +3-10HP 1.00 AC 19.65 107/15/08 SR 01/11/09 JLB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 I (OWNER: TEL. NO: 1 TOTAL FEES 101.10 1 NAL D TE FI Y: CODE: 1 IMOO, CHING YANG (626) 287-0879- J 16129 MUSCATEL AV J ISGAB 917752624 S I TION bf WORK ECTRICAL FOR HVAC SYSTEM AND UPGRADE SERVICE PANEL TO 200 IP (APPLICANT: TEL. NO: ISAME AS OWNER _ J I I ISPECIAL CONDITIONS: I ICONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER _ 1 LIC. NO 1 ITEMPORARY POWER POLEJ I I I J JUNDERGROUND CONDUIT 1-1I I I I I I ARCHITECT OR ENGINEER: TEL. NO: _ 1 JUFER GROUND I I UA I I LIC. NO: i IROUGH CONDUIT fi 1 I (ROUGH WIRING I I IMAIN WATER LINE 1 i (PLASTIC YIN METAL YIN I 1 1 J JUTILITY COMPANY NOTIFIED( l 1 I I I I 1 I I I I I 1 I I I I 1 I I I I I 1 I I I I 1 I I I I I 1 I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I I I