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Home My Public Portal About5720 NOEL DR_Electrical__ 1 DEPARTMENT OF BUILDING AND SAFETY AirPLtCATION FOR PEW= 43 2SM COUIWY OF Log ANCwFJM ELE=IC 1 MO CHIEENGINEER NAME D18TRICT NO GROUP ZONE PERMIT NO O ADDRESS ( LL ) 5 ~� 600 // CITY -L M YF TELNO duill R�MV�M� FIRST INSPECTIONDY FOR STB 188UBDCERT NV IMPIR6s 2 1 H ' - APPUCANT FQ.L IN lidY OUTLINED PORTION ONLY/� (� DESCRIPTION OF WORK ADDRE88 S /\ ✓ NUMBER OF OUTLETS ON CIRCUITSjH LOCALITY M PL e/ LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW PLUGS C L CIRCUIT A B C D E F G m NAME G Z MAIL I ADDRESS CITY TEL NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANG11.E6 COUNTY CERTIFICATE OF QUALIFICATION ELECITHOAN ABO YB THS LEGAL OAALIiEtt K DEBCRI oil ovmm CORREGTiONB J Z O_ E O 2 la i i NO OF OUTLETS 3 S APPROVALS NO OF FIXTURES 12. DATE INSPECTOR S NAME NO OF MOTORS HP CONDUIT NO OF SIGNS TRANS WIRING NO OF RANGES OR HEATERS FIXTURES �\ ISCELLANEOUS POWER PERMIT I= IL 2.S UTILITYCO NOTIFIED1, TOTAL FEE D FINAL G i WORKERS COMPENSATION DECLARATION 76A663a806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self �e06G insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES i i BUILDING AND SAFETY or a certified copy thereof(Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB DR 0 . Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ❑ ESS Certified copy is filed with the county building inspec 1 &2 Family Sq Ft $ — E LOCALITY tion department Multi family Sq Ft NEAREST CROSS S7 Residential Swimming Pools OWNER T �f Date Applicant FIRM NAME JO AM a CAA/ CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw_ MAIL .— COMPENSATION INSURANCE First 20 ADDRESS AJO (This section need not be completed If the work involved by Total No Additional CI EAWL� �-r Tel No )-181 g Q 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 be eine subject to the Workers Compenwtion Laws Lighting Fixtures First 20 ADDRESS Date � 00 Total No Additional r Y $Y icant CITY Tel No PPlFixed Appliances Not Over 1 HP PERMIT NOTICE TOAPPLICANT If aft r making this C tificate of APPLICANT Exemption you should beco subject to the Workers Range_ Heater_D W _ Compensation provisions of the Labor Code you must forth Oven _Dryer _W M — ADDRESS AANZ with comply with such provisions or this permit shall be Top _ FAU _WH _ deemed revoked Hood _ Fan _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO PROCE D BYt >. and Professions Code and my license is in full force and effect IL Size 8 Type HP KW KVA or KVAR �i U � License Number Lic Class Up to 1 Incl FINAL V 09 Contractor Date Over 1 to 10 Incl DATE VALIDATION V 0 E] Over 10 to 50 Incl FINAL 1 am exempt under Sec Over 50 to 100 Inc BY B&P C for this reason Over 100 Z Date Services Swbd MCC&Panelboards poll0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V 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 Additional Sign Branch Circuits Law for the following reason (Section 7031 5 Business and Professions Code) ❑ I as owner of the property will do the work and the Misc Conduits&Conductors 8 1 9 A structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ► # e 2 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY 2 • * 23.50 1 hereby affirm that there is a construction lending agency for I o - 23505 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) PLAN CHECKING FEE r208-82 Lender s Name PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEE 3 S 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 th above m SEE REVERSE FOR EXPLANATORY LANGUAGE � hiBS� i nature of Permrtte D to fc h �-WPrm tiS COMPENSATION DECLARATION CE 863 10/81 APPLICATION FOR ELECTRICAL PERMIT y hereby affirm tFtpt I have a,c9rtiflcote bf consent to self �� insure ornacertifieafe of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a aertified copy thereof(Sec 3800 Lab C ) i Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy ,s hereby furnished New Residential Bldgs &Pools EACH NO IEE ADDRESS OlT �r 1:1Certified copy ,s filed with the county building inspec 1 8 2 Family Sq Ft y — $ LOCALITY CZY tion department Multifamily Sq Ft — NEAREST Residential ming Pools CROSS ST Date Applicant FlRM NAOME E Al CERTIFICATE OF EXEMPTION FROM WORKERS L MAIL Outlets Ret LMvighf Sw AD COMPENSATION INSURANCE DRESS First 20 D - 0 (This section need not be completed If the work Involved by Total No Additional ( CITY 2 e Tel No the permit Is for one hundred dollars($100)or less) I certify that in the performance of the work for which this PLAN CHECK permit,s issued I shall not employ any person,n any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Date `3-- pphcant >40Total No Additional CITY Tel No �, fixed Appli es Not Over 1 HP PERMIT NOTIC TO APPLICANT If after 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 or this permit shall be Top _ FAUH deemed revoked CITY�' G� Tel No LICENSED CONTRACTORS DECLARATION Hood /Fan Other_ I hereby affirm that j am licensed under provisions of Chapter 9 Disp �G Room Air Cond REGSE ClassClass (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO5 61 PR BY and Professions Code and m license is in full force and effect Size&Type HP KW KVA or KVAR Q License Number Lic ClassFINAL LJ Up to 1 Incl Contractor Date Over 1 to 10 Incl DATE ConVAL ATION ❑ Over 10 to 50 Incl FIN I am exempt under Sec Over 50 to 100 Inc BY B 8P C for this reason Over 100 a Date Services Swbd MCC 8 Panelboards 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V Over 1000 Amp or Over 600 V Exemption for Reg Mainf Elect SINGLE FAMILY Temp Power Pole&Appurtenances • • 7 a HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit O O I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits • • • 7 Law for the following reason (Section 7031 5 Business and Professions Code) 061 0A-85 I as owner of the property will do the work and the Misc Conduits 8 Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ , 7044 Business and 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 PERMIT FEE (Sub Total) (Sec 3097 Civ C ) 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 1 agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon th bove mentioned pr p ort n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 6 isSignature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207180014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID BUILDING ADDRESS TR 6561 LT 727 UN 002 5720 OAK AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802430 NEAREST CROSS STREET LAS TUNAS 8587 010 024 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID'J3 LOCALITY TEMPLE CITY G1 OUTLETS LGT,SW,RECP 7 00 OUT 13 65 TENANT G2 LIGHTING FIXTURES 3 00 LGT 5 85 ISSUED ON PROCESSED BY PLAN BY cunmy-aw- TOTAL FEES 47 25 07/18/02 JK 01/14/03 OWNER TEL NO Fl:!��E �FINAL BY C BATEMAN ROBERT E,PATRICIA A (626) 579 8589 5720 OAK AV TEMP 917802430 IORK ELECTRICAL APPLICAT TEL NO DAVID SHELLMAN (909) 592 2161 458 W ARROW HWY SPECIAL CONDITIONS SAN DIMAS 91773CONTRACTOR -,Tzr _ GELEcc) APPROVALS DATE INSPECTOR SIGWKMRF-- HAVEN GROUP, INC (909) 592 2161 TEMPORARY�� /✓�� 1173 N DIXIE DRIVE, STE 204 LIC NO SAN DIMAS, CA 91773 638143 B UNDERGROUND CONDUIT ARCHITECT TEL NO UFER GROUND LIC NO c\✓^ 1ROUGH CONDUIT 11 111 i� 1\1ROUGH Wrff=MAIN WATER LINE1 I `1 � 7 l7 �� l( PLASTIC Y/N METAL Y/N �'��a J1� \L\ UTILITY PANY NOTIFIED r J \ toL 'vice REPORT ID DPR265 ROUTE TO BS0508