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Home My Public Portal About5528 PAL MAL AVE_Electrical__ DNDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER NAME DISTRICT NO. GROUP ZONE PERMIT NO. CADDRESS G CITY N , IVED BY READY FOR DATE ISSUED J COUNTY / FIRST INSPECTION W CERT.NO. EXPIRES Lk� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK A DREG NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS lsw.I UGS IFIXT CROSS ST. CIRCUIT A 6 C D E F G I H I W NAME / / Z MAIL .: ADDRESS L O clry /' C:f/. TEL.NO.,471 >M 1 AM THELE POSSESSOR OF THE ABOVE LOS ANGELES COUNTY ERTIFICATE OF QUALIFICATION- ELECTRICIAN. I AM THE LEGAL OWNER OF THEE PROPERTY BD�ESSCC IIBE�Di AOVIC �A"l A I CORRECTIONS J Q Z [7 � a' O TOTAL NO. OF OUTLETS — $ 6 APPROVALS NO. OF FIXTURES fir, $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. $ WIRING LPERM OF RANGES OR HEATERS $ FIXTURES ELLA NEOU _f POWER IT FEEUTILITY CO.NOTIFIFD L FEE 76A663-_CE808i 9-62 APPLICATION FOR ELECTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS _ JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �!>•Z- NEAREST FOR APPLICANT TO FILL IN 'ROSS ST. RECEPT. TOTAL NO. EACH FEE LIGHT OUTL�S FIRST 20 J_ S.20 $ OWNER MAIL SWITCH. OVER ADD'20 .10 ADDRESS TOTAL O CITY TEL. NO. LIGHTING FYRSTL .20 FIXTURES AnD'L .10 ELECTRICIA ov R 20 RANGES CLO.DRYERS WTR.NTRS. +.00 ADDRE6 GARB.CHIP. BTA.COOK /� 7 a CITY 4.. , s _ TEL. NO. (/ , DISHWASH. AUTO.-WASH. STATE SPACE HTRS. SEA.APP.IVA N.P.MAKO .50 LICENSE NO, MOTORS: OVER NOT oven H.P. DIST CT O. GR Z N P SSED BY O 1 1.00 _ 1 s +so INSPECTION RECORD 5 5 2.00 B is 2.50 +a — so 3.00 > a 5o — 100 5.00 O V SIGNS: NO.TRANS. C NO.LAMPS rO SERVICE O.600V-NOT OVER 200A 1.00 G SERVICE O.SOOV-OVER 200 A. 2.00 H SERVICE OVER BOOV 5.00 ? MISC. PERMIT ISSUING FEE 2.00 Q SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'BBIGNATURK AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGVLATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR TNAT AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT PROPERTY. POWER SIGNATURE !� UTILITY CO.NOTIFIED OF PERMITT FINAL VALIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER I_I-,i,O4 9 3 41,D AwAY <; u ... D , WORKERS'COMPENSATION DECLARATION 76-806 10/81 APPLICATION FOR ELECTRICAL PERMIT ?ii._ '1 hireby affirm that I have a certificate of consent to self insure, CE-808G or'a certificate of Workers' Compensation Insurance, or a c3ftified COUNTY OF LOS ANGELES BUILDING AND SAFETY c1Q�PPy__treof f Sec 380Q,Lab.C.) �/��j�- /ll v �r com an f° ' `"" '�'-I FOR APPLICANT TO FILL IN JOB r , P ', —� p y ADDRESS Certifietf copy is hereby furnished. New Residential Bldgs.& Pool EACH NO. FEE Certified copy is filed with the county buil ' inspection 1 & 2-Family,Sq.Ff. $ _ $ LOCALITY department. Multi-family Sq.Ft. CROSS CROSS ST. �Z A lira Residential Swimming Pools O Date pp '0j FIRAME ��. CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. -j6ht w.COMPENSATION INSURANCE � This section need not be com leted if the work involved b the First 20 ( P y CITY Tel.No. permit is for one hundred dollars($100)or less.). Total Na. Additional I certify that in the performance of the work for which this permit APPLICANT CHECKPLAN / 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 / Total No. CITY /"O Z_ Tel.No. L � Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of 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/e/")? provisions or this permit shall be deemed revoked. Top — FAU _ W.H. — LICENSED CONTRACTORS DECLARATION Hood — Fan OtherCITY L--� Tel.No. •— — I hereby affirm that I am licensed under provisions of Chapter 9 Disp. �X_ Room Air Cond. T O LICENSE OR Class. (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. p Power Apparatus& Large Appliances DISTRICT NO. PR CESS D BY. Size& Type HP,KW,KVA,or KVAR 0 License Number %L7� Lic.Class' Up to 1 Incl. FINAL r' V r��& ' / ' -7--�/` Over 1 to 10 Incl. DATE VALIDATION 0 Contractor Date �/ Over 10 to 50 Incl. '0U ❑ FINAL I am exempt under Sec. Over 50 to.100 Inc. BY W BAP.C.for this reason Over 100 Xk I N Services,Swbd.,MCC&Panelboards rZ-�- Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V i ❑ Over 1000 Amp. or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit y I hereby affirm that I am exempt from the Contractor's License Law iACCT.T for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 43.50 Code): .7.7V( ElMisc.Conduits&Conductors _ - 1 IT I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044, Business �yT � and Professions Code). poll. TOTAL VV - 01� �� CONSTRUCTION LENDING AGENCY *ECK 43.511 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) 4f1R17�7G �� ' Civ.C.). PLAN CHECKING FEE n��1nn Lender's Name / 0000—Ji 8/ IJ89 PERMIT ISSUING FEE _. 4822 t AMi. :74 Lender's Address 70�, QL# 1 +i I certify that I have read this application and state that the above TOTAL FEE 3 6 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 pro o4Prmittee o urpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE ?� Signature oDate • vwf1COMPENSATION DECLARATION 7& B3 ,prat APPLICATION FOR ELECTRICAL PERMIT — - 1 hea9by affirm thathat I have a certmcate a consent toaelr insure CE�soa08 p a a cerNcate of Workers Compensation Irourarlc6 w a candrreed COUNTY OF LOS ANGELES BUILDING AND SAFETY ooPY Nd"f(_sea 3E00 I.it,�M � rLfA,.C'.J C�FyFOR APPLICANT TO fe.L d JOB ADD Cerahed'copy is hereby furnished New ResdSkip entsl Skia Pools EACH NO FEE �� ❑ Certified coq m filed with the c my uspectm 1 a 2-Farr* Sq Ft $ — S LOCALITY e,6— Q 1731 department Multi-family Scl Ft NEAREST C7( Residential Svemmiry Pools CROSS ST OWNER OR Date ApplicantFPM NAME CEITnFICATE OF EXEMPTION FROM WORKERSOutMAIL COMPENSATION INSURANCE lRer:ets Light _Sw ADDRESS (This section need not be completed if the work Involved by the First 20 permit Is for one hundred!dol4n($100)or lase) Total No Adddkwial CITY Tel No I certify that in the performance of the work for which the permit �I r—K is issued, I sites rot employ arty person in ary manner so as to become subject to the Workers Compensation Laws Lighting Fixtures Fust 20 ADDRESS a Total No Additional CITY Tel Date ApplicantFixed Appliances Not Over 1 HP NOTX:E TO APPLICANT fi after making the Certdcas ct PtRAiT Exempts you should become subject to the Workers Condensation Range— Heater— DW — APPLICANT provNons of the Labor Code you must forth"th comply with such Oven _ Dryer — W M — ADDRESS 16101 provisions or the permit shall be deemed revoked Top _ FAU _ WH — LICENSED CONTRACTORS DECLARATION hood — Fan a1er_ CITY Tel O I hereby affirm that I am licensed under prvwsons of Chapter 9 Deo — Room Air Cond REGN U B A'73 f� � (corrimenong wath Section 7000)of Dotson 3 a the Business and REG NUMBER ..7 Y J J Professions Code and my license is in full force and effectDISTRICT NO SSED BY Power Apparatus a Large Appliances /!) Sae a Type HP KW KVA or KVAR 5 A V tic �Nu�mber Lo Clore 40 FINAL 570 CcW�1R'ne`/lON~ OYer Ito 110 and TE Conireda Date VALIDATION ❑ Over 10 to 60 IriG FINAL I am exempt under Sea Over 50 to 100 Inc BY 2 ty BAPC for thin reason Over 100 N Date Services Swbd MCC a Parslboards Of' ► ACCT•a Z Sprsture 201 - IODO AAM Under Arno rr600 V J 3307 25.!U ❑ Exempts for Reg Maim Elect Over 1000 Amp a Over 600 V 1 ITEMS SINGLE FAMILY Two Power Pole a Appurtenances HICK 25.50 5•5O HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit HICK 25.50 1 hereby affirm that I am exempt from the Contractor a License Law vvLs�� for the following reason(Sen 7031 5 Business and PrdaAdditional Syn Branch Cucuta es ors WAsv� .00 Code) ❑ I as owner of the property will do the work and the Structure Mw Conduits a Conductors is not mended or offered for sale (Seam 7044 Business Other(See Complete Fee Schedule) — ► 00001—M01 9/13/89 and Proreesons Code) 5673 1 All 9:05 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a constructs lending agency for the performance of the work for which the permit is issued(Sec 3097 PERMIT FEE (Sub-Total) ON C) PLAN CHECKING FEE Larder Name PERMIT ISSUING FEE Lardera Address 1540I oartiy mor that I have read e applicatend abate that the above TOTAL FEE REK�� rocomply with al) ouy ai .—arjCelwvmng end hereby aulhorae ro enter upon the above-mentmad sSEE REVERSE FOR EXPLANATORY LANGUAGE Nie Of Permittee e e COUNTY OF LOS ANGELES TEMPLE CITY Q 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL D508 0306170010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ENT LEGAL ID: FEES PAID BUILDING ADDRESS • ON FILE 5528 PAL MAL AV FEE DESCRIPTION: QUANTITY UOM AMOUNT TE14P CA 917802848 ASSESSOR INFORMATION NURSER NEAREST CROSS STREET GAINES 8586-010-025 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID: C3 LOCALITY TEMPLE CITY HA FAU LESS 3HP 1 00 FAU 10 95 JB AC LIMITS +3-10HP 1 00 AC 19 65 - PLAN BY. EXPIRES . TOTAL FEES 58 35 06/17/03 JK 12/14/03 . OWNER TEL NO FINAL DATE FINAL BY CODE: 5REMKO 528 aDANIEL AVS (626) 279-2815- TEMPLE CITY 91780 MENTlIrrWo ELECTRICAL FOR HVAC APPLium TEL NO SAME AS OWNERCONTRACTOR. TEL NO APPROVALS DATE INSPECTOR SICINTUfr- - SPECIAL CONDITIONS SLIME AS OWNER - LIC NO TEMPORARY POWER POLE ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO HOUGH CONDUIT ROUGH WIRING MAIN WATER LINEZ PLASTIC Y/M METAL Y/M REPORT ID DPR265 ROUTE TO. SS0508 COUNTY OF LOS ANGELES TEMPLE CITY p 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0101180011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ENT LEGAL ID BUILDING ADDRESS: ON FILE 5528 PAL MAL AV FEE DESCRIPTION QUANTITY LAIN AMOUNT TEMP CA 917802848 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET DAINES 8586-010-025 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE. 597 GRID C3 LOCALITY TEMPLE CITY G1 OUTLETS-LGTSW RECP 12.00 OUT 23 40 G2 LIGHTING FliTaES 2.00 LGT 3 90 LN OTHER PML 0-399 AMPS 1.DO PAN 38 85 01/18/01 UT 07/17/01 TOTAL FEES 93 90 OWNER TEL NO. FINAL DATE Fl BY CODE. RENKO,DAN 5528 PAL MAL AV TEMP 917802848 ULZRXIVIIOn d� WUKK7 ELECTRICAL FOR NEW RESIDENTIAL GARAGE APPLICANT SAME AS OWNERCONTRACTOR TEE-O-. APPROVALS DATE INSPECTOR SIGNATUffr-- - SPECIAL CONDITIONS SAME AS OWNER - LIC NO TEMPORARY POWER PULE ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC N0: ROUGH WIRING MAIN WATER LINE w PLASTIC Y/N METAL Y/N REPORT 10: DPR265 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUAUS EL 0508 0306030001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PMCNE: (626) 285-0488 EXT: LEGAL 10: ptLb PAIV BUILDING ADDRESS: ON FILE 5528 PAL MAL AV FEE DESCRIPTION QUANTITY: LKM AMCKIMT: TEMP CA 917802848 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET DAINES 8586-010-025 Al PERMIT ISSUANCE FEE 27 75 TNCMAS PAGE: 597 GRID: C3 LOCALITY TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38 85 TOTAL FEES 66 60 06/03/03 JK 11/30/03 OWNER TEL NO FINAL DATE FINAL BY' OWE RENKO DANIEL 5528 �AL NAL AV -1 TEMPLE CITY 91780 DES9RDTTLYa—QF'V6R� UPGRADE ELECTRICAL PANEL TO 200W APPLICANT TEL. NO DAVID A COLEMAN (626) 332-8923- 5004 BONNIE COVE SPECIAL CONDITIONS- COVINA 91724 CONTRACTOR: TEL NO: APPROVALS ox" INSPECTOR SIGNATURE COLEMAN ELECTRIC (626) 332-8923- 5004 BONNIE COVE LIC NO TEKPURART POWER POLE COVINA, CA 91724 819050 C10 UNDERGROUND CONDUIT ARCHITECT OR tmtilNEER TEL NO: UFLR rXOUKO LIC NO ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N REPORT ID' DPR265 ROUTE TO: BS0508