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Home My Public Portal About5639 PAL MAL AVE_Electrical__ ' CITY OF SO. EL MONTE 7OA863-CES06 468 APPLICATION FOR ELECTRICAL PERMIT' ; COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING -JOHN A LAMBIE COUNTY ENGINEER ADDR E55 �L ! >Ra6 QO COLEMANW JENKINS, SUPERINTENDENT OF BUILDING LOCALITY , SO. EL MONTE NEAREST FOR APPLICANT TO FILL IN CROSS ST- d, NO C E FRECEPTOWNER TaIII RV DiMAIL HT TOTAL FIRST 20 20 ADDRESSTCH_ OVER 20 IO CITY TEL NO PLAN CHECK HTING iTOTAL FIRST 20 20 APPLICANT FIXTURES I OVER 20 10 1 ADDRESS RANGE_ORYER—WTR HTR CITY TEL NO STA COOK_DISP F A U — CONTRAC rOR wRUSH ELECTRIC SPACE HTR _AIR COND _ ADDRESS 10124 E. Rush Street CLOTHES WASH _DISHWASH _ ITYSO. E1 Monte, TEL NO 448-8911 FAN—OTHER I GO LICENSE NO 137586 CLASS C10 MOTORS TRANSFORMERS RATING , IH ` IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SIZE 6 TYPE OVER TO AND STATE THAT THE ABOVE U CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAW! REGULATING �/ } 1 w 0 - I 1 DO 00 ELECTRICAL WIRING L ,II HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/ORJ LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIIOgNIA OP TNAT TME LEGAL OWNER OF AND INTEND TO 10 50 5 00 IgEIIOE IN TN O DESCNIPED RE IOENTIAL PROPERTY 50 - 100 10 00 SIGNATURE d OF PERMITTEE 11 U too - soo 1s oo pIST T NO GRQLP ZONE CESSED BY SIGN GAS SIGH AND ONE CIRCUIT X3'00 P /� / ~ TUBE OR v ) W MAROUEE A.GMTIONAL CIRCUITS 1 00 NOTES O / OL 2 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE 4 APPURTENANCES 3 00 APPROVALS DATE INSPECTOR!SIGNATURE TEMP POWER POLE VPOWER A B WORK NDUIT PERMIT FEE (SUB TOTAL) . (� PLAN CHECK FEE (50% PERMIT FEE) THOR12E0PERMIT ISSUING FEE 200O NOTIF I EDSUP LEMENTARY PERMIT ISSUING FEE1 00TOTAL FEE JOSEPH C ROOHAN T SUPERVISING ELECcK CAL ENGINEER PLAN CHECK VALIDATION CK M o CASH r PERMIT VALIDATION M 0 CASH _ L2 e 1 3 .0 O 3 1 8 7 cLc 3 0 N EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS COMPENSATION DECLARATION 863 10,81 _ APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm Ihop I have a certificate ficote of consent to self CE 806G , insure or a certificate of Workers Compensation Insurance I COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified iopy thereof (Sec 3800 Lab C ) Policy No oCompany ` FOR APPLICANT TOIFILL IN JOB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ❑ = S Certified copy is filed with the county buildingmspec 1 8 2 Family Sq Ft $ LOCALITY tion department • a Multi family Sq FI t . NEAREST L I oAK Residential Swimming Pools l t CROSS ST (l I-7 Date Appbcant •w• y ,t_ OWNER OR `t s _ ( 1 CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Llght_Sw� FIRM NAME ' MAIL COMPENSATION INSURANCE ADDRESS S6/�/ 10 ��L1k1J4Z. iA'GS_ Thio section nand not be completed If the work Involved b First 20 q �p ( P T Total No Additional CITUY1CG Ci7 Tel No 5� –/ the permit a for one hundred dollen a war or tau ) N CHECK certify that m 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 Futures First 20 ADDRESS , �— . fK Total No Additional CL'--d•D !' CITY o y Date Appbcant Fixed Appliances Not Over 1 HP - PERMIT NOTICE TO APPLICANT If after makmg'th is Cerhf¢ata of ' APPLICANT Exemption your 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 _ FAU —W H — deemed revoked CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan _Other— hereby off urn that I am licensed under provisions of Chapter 9 Disp _ Room Au LICENSE OR Cond REG NUMBER Clair } (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROLE BY D. and Professions Code and my license is in full force and effect Power Apparatus 8 Larges Appliances _I(/ U Size 8 Type HP KW KVA or KVAR UO License Number L,c Class O Up to I Incl FINAL Contractor Dare 1 Over 1 to 10 Incl DATE VA DATION U 11 Over 10 to 50 Incl FINAL d I am exempt under Sec Over 50 to 100 Inc BY (Al B 8P C for this reason Over 100 Z Date Services Swbd MCC 8 Panelboards 0 -'100 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg MaOver 1000 Amp or Over 60D V mt Elect 'P 4 1 S 8 A SINGLE FAMILY Temp Power Pole &Appurtenances # • • to - 2 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits1( a • 2 5'5 0 Low for the fallowing reason (Section 7031 5 Business and Professions Code) Mrse e - 25505 ❑ I, as owner of the property will do the work and the Other Conduits 8 Conductors structure is not intended or offered for sola (Section Other (Sea Complete Fee Schedule)— , - 03,04 !-86 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY 1 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 /I PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEE ;21 above information is correct I agree to comply with all County ordinances and State laws reguloling Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee " Date - ol� ]6.683:Eeo6 468 �r COUNTYAPPLICATION FOR ELECTRICAL ERMIT OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� !, / BUILDING AND SAFETY DIVISION ADDRESS 'f- - JOHN A LAMBIE COUNTY ENGINEER _& / COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING ULOCALITY /� LI � � �(i NEAREST J� I F OR APPLICANT TO FILL IN CROSS ST AVE � /•'� N A F S S OWNER - MAIL TOTAL FIRST 20 20 Q ADDRESS /O OVER 20 10 CITY TEL NO ! PLAN CHECK TOTAL FIRST 20 20 APPLICANT OVER 20 10ADDRESS DRYER_WTR HTR CITY / TEL NO K_DISP _F A U CONTRAcrOR DW IVR _AIR GOND _ ADDRESS WASH —DISHWASH CITY TEL NO FAN-LOTHER I DD o LICENSE NO CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I.HAVE READ TH15 APPLICATION SIZE TYPE OVER TO SAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING O - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR I 10 3 00 LICENSEDAS RE0U111ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 10 - 50 5 00 RESIDE IN THE ABOV pESc RESIOEN La ROP TY SIGNATURE d 50 - 100 10 00 OF PERMITTEE O U slcN GAS 100 - 500 15 00 DISTRICT O G P Z NE PROCESSED BY o TUBE OR SIGN AHO OHE CIRCUIT 3 00 A O H U MARQUEE ADDITIONAL CIRCUITS 100 - 1 NOTES to 2 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 GO TEMP SERVICE POLE h APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE TEMP POWER POLE UNDERSLAS WORK ROUGH CONDUIT WIRING i PERMIT FEE (SUB TOTAL) FI%TURES PLAN CHECK FEE (60T. PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 200 Cl UTILITY CO N OTIF IED .� SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK lM 0 CASH PERMIT VALIDATION CK M 0 [Gr, 0 5 4 0% AM 17 2 D 5.40- EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0104240032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID -F-EES PAID BUILDING ADDRESS TR 8822 LT 60 5641 PAL MAL AV ASSESSOR INFORKA ION NL14BER FEE DESCRIPTION QUANTITY LION AMOUBIT TEMP CA 917802855 NEAREST CROSS STREET LIVE OAK 8586-012-026 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY TENANT G1 Ol1TLETS-LGT,SW,RECP 27 00 OUT 48 45 G2 LIGHTING FIXTURES 8 00 LGT 15 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON LB 200 AMP PANELS, MCC 1 00 PAN 38 85 04/24/01 UT 10/21/01 OWNER TOTAL FEES 130 65 FINAL D CODE HSIU HSIA TSAI (626) 651-2515- �` IIOI 6708 N GOLDEN WEST ` AROADIA 91007 NOF WOW I ELECTRICAL TO 93650 FT ADDITION AND CHANGE SERVICE PANEL APPLICANT SAME AS OWNER SPECIAL CONTRACTORP{�1GELES CO p. SAME AS OWNER _ SOS V�TySIGNATURE LIC NO TEMPORARY POWER POLE / UNDERGROUND LIC N l(/ ROUGH CONDUIT ,1►Jr�l'_ 111111 (25136 U S LC V V OIFORuU�`55 PLASTIC 7/N METAL Y/N UTILITY COMPTff7-W5rrn'M ( O49� OI .0 0 ®a El 07 c Servlce Thai REPORT ID DPR265 ROUTE TO BS0508