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Home My Public Portal About5333 PARMERTON AVE_Electrical__ WORKERS have a certificate DECLARATION to 76A663 local APPLICATION FOR ELECTRICAL PERMIT {1 I hemhy-aN'm that I have a ceridoate of consent to self insure �BoeG �J or"aI certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sac 3800 Lab C 1 IPI--o-llii1cy No CompanyIC FOR APPLICANT TO FILL IN HJ Certified copy is hereby furnished New Residential Burps & PodADDRESS s EACH NO FEE _ $ 4q Certified copy a $ LOCALITY filed with the county bulldog inspection 1 8 2 Family Sq Ft — department Multi family Sq Ft NEAREST CROSS Si �Fl� Date " Applicant Residential Swimming Pools OWNER OR FlRM NAME N CERTIFICATE OF EXEMPTION FROM WORKERSMAIL COMPENSATION INSURANCE Outlets Rec Light _ Sw ADDRESS , (This section need not be completed d the work involved by the First 20 CITY Tel No permit is for one hundred dollars($100) or less) Total No Additional - r I certify that in the performance of the work for which this permit %.FN CHECK ARPUGNi is issued I shall not employ arty person in any manner so as to • become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS " t " Total No Additional _ CITY Tel No Date Applicant Fixed Applancas Not Over 1 HP IT NOTICE TO APPLICANT It after making this CerMicate of CANT r��r�,q � �,� Exemption you should become subject to IN--Workers Compensation Range_ Heater_ DIN T� provisions of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M ADDRESS provisions or this permit shall be deemed revoked Top _ FAU _ WH _ LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY (�Q1(� Tel No I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond LICENSE OR 28m$! Clans Cr(Q (commencing with Section'7000) of Dwleion 3 of the Business and REG NUMBER 6 Pmfessons Code and my license is in full face and effect Power Apparatus& Large Appliances DISTRICT 1'ROC o 0 License Number 3 6 �O Sao 8 Type HP KW KVA or KVAR 7 O O Lic Class s� Up to 1 Incl FINAL 8 Contractor �L«�Dam ' L G /Z over 1 to 10 Incl DATE K VALIDATION ❑ Over 10 to 50 Incl FINAL n ' I am exempt under Sec _ Over 50 to,100,1nc By j F-0 B&PC for this reason Over 100 PL WVN Servioes Swbd MCC&Panelboands ® Z Date 0- 200 Amp Under 600 V 00 ^ Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V • _ 2 " Exemption for Reg Maint Elect ,v •SINGLE FAMILY Temp-Power Pole 8 Appurtenances < CT't HOME OWNER-BUILDER DECLARATION Sgn with One Branch Circuit 33A7 31.00 I hereby affirm that I am exempt from the Contractors License Law for the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits 1 ITOS Code) t - _ _ __ _ ❑ I as owner of the property will do the work and the structure Misc-Conduits & Conductors TQTAL 1 - 01113 is not intended or offered for sale (Sector 7044 Business Other(See Complete Fee Schedule) 31 and Professions Code) T �.n[C .� I WNIZ �I CONSTRUCTION LENDING AGENCY - _ - 1 hereby affirm that there m e constructgn lending agency for the performance of the work for whoh this permit us issued(Sec 3097 PERMIT FEE (Sub Total) cw c) , - 00OQ-0001 7/23/90 Lenders Name PLAN CHECKING FEE- _ - • 1973 1 Ah 7:12 PERMIT ISSUING FEE Lenders Address ' I cerbfy that I have reed this application and state that the above TOTAL FEE information is correct I agree to comply with all County ordinances and State laws regulating Electrcal wiring and hereby authonze representatives of this County to enter upon the above-mentioned property/insp ctlon purpose 7-23-4FQ SEE REVERSE FOR EXPLANATORY LANGUAGE _ y Signatur of Permittee Date , COUNTY OF LOS ANGELES _ TEMPLE CITY p 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0612040004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 917BO PHONE (626) 285-0488 EXT LEGAL ID PEES PAID BUILDING ADDRESS TR 13613 LT 59 5333 PARMERTON AV FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803504 ASSESSOR INFORMATION HUMBER NEAREST CROSS STREET DAINES 8573-005-020 Al PERMIT ISSUANCE FEE - 27 75 THOMAS PAGE X597 GRID C3 LOCALITY TEMPLE CITY C G1 OUTLETS-LGT,SW RECP 14 00 OUT 27 30 TENANT G2 LIGHTING FIXTURES 8 00 LOT 15 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 70 65 12/04/06 JK 06/02/07 OWNER TEL NO FINAL DATE FINAL Y CODE MCCLEMAN, MARX (818) 566-8966- / -2 5333,PA RTON AVE l TEMPLE CITY`CA 91780 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION APPLICANT TEL NO SENA (818) 754-8155- 6260 LAUREL CYN SPECIAL CONDITIONS 1 N HOLLYWOOD CA 91606 - CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE ALFRBDO MACCIONI CONSTRUCTION (016) 566-8966- 1121 N GRIFFITH PARK DR LIC' NO TEMPORARY POWER POLE - - BURBAHK CA 91506 676843 B ` UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UPER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED - 1 REPORT ID DPR265 ROUTE TO RS0508