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Home My Public Portal About4905 PERSIMMON AVE_Electrical__ 76A668-CE606 9-66 APPLICATION FORIELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER F3G �+1 BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING �eFOR. APPLICANT TO FILL IN c( RECEPT. 1 TOTAL NO. EACH FEE LIGHT /d y OUTLETS $.20 $ d OWNER o(� L:, Cati J FIRST 20 MAIL SWITCH (/ ADD'L 10 ADDRESS OVER 20 LIGHTING TOTAL FIRST 20 .20 CITY TEL.NO. FI ORES FIXTURES ADWL 10 CONTRACTOR U OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS t' GARB.DISP., BTA.COOK CITY ' �v EL.NO. 3— DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .SO LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT N GR P Z PR E O 1 1.00 �� D 1 s 1.50 INSPECTION REC RD !2 s s 2.00 8 15 2.50 15 50 8.00 O s0 100 5.00 u NO.TRANS. o` SIGNS: NO.LAMPS � / e' SERVICE O-SOOV-NoT OVER 200A 1.00 dc ` Lu SERVICE 0.000V-OVER 200 A. 2.00 Z SERVICE OVER GOOV 5.00 - OTHER (SEE COMPLETE FEE SCHEDULE) u -!L -2 PERMIT ISSUING FEE 2.00. SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE $ —6—fic- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING - 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED.AND/OR FIXTURES J�"' 1!/�^• .I, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR TH 1 AM THE,LEGAL OWNER O AND INTEND TO POWER RESIDE IN.THE AB E DESCRIBED RESIDENTIA OPERTY. SIGNATURE UTILITY CO.NOTIFIED OF,PERMITTEE mom, FINAL - " /VALIDATION EPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER CK� MO CASH L`il.o 5 0r SEP 2 9 2 D 5.4 0"! .� 76A688-CE80612-65 APPLICATION FOR ELECTRICAL�PERMIT COUNTY OF LOS ANGELES Li DEPARTMENT OF COUNTY ENGINEER 13UILDINGJ1 BUILDING AND SAFETY DIVISION ADDRESS ? 0� C�°8!A"04'/O/1I JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY NEAREST b.2 V s Ro FOR APPLICANT TO FILL IN CROSS ST. 06uW/Z r/ RECEPT� TOTAL � No. EacH FEE L 8 Z OUTLETS �I FI IRST 2O 8.20 S _.s OWNER U G L�� COW 3't LIGHT t 11//�� MAIL J SWITCH/ _[�L—! OVER'2O .10 ADDRESS Z Z ugZLE TALURES FIRST 20 .20 CITY .�A-40 L TEL.NO. A0 0//0/ LIGHTING FITOXT1 FIXTURES J( ADD'L OVER 20 10 CONTRACTOR �A Oh RANGES DRYERS WTR.HTRS. 1.00 ADDRESS O -G7/� Oma✓ L✓� GARB.DISP. STA.COOKn �Q CIT /g AJ G,9/: /?/jSL TEL.NO..e9-i; 6 3 DISHWASH. 1 AUTO.-WASH. hLICENSE TATE 7 /�/� SPACE•HTRS. / STA. APPL. gp 2 NO. ` MOTORS: OVER NOT OVER H.P. �DI$TRICT NO. G P Z E PIeqEpS§D By O 1 1.00 I 8 1.50INSPECTION RECORD a O s 8 2.00 o'416 o a ! u 8 15 2.50 /tt t �_ p0 15 50 8.00 W a so 100 5.00 r Z SIGNS: NO.TRANS. NO.LAMPS SERVICE 0.600V-NOT OVER 200A 1.00 pl.� SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) .�`r� .+r✓n.. fW PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT•ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE.IB CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING JF •G(P . /�f/�/��rj'� 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRE B ANGELES COUNTY AND STATE OF CALIFORNIA O THAT E LEGAL OWNE ND NTEND TO "POWER RESIDE Q. THE AB ESCRIBED RESIDENT L PR P TY.p SIGNATURE.--rUTILITY CO.NOTIFIED o, a y �!?� /1 OF PER E FINAL yP7 Y I �¢F� i� , ~ �LIDATION JOS PH C. ROOHAN ( CKJ MO C' ASH SUPERVISING ELECTRICAL ENGINEER 0 5 8 6- C8 NOV 16 2 D 1530,- a • I WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that.I have a certificate of consent to self CE-8066 insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES I BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. NewResidential Bldgs. 8 Pools EACH NO. FEE ADDRESS 1 �s j V`1fL. C Sq. Ft. $ $ LOCI LITY_ L� Certified copy is filed with the county building inspec- 1,&2-Family, NEAREST _ tion department. Multi-family Sq. Ft. CIS ` �n� T. Residential Swimming Pools OWNER OR ClL 'A a � Date Applicant_, FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Llght,�Sw.Z MAIL COMPENSATION INSURANCE ADDRESS ' s section neenote completed if the work involved b I First 20 (Thitineed b p Y Total NAdditional CITY Tel. No. the permit is for one hundred dollars($100)or less.) that in the performance of the work for which this PLAN CHECK I certify P � APPLICANT permit is issued, I shall not employ any person.in any manner (� i so as to become subject to the Worker'Com nsation Law Lig�ting Fixtures First 20 ADDRESS 1 1:9 Additional I t Z 2 y 0 �otal No. .�— CITY i Tel. No. at; Applicant Fixed Appliances Not Over 1 HP PERMIT ,! NOTICE TO APPLICANT: If, after making this Certific t of I APPLICANT / Exemption, you should become subject to the War 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 rop _ FAU —W.H. — LIZ deemed revoked. Hood _ Fan _Other— CITY qZ 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 DISTRICT NO. PROCE ED BY and Professions Code;and m license is in full force and effect. power Apparatus&Large Appliances. I 9 y Pize&Type HP, KW, KVA, or KVAR I S ;a •� Q License Number Lic. Class Up to 1 Incl. FINAL V I Over 1 to 10.Incl. DATE /^�i.� r� VALIDATION 09 Contractor Date I Over 10 to 50 Incl. 4 0 ❑ FINA.I {� I am exempt under Sec. I• Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 Ch Date: Sqrvices, Swbd., MCC&Ponelboards 0 -200 Amp. Under 600 V ►I Signature 1201 - 1000 Amp. Under 600 V ❑ !Over 1000 Amp. or Over 600 V i Exemption for Reg. Maint. Elect. SINGLE FAMILY TImp. Power Pole&Appurtenances `I HOME OWNER-.BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License A°ditiorial Sign Bra ch Circuits 5 p Law for the following reason (Sectioh 7031.5, Business and Pro missions Code): 000002 I.c. Conduits&Conductors I I, as owner of the property, will do the work and the j u o 3 0,']� structure is not intended or offered for sale (Section ther(See Complete'Fee Schedule)_ 7044, Business and Professions Code). , _ c u o j��I�L CONSTRUCTION LENDING AGENCY I I 12.23-82 1 hereby affirm that.there is a construction lending agency for the performance of the work.for which this permit is issued p RMIT FEE (Sub-Total) I (Sec. 3097, Civ. C). i P AN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the 1PTAL FEE 3 U y above information is correct. I agree.to comply with all County ordinances and State laws.regulating Electrical wiring, and hereby authorize representativeso his County to enter upon the abov -ment'io ed properf for sPecii.n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sib natur or-Ne"PA Meet Date ' I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT _ DEPARTMENT OF,PUBLIC WORKS 9701 LAS TUNAS EL 0508 0302260038 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10: BUILDrNG ADDRESS: TR: 4902 LT: 29 BL: F FEES 4905 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804105 ASSESSOR 0 NEAREST CROSS STREET: LOWER AZUSA 8574-025-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 14.00 OUT 27.30 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED 0 : PROCESSED B : PLAN S 0 : H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 02/26/03 JK 08/25/03 H7 RES EXHAUST FANS 1.00 EX 10.95 OWNER: EL. TOTAL FEES 84.75 FINAL DATE FINA BY: COD : WASZUT ADAM CHRISTINE W - - O� / 4905 PERSIMMON AV1 � V TEMP 917804105 SC P 0 0 REPAIR FIRE-DAMAGED GARAGE APPLICANT: E J F S CONSTRUCTION GROUP (805) 531-6363- 7141 WOODLEN AVE SPECIAL CONDITIONS: VAN NUYS 91406 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE J F S CONSTRUCTION GROUP, INC. (818) 785-9925- 7141 WOODLEY AVE LIC. NO TEMPORARY POWER POLE VAN NUYS CA 91406 757360 B UNDERGROUND CONDUIT- ARCHITECT OR ENGINEER: R GROUND LIC. NO: ROUGH CONDUIT ROUGH MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508