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Home My Public Portal About5214 PERSIMMON AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer �� DIVISION OF BUILDING .& SAFETY ' WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT ND. GROUP ZONE PERMIT NO. W ELECTRICIAN S. HERRIN � �—, AyI --m,5-4— 6 —4 911411 GTON ROADR CEIVED BY READY FOR' DATE ISSUED ADDRESS Ek MONTFIRST INSPECTION _ {` CITY ,ry �' TELT IA + COUNTY LICENSE NO. f/� EXPIRES 0 -12 SUILDINS 7 9—42/�P PERMIT FEES ADDRESS / ! FEE ' NUMBER EACH LOCALITY ' LIGHT OUTLETS NEAREST CROSS BT. RECEPTACLES f WALL SWITCHES OWNER /� 6 TOTAL OUTLETS 5O A MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25. CITY TEL NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS f AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERT DESCRIBED ABOVE. _ I/2 A LE99 111 .25 SIGNATURE OF _ %2 Z .50 PERMITTE ---- 2 - 5 1.013 INSPECTION RECORD _ 5 15 1.50 15 5O 2.50 50 200 SAID 200 500 10.00 J 5OG 1000 15.00 Q Z OVER 1000 20.00 19 M.G. SET/FREQ. CHANGER-HP Iz WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRIB-) MOVED MOTARB (75% OF ORIM.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EAOH PERMIT? ATE INSPECTORPB NAME WIRING $1.00 B Q CONDUIT � FIXTURES $1.00 —� WIRING �/��: %'Brei;-sP ..^•ka ��_ SUPPLEMENTARY .50 FIXTURES / POWER TOTAL FEE 2lL UTILITY CO.NOTIFIED FINAL li -7 TBA669 DBS#5A 442 TEMPLE Cgnf anasa.ceaosa•eo APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT NG UILDNG AND SAFETY DIVISION ENGINEER rADD'RS8 �"' 1 = 1�!17►'1 O J►J JOHN A.LAMBIE,COUNTY ENGINEER _ WILLIAM A.JENSEN, SUP'TOF BUILDING ITY FOR APPLICANT TO FILL IN ST CROSS ST PERMIT FEES ER ITEM T E M NUMBER EACH FEE OUTLET $' $ aSS I G LIGHRECEPI'. 8W. ..10 I LIGHTING FIXTURES .10 CIT C . E .. O. F "� .1 ELEC:RANGES CLO.DRYERS ELECTRIC&N "� /O tpAn , /h WATER HEATERS .s0 ADDRESS I L7 .f1/ 2 .O LJ I Iy ELEC.SPACE HTRS. DISHWASHERS CITY• O TEL.NO. GARBAGE DISPOSERS AUTO.- STATE q ' WASHERS STA.COOKING UNITS ,2g LICENSE NO. / - MOTORS: OVER '. INC: H.P. ZONE P84D=SSED BY Or— va = 2 .50 INSPECTION RECORD 2 — s 1.00 d 1.50 V Is — so 2.50 cd O so — 200 5.00 V W SIGNS: NO TRANS. - 06N NO.LAMPS Z r SERVICE O.SOOV 1.00 SERVICE OVER SOOV 5.00 MISC. WIRING PERMIT 1.00 .w FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT ,gp TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION APPROVALS DATE. INSPECTOR'S SIGNATURE ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY CONDUIT I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING s ELECTRICAL WIRING. WIRING rr••�r_Gfiav- r .,•r�.� 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANWOR LICENSED AS REQUIRED BY LOgr�gNGELES COU AND STATE OF FIXTURES CALIFORNIA OR THAT AM T E/LEGA OW R'•'OF THE ABOVE DESCRIBED RESIDEN PROP a POWER SIGNATURE _,✓� UTILITY CO:NOTIFIED OF PERMITTE ism.smwwff� FINA /�O .f� IDATION- ARTHUR C.VEIT. MO' CASH SUPERVISING ELECTRICAL ENGINEER' ^,O:g 5 9 .8" 2 Q.F€B -3.40 r 76A669iCE80610/74 1APPLICATION OR EL CTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FADDRESS BUILDING AND SAFETY DIVISION TY la T 11 FOR APPLICANT TO FILL IN ST. k. Low !OUTLETS NO. EACH FEE R r e+ $ $ FIRM NAME 9S A/a 2O VIAL RECEPT._ MAIL f ADDRESS y 1► -S $�-- LIGHT TOTAL FIRST 20 a 25 CITY -1-; TEL. NO. [� S `I g' SWITCH_ OVER 20 •10 PLAN CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT FIXTURES •1p OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. . F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE 0 CLASS. REG. NUM9 FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA 0 AT I AM THE LEGAL OWNER OF THE ABOVE 1 — 10 3.00 DESCRIBED 51 NTIAL P ERT V PERMITEE C:)10 — 50 5.01) SIGNATURE C.i 50 — 100 10A0 DISTRICT ROCES ED BY' ti 100 — 500 15.00 Q 1o7 Al Z s v SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S NATURE TUBE, OR - MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP / 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED 9 FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 l TOTAL FEE PLAN CHECK VALIDATION Cr. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 3 2 aLu%lRC3 -ZZ 2 D 900 0 A% SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 3AG63-CESOS 10-60 APPLICATION FOR ELECTRICAL ,PERMIT 1 COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5914 PERS I MMON- AVE_ JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUP'T OF BUILDING + LOCALIT•Y TEMPLE CITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. FREER ST. & PERSIMMON AVE. PERMIT FEES OWNER ZELL MULLICAN ITEM NUMBERI EACH I FEE MAIL ADDRESS SAME S ROVE e OUTLET : $ LIGHTS f RECEPT. 8W. •10 CITY, TEMPLE C I TY . TEL. No.G.1. 4-5370 LIGHTINGFIXTURESP .10 CO.'FLASH. EL ECTR I'G ELEC. RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS 6100 SEPULVEDA BLVD, ELEC.SPACE HTRS. DISHWASHERS CITY VAN NI IYR TEL NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. C10-181930 MOTORS: OVER INC. H.P. DISTR�,CT NO. CUP Z PR CESSED BY. 0— 1/2 .25 I/,— 2 so INSP N RE OR 2— s 1.00 d s— is 1.50 U Is— so 2.80 O BO— 200 5.00 SIGNS: NO TRANS. v NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V s,OO M ISC. WIRING PERMIT 1.00 FIXTURE PERMIT1.00 SUPPLEMENTARY PERMIT $0 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION • APPROVALS DATE INSPECTOR'S SIGNATURE AND STATIC THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY CONDUIT r WITH ALL COUNTY ORDINANCES AN STATIC LAWS REGULATING ELECTRICAL WIRING. WIRING / /A.•Yd/1 A I HEREBY FY THAT I AM P PE LY GISTS D AND/OR LICENSED A RIC RED BY LOS A EL CO A ATE OF FIXTURES !'J'" , �� !�•'�Y CALIFORNIA O THA I AM THE OW ER' OF T ABOVE DESCRIBED REBID TI A PRO POWER SIGNATURE UTILITY CO.NOTIFIED. OF PERMIT A FINAL -K MO.T� SUPERVISING C.VETT v • CK Mo- CASH SUPERVISING ELECTRICAL ENGINEER U14.9 o 4 JUN ?3 2 0 2.8 0 S WORKERS'COMPENSATIONDECLARATION X3 CE-806G (2.80) APPLICATION FOR ELECTRICAL. PERMIT • E$0 I hereby affirm that I have a certificate of consent to self j COUNTY OF LOS ANGELES BUILDING AND SAFETY .insure,or a certificate of Workers'Compensation Insurance,or a certified cop th reofl$e800,Lab. .) FOR APPLICANT TO FILL IN JOB �f Policy NQ. ompany CEACH NO. FEE ADDRESSC529 4` Pe"-Q 44*10� i New Residential Bldgs.&Pools a Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ 1 LOCALITY `"-244P 9e_ G(, ' Multi-family Sq.Ft.. — NEAREST Certified copy is filed with the county building inspection Residential Swimming Pools CROSS ST department. OWNER OR p r2 V0 FIRM NAME Vt7SC�` �.sd�'f'I�GtIr�L� Datey�� — Applicant �iLP Outlets: Rec.—Light Sw. MAIL First 20 ADDRESS '52-14- PGY56jy1 fy10,/d. CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional I CITY14. C Tel No. COMPENSATION INSURANCE ¢"gyp l PLAN CHECK �' APPLICANT (This section need not be completed if the work involved 0 ' by the permit is for one hundied dolLighting Fixtures First 20 dollars ($100) or less.) ADDRESS Total No. Additional O I certify that in the. performance of the work for which this CITY Tel No. permit is issued I shall not-employ Fixed Appliances Not Over 1 HP p p y any person in any manner � PERMIT' [[ LLI so as to become subject to the Workers'Compensation Laws, Range_Heater D.W._ APPLICANT Oven _- Dryer.W.M.._ N A'DD;RESS �� Ci�4VN •e. Z Date Applicant Top _FAU _.W.H. Hood Fan _Other_ CITY � � Tel No. +r—L"d NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond._ LICENSE OR •' Exemption,. you should become subject to the Workers' REG.NUMBER 3 4360 Class 'ems Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROC SSE_BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1-Incl. FINAL Over 1 to 10 incl. DATE ��• �G� LICENSED CONTRACTORS DECLARATION Over 10 to 50 incl: /' � VALIDATION I hereby affirm that I,am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and v effect. Services �icense Number ` 360 Li..Class- 0-200 Amp.Under 600 V F �dh"k � 201-1000 Amp.Under 600 V- Contractor Date Over 1000 Amp.or Over 600 V Cees C&IWI C a HOME OWNER-BUILDER.DECLARATION. Qlemp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): 2 5 8 A Misc.Conduits&Conductors Ell, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— o o�0 2 structure is not intended or offered for sale (Section 7044,'Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 Q O C I hereby affirm that there,is a construction lending agency T7 ,' for the ipERMIT FEE (Sub-Total) �'b x.performance of the work for which this permit is crissued(Sec.3097,.Civ.C.): l $_8 0Lender's Name - •PLAN CHECKING FEE (One-Fourth Permit Fee)iLender's Address I 4PERMIT ISSUING FEE certify that I have read this application and state that the 1TOTAL'FEEO 0 0 ow bove information is correct.I agree to comply with all County. Co — — o(n ordinances and State laws regulating Electrical wiring, and 1 ___3 v owl lereby authorize representatives of this County to enter upon Cu O U o—.+ the above r-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE CH a O O or -91 Signature of Permittee Date WORKERT COMPENSATION DECLARA1%OJV- N 76A806G (2-BO) APPLICATION. FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES �� IMING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company ADDRESS NO. • New Residential Bldgs.&Pools EACH ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY G Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME S _n/Eod V ' Date Applicant Outlets: Re.WLight-j—Sw.-r— v v �Q ADDRESS . First 20 CERTIFICATE OF EXEMPTIONTROM WORKERS' Total No.. Additional �.�v CITY Tel No. - COMPENSATION INSURANCE PLAN CHECK C (This section need not be completed if,the work involved APPLICANT by the. permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS V Total No. _ Additional cc I certify that in the performance of the work for which this , Fixed Appliances Not Over 1 HP CITY Tel No. O permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_HeaterD.W._ APPLIC W i Oven __ Dryer_W.M. a _ ADDRESS W Date Applicant Top _ FAU _W.H. �- Z Hood. Fan' —Other_ CITY Tel,No.NOTICE TO APPLICANT:-If, after making this Certificate of Disp. JG Room Air Cond LICENSE OR Exemption, you should become subject ,to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code,,you must forth- Power Apparatus&Large,Appliances DISTRICT NO. PR. ES$ BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up"to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to'10 Incl. DATE VALIDATION Over 10•to 50 Incl. �� I hereby affirm that 1,am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- i Over 100 BY `J ness and Professions.Code, and my license is in full force and effect. i Services 0-200 Amp.: nU`le 0 5R �� License Number Lic.Class ; 201-1 000Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that. I am exempt from the Contractor's Sign with One Branch Circuit License-Law for .the following reason (Section 7031.5; Ausi- i'Additional Sign Branch Circuit's ness and Professions Code): Misc.Conduits&Conductors ®I, as owner of the property, will do the.work and,the Other(See Complete Fee Schedule)— structure is, not intended or offered for sale (Section 2 8 3 1 q 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I # o 0 a o o 2 1 hereby affirm that .there is a construction lending agency for the.performance of-the work for which this permit is I PERMIT FEE (Sub-Total) 2 0 - 4330 issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o - 4330;:2 Lender's Address J PERMIT ISSUING FEE 1 Q2 8=8 C I certify that 'I have read this application and state that the TOTAL FEE 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 the above-mentioned properf or inspect' purposes.. SEE'REVERSE FOR EXPLANATORY LANGUAGE '02. cc l0 7,94 oOr ignature of Permittee Date