The URL can be used to link to this page

Home My Public Portal About5614 PERSIMMON AVE_Electrical__ �~ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0607200048 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13935 LT: 34 5614 PERSIMMON AV F200 DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802808 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8573-010-010 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C AMP PANELS, MCC 1.00 PAN 38.85 TENANT: I TOTAL FEES 66.60 ISSMM ON: PROCESSED BY: PLAN BY: EXPIRES ON: 07/20/06 JK 01/16/07 I OWNER: TEL. NO: j FI T®� FI Y: CODE: CELANO, TIMOTHY (626) 579-5677- ARLO, 5614 PERSIMMON AV TEMP 917802808 DESCRIPTION OF WORK UPGRADE ELECTRICAL SERVICE PANEL 200 AMP APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: \ CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDEF.GROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE \ PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED I (REPORT ID: DPR265 ROUTE TO: BS0508 : i ` COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0110010007 BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING DRESS: TR: 13935 LT: 25 5615 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802809 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8573-001-023 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY LA 100 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED 0 PROCESSED 8 : PLAN-BY: EXPIRES 0 : 10/O1/01 JK 03/30/02 OWNER: TEL. NO: FINAL DATE F BY: / CODE: STUBBE;ARLENE AND ANTHONY (626) 442-9233- 5615 PERSIMMON AV TEMP 917802809 DESCRIPTION OF WORK 100AMP SERVICE UPGRAVE I TEL. NO: RED WEINERT (626) 966-8002- 1034W.ARROW HWY#D192 SPECIAL CONDITIONS: SAN DIMAS 91773 Com\ CONTRACTOR: TEL. N0: �j APPROVA S DATE INSPECTOR SIGNATOR AFFORDABLE ELECTRIC SERVICE (626) 966-8002- 1034 66 8002 1034 W ARROW HWY #D192 LIC. NO TEMPORARY POWER POLE SAN DIMAS, CA 91773 649930 HIC * / / UNDERGROUND CONDUIT ARCHITECTOR ENGINEER: TEL. 0: - / /' FER'GROUND LIC. NO. ROUGH CONDUIT ROUGH WIRING I_ NE " WATER TLIFF PLASTY/NMETAL Y/N��1��N' UTILITY O P Y NOTIFIED h / J n II-' i; U ervice if I I * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508 I y� A.• `9"WORKERS'COMPENSATION DECLARATION Iola- CE-8066 APPLICATIONFOR ELECTRICAL" PERMIT Preb.��iffirm that I have a certificate of consent to self CE-606 insure;p�or a.certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND`SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANI TO FILL IN JOB Pol Certified co is hereby furnished. EACH NO. FEE ADDRESS � �Je ./ copy y New Residential Bldgs. &Pools 1 $ _ $ LOCALITY — l Certified copy is filed with the county building inspec- 1 &2-Family, S.q. Ft. NEAREST tion department. Multi-family Sc(. Ft. —' Residential Swimming Pools CROSS OWNER T. /u .Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' � � MAIL COMPENSATION INSURANCE Outlets: Rec Light Sw. DDRESS Z ' (This section need not be completed if the work involved by i First 20 i ' r Total No. Additional", CITY ` Tel..No. 79� the permit is for one hundred dollars($100)or less.) - PLAN CHECK I certify that in the performance of the work for which this A Q APPLICANT permit is issued, I shall not employ anf person in any manner so as.to become subject to the Workqrs;Com . ation ws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date f/6^1(- Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT `►7 I Exemption, you 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. Hood Fan. CITY Tel. No. LICENSED CONTRACTORS DE _ . _ DECLARATION LICENSE OR 1 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 Power Apparatus&Large Appliances DISTRICT NO. P E ED BY and Professions Code,and my license is in full force and effect. O Size.&Type HP, KW, KVA, or KVAR &416 V License Number Lic. Class FINAL D= Up to 1 Incl. Contractor Date Over 1 to 10 Incl. DATE VALIDATION ❑ Over 10 to 50 Incl. i FIN A W' I am exempt under Sec. Over 50 to 100 Inc. BY0 00, �. B.&P.C. for this reason Over 100 i Z Date: Services, Swbd., MCC&Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ i Exemption for Reg. Maint, Elect. Over 1000 Amp. or Over 600 V ,i SINGLE FAMILY Temp. Power Pole&Appurtenances ' HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): I, as owner of the property, Misc. Conduits 8 Conductors p p ty, off a the work and the Other See Complete Fee Schedule structure is not intended or offered for sale (Section ( P )— �' ;2 5 5 a 4.A 7044;')3usiness and Professions Code). # o 0'0 0 0 2 CONSTRUCTION LENDING AGENCY I hereby affirm that.there is a construction lending agency for 4 '-.o3525 the:performance of the work for which this perm'it is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). -,o - 3525 PLAN CHECKING FEE I � 1.06i-86 Lender's'Nome PERMIT ISSUING FEE Q Lender's Address 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 EI ctrical wiring, and hereby outhori' representatives of this County to enter upon the above-men ned roperty for inspection purposes. SEE REVERSE FOR EXPLANA ORY LANGUAGE Signature of Permittee Date