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Home My Public Portal About5632 PERSIMMON AVE_Electrical__ FLE CQ T Y F6A663-CF806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY,ENGINEER FA LDINGBUILDING AND SAFETY DIVISION RESS sibsJOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING ALITYRESTFOR APPLICANT TO•FILL IN SS ST. L TOTAL NO. EACH FEe RECEPT. FIRST 20 20 $ Q OWNER a f OUTLETS MAILf LIGHT Q ir ADD'L ADDItESS V swumll.� V OVER 20 .10 TOTAL X46 CIT TE NO. of LIGHTING 1 FIRST 20 .20 ocL+ 1 FIXTURES AOC'L ,10 ELECTR IAN OV R 2O n RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL NO, DISHWASH. AUTO.-WASH. STA / SPACE HTRS. STA.APP.(V°H.P.MAX.) ,SO LICENSE NOA f-'; /V oven NorovER H.P. DISTRICTG UNE PESSED 0 1 Y 1.00 1 3 1.50 INSPECTION RE ORD 5 S 2.00 ,S— LS'� P00 L. a�.Q 1 f 8 15 2.50 e GL 15 SO 5.00 S�r SO. 100 5.00 v 0 ��er- SIGNSs NO.TRANS. p NO.LAMPS YO a 1 OR R_ ti 0 SERVICE 0.60OV-Nor OVER 200A 1.00 p �'. n q Lu SERVICE 0-600V-OVER 200 A. 2.00 u `y co SERVICE OVER 600V 15.00 /_//� � MISC. S� U r PERMIT ISSUING FEE 2.00. oL , ymoiatb!�„ SUPPLEMENTARY PERMIT ISSUING FEE f.00 TOTAL FEE $ 1HEREBY ACKNOWLEDGE THAT 1 HAVE,READ THIS APPLICATION APPROVALS / DATE INSPECTOR'S SIGNATURE AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT (p ay WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING Lrr� ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR � LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL�OERP THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER .F;. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL v �r (DATION ARTHUR C. VEIT UCKMO CASH ' SUPERVISING ELECTRICAL ENGINEER e I f LACo 10 6 3%o MAY 14 2 D WORKERS"that I have a Asti DECLARATION bA663 `10/81 ; APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self I.E-�G insure, or a certificate of Workers'Compensation Insu7e, v COUNTY OF LOS ANGELES t .. BUILDING AND SAFETYor a certified copy thereof(Sec. 3800 . C.) O�Policy N jB�Z� `Company f FOR APPLICANT TO FILL IN JOB ❑- Certified copy Is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ��rtified copy is filed with the county building ' spec- 1 &2-Family, Sq. Ft. $ = $ LOCALIT tion department. Multi-family Sq. Ft. NEARESCROSS T. ® Residential Swimming Pools Date Applican OWNER OR FIRM NAME VA Ley CERTIFICATE OF EXEMPTION FROM.WORKERS' � � MAIL Outlets: Rec Light Sw. COMPENSATION INSURANCE 0. ADDRESS D\I E This section need not be completed if the work involved b ��)) First 20 ( P Y � Total No�L. Additional • CITY Tel. No. the permit is for one hundred,dollars($.100)or Less.) i PLAN.CHECK F certify that in the performance of the work for which this APP0CANT l VAS permit is issued,I shall,not employ any person in any manner so as to become subject to the Workers''Compensation.Laws. � Lighting Fixture First 20 � � ADDRESS �f:O Wooi� Total No. �� Additional DCITY �ts I' Tel. No x(20 Date applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO'APPLICANT: If, after making this Certificate-of Exemption, you should become subject'to the Workers' ;; Range_ Heater_D.W. APPLICANT Co Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESSq?Z with comply with such provisions or this permit shall be- Top FAU —W.-H. 6 tro7kZEAWMV3 deemed,revoked'. Hood ✓Fan _Other— CITY Tel. Ng2gs�6O LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter Disp. Room Air Cond. fvd `; REG.NUMBER Class�e7 (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCESS BY and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances iL p� Size&Type.HP,.KW, KVA, or KVAR' S s�d •. License.Numb rJ : Lie. Class 1 Up to 1 Incl. FINAL Z y Over'1 to 10 Incl. DATE ,Bei „ f1 VALIDATION ag Contract . Date ;� ver 10 to 50 Incl. ® `r FINAL ❑ I am exempt under Sec. � j ; Over 50`to 1,00 Inc. BY �•,,,,. �.' �-„s � B.&P.C. for this reason Over 100 t» Date: y Services, Swbd., MCC&Pane.l.boards �•�, 0 -200 Amp. Under 600 V Signature + 201 -'1006 Amp. Under'600 V ' Over 1000 Amp. or Over 600 V ❑ ,Exemption for Reg:,Maint. Elect. SINGLE.FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER.DECLARATION Sign with.One Branch Circuit 7 4 6 5 A I hereby affirm that I dm'exemptfrom the Contractor's License additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and t 2 Professions Code): ❑ 111 Misc. Conduits&Conductors 2'6'- 4 6 9 0 _ I, as owner of.the property, will do'the work and the •( structure is not.intended or offered for sale (Section Other(See Complete Fee Schedule)_ , 7044., Business and Professions Code:).. � ;+ , . CONSTRUCTION LENDING AGENCY', 'y ( 1.0'9-82 I hereby affirm that•there.is a construction•lendin.g agency for 1 the performance of fhe work for which this permit is issued PERMIT-FEE (Sub-Total)' (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name t, ' PERMIT ISSUING FEE I ..Lender's Address - - �' .�� - • I certify'that I have read this application.and state that the i• TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represen.tati.ves.of this County to enter upon e 4theave-mention pro ty for i ctiSEE REVERSE FOR EXPLANATORY LANGUAGE re of Permittee Date i� KERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMITI m that I have a certificate of consent to self insure, CE-806G or a certificate of Workers'Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy"theLpof(.bac:,3800,Lab.C. �, 1, POlicy�k�l?�'�o. U A Company 1 /�--, 5 �1 FOR APPLICANT TO FILL IN JOB ADDRES �W r, � ❑ r.t EACH NO. FEE uied copy is hereby furnished. New Residential Bldgs.&Pools $ _ $ LOCALITY, Q ❑ bertifieg,copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST department. .�1� y}��. yp�,/� 4 Multi-family Sq.Ft. CROSS ST. Da a. Applicant r�,�U r+ Residential Swimming Pools OWNER O n M NA CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec, QMG' '� rk COMPENSATION INSURANCE Light_� DDR This section need not be completed if the work involved b the Firstt 2 20 ESS ( y 3 Additional CITY Tel.No. Total N permit is for one hundred dollars($100)or less.) °�-- I certify that in the performance of the work for which this permit PLAN CHECK, APPLICANT i' . C9 is issued, I shall not employ any person in any manner so as to p� become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRES �L,V.0� Additional' Total No: CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICA ��-RI t"J Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRES rr provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. UCENSE OR A r�P�? Class.. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER N�9 r�S , Professions Code,and my license is in full force and effect. DISTRICT NO. PROC SED Y Power Apparatus&Large Appliances q a�Size•&Type HP,KW,KVA,or KVAR �+ i VU Clans License Numb ._Lic.Cl �• �S) V Up to 1 Incl. FINAL (/ � t Over 1 to 10 Incl. DATE �� VALIDATION O Contr c Date [ Over 10 to 50 Incl. FI V ❑ 1 am exempt under Sec. Over 50 to 100 Inc. / OW. B.&P.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboards Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V ElExemption for Reg.Maint.Elect. 3M7 12075 SINGLE FAMILY Temp.Power Pole&Appurtenances 1 %i' !S HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit Y i I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits1�Yq�11tl. i m for the following reason(Section 7031.5,Business and Professions 75 Code): OEM 86075 El1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ , eCO and Professions Code). y �t1tt i CONSTRUCTION LENDING AGENCY VELD—CM1 6/'6'0 89 'I hereby affirm that there is a construction lending agency for the Ott e q 1 wn! performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) `6077 AMIIQ06 Civ.C.). ./�Name Lender' PLAN CHECKING FEE Lender's r �++� O PERMIT ISSUING FEE Lender's Address. I certify that I have read this application and state that the above TOTAL FEE af information is correct.I agree to comply with all County ordinances and State laws ec rI firing, and hereby authorize represent 'es of this Count t ,e �e upon the. above-mentioned p Prop or inspection purp ,p SEE REVERSE FOR EXPLANATORY LANGUAGE rdf;a'cm fe �J Dlate RKE I her y affi4' tthatRI h ve a cern fi Ia a DECLARATION coonnsentOto self Insure, sAess DPW c12.91, APPLICATION FOR ELECTRICAL PERMIT lJ or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT..OFF,PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof.(Sec.3800 Lab.C.) Policy No. •• Company FOR APPLICANT TO FILL IN JOB �l df� ADDRESS576 3 Z. (f Certified.copy is hereby furnished. New Residential Bldgs.&Pools kNO.1EACH FEE LOCALITY .� G 0 Certified copy is Oiled with the county building inspection 1&2-Family,.Sq.Ft. $ $ 007 NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.a–Light Sw. Z OWNER OR COMPENSATION INSURANCE / FIRM NAME f2 fPJ 2 ` (This section need not be completed if the work Involved by the Total No.aFirst 20 MAIL� Additional ADDRESS MiMAJ permit Is for one hundred dollars.($100)or less.) . I certify that in the performance of the work for which this permit CITY5637- - f T is issued, I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workers'Compensati n Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3'HP: NOTICE TOAPPLICANT: If, after making thi ertificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. / .0 provisions of the Labor Code,you must forthwith comply with such PERMIT Power Apparatus&Large Appliances APPLICANT provisions br this permit shall be deemed revoked: C: LICENSED CONTRACTORS DECLARATION Size&Type.HP,KW,KVA,'or KVAR ADDRESS .Q I hereby affirm that I am licensed under provisions of Chapter 9 -:50Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Te Professions Code,and my license is in full force and effect. Over 10 to. Incl. LICENSE OR p}„ Cles Over 50 to 100 Incl. REG.NUMBER "T/ �� p� License Number -747 `9 Lic.Class `�I�o Over 100 DISTRICT NO. PRO ESSED BY V Services,Swbd.,MCC&Panelboards Contractor�"bor `�lf ��Date 0-399 Amp.Under 600 V DAA / ❑ 400-1000 Amp.Under 800 V 2 VALIDATION V I am exempt under Sec. UJI Over 1000 Amp.or Over 500 V FlNAL_ Q. B.&P.C.for this reason BRANCH CIRCUIT FEES Date: 15A,or 20A,1.2OV,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits - Exemption for Reg.Maint.'Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME.OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACC j 'u I hereby affirm that I am exempt from the Contractor's License Law _ for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits x:71 a 1_ 5 Code): I IE § i jI r`" I,as owner of the property,will do the work and the.structure. Misc.Conduits&Conductors ,� —, is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , !OTAL, ..`'s ."'ly. . a''5 and Professions Code). i 75 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE I (31.( -lij 31}, 4.1110/95 Lender's.Namei,;y r n. ,q1 f863 . PERMIT ISSUING FEE L„ = Ar, 9.60 Lender's Address - TOTAL FEE I certify that.I have read this.application.and under penalty of purjury state that the above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives.of. Coun to enter upon the above-mentioned property for Inspectlan pu es. l� SEE REVERSE FOR EXPLANATORY LANGUAGE �J SI E OF PERMITTEE' - - D TE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0103020003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGA D: FEES PA D BUILDING ADDRESS: TR: 13935 LT: 31 5632 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802808 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8573-010-007 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 ON: PROCESSED B A Y: EXPIRES ON: 03/06/01 LS 09/02/01 OWNER: TEL. N0: FINAL DATE FINAL BY: CODE: STANLEY JOHN A JR;ELSIE L (626) 446-0543- � / 5632 PERSIMMON AV TEMP 917802808E�SCRIPTION OF WORK INSTALLATION OF ROOFMOUNTED SOLAR ELECTRIC PANELS APPLICANT: TEE. NO: _ SOLAR WEBB INC (626) 447-9710- 5632 PERSIMMON AV •SPECIAL CONDITIONS: ARCADIA CA 91006 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SOLAR WEBB, INC. (626) 447-9710- 136 E. SANTA CLARA, STE 6 LIC. NO TEMPORARY POWER 0 E ARCADIA, CA 91006 649147CIO UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: L. 0: U.FER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N iU I COP YNO I D i REPORT ID: DPR265 ROUTE TO: BS0508