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Home My Public Portal About5941 RENO AVE_Electrical__ i WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or i a certified copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB _ ADDRESS New Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ '— $ LOCALITY ❑ Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR ,� FIRM NAME Id 074 Date Applicant Outlets: Rec.sLig t-1—S. Q ADDRESS First 2 ) CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. / } COMPENSATION INSURANCE PLAN CHECK 142 APPLICANT 0 (This section need not be completed if the. work involved �� by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS � Additional Total No. 0 I certify that in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No. (— permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the W cera'Compensatf'n Laws. Range_Heater D.W. _ APPLICANT IL p��//� Oven _ Dryer_W.M._ ADDRESS Date / (SII A plicant Top _ FAU _W.H. Hood — Fan —Other CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. I Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG.NIJMBER�2/ogvy Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT . PROCE46ED BY with comply with such, provisions or this permit. shall be Size&Type HP,KW,KVA,or KVAR deemed revoked. S.6 Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE �f i .- VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Divmop 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and effect. }� Services License Numb Lic.Class 0 Z 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V Contracto 1,4 Date�7 �� Over 1000 Amp.or Over 600 V �� a 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, Busi- Additional Sign Branch Circuits ness and Professions Code): r ' 7 f Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— ° O ° o ° structure is not intended or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY ° ° J 1 C?G I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.C.). 3 O Lender's NameI o PLAN CHECKING FEE. (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE Eg I certify that I have read this application andstate that the TOTAL FEE 3 h above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby au orize 'e resen Ives of this County to enter upon the abo - ant' pro for inspecti purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE 3 710�� l ignature of Permittee ' Date WORKERS'COMPENSATION DECLARATION 76A663 10,81 - APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8066 ' insure,.pr a certificate of Workers'Compensation Insurance, I COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified'copy-thereof(Sec. 3800, Lab. C.) r Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑ LOCALI$_ Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ � tion department. Multi-family Sq. Ft. 'NEAREST ` Residential Swimming Pools CROSS S Date Applicant OWNER O / Sw. FIRM NAME Outlets: RecLight CERTIFICATE OF EXEMPTION FROM WORKERS' / ,AIL p COMPENSATION INSURANCE First 20 3 (This section need not be completed If the work involved by Total No. `S Additional Cl &4 Tel. N . the permit'is for.one hundred dollars($100)or less.) •1 certify that in the performance of the work for which this APPLICANT permit Is issued, I shall not employ any person in any manner so asLtbe;amebjto the Work. omperis 'on Laws. L hting Fixtures First 20 ADDRESS Total No. � Additional. CITY Tel. No. licant Fixed Appliances Not Over 1 HP PERMIT ,NOTICE TO APPLICANT: If, after m Ing this Certificate of /♦ APPLICANT Exemption, you should become subject to the Workers' Range_ Heate/—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 _Other_ CITY 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 BusinessDISTRICT NO: PROCES D BY and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances (J� Size&Type HP, KW, KVA, or KVAR' d d O License Number Lic. Class Up to 1 Incl. DATE I 4r Li � eh9� Over 1 to 10 Incl. Q VALIDATION 09 Contractor Date Over 10 to 50 Incl. 0 ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY ��. Ku B.&P.C. for this reason Over 100 � Date: Services, Swbd., MCC&Panelboards ► 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V ❑ Exemption for Reg. Maint. Elect. L'.7 F 2,4 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ° ° °.° ° 2 1 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 g C ° ° 1 7.C C Professions Code): , c:° ° 7 r - J ❑ I, as owner of the property, will do the work and the IMisc. Conduits&Conductors structure is not intended or offered for sale (Section ,Other(See Complete Fee Schedule)_ ► r LI_F 3 7044, Business and Professions Code). 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 PERMIT FEE. (Sub-Total) (Sec. 3097,Civ. C.)b PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE m Lender's Address I certify that I have read,this application and state that.the TOTAL FEE �.j0 6 above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represe tives of this County to enter upon - the a ve- tioned ro erty for ins ection p os SEE REVERSE FOR EXPLANATORY LANGUAGE d Si natur o ittee Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103100001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I 1BK: 6 PG: 38 PC: 2 I 1 5941 RENO AV [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801529 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA [ 15384-018-045 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 37.00 OUT 61.80 (TENANT: 1G2 LIGHTING FIXTURES 9.00 LGT 17.50 (ISSUED ON: PROCESSED BY: PLAN BY: I I 1H2 RES GRBG DISP IT 3HP 1.00 DIS 10.90 103/10/11 SR I I JH3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 1 I (OWNER: TEL. N0: 1H4 RES RANGE HDS LT 3HP 1.00 HOO 10.90 1 NAL DATA FI BY: CODE: 1 ILAMB WILLIAM E (626) 287-8336- TOTAL FEES 139.8015941 I O AV 0 ITEMP 917801529 jDE!SdRfPTIOk OF WORK I I I (ELECTRICAL FOR REMODEL KI HEN & SERVICE I (APPLICANT: TEL. NO: I I I IOWENS, RON (626) 285-7725- I I I 15924 N. RENO AVE. I ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IOWENS, RON (626) 285-7725- I 1 I 15924 RENO AVENUE LIC. NO I ITEMPORARY POWER POLE I I I ITEMPLE CITY CA 91780 276346 B I I I I I (UNDERGROUND CONDUIT [ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I 1 LIC. NO: [ [ROUGH CONDUIT I I I I IROUGH WIRING I I I I I (MAIN WATER LINE I I [ [ I IPLASTIC YIN METAL YIN I I [ I (UTILITY COMPANY NOTIFIE51 I [ I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 [ I ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1109200056 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ] 1BK: 6 PG: 38 PC: 2 1 5941 RENO AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801529 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15384-018-045 IAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.70 1 I ITENANT: 1G2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: 1 ] I TOTAL FEES 41.40 109/20/11 SR 1 OWNER: TEL. NO: IIF DATE FINAL CODE: ILAMB WILLIAM E (626) 287-8336- 15941 RENO AV 1 ITEMP 917801529 1 IDESCRIPTION OF WORK I I ]ELECTRICAL FOR REMODEL EXISTING BATHROOM AND BEDROOM 1 (APPLICANT: TEL. NO: 1 I 1EDGLEY & SONS (626) 818-9385- 1 I 14847 KAUFFMAN AVE 1 SPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 1 ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1 IEDGLEY AND SONS (626) 818-9385- 1 1 [ 14847 KAUFFMAN AVENUE LIC. NO [ ]TEMPORARY POWER POLE [ ITEMPLE CITY, CA 91780 528990 B ] [ ] I I ] UNDERGROUND CONDUIT I I ] [ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 ] 1 LIC. NO: I IROUGH CONDUIT I I 1I I ROUGH WIRING T I [ IMAIN WATER LINE liwi I ] I ]PLASTIC Y/N METAL Y/N I I I I ] ]UTILITY COMPANY NOTIFIED( I I I I ] I I I ] I I I ] I I I I I I I I I I I I ] IREPORT ID: DPR265 ROUTE TO: BS0508 ] I I ] I I ] I ] ] r ,COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1301230019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I IBK: 6 PG: 38 PC: 2 I 1 5941 RENO AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801529 1 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: HERMOSA 15384-018-045 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 16.00 I ITENANT: IG2 LIGHTING FIXTURES 5.00 LGT 10.00 ISSUED ON: PROCESSED BY: PLAN BY: I� ELEC HEATERS +3-10HP 1.00 HEA 19.70 101/23/13 SR TOTAL FEES 73.50 I [ [OWNER: TEL. NO: 1 1F FINAL CODE: [LAME WILLIAM E (626) 287-8336- [ [ 15941 RENO AV [ I I ITEMP 917801529 1 IDE23CRIPTION OF WORK 1 [ I 18 OUTLETS, 5 LIGHT FIXTURES AND ELECTRIC HEATER 1 [APPLICANT: TEL. NO: 1 I I IEDGLEY, BOB M (626) 818-9385- [ [ I 14847 KAUFFMAN AVE 1 SPECIAL CONDITIONS: 1 TEMPLE CITY CA 91780 1 1 I [CONTRACTOR: TEL. N0: I [APPROVALS DATE INSPECTOR SIGNATURE 1 1EDGLEY AND SONS (626) 818-9385- 1 1 14847 KAUFFMAN AVENUE LIC. NO I ITEMPORARY POWER POLE I 1 ITEMPLE CITY CA 91780 528990 1 I I I I [UNDERGROUND CONDUIT [ I I [ARCHITECT OR ENGINEER: TEL. NO: [ IUFER GROUND I 1 1 LIC. NO: 1 [ROUGH CONDUIT I I I I I IROUGH WIRING I I I I IMAIN WATER LINE I I [PLASTIC YIN METAL YIN 1 I [ [UTILITY COMPANY NOTIFIED[ [ I I 1 1 11 1 1 1 1 1 I I I [ [ I I I I I I I I I I I I I I I I [ I I 1 i i I I 1• ADDITIONAL DATA ON FILE I [ [ 1 I I [ [ I 1 [REPORT ID: DPR265 ROUTE TO: BS0508 [ I 1 I I I I I I * COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1303220005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: IBK: 6 PG: 38 PC: 25941 RENO AV 1 FES DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801529 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA 5384-018-045 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 TENANT: TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY: 1 103/22/13 SR 1 OWNER: TEL. NO: FF/DATE FINAL: CODE: 1594WILLIAM 8 (626) 287-8336- ^�� 59411 RENO AV � TEMP 917801529 IDE11CRIPTION OF WORK 11 1 (ELECTRICAL PANEL UPGRADE/CHANGEOUT FROM 100 AMP TO 200 AMP 1 APPLICANT: TEL. NO: EDGLEY, BOB M (626) 818-9385- 14847 KAUFFMAN AVE ISPECIAL CONDITIONS: 1TEMPLE CITY CA 91780 1 I 1 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE JEDGLEY AND SONS (626) 818-9385- 14847 KAUFFMAN AVENUE LIC. NO ITEMPORARY POWER POLE TEMPLE CITY CA 91780 528990 1UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND 1 1- LIC. NO: IROUGH CONDUIT I` ROUGH WIRING i 1 (MAIN WATER LINE (PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED i 1 1 1* ADDITIONAL DATA ON FILE (REPORT ID: DPR265 ROUTE TO: BS0508 I I I 1 ■ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304300042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: I BK: 6 PG: 38 PC: 2 I 1 5941 RENO AV I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801529 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA 15384-018-045 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 16.00 OUT 32.00 I I TENANT: IG2 LIGHTING FIXTURES 5.00 LGT 10.00 IISSUED ON: PROCESSED BY: PLAN BY: I TOTAL FEES 69.80 104/30/13 SR (TOWNER: TEL. NO: I [FINAL DATE FI CODE: I LAMB WILLIAM E (626) 287-8336- [ 17 I 15941 RENO AV [ I�7�4 I TEMP 917801529 I IDE CRIPTION OF WORK [ 116 OUTLETS AND 5 LIGHT FIXTURES [ ITAPPLICANT: TEL. NO: ] [ I EDGLEY, BOB M (626) 818-9385- I I I 14847 KAUFFMAN AVE ]SPECIAL CONDITIONS: I ]TEMPLE CITY CA 91780 [ I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IEDGLEY AND SONS (626) 818-9385- I I 14847 KAUFFMAN AVENUE LIC. NO I TEMPORARY POWER POLE I ] [ ITEMPLE CITY CA 91780 528990 * 1 I [ I UNDERGROUND CONDUIT [ I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 [ I LIC. NO: 1 IROUGH CONDUIT [ [ ] 1 IROUGH WIRING I MAIN WATER LINE I I I ] [PLASTIC YIN METAL YIN I ] (UTILITY COMPANY NOTIFIED] I I I I I I I I I I I ] I I I I I I I I I I I I I [ I* ADDITIONAL DATA ON FILE I I I I I I I I I I ] IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I I w COUNTYaOF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1406190024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: IBK: 6 PG: 38 PC: 2 5941 RENO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801529 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA 5384-018-045 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CA IG1 OUTLETS-LGT,SW,RECP 22.00 OUT 41.70 (TENANT: i TOTAL FEES 69.50 (ISSUED ON: PROCESSED BY: PLAN BY: 06/19/14 SR OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE: LAMB WILLIAM E (626) 287-8336- 15941 RENO AV I .� TEMP 917801529 DRSCRIPTION UF WORK IRE-WIRE 22 OUTLETS APPLICANT: TEL. N0: 1EDGLEY, BOB M (626) 818-9385- 4847 KAUFFMAN AVE ISPECIAL CONDITIONS: 1TEMPLE CITY CA 91780 1 I 1 CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE JEDGLEY AND SONS (626) 818-9385- 1 1 4847 KAUFFMAN AVENUE LIC. NO ITEMPORARY POWER POLE TEMPLE CITY CA 91780 528990 1 1 1 (UNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND LIC. NO: IROUGH CONDUIT 1 1 (ROUGH WIRING MAIN WATER LINE It F PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508