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HomeMy Public PortalAbout6018 RENO AVE_Electrical__ 78A683-C= . APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS J BUILDING AND SAFETY DIVISION LOCALITY' FOR APPLICANT TO FILL IN CR0SSNEARENEARES T, Q�J Mwd��L/ U V•dC OUTLETS NO. EACH FEE 7 F N NAME, L RECEPT._ S $ ADDRESS LIGHT TOTAL FIRST 20 ,Zg OVER 20 CITY TEL. NO. 2-0�s SWITCH_ f0 PLAN CCK LIGHTING TOTAL FIRST 20 ,Zg APPLICA OVER 20 ADDRESS FIXTURES .f0 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT A STA. COOK DI SP.-.---F.A.U. ADDRESS SPACE HTR. AIR COND. CITY Oat& EL. NO. - CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER CLASS, 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 OR T AT 1 AM THE LEGAL OWNER OF THE ABOVE p„ 1 — 10 9.00 DESCRIBED RE ENTIAL PROPERTY. O C� 10 - 50 8.00 PERMITEE SIGNATURE. 0C • � � O _ v 50 - 100 10.00 DISTRICT N0� P ED BY pw 100 - 500 18.00 D Z c SIGN, GAS SIGN AND ONE CIRCUIT 8.00 APPROVALS DATE INSPEcTowsrsioNATuRE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 Jv UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 8.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED • UTILITY CO. NOTIFIED n FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.o. CA PERMIT VALIDATION eK. M.O. CASH r 22 2 0.0 0 ezic; SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION 78-883 rola' APPLICATION' FOR ELECTRICAL PERMIT • 77, herelZy affirm that I'fiave a c'e�rtificate of consent to self insure, CE-89eG •� br,Q certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS.ANGELES BUILDING AND SAFETY copy thereof(Sec.3600,Lab.C.) Pollcy No.•. Company FOR APPLICANT TO FILL IN JOB 'ADDRESS. /110011M R_ Vu Q Certified copy is h6%by furnished. New Residential Bldgs.&Pools EACH NO. FEE ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. � $ _ $ LOCALITY department. Multi-family Sq.Ft. NEAREST A M�� �/f/ `'��L�/�G�40 CROSS.ST. �/T Date. 0 6 Applicarit� � Residential Swimming Pools. OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAILCOMPENSATION INSURANCE Outlets:Rec Light Sw. /l ��• ,ADDRESS / �� (This section need not be completed If the work involved by the �7 First 20 VV A permit Is for one hundred dollars($100)or less.) Total No. Additional CITY V�� Tel.No. o I certify that in the performance of the work for which this permit P�CCANT K is issued, I shall not employ any persoh in any manner so,as to o become subject to the Workers`Compensation Laws. Lighting Fixtures First 20 ADDRESS d Total No., ' AdditionalCITY Tel..No. Date-213" Applicant fi T/J�/�a-CEJ , ut bjlCE TO APPLICANT: If; after making this Certificate of Fixed Appliances Not"Over 1 HP iPERMR , xemption,you should become'subject to the Workers'Compensation Range_ Heater D.W. APPLICANT ;'provisions of the Labor Code,you must forthwrith comply with such Oven Dryer_ W.M._ ADDRESS 1wrovisiahs or this'permit shall be deemed revoked. Top FAU _ W.H. _ , LICENSED CONTRACTORS DECLARATION CITY Tel.No. Hood _ Fan _ Other_ 'I hereby'affiFm that-I am licensed under,provisions of Chapter 9 Disp. Room Air Cond. LICENSE REGNUMBER Class. . (commencing with Section 7000)of Division 3 of the Business and ' Professions;,I% and my license is in full forte and effect. DISTRICT NO. PROCESSED Power Apparatus&.Large Appliances Size&Type HP,KW,KVA,or KVAR License Number Lim Class Up to 1 Inc[. FINAL. �+ .!� Over 1 to 16 Incl. DATE r 8 VA TION L1' G`ontraotor Date Over 10 to 50 Incl. O ' FIN 14 ❑ 1 am exempt under Sec. .Over 50 to 100 Inc. W B.&P.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboards Z Data. 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600'V ;29020A �• Over 1000 Amp.or Over 600 V ❑ Exemption for Reg.Maint.Elect. # 0 0 0 0'0 2 SINGLE FAMILY Temp.Power Pole&Appurtenances I o o 3 6 7 5 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I am exempt from:the Contractor's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits ° ° ° J.6 55 Code):. •Misc.Conduits&Conductors � 2_2 3—8$ • ❑ I,as owner of the property,will do the work and the structure is not intended or offered for sale.(Section 7044, Business ,Other(See Complete Fee Schedule) Poo. 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(Sec.3097, PERMIT FEE (Sufi-Total) Civ.C.). �t'�71.(�f cd ,WL � p�l/i:)`��(�jL. PLAN CHECKING FEE • Lender's Name � QPERMIT ISSUING FEE Lender's Address_ cYlk ffl 1.certify that I have read this application and.state that the-above TOTAL FEE. r information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring. and hereby authorise representatives of this County to enter upon the above-mentioned, P perty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE i' ignature o rmittee Date COUNTY OF LOS.ANGELES TEMPLE CITY # 0508 -ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9910140004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - - - PHONE: (626) 285-0488 EXT: LEGAL FEES PAI BUILDING ADDR S: TR: 5904 LT: 144 6018 RENO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801530 ASSESSOR OR T 0 NUMBER: NEAREST CROSS STREET: 5384-017-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS 'PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 22.00 OUT 41.70 TENANT: G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED 0PROCESSED N EXPIR TOTAL FEES 81.15 10/14/99 UT 04/1 00 . OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: MERCADO BENITO;DELIA (626) 962-6341- 6018 RENO AVJ - &Y - TEMP 917801530 DESCRIPTION OF WORIC ELECTRICAL FOR ROOM ADDITION APPLICANT: 0: SAME AS OWNER - SPECIAL CONDITIONS: i i P�GELES CO CONTRACTOR: TEL. NO: �O� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER-POLE ® UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: EL. 0: - / UFER GROUND LIC. N0: 1111111 ROUGH CONDUIT ROUGH G / �)U D LJC ��©Fo-Ra K S N ER LIlug PLASTIC Y/N METAL Y/N T C A UTI ED 13 El A ❑El Servos REPORT ID: DPR265 ROUTE TO: BS0508