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Home My Public Portal About5751 RIO HONDO AVE_Electrical__ 76A663-CES0611-62 APPLICATION FOR ELECTRIC L PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING S:Fo BUILDING AND SAFETY DIVISION ADDRESSivo47 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN I-CROBBST. RECEPT. TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 20 $.20 S D OWNER AIL d IN ADD'L 10 TOTAL LIGHTING FIRST 20 .20 ADDRESS SWITCH. OVER 20 CITY 1 T 6FEL.NO. 1476794 1 FIXTURES 1 ADD'L �O ELECTRICIAN OV R 2O' RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS .GARB.DISP. BTA.COOK CITY LC �EL.NO. C U DISHWASH. AUTO.-WASH. STATE r �j SPACE HTRS. BTA.APP.(V$H.P.MAX.) .50 LICENSE NO. !� MOTORS: OVER NOT OVER H.P. DISTRICT G P P!I! ED 0 1 1.00 Bp 1 3 1.50 INSPECTION f E ORD 3 8 2.60 b 8 is 2.50 1S so 3.00 a so 100 s.00 0 SIGNS: NO.TRANS. OC NO.LAMPS OR SERVICE.0.600V-NOT OVER 200A 1.00 tio UVJ a SERVICE 0.600V-OVER 200 A. 2.00 N SERVICE OVER 600V 5.00 ? MISC. PERMIT-ISSUING FEE 2.00. SUPPLEMENTARY PERMIT ISSUING FEE 11.00, TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE / INSPECTORyS SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT / WITH 'ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 91/1 fn f. ' V;!1, 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ROVE DESCRIBED RESIDENT L PRO ew". POWER 1 f! SIGNATURE UTILITY CO.NOTIFIED , 1 / 1 V > '�•"• C i OF PERMITTE6 FINAL ' LID ION ARTHUR C. VEIT L MO CASH SUPERVISING ELECTRICAL ENGINEER CK 3 5 'U v i i11'1 2 2 D 4.2 0 %AW ON TION 1 hereby affirm Othat I haveMa certificate of cone t to self insure, 20.0019 DPW(12-91)76A663 APPLICATION FOR ELECTRICAL PERMIT or a cSAlficate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) PoliJOB cy No, Company FOR APPLICANT TO FILL IN ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ Certified co Is filed with the count building inspection 1 &2-Family,Sq.Ft. _ $ $ PY Y 9• P NEAREST department. Multi-family Sq.Ft. CROSS ST. 4reQ4.1M-*&J Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OIfo Light Outlets:RL�QQ I—e OWNER OH / COMPENSATION INSURANCE Rec. / _Sw. FIRM NAME MP Amid Ire-A.;S First 20 'fo C-0 MAIL �/ (This section need not be completed If the work Involved by the Total No. S4' Additional •}� 0 ADDRESS 's/ j?%O WONA'& A permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY �C TelNo.ZW S� is issued, I shall not employ any person in any manner so as top PLAN CHECK at become subject to the Workers'Compens ' ws Lighting Fixtures First 20 'a APPLICANT �r Total No.: �Q- Additional ADDRESS Date-,�'Zp Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, afte eking this er I icate of CITY Tel.No. Exemption,you should become sub• ct to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT 1 LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS eP6 176 OfS Z GS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY �+ Tel.No.3�S ' Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSEOR ��9$ � Com,#0 d Over 50 t0 100 Incl. REG.NUMBER Class. License Number Lic.Class C_ Over 100 DISTRICT No. P SSED BY _ �- o Services,Sw d.,MCC&Pan (boar_ ds-1— �J�� Contractor?4 f 1F EC,//1 Z Date �''�- 7 �Un70 0 DATEO ❑ 400-1000 Amp.Under 600 V S'_/7 V VALIDATION I am exempt under Sec. FINAL d Over 1000 Amp.or Over 600 V B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. — 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 I hereby affirm that I am exempt from the Contractor's License Law g for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): -+==+! £:a 4t. ❑ a I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1' Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOTALs. "13F Z Ly0 and Professions Code). PON,- C _i aLG j i. CONSTRUCTION LENDING AGENCY __ I hereby affirm that there is a construction lending agency for the CHA�`G �L#J performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 1900 I_i)r01 _,/ 2"1"94 Lender's Name PERMIT ISSUING FEE 501,25 ! Ail 1;'_w Lender's Address I certify that I have'read this application and under penalty of purjury state I TOTAL FEE that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatt this County to a upon the above-mentioned property for ins Ion p os ♦ SEE REVERSE FOR EXPLANATORY LANGUAGE —9,e SIG;MMF PERMITTEE DATE w COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403150009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ID: FEES P ID -BUILDING DDR SS: TR: 6561 LT: 1 UN: .003 5751 RIO HONDO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802433 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN 8587-003-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PR S LAN BY: EX ES . TOTAL FEES 58.95 03/15/04 VG 09/11/04 OWNER: TEL. NO: FIAT FINAL BY: CODE: ANDREWS DANIEL P (626) 285-3651- 5751 RIO HONDO AV TEMP 917802433 DESCR PTION OF WORK ELECTRICAL FOR DINING ROOM EXTENSION APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY OWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER G OU O LIC. NO: ROUGH CONDUIT ROUGH WIRING ] _ MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0302210022 s BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL FEES PAID BUILDING TR: 6561• LT: 1 UN: .003 5751 RIO HONDOSAV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802433 ASSESSOR INFORMATION NEAREST CROSS STREET: WORKMAN 8587-003-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 5.00 BR 86.25 TENANT: G1 OUTLETS-LGT,SW,RECP 19.00 OUT 37.05 ISSUED ON: PROCESS50 L . G2 LIGHTING FIXTURES 9.00 LGT 17.55 02/21/03 JK 08/20/03 HA FAU LESS 3HP 1.00 FAU 10.95 OWNER: TEL. 0: H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 FIN DATE FINAL Y: CODE: ANDREWS DANIEL P (626) 285-3651- H7 RES EXHAUST FANS 1.00 EX 10.95 5751 RIO HONDO AV JB AC UNITS +3-10HP 1.00 AC 19.65 TEMP 917802433 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 DESCRIPTION 0 0 TOTAL FEES 259.95 ELECTRICAL FOR ADDITION P N . NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER UNDERGROUND CONDUIT ARCHITECT OR G 0: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING T IN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508