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Home My Public Portal About5760 RIO HONDO AVE_Electrical__ 7GA663-CES061/70 APPLICATION FOR ELECTR CAL PERM LI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS 61 BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY / COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER P V,.= RECEPT._ AIL ADDRESS (W d ftp Io�,a® LIGHT TOTAL FIRST 20 .20 Cl TY V gD q��`O f}'A TEL. NO. SWITCH_ OVER 20 Ip PLAN CHECK LIGHTING TOTAL FIRST 20 2p APPLICANT FIXTURES OVER 20 .10 ADDRESS APPLIANCES CITY JTEL. NO.PERf IT RANGE DRYER_WTR. HTR. APPLICANT Ilf 0/1S�Ir`I�L LJ`t/L Ifr1 c STA. COOK DISP. F.A.U. ADDRESS el q#/,0 SPACE HTR. AIR COND. CITY TEL. NO. 5773 CLOTHES WASH. DISHWASH. LICENSE NO. ]„ 9 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 06!G 0 - 1 / LICENSED AS 1.00 REQUIRED BY LOS ANGELES. COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE A VE DESCRIBED R 5 L PROPERTY. Gtr �L 10 - 50 5.00 SIGNATUREOF PERMITTE e- U 50 - 100 10110 10[_WAMTNO. CLASS GROUP ZON PR EBBED BY O 100 - 500 15.00 � G G SIGN, GASSIGN AND ONE CIRCUIT 3.00 NOTES: DJ a TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP �� 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200 AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED r�; �^l� PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE .` 4,1,00 FINAL Is--.24P-7/ JOSEPH C. ROOHAN TOTAL FEE /T v D SUPERVISING EDel AL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION M.0. CASH �r7� ry q � 119' n SEE BACK GF APPLICATION FOR COMPLETE SCHEDULE �'RA' 4 '!+� 1C� ALG1 2 '� 7.0 Q'" cu �• WORKERS'COMPENSATION DECLARATION 76AW 1081 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certifild copy thereof(Sec. 3800, Lab. C.) 1 K: Policy No. 1 Company FOR APPLICANT TO FILL IN JQB A a2( Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS co CI Amwd ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ —Is-- LOCALITY a tion department. Multi-family Sq. Ft. — 'NEAREST Air Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets: Rec,� Light Sw. ADDRESS Q First 20 gD 15- d (This section need not be completed If the work involved by Total No.37 Additional CITY Tel. No. the permit is for one hundred dollars(:100)or less.) PLAN K I 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 as to become subject to the Workers'.Comp en sat' RLaws. ' Lighting Fixtures First 20 ADDRESS Total No. '� Additional CITY Tel. No. Date " pplicant Fixed Appliances Not Over 1 HP PERMIT �— NOTICE TO APPLICANT: If, after acing this C ificate of ' APPLICANT CG �LCi Exemption, you should become subject to tWorkers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven _Dryer —W.M.— ADDRESS Q� with comply with such provisions or this permit shall be Top _ FAU —W.H. — t deemed revoked. Hood Fan _Other— CITY �. ��G Tel. No 2 LICENSED CONTRACTORS DECLARATION LICENSE OR r I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _Room Air Cond. REG. NUMBER a 3 "711 Class- QZ43 (commencing With Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROBY and Professions Code,and m license is in.full force and effect. 5 c b C S D A Size&Type HP, KW, KVA, or KVAR' O License Number.�� +��f Lic.Class C— Up to 1 Incl. *FINAL Ili; • Over 1 to 10 Incl. DATE 99 Contractor"W 6k&°e.' lh C.Date (� U7C9 _611CVALID TION +- '' Over 1.0 to 50 Incl: FINAL V I am exempt under.Sec. Over 50 to 1.00 Inc. BY B.&P'.C. for this reason Over 100 #A .Date: Services, Swbd., MCC&Panelboards ► ff/ ` J4✓1. t 0 -200 Amp. Under.600 V Signatur 201 1000 Amp. Under 600 V ❑ Exemption for Reg. Main lett. Over 1000 Amp. or Over 600 V A201,5A SINGLE FAMILY Temp. Power Pole&Appurtenances ,HOME OWNER-BUILDER DECLARATION # o 'o o o 0 2 'Sign with One.Branch.Circuit I _ I hereby affirm that I am exempt from the'Contractor's License additional Sign Branch Circuits I o 0 4 8 7 5 Law for the following reason (Section 703.1.5, Business and Professions Code): 4 7 5 ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors o 0 0 structure is not intended or offered for sale (Section ., Other(See Complete Fee Schedule)— , 0!j1 0-85 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I here.y.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.). ! PLAN CHECKING FEE Lender's Name I 0 PERMIT ISSUING FEE Lenders Address I certify that I have read this application and,state that the d 'TOTAL FEE above information is correct. I agree to comply with all County ordinances and State law's regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the ab entio rproperty for inspection pu poses. SEE REVERSE FOR EXPLANATORY LANGUAGE S' n Pure. er ittee D to l j ` 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT ` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0903190021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 6561 IT: 761 UN: .002 5760 RIO HONDO AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802432 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-004-023 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I IJ7 0TH PWR APP +10-50HP 1.00 PWR 46.05 I I TENANT: IMl CONDUITS, CONDUCTORS 1.00 MIS 65.25 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 139.05 103/19/09 SR 09/15/09 OWNER: TEL. NO: 1FINAL DATE FINAL BY: CODE: 1MEHTA, YATRIK (714) 883-9944- 1 15760 RIO HONDO AV TEMP 917802432 (DESCRIPTION OF WORK [SOLAR P.V. SYSTEM ROOF MOUNTED SOLAR PANELS ONLY 1 APPLICANT: TEL. NO: 1ELECTRICARE INC. (951) 929-0929- 13174 W. FRUITVALE SPECIAL CONDITIONS: IHEMET, CA 92545 I I I CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1ELECTRICARE (951) 929-0929- 1 1 13174 W. FRUITVALE AVENUE LIC. NO [TEMPORARY POWER POLE II IHEMET CA 92545 778366 C10 1 11-1 1 I [UNDERGROUND CONDUIT I I ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND LIC. NO: I IROUGH CONDUIT I I (ROUGH WIRING I I MAIN WATER LINE (PLASTIC Y/N METAL Y/N I I I (UTILITY COMPANY NOTIFIED( I I I I I I I d(HRED IREPORT ID: DPR265 ROUTE TO: BS0508 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0309220033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL FEES PAID BUILDING ADDRESS: TR: 6561 LT: 761 UN: .002 5760 RIO HONDO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802432 ASSESSOR 0 O NEAREST CROSS STREET: WORKMAN 8587-004-023 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 9.00 OUT 17.55 T 02 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON--PROCESSEDB . H7 RES EXHAUST FANS 1.00 EX 10.95 09/22/03 JK 03/20/04 TOTAL FEES 60.15 OWNER: TEL. 0: FINAL DATE FINAL BY: CODE: MEHTA;YATRIK (626) 975-3249- 5760 RIO HONDO AV TEMP 917802432 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION APPLICANT: . NO: SAME AS OWNER - SPECIAL CONDITIONS: ALEJANDRO CUETO CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR S GNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: R GROUND CUETO, ALEJANDRO R (323) 788-1892- 3716 BECK AVE. LIC. NO: ROUGH CONDUIT BELL, CA 90201 NONE ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPAR NOTIFrED REPORT ID: DPR265 ROUTE TO: BS0508