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Home My Public Portal About4909 ROBINHOOD AVE_Electrical__ IIAS63-CESOB_e-5, APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING O BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUP'T OF BUILDING LOCALITY Temple City.Calif . NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERNQT FEES ITEM HUMZ39RI EACH FEE OWNER Kenneth F. Willi OUTLETS:' S S MAIL LIGHTS RECEPT. SW. .10 ADDRESS 4q94 Robixibood Ave LIGHTING FIXTURES .10 CITY TEL.NO.GI 4-5243- ELEC.RANGES CLO.DRYERS ELECTRICIAN Bevens Elec CO WATER HEATERS •130 ADDRESS 5043 N. Earle S ELEC.SPACE HTRS. DISHWASHERS - - GARBAGE'DISPOSERS AUTO.- CITY RniqAmApd TEL.NO. AT A- WASHERS STA.COOKING UNITS .25 STATE LICENSELICENSE NO. 85047 MOTORS: OVER INC. H.P. 0— 1/z 2S DISTRIC NO. GROUP ZONE READY FOR INSPECTION 1/2— 2 .50 P��.2 — s 1.00 r y,-,,*lNSPECTION RECOBD a . 1s r.50 is — s0 2.50 !'• /'.•/>> ,-� �'i� rri+Yt 1�f/./�� a SO— 200 5.00 SIGNS: NO.TRANS. ' NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .SO TOTAL FEE g APPROV= I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE. INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / - / / ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDE AL ROPERTY. /1 SIGNATURE J (,4/ UTILITY CO.NOTIFIED t v 4" / OF PERMITTE FINAL ��, -'__ " ' AgMATION ARTHUR C.VE1T� , CK SUPERYI8II1I3 'i OCTRICAL E1N<i1NEER MO CASH 4 7 1 u, SEP 12 2 A 2.20 19 7SAm-CE6G6_n-W APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS IMTGELES - DEPARMM OF COUNTY ENGINEER BUILDING /� �C B�UjZD�ING AND SAFETY p DIVISION ADDRESS ' Q7 CA A17 D. G"IV IPFIN.SIIp"t f LOCALITY , NEAREST FOR APPPT TSS ILL IN cRoss ST. ' r� /� r1•' ITEM NUMBER EACH npals OWNER /Y'�,.,, /,d,'r ��%.�•/.s* -°•,._ •a OUTLET tL $ $ MAIL ~ LIGHTS RECEPT. 7 . .i0 ADDRESS. 1 r 43 LIGHTING FIXTURES n .10 CITY TEL.NO. �v ELEC.RANGES 'CLO.DRYERS ELECTRICIAN WATER HEATERS so. ADDRESS ELEM SPACE HTRS. DISHWASHERS / GARBAGE DISPOSERS AUTO.- CITY TEL.NO&r (O WASHERS STA.COOKING UNITS J .25 STATES-[[///, q- LICENSE NO. T MOTORS: WR INC. H.P. 1 IS WT NO. I GRO P Z RBADY FOR INSPECTION .25 1/2 — 2 .50 II�TSPECTION RECORD 2 — 5 1.00 _ � 5 — IS 1.50 lr cr ,fie r� r�<�r� , .�t�4 is — 50 2.50 BO— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-000V 1.00 o O SERVICE OVER GOOV 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 0 SUPPLEMENTARY PERMIT ,50 TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICA•ON DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING p �' ELECTRICAL WIRING. WIRING �, °!✓ �+ -1-i 4E n,,,,�`� i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR f LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM T}LE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL/PfOPERTY. , POWER fa SOF ATUREPERM TE V Vf /J /1 UTILITY CO.NOTIFIED '� 1 8 FJ� t,U-- FINAL I Itl VALLA ARTHUR C.VEIT. - CK MO CASH ' SUPERVISING.XLECTRiCALENCIINEER . �I� 5 3 7 7 w OCT 1 2 A 13.9 5 11 WORKER'S COMPENSATION DECLARATION ,y 20-0018 DPW(12-91) .APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self 76A883 insure, ' or a certificate 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.) Policy No. Company FOR APPLICANT TO FILL IN JOB ami ADDRESS 1� ❑' Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ •Certified copy is filed with the county building inspection 1&2-Family,Sq.R. _ $ $ department. Multi-family Sq.Ft. NEARESTCROSS ST. Lid., -Lame ftag�e Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' oY11NER oR COMPENSATION INSURANCE Outlets:Rec._Light Sw. RM NAM First 20 MAIL (This section need not be completed If the work Involved by the Total No. Additional t' ADDR I1. permit is for one hundred dollars(S100)or less.) ' I certify that in the performance of the work for which this permit ' CITY Tel..No. Is issued, I shall not employ any person In any manner so as to become subject to the Workers'Compnsation Laws. Lighting Fixtures First 20 gPpLICANTK Total No. Additional r ADDRESS Date App, RESIDENTIAL APPLIANCES NOT OVER 3.HP, NOTICE T APRLICANT: If, after making this Certificate of CITY - -Tel.No. Exemption,you.should become subject 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 LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 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. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. Over 50 to 100 Incl. LICENSE Class. REO.NUMBB ER 0. O r.101) DISTRICT NO. �� P�p BY V License Number Lic.Class R ry as, d.,MCC&Panelboards Contractor Date 0-399 Amp.Under 600�l FINAL 0 DATE F, 400-1000 Amp.Under 8�0 V ?— �j I am exempt under Sec. Over 1000 Amp,or Over 800 V FINAL ~ VALIDATION 0 B..&P.C.for this reason BRANCH CIRCUIT FEES BY 1;5A,or 20A,120V,Lighting or Ricept. 2ZZ. Date: 9 9 P 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Cr More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits d SINGLE FAMILY Temp.Power Pole&Appurtenances (ivj°s :,.... ... . HOME OWNER=BUILDER DECLARATION Sign with One Branch Circuit .r I hereby affirm that lam exempt from the Contractor's License La g ] } for the following reason (Section 7031.5, Business and Profession Additional Sign Branch Circuits Code i MM I,as owner of the.property,will do the work and the structur Misc.Conduits&Conductors TOTAL 61.65 is not intended or offered for sale(Section 7044, Busines r Jke onnpjgte F.Joe Schedule). and Professions Code). CHECK 61.°p5 CONSTRUCTION LENDING AGENCY CHANGE .00 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 0,000-0001 5/ U93 Lender's NameG 3°' PERMIT ISSUING FEE ° Lender's Address , . I certify that 1 have read this application and under penalty of purjury state 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 representatives of this County to enter upon the above-mentioned property for 154pection purpps SEE REVERSE FOR EXPLANATORY LANGUAGE ATURE OF PERM E - DATE ' - I WORKE OPENATON TIN 20-0019 I hereby affirm that I'ha eMa cerrttif clate of coonsee tOtOto self insure, 76AGea DPW(12-9t) APPLICATION FOR ELECTRICAL PERMIT L1 or a certificate 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.) Policy No. Company �v FOR APPLICANT TO FILL'IN JOBAf ADDRESS Q NO. EACH FEE ,❑ Certified copy is hereby furnished. J,* New Residential Bldgs.&Pools _ LOCALITY �(J ertified copy is filed with the co building,insp tion 1&2-Family,Sq.Ft. _ $ $ NEAREST �Il partm nt. Multi-family Sq.Ft. CROSS ST. Da Applic Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CE TIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. OWNER RM NAME COMPENSATION INSURANCE First 20 MAIL (This section need not be completed if the work Involved by the Total No. Additional' ADDREss permit is for one hundred dollars($100)or less.)' I certify that in the performarice of the work for which this permit CITY f Tel.No a Is issued, I shall not employ any person In any mann.ei so-as to PLAN CHECK become.subject to the,Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE..TO APPLICANT: If, after making this Certificate of CITY Tel.No Exemption,you should become subject to the Workers'Compensation •OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such �RMIT provisions of this permit shall•be'deemed revoked. Power Apparatus&Large Appliances ` LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm.that 1 am licensed under provisions of Chapter 9 Over to 1.0 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in.full force and effect. Over to to 50 Incl. LICENSE OR Class. d Over 50 to 100 Incl. REG.NUMB �L 11 Over 100 DISTRICT NO. SSED BY 0 License Num JoG 111 .Lic.Class �f O Services,-Swbd.,MCC&Panelboards 0ov 0-399 Am Under 600 V FINAL O Contractor Date. p' DATE n ❑ 400-1000 Amp.Under 800 V "�� VALIDATION I am exempt under Sec. V Over 1000 Amp.or Over 600 V FINAL U.I B.&P.C.for this reasonBRANCH CIRCUIT FEES BY U) Date: 15A,.or 20A,12OV,Lighting or Recept. Z_ 1 To 10 Branch Circuits Signature i 1 To 40 Branch Circuits ❑ 41 Or More Branch Circuits YY Exemption for Reg.Maint.Elect. 1.5A,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 -7, t C for the following reason (Section 7031.5,.Business and Professions . Additional Sign Branch Circuits =='0 42.4 Code): ❑ Misc.Conduits&Conductors .,. ' I,as owner of the property,will do the work and the structure i "�+ is not intended or offered for safe(Section 7044, Business Other(See Complete Fee Schedule) TOTAL ` 2 e 45 and Professions Code). {;HECK -'rs.45 CONSTRUCTION LENDING AGENCY C('ANIGE o:.�0 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 001130�00001 V28, 9}�• Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL.FEE y • that the information Is correct. I agree to comply with all County ordinan sa d State laws regulating Electrical wiring;and hereby authorize repress ta' s f his Cou y toe on the above-ment' ned pro erty for ins Ion o SEE REVERSE FOR EXPLANATORY LANGUAGE R SIGNATURE OF PERMITTEE ATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307090074 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: [LEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 19043 IT: 5 [ I 4909 ROBINHOOD AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917804031 [ [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18585-009-009 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 I I ITENANT: IG2 LIGHTING FIXTURES 3.00 LGT 6.00 (ISSUED ON: PROCESSED BY: PLAN BY: I TOTAL FEES 39.80 107/09/13 SR [ (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: [ IPANG KING CHUEN;HO SUSANA KIT-CHING (626) 454-1683- I 1 Ind I 14909 ROBINHOOD AV 1 1 o 1 ITEMP 917804031 1 ID SCRIPTION OF WORK I 1 13 OUTLETS AND 3 LIGHT FIX S [APPLICANT: TEL. NO: [ I I ISAME AS OWNER - 1 I I I [ ISPECIAL CONDITIONS: 1 I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I LIC. NO I ITEMPORARY POWER POLE I I I I (UNDERGROUND CONDUIT [ I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I I LIC. NO: I IROUGH CONDUIT I I I I (ROUGH WIRING I IMAIN WATER LINE I I I IPLASTIC YIN METAL YIN I I I (UTILITY COMPANY NOTIFIEDI 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 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 1 I I I I I I I I I