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Home My Public Portal About5742 ROWLAND AVE_Electrical__ WORKERS'COMPENSATIONDECLARATION ICE$osG (2.80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of c'onseni to"self l• `" --COUNTY OF LOS ANGELES �/ e BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or i i a certified copy thereof(Sec.3800,—Laab..C.) FOR APPLICANT TO FILL IN JOB Policy NdTmpany�l_L'cTl=� �L� New Residential Bldgs.&PoolsEACH NO. FEE ADDRESS q� Z Certified copy is.hereby furnished. 1 &2-Family,Sq. Ft. $ Is LOCALITY _ G Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS.ST M 74 department. Residential Swimmind Pools OWNER OR VA U.4 Date l- Applicant a -. N9 4 , FIRMNAME , Outlets: X Light Sw.— MAIL CERTIFICATE OF EXEMPTION FROM WORKERS' First 20 ADDRESS S 2 COMPENSATION INSURANCE Total No. •A� Additional J Q M CITY IN o. Tea PLAN CHEC O (This section need not be completed if the work involved ��APPLICANT GOt.1� V by the. permit is for one hundred dollars ($1:00) or less.) Lighting Fixtures First 20 ` ADDRESS Additional I 19E. FUb U LL Total No. 3� O I•certify'that in the performance of the work for which this CITY Tel No. 0 ermit'is issued I shall not employ an Fixed Appliances Not Over 1 HP L1�Y,�tiA '� 'F� p p y y person in any manner PERMIT W so as to become subject to the.Workers'Compensation Laws. Range_Heater-.::,D.W. APPLICANT. Oven L_ DryerJ'_iW.M. _ ADDRESS -, U) Date Applicant Top FAU W.H.._I_ r Hood Fan Other_ CITY Tel No - NOTICE TO APPLICANT: If, after making.this Certificate of Disp. Room Air Cond._ LICENSE OR 7 Exemption, you should become subject to the Workers' REG.NUMBER _2iV Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCE SED BY with .comply with such provisions or this permit shall be. Size&Type-HP,KW,KVA,of KVAR deemed revoked. ' Up to 1 Incl. v Over 1 to 10 Incl. FINALDATE ry LICENSED CONTRACTORS DECLARATION Over,10 to 50 Incl; ! ( / ~VALIDATION I.hereby affirm that I am licensed under provisions of Chapter I /Over 50 to 100 Inc. FINAL [' 9 (commencing with Section'7000)of Division 3 of the Busi- I Over 100 BY ness and Professions.Code, and my license is in full force and effect: ) Services License Number-3 ,,..�,, 1�5+5� c.Class 0-200 Amp.Under 600 V � r 201-1000 Amp.Under-600 V Contractor -C ate ,-A71"V7 Over 1000 Amp.or Over 600 V b -A 0 ; HOME OWNER-BUILD DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One.Branch Circuit 990, 1 A License Law for the following reason (Section 9031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): 1 ;' 0 0 0 0 0 2 Misc.Conduits&Conductors ElI, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— ?'o 0,6 g 0 n structure is not intended or offered for sale. (Section 7044,Business and Professions C.ode)• i a '0 0 CONSTRUCTION LENDING AGENCY ' I hereby affirm that there ,is a construction lending agency 0 2. 1 7—E,3 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3697,-Civ.C.). Lender's Name PLAN CHECKING FEE 4Atn�e�FeOn�rlh Permit Fee) Lender's Address PERMIT ISSUING FtE I certify that I have read this application and state that the TOTAL FEE Q 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 inspection.purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date 16A663-CE80612-65 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENTUIL NG AND SAFETY DIVISION ADD ~'7Y2 i O� 4,31 d B1f G JOHN A. LAMBIE, COUNTY ENGINEER �' .O r COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY a /` e( C,. NEAREST FOR APPLICANT TO FILL IN CROSS ST. o >7_) G" 3 RECEPT. TOTAL NO. EACH 'FEE ,1 ry- r OUTLETS FIRST 20 $.20 S OWNER e >7�' -e-if `7 SJr LIGHT MAIL SWITCHADD'L 10 ADDRESS )77.7 OVER 20 TOTAL FIRST 20 .20 CITY v CF 77'� TEL.NO. LIGHTING FIXTURES FIXTURES ADO'L10 CONTRACTOR lid! A7 � OVER 20 RANGES DRYERS WTR.HTRS. 1.00 bal ADDRESS tS 4z ve GARB.DISP. STA.COOK �f 42 CITY >-)`'1 TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA. APPL. .$O LICENSE NO. MOTORS: OVER NOT OVER H.P. DIS ICT O. I GR UP ZcwE PR ED BY O 1 1.00 oJ! Q 1 3 1.50 INSPECT ON RECORD O 3 8 2.00 , V 8 15 .2.50 1S so 3.00 �Y G W so 100 5.00 D' <O Z SIGNS: NO.TRANS. , NO.LAMPS SERVICE 0.600V-NoT OVER 200A 1.00 Ql? SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 aC SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'BSIGNATURC TOTAL FEE S ,00 ot_ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSEAS WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,yy ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT-1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE ABOVE ESCRIBED REBID NT 'L PROP RTY. SIGNATURE a UTILITY CO.NOTIFIED .� OF PERM ITTE FINAL VALIDAT! JOSEPH eROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER 2 6 9 4 b JUN 10 2 D 4-r0 O Ncc B DB •SA BS-BA S•BS APPLICATION FOR ELECTRIC PERMIT 1 DIVISION OF BUMDING AND SAFMY Deportment of County Engineer _' County of Los Angeles ADDEIss 7 &IfOe-MAA3 WM.J.FOX.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. a b LIGHT NUMBER EACH FEE OWNER .OUTLETS ' RECEPTACLES MAIL ADDRESS I� WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY TEL.NO. ELEC.RANGES 2S ELECTRICIAN _ELEC.HEATERS 25 ADDRESS y KW EA CITY TEL.NO. FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRI9.X.NO. I GRTOUPQNE J READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS .( Ae�/1 JvJI� MOTORS a NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER I INC. EACH &LESS $ .25 Y2 2 .50 2 5 1.00 5 15 1.50 15 59 2.50 50 1 200 5.00 MISC. ✓4 V > -1ZV16 SEE D/4?--) twc- oA• NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING 51.00 FIXTURES $1.00 ' SUPPLEMENTARY 50 APPROVALS TOTAL FEE S I�e� ti DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING `a a , • - —• k ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE .OF CALIFORNIA OR THAT I AM THE LEGAL QWNER OF THE ABOVE POWER ' DESCRIBED RESIDENTI L 0 ERTY. , I SIGNATURE ' UTILITY CO.NOTIFIED OF PERMITTEE FINAL kr M WILLIAM J.FOX.COUNTY ENGimrMR VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR e ' JrP SA663-=80 io 1. UCATI N FOR ELECTRIC PERMIT 'COUNjMTY.OF LOS ANGELES 20 DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION [ADDRE59,.!279Z =,Oz JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PF=T FUS CROSS ST. ITEM NUMBER I EACH FEE OWNER OUTLET S S ` MAIL LIGHTS RECEPT. 9W. .1O ADDRESS LIGHTING FIXTURES f0 169 CITY ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS a� ELEC.SPACE HTRS. DISHWASHERS CITY e TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS:\ OVER INC. H.P. DIST CT NO. I GROUP I ZONE P OCESSED .Y 0— I/2 .25 d y2— 2 .50 INSPECTION RECORD 2— 5 1.00 5.— 15 1.50 i5— 50 2.50 50—200 5:00 SIGNS: NO.TRANS. /' '7 �) /!/1 NO..LAMPS 11h�f i r, I RPA 7 2l AC, SERVICEO-600V 1.00 -rte �fA. n �; � 6 in-MeL SERVICE OVER SOOV 5.00 MISC. ,WIRING PERMIT 1.00 ". i :I I�+J� �� t �'�� c'�fr •"/IT FIXTURE PERMIT 1.00 9"1--pJAL �� SUPPLEMENTARY PERMIT 50 TOTAL FEE S 1 HEREBY .ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING - l7-/.•t ,J'� �'.tf.��j�` I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL G L ®P VAUDATI N-b ARTHUR C.VEIT, CK MO BH SUPERVISING ELECTRICAL ENGINEER LAC 3 3 2 51clol JUL 8 2D 2.8 0 PLE CH L1 V Y APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 7V2 o yy -ne1 ;.,@ BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER ° WILLIAM A.JENSEN. SUP•TOF BUILDING LOCALITY CDmpST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER >7 9'7 enl-/4 3: ITEM NUMBER EACH FEE MAIL �7 OUTLETS: $ $ ADDRESS LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES .10 CITY TEL NO ELEC.RANGES CLA.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO.- STATE LICENSE NO. WASHERS STA.COOKING UNITS .28 MOTORS: OVER INC. H.P. DISTR T G�OUP Z E P SED BY. 0 — %a .28 — z .50 INSPECTION RECORD 2 — 8 1.00 9:7 c. -v O a — 18 1.80 �LF9� w+a�. C` o I U 1s so 2.50 ad v O 50 — 200 8.00 NO TRANS. 0. i SIGNS: N NO.LAMPS Z SERVICE 0.600V 1.00 t, SERVICE OVER 600V 5.00 4 MISC. r WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT s0 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE Imsp IJW SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING {.. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED % OF PERMITTE, TINA lG VALIDAT ARTHUR C.VEIT. CK MO cash SUPERVISING ELECTRICAL ENGINEER LlCo l 4. 6 51-2 AUG 14 2 0 1 .5 u ••s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9805190001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES—PAID BUILDING ADDRESS: TR: 6561 LT: 396 5742 ROWLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802616 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-034-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 32.00 OUT 55.20 TENANT: G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON: H7 RES EXHAUST FANS 1,00 EX 10.80 06/03/98 UT 06/03/99 LB 200 AMP PANELS, MCC 1.00 PAN 38.85 OWNER: TEL. NO: TOTAL FEES 152.10 FINALAT FINAL BY: CODE: MORGAN GREGG D;BRENDA K - 5742 ROWLAND AV I �� YZ , TEMP 917802616 DESCRIPT ON OF WUKF. ELECTRICAL FOR GUEST HOUSE AND ADDITION TO EXIST HOUSE APPLICANT: TEL. O: SAME AS OWNER - --_ - - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - -` LIC. NO �' TEMPORARY POWER POLE - UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: L. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH IR NG MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED r REPORT ID: DPR265 ROUTE TO: BS0508 i