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Home My Public Portal About6037 ROWLAND AVE_Electrical__ v 75A66,3-CE&0.610/72 APPLICATI- ELECT I AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS 60 R0 land BUILDING AND SAFETY DIVISION LOCALITYTemple City NEAREST ` FOR APPLICANT TO FILL IN CROSS ST NO. . EACH FEE OTLETS 7 OWNER OR U. �f FIRM NAME qq �pn RECEPT.�_ $ ApDRESS6OJ7 Rowland LIGHT I TOTAL FIRST 20 ,25 �j E SWITCH �! OVER 20 10 r� 4 CITY j i City TEL.. NO.287 07 LJ PLAN CHECK LIGHTING 1 TOTAL FIRST 20 25 APPLICANT FIXTURES .10 )} OVER 20 ADDRESS _ RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT Ra r Electric Com • RANGE DRYER_WTR. HTR. APPLICANT p STA. COOK DISP. F.A.U. ADDRESS o• San Gabriel Blvd SPACE HTR. AIR GOND. CITY an Gabriel TEL.-N0.28/ S AA CLOTHES WASH. DISHWASH. LICENSE OR_ o REG. NUMBER CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVEIS 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 0 CALIFORNIA OR .1' 'AM THE LEGAL WNER OF THE OVE •.1 - 10 3.00 DESCRIBED R 1 EN AL PROPERTY. V PERMITEE ,�///� 10 - 50 5.00 SIGNATURE F�u4 O 50 - 100 10.00 �j DISTRICT N. PRQCES D BY W 100 - 500 15.00 V P ♦ N SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SIGNATURE TUBE,.OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE OV SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 W.IR.I;NG s TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED oe FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN.CHECK FEE A . PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M. CASH PERMIT VALIDATION cK. M.O. CASH 7 8 59SEP *5 . 20 9.2 5A98 SEE BACK OF APPLICATION FOR.COMPLETE SCHEDULE 76.0663-CEj06 10/7, APPLICATION 0 ELECTR CAL PERMIT Ct)UNTY OF LOS ANGELES ii DEPARTMENT ,.QQF COUNTY ENGINEER JOB' BUILDING AIVD.SAFETY DIVISION ADDRESS'' LOCA�LI TY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS. NO. EACH .F•EE - OWNER OR FIRM-NAME RECEPT-6— $ $ MALL:. LIGHT_ TOTAL: FIRST 20 ADDRESS ? CITY TEL. NO:e SWITCH-7- 1h_ OVER 20 PLAN'C CK .10' LIGHTING TOTAL FIRST 20 ZS, APPLICANT t^ C - OV.ER 20 ADDRESS FIXTURES 10, RESIDENTIAL APPLIANCES CITY TEL. N0. PERM.I'T - RANGE DRYER_WTR. 'HTR.- APPLICANT. �Q STA. COOK` DISP.. . F.A:U. ADDRESS 22 zezG SPACE HTR' X AIR GOND. CITY' TEL.'NO. 7 . CLOTHES WASH. DIS.HWASH. LICENSE 0 REG.iNUMBER 3. CLASS.0 FAN OTHER 1.00 / 1 HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION .AND STATE THAT THE A'B'OVE 'IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY -ORDINANCES AND STATE LAWS REGULATING IND. HEATERS., ETC. HP. KW: KVA. ELECTRICAL WIR INH.. SIZE:IN TYPE OVER TO _ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ' 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.-OF CALIFORNIA OR THAT I' AM THE LEGAL OWNER OF THE. ABOVE 1 - 10' 3.00 DESCRIBED RESIDENTIAL PROPERTY.. PERM:ITEE r�� 10 - 50 5:00 S-IGNATUR O 50 - 100 10.00 DISTRICT NO. ROC SED B a 100 — S00 .15.00 0 9 Z SIGN..GASSIGN AND ONE CIRCUIT 5.OD APPROVALS DATE INSPECTOWS'SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE, SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER SOOVOLTS OR:200AMP 10.00 ROUGH CONDUIT TEMP SERV.I•CE,POLE,&APPURTENANCES 5.00 WIRING TEMP L.IGHT OR RECEPT.'SYSTEM 3.00 FIXTURES POWER.AUTHORIZED' UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES:. PLAN CHECK FEE PERMIT ISSUING FEE &00 TOTAL FEE PLAN CHECK VALIDATION cic.' M.O. CASH PERMIT VALIDATION CK. M:0. CASH 4 9 9 k-1 ;�J� 2 p .SEE BACK OF APPLICATION FOR.COMPLETE SCHEDULE „ WORKER'S COMPENSATION DECLARATION 2�B83 DPW(12-91) l I I hpno.-atrlf'ti that I have a certificate of consent to self Insure. APPLICATION FOR ELECTRICAL PERMIT u or 1 certificate of WoOker's Compensation Insdrance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy tber r(lgac.3800 Lab.C.) w r, FOR APPLICANT TO FILL IN JOB 0 Policy. Company ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&Paols NO. EACH FEE LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ $ $ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR .�re COMPENSATION INSURANCE Outlets:Rec. Light Sw. . �� FIRM NAME First 20 MAIL / (This section need not be completed If the work Involved by the Total No. Additional ADDRESS SPO permit Ip for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY �el.No. is issued. I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 W,3APPLICANT Total No._13 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 PERMIT J provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT St LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS 6o:L7 I hereby affirm that I am licensed under provisions of Chapter 9 Over to 10 Incl. , (commencing with Section 7000)of Division 3 of the Business and CITY TO N Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICEOR Over 50 to 100 Incl. REGNSE NUMBER Class. d Over 100 DISTRICT NO. PCO O�SSSE�D BY V License Number Lic.Class Services,Swbd.,MCC&Panelboards FINAL � Contractor Date40 399 Amp:Under 600 V DATE 0 400-1000 Amp.Under 600 V ❑ VALIDATION V I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL LU B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Data. 15A;or 20A 4PV,Lighting or Recept. z �6fCeNN 1 To 10 Branch Circuits / Signature 11 To 40 Branch Circuits r_141 Or More Branch Circuits � Exemption for Reg.Maint:Elect. 15A,20A,208V To 277V Lighting Br.Circuits r' SINGLE FAMILY Temp.Power Pole&Appurtenances g HOME OWNER-BUILDER DECLARATION AC 7 e a I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit M^ 1 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits -.261133 j=it■ 1. Code): ITEM 41 ITEM Misc.Conduits&Conductors _ I,as owner of the property,will do the work and the structure ..-�z; is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) )_f;ISL �--o 8 a 40 and Professions Code). Poo. Ag„ S -r. CONSTRUCTION LENDING.AGENCY CHANGE .130I 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 (�L(f[t— iJ[11 �f s11 Lender's Name PERMIT ISSUING FEE ).308 r 9:25 Lender's Address I certify that I 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 h eby aut rize repro atives of this County to enter upon the above- tioned oparty ;fO ' s coon purpo SEE REVERSE FOR EXPLANATORY LANGUAGE I E ATE y% � nR ERS'COMPENSATIONDECLARATION 200019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O I'here,` n that I have a certificate of coifsent to self ��o6G ?isu,e rtificate of Work'grs'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or dt' d copy thereof(Sec. 3800, Lab. C.)' �} Policy NS.�__---Company FOR APPLICANT TO FILL IN JOB ADDRESS r/' . O Certified copy is hereby furnished. New Residential Bldgs. Po Is EACH NO. FEE Certified-copy is filed with the county building inspec- 1 &2-Family,Sq. Ft.� $ $ LOCALITY tion department. Multi-family Sq. Ft. -- NEAREST Residential Swimming Pools a CROSS Date Applicant O OWNER OR � FIRM NAME JVQ C.�/ •6 4d5-5, 44577M® CERTIFICATE OF EXEMPTION FROM WORKERS' •-� d MAIL r COMPENSATION INSURANCE Outlets: ReclighT_L—Sw.1Q ADDRESS D 3 A✓ds- (This section need not be-completed if the work Involved by First 20 CITY Tel. No. 9,2 the permit is for one hundred dollars($100)or less.) Total No. Additional r $'9S PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall.not erhploy any person in any manner i so as to become subject to.the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Date Applicant Total No, CITY Tel. No. ' NOTICE TO APPLICANT: .If..I after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT' Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATIONJD e elZBSCA-S Bo Compensation provisions of the Labor Code, you.must forth- Oven — Dryer —W.M.— ADDRESS 4. ON�d with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood Fan. —Other— CITY.:22 Tel. No. 7 .LICENSED CONTRACTORS,DECLARATION LICENSE OR. I hereby affirm that I,am licensed,under provisions of Chapter 9 Disp. — Room Air Cond. — REG.NUMBER. Class. (commencing with Section 7000)of Division.3 of the BusinessPower Apparatus&Large Appliances DISTRICT NO. PR SED B . and'Professions Code,and my:licerise Is'in fullforce and effect. a Size&Type HP, KW; KVA, or KVAR Q Licerise'Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE Contractor Date VALIDATION 0 aOver 10 to 50 Incl. FINAL l' I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100• W Services, Swbd., MCC&Panelboards �/ Date:" I ' Z 0-200 Amp, Under•600'V — Signature 201 -1000 Amp. Under 600 V r ' Exemption for Reg.Maine. Elect. Over 1 O00 Amp. or Over 600 V i, SINGLE FAMILY Temp. Power Pole&Appurtenances a HOMEOWNER-BUILDER DECLARATION ACCTe4 Sign with One Branch Circuit I hereby affirm that I g r exempt fiction 7:Co 5t,B sin License Additional Sign Branch Circuits � �1 4'0e��l: Law for the following reason (Section 7031.5, Business and 9 Professions Code): 1 ITEMS I, as owner of the property, wiII-do the work and the Misc. Conduits 8 Conductors ��i�� , � structure is not intended or offered for said(Section 7044, Other(See Complete Fee Schedule)— Business and Professions Code). ® CHECK 40.00 CONSTRUCTION LENDING AGENCY yAof I hereby affirm.that there it.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 011130-11001 7I16/90 Lender's Name. PERMIT ISSUING FEE !.119 1 AM 7.0 Lender's Address I certify that I have read this application.and.state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and.State laws regulating Eleetricdl wiring, and - hereby authorize representatives of this County to enter upon the above 5 ntioned pro ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE nature o tee D to Os COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0701290031 ' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 6561 IT: 30 I 1 6037 ROWLAND AV [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801721 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI 1 15385-028-005 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, CI I 1G1 OUTLETS-LGT,SW,RECP 37.00 OUT 61.95 1 1 ITENANT: G2 LIGHTING FIXTURES 13.00 LGT 25.35 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAII LESS 3HP 1.00 FAII 10.95 101/29/07 JK 07/28/07 I 1H2 RES GRBG DISP IT 3HP 1.00 DIS 10.95 1 [OWNER: TEL. NO: 1H3 RES DISHWASHR IT 3HP 1.00 DIS 10.95 1FINAL DATE "q/�1�11 rn�1 Y: CODE: ICASTRO JORGE;TERESA (818) 429-7739- 1 TOTAL FEES 147.90 1 II 16037 ROWLAND AV I I ITEMP 917801721 1 IDESCRIPTION OF WORK 1 I I [ELECTRICAL FOR ADDITION 1 I I APPLICANT: TEL. NO: I GASTRO (818) 429-7739- 16037 ROWLAND AVE. 1 ISPECIAL CONDITIONS: 1 TEMPLE CITY CA 91780 I I I ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1 ITERESA, CASTRO (818) 429-7739- 1 1 I 19531 LONGDEN AVENUE LIC. NO 1 (TEMPORARY POWER POLE I I I ITEMPLE CITY, CA 91780 NONE 1 I I [UNDERGROUND CONDUIT I I ] I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND I I I I I 1 LIC. NO: 1 [ROUGH CONDUIT I I I I IROUGH WIRING 1 I IMAIN WATER LINE I 1 1 I 1PLASTIC YIN METAL Y/N [ 1 1 [ I [UTILITY COMPANY NOTIFIED] I I I I ] I I ] I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I 1 I I I I I (REPORT ID: DPR265 ROUTE TO: BS0508 ] [ 1 I I I I ] I