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Home My Public Portal About5111 SANTA ANITA AVE_Electrical__ 76AG63-CE80612•BB APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER IJ CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. PERNIIT FEES r ITEM NUMBER EACH FEE OWNER OUTLETS: $ g MAIL LIGHTS RECEPT. SW. ,1O (/ ADDR_SS LIGHTING FIXTURES .10 CITY ® TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .SO ADDRESS VL!5. ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P: D15TRI O. I ZONE I P CESSED BY 0— 1/2 .25 V2— 2 .60 INSPECTION RECORD 9— 5 1.00 5— 15 1.50 Is— 50 2.50 30-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER BOOV 5.00 MISC. WIRING PERMIT L/ 1.00 jc:p® FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE g� d APPROVALS I'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S 8 NATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING- CONDUIT 4J ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL JOWNER OF THE ABOVE DESCRIBED RESIDENTIALRO POWER L SIGNATURE UTILITY.CO.NOTIFIED OF PERMITTE FINAL D° ATION ARTHUR C. VEIT. SUPERVISING ELECTRICAL ENGINEER CK NO CASH :_', 0.0 3 0 0 r JUL -27 2 A 1 .10 WORhat I COMPENSATION DECLARATION bEA806G 10/81 APH�8CAT0ON FOR ELECT=AL PERMIT ' +=•I hereby'affirm,that I have a,certificate of consent to self insure, or a'cerl:Vicate of Workers' Compensation Insurance, or a certified'- "` COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof,(Sdc.3.800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB / ADDRESS Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ _ $ department. Multi-family Sq.Ft. NEAREST CROSS ST. Residential Swimming Pools Date Applicant NER OR FIRM NAME CERTIFICATE OF EXEMPTION.FROM WORKERS' j3 � y MAIL COMPENSATION INSURANCE OlJtlets:Rec—Light Sw. v �� First 20 ADDRESS (This section need not be completed If the work Involved by the Z CITY , Tel.No. Lr��777 permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit LAN CHECK is issued, I shall not employ any person in arty manner so as to CHECK-APPLICANT �V. become subject to'the Workers`Compensation Lighting Fixtures First 20 ADDRESS ' Additional Date� pplicant Total No. CITY NOTI E PLICANT: If, after eking t Certificate of —fted Appliances Not Over 1 HP PERMIT Exemption,you should become subj to the Workers'Co4mpensation Range_ Heater D.W. _ APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tel.No. I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR Class (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED Power Apparatus&Large Appliances �f a Size&Type HP,KW,.KVA,or KVAR' c (� O, License Number Lic.ClassV Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE VALIDATI O Contractor Date Over 10 to 50 Incl. V FINAL ❑ 1 am exempt under Sec. Over 50 to 100 Inc. BY d BAP.C.for this reason Over 100 Services,Swbd.,MCC&Panelboards ,` Z D -0-200 Amp.Under 600 V v ' Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole&Appurtenances 2 6 9.4.7 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 0,0 0 0.02 1 hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits for the following reason(Section 703 1.5,Business and Professions Code): 1 9 - 49.25 Misc.Conduits&Conductors 1.4d7. I,as owner of the property,will do the work and the structure ° ° ° 4 9 2'5 c6 is not intended or offered for sale (Section 7044., Business Other(See Complete Fee Schedule) _ and Professions Code). CONSTRUCTION LENDING AGENCY 0501 " 87 1 hereby affirm that there is a construction lending agency for the Performance of the work for which this Perini is issued(Sec.3097, PERMIT FEE (Sub Total) 'Civ.C.). PLAN CHECKING FEE Lender's Name r PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE t ' information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County toe r upon the above-mentioned Proper for i Q, action purp as. SEE REVERSE FOR EXPLANATORY LANGUAGE S' atu Perini ee (Date I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0203220007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL S PAID BUILDIlf"-DlR5SS: TR: 13363 LT: 12 1 5111 SANTA ANITA AV FEE DESCRIPTION: QUANTIFY: UOM: AMOUNT: TEMP CA 917803620 ASSESSOR INFORMATION ER: I NEAREST CROSS STREET: FREER 8574-009-012 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 17.00 OUT 33.15 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 TSSUED ON: PROCESSED B BY: EXPIRES ON: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 03/22/02 JK 09/18/02 H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 D TE FINAL BY: CODE: TIPTON;GILBERT M. & MERCEDES S. (626) 964-0454- JB AC UNITS +3-10HP 1.00 AC 19.65 18333 MESCAL STREET TOTAL FEES 119.25 - ROWLAND HTS 91748 CRIPTTON OF WORK ADDITIONAL ELECTRICAL FOR REMODEL APPLICANT: TL. 0: SAME AS OWNER - SPECIAL CONDITIONS: co CONTACTOR: TEL. NO: - �� APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO TEMPORARY POWER-POLE- UNDERGROUND OW RPUNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: 1111111 ROUGH CONDUIT trOTGH W R G 2"DLOC� � Mno-'KPUD S AINWATER LINE QPLASTIC Y/N METAL Y/N o I Y CO PA 0 IFIED O ❑ O ❑ ;. r* 46,�c Serv�e'fha�� REPORT ID: DPR265 ROUTE TO: 9S0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0110010021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: SPAID D G : TR: 13363 LT: 12 5111 SANTA ANITAAV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803620 ASSESSORINFORMATION NUMBIR: NEAREST CROSS STREET: FREER 8574-009-012 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 27.00 OUT 48.45 G2 LIGHTING FIXTURES 7.00 LGT 13.65 -ISSUED : PROC SEXPIRES-ON: LA 100 AMP PANELS, MCC 1.00 PAN 38.85 10/01/01 JK 03/30/02 TOTAL FEES 128.70 OWNER: TEL. NO: T FIA BY: COD . TIPTON;GILBERT M. & MERCEDES S. (626) 964-0454- 18333 MESCAL STREET ROWLAND HTS 91748 E 0 OF WOR FINALIZE PERMIT #6947 TEL. N . SAME AS OWNER - SPECIAL CONDITIONS: {�ELES e 0 CONTRACTOR: —TEL.—NO:- APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO / TEMPORARY POWER PO / UNDERGROUND CONDUIT ARCHITECT- TEL. 0: - d GROUND LIC. N0: „ ROUGH CONDUIT L ROUGHWIRING LWATER LINE Ul' CW 1u(� PASTICY/NMETAL Y/N UTILITY CO P NOTIFIED ` O 6 0 'Ito ,off ❑ ��„��5� �t Service 7ha� REPORT ID: DPR265 ROUTE TO: BS0508