The URL can be used to link to this page

Home My Public Portal About5555 1/2 SANTA ANITA AVE_Electrical__ del /� �RKEk-,;� OMPEI�ISAT1 qt iv•t 7 n Cr Lr 1 61 ®i1�9� �Cl� �LECURICAL PERMIT 1� ` ,I her�el y.affirn�• tl t I have.,�certificate of c sen0to se 3 CE-806G ;.^� ;' , insure, or"ertificate of.Workers'Compensate n'lnsurance, 6 COUNTY OF,LOS 1rkN ELES BUILDING AND SAFETY 014W-qd&rtifi J'copy;4ere4(Sec.'3800, Lab. C.PM; va. C 6'4 717 pony Home 1 a n d•.'I n s 1 FORE. NT TO FILL IN JOB ADDRESS r 5555126 Santa• Anita \� uH Certe11 d copy is hereby furnished.. New Residential Bldgs._&. Poo EACH NO. FEE r $ —is LOCALITY Temple City 1'&2-Fam;ly, S F. ( Certified copy is filed with the couirty building inspec- r — tion department. s Multi-family Sq�t._�" NEAREST CROSS ST. 04/01 / Residential Swimming Pools Date ��plic OWNER OR •� FIRM NAME San Gabriel Properties CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets:.Rec Light Sw._ r• ADDRESS 217 W. Las Tunas Dr. G COMPENSATION INSURANCE First 20 (This section need not be completed If the work Involved by Total No. Additional CITY San Gabriel Tel. No. ----- the permit is for,one hundred dollars($100)or less.) I certifythat in the performance of the work for which this PLAN CHECK p .APPLICANT permit is issued, I shall not employ any person in any manner ' so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of X APPLICANT Cobine Electric Co. Inc. Exemption, you should become subject to the Workers'! Rahge_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven :X Dryer W.M. ADDRESS 1607 Chestnut St. with comply with such provisions or this permit shall be Top — FAU 2L W.H. — CITY Alhambra Tel. No.282-0315 deemed revoked. Hood X Fan _Other— LICENSED CONTRACTORS DECLARATION X 5 7 5 LICENSE OR hn that I am licensed under provisions of•Cha tdr 9 D.isp. — Room Air Cond. REG.NUMBER 229847 Class. 'C 10 I hereby G, '., p p , (commencin' with Section 7000) of Division 3 of the•Business• DISTRICT NO. PRO BY Power Apparatus&Large Appliances >_ and,Professions Code,and my license is in full force and effect. D IL Size&Type HP, KW, KVA,or KVAR• O License ht ber. 229847 Lic. Class C10,1• Up to 1 Incl. FINAL. 11/30/87` �� Over 1 to 10 Incl. DATE r� VALIDATION fBAP.C. 09 ate Over 10 to 50 Incl, FINA V U am exempt under Sec. Over 50 to 100 Inc. BY ud for this reason Over 100 Services, Swbd., MCC 8 Panelboards Date. 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 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 Additional Sign Branch Circuits Law for the,following reason (Section 7031.5, Business and •,•, Professions Code). ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors n structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ a 5 58, 1 A 7044, Business and Professions Code). I # o 0 0 0 0 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for I o o 7 9 C(� the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) i (Sec. 3097, Civ. C.). 0 0 0 79,0617 I PLAN CHECKING FEE Lender's Name Tokai Bank of California PERMIT ISSUING FEE 1015 0 1,06-8 ,05-8 I' Lender's Address •534' W. 6th St. , LA 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 9r O 1 ordinances and State laws regulating Electrical wiring, and 1 hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE I 0/03/86 SignaturNe tee Date '' ,t �IORKERS'COMPENSATLON DECLARATION 76A663 10/81 p /p��(' M j� ® [� [� I hefieby'affirfn- that I ave a certificate of consen*Wo-self —CA-8060 �n�i�' "��'^' ��"" �� " ��" "� PERMOT 4osure, ;310-d'certificate of Workers'Compensation Insurance;. Vii" ®UNTV ® 4. P$ ANGELES ��L®OjI�G AND or a certified copy thereof (Sec, 3800, Lab. C.) " Policy No. WC64717 mpany Homeland Ins. i FOR'APPLICANTTO-FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS 5555 Santa Anita S — $ LOCALITY 1 8 2-Family, Tem le Chit X)E Certified copy is filed with the county building inspec- y. q• Ft. $ — 'NEAREST tion department. Multi-family Sq. Ft. CROSS ST. Date 04/01/86 Ap Residential Swimming Pools FIRM NAME San Gabriel. Properties CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE -ADDRESS 217 W. Las Tunas Dr. G (This section need not be completed,if the work involved by 1 First 20 Total No. Additional � rCITY San Gabriel Tel. No. _____ the permit is for one hundred dollars($100.)or less.) r '; �' PLAN CHECK I certify that in the performance of the work for which this 1 APPLICANT permit is issued,i shall not employ any person in any manner So as to become subject.to the.Workers'Compensation Laws.. Lighting Fixtires First 20 ADDRESS Total No. ' Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If; after making this Certificate ofAPPLICANT Cobine Electric CO I Exemption, you' should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven Dryer W.M.— ADDRESS 1607 Chestnut St. with comply with ,such provisions or this permit shall be Top FAU W.H..— +deemed revoked. Hood Fan _Other — CClass.IN Alhambra Tel. No-282-03152_0315 LICENSED CONTRACTORS DECLARATION. 5 17 LICENSE OR 229847 11 hereby affirm that I am licensed under provisions of Chapter 9 Disp ' - 'Room Air Cond. •— REG. NUMBER C 10 (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PR S D BY "Mind Power Apparatus 8 Large Appliances r I �nd Professions Code,and my license is in full force and effect. � � O N Size&Type HP, KW, KVA, or KVAR' v Q 0 License Number. 229847 Lic. Class C10 Up to 1 Incl. FINAL tp 11/30/87 �� Over 1 to 10 Incl. 1 DATE _' -.� VALIDATIONI Con Date Over 10 to 50 Incl. FIN 0 am exempt under Sec. Over 50 To 100,1nc. BY/ IL IL B.&P.C. for this reason Over 10061 g Date. Servyces,.Swbd., MCC&Panelboards 1 15 .0 0 -200 Amp.. Under'600 V Signature 201 - 1000 Amp. Under 600V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 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 Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): i ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors: structure is not intended or offered for sale (Section ,Other(See Complete Fee Schedule)_ 7044,•Business and Professions Code). CONSTRUCTION'LENDING AGENCY 95580 A I hereby affirm that there is a constructionlending agency for # 0,00002 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 1007502' 'PLAN CHECKING:FEE 00075026k i Bank oaanof California Lender's Name T �1 .PERMIT ISSUING FEE 1 0 5 . Lender's Address 534 W. 6th St. LA , 0 1,06-4-86 1 certify that I have read this application and state that the ' TOTAL FEE. 414.52 - 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 roperty for inspection purposes: SEE REVERSE FOR EXPLANATORY LANGUAGE 3/86 j Signal �aPee7rmPittee � Date. j