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Home My Public Portal About5519 SARA MAR LN_Electrical__ DDGBlA3 BB APPLICATION FOR ELECTRIC PERMIT DIVISION OF BUMDING AND SAFETY Deponent of Couatp Engineer Combty;.of Los Anggeles BUILDING IRS* ;rR I� WM J FOX COUNTY ENGINE�1 ADDRESS CASSATT O GRIFFIN SUP T of Bu,Lotna LOCALITYFFO�PTPLIF�TO FILL IN NEARESTCROSS ST NUMBER EACH FEE LIGHT OUTLETS OWNERRECEPTACLES MAIL ADDRESS WALLSWITCHES TOTALOUTLETSCI ELEC RANGES 2s ELECTRICIAN ELEC HEATERS 26 ADORES KW EA CITY FIXTURES 6 LICEN E NNUMBER OF LIGHT CIRCUITS D[STRICT GROUro4 Ix[P[Rton NUMBER OF RECEPTACLE CIRCUITS (��• MOTORS NUMBER HORSEPOWER FEE INSPECTION CORD NEW MVD HP OVLR INC EACH l4t VA c, e LE44 s 25 2 e0 2 5 100 5 1e 1 90 I7 30 2 50 so 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING slool FIXTURES s1 00 SUPPLEMENTARY HO APPROVALS TOTAL FEE S DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PLI TION CONDUIT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM T LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDEN L SIGNATUREUTILITYCO NOTIFIED lO s% OF PERM ITTE FINAL WILLIAM J FOX.COUNTY ENGINmm VALIDATION A.C.VEIT.CHIsr ELECT INSPECTOR 92451 OCT21 2 1 .10 0 SS 0 ro 1)g.Y y Mrye' DCGBG�•BB APPLICATION FOR ELECTRIC PERMIT Z • DIVISION OF BUILDING AND SAFETY Dspmtmeat of Conatp Engineer Coont��o! LDH AngGIBS BUILDING _ WM J FOJA COUNTY ENGINtUIEI ADDRESS CASHATTD GRIFFIN SUPTOFBUILDINY LOCALITY ZCLECIRCUITS L. .0 ANT TO FILL IN NEAREST FEE CROSS ST CA NUMB! EACH FEE OWNER LIGHT OUTL - RECEPTACLEMAIL ADORl88 WALL SWITC - TOTALOD ELEC RANG2D ELECT RICIAN ELEC HEATE20 ACORES 1� KW EACITY TEL NO PI%TU RESD IC 8 HO NUMBER OF UITS - DISTRICT NO GROUP ZONE READr IQR IRAFamlox NUMBER OP LE CIRCUITS Q ORSNUMBERRSEPOWER F!! INSPECTION RECON[W MVD R INC EACH m•LEER 2D2 DO2 D 1 00 ID 1 D0 DO 2 DOO TDO D 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING ll 00 -- FIXTURES HI 00 SUPPLEMENTARY so APPROVALS TOTAL FEE H DATE INSPECTOR H SIGNATURE i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI9 A LIGATION CONDUIT AND STATE THAT THE ABOVE IB CORRECT ANO AGREE TO COMPLY I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PRO ERTY SIGNATUREUTILITY CO NOTIFIED ITS OF PERM T!! FINAL WILLIAM J FOX.CouHTY ENGINEER VALIDATION A C VEIT.CHIEF ELECT INSPECTOR ,,joO262s mv23 2 625 • !� 01 �C.L�a��J_..yti� t� WORKERS'COMPENSATION DECLARATION _ 76A683 CE 806G (2 80) APPLICATION FO ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800 Lab C) i Policy No Company , FOR APPLICANT TO FILL EACH N JOB NO FEE ADDRESS r - New Residential Bldgs &Pools `Certified copy is hereby furnished r 1 &2-Family,Sq Ft $ — S LOCALITY ti ❑ Multi family Sq Ft CROSS S7 ' Certified copy u filed with the county building inspection department Residential Swimming Pools OWNER OR I ` I , FIRM NAME Date 1 Applicant Outlets Rec Light i SW �J / ADDRESS E CERTIFICATE OF EXEMPTION FROM WORKERS' most 20 Total No Additional CITU Tel No Z87-S/JJ Y COMPENSATION INSURANCE _ PLAN CHECK S APPLICANT (This section need snot be completed if the work mvolved U by the permit is fm one hundred dollar ($10(1) or leas) Lighting Fixtures Fust 20 ADDRESS O Additi Total No onal 1 certify that in the performance of the work for which thu Fixed Appliances Not Over 1 HP CITY Tel No permit is issued, 1 shall not employ any parson in any manner ' PERMIT W so as to become subject to the Worken' Compensation Laws Range_ Heater_D W APPLICANTN `OVen _ Dryer_W M ADDRESS Z tTop — FAU _W H Date Applicant ` Hood _ Fan _Other_ CITU Tal No NOTICE TO APPLICANT If, after making this Certificate of Disp _Room Au Cond_ LICENSE OR _ Exemption, you should become subject to the Worken' REG NUMBER Cleo Compensation provisions of the Labor Code, you must forth Power Apparatus& large Appliances DISTRICT NO P E BV with comply with such provisions or this permit shall be Size&T deemed revoked Type HP,KW,KVA,or KVA '�� • Up to 1 Incl FINAL Z over it. io Incl DATE/ VALIDA ON LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FI L 1` , B + / 9 (commencing with Section 7000) of Division 3 of the Bmi Over 100 - ness and Professions Code, and my license u an full force and effect - Services , License Number Lm Claes 0 200 Amp Under 600 V 1 _ 201 1000 Amp Under 600 V - i Contractor Date Over 1000 Amp or Over 600 V HOMEOWNER BUILDER DECLARATION Temp Power Pole&Appurtenances - I hereby effhmi that I am exempt from the Contractor's Sign with One Branch Circuit Literati w for the following reason (Section 7031 5, Bust Additional Sign Branch Circuits neud Professmns Code) $ 9 8 3 A Mist Conduit&Conductor 1 as owner of the property will do the work and the Other (See Complete Fee Schedule)— # • • • • • 2 structure is not intended or offered for sale (Section 7044, Business and Professions Code) 2 • • 1 2 5 0 CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency - °•,•'• 1 2503 for the performance of the work for which this permit is PERMIT FEE AF�) ' issued(Sea 3097'Civ c) 0831 -81 Lender's Name PLAN CHECKING FEE (One FourtLender's Address ` PERMIT ISSUINGFEE1 certify that I have read this'application and state that the TOTAL FEE above information u 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;pretty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sagnatu f Permittee Date i i 1 •� COUNTY OF LOS ANGELES TEMPLE CITY # 050P ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508'9802180012-1 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT LEGAL ID. FEES PAID ILDING-AL)OR ON FILE5519 SARA MAR-LN.D FEE DESCRIPTION DUANTITY UOM AMOUNT TEMP CA 917802528 ASSESSOR INFORMATION NUMHFR NEAREST CROSS STREET 8588-010-024 Al PERMIT ISSUANCE FEE 27 75 THWS PAGE 597 GRID A3 LOCALITY TEMPLE CITY HA FAU LESS 3HP 1 00 FAU 10 80 JB AC UNITS ♦3-10HP 1 00 AC 19 65 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON LA 100 AMP PANELS, MCC 1 00 PAN 38 85 02/18/98 UT 02/18/99 TOTAL FEES 97 05 OWNER. TEL NO FINAL DATE FINAL BY CODE RUIS,DALE 626-0629 - 5519 SARA MAR LN TEMP 917802528 DESCRIPTION OF WORK_ C NEW-1GO-AMP SERVILE PANEL UPGRADE AND—NEW-HEAT/AC UNITS APPLICANT TEL No SAME AS OWNERCONTRACTOR TEL NO: - SPECIAL CONDITIONS: S PNGELES Co APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - V� LIC NO TE14PDRARY POWER POLE ARCHITECT OR ENGINEER TEL NO LIFER GROUND LIC NO 1111111 ROUGH WIRING I P U p L V/AV 0 - 'U'\\" 8 PLASTIC Y/N METAL Y/N UrrErTY-ORMY NOTIFIED O Gb�'O Serve Thats�et� REPORT ID OPR265 ROUTE TO BS0508 IIp I