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Home My Public Portal About4916 SERENO DR_Electrical__ WORKERS I have a COMPENSATION of c insent to Tim '0'81 APPLICATION FOR ELECTRICAL PERMIT -I hereby affirm that I have a certificate of consent to self inBlPe �BaeG ` or a certificate of Workers Compensation Insurance or a cerbfi8d COUNTY OF LOS ANGELES BUILDING AND SAFETY 1 copy thereof(Sec 3800 lab C) Policy No Company State Fund FOR A UCANT TO RLL IN JOB ❑ Certified copy is hereby furnished New Residential Byes 8 Pools EACH NO FEE ADDRESS 4916 Sereno Dr ® Certified copy ie tiled with n irhilpectxxi ' 1 8 2-Family, Sq Ft $ — 5 LOCALITY Te m 1 e' Cit Ca department •, Mulb-famly Sq Ft — NEAREST $7 8/� OWNER ST Date 1 R Residential Swimming Pools FIRM N OR FIRM NAME same Charles Novak CERTIFICATE OF EXEMP ON FROM WORK S Outlets Rec_Light _Sw MALL COMPENSATION INSURANCE ADDHEss same _ First 20 (This section need not be completed if the work Involved by the Total No Additional CITY Tel No Permit Is for aro hundred dollars ($700)or lees) PLAN CHECK . 1 certify that n the performance of the Work for which this permit APPLICANT i a issued I shall not employ ary, person in any manner so as to become subject to the Workers Compeneatbn Laws Lighting Fixtures First 20 ADDRESS - - r Additional � Total NO CITY .. Tel No , Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after iniaking this Certificate of PERMIT JT R d mor Electric C O I n c Exemptxm you should become subject to the Workers Cortpensation Rants— Heater_ DW — provisions of the labor Code you must forthwith comply with much Oven — Dryer_ W M — ADDRESS 3 1 5 S . San G a b r e 1 B 1 V provisions or firs permit Shall be deemed revoked Top _ FAU — WH — CITY San Gabriel C d Tel No'2 LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other— I hereby aflmm that I am licensed under proWscns of Chapter g Disp — Ruom Am Cond UCENSE OR (commencing with Sectort 7000) of Dwislon 3 of the Business and REG NUMBER 421797 C10 • Professions Code,and my license is in full bice and effectDISTRICT NO y,/ PROCE r _ River Apparatus 8 Lampe-Appliances {rL Size 8 Type HP KW KVA or KVAR License 1 b LIC CCDto 1 Irid FINAL DATE Over 1 to 10 Inc] Over �� star B 8 10 to 50 Ind FINAL ❑ I am exempt under Sec Over 50 to 100 Inc BY BBPC kx the reason Over 100 !A Services Swb200 MCC 8 Pa600 Vrds ► �� `� Z Dots 0-200 Amp UUnd 000 V n Signature - 201 - 1000 Amp Under 800 V E] ' i Over 1000 Amp or Over BOO V LI Exerrptron for Reg Maint Elect SINGLE FAMILY ' Temp Flower Pble 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law for the tollming reason(Section 7031 5 Busm i and Professions Additioral Sign Branch Circuits Code) f9557A ❑ I as owner of the property will do the work and the structure Mrsc Condole 8 Conductors - # M not intended or offered for sale (Section 7044 Business 011ier(See Cornpyte Fee Schedule) — ► and Professions Code) 1 •`• 2 S5 0 CONSTRUCTION LENDING AGENCY - - - thereby affirm That there s a roratruc[xxn lending agency for the performance of the wok for which this permit a issued(Sac 3087 PERMIT FEE (Sub-Total) CrvC) r • • • 25505 PLAN CHECKING FEE i Lender a Name PERMIT ISSUING FEE ' 0509788 Lenders Address ' I certify that I have read this application aro state that the above TOTAL FEE :formation s correct I agree to campy With all County ordinances and S IOWA regufating Electrical wimp and hereby authorize T th County to enter upon the above-mraMioned y f ire a SEE REVERSE FOR EXPLANATORY LANGUAGE 8/88 Signature of Permit Date ' • COUNTY OF LOS ANGELES TEMPLE CITY N 0508 _ ELECTRICALvPERMIT^� DEPARTMENT OF PUBLIC WORKS 9701 LAS TUMASEL�08S990601 DO10 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ti PHONE (626) 285-0488 ENT. LEGAL ID FEES PAID BUILDING. ON FILE 4916VSERENOIDR� FEE DESCRIPTION: QUANTITY. UOMM AMOUNT TEMPtCV--917803034 ASSESSOR INFORMATION KLI48ER NEAREST CROSS STREET ENCINITA _ 5388-013-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE. 596 GRID J5 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 23 00 OUT 43 05 TENANT G2 LIGHTING FIXTURES 6 00 LGT 11 70 ISSUED ON: PROCESSED BY PLAN BY- EXPIRES ON HA FAU LESS 3HP 1 00 FAU 10 80 06/01/99 UT 11/28/99 H7 RES EXHAUST FANS 1 00 EX 10 80 OWNER J8 AC UNITS +3-10HP '- 1.00 AC 19 80 LAW ••/ 4916JSEREENO WO MARYANN;LAW STEVE L (626) 451-0725- LB 200 AMP PANELS, MCC,DR TOTAL FEESPAN 162 /�38 85 /tf 60 L�L4f�irj TEMP 917803034 6ESCIR6TR N OF WORK ELECTRICAL FOR NEW ADDITION AND NEW 200 AMP SERVICE UPGRADE APPLICANT TEL NO: LIVE WIRE ELECTRIC (626) 857-1051- 418 VERMONT SPECIAL CONDITIONS GLENDORA, CA 5 PNGELES CoCONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE LIVE WIRE ELECTRIC (626) 857-1051- �.� �Tf- 418 S. VERMONT LIC NO TEMPORARY POWER POLE GLENDORA, CA 91741 577930/C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL NO: UFER GROUND LIC.-NO ROUGH1171111 ROUGH WIRING 1►ri■f 'U L I C WORKS PRkrW-QUU LINE LASTIC Y/N METAL Y/M UTILITY COMPANY NOTI Service That�et REPORT ID: DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES -TEMPLE CITT # X0508 ELEL'KILAL PERMIT DEPARTMENT OF PJBLIC WORKS 9701 LAS TUNAS - EL 0508 0408090025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT - LEGAL ID rEES PAID ON FILE - - BUILDING ADDRESS 4916 SERENO DR AbSESEOR INFORMATION NUMBER FEE DESCRIPTION QUANTITY LION AMOL'T TEMP CA 91780303 5388-013-016 _ - NEAREST CROSS STPEET _ r T Al PERMIT ISSUANCE FEE - 27 75 THOMAS PAGE 596 GPiD JS LOCALITY TEMPLE CI Y, C TENANI G1 OUTLETS-LGT,SN RECP 11 00 OUT 21 45 G2 LIGHTING FIXTFAES 1 00 LGT 1 05 L TOTAL FEES 51 15 08/09/04 JK 02/05/05 _ OWNER FfNAL DATE _ FINAL 13Y CODE OUACH, VAN/EDEA T 4916 SERENO DR r• J (/ iFnv S17003034 - p ORA i1 OUTLETS AND 1 LIGHT ENCLOSE PATIO _ APPLICANTtNo HANDLEY (909) 594-7547- 786 PINEFALLS AVE spECiAL CONDITIONS- WP INUT CA 918789 ' LCATRACTOR A NO S GT !TA'FURE NEST COAST CUSTOM PATIOS, INC (909) 594-7547-138 _ 786 PINEFALLS ST LIC NO TEMPORARY POWER POLE JALNuT, CA 91789 471619 B UNDERGROLIND AiRCTITECT - - LIC NO ROUGH CONDUIT -- ROUGN J �1A(G—QATER CIAE PLASTIC Y/N METAL-Y/N _ UTILITY _ 1 r REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC DARKS 9071 LAS TUNAS EL 0508 9711060003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT LEGAL 10 FEES PAID BUILDING ADDRESS ON FILE 4916 SERENO DR FEE DESCRIPTION QUANTITY LOU AMOUNT TEMP CA 917803034 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: ENCINITA 5388-013-016 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID: J5 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 1 00 BR 17 40 TENANTTOTAL FEES 45 15 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 11/06/97 UT 11/06/98 OWNER FINAL DATE 4 LAN JAMES E;MARYAMN,LAY STEVE L (626) 286-7057- ,U A1111L III CODE. CP>� �Tp 4916 SERENO DR �T1T�101�1�(, �/ TEMP 917803034 �5r VK NEW CIRCUIT FOR SYA HER - DRYER APPLICANT TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS CONTRACTOR TEL NO &eL E co APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NOUNDERGROUND CONDUIT O� 1Z. LH'ER GROUND TEMPORARY POWER POLE ARCHITECT OR ENORM TEL No LIC NO JROUGH CONDUIT p nnROUGH WIRING MAIN WATER LINE PUBLIC W O R KS PLASTIC Y/N METAL Y/N 0 B11 in v! �i��C 000 0 `O SC'rVICC REPORT ID DPR265 ROUTE TO SS0508