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Home My Public Portal About5003 SERENO DR_Electrical__ '1eA"3 CK "OR t°'R' APPLICATION FOR ELECTRICAL PERMIT lI COUNTY OF LOS ANGELES pp nn DEPARTMENT OF COUNTY ENGINEER gDDRE55 Seo.3 EIe�A/D BUILDING AND SAFE ION FOR APPLICANT TO FILL IN LOCALITY �M New Residential Bldgs &Pools EACH NO FEE . NR ST N i 1 &2 Family Sq Ft E 025 — S A Multi family Sq Ft 02 — OFIRM NAME Residential Swimming Pools 2500 MAIL ADDRESS LM FCEA/O B Outlets Ret Light_Sw CITY -f- .0 Tel No �59� First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Total NoAPPLICANT Additional 30 PERMIT Fixed Appliances Not Over I HP ADDRESS Range_Heoter_D W _ CITY Tel No Over _Dryer_W M_ LICENSE OR Top —FAU —WH — REG NUMBER Class Hood_Fan Other_ I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond — 250 THAT THE ABOVE IS CORRECT AND AGREE TO COWRY WITH ALL COUNTY OWN ANC6 AND STATE LAWS REGULATING ELECTRICAL WIBNG Power Apparatus 8 Large Appliances Size B Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PWKWY REGISTERED PND/OR LICENSED AS 2 RE(N11RE0 BY LOS ANGEL6 Y AND ITA OF CALI OR THAT I AM Up to Intl 50 THE LEGAL OF THE itre'DItESIDENTIAL-PI)OPERTY Over 1 to 10 Incl 500 Over 10 to 50 Incl 1250 PERMITTEE CD Over 50 to 100 Inc2500 SIGNATURE Over 100 40 00 I I DISTRICT NO _ Q P D BY ti Services 0 200 Amp Under 600V 1250 Z APPROVALS DATE Il NATOURE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 50 DO TEMP POWER POLE UNDERSLAB WORK Temp Power Pole 8 Appurtenarces 1000 Sign with One Branch Circuit1000 1 IROUGHCONCUIT 2 00 Additional Sign Branch Grcuns WIRING Mac Conduits B Conductors 1000 FIXTURES Other(See Complete Fee Schedule, POWERAUTHORIZED UTILITY CO NOTIFIED rl FINAL PERMIT FEE ISub Total] ' NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $700 TOTAL FEE PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION, CK M O CASH 773gxx+ 6 2 n 19.50 �°� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I """' " "`" '°"' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES Jpg eEPARTWENT OF COUNT/ENGINEER ADDRESS A AWA117 BUILDING AND SAFETY DIVISION FOR APPLICANTTO FILL IN LOCALITY �E New Residential Bldgs &Pools EACH NO FEENEARESTEAT C C ,►'. I 1 &2 Family Sq F S 025 — b ROSS T Multi family Sq F 02 — FIRMNAME Residential Swimming Pools 2500 MAIL ADDRESS o SEEQEAIo C7G Outlets Rec Light!S�v CITY 711 Tel No First 20 50 PLANCHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Total No Additional30 PERMIT PLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Hearer_D W _ CITY Tel No Oven_Dryer_W M_ LICENSE OR Top —FAU [ W H _ REG NUMBER Class Hood_Fon _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APRICATION AND STATE Disp _ Room Air Cond — 250 I THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN AWES AND STATE LAWS REGULATING ELECTRK:AI WIRING Power Apparatus&Large Appliances Sae&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR KU49D AS 250 REQUIRED BY LOS ANGELES CW N IIA AND STATE OF CALIFOPT I AM Up to I Intl JJPTJE LEGAL OWNEROF THE RIBED RESIDENTIAL Over 1 to 10 Incl 5 DO I 'L C Over 10 to 50 Ind 1250ITTEE ! CD ¢ Over 50 to 100 Inc 2500ATUREOver 100 40 00TRICT NO /' ED BY Services C�0 200 Amp Under 600V 1250APPROVALS DATE ISI P ATURE201 1000 Amp Under 600 V 2500Over 1000 Amp or Over 600 V 5000P POWER POLE UNDERSLAB WORK Temp Power Pole 8 Appurtenarces 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits200 WIRING Misc Condwts&Conductors 1000 FIXTURES Other(See Complete Fee Schedulei POWER AUTHORIZED UTILITY CO NOTIFIED FINAL Z PERMIT FEE (Sub Total) NOTES PLAN CHECKING FEE (One Fourth Permit I") PERMIT ISSUING FEE $700 TOTAL FEE MN CHECK VALIDATION CK M O CASH PERMFr VALIDATION 'I.LtL., M O. CASH 1 1 2 9 AUG .5 2 D 1�.0 0 ALIZ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE i J ,ewees ee eoen IR,,, APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES 1APP1.1 p SPARTMENT OF COUNTY ENGINEER DDRESS BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN OCALITY New Residential Bldgs &Pools EACH NO FEEEARE T s 1 &2 Family Sq Ft $ 025 — $ RO 5 ST WNER OR (� Multi family Sq Ft 02 — IRM NAME $ R . Residential Swimming Pools 2500 MAIL ADDRESS -3 �LEtoO Outlets Rec_�Lighr�Sw ITY A R Tel No First 20 50 LAN CCHECK C..I Total No Addnionol 30 CANT ADDRESS Lighting Futures First 20 50 CITY Tel No Additional 30 PERMIT Toros No APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range—Heoter_D W _ CITY Tel No Oven_Dryer_W M_ LICENSE OR Top —FAU J--WH — REG NUMBER Goss Hood—Fon Other_ I HEREBY ACKNOWLEDGE THAI I HAVE READ THIS ARRICATION AND STATE Dlsp _ Room Air Cond 250 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORNN ANCES AND STATE IAVS REGLMATING ELR7`F U WIRING Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT AM PROPERLY RE(iLSiERED /OR LICENSED AS Up to l Incl 2 50 �LEGALBy LOS A F EES COUNOES DKSBED AATERESOT FO IA THAT IAM Over 1 to 10 Ind 500 Over 10 to 50 Incl 1250 PERMITTEE to Over 50 to 100 Inc 2500 SIGNATURE Over 100 4000 DISTRICT T PRqrCESVED V Z Services 0 200 Amp Under600V 1250 APPROVALS DATSIGNATOURE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE Temp Pourer Pole 8 Appurtenorces 1000 UNDERSLAB WORK Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch G¢w200 WIRINGis ' M,sc Conduits&Conductors 1000 FIXTURES 'L8 Other ISee Complete Fee Schedules POWER AUTHORIZED UTILITY CO NOTIFIED FINAL 8 PERMIT FEE (Sub Totals NOTES PLAN CHECKING FEE One Fourth Permit Feel PERMIT ISSUING FEE $7 DO TOTAL FEE Q MN CHECK VALIDATION CK M O CASH P®MR VALIDATION CK M O 'CASH SEE JACK OF APPLICATION FOR COMPLETE SCHEDULE 1 8 2 AUG f 2 0 1 1.0 0 Aav W�M�RKERSCOMPENSATION DECLARATION 7s,tsea ,a,B, APPLICATION FOR ELECTRICAL PERMIT I helve a cer1,IK;ate of coreenl to sell insure CE ebeOorkers Comps bon Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY 600 Lab C) Company FOR APPLICANT TO FILL IN ADB a hereby furnehed New Residential Bldgs 8 Pods EACH NO FEE ADDRESS F1Certded copy a filed Wth the county building mapechon 1 8 2-Family Sq Ft $ — $ LOCALITY department• • v I Multi-family Sq Ft — CNEAREST Date Applicant Residential ST Swimm,np Pools OWER OR FIRMZAAgs CERTIFICATE OF EXEMPTION FROM WORKERS ,-Light � ' enrdL NMAE COMPENSATION INSURANCE Outlets Rec ht Sw AooRE9,SS&673 (This section need not be completed R the work Irwotved by the - First 20 permit w for oM hundred dollars($100)er less) Total No Adddcnd CITY nllil &Jpt No certify sue n that m l performance d the work for which this perms PLXN CHECK _ e issued I shall not empty any person in any manner so as to APPLICANT become subject to the Workers Cornpensetxln Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Date APdcent NOTICE TO APPLICANT If after making the Certificate of Fixed Appliances Not Over 1 HP - PERMIT Exemption,you should become subject to the Workers Compensation Range— Heater_ DW _ APPLICANT prov hs of the Labor Code you must forthwith comply with such Own _ Dryer _ W M _ . ADDRESS pronsgru or this permit shall be doomed revoked Top _ FAU _ WH LICENSED CONTRACTORS DECLARATION Flootl _ Fan Other— I Tel No _ I hereby affirm that I am licensed under prowsicre of Chapter 9. Dep wsa — Room Air Coral LICENSE OR Gose (commencing wrth Sechon 7000) of Dn 3 of the Business and REO NUMBER Professions Code and my license s in lull force and effect WierDISTRICT NO PROCE BY Apparatus Large Appliances; J. _ , Size 8 Type HP KW KVA or KVAR 5 (JYPAO License Number. Lc Class Up to 1 Incl - FINAL Over 1 to 10 Incl DATE/6 _�g_8 9 Contractor Date Over 10 to 50 Incl p YALIDATION ❑ em exempt under Sec Over 50 to 100 Inc - BY��(, 7 W BHPC for this reason Over 100 lV! Ci Gy. Date Soin ces Swbd MCC 8 Panelbowdis ► Z 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V - ❑ Over 1000 Amp or Over 600 V _ Exemptxm for Reg Maim Elect _ I/vvVy SINGLE FAMILY Temp Power Pota 8 Appurtenances �l 4= HOME OWNER-BUILDER DECLARATION Sign with One Branch CircuitAl I hereby affirm that I am exempt from the Contractors License Law, for the following reason(Section 7031 5 Business and Professions - Addihonel Sign Branch Circuits Cede) : � yy7�� —y &M —s; — �y/ Mac Conduits 8 Conductors ,- -9/ &M ]LJ I as;owner of the propertyeyed will do the work and the structurenese , e riot intended or offered far Bale (Becton 7044 Business , Other(See Complete Fee Schedule) ► M11 1 L N/ Y�QrA and Professions Code) � ECK Tin`4..00 CONSTRUCTION LENDING AGENCY 7 W I hereby affirm that there ,s a construction lending agency for the performance of the work for which INS permit s esued(Sec 3097 CW C) PERMIT FEE fSub-Tdel) PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE Lenders Address I earthly that I have mad this application and state that the above TOTAL-FEE mformaton a correct I agree to comply with all County ordinances 41ateane regu ngElect o wiring and hereby authorizeues omytoemerupon the above-mentioned purposes SEE REVERSE FOR EXPLANATORY LANGUAGE _ 6 mi a t COUNTY'OF LOS ANGELES � TEMPLE CITY / 0508 ELECCTRICAL.PERMIU DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL'0508,9710270034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G PHONE' (818) 285-0488 EXT LEGAL ID Ftt5 FAIIJ BUILDING ON FILE 5003-SEREN E5 FEE DESCRIPTION: QUANTITY LION AMOUNT TEMP-CA-917803038, ASSESSOR INFORMATION NUMBER: NEAREST-CROSS-STREET ALSO 5388-016-001 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 19 00 OUT 37 05 G2 LIGHTING FIXTURES 5 00 LGT 9 75 issuto ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 74 55 10/27/97 UT 10/27/98 OWNER TEE 96-- FIMAI DATE �INAL dy OWE DAHBOUR PAUL S - TEMP SERENO77038 Un /CRTRTi M ELECTRICAL FOR BRING BEDROOM LIP TlrlCODE APPLICANT TEL RO- SUNSET CONSTRACTORS (818) 791-1250- SPECIAL CONDITIONS CONTRACTOR TEL NO �&eLES Co APPROVALS DATE INSPECTOR SIGRATURr— SUNSET CONTRACTORS 818 791125 -0 Q• / P.O. BOM 661705 LIC NO ` VTEMPORARY POWER POLE ARCADIA, G 91066 6937711 B A UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER'GROUND LIC NO � - MAIN WATEW-CrOF— i n � PUBLICWORKS PLASTIC Y/N METAL Y/N co D- bc o �o Service aha REPORT ID DPR265 ROUTE TO BS0508