The URL can be used to link to this page

Home My Public Portal About5018 SERENO DR_Electrical__ ION M W19 * WORKER I have of consent to 76ASO DPW(12 91) APPLICATION FOR ELECTRICAL eERMIT IJ 7d4B83 Cherehy ejjirm that j have a certificate of consent to self Insure or a certllliate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 43BOO Lab C) Policy N. Company FOR APPLICANT TO RLL IN ADDRESS D�/�7 Q & ❑ Candied copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE S LOCALITYd Ele coIs filed with the county building1&2 Family � Ft =building inspection epartsertrnCOPY Mule tasty Sq Ft — NEAREST GROSS BT Date Applicant Resldendel Swimming Pods A SSDR NAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outfits Rec —Light Sw OYVNER OR COMPENSATION INSURANCE (This sectlon need not be completed If the work Involved by the First 20 MAIL permit Is for one hundred dollars($700)or lees) Total No Additional ADDRESS %R2L I certify that in the performance of the work for which this permit CATV Tel No is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighhng Fixtures First 20 pPL ET Total No Additional ADDRESS Date Apdicain RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT H after making this Certificate of CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP PEWIT provisions of the Labor Code you must forthwith comply with such Apparatus Power Alue 8 Lar APPUCANT provisions or this permit shall be deemed revoked Be Appliances LICENSED CONTRACTORS DECLARATION Sue&Type HP KW KVA or KVAR ADDRESS I hereby affirm that I em licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Tel W Professions Code and my license is in full force and effect Over 10 to 50 Incl } Over 50 to 100 Incl LICENSE OR Cy Q, License Number LIC Class Over 100 DISIWCT NO O SSED BY O Servicea Swbd MCC&Panelboards �0. cc Contractor Date 0 399 Amp Under 500 VDAVE 0 ElI am exempt under Sec 400 1000 Amp Under BOO V 3-16 VALIDATION V W Over 1000 Amp Or Over 000 V Rfi L d B&P C for mre reason BRANCH CIRCUIT FEES BYto Date 15A or 20A 120V Lighting or Recept 11� z Signature 1 To 10 Branch Circuits 11 To 40 Branch CNcuits -� ❑ Exemptwn for Reg Mems FJect41/SA 20A 206V To 277VLi hbre Br C4MFWBranch u� _ SINGLE FAMILY Temp Power Pole&Appurtenances Tz 2 HOME OWNER BUILDER DECLARATION I n with One Branch Circuit - CT.T I hereby affirm that I am exempt from the Contractors license Law �T1-� for the following reason (Section 7031 5 Business and Professions Adtlitwrial Sign Branch Circuits ' 3M 70.10 coee) - I as owner of the property will do the work and the structure Misc Conduits&Conductors 1 ITEMS ❑ is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ \ TOTAL 70. 10 and Professore Code) /i\� QEC( 70.10 CONSTRUCTION LENDING AGENCY .00I hereby affirm that there is a construction lending agency for the i CHANE -performance of the work for which this permit is Issued (Sac 3097 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE 0300-00131 2/23/96 Lenders Name PERMIT ISSUING FEE O 4"0 1 AM 9%11 Lender a Address I certify that I have read this application and under penalty of purfury stale TOTAL FEE that the above Informatcin is correct I agree to comply with all County Ordinances and State laws regulating Electrical wring and hereby aulhonze representetive9 of this Country,It enter upon the above-memcned property for ina tums s SEE REVERSE FOR EXPLANATORY LANGUAGE sK NA 1. 1 COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9610140003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXTLEGAL ID: FEES PAID BUILDING ADDRESS ' BK 56 PG 12 PC 17 5018 SERENO DR FEE DESCRIPTION QUANTITY LON AMOUNT TEMP CA 91780 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5388-012-010 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY 81 MULTI-FAM RES BLDG 1865 00 SQ 167 85 TOTAL FEES 195 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 10/14/96 TC 10/14/97 OWNER TEL NO FINAL I NG KING WAH - 50�8 - '� TEMPLE CITY CA 91780 DESCRIPTION Of WORK NEW SINGLE FAMILY HOME APPLICANT TEL NO SCOTT K LAN (818) 292-1001- ��ul aal�as SPECIAL CONDITIONS TEMPLEVCCIITY, CACONTRACTOR ItL NO O�\� gyp" �/ APPROVALS DATE INSPECTOR SIGNATURE SCOTT K LAM (818) 292-1001- 6162 IVAR LIC NO Co TEMPLE CITY, CA 91780 547652 B ARCHITECT OR ENGINEER. TEL . smom oiiend LIC NO ROUGH WIRING 6WWW"R LINE CBLASTIC Y/N METAL Y/N REPORT ID DPR265 ROUTE TO BS0508