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Home My Public Portal About5032 SERENO DR_Electrical__ I L 1' 1 1 I 11 "1 11 1 ' 1 j FA I j 7 g s 10" I 1 I 1 1 1: 1 1 •1 1 1 mss■■■■■■■■■ -■■■■■■■■■■ 11:. Y 1 - �■■■■■■■■■■ ■■■■■■■■■■■■■ ■moi■■■■■■■■■■■ ■■i■■■■■■■■■ ■ ■moi■■■■■■■■■ ■ �■■■■■■■■■ ■ �■■■■■■■■■ -■ �■■■■■■■■■■■ �■■■■■■■■■■■ � ■■■■■■■■■■■ �■■■■■■■■■■.■ ��■■■■■■■■■■■ er, .mm1n■■nic■wmm , 1 F 1Ila1 1: :1 � y . ILRF 1 I' 1 1 1 • � 7 �■■■■■mow■■■ ��. r.�•,�TIMNM. w■■ ��■■�■�■rte■ �M■■■■N■■w■ 1 r 1 �■�M■w■■■■■■i■ ■■■M■■■■■M■■�■'w ■■w■w■■ IN MMMI■■■■■M■■■ IN �■■■■■■■■IN ■ mow■■■■■■■IN IN -■■■■■w.■■ ■ -■■■■■■■■.■■ mow■■■■■■■m■■ �■■■■■E■■OEM -■■■■■■■■■■■ --■■■■■■■■■■'w IME MMIMMMMMMMMMMMM �IL+1 1 �w WORKERS COMPENSATION DECLARATION DPw(,z a„ APPLICAT&ON FOR ELECTRICAL PERMIT 70-0917 I hereby affirm that l have a certificate of consent to Bell insure7GA663 or a certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES 1DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) 1 , Policy Na Company FOR APPLICANT TO FILL N JOB Rr /� { Certdied copy re hereby lufurnishedI ADDRESS �y New Resideminl Bldgs 6 Pods NO EACH FEE Family Sq Ft 3 $ LOCALITY ❑ Certified copy 1e Med with the county budding inspection R 2 F n depanmem 11 MuItllBmily Sq Ft NEAREST CR089 ST Dale Applicant Reiodentlaf Swimming Pools ASSESSOR MAP BOOK PAGE PMCa CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Ree —Light_Sw COMPENSATION INSURANCE _ (This eectlon need not be completed It the work Involved by the Fret LW IL permit Is for orie hundred dollars($10G)or bee) - Total No Addnonal 'i' AOORE9S I testily that in the performance of the work for which this permit CITY L Tel No 1e ed I ehs11 not employ any person any man ner'so asas to to become subject to the Workers Compensation Laws Lighting Fixtures First 20 AP ILAUCANT Total No Additional S 9� �� R 7� ADDRESS Dab 7 APIJf of er t7` RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If alter making this Certificate o/ CITU Ta NP Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such provisions or this permit shall be deemed revoked Power Apparatus 6 Large Appliances pj i LICENSED CONTRACTORS DECLARATION Size 8 Type HP KW KVA or KVAR ADDRESS 1 hereby affirm that I am licensed under provisions of Chapter B tm Over t01nd ` (commencing with Section 7000)of Division 3 of the Business and CITU Tei Professions Code and my license m 1n full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE OR Cbu Q }a �/q REO NUMBER L.. Ucerise Number-4- � ! uc Class Over 100 DISTRICT NO q- Q PC99ESSED BY Sernces CC P s �CIQ Convector(��10�'t ��.y,_rData 7- y�� _/� 0 9 Amp aV DAVE Id I _Iam exempt under Sec 400 1000 Amp Under 900 V `7// L�- ( � VALIDATION V Over 1000 Amp or Over 000 V FINAL d B 8P C for this reason - - BY BRANCH CIRCUIT FEES (q Date /!{.-S- ¢ 15A or 20A 120V Lighting or Rocept Z Signature � lY�iLC/f 1 To 10 Branch CKcuBs 1 ' 11 To 40 Branch C1ra1b ❑ Exemption for Reg Maint Elect _ 15A.20A 208V To 277V9 MorerCsoulim ft SINGLE FAMILY Tamp Power Pole 8 Appurtenances .: HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law riC(T.T' for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) - '.Tw'L�J 63.*5 ❑ I as owner of the property will do the wade and the structure -Miee Condww&Conductors 1 ITEM is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) TOTAL 63 . 45 and Professions Code) I CONSTRUCTION LENDING AGENCY C Ei K b.:.YJ I hereby affirm that there ie a construction lending agency for the C"GE 00 performance of the work for which this permit 1s issued (Sec 3087 PERMIT FEE (Sub-Total 3 Civ C) Lender shame PLAN CHECKING FEE - 131-C] U01 4i 5/94 PERMIT ISSUING FEE ab b 4642 1 r11'1 3s4s Landera Address / 1 certify that 1 have read this application and under penalty of purjury stale TOTAL FEE ,3, that the some information 1s correct I agree to comply with all County ordin n and Stme laws regulabng Electncal.nng and hereby authorize representatnea of this County to enter upon the above-mentioned property - -for intipeLtmyl urpoeea SEE REVERSE FOR EXPLANATORY LANGUAGE � ¢s p¢ TU MI MTE WOR COMPENSATION DECLARATION 76141639 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that at I have a Certificate of consent to sell insure or a certificate of Worker 9 Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab,C) , PoeCy No Company WR APPLICANT TO FlLL IN ADDRESS _56-32 ciE—geNjo ILL, ❑ Certified Copy is hereby fumishad r ' I New Residential Bldgs 8 Pods NO EACH FEE • — $ $ LOCALITY i EIT C ❑ Certified copy is filed with the county Wading inspection 1 a 2 Family Sq Ft department Mufti family Sq Ft CWS o A DateApplicant Residential Swimming Poole MAPEBOOK PMLELO CERTIFICATE OF EXEMPTION FROM WORKERSOWNER OR COMPENSATION INSURANCE ONlets Ret Light S. a RPM NAME (This section need not be completed If the work Involved by the z First Af1DREss permit Is for one hundred dollars(5100)or lees) Total No Additional I certify that in the performance of the work for which this permit CITY G� TelM0 �c.�� r is issued I shell not employ any parson in any manner so as to become sublectito the Workers Compensation Laws Lighting Fixtures First 20 PLAN CHECK APPLICANT Total No Additional < el ADDRESS Date APpticant NOTICE TO APPLICANT If after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY Tel Exemption you should become sublect to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with Such PERMIT Ali(/provisions or this permit shall be deemed revoked Power Apparatus 8 Large Appliances gPPl1C..xNi Ali(/ LICENSED CONTRACTORS DECLARATION Size 8 Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter B Over 3 to 10 Inc](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 Ind LJPCENSE OR Over 50 to 100Ind REO NUMBER Cha a Lcanse Number Lc Class Over 100 DISTRICT NO P ED By O ` Services d P el =� (Q, Contractor Date /��r V DFINAL DA O ❑ I am exempt under Sec 400 1000 Amp Under B00 V g`� VALIDATION V Over 1000 Amp or Over 800 V FlNAL W B aP C for this reason BRANCH DIRDUfT FEES By G. Date 15A or&120V Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Cimnta 41 ch Circuits ElExempuan for Reg Maint Elect 15A 20A 208V To 277VLi Lightinga Cucurs, SINGLE FAMILY Temp Power Pde 8 Appurtenancea HOME OWNER BUILDER DECLARATION Spit with One Branch Circuitni-LT•t I hereby affirm that I am exempt from the Contractor a License Law for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Grcuits 703 lik.'t. Code) 1 ITEMS 59 1 as owner of the property will do the work and the structure Mlac Conduds 8 Conductors is not Intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule)_ TOTAL :114 . 45 and Professions Code) CHECK, 114.45 CONSTRUCTION LENDING AGENCY n��cc I hereby affirm that there is a construction lending agency for the CHANGE •� performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub-Total) _ Civ C) PLAN CHECKING FEE 11000-0001 6/22/94 Lander s Name �j PERMIT ISSUING FEE pi Q 7 7 1 E1M 11�N1 Lenders Address I certify that I have read thus application and under penally of purlury elate L TOTAL FEE that the above information is coned I agree to Comply wth all County, ordinances end Slate laws regulating Electrical wring and hereby audlonra , Lr eaenintive5 d this unry to enter upon the above-mentioned property M - - f mepuryme SEE REVERSE FOR EXPLANATORY LANGUAGE I NPE OF PERI / ' DATEr COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0109170005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT: LEGAL ID ttt:5 FAIU BUILDING ADDRESS' ON FILE 5032 SERENO DR FEE DESCRIPTION QUANTITY: Udl AMOUNT: TEMP CA 917803037 ASSESSOR INFORMATION NLE40ER NEAREST CROSS STREET: ROSEMEAD 5388-012-035 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID: H5 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SM,RECP 9 DO OUT 17 55 G2 LIGHTING FIXTURES 3.00 LGT 5 85 ISSUED ON: PROCESSED BY- PLAN BY EXPIRES ON: TOTAL FEES 51 15 09/17/01 VG 03/16/02 OWNER NO FINAL DJTE BY -our, FAMOUS FOUAD,MARY (626) 287-3582- �� ION 5032 SERENO DR TEMP 917803037 OtSU ELECTRICAL FOR NEN ETACHED GE APPLICANT TEL NO SAME AS OWERCONTRACTOR —7n—w— - SPECIAL CONDITIONS: oll�p PTAGELES CC�NT APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWER LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGnFnW-- TEL NO UFER GROUND �� LIC NO//( III1111ROUGH CONDUIT ROUGH WIRING Lq ® \1 PLASTIC Y/M METAL Y/N UTILITY coMPXR7-0T= U S Ili cb � oto /i Ser I e Thac REPORT ID: DPR265 ROUTE TO: BS0508