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Home My Public Portal About5066 SERENO DR_Electrical__ TEAeeE CEBOe I0-e1 APPLICATION FOR ELECTRI AL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER T WILLIAM A JENSEN OUP T OF BUILOIMO LOCALITY NEAREST FO PP O IN GR088 ST WCEPT TOTAL No a Fq OUTLETS FIRST 20 ♦20 • OWNER ✓� n1 LIeRT �� MAIL ewlrcH ADD ` -3.130 ADDRESS % ortR 20 ,O TOTAL CITY TEL NO LIGHTING FIneT 20 20 FI%TURES I I - ADD L ELECTRlC1AN ovtn 20 10 RANGE[ CLO DRY WrR MTRS too ADDRRVS /J/V STA COOP CITY (fit/ C / TEL NO WAI DIYIWAt01 _ AUTO H� STATE fi NO �¢-�� ;7Z-1 SPACE HTS STA APP (4L H P MAS ) so MOTORS Ovq MOTOVOI MP DIST CT GROUP ONE P C D BY O , too D t a 150 INSPECTION /RECORD a a 200 S to 250 �.rn:, 'L` ,,,� 0 16 50 300 SO 100 500 SIGNS, NO TRANS NO LAMPS r�ajj /3 SERVICE BOOV NOT Ovate EOpA 100 SERVICED SOOV Ov 200 A 200 SERVICE OVER DOOV goo MISC PERMIT ISSUING FEE 2 DO SUPPLEMENTARY PERMIT ISSUING FEE 1 DO TOTAL FEE S/ 1 HER[DY ACRNOWLEDO[ THAT I HAW R[AD THIS APPLICATION APPROVALS DATt IMQ[CTMa VIGN&TUItIl AND STAT[ THAT TH[ ABOW IE CORRECT AND AOR[[ TO COMPLY CONDUIT WRH ALL COUNTY ORDINANCU AND STATE LAWS R[GULATINO [LECTNIGL WIRING WIRING 0 1 MINEBY C[RTIFY THAT 1 AM PROIERLY R[OIETERID ANDIOR uC"NtED AB BY LOB ANG¢LEe C?UNTY AND STATE OF FIXTURHB CALIFORNIA O11 TH T 1 AM TH[ LEGAL Nq OF THt MOVE DEtCNIBED `71 D IAL POWER II I' SIGNATURE \ UTILITY CO NOTIFIED OF PHRMITT44 L 1 FINAIO�I /V74UDAI ARrHu c EETT !`ICV MO . CASH SUPERVISING ELECTRICAL ENGINEER LACO6 4 9 4Z MAR 11 2 D 1 4.90-- v ♦"" 2 : - p ,» WORKER COhave a TIONDECLARATION 7646Wa806 tD,BI APPLICATION FOR ELECTRICAL PERMIT Lhere),y affirm thoN�l have a certificate of consent to self CE B06(' or a certified o certificate of Workers Compensation Insurance BOUNTY OF LOS ANGELES BUILDING AND SAFETY or a cerhhed copy__of(Sec 3800 Lob C ) Policy No Company FOR APPLICANT TO FILL IN I JOB Certified copy is hereby furnished New Residential Bldgs 8 r.Pools EACH NO FEE ADDRESS 0 6 SEP-Ewa DA ❑ Certified copy is filed with the county budding inspec- 1 8 2-Family, Sq Ft f — f LOCALITY UMPI-ilc- ciry tion department Multnfomily Sci Ft — NEAREST cRoss ST O E L C T Residential Swimming Pools Date—Applicant FOIRWh1�NAMER OR O CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec-LLlght_Sw_ MAIL COMPENSATION INSURANCE ADDRESS This section need not be cosi If the work Involved AddFirst 20 X76 1797 0 ( completed Total No Additional' CITY - Tel No the permit Ii for one hundred doilan(f100)w Ins ) PWNT CK J CHE I certify that in the performance of the work for which this PLANC HE permit is issued, I shall not employ any er n in any manner so os to become s.bliscl to the Co ensoeon Laws Lighting Fixtures First 20 ADDRESS t 7[� Total No Additional Datj7 - epplican CITY T No NOTICE TO APPLICANT If 'after making this Certificate of Fized Appliances Not Over I HP PERMIT Exemption you should become subject to the Workers Range_ Heater_D W — \ APPLICANT Compensation provisions of the Labor Code you must forth- Oven _ Dryer — W M — ADDRESS with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked Hood _ Fan _Other_ CITY VVALtDAN LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Au Card REG NUMBER(commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO ^ r-/ Pand Professions Code and m license u in full force and effect ..(JJJ� VSize 8 Type HP KW KVA or KVAR tQ License Number Lic Class Up to 1 Incl FINAL ^ V Over 1 to 10 Incl DATE ' S/ Q Contractor Date Over 10 to 50 Incl r ❑ FINAL I am exempt under Sec Over 50 to 100 Inc JBY B SP C for this reason Over 100 W 1`60r,.ces Swbd MCC 8 Panelboords Z Date 1 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ ExemptionOver 1000 Amp or Over 600 V t nfor Reg Momt Elect f 6 2 Q 4 A ' SINGLE FAMILY Temp Power Pole 8 Appurtenances • ' • • 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 • • 2 Q 2 5 1 hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits • • 26259 Law for the following reason (Section 7031 5 Business and Prgfessions Cade) ' �-IvL1T I an owner of the property, will do the work and the Misc Conduits 8 Conductor 1230-86 structure is not intended or offered for sole (Section , Other (See Complete Fee Schedule)_ _ 7044 Business and Professions Code) ► CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE -- - - (Sub Total) (Sec 3097 Gv C ) PLAN CHECKING FEE --• -- - _ Lenders Name PERMIT ISSUING FEE _ Lender a Address AQ b7i I certify that I have read this application and state that the TOTAL FEE above Information is correct I agree to comply with all County or nces and State laws regulating Electrical wiring, and here y a i e representatives of this County to enter upon the bov - Toned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 17_-36 -gb _ Signa re of Permittee Date ' 2D001 s.W that I have a certificate DECLARATION 7eA86aDPW 112 a„ APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a cerllhcete of consent to ell insure 7BAe83 or a certificate of Worker a Compensation Innranc4 or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) , It f'- Policy No Company FOR A"UCANT TO ML IN A�OBORESS Q c ❑r' Cendletl copy is hereby furnished vo OR New Resldenbal B NO EACH FEE r ldgs 8 Pools LOCALITY R✓E,l ❑ Cemlled copy ie filed with the county building inspection 1&2 Family Bq Ft — S $ depatlmanti Multifamily Sq Ft CRROS ST Date Applicant ROOK Rmclenbal Swimming Poole ,�MAPE= O S p CERTIFICATE OF EXEMPTION FROM WORKERS r Outlets Rec _Light_Sw BRIANAME PAOEO2 PN COMPENSATK)N INSURANCE m�N� E First 20 MAIL perms section for need not be dollars ted(51 0 the work Involved by the Total No Additional ADDRESS Q permit b for one hundred Dollen(6100)or lees) ^ I certify that in the performance of the work for which this permit C C r.I rm d 05-74 is issued I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 A PL1CANT Total No Addibonel ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If alter making this Certificate of CITY ' Tel W 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 PEAR provisions or this permit shall be deemed revoked Power Apparatus&Large Appliencee APPLICANT LICCONTRACTORS DECLARATION Size 8 T KW KyA,q{KVAR ADDRESS_ _ hereby affirm that hat I a am licensed un Division 3 of the of Chapter d OSe/Fjd/t7/Yi�O Incl CITY Tel No (commencing with Section 7000) of Division 3 of the euamess end Professions Code and my license is in lull force and effect Over 10 to 50 Incl JCE } OR Over 50 to 100 Ind REG NUMBER O� od SEO aV U License Number Lic Clens Over 100 DISTRICT NO i Services Swbd MCC&Partaboluds eve Q Contractor Date '0 399 Amp Under 6DO V DRAB ❑ I am exempt under Sec 400 1000 Amp Under BOO V !J_2(o— 3 VALIDATION W Over 1000 Amp or Over 0(10 V FINAL d B&P C for this reasonBY Tn BRANCH CIRCUIT FEES Date ISA or 20A 120V Lighting or Receipt _ L ? - 1 To 10 Branch Circuits a Signature 11 To 40 Branch GradeAt GT.r 41 Or More Branch CIMa J j07 J.uO ❑ '—Exemption for Reg Maint Elect ISA 20A,203V To 27N Br Circuit SINGLE FAMILY Temp Power Pole&Appurtenances 1 IT03 HOME OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor a License Lew Sign with One Branch Qrdurt TOTAL 43 w80 for I following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits UECKt3.S�O as"nor ner of the property will do the work and the structure Miec Conduits&Conductors CHAKE 1 .LIV is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) and Professions Code) CONSTRUCTION LENDING AGENCY ,5/11/93 1 hereby affirm that there is a construction lending agency for the _ 96441 AM 9:03 performance of the work for which this permit is issued (Sec 3087 PERMIT FEE (Sub Total) — Civ C) PLAN CHECKING FEE Landera Name PERMIT ISSUING FEE Lenders Address p I certify that I have read this application and under penalty of purjury slate TOTAL FEE J Q that the above information is carred I agree to comply with all County - - ordmaneeaandStatelawsregulatingElectricalwiring and hereby authorize representatives of this County to enter upon the above-mentwned property n action purposes SEE REVERSE FOR EXPLANATORY LANGUAGE IL��N.Rt1 d�l� RMITE EE -- - LATE— COUNTY OF LOS ANGELES TEMPLE CITY d 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0104270013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE. (626) 285-0488 EXT LEGAL ID: FEES PAID BUILDING ADDRESS ON FILE 5066 SERENO DR FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803037 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET. ROSEMEAD/SULTANA 5388-012-025 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE- 596 GRID H5 LOCALITY TEMPLE CITY F2 208, 277V LGT BR CKT 1.00 BR 27 30 H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 ISSUED ON. PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 66.00 04/27/01 JK 10/24/01 OWNER TEL NO TIM[= CODE 5066 ES SERENO RA ORD B,SHIRLEY A - O L� TEMP 917803037 ELECTRICAL FOR WREiAB PROJECT APPLICANT: TEL NO NICK TIMKO - 9941 HWLAND SPECIAL CONDITIONS TEMPLE CITY, CA CONTRACTOR: TEL PNGELES CO APPROVALS DATE I msnTTN-9rfflV70WF-- NICK'S REMODELING (626) 442-7985- ONTy 9941 HWLAND DRIVE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 409663 B UNDERGROUND MOTT— TEL NO UFER GROUND LIC N0 lil till ROUGH WIRING �U B��'C- WORKS) ®R K PLASTIC Y/NCOM METAL Y/M h PANY NOTrFM Service Thai REPORT ID DPR265 ROUTE TO: BS0508