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HomeMy Public PortalAbout5137-5139 1/2-5141 SERENO DR_Electrical__ yi I II 1Y'OUTUNED1 ; 1 ONLY LOCATION BY ROO#48" m© 00! W�� �o�o©io�i MONNWEE■■NN■MO -■E■■■■■■E■ MMMI■■■■■■■■E■ ��WE■■■■■E■■N MUMI■■■■M■■■M■E ■■■■■MM■M■■ ■ �■■E■E■M■■■ ■ ■■■■■■NEEM■■ E MENS■■■■E■NEM■■ ■■M.■■■■■■■EMEN ■■■■■■■■■■M■■ ■■■■■■■■EMEM■■ ■■■■■■■■■■■■M SEE ■■■■■■■EE■M■■ MENIMMEMS �Ml�w s■■ ONES �■ �SEMMES ■ �■� .::: AV �.� r r LOCATION BY ROO#AG .DESCAMMON OF WORK i7■G■■np-N■n rPV7-mn■■■■ntr■■n _ r: IDWSWI■■■■n■■■W] 11■ Mwmm■■■■■■r WEIM■■■■■■■■■■ MEME■■■■■■■■■■ MEM�■■■■■■■■■m■ MENS■■■■■■■■■■■ MENS■■■■■■■■■ ■ MENI■■■■■■M■■ ■ MENI■■■■■■■■■ ■ MENS■■M■■■■■■ ■ SEE�■■■■■■■■■■■ MENIM■■■■■■■m■■ MENS■M■■■■■ No WEIM■■■■■■■■■■■ MEM MEMEMEMEMEN IME MENI■■■■■■■■■■■ er! +�■M■■■■r�!r■■iE�■ roMd mw MEME ME POP �■ ��■■� • � t I 1 1 1 1 1 1 A 3 N'TbUTLINIM PORTION ONLY DESCRIPTION OF WORK 'NUMBER Of'OUTLXM ON CIRCUrM .� mLn-,-, LOCATION BY ROOMS Pro mcmmum an MENIMM■■■NW■■►L?_ I AM THE LEGAL OWNER OF THE PROPZXff DZSCRIEW• MENEM wit ■■■■■■■■■■■■ �■■■■■■■■■ ■ MEMI■ ■■�■■■■■■■ �■■■■■M■■■■M ■■■■■■■■■■■■■ MMIM■■■■■■■■■■■ l�JCTI 1 !!r .. 1�c7�.T7r4!1�1'�JE Y 1 1 1 ' ;A ;ti • DESCREMON OF WORK LOCATION BY ItOObt9 MENN■■ ■■■.■■.. ANGW= COUNTY ON MENE■ ■■.■■■■.. -■■■■.■■■.■■ -■■■■■■■■■■■ -■..■■.■■.. -■■.■■■�■■�..�. �m 1 PUMm IMM- - car - �■� f-� M L1 DESCRRYJPION OF WORK :. X40© • ='_" '=-=�-- ___- ■■■■pll"W■■i�l Q-047AWN ■■A■■■!7 rtwo�■o■C■■nP■■n For. ■rU■■■■n■■■n ■■■■■■■■■■■ ■ �CCCCCCCCCCC - - -- l�Jr-moi ■���.I.,� �. � ,__ r�:�-�- ter:=+��■ 7M66.'1 DRBM 241 Ern 11.1 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i COUNTY OF LOS ANGELES ILCHIEF ENGINICCR DISTRICT NO. GROUPPERMIT NO. OS , ZO E FOR APPLICANT TO FILL IN -L 'f ?' ELECTRICIAN "ECQIV¢� READY FOR DAT[ ISSUED //' FIRST INSPECTION ADDRESS CITU TEL NO A BUILDING CENSE NO EXPIRES I ADDRESS DESCRIPTION OF WORK NUMBER OUTLETS EACH FES LOCALITY CROSS LIGHTS Be III STREET RECEPTACLES 6 o FIXTURES a OWNER WALL SWITCHES S MAIL s ADDRESS EL[C RANGES 16 CITY TEL. NO FLED HEATERS 16 I CERTIFY THAT 1 POSSESS THE ABOVE VAUD LOS NUMBER OF CIRCUITS INSTALLED. ANGELES COUNTY LICENSE. HT13 /'q RECEPTAOLCH MOTORS RIQfY1D1AN Nuwe[R HORSEPOWER FEE NEW MVD HP OKRINC EACH I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- • I.E[[ IIB ERTY DESCRIBED ^BOVF- V. Z So - 2 4 6 1 OO DWHEN B 15 1 BD INSPECTION RECORD is Bo 250 SO 200 500 7130 500 10 DO 600 1000 1800 J OVER 1000 90 00 Y M 0 SET/FREQ CHANGER-HP E WELDERS AO-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORB (76 DF CRIG MOVED MOTORS (76 or GRID) MISC SIGNS TYPE N0.TRANS TYPE PER14U o LAMPS APPROVALS PER14 FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT CONDUIT 'Jq WITHOUT FIXTURES mica RING WITH FIXTURES 1 76 FIXTURES O _ UPPLEMENTARY 60 ' OWER TOTAL FEE •� UTILITY co NQFIFIED i FINAL WORKERS COMPENSATION DECLARATION 7aAae3 ,Dya, APPLICATION FOR ELECTRICAL PERMIT CE BBBO tl ' I.hs3pby affirm that I have a certificate of consent to self insure or a pvhflcate of Workers Canpensaton Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy If mot(Sec 3800 Lab C) ' Policy�lr Company FOR APPLICANT TO FILL IN dOB ❑ Certified copy a hereby furriened New Residential Bldgs 8 pods EACH NO FEE ADDRE93 E y _ S LOCALITY (I /• ❑ department copy a bled with the county a,dag inSpecton 1 8 2andly , Sq Ft — L Q depertrtiom Multi-family Sq Ft NEAREST CROSS Sr +t Data Applicant Residential Swimming Pools OWNER OR ,n FIRM NAAE AN ' CERTIFICATE OF EXEMPTION FROM WORKERS , MAL - -- Olakta Roc_ Light — Sw — �COMPENSATION INSURANCE u ADDRESS ' (This section need not be compleiad R the work Involved by the First 20 t perndl Is for one hundred dollem($100)ar lase) Total No Additional CITU nm pie- /7 Tel No 8�8 d .- /-20, I certify that In the performance of the wick for which the permit PLAN CHECKAPPLICAW r IS Issued j Shall not employ any Person in any manner so as to 1 i become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Tole)No ,� �/ Additional Date q ii- g9 Applicant jj/�0 lY• CITY Tel No Fixed A NOTICE TO APPLICANT If after making the CertAlnate of Appliances Not Ower 1 HP . PEP Exemption you should become subject to the Workers Compensation Range— Heater— DW — APPLICANT provismre of the Labor Code you must fortirmth comply with such Oven _ Dryer — W M — ADDRESS - pmveons or this permit shall be deemed revoked Top — FAU — WH — DfTY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan _'Oihar— I hereby affirm that I am loonsed'under prowsone of Chapter 9LrENSE OR (commencing with Section 7000)of Dlvelon 3 of the Buslneas and Dep ROom ('.arid REG NUMBER • - Class Professions Coda and my license is In full force and effect ' a ICT NO- ESSED BY , Power Apparatus 8 Longe Appliances 5 I{ Sae 8 Type HP KW KVA a KVAR v Coarse Number Lo Class Up to 1 Incl FINAL p Contractor Date' Over 1 to 10 Incl DATE VALIDATION O Over 10 to 50 Ind FINAL rU ❑ I am exempt under Sec Over 50 to 100 Inc BY BBPC for the reason Over 100 Date Services,Swbd MCC 8 Panelboarde oil. - 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V _ Over 1000 Amp or Over 600 V ❑ Exemption for Reg Ment Elect ' - ' - SINGLE FAMILY Temp Power Pole 8 Appurtenances _ HOME OWNER-BUILDER DECLARATION 'Sign with One Branch Circuit I hereby affirm that 1 am exempt from the Contractor a License Law , for the fdlo% a reason(Section 70315 Bustin to and Professions Additional Sign Branch Circuits - Code) 0314, Ian owner of the Condults 8 Conductors the Property will do the work ethe structure ' IS Other(See Complete Fee Schedule) ► not intended or offered for sale (Becton 7044 &melees and Professore Cade) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the , performance permit a Issue mance of the work for which this permit (Soo 3097 PERMIT FEE (Sub-Total) 2 ` PLAN CHECKING FEE ''�A Lenders Nam • n Q W_ _ 2 ..5 ' ' PERMIT ISSUING FEE Lender Address I certify that I have read the application end state that the above TOTAL FEE 1 jTGI h� information Is carred I agree to comply with all County ordinances ' and State laws regulating Electrical wiring and hereby autor¢e TOTAL 25.50 ' representatives at this County to enter upon it* above-mennored OEM 2e1�5 5�j0(� property for Inspection purposes "'�^' L`A"'� SEE REVERSE FOR EXPLANATORY LANGUAGE CRANK .00 Slproture of Par rl�ttee Date ' fNiM1..fM'M1 e144 tee WORKERS'COMPENSATIONDECLARATION 43 CEA0BG (2801 APPLICATION FOR ELECTRICAL PERMIT {� OBLII hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES `t • BUILDING AND SAFETY insure or a certificate of Workers'Compensation Insurance,or / rete^toed cop th77fjSec 3600,Lab �JC()� a� V Policy j'NDo x •CCompany, J0 - FOR APPLICANT TO FILL IN ADDRESS New Residential Bldgs &Pools EACH NO FEE Certified copy is hereby furnished 1 &2•Famdy,Sq Ft 9 — S LOCALITY WEWMT Certified copy s filed with the county building mspectmn Multi family So Ft CROSS ST ertment Residential Swimming Pools OWNER --J FIRM NAME Date Apphca_, Outlets Rec_Light bit Sw 20_ 6C Q MAIL MAIL CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No COMPENSATION INSURANCE } PLAN CHECK 1 APPLICANT (Thu section need not be completed If the work involved ad Li Fixtures Frit 20 ADDRESS by the permit u for one hundred dollen (f 100) m leas) Additional ¢ Total No _7 1 certify that in the performance of the work for which the Tel No Fixed Appliances Not Over 1 HP U permit o become I shall not employ any person in any manner PERMIT p� so as to become subject to the Workers Compensation Laws Range_ Heater_DW T PP I ANGG C/ y Oven — Dryer _W M ADDRESSE Z .44 Date Applicant Y Top — FAU _W H Hood — Fan _Other_ CITY Tel No 74 NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond_ E N _ Exemption, you should become subject to the Workers' RE N ER lana Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE§SEO By with comply with such provisions or this permit shall be deemed revoked Size III Type HP KW,KVA or KVA i Up to 1 Incl FINAL J A Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl VALIDATION I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc _ _ FINAL BY 9 (commencing with Section 7000) of Division 3 of the Bust Over 100 `� ness and Professions Code, and my license s in full farce and effect Services 7�/& CJ License Number�u& Lic�Class 0'200 Amp Under 600 V r• _ _� �� G Over 1 D AmP Under r 0 V Contrect �(J�j�/ ate O Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances 1 hereby affirm that 1 am exempt from the Contractor's Sign with One Branch Cirwlt i License Law for the following reason (Section 7031 5 Bush Additional Sign Branch Circuits nem and Professions Code) Misc Conduits&Conductors ' 1,'as owner of the proper[Y, will do the work and the Other (See Complete Fee Schedule)— 3'81.3 A structure b not intended or offered for mle (Section fir••• • • • ,2 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY , Z •f• 2 5 3 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) e issued(sec 3097 Civ C) ;• • • 25306 Lender's Name PLAN CHECKING FEE (One Fourth Permit Feel f 04.28-82 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE Z� above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wrong and ' 1u�Tebria�thonze r rmpp of this County to enter upon _ s the above iii ntione pr d ert action p ea SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Pe I Date WOF�f1RSCAMPErJSAnoNDECLNWON �Q 10/81 APPLICATION FOR ELECTRICAL PERMIT , {� ••1 fen�brry eI,^m that I,have a ceryllcafe d consent to self insure, �J•mor a car�Acate of Workers Compensation Insurance or a cartded COUNTY OF LOS ANGELES BUILDING AND SAFETY ' copy thereof (Sac 3800 Lab C) • 1 Policy No' Company FON APPLICANT TO FILL IN S� S T._r//E ❑ Certified copy s hereby furnished New Residential Burps 8 PodADB93s EACH NO FEE _ VGGf✓�• ❑ Certified copy is filed Wth the county builomg inspection 1 8 2-Farcy Sq Ft $ — $ LOCALITYNEAREST C department k Muhl-family Sq Ft CROSS ST MEAD LVD. DataResidentialvn Smming Pools OWNER OR Applcarit r I FIRM NAME (.� of+L CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec � MPA. n�S CSO VG COMPENSATION INSURANCE Light Sw _ _ADDRESS }A.Fa fl (This seCtlon need not be completed J the work Involved fly theFust 20 permit b for one hundred dollars($100) or Nee) I Total No Additional ,CITY Tel No V,64;- [ I certify that in the performance of the Mork for which this permitPLAN APPLICAM isitasued I shall not employ ary person in any manner so as to become suliiact to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS r� t \ Cir; yAPpllcant ' r r II Total No _J_ Additional CITY - Tel No jNOnCE TO APPLICANT If after making the Certificate'& Ft Appliances Not Over 1 HP , PERMff N - ExemptpnyoushouldbecomewblecttotheWorkersCornpensitlon Range— Heater_ DW — + \ APPUCANT�-5, r'Ac- \d5+ �ov-- •provwtor d the Labor Code you must forthwith coney With such _ Oven _ Dryer — WM — , ADDRESS �`a ��-w r� NA �.� provisions or this permit shall be deemed revoked ~ Top _ FAU _ W H v CITU LICENSED CONTRACTORS DECLARATION ' Flood — Fen Other— I hereby affirm that I am licensed undo re d prowsoChapter g Oisic Roan Oond LICENSE OR encing • Gina (commwth Section 7000)dmsc Dn 3 of the Business and REG NUMBER PmWaons Coda and my license is In full force' nd effect DISTRICT NO. PROCE . ay Power Apparatus d Large Appliances Size 8 Type HP KW KVA or KVAR License Number Lc Class UP to 1 Ind' ` ' FINAL_ Over 1 to 10 Incl DATE a. Contracto 'Date Over 10 to 50 Ind I f rill FINAL 0 C3 am mpt exeunder Sac Over 50 to 100 Inc BY µ{,�J BAPC for this reason Over 100 p„ Services Swbd MCC 8 Panelboards YA Date 0-200 Amp Under 600 V ► I VV n 8 9 6 7.5 A Signature 201 - 1000 Amp Linder 600 V ' - Over 1000 Amp or Over 600 V tt•a • • • • Z ❑ Exemption for Rep Maim Elect __ ' ' I • • 31.50 SINGLE FAMILY Temp Power Pole 8 Appurtenanpes HOME OWNER-BUILDER DECLARATION Sign with One Branch CI(WIt ' •'• • .3 1'S 0 I hereby affirm that I am exempt from the Contractors License Law for the folevnng reason(Section 7031 5 Business and Professions, Additional Sign Branch Crowds o524-88 Code) . I'OIMw CorduRe 8 Conductors sa for ' ICI I as owner of the Property do the end the structure Other(See Complete Fee Schedule) _ pool intended offered for sale (Section 7044 Business ' and Professore Code) ' CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a corstructon lending agency for the performance of the work for which the permit Is issued(Sec 3087 PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE Lerldera Name r PERMIT ISSUING FEE Lenders Address , I certify that I have mad thm application and state that the above TOTAL FEE LIS 1 Information is Correct 1 agree to compy With all County ordinances and State laws regulating Electrical wenn g and hereby authorize representatives of the County to enter upon the above-menborad . property for inspect"purposes SEE REVERSE FOR EXPLANATORY LANGUAGE of S- 3 Y-88 , Sonatura Of Permittee Data ' WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3,V APPLICATION FOR ELECTRICAL PERMIT 1 hereby 9ffirm that I have a certificate of consent to self insure'or a certificate of Workers Compensation Insurance, COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C) - Policy _ A7�� a cy No pany T,��Z f49S !='r FOR APPLICANT TO FILL IN 108 ❑Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS r ❑Certified copy is filed with the county budding inspec- _1 8 2-Family Sal Ft S — $ LOCALITY tion department Multi-family Scl Ft — NEAREST Residential Swimming Pools CROSS ST Date—Applicant FIORM AME __ _ __ V CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light 3-Sw 3 MAIL COMPENSATION INSURANCE ADDRESS /,37 (This section noel not be ccoisINed R the work Involved b '�l\ First 20 P Y Total Not/ Additional CITY Tel No PLAN the Pontiff Is for one hundred dollars ($100)or less) CHECK 1 certify that in the performance of the work for which this PLANAM permit is issued I shall not employ any person in any manner APPLIC _ so as to become subject to the Workers Compensation Laws Lighting Fixtures Font 20 ADDRESS ` Total No � Tel No Additional CITY Dote Applicant / NOTICE TO APPLICANT If after making is Ce cats of -loorxed Appliances Not Over 1 HP PERMIT Exemption you should become subject to the Workers' Range— Heater—DW — APPLICATION Compensation provisions of the Labor Coda you must forth- liven — Dryer —W M — ADDRESS with comply with such provisions or this permit shall be To — FAU —W H — deemed revoked Hood — Fan _Other_ CIN Tel No LICENSED CONTRACTORS DECLARATION Dnp _ Room Air Cond — LICENSE OR Class /03 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRI NO SSE > and Professions Code and my bcerne a on full face and effect d Saxe 8 Type His, KW, KVA, or KVAR U License Number t,j 9��� Loc Class_ 6111)1 „ U Up KI , Incl FINAL V Cc Contractor Z��yli'1/LAP�Dote ��d Over 1 to 10 Incl DAA VALIDATION ❑ Over 10 to 50 Incl FINAL f- I am exempt under Sec Over 50 to 100 Inc BY / W B 8P C-for this reason Over 100 EL Z Date Services, $wbd MCC &Panelboards 0WV Z 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V -- - ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maont Elect SINGLE FAMILY Tem Power Pole 8 - 2 HOME OWNER BUILDER DECLARATION P Appurtenances , I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ACCT.V Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits 70Professions Code) - 3307 24• ❑ I as owner of the property will do the work and the M,sc Conduits 8 Conductor 1 ITEM structure isnot intended or offered for sole(Section 7044, Other (See Complete Fee Schedule)_. , TOTAL 24.70 Busmess and Professions Code) - ' CONSTRUCTION LENDING AGENCY OECK 24.70 1 hereby ofform that there is a construction lending agency for .00the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097 Gv C ) - PLAN CHECKING FEE Lander s Nome '' 0000-0001 2/ 1/90 PERMIT ISSUING FEE 8715 1 MUM, Lenders Address � ^ s I certify that I have read this application and state that the TOTAL FEE 2, above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon I the above mention property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE c;;-,�/ �v ®r ignat at rmone Date 10N WORKERS have a certificate of pLARATION 7aA663 ,p,B, APPLICATION FOR ELECTRICAL PERMIT {� S.lsreby affirm that I have a certdwate of Fonspnl to eelhmneure cE-soeG �j or a certificate of Workers Conn perest. Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof (Sec 3800 La ) Policy Nor mparry Z&SJ* �&-r Gd FOR APPLICANT TO FILL IN JOB ❑ Certified copy Is hereby furnished EACH NO FEE ADDRESS New Residential Bldgs 8 Pods ❑ Certified copy is filed with the county budding mspecbon t d 2-Family,Sq Ft $ — !$ P4LOCAUTY department Multi-fatuity Sq FtDate Applicant Residential Swimming Pools CERTIFICATE OF EXEMPTION FROM WORKERS I COMPENSATION INSURANCE Outlets Rec Lghl Sw 0 t �/(This sectwn need not be completed d the work Involved by the First 207rpermit Ie for one hundred dollars($100)ar less) TotalNoAdditional Tal No1 certify that in the performance of the work for which lies permit is issued I shall not employ any person in any manner so as to APRJCnNT become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No AdditionalDate Applicant CITU lel No NOTICE TO APPLICANT 9 after mak this Certdlcme of Fixed Appliaroes Not Over 1 HP PEFW Exemption you should become subject to the Workers Compensation _ Range— Heater— DW — -APPLICANT - provisions of the Labor Code you must forthwith comply with each Oven _ Dryer — W M _ ADDRESS provisions or this permit shall be deemed revoked Top _ FAU _ WH LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY Tel No I hereby affirm that I em licensed under prawsarts of Chapter 9 Disp _ Room Air Cond LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Cleea Professions Code and my license to in full force and effect DISTFILT NO PRCCEBSED BY Power Apparatus 8 Large Appliaroes Sae d Type HP KW KVA or KVAR y License Numb//e//r 7 L // �—Lc Class Up to 7 Ind FINAL - ContractorA�aIs Over 10 Coto 0 Incl DATE VALIDATION ❑ I em exempt under Sec Over 50 to 100 Inc RN' BY BPPC for this reason Over 100 Serwces Swbd MCC d Penelboards Z Date 0- 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Exemption Over 1000 Amp or Over 600 V Exemption for Reg Mamt Elect SINGLE FAMILY Temp Power Pole d Appurtenances" _ 2 HOME OWNER-BUILDER DECLARATION Sign orifi One Branch CircuitI hereby affirm that I am exempt from the Contractors License Law ACCT.AT for the following resson(Sechon 7031 5 Business and Professions Additional Sign Branch Circuits Code) -- — 7 17.% I as owner of Misc Conduits d Conductors the properly will do the work end the structure 1 ITFJIS is not mlendad W offered for Bale (Section 7044 BOmar(Sea complete Fee schedule) _ TOTAL and Rofeaaxxts coda) U91ne89 � 17. JD CONSTRUCTION LENDING AGENCY CASH 17.50 I hereby affirm that there a a construction lending agency for the CHANGE performance of the work for which this permit m issued(Sec 3097 PERMIT FEE (Sub-Total) '00 Civ C) Lender6 Name PLAN CHECKING FEE tTLrtllJ trtrill 9,27/90 Lenders Address v1�6 Ali t0r.2 PERMIT ISSUING FEE '�� r1fj[ v`7 1 1 certify that I have read the application and state that the above TOTAL FEE �Q mformaton is correct I agree to comply with all County ordinances and State laws regulating Electrical wmrg and hereby authonze representatives of this County to enter upon the above-mentioned ^ ' propert for insp ei purpoaes SEE REVERSE FOR E%PLAfV/170RY LANGUAGE rxa�-90 pn of Perms e9 Date COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTR?GAL %AIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 OO�,210033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT LEGAL ID FEES PAID BUIL M G ADDRESS ON FILE 5141 SERENO DR FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917803040 ASSESSOR INFORMATION NLKBER NEAREST CROSS STREET ENCINITA 5388-018-008 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY LA 100 AMP PANELS, MCC 1 00 PAN 38 85 TENANT TOTAL FEES 66 60 issuEu ON PROCESSED BY PLAN BY EXPIRES ON 09/21/00 UT 03/21/01 OWNER- TEL NO FINAL DATE ToDr— HOHL WILLIAM H (626) 286-8120- D�(I(� 6E 5137 SERENO DR /5'L9ZiFYTiIR ur TEMP 917803040 R 100 AIIP PANEL APPLICANT TEL NO SAME AS OWNERCONTRACTOR -rffl-No - SPECIAL CONDITIONS S PNGELES CO APPROVALS DATE INSPEETWMWATURr— SAME AS OWNER LIC NO TEMPORARY POWER POLE UNDERGROUND MNDUIT ARCHITECT OR ENGrgn'F- IhL NO UFER GROUND LIC N0� 111111, FMAIN WATER Ll r— 'U B L I C WORKS PLASTIC Y/N METAL Y/N r: SerVlce REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY p 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0008150005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5137 SERENO DR FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917803040 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ENCINITA 5388-018-008 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5 85 TENANT G2 LIGHTING FIXTURES 1 DO LGT 1 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 35 55 08/21/00 UT 02/18/01 OWNER TEL NO FINAL DATE CODE HOHL WILLIAM H (626) 286-8120- 5137 SERENO DR TEMP 917803040 vilum up WORK ELECTRICAL FOR GARAGE APPLICANT TEL NO: SAME AS OWNERSPECIAL CONDITIONS - PNGELES CO CONTRACTOR TEL NO SAME AS OWNER - �,�5 �tiAPPROVALS DATE INSPn7ffW7frdWXr9ffE-- Ty LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL NO UFER GROUND LIC NO 1111171 BO ROUGH CONDUIT PLASTIC Y/N METAL Y/N PUBLIC WORKS UTILITY COMPANY NOTIFIEDr > �1: Service REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706190022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5137 SERENO DR ASSESSOR INFORMATION NUMBER (FEE DESCRIPTION QUANTITY DOM AMOUNT (TEMP CA 917803040 NEAREST CROSS STREET ROSEMEAD 15388-018-008 Al PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY, C I LB 200 AMP PANELS, MCC 1 00 PAN 38 85 (TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 06/19/07 SR 12/16/07 (OWNER TEL NO FI)LAAALLL DATE,. FI CODE IHOHL WILLIAM H (626) 286-8120- p `X 5137 SERENO DR TEMP 917803040 DESCRIPTION OF FORK (UPGRADE SERVICE PANEL TO 200 AMP APPLICANT TEL NO I I LOPEZ (626) 331-1268- 2821 E MESA DR i (SPECIAL CONDITIONS WEST COVINA 91791 I CONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE 1 CAL ELECTRIC (213) 842-6441- I I 2821 E MESA DR LIC NO TEMPORARY WEST POWER POLE WEST COVINA CA 91791 836386 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO IUPER GROUND I LIC NO IROUGH CONDUI I ZTA- ROUGH WIRING (MAIN WATER LINE- PLASTIC Y/N �L Y/N (UTILITY COMPANY NOTIFIED( � 1 I d-11 I I I I I I I I I I 1 I I 1 I I I I 1 I I I .• (REPORT ID OPR265 ROUTE TO 830508 I I I