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Home My Public Portal About5231 SERENO DR_Electrical__ TBABBS"°°'I'BD APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOB ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING �7 BUILDING AND SAFETY DIVISION ADDRESS S13 J g/-Gh0 D1' JOHN A. LAMBIE.COUNTY ENQINQR 7G/AT IG C/ WILLIAM A JENSEN SUP T OF BUILDING LOCALITY rAR FOR APPLICANT TO FILL IN L' "A- FOR FEES t < e tr I T C M NUMB[R GCl1 FQQ ,.1. Serono D� OUITLETBI ` aW J /� Sf0 LIGHT. RACK" f' CITY 7� r TeL No •39 LIGHTING FIXTURE8 to [uC RANGES CLO DRYERS ELECTRICIAN W L'e ll� WATER HEATERS ADDRESS 4¢C SPACE HTRS OUDIWASHMIRS CITY TEL NO GARBAGE DISPOSERS AUTO- STATE WASHERS, ETA COOKING UNITS 25 LIC@ISE NO - MOTORS. OVER INC Hr DISTRICT NQr� GR P Z N P D 0— Ya 25 6 VA— 2 bo INS ECTIOf4 REdORD 2— ° 100 „/�y-Q� or7 \Je�G O la— so zoo 0 O b0— 200 E00 I SIGNS NO TRANS LAM" AYPa I� SERVICED SOOV 100 SERVICE OVER SOOV a 00 ' MISC WIRING PERMIT f 00 OV I FIXTURE PERMIT 1 00 SUPPLEMENTARY PERM IT EO TOTAL FEE t I HERESY ACKNOWLEDGE THAT I HAVE READ THIS GTIOx APPROVALS DATA INSFECTOH a BIGNATUR[ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYFLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �P ELECTRICAL WIRING WIRING I? 1 X�IEBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS REDUIR¢D BY LOS ANGELES COUNTY ANO STATE OF FIXTURES CALIFORNIA OR THAT 1 AY TH6 LEGAL OWNER OR TN[ ABOVE DESCRIBED RESIDENTIAL PR P RTY POWER I I'�II�I K SIGNATURE �� UTILITYCO NOTIFIED O `\ AILD F PERMITTE I �W FINAL '14 Ull A U C VETT KALIDATIMO IW SUPERVISING ELECTRICAL ENGINEER LAGo1 8 5 9 � 41% 23 2 D 4.50 10 ,L weY " APPLICATION FOR ELESIRIC PERMIT 1 COUNTY OF LOS ANGELS DEPARTMENT OF COUNTY ENC.. NEER BUc'.f BUILDING AND SAFETY 01)(11 ON ILDINGJ% ON wDILDIN JOHN A. LAMBIE, COUNTY ENGINEER DREW CAJISATT D GRIMM.SUPT or---LOIN- LOCALITY FOR APPLICANT TO FILL W NEARESTR �, PEM FM ITEM NUMBER I EACH FEE OWNER OUTLETS ! ! MAIL LIGHTS RECER SW To ADDRESS LIGHTING FIXTURES 10 CITY TEL No ELM RANOWS CLO DRYERS ELECT CIA WATER HEATERS a0 ADDRESS n[c BPACE HT%IL DIEIWABHERS CITY TEL NO OARBAO[DISPOSERS AUTO- STATS WASHERS STA COOMMO UNITS Ea LICENSE NO MOTORS OVER INQ. H P D p _ p O— YE Pa YA— E ao ,r INSPECTION RECORD 2— a loo �y 60 -CRAG t oAld ISO la— aO 250 aO—Soo SOO o SIGNS No TRANS NO LAMPS Q SERVICE O-SOOV 100 Q-(j SERVICE OVER GOON Boo MISG WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 00 TOTAL FEE ! d 1 HEREBY ACNNOWLRDOE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCE! AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING WIRING 1 HERESY CERTIFY THAT 1 AM PROPERLYER REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGE COUNTY AND 617ATE OP FIXTURES CALIPORNIA OR THAT 1 AM THE LEGAL OWNER Or THE ABOVE DESCRIBED REnIDETTIAL PRo POWER n A M SIGNATURE UTILITYCO NOTIFIED OP PERMITTE �77FINAL 1-v f lol I I VI ®r VAI.IDAON") ARTHURC VETT./L ' alt MG OA�1 UP8RY181NG RICAL ENGINEER l LfiL.4450�3 euG 3 2 250 `:1 WORKERS COMPENSATION DECLARATION 63 to,at APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate 8te of consent to self �806G insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lob C ) P❑oliicy No Company FOR APPLICANT TO FILL IN ,ADDRESS.5231 Certified co is hereby furnished EACH NO FEE t PY Y New Residential Bldgs S Pools Certified copy is filed with the county building inspec 18 2-Family Sq Ft $ — f LOCALITY bon department Multi family Sq Ft — NEAREST CROSS ST J�Oelkj"r,-Ab 131 Date Residential Swimming Pools OWNER OR Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec_Light_Sw_ MAIL a COMPENSATION INSURANCE First 20 r ADDRESS (This section need not be completed If the work Involved by Total No Additional - CI r Tel Not Xr the porn it Is for one hundred dollop($100)or less ) PIAN AC HECK certify that in the performance of the work for which this GNC HE permit is issued, 1 shall not employ any person in any manner NT so as to become subject to the Workers Compensatio Laws Lighting Fixtures First 20 ADDRESS � Total No Additional ��//�� QQLt G_S I(C2,4 CITY a Dot.2(4 -° Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of PEPEAPPLICANTIT Exemption you should become subject to the Workers _ Range_ Heater_D W _— 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 —WH — deemed revoked I Hood Fan — Other— CITY - - Tel No _ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Dup _ Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the BusinessPower Apparatus 8 Large Appliances DISTRICT NO Y PROCE Y and Professions Code and my license is in full force and effect �U y Size 8 Type HP KW KVA, or KVAR o d License Number Ltc Class - Up to 1 Ind FINAL a V Over 1 to 10 Incl DATE C/j� VAII ATION Contractor Date Over 10 to 50 In FIN �✓ r O ❑ I am exempt under Sec Over 50 to 100 IncIL BrY� 100 W B 8P C for this reason Over Z Date Services Swbd , MCC 8 Ponelboords of 0 200 Amp Under 600 V Signature 201 - IODD Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Cucu it ;2 7 6 0 9 A I hereby affirm that I am exempt from the Contractor s License _ Additional Sign Branch Circuits �• • • • 'Z Low for the following reason (Section 7031 5 Business and P r o fess ions Cade) .L1L I as owner of the,property, will do the work and the Misc Cori 8 Conductors I - - 2550,- P ed or Other See Complete Fee Schedule , a re structure is not intended or offered for sola (Section ( P )— .e 2S 5 0 7044 Business and Professions Code) - CONSTRUCTION LENDING AGENCY 0 8 0 67i-8 7 1 hereby affirm that there is o 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 _ _ Lender s Name PERMIT ISSUING FEE _ Lender s Address �^ ' SZ I certify that I have read this application and state that the TOTAL FEE SF S above mformotion is correct 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives off County to enter upon e a e-mentioned prop rty inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ignature f Permittee Date COUNTY OF L08 ANGELES TEMPLE CITY B OSOB ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL OSOB 0609260000 BUILDING ABD SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (636) 385-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS BX 67 PO 74 PC 2 5331 SERENO DR FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803044 ASSESSOR INFORMATION NUMBER RBAREST CROSS STRE4T 5388-019-032 Al PERMIT ISSUANCE PES - 27 75 THOMAS PAGE 596 GRID 94 LOCALITYTEI@LE CITY C BI MULTI-FAM SHE BLDG 1898 00 SO 170 87 TENANT TOTAL FEES 198 57 ISSUED ON PROCESSED BY PLAN BY _ EXPIRES ON - 09/26/06 JX 03/15/07 LI U C TEL NO FIliA1 ATB FINAL BY CODE LIN CHRI8TIH6 (636) 786-0061- G� (.� 20503 SIMON COURT n WALNUT, CA 91769 DESCRIPTION-OF WORK ELECTRICAL FOR NEN CONDO APPLICANT TEL NO PEI (636) 269-0204- 735 N EMEYSOH AVE SPECIAL CONDITIONS MONTEREY PAR[ 91754 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE TRITECH DEVEIAPKKVT INC (636) 389-0204- 735 M BISON LIC NO TEMPORARY POWER POLE MOETBHEY PAR[ CA 91754 455278B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO WEN GROUND LER PETWA (626) 280-9000- 8740 VALLEY BL LIC NO ROUGH CONDUIT ROSEMEAD CA 91770 4552788 ROUGE MIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED ADDITIONAL DATA ON PILE REPORT ID DPR265 ROOT'S TO BS0508