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Home My Public Portal About4359 TEMPLE CITY BLVD_Electrical__ CAL1� TeAeea6/63c[Eoe ea APPLICATION FOR ELIC i PEWIT COUNTY OF LAB ANGELES DEPARTMENT OF COUNTY ENGINEER 1LDING BUILDING AND SAFETY DMSION ADDl t•• JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JQ/ LOCALITY-Fri" OQ6N.•11►'T OF 81111.01" NGR[•T CRS R. RECEPT. TOTAL o M11o1 OUTLETS FIRST 20 S.20 • OWNER LIGHT MAIL AWL SWITCH. ov[n 20 .10 ADDPEN LIOXTINO TOTAL 11RST 20 .t0 CITY TEL No. FIXTURE[ } �DD IKM 1O 10 ELECTRICIAN RUSH 19 UNSL CIO.aYDR IYTSL NTE. 1.00 ADDRESS R- MAN AT- 4AIR.DMF. RA.cow CITY DIRIWARL M .WADI. [TATE SFACMI RA.AIF.I%".NAE.I ,8p LICENSE N0. 137586 C-10 MOTORS. aYo HoTwa H.F. DIST G UP ZONE P ED BY (AST0A. 1v — 1 1A0 ,� ICi,jf s 1.50 1 AIR INSPECTION R ORD a e 2.00 • — 1s 2-50 8 15 — Bo 3.00 So — foo 5.00 •IONS. No.TUNS. M0.LAMM WIYICE O.600Y.NOT Dva SODA 11.00 OMMCE O.SOOY.OW=*ODA. 2-00 YERYICE OYER SOOY 0.00 MISC. PERMIT ISSUING IQ Jp . a3',{ 4�* 2-00 SUMO MENTARY IOIMIT ISSUUIG FEE 1.00 TOTAL PEE I• J D I HORST ACOOWImOE THAT I NAYS .RAD THIS AFFLIGTDMAPPOICVALS is I SIGHATM AICD IMT[114AT W[M A2OYM R COR = AND "M TO CONFLY CONDUIT WITH ALL OOIINTT lHln MME AND STATE "" UOOLATING ELECTRICAL MR!".WR1 . RING I Mae" canTIn THAT I AN ►IOFOILY StGISTMICSO AND/o11 LNC N IRO lI n IDS ANOMLMIC ODONTY AND STATIC OF FIXTURM T.111.IIpOIu a THAT I AN THIS: L[DAL OWImI OF TNM ASOYM oeocrAxED IRSCDOTTIAL FSOTWRT. SIGNATURE UTILITY 0I►DIM S II VISIT CK) N CASKIN ARTHUR a MLRC CK 11O CASH BUIERYI•IMG ELECTRICAL BNG1NEtR 11w05 ,1 4 A ^. "'T Ij 2 D ;S,rjU~ . 'D 114. APPLICATION FOR ELECTRIC PERMIT 1 DMIMON OF BIItLAND RU;7W Dnxwftmd of Co"Co" 1�m JOHN A.CASSATT D.GRIFFIN Burr OP BUILDHN3.(iypt.LRFORAPPLPERM _IC�_NT TO FILL IN Cgoon ST. NUQB[6 F�� LIOFTT OUTLETS MAIL RECBYTACLES ADDRESS WALL SWITCNEB PQQ m. TOTAL O ELECTRICIAN C ELQC.RANGES as ADDRESS e1Ec HfurQRB as CITY TE..No. KW EA STATE FIXTURIIS B LICENSE NO MOTORS DISTRICT O. GR P E READY roR IOP[Ci ROR NUMBER HORSEPOWER FEZ 'y NM Itw. HP Ora IND. EACH •Lw as INSPECTION M=HD R .BO SCS. s s 1.00 s is 1.50 Is so 2.50 �� r, Bo ROO 8.00rs MIBC. NO.SIGNS NO.TRANS. NO BI N !d1 FOR EACX PERMIT: - WIRING 1.00 1 lee) PUTTUREB 1.00 BU ENTARY so AMOVAM TOTAL DATE IRSP[CTOR'S DORATOR[ IS APPLICATION AND �TE THAT THEY E ABOTE 13 CORRECT AND AGREEGE THAT I HAVE READ TOTO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE 14WS LBGULATIRG WIRING ELECTRICAL WIRING. 1 HONEST CERTIFY THAT I AS PROPERLY RESISTORED ARD/OR FUTURES LICDIS D AS REQUIRE! BY LOS ANGELES COUNTY AND STAT[ OF CALIFORNIA OR THAT 1 AR THE GAL RBL OF THE ABOVE POWER DESCRIBED RESIDENTIAL SIGNATURE UTIL rY CO.NOrIFI OP PBRMI7'TOO FINAL JOHN A.LAMBIB.COUNTY EHGINMM VMMA7MU, ARTHUR C.VETT.CXIEF XL.sar.INSPECTOR QH Mo cmn 1 1%uq JUL 17 2 2.0 0 E Ree ' m TeAsaa cMloa a-eG APPLICATION FOR ELECTRICA ERMIT D COUNTY OF LOS ANGELES U DEPARTMENT BUILD NG AND SAFETY DIV SION ENGINEER A°a�Iipels"s N3T JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FXTURES APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH I[[ S e OWNER MAIL / o L FIRST 20 .20ADDRESS /VJ //OVER 20 .10 CITYCWTEL.NO. 7*3^ (ILAN CNECK FIRST 20 .20 PPLICA T OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. NTA. CITY TEL.NO. STA. COOK_DISP._F.A.U._ CONTRACTOR /�4,1,4 61[,4-^ - 4* SPACE HTR._AIR COMO. ADDRESS OkH/ 2l CA, -JACA* /9s!- CLOTHES WASH._DISNWASH._ CITY fJ Iv TEL.NO.,d*- -6.� FAN—OTHER 1.00 LICENSE NO. JF -2 40740 CLASS. C MOTORS,TRANSFORMERS RATING 1 Hu[eY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. W. M. KYA. AMD STAT[ TNAT THE PROVE IS CORRECT AND AGREE TO COMPLY 612E 3 TYFE OVER TO TIITN ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING ELECTRICAL WIRING. O — 1 1 1.00 1 1 1 N11E1V CERTIFY THAT 1 AM PROPCOLV REGISTERED tlm/OR LICENSEDAE R[WIR[D SY LOS ANGELES COUNTY AND STATED' I — 10 3.00 CALI'OMMIA OM THAT 1 AM TN[ LEGAL OWNER 01, AND INTEND TO M[GID[ IN. THE ASOV[ D[SCRMCD N[SID[MTIALIFMOPERTY. O 10 — SO 3.00 V SIGNATURE K SO — 100 1000 OF PERMITTEE Q 100 — S00 IS.GO DIeTTNfTEMP. cT NO._ GRou• tong PRoccla[o 1Y SIGN,GAS SIGN AND ONE CIRCUIT 3.00 Z TUBE, OR ANROUEE ADDITIONAL CIRCUITS 1.00 NOT — SERVILE NOT 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 3.00 TEM SERVICE, POLE, QAPPIRTEAMNCES 3.00 APPROVAL' DATE EUPECIDR'11RwTURE POWER POLE UNDERSLAS WORK ., ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) IFIKAL FIXTURES PLAN CHECK FEE (50% PERMIT FEE) OWER AUTHORIZED PERMIT ISSUING FEE 2.00 TILITY CO.NOTIFIED 141 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE JOSEPH C. ROOHAN IIIIIIIII SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CA" PERMIT VALIDATION M.o. CASH LAS'/,1 s a z% SEP17 2 D, 4.00- 9 cK Or APPLICATION FOR COMPLETE FEE SCHEDULE TeAeel u-.oe level APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO Ftl1 IN 10B New Residential Bldgs.&Pools EACH NO. FEE ADDRAff41 , 1 3 2-Family,Sq.Ft. S .025 — f LOCALITY 117e,,tiis .4 41 Multi-family Sq.Ft. .02 — 1.. 0 t.l Residential Swimming Pools 25.00 CROSS ST. OWNEROR Outlets:RK—Light-5w._ A I R Fiat 20 .50 Total No. Additional .30 O AP Tel.No N HTECTK Lighting Futures Fiat 20 .50 ADDRESS Additional '� Tocol No. CITY Tel.No. Fined Appliances Not Over 1 HP PERMIT APPLICANT Runge—Hooter_D.W._ ADDRESS %0 Y Oven_Dryer_W.M.— Top _FAL —W.H._ CIT (CNS 4 �T Tel.No. Hood—Fort —Other— LICENSE OR Dnp._Room Air Cand. 2.50 REG.NUMBER 3 ClaJREDAND � I HEREBY ACKNOWLEDGE THAT I HAVE READ A. Power Apparatus E Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT ATO Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND S 2.50 REGULATING ELECTRICAL WIRING. Up to I Ind. I HEREBY CERTIFY THAT I RLY REGISTR Over 1 to 10 Ind, 5'00 UCHJSID AS ED BY LOS COUNTY AFOver 1O to 501nd. 12.50 �a^ 0ORNIA R T 7IAM TH OWNEROVE 0 Over 50 to 100 Inc. 25.00 065CR1BED PROff Over 100 40.00 F !%A EE SIGNATURE Services DISTRICT NO. ESS V 0.200 Amp.Under 600 V 12.50 D S 201-1000 Amp.Urdu 6DO V 25.00 Over 1000 Amp,or Over 600 V 50.00 Temp.Power Pale b Appurtenances 10.00 Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > Misc.Conduits&Conduction 10.00 INFORMATION Otter iSee Complete Fee Schedulel—,_ ON REVERSE SIDE � B1759A n e to e . . 2 PERMIT FEE ISub.Totah 20 - 19.50 PLAN CHECKING FEE (One-Fourth Permit Fee, " 0 e 1 9.5 0 5 PERMIT ISSUING FEE $7.00 ?FF 1212-78' TOTAL FEE >< INSPECTION FINALED F�[� date/a/I? BY ms WORKERS'COMPENSATIONDECLARAJ70N 76A660 (x-801 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to telt COUNTY OF LOS ANGELESC BUILDING AND SAFETY Insure,or a certificate of Worker'Compensation Insurance,or l ■certified copy thereof(See.3800,Lab.C.) f FOR APPLICANT TO FILL IN JOB Policy No. CompNY ADDRESS i New Raidentid Bldgs.&Pools EACH NO. FEE ❑ Certined copy Is hereby furnished. 1&2-Family,Sq. Ft. If i LOCALITrAREY CertlRad copy b filed with the county budding Inspection Multi-family Sq. Ft. CROSS ST dap m a _ Residential Swimm Is pWNER OR *P—A R FIRM NAME / Dat ADDllca �F--- Q yp 1 / ADDRESS r Outlets: R Sw.ERTIFlCATEOFE EMPTIO OM WOR fiCOMPENS ION IN RANCE Total NoAdditional CITU Tel No. PLAN CHECK (This lection need not be completed if the work involved e 16 APPLICANT O by the permit is for one hundred dollar ($100) or leu.) LToting Fix ? Fir" o ADDRESS () I certify that in the Total No. 0 penot mance of the work for which this Fixed Appliances Not Over 1 HP CITU Tel No. O permit b issued, I shall not employ any person in any manner PER o'G Ur w as to b Oma subJett to the Worker'Compensation Lewy. Range_Heater—D.W. _ APP ANT H Oven _ Dryer_W.M._ ADDRESS C U Z X,Dat Appll t Top — FAU Hood — Fan Other_ CITU No NOTICE TO APPLIC T: If, afte eking thl ertl0ate of Disp. —Room Air Cond— L'ut Net UK N ER Class Exemption, you aho becom subject to tits Worker' Compensation povblow of the Labor Code, you mutt forth- Power Apparatus& Large Applioneea DISTRICT NO. PROCE9 D BVD with comply with such provisions or this permit shad be deemed revoked. Size 8 Type HP,KW,KVA,or KVA Up to 1 Incl. F AL LICENSED CONTRACTORS DECLARATION Over 1 to 101ne1. DATE Over // —Q VALIDATION Over 10 to 60 Incl. (G (J 1 hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Bud- Over 100 By �J nese and Professions Code, and my license is in full force and effect. Services G ? License Number 0` Lic.Coss j 0.200 Amp.Under 600 V C 201-1000 Amp.Under 600 V Coatrao/ ' Date / Over 1000 Amp.or Over 600 V H(((OME OWNER-BUILDER DEC ARATION Tamp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Buss- Additional Sign Branch Circuits near and Professions Code): Misc.Conduits&Conductor 0 0 z,0 A ❑ 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)--- structure is not intended or offered for sale (Seaton =! • • • • • 2 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY Z a -'6 3 4 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 o n 6� ao� issued(Sec.3097,Civ.C.). Lender's Some PLAN CHECKING FEE (One-Fourth Permit Fee) 0624-81 Lender's Address PERMIT ISSUING FEE I certify that I have rad this application and state that the TOTAL FEE above information is correct.1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the � *-mentions pro pert sppeaton P SEE'REV FRSE FOR EXPLANATORY LANGUAGE i / J Sig urs of Pem i e '