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Home My Public Portal About4452-4454-4456-4458 TEMPLE CITY BLVD_Electrical__ "•°� °BE°A " APPLICATION FOR PEHf= DEPARTMENT OFNG AND SAFETY �� COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX. CHIEr ENGINEER FOR APPLICANT TO FIL DISTRICT_ANO. GRDLJP ZONE PER NO. ELECTRICIAN JLmselVED BY R v FOR D Tt 1 SUED ADDRESS FI INePEOTICN CITY TEL NO f YA'�'H' ,."---' N COUNTY LICCNe NO EXPIRES BUILDING ADDRESS TY� PERMIT FEES NUMBER EACH FEE LOCALTTY�Q/�/) p I .J I�J TV LIGHT CUTLETS REST CROM BT RECEPTACLES WALL SWITCHES _ OWNER D°C—w t_ ( / W TOTAL OUTLETS eR ELEC RANGER 25 ° =111REsmA449 N I �( r�,� X I �J r' ELEC HEATERS 2e CI olgol- -lf e, ! I, TEL NO k / Q FIXTURES ° 1 HEREBY"ACKNOWLED E THAT I HAVE READ THIS MIBC APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMe[a HORSETLESN 'S EE AHGELEB COUNTY LICENBE, OR 1 AM THE LEGAL OWNER Mw Duca Or THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 2e SIGNATURE Or 150 PERMITTEuwl' 1OqINSPECTION RECORDe1 e01e eGeDa °D200000300o OO Z OVER000 O M G erT/rREQ CHANGER-HP Q' WELVERS AC-"A O GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (7e% or ORIo) MOVED MOTORS (76 OF GRIR) MIBC SIGNS No NO TRANS. APPROVALS No NO LAMPS FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING .1 DO O O CONDUIT rIXTUREB °1 OO WIRING D--/ ( SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE i TILITr C° NOTIFIED FINAL �C-� 1 - WORKERS CI have COMPENSATIONDECLARATION of corse CE 906 10,81 APPLICATION FOR ELECTRICAL PERMIT �"�firm that I have a certificate of consent to self �BOSG t,Lle or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) Pal icy No Company FOR APPLICANT TO FILL IN !OB Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ❑ Cernfied¢opy is filed with the county building mspec 18 2-Family Sci Ft - f_ — f LOCALITY non department Multi family Scl Ft — NEAREST Residential Swimming Pools CROSS ST 4. Dote Applicant OWNER OR s FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets Rec_Light_Sw COMPENSATION INSURANCE ADDRESS F64441AVag AZ (This section need not be completed If the work In"Ived byFirst 20 the permit In for one hundred dolleri($100)or less) Total No Additional CITY Tel No B RAN CHECK I certify-that m the performance a the work for y 0 this APPLICANT permit a issued, shall not employ any person in any anner so as to become subject to the Work d Comperysah n Laws Lighting Fixtures Fust 40 ADDRESS/7 ��,�r / Total No Additional Date Apphm CITY Tel Fixed Appliances Not Over I HP PERMIT I ma NOTICE TO APPLKJ+NT If term g t s Corti ca of Ran Hooter_D W APRK'ANT ! kAk� G Exemption you should -Me le to the kers Range provisions the ode you 1 forth- Oven — Dryer — W M — - ADDRESS Qq with comply with such pr ons or Zhu permit shall be Top — FAU —W H i deemed revoked Hood — Fan —Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION LICENR OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances . DISTRICT NO r� PROCE Y and Professions Cade and my license is in full force and effect QY d Size& Type HP KW KVA or KVAR 1 O O License Number L,c Clnss - V Up to 1 Incl FINAL O009 ver I to 10 Incl E!j PDATE VALIDA N FConnector Date Over 10 to 50 Incl VI am exem t under Sec P Over 50 to 100 Inc �B BP C for thn reason Over 100Services Swbd MCC&Ponelboords Z Date 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole& Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit 2 2 2 7 7 A I hereby affirm that I am exempt from the Contractor z License Sign Sign Branch Circuits • ° • • 2 Low for the following reason (Section 7031 5, Business and Professions Code) -,( e * 7(150 Elas owner of the property, will do the work and the Mix Conduits 8 Conductors - structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , _ - is - 7 0 5 0 5 7044 Business and Professions Code) 0618-85 CONSTRUCTION LENDING AGENCY 1 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 3D97 Civ C ) PLAN CHECKING FEE Lender's Name 61& YlAjrS ?Awk PERMIT ISSUING FEE Lender s Address I certify that I hove read this application and state that the TOTAL FEE r5 above information is correct I agree to comply with all County ordinances and State lava regulating Electrical wiring and hereby authorize repres nI lives of this County to enter upon the above mentioned ape rty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE gnat aprisnihmnee Date WORKERS COMPENSATION DECLARATION 76M63 jDiBt APPLICATION FOR ELECTRICAL PERMIT • +I Lweby offurrl that I helve a certificate of consent to self CE 8066, in,10r- 6r aLcerhficate,of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILD NG AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) s1, i2px P014 +6�'� Company � N FOR A►►LICANT TO FILL IN ES `J J� A• �7� �T Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE � "i F G �[ Certified copy is filed with the county budding utspec 18 2 Family Sq Ft F — S LOCALITY tion department I Multi-family Sq Ft — IA17.,a NEAREST �/^ S, Residential Swimming Pools CROSS ST Dote_? Af Applicant% siy'cl fes' OWNER OR1 FIRM NAME �T /V� IVB CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_Light_Sw_ MAIL COMPENSATION INSURANCE First 20 ADDRESS O (This stolon need not be completed If the work Involved by Total No Additional 1 CIT Tel No the permit is for arse hundred dollars($100)or Ins ) PIAN CHECK p I certify that in the performance of the work for which this APPLICANT S p6 Icr gArm 1c: permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Tocol No Additional CITY Tel No Date t Applicant Freed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this theCertificaterof s APPLICANT J. /G1 Exemption you should become subject to the Workers Range_ Heater—DW — 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 LICENSED CONTRACTORS DECLARATION CITY CENSE OR Hood _ Fan _Other_ ITY Tel No _ C I hereby off vm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class 4 /d (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO PROCE D Y and Professions Code and my license n in full force and effect ��s.s � /� Size 8 Type HP KW KVA or KVAR t/s O License Number 12i/+794 Lic Class S� Up to I Incl FINAL V .p� � �� / Over I to 10 Incl DATE VALI TION Contractor TS, mote 7—//-03 —v G ❑ Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc BYE/ W B 8P C for this reason Over 100 C Z I Date Services Swbd MCC 8 Ponelboards 11111 Ls DK 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V 3 %2 4.3 2 8 ❑ Over IOOD Amp or Over 600 V Exemption for Reg Maint Elect # • • • • • '2 SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION I e 1 5 7.7 8 Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors and Additional Sign Branch Circuits • e 157783 Law for the following -reason (Section 7031 5 Businessss and - Professions ❑ Code) 071 1 -85 I as owner of the property will do the work and the M,sc Conduits 8 Conductors structure is not intended or offered for sale (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, Ctv C ) ,/_ �•k� �h yam_ PLAN CHECKING FEE �dHY Lender s Name D Lender s Address So S� & PERMIT ISSUING FEE I certify that I have read this appl .tion and state that the TOTAL FEE t 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 t bo mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 7-//-g.-5 Signature of Permittee Dote COUNTY OF LOS ANGELES _ TEMPLE CITY # 0508 ELECTRICAL-PERMIT-, DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS (EL-0508-9806110011- BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT LEGAL ID. FEES PAID BUILDING�ADDRESS TR 43195 LT 1 t"56-TEMPLE-CITY SL FEE DESCRIPTION QUANTITY UCM AMOUNT TEMP CA 917804254 ASSESSOR INFORMATION NL#tBER NEAREST CROSS STREET LOWER AZUSA 8592-001-060 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY 01 OTHER INSPECTIONS 1 00 HOU 109 35 TENANT TOTAL FEES 137 10 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 06/11/98 ITT 06/11/99 OWNER TEL NO FINAL DATE FINAL VAROSM 917701733 LLES HECTOR (626) 579-9648- 8750 NEVADA AV MUM LUN-Ut-WUKK INSPECTION-OF_SWIMNING-POOL_PER_ TE BILL 873 APPLILANT TEL NO SAME AS OWNERCONTRACTOR TEE—W - SPECIAL CONDITIONS � PNGELES COAPPROVALS DATr INSPECTOR SIGNATURE-� SAME AS OWNER LIC NO TEMPOiIARY POWER POLE ARCHITECT OR EN M LFR TEL NO LIFER (,RCUMD /IUNDERCROUND CONDUIT LIC NO /I �-1111111ROUGH CONDUIT R=g vnnwr- Lh U D L� CC TV( �� MAIN WATER LINE L Y/N METAL Y/N UTILITY COMPANY NOTIFM Ser v ice Tha��t REPORT ID DPR265 ROUTE TO BS0508