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Home My Public Portal About4940 TEMPLE CITY BLVD_Electrical__ Tewees ew a APPLICATION FOR ELECTRIC PERMIT 1 Des as DIVISION OF BUMDING AND SAFETY D•pm4R•DL of Comm. Engbm G¢ BUILDING C=. Od IAM ADpRIp ADDRESS JOHN A L:AAIB IE.COUNTY ENOIN�t CARRATT D GRIFFIN GUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PE9I r FM ST NUMBER OWNER LIGHT OUTLETS MAIL RECEP'TACLEB ADDRESS WALL SWITCHES FEE CITY TEL N TOTAL OUTLETHa Igo ELECTRICIAN ELEC RANGES 28 ADDRESS AW ELEC HEATERS 25 KW 6A CITY TEL N 4 — STATICJ a FIXTURES S a LICENSE NO MOTORS - DISTRICT NO IGRONOPlYN71MOT"2 Iancrloe NDYMu HORSEPOWER FEE -117 V...�.f` HSw MYD HP IND EACH V EACH nfSP=ON RECORD e Leas • 2E 2 SO 4 2 S 100 S 18 150 18 SO 250 to 200 •00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING •100 O 0 FIXTURES 100 I O L SUPPLEMENTARY DO APPROVALS TOTAL FEE • G S• DATE INSPECTOR a SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER P THE ABOVE POWER DESCRIBED RESIDENTI SO ERTY SIGNATUR¢ UTILTTYCO NOTIFIED OF PERMITTEE FINAL S JOHN A LAMBIE.ItouNTY ENcuNsmW VALIDATION ARTHUR C.VEIT.CHIsr ELHCT. IN•PECTOR = no GASH LG8242—� NAY16 2 2.60 17 Tract # 14467 - - --- '°"WCE-W"" APPLIC ON FOR C ICAL PERMIT COUNTY OF LOS ANGELESop BUILDING AND SAFETY FOR APPLICANT TO FILLIN ADORES$ 4940 Tem I_e_ Ctt _'B I_�Ed .�r New Residential Bldgs &Pools - EACH NO FEE 182 Fomily Sq Ft $ 025 - $ LOCALITY - - Mull, family Sq Ft 02 - N ST La Rosa Residential Swimming Pools 25 00 OWNERR, - - -FIRMNAM Outlets Rec—Light_Sw MAIL First 20 50 ADDRESS 4940" Tem I-e-C I"t' " B-I vd- Total No Additional 30 CITY _ Tel No2872342 PLAN CHECK APPLI NT Lighting Fixtures,. First 20 50 ADDRESS tTn '4 Additional' - 30 CITY Tel No 1� Fixedi4ppuancey Npt Over 1 HP_ __ � p Range_Heat'1e I D W APPLICANT -Oven'_Dryer_W M _ - - ADDRESS 1 67 W,- Ora"n"etFTor -"T'"` +V,Top _FAU _ W H _ CITYP 1 acent 1,a.__ _ Tel No9961 521.- Hbod_Taln _-Otha'r_ LICENSE OR Disp _RoomAvCond 250 REG NUMBER 343771 _ C1assC-20-- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ' Power Apparatus B Large Appliances _ TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Sae 8 Type HP KW KVA or KVAR ' COMPLY WITH ALL-COUNTY ORDINANCES AND STATE-LAWS '7 2 50 REGULATING ELECTRICAL WIRING ' O' Up to 1 Incl HEREBY CERTIFY THAT 1 AM PROPERLPREGISTERED'AND/OR '-U _ Over 1 to 10 Ind 5 DO 5LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF tY. Over 10 to 50 Intl - 1250 _ CALIFORNIA OR IRATLL AM THEI LEGAL OWNER OF THE ABOVE .--0 Over 50 to 100 Inc 25 00 DESCRIBED RESID Y Over 100 _ 4000, - PERMITEE^„� SIGNATURE 6 Services �O0�Qpy p 12 50 1 12 . 50 DISTRICT - - -- i- E - -- 0 200 Am Under 61150 V �jIL1 , 201-1000 Amp Under 600 V 2500 -- l./ G t Over 1000 Amp or Over 600 V 5000 c = s O Temp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 10 00 Additional Sign Branch Circuits 200 _ INSPECTION,.��i N0 Misc Conduits 8 Conductors 1000 INFORMATIONON REVERSE' Other ISee'Complete Fee Schedule)_ t SIDE _ PERMIT FEE ISub`Totall17. 50 • !� PLAN CHECKING FEE (One Fourth Permit Feel ' O) • + r PERMIT ISSUING FEE _ $7 00 ., 7 . 00 K TOTAL FEE 24. 50 " o+ AD 4 INSPECTION FINAALLEDJ D/ CHVill date /�= By ^fI �! 1 WORKERS,COMPENSATION DECLARATION 63 CEAOBG 12 801 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure or a certificate of Workers'Compensation Insurance,or a certrfie o t ereo (Sec 380C C), f/��//�� FOR APPLICANT TO FILL IN JOB Policy �ompanY ^`�' Yt,R� New Resldentlel Bldgs &Pools EACH NO FEE ADDRESS Certified copy is hereby furmshe/ 1 &2 Femily,Sq Ft $ — $ LOCALITY Certified co Multifamily Sq Ft CROSS ST cop u fried with he county u(Idina i P t Residential Swimming Pools depart fit OWNER OR FIRM NAME Dale ApPlicent PQ Outlets RK_Light_Sw _ MAIL _ First 20 ADDR CERTIFICATE OF EX ION FROM WORKERS' Total No Additional CITU T•I N COMPENSA O INSURANCE } PLAN CH EC 1 (Thu section need not be pleted If the Work involved APPLICANT C by the pemnrit for one h dred dollars ($100) or leu) Lighting Fixtures First 20 ADDRESS U Total No Additional 2 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Te No O permit Is issued, 1 shall not employ any Person in any manner PERMIT so as to become subject to the Workers Compensation Laws Range_ Heater_D W APP 0CANT W yy Oven _ Dryer_W M _ ADDRESS I Vj Top _ FAU —W H _ Z Date Applicant ' Hood _ Fen _Other_ CITU Tel No , �h NOTICE TO APPLICANT If, after making this Certificate of Dnp — Room Air Cond_ KENS£ OR Exemption you should become subject to the Workers' REG NUMBER Clew Compensation-provisionsofthe Labor Code you must forth power Apparatus& Large Appliances DISTRICT NO PR D BY with comply with such provisions or this permit shall be Size&Type HP, KW,KVA,or KVA deemed revoked Up to 1 Incl FINAL Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl VAI 1 hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000) of Division 3 of the Burr Over 100 BY ness and Professions Code and my license is in full force and effect Berates /yjJJ d"r0 d , � 0 200 Arad' n er 600 V _ License Num a Lic Class _�]I� 201 1OD0 Amp Under 600 V 1 Contractor P C• C Data X Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances �� 1 hereby ran athat 1 am exempt from the Contractor's Sign with One CircLicensefor as ✓ LicenLaw for the following reason (Section 7031 5 Buri Additional Sign Branch Circuits / nese and Professions Code) 9269 1 A Muc Conduits&Conductors I as owner of the property will do the work and the Other (See Complete Fee Schedule)— # • • • • • 2 structure rs not intended or offered for sale (Section 7044, Business and Professions Code) 2 • • 1 9 5 0 CONSTRUCTION LENDING AOLNCY I hereby affirm that there is a construction lending agency • • • 1 9 5 0 Ux for the performance of the work for which this Permit is PERMIT FEE (Sub Total) issued (Sec 3097 Civ C) Lender's Name PLAN CHECKING FEE (One Fourth Permit Feel ( G20-80 Lender s Address PERMIT ISSUING FEE 1 certify that 1 have read this application and state that the TOTAL FEE above information Is correct 1 agree to comply with all County , or nances and State laws regulating Electrical wiring and he by authonze represe (ab es o is ounty to enter upon I he P bove me Tred pro kr17 for on pu� SEE REVERSE FOR EXPLANATORY LANGUAGE 1 Igoe ure of Permittee I Date