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Home My Public Portal About5318 TEMPLE CITY BLVD_Electrical__ ).A•e,Cy APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN '08n, New Residential Bldg• & Pools EACH NO FEE ADDRESS r { 4C• 1 &2 Finally Sq Ft $ - $ LOCALITY G t Multi family Sq Ft NEAREST EAAR ST` \ Residential Swimming Pools CROS'OWNER OR _- .�______ FIRM NAME •' r\' - .— _ Outlets Light Sw tch&Receptacle+ If MAI L11 First 20 'ADDRESS3-1 -;Q t�ple 64t; AtldivOnal - T II CITY / Tel No 2 PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel No Fired Appliances PERMIT Not Over 1 HP APPLICANT Range_ Heater_ D W ADDRESS Oven _ Dryer W M Top _ FAU W H CITY Tel NO > Hood Fen - LICENSE OR - o Dep A C j5D IREG NUMBER Class N.ROT wNWL.DG. T AV.w uN• APPLICATION Power Apparatus& Large D STAIR THAT TH. A.Dv. u c CCT AND wows. TO ..MILT CALLCOVNII ORDINANCsv AND STAT. Size&Type HP, KW KVA,or KVAR •LOTwICAL W..ING wpU y Up to 1 Incl I H.wov C.RTIIV THAT AMI OP. LT R. • .II.-ANefew cO As RUZ Over 1 to 10 Incl IC.N. QIJ .O a Lw mT OS w .us COVNTT AnP •TAT <ALIIORNIA OR THAT I AM IN. L.OAL O .R Over 10 to 50 Incl .•Cwu..AS.lD wL I I.w Over 50 to 10D Ind PCRMITEK Over 100 SIGNATU R6 L SarvICeB DISTRICT NO P C ED BY O 0-200 Amp Under 600 V 201 -1000 Amp Under 600 V APPROVALS INSPECTOR S Over 1000 Amp or Over 600 V SIGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED r PERMIT FEE (Sub Total) UTILITYCO NOTIFIED y i PLAN CHECKING FEE (One Fourth Permit Fee) FINAL PERMIT ISSUING FEE TOTAL FEE NOTES LAN CHECK VALIDATION CK MC, CASH PERMIT VA CK M O CASH 2 6 12a 2 0 1 05 0 ,&5a 76A66f 4806 1.60 COUNTYAPPLICATION FOR ELECTRICAL TERMITr OF LOS ANGELES LJI •: DEPARTMENT OF COUNTY ENGINEER BUILDING ,6-.j BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPCRINTKND6NT OF BUILDING LOCALITY NEAREST ) FFORPPLICANT TO RILL IN CROSS ST LC//nj EE NO fA S CH FOWNER l� J 06MAIL L FIRST 20 20 O-fl ADDRESS ,11= OVER 20 10 CITY TEL NOL FIRST 20 20 a — PLAN CHECK p( �Y'b APPLICANT OVER 20 10 ADDRESS RANGE—DRYER_�WTT_ HTR CITY TEL NO STA COOK—DIS P �F A U CONTRAC FOR SPACE HTR —Al COND ADDRESS �� 3 l/LltI CLOT WASH WASH DISHWASH C� C CITY�C: TEL NO Yyllf FANJLOTHER - I 00 J D'fl LICENSE NO ?6 .P .3 S CLASS MOTORS TRANSFORMERSRATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT�I HAVE READ THIS APPLICATION SIZE d TYPE OVER TO AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE IAW6 REGULATING 0 1 100 ELECTRICAL WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 — 10 3 00 LICE NSEDAS REQUIRED BY L02 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OP AND INTEND TO IC SO 6 00 RESIDE IN THE ABOVE DESCRIFED RESIDENTIAL PROPERTY O U 60 — 100 10 00 SIGNATRE V OF PERMITTEE of 100 — 600 16 00O 0-0 GRO P Z ONE PROCES4ED BY SIGN GAS rj TUBE OR SIGN AND ONE CIRCUIT 300 MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES Z SERVICE NOT OVER 600 VOLPTS OR 200 AM2 00 SERVICE OVER 600 VOLTS OR 200 AMP S 00 TEMP SERVICE POLE Be APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE TEMP POWER POLE UNDERSLAB WORK `- ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FI%TURES PLAN CHECK FEE (807. PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 200 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEEI 1 00 FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECT CAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 CASH 10-EE1 6 9 9� SEP 4 s2 D 1 SAO- EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE APPLICATION FOR ELECT66"A PERM- fT/ TBA009ECESOg f-66 COUNTY OF LOS ANGELES - DEPARTMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS ' JOHN A LAMBIE COUNTY ENGINEER COLEMAN JENKINS, SUHRINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST NO FIE CROSS ST RECEPT, b OWNER �tJ4 MAIL LIGHT_ TOTAL FIRST 20 20 ADDRESS SWITCH_ -- -_OVER 20r -_ 10 —.. CIT ___ _ -TEL NO PLAN CHECK LIGHTING iTOTAL FIRST 20 20 APPLICANT FIXTURES 1( OVER 20 10 ADDRESS RANGE_DRYER—WTR HTR CITY L NO STA COOK, F A U CONTRACTOR SPACE HTR —AIR CONO ADDRES CLOTHES WASH —DISHWASH CITY EL NO FAN—OTHER 1 00 LICENSE NO CLASS Q MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE 6 TYPE OVER TO AND STATE THAT THE ABOVE 19 CORRECT ANO AGREE TO COMPLY _ WITH ALL COUNTY ORDINANCES AND !TATE LAWS RCGULATIN6 ELECTRICAL WIRING 0 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ON 1 - 10 3 00 LICENSED AS REDUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE OAL OWNER OF AND INTEND TO d 10 - 50 b 00 RESIDE IM THE ABOVE ES RIf ED RESIDENTIAL PROPERTY O SIGNATURE U b0 - 100 f0 00 OF PERMITTEE loo — 600 16 0o DIS ICtT O G P Z E PR SSE BY SIGN GAS SIGN AND ONE CIRCUIT 3 00 0 TUBE OR d MARQUEE AOOI TIONAL CIRCUITS 1 00NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 6 00 i TEMP SERVICE POLE h APPURTENANCES 3 00 �� APPROVALS DATE INSPECTOR S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (60% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 200 E/ V UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATGON05.00- K M 0 CASH C. 5.0 0 w EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _/��•-V o I W9ljJCERS'COMPENSATIONDECLARATION CE SGSG 12 801- APPLICATION FOR ELECTRICAL PERMIT ' CE808 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'Comp9niation Insurance,or - e certifiedscipjitherfof(Se FOR APPLICANT TO FILL IN JOB 1 ('1. Cy o Com New Residential Bldgs &Pools EACH NO FEE' ADDRESS [I s C/ /C 1 ff ❑ Certified copy is hereby furnished�j�� 1 &2-Family,Sq Ft $ — $ LOCALITY C j Multi family Sq Ft 1 CertnDed copy s filed with the county building inspection CROSS ST department Residential Swimming Pools OWNER OR FIRM NAME p fj TJX/vL /1 Date ,Applicant Outlets Rec_Light SW _ ADDRESS <�J 16 /I C..r VK i first 20 _ ` CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITU �C f / Tel No COMPENSATION INSURANCE J 1 0. PLAN CHECK (This section need not be completed if the work involved APPLICANT by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS Total No Additional O 1 certify that in the performance of the work for which thisCIT Tel No F Fixed Appliances Not Over 1 HP U permit s iuued, 1 shell not employ any person in any manner PERMIT saj so as to become subject to the Workers Compensation Laws Range_Hester_D W _ t PP ICANT 'L v Cn e eG L d ' Oven _ Dryer_W M _ ADDRESS T� �S rj!0 'rf f" s Z Date Applicant Top _ FAU _WH _ q Hood _ Fan _Other_ CITYXel TeI No ht�0 �6dq NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond_ NS C— - Exemption you should become subject to the Workers' RE N MBER Clap Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PRO S BY with comply with such provisions or this permit shall be - '- deemed revoked Size&Type HP,KW KVA or KVA Up t 1 FINAL Over I Over 01nc1 DATE t VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 rP60 Incl I hereby affirm that 1 am licensed under provisions of Chapter Over 60 to 100 Inc FINAL By Y 9 (commencing with Section 7000) of Division 3 of the Bwi Over 100 - nese and Professions Code, and my license s in full force and effect Services License Number ' Lic Class 0-200 Amp Under 600 V 201-1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances :24 1 26 A I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit # • • • • a 2 License Law for the following reason (Section 7031 S, Bwr Additional Sign Branch Grmits 2 a • 1 nese and Professions Code) I ib ❑ 7. 00 a a a I, as owner of the property, will do the work end the Misc Conduits& Conductors 1 7,0 0 5 Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code) '0 2 1 9—81 CONSTRUCTION LENDING AGENCY I hereby affirm that [here is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) An' i issued(Sec 3097,Civ C) i Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above information is correct 1 agree to comply with a0 County " ordinances and Stale laws regulating Electrical wiring, and _ hereby authorize represgrilatives of this County to enter upon the abire menu ed p ty for i ection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE Signature at ermi a to i COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT i DEPARTMENT OF PUBLIC WORXS 9701 IAS TUNAS EL 0508 0906040003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 1 5318 TEMPLE CITY BL FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803148 (ASSESSOR INFORMATION NUMBER [ _ NEAREST CROSS STREET 18589-001-012 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY Cl I TJX MOTORS LT 3 HP 1 00 MOT IS 30,1 TENANT TOTAL FEES 43 05J ISSUED ON PROCESSED BY PIAN BY EXR (06/04/0PIES ON 9 SR _ 12/01/09 0TEL NO IR]AL y� jjipy� BY CODE 1 CALLAGHANLLA DANIEL (623) 285-3933- �y- _I " 5318 TEMPLE CITY BL TEMP 917803148 DESCRIPTION OF WORK ELECTRICAL FOR ROOF MOUNTED SOLAR P V INSTALLATION 1 (APPLICANT TEL NO IBURNS (800) 324-1978- 1 I 1511 E ORANGETHORNE I ISPECLAL CONDITIONS FULLERTON CA 92831 1 (CONTRACTOR TEL NO [APPROVALS DATE INSPECTOR SIGNATURE [CALIFORNIA SOLAR SYSTEMS (800) 324-1978- 1 _11511 E ORANGETHORPE AVE_ _ _ LIC NO _ _ _ _ _ _ [TEMPORARY POWER POLE STE D 920108 B 1 FULLERTON CA 92831 [UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER TEL NO `; L 1UFER GROUND LIC NO [ROUGH CONDUIT ROUGH WIRING � MAIN WATER LINE 1 [PLASTIC Y/NMETAL Y/N IVTILITY COMPANY NOTIPIED II 1 I I I I I I I I I I I I I I I I I I I I I I I I I 1 [ 1 I I I �_ 1 ` � iREPORT ID DPR265 � � ROP1E TO 890508 11 I I