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Home My Public Portal About5334 TEMPLE CITY BLVD_Electrical__ TeAaas ceeoe 9-64 APPLICATION FOR ELECTRICAL P MIT C IJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 9 E�/J` G�,�/ �L j/Q BUILDING AND SAFETY DIVISION ADDRESS J /' JOHN A LAMBIE, COUNTY ENGINEER Y r+ ,. COLEMAN W JENKINS SUP T 01 BUILDING LOCALITY y-G C Yf NEAREST FO PPLICANTO FI IN I CROSS ST NECEPT TOTAL NO GCN I[[ �• LIGHT OUTLETS FIRST 20 X10 f EO t a OWNER GG Q 9 9 ADO•L al O 19 ADDRESS .r C EWITCN OVER 20 10 * LIGHTING TOTALI FIRST 20 ZO iO CITY TEL NO T FIXTURES ADD•L f0 ELECTRICIAN G OVER 20 RANOSS CLO DRYER[ WTR NTR[ 1 00 ADDRESS/9w Gam, A9,o / `/7 �/ GAI✓f DIN ' [TA COOK CITY c+//i /` J TEL NO 71 -f/l/ DI[HWASN AUTO WA[H STATE ENO �Y�/ NAC[MM RA APP (YA H P MAX ) y 50 OO MOTORSI OYER NOT OYER HP DISTRI G P N P BY O 1 100 1 — s 150 INSPECTION RECORD 5 6 200 O O e fe E50 V ON: ib 50 900 O 50 — foo 500 SIGNS, NO TRAM[ 1 NO LAWS N Z SERVICED EDGY NOT EOOA 100 SERVICE 0 600V OYER 200 A 200 SERVICE OVER 600V 500 MISC PERMIT ISSUING PEE Q 00 SUFPLQMQNTAQY PERMIT ISSUING FEZ f 00 TOTAL FEE I HER Y ACRNOWLEDO[ THAT 1 HAVE READ THIS APPLICATION OVA SAT[ INN[ROR A AHD ETAT[ THAT THE ASO V[ I[ CORRECT AND AGR[[To COWLY CONDUIT WITR ALL WUNTY ORDIMAMCu AND STAT[ LAWS REGULATING [L[CTRICAL WIRING WIRING NG[[Y CCpn TY THAT 1 AM PROPERLY RCOISTHROD AND/OR FIXTURES LIL[MICD At R[O VIREO BY lOt AMOBLCt COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM T LCOAL OWNER OF Atp INTEND TO RESIDE IN TMH Apo DEpc D RESIDENTIAL PROP ITS Y 1 POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTE FINAL �V�ALIDATION JO EPH C ROOHAN � NO CASH SUPERVISING ELECTRICAL ENGINEER JL3995 AUG 8 2 D 11.10 IN - )VORICERS•aOMPENSATIOfJ DECiLARATION 70ABOd 10181 APPLICATION FOR ELECTRICAL PERMIT 't'herdby affirm that I have a certificate Of conegN to self insure X080 Or a ftVicato& Workers CwnpBra8bon Irreure�ca or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY ' copy thereof (Sec 3800 Lab C) ^ Policy'No ,Company ' FOR APPUCANT TO RLL IN JOB ADDRE95 / /W�/'�G 1..��1/ 114 ` ❑ Certified copy a hereby furnished New Residential BId9S 8 Pools EACH NO FEE ❑ Cerbfed copy a filed with the county building inspection 1 8 2-Farmly SO Ft $ — $ LOCALITY']rZ7p� C department Multi-family SQ Ft NEAREST CROSS ST Date + Applicant Residential Swimnunlp Pools ="ROR 1 }}//�� 7 A— titLV6,�2 CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light/0— S. � h + MNL v. COMPENSATION INSURANCE :934VADDRESS &?' C17-1 43W (Thle,aectlon need not be Completed R the work Involved by the First 20 permit is for ono hundred dollars;($1001 w lees) T°�No Addit&d GTY v O&e Tel No I certify that in the performance of the work for which the,Whrd r t + ' 1 r '1APPLICANTFILM K is isw8d I shall net employ any person in any manner,so as to j become subject to the Workers'COmpensatron Lays Lighting Fixtures First 20 v t ADDRESS Addition Date � Applicant Total No �' � ,- , CRY - - - Tel No NOTICE TO APPLICANT h after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT. Exampicn you should become subject to the Workers Compensation Range— Heater_'D W _ APPLICANT - prova&ons of the Labor Code you must fort math comply with such Oven _ Dyer _ W M _ ADDRESS prommorls or this permit shall be deemed revoked _ Top _ FAU WH LICENSED CONTRACTORS DECLARATION Hood — Fen Other— ORCITY -- - Tel No I hereby affirm that I am licensed Order provisions of Chapter 9 LICENSE (comenxxng with Section 7000) of Owrsen 3 01 the Business and DSP — Room Am Cord ._.• REO NUMBER gyp° m Professions Gode,and my license is m full force and effect Poser Apparatus H Large Appl+ences d5TRICT NO / O (�.✓� o �(J'� See 8 Type HP,KW KVA a KVAR �/ ; License Number Lic Class Up to 1 Incl RNAL '- Over 1 to 10 Incl DATE VALIDATION Contact Date Over 10 to 50 Ird FlNAL ❑ I em exempt under Sec Over 50 to 100 Inc BY , • BdPC for this reason Over 100 N Services Swbd MCC 8 Paelbosrde ^ Date 0- 200 Arm Under 600 V U v7 Signature 201 - 1000 Amp Under 600 V - ❑ EreOver 1000 Amp or Over 800 V mptan for Reg Mamt Elect - SINGLE FAMILY Temp Power Pole It Appurtenances t HOME OWNER-BUILDERptfrom DECLARATION Sign with Ona Branch Circuithereby affirm that 1 eexempt from the Connectors License Law ACCT., for the fdwwing reason (Section 7031 5,Business arltl Professions Pddrtanal Sign Branch Circuits Code) J'307 67.00 EfI as owniiu of the prop" will do the work and the shuctum Mac Condub,6 Carduct0h1 1 ITEMS is not intended or Offered for sale (Sedan 7044 Busmesa DOW(See Complete Fee Schedule) and Professions Code) TOTAL 6-7 .00 CONSTRUCTION LENDING AGENCY CHECK -- 67.00 1 hereby affirm that there rs a corahuctan lending agency for the CITtb r .00O Gry Crerae of the work for which this Permit is rosued(Sec 3097 PERMIT FEE (Sub-Total) CHANE Lenders Name PLAN CHECKING FEE OD00-0001 3/13/90 Lenders Address PERMIT ISSUING FEE 9470 1 AM 9:02 1 certity, that I have read this ePPlaetan and state that the above TOTAL FEE _ infonnatton n correct I agree to comply with all Counry Ordmaraes and State laws regulating Electrical wenn g and hereby authonze ' entatrves of this CountyAto enter upon the above-mentioned - po to ins an SEE REVERSE FOR EXPLANATORY LANGUAGE re Pernuttee Date - WORKERS COMPENSATION DECIARATI& 766.663 f0/81` * APPLICATION FOR ECTRICAL PERMIT l, hereby,pdirm � that I have a cert{icate of consent to self CE' C insure, or a certificate of Workers Compensation Insurance COUNTrOF LOS ANGELES BUILDING AND SAFETY ora certified copy thereof (Sec 3600 Lab C ) `� Y Peat cy No Company FOR AMLICANT TO FILL IN DDRE55 7 �� C-6-7 0 Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE 1 6 2-Family Ft f — f LOCALITY 4 L^ Certified copy a filed with the county budding mspec- Y Sq NE6.REST hon department Multi-family Sq Ft CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME TU //✓ b CERTIFICATE OF EXEMPTION FROM WORKERSOutlen Rec 3 MAIL ' COMPENSATION INSURANCE Light_$wFirst 20 S ADDRESS E (This sectbn nod not be completed If the work Involved by Total No Additional CITY T I-No 3 the permit is for one hundred dollars($100)w less ) A.4ft I certify that in the performance of the work for which this PLANCAM CHECK permit is issued I shall not employ any person in any manner so as to become subject to the War rs Compe tion La Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Date APPbcant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after a ing is Cwtificot Ran Heater_D W APPLICANT Exemption you should beta ubjec to the Work 9e— Compensation provisions of the Code you must for - Oven _Dryer _W M _ ADDRESS with comply with such provisi s or this permit shall be Top — FAU —W H — deemed revoked Hood _ Fon _Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR I herebyaffirm that I am licensed under Dnp _ Room Au Cored REG NUMBER Class provisions of Chopter 9 (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO D BV >. and Professions Code and my license is in full force and effect L Size 8 Type HP KW KVA or KVARN Q O License Number Lrc Clog FINAL V Up to 1 Incl _ 119Over I to IO Incl DATE VALIDATION O Contractor Date❑ Over 10 to 50 Incl V FINAL I am exempt under Sec Over 50 to 100 Inc BY W 6 B 8P C for this reason Over IOD Z Date Services e]I rds , �t Amp Under 600 V Signature 201 - IODD Amp Under 600 V ❑ Exemption for Reg MoOver 1000 Amp or Over 600 V Moms Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION aSign with One Branch Circuit 6 25 2 A I hereby affum that I am exempt from the Contractor s License Additional Sign Branch ircuitCircu # • • • • s 2 Low for the following reason (Section 7031 5 Business and Professions Code) — ` I as owner of the property, will do the work and the Mnc Conduits 8 Conductors 2 s s 3 0 7 5 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , •'• • 3 0r7 5 Z 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY 1024 -83 1 hereby affum that there n o construction lending agency for `'^ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) �V 5 - - - (Sec 3097, Gv C ) - PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE - Lender s Address ` I certify that I hove read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State lows regulating Electrical wiring and _ hereby uthorize representatives f this County to enter upon the ab a mention d pro erry inspection purposes s _ SEE REVERSE FOR EXPLANATORY LANGUAGE Sig u e 0f ermittee Date COUNTY OF WS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302190023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ` PHONE (626) 2B5-0488 EXT _ LEGA' ID FEES PAID I BUILDING ADDRESS TR 15531 - LT 4 5334 TEMPLE CITY BL - I FEE DESCRIPTION QUANTITY UOM AMOUNT I • TEMP CA 917803148 I ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET OLIVE 6589-001-004 IAL PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY CAI TENANT IGL OUTLETS-LGT SW RECP 18 00 OUT 36 00 I IG2 LIGHTING FIXTURES _ 10 00 LOOT 20 00 (ISSUED ON PROCESSED RY PIAN BY H1 RES ELEC OVEN LT-3HP 1 00 OVE _ _ 11 00 102/19/13 - - SR _ I IH2 RES GRBG DISP LT 3HP 1 00 DIS 11 00 1 OWNER ` TEL NO 1143 RES DISHWASHR LT 3HP 1 00 DIS 11 00 FINALBATE FINA CODE BINGO JOSEPH A KIMBERLY L (626) 286-4977- TOTAL FEES 116 BO I ��/ I 15334 TEMPLE CITY BL (TEMP 917803198 I - OBSCR PTI �OL! WORK I INSTALL NEW GARBAGE DISPOSAL, 10 CAN LIGHTS 10 OUTLETS, 8 ISWITCHES; ELECTRIC OVEN HANGING LIGHT FIXTURE OVER ISLAND (APPLICANT TEL NO SAME AS OWNER - SPECIAL CONDITIONS _ I I • , I CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER j LIC NO ITEMPORARY I POWER POLE I (UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO TOPER GROUND LIC NOI I I iROUGH CONDUIT IROUGH WIRING I I MAIN WATER LINE - (PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIE01 I I I I I I I I I I I I I I I I IREPORT ID DPR265 ROM TO BS0508 I I I I I