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Home My Public Portal About5780 TEMPLE CITY BLVD_Electrical__ FBABGS-CROOB-e-5, APPLICATION FOR ELECTRIC PERMIT 1. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS �U C JOHN A.LAMBIE,COUNTY ENGINEER P CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL 1N CROSS ST. PFJWT FEES OWNER LIGHTS RECEPTACLES SWITCHES NUMBERI ITEM EACH FEE MAIL ' ADDRESS TOTAL OUTLETS $ :10 $ ELEC. RANGES, ATER HEATERS, CITY TEL.NO. CLOTHES DRYERS .50 �6 ELEC. SPACE HEATERS, STAVY. COOK- ELECTRICIAN ING UNITS. GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25' LIGHTING FIXTURES .10 CITY TEL NO. MOTORS STATE 2 LICENSE NO. HORSEPOWER D STR H.P1 OVER INC. CT NO. GROUP O 1 READY FOR INSPECTION 8 LESS .25 V2 — 2 .50 INSPECTION RECORD 2 5 1.00 s 1s 1.50 18 SO 2.50 50 200 5.00r MISC. SIGNS I NO.TRANS NO.LAMPS SERVICE O-SOOV 1.00 60 SERVICE OVER SOOV 1 5.00 WIRING PERMIT 1.00 (1 O +. FIXTURE PERMIT 1.001 1 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE $ SG DATE INSPECTOR'S 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 ' ELECTRICAL WIRING. WIRING �S { I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES \� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAL 7ER OF THE ABOVE POWER DESCRIBED RESIDENTIAL ERT SIGNATURE UTILITY CO.NOTIFIED /S ) _ OF PERMITT FINAL 11LAW I.OHN A.LAMBIE. A ATION O CASH ARTHUR C.VETT, :OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER CK `.-160 4 2 6 1 NOV 13 2 2.5 0 on 76A6W-CE806 468 APPLICATION FOR ELECTRI AL PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING A BUILDING AND SAFETY DIVISION ADDRESS !J JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE r S $ OWNER RECEPT._ MAIL LIGHT 3 TOTAL FIRST 20 S .20 1 06 ADDRESS SWITCH Z OVER 20 .10 CITY TEL. NO. / PLAN CHECK LIGHTING JTOTALIFIRST 20 3 .20 (p� APPLICANT FIXTURES 3 OVER 20 .10 ADDRESS RANGE_DRYER_WTR.HTR.— CITY TEL. NO STA.COOK_DISP._F.A.U._ CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY Ul, TL. NO �yz FAN—OTHER 1.00 LICENSE IJO. 7f-?Z CLASS'. e- d MOTORS.TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS' CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1..00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL W AND INTEND TO 10 - 50 5.00 RESIDE IN, THE AB 5CRIR S TIAL PROPERTY. O SIGNATURE U 50 ---loo 10.00 O ]POWER F PERMITTEE ir 100 - 500 15.00DISzBJCN GR UA ZP O ED TUBE, SIGN AND ONE CIRCUIT 3.00 �� I MARQUEE ADDITIONAL CIRCUITS 1.00NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORKROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50%. PERMIT FEE) AUTHORIZED PERMIT ISSUING FEE 2.00 Z 06 UTi, ITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE �p TI JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. O. CASH PERMIT VALIDATION cK M.O. CASH. 8 7 1 003 14AR 7 2 4 :4 . IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE606 9-67 APPLICAT N tOR ELECTRICAL P.ER IT COO TY OF LOS ANGELES DEP ARTMLNT OF'COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. ) NO. EACH FEE $ $ OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS, 6 (vt.L•? r SWITCH_ OVER 20 .10 CITY L. NO. LIGHTING FIRST 20 .20 CONTRAC OR ce, FIXTURES �TOTAL + OVER 20 .10 ADDRESS 97L-A RANGE_DRYER—WTR.HTR.— CITY TEL. NO. l�O . ' STA.COOK_DISP.-F.A.U._ LICENSE NO. I sz�a Z SPACE HTR. AIR COND. 1HEREBY ACKNOWLEDGE THAT I H VE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH.-DISHWASH.- 'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN-OTHER 1 1.00 1 1 1 HEREBY-.CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE dr� 0 - 1 1.00 OF PERMITTEE O. 1 - 10 3.00 DIST)„fRICT V. GR UP 7CNE PRfi D BY V 10 - 50 5.00 `• 0 50 - 100 10.00 NOTES: W 100 - 500 15.00 O. N SIGN TUBE, A SIGN AND ONE CIRCUIT 3.00 (J MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 1.2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE U.NDERSLAB WORK ROUGH CONDUIT ISSUING FEE 2.00 0 WIRING FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE ,j Q ff JOSEPA C. ROOHAN, SUPERVISING ELEnCK AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ORKER'S COMPENSATION DECLARATION. '20.0019 DPW;(12-91) I I 1 hereby fm that I have,at ce7ti'ficate of consent to self.insure, ,763 APPLICATION FOR ELECTRICAL PERMIT u ora certificate of WorRer'i;Compensation Insurance,or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS, BUILDING AND SAFETY DIV. copy thereof,(Sec..3800 Lab.C.) Policy N0. �- ttm Company 1 Fim_1 - FOR APPLICANT TO FILL IN JCB .YrnJ 'ADDRESS SSW Certifled copy Is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY �• w$Ft S ily, q. . — $ � ❑ Certified copy.is filed with the county building inspection 1 &2=Fam _ NEAREST department. Multi-family Sq.Ft. CROSS ST. MZk Residential Swimming Pools ASSESSOR Date 'S Applicant MAP'BOOK PAGE PARCEL PERCOMPENSATION OF EXEMPTION.,FROM WORKERS' � OWNENAME MR OR Outlets:Rec._Light Sw. FIRM J its" COMPENSATIONINSURANC.E First 20 D MAIL /� (This section need not be completed If,the work Involved by the Total No. Additional ADDRESS ./=:Q, 15V q%0763 permit is for'dne hundred dollars($100)'or less.) I certify that in.the.performanc.e of the work for which this permit CITY960Te'"",is,issued;,I'shall:not employ any.person in any manner so as to PLAN CHECK , become-subject to the.Workers'Compensation Laws. Lightirig,Fixtures. First 20 APPLICANT Total No. Additional' ' ' ADDRESS Date. Applicant. RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If,: after making th-le. Certificate of CITY Tel.No. Exemption,you should'beconie..subject to;the Workers'Compensation. OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must'forthwith,comply with such P Y .. .. :APPLICANT' Power Apparatus&Large Appliances provisions or this permitshall'be deemetl'revoked. - N\%(:!k. LICENSED CONTRACTORS DECLARATION Siie&Type HP;.KW,KVA,or KVAR ADDRESS I hereby affirm that'l dm licensed:under provisions of Chapter 9 ., (commencing.with Section 7000)of Division 3 of theBusiness and Over 3 to 10 Incl: �� cITY Nl 1 Tel No I[] Professions'Code,and my license is in full force.and effect. 'Over 10 to 50 Incl. //77 -t10 '1� Over 50 to 1.00 Incl. LICENSE OR 6'(j IaK' •Cless:C. O. .License Number. Z .- LIM Class •�`� W _ DISTRICT D BY Over 100 .. - CT.NO SSE V Services,Swbd.,MCC&Panelboards WL,. W \W S 0-,399 Amp..Under 600V.,- O. Contractor � Date, DATE , ❑ I am exempt under Sec. 406-1000 Amp.Under f100 V IQ• `�� VALIDATION V Over 1.000 Amp.or Over 600 V FINAL OW. B'.&P.C.for this:reasonBY BRANCH CIRCUIT FEES N Date: 15A,:or 20A,120V,Lighting'or Rec-pt. Z• 1 To 10 Branch Circuits . Signature 'l i To 40 Branch Circuits ❑ 41.'Or More Branch Circuits Exemption for Reg.Mai .El5A ect. 1 20A,208V To 27711 Lighting Br.Circuits 'SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER.-BUILDER DECLARATIONf,e a a I.hereby affirm that I am:exempt.from the Contractor's License Law Sign with,One Branch Circuit for the following reason(Section 7031.5, Business.and Professions ' Additional'Sign Branch Circuits 13� ,3 49,� Code): ITEMS ❑ 1,as owner of.the property,will do the work and the structure Misc:.Conduits&Conductors is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOTAL c tAL 49 _ 30 and Professions Code). CHEF K 49.80 CONSTRUCTION LENDING AGENCY ;- a I hereby affirm that there.is a construction lending agency for the CHANGE 00 performance of the work for which this permit is.issued(Sec.::3097, PERMIT'FEE (Sub-Total) ;L Civ.C.) ' PLAN CHECKING FEE '00700-0001. 5/25/95 Lender's Name 0607 1 AMI$:00 PERMIT ISSUING FEE. Lender's:Address - - - - - I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above information is:correct.. I agree'tocomply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize- representatives of this County,jo enter upon the above-mentioned property for inspectiori'purp s SEE REVERSE FOR EXPLANATORY LANGUAGE �..Zroo SIGNA. E OFPER1fyME - - DATE , ieb WORKERS'COMPENSATION DECLARATION 78-883 tope, APPLICATION FOR ELECTRICAL PERMIT ' I hereby affirm that I have a certificate of consent to.self insure, CE-aoeG or a certificate of Workers`Compensation Insurance,or a certified JJj COUNTY OF LOS ANGELES a BUILDING AND SAFETY ILII eopy'thereof(Sec.3800,Lab.C:jCalifornia i. Policy NOW 9 5 51181 ga�,pano m p e n s aion In FOR APPLICANT To'FILL IN' JOB. ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS S V o – AV TZ r+ L a e r X&O I New Residential Bldgs.&Pools ❑ 1 &.2-Family,S Ft. $ — $ ' ,LOCALITY '�' Certified copy is filed with thAcunty builds inspection y q• _ department. y Multi-family Sq.Ft. NEAREST CROSS ST Date Appl'icent Residential Swimming Pools OWNER OR FIRM NAME B,ENTON LEE & GLEN W.ONG CERTIFICATE OF EXEMPTION FROM RS' Outlets:Rec_Light—Sw.— MAIL COMPENSATION.INSURANCE ADDRESS P . 0 BOX 4 8 0.2 48063 (This section need not be completed if the work.involved by.the CITFirst 20' permit,is for one hundred dollars($.100)or less.) Total No. Additional LAN C O$ECK ANGELES, Tel(i 13 )9 3 0-1:19'6 1 certify that in the performance of the work for which this permit. APPLICANT is issued,, I shall not employ any, person in arty manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional ' Total No. • CITY Tel.No. • Date. Applicant Fixed Appliances Not Over 1 HPNOTICE TO APPLICANT: If, after making this..Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation, Range_ Heater_ D.W. •APPUCANT G• & S.. ELECTRIC. provisions of the Labor Code,you must forthwith.comply with such Oven _ Dryer_ W.M._ ADDRESS 531 S. ATLANTIC .BLVD. provisions or this permit shall be deemed revoked. Top ,— FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood— Fan _ Other_ CITYM O N T E R E Y PARK (2191283-631f' I hereby affirm that I am.Licensed under. provisions of Chapter 9 LICENSE OR ' (commencing'with Section 7000)of Division 3 of the Business and Disp. Room Air Cond. REG,NUMBER '#2 4 8 0 5 7 Gess• C 1 O" Professions Code,and my license is in full force..an..d.effect. DISTRICT NO. PRO E B Power-Apparatus&•Large Appliances Size&Type HP;KW,KVA,or KVAR Q License Number 2.4 8-05.7 Lic.Class: C 10 Up to 1 Incl. + FINAL ' `"' Contractor G• & S .. E 1 e C&Xi C Over 1 to 10 Incl. ; DATE. Cr y VALIDATION Q Over 10 to 50 Incl. 1 FINAL F0 ❑ I am exempt under Sec. Over 50 to'100 Inc. , BY ' a B.&P.C.for this reason Over 100 N -Services,Swbd.,MCC&Panelboar'dsZ Dam i. 0-200 Amp.Under B00 V ,Z� �� Signature 201 - 1000 Amp.Under 800 V Q. Over 1000 Amp.or Over 800 V I !� Exemption for Reg.Maint.Elect. f SINGLE FAMILY Temp.Power Pole&:Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2 I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits { it , Code): l M04 103090 Misc.Conduits&Conductors El 1,as as of the property,will do the work and the structure Other(See Complete Fee Schedule) _ I 1 ITEMS is not intended or offered for sale (Section 7044, Business ► • and Professions Code). TOTAL 103 o 910 CONSTRUCTION LENDING AGENCY CHECK 103090 . I hereby affirm that there is a construction lending agency. for the performance of the work for which this permit is issued(S§c,30971 . PERMIT FEE - (Sub Total) (O CHANGE .00 Civ.C.)., , PLAN.CHECKING FEE Lender's Name PERMIT ISSUING FEE 2 l 3 0080-0001 10/16/95 Lenders Address 2811 1 AM 90-02 I certify that I have read this application and state.that the above TOTAL FEE ®` , information is correct.I agree to comply with all County ordinances r and State laws regulating Electrical wiring, and hereby authorize representative of this Cou fo enter upon the above-mentioned r property for' s tion p o es. , SEE REVERSE FOR EXPLANATORY LANGUAGE 12- 161990 d n0-_ e of Per es Date