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Home My Public Portal About5819-5819 1/2 TEMPLE CITY BLVD_Electrical__ --ae� < <y 76AG63-CEBOS 1-68 APPLICATION FOR ELECTRICAL PERMIT 1 i CQIJNTY OF LOS ANGELES DEPARTME141T O'F"':OUNTY ENGINEER BUILDING AND�AFETY DIVISION ADDRESS L Y JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGNEAREST LOCALITY' L `A FOR APPLICANT TO FILL IN NO. EACH FEE CROSS ST. $ $ 0 OWNER RECEPT. MAIL LIGHT ' TOTAL FIRST 20 .20 ADDRESS SWITCH OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 20 a� APPLICANT FIXTURES OVER 20 .10 ADDRESS 'RANGE_DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP..—F.A.U._ ONTRACTOR SPACE HTR. AIR COND. Q A.DD.REESS.S+,S r V LQC_ CLOTHES WASH._DISHWASH._ CITY \L L TEL. NO 6 FAN OTHER o+`j 1.00 M1 LICENSE 14 O. 5(Z{3� CLASS.0 MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW.,KVA. I HEREBY ACKNOWLEDGE.THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE-THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL. COUNTY ORDINANCES AND STATE .LAWS REGULATING 0 — 1 1.00 ELECTR[CAL W IR ING. - I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED A-ND-/OR 1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 10 — 50 5.00 1. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0 NATURE 50 - 100 10.00 IN GNAT ERMITTEE " ' V im 100 - Soo 15.00 TRICTNO. GROUP ZONE P CES ED BYSIGNTUBE,ORAS IGN AND ONE CIRCUIT 3.00 �� e- c MARQUEE ADDITIONAL CIRCUITS 1.00 TES: ♦C r �� C, til f Z 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 UNDERS LAB WORK I A nn Al ROUGH CONDUIT r PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (SO% PERMIT FEE) POWER AUTHORIZED PERMITISSUINGFEE 2.00 i— UTILITY CO.NOTI FIEDI SUPPLEMENTARY PERMIT ISSUING FEE I= FINAL TOTAL FEE JOS 'P C. ROOHAN SUPERVISING ELE CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH ' 6 8.0.-Q OCT 10 2 D 4:0QM q EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ISA663-CES06 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL.IN CROSS ST. RECEPT. TOTAL NO. EACH FEE 's / OUTLETS FIRsr 20 111.20111 ;6 MWNER LIGHT SWITCH. � d ADD'L .10 ADDRESS q OVER 20 TOTAL 6� CITY TEL.NO. r LIGHTING 1 [FIRST 2O .20 0� FIXTURES 1 ADD�L 1O ELECTRICIAN C C OV R 20 RANGES CLO.DRYERS WTR.HTR8. 1.00 ADDRESS 6 -Y Aye 10 - GARB.DISP. STA.COOK �2.��S 'CITY 0 TEL. O. i DISHWASH. AUTO.-WASH. STATE LICENSE NO. �` �/O SPACE HTRS. BTA.APP.(V=H.P.MAX.) .SO MOTORS( OVER NOT OVER H.P. DISTRICT NO. I GROUP ZONE P CESSED BY O 1 1.00 i ' C'-2 1 s 1.50 INSPECTION RECORD 3. a 2.00 e is 2.50 i 1s so 3.00 } a so 100 5.00 O V NO.TRANS. SIGNS, NO.LAMPS t0 SERVICE 0.60OV-NOT OVER 200A 1.00 N U W SERVICE O-SOOV-OVER 200 A. 2.00 a N SERVICE OVER 600V 5.00 ? MISC. i PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT n!f WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING }� ELECTRICAL WIRING. WIRING I ,f • Lfif 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR f yr LICENSED AS REQUIRED BY 1.08 ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF T#9 ABOVE DESCRIBED RESIDENTIAL P P POWER SIGNATURE UTILITY CO.NOTIFIED �/' c�� r i`;�7r'— /LA OF PERMITTEE FINAL Ill !' " .' ?:E �L=%� ° YALIDATION ARV14UM C:VEIT' CK 0 CASH SUPERVISING ELECTRICAL ENGINEER WORKERS'COMPENSATION DECLARATION i. 78-8 10/81 APPLICATION FOR ELFE CE-808G CTRICAL PERMIT I heresy,affirm that I have a certificate of consent to self insure,I `fl or a certificate of Workers' Compensation Insurance, or a certified{ COUNTY OF LOS ANGELES i BUILDING AND SAFETY cflpy there c 3$OO J 1b.C.) D�v� (v(00 C.) FOR APPLICANT TO FILL IN JOB �� [� / �P❑Ofcy Certified copy is hereby furnished, I EACH NO. FEE ADDRESS r +� (,,'L I New Residential Bldgs.&Pools ❑ Certified copy is filed with the county building inspection) 1 &2-Family,Sq.Ft. $ — $ LOCALITY T/y L e ai NEAREST department. n Multi-family Sq.Ft. CROS ST ,G� s5 5 Date��19 '�� Applicant Residential Swimming Pools OWNER OR J y. FIRM NAM Q,(/ {� �,a CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec —Light—Sw.— : MAIL First 20 COMPENSATION INSURANCE i ADDRESS �A{ (This section need not be completed if the work Involved by the � CITTel.No �/�� 92 permit is for one hundred dollars($100)or less.) I Total No. Additional t, / 7 PLAN CHEC 1 certify that in the performance of the work for which this permit) A PLICANT K is issued, I shall not employ any person in any manner so as to) become subject to the Workers'Compensation Laws. I Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT:. if, after making this Certificate of; APPLICA fev M-g-6eL. Exemption,you should become subject to the Workers'Compensation Range_ Heater . D.W. _ provisions of the Labor Code,you must forthwith comply with such' Oven — Dryer_ W.M._ I ADDRESS/.3.2s-`a //✓C��fuaL (f provisions or this permit shall be deemed revoked. I Top _ FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY ar Tel.N� -9�Q-9� 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — LICENSE OR ?7 p 9 Class.C-/o (commencing with Section 7000)of Division 3 of the Business and REG.NUMBERZ O CJ C/ Professions Code,and my license is in full force and effect. DISTRICT NO. PROLE SED BY Power Apparatus&Large Appliances d yQ �i �./Q Size&Type HP,KW,KVA,or KVAR D� d O License Numbero��✓y�7 Lic.Class Up to 1 Incl. FINAL V Over 1 to 10 Incl. DATE / _Z q� VALIDATION Contracto t„ Date B''-� - f Over 10 to 50 Incl. V FINAL ` ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W BAP.C.for this reason Over 100 c U) Services,Swbd.,MCC&Panelboards ® Z Date: 0-200 Amp.Under 600 Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 60 Exemption for Reg.Maint.Elect. �, f SINGLE FAMILY Temp.Power Pole&Apurtenes HOME OWNER-BUILDER DECLARATIONL 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 _ Code): Misc.Conduits&Conductors ❑ 1,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business _ Other(See Complete Fee Schedule) _ ... "�', 70' and Professions Code). '" CONSTRUCTION LENDING AGENCY :•?':�ti•:: a:_ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) `•,'II��i�-� a_ Civ.C.). PLAN CHECKING FEE .•._ _ Lender's Name '_j PERMIT ISSUING FEE Lender's Address F__ I certify that I have read this application and state that the above TOTAL FEE �J 9 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 the above-mentioned' propert f inspection purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE ( ignature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PER DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS �L 0508 9706300030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: ING TR- 14647 LT: 35 BL: .001 FEES P 4819 TEMPLE CITYB� FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: c P-EW9178042 ASSESSOR IN-FO-R0 NEAREST CROSS STREET: LOWER AZUSA RD. 8590-017-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY E3 TEMP XMAS TREE, ADDT 1.00 TEM 21.60 TENANT: TOTAL FEES 49.35 SS D 0 SS D - S - 06/30/97 . TC 06/30/ 8 NER: TEL. NO: FINAL DATE FINAL BY ODE: YOUNG DAVID;SUSIE (818) 797-1530- 2260 WOODLYN RD PASO 911043337 MCRIPTION Of WURKI BOOTH LIGHTING FOR FIREWORKS STAN APPLICA T: TEL. NO: G. G. RESTER (626) 287-4755- SPECIAL CONDITIONS: CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE G. G. HESTER AND SON ELECTRIC (818) 287-4755- 9024 E. GREENWOOD AVENUE LIC. NO TERFUNAR POWER POLE SAN GABRIEL, CA 91775 474648/C10 UNDERGROUND CO DUIT ARCHITECTOR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGHR G MAIN WA ER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIF15D t REPORT ID: DPR265 ROUTE TO: BS0508