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Home My Public Portal About5835 TEMPLE CITY BLVD_Electrical__ 7GA66SA-CE406A 4/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5835 Temap City 'Blvd. LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS NO. EACH FEE $ $ OWNERSi_r AlltbMyl RECEPT.� MAIL LIGHT TOTAL FIRST 202- g ADDRESS CITY tF TEL. N0.28 7_211117 SWITCH_ OVER 20 PLAN CHECK LIGHTING 1 TOTAL FIRST 20 APPLICANT )} FIXTURES ' OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS 88)13 Misslon Drive SPACE HTR, AIR COND. CITYTe le C1 TEL. N0.280,,, 260 CLOTHES WASH. DISHWASH. LICENSE NO. 227962 CLASS.GlO FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY C MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING v IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �C3 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i7 CALIFORNIA OR THAT IAM THE L AL OWNER OF, AND INTEND TOLij O 1 - lO nn RESIDE N, THE ABOVE DES? RED R IDENTIAL PROPERTY. � 10 - 50 W SIGNATURE OF PERMITTEE 50 - 100 DISTRICT NO. CLASS ZONE JPVIES!SED BY 100 - 500 57 p I 7� SIGN, GAS SIGN AND ONE CIRCUIT NOTES: « TUBE, OR wDli✓G /�ilSf/!NC-S iocy MARQUEE ADDITIONAL CIRCUITS SERVI CENOTOVER 600 VOLTS OR 200 AMP l 4 50 SERVI CEOVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE - TEMP SERVICE,POLE, &APPURTENANCES TEMP LIGHT OR RECEPT. SYSTEM UNDERSLAB WORK 1 ROUGH CONDIUT ' WIRING FIXTURES POWER AUTHORIZED A PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED L PLAN CHECK FEE PERMIT ISSUING FEE FINAL TOTAL FEE k, 0 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH 5 3 7�6€C 1 2 0 1 8,8 0 = WORKERS'COMPENSATION DECLARATION CE-806 l0/8�1 p ff-V– C,6L 700N FOR E® ECURICAL PERMIT I hereby affirm That I have a certificate of consent to self CE-8066 6"41 Ef�4� �l u� i� insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified co there Sec. 3800, Lob. C. ,t Policy No.� pan 51,�u N� FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESSVfi Ok C �/� ❑ Certified copy is filed with the co my building inspec- I &2-Family, Sq. Ft. $ — $ LOCALITY lot� d! tion departme t. Multi-family Sq. Ft. — NEAREST „/Ito Residential Swimming Pools OWNER OR �e CROSS ST 115 N Date Applicant CERTIFICATE OF EXEMPTION FROM ORKERS' FIRM NAME J U� COMPENSATION INSURANC Outlets: Re Light Sw._ ADDRESS Sk-3.r JEWPI't Vl G s section neonoto com Toted If tho work Involved b First 20 (Thitid b p y ��' (� the permit is for one hundred dollars($1100)or less.) Total No, Additional CITY Tel. No. I certify that in the performance of the work for which this APPLLIICANTK7;V6 Vffh(l permit is issued, I shall not employ any person in any manner i so as to become subject To the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS rf3jl WjJJ#Lk7 C47'y BLv,h, Total No) Additional CITY ?ftP1E7 6W Tel. No. Date /applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT -/+ Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. — VAS A Alt deemed revoked. Hood _ Fan _Other_ CITY Tel. No. Vv LICENSED CONTRACTORS DECLARATION LICENSE OR / I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG.NUMBER 7/ Class. Ci (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. P ASSED BY and Professions Code,anlotd m license is in full force and eff ct. Power AppQratus&Large Appliances d / f y / Size&Type HP, KW, KVA, or KVAR v /L�L�v � 0 License Number J Lic. Class i Up to 1 Incl. FINAL / gytq (�7L �� Over 1 to 10 Incl. DATE f a ), / VALIDATION Contractorikita ew, `'r�'l�te Over 10 to 50 Incl. FINAL 1 Y ❑ I am exempt under Sec. Over 50 to 100 Inc. BY 06 B.&P.C. for this reason Over 100 10 Services, Swbd., MCC&Panelboords J Date: 0 -200•Amp. Under 600 V f Signature Iff 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Pow$r Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits p Law for the following reason (Section 7031.5, Business and i Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7 3 8 6,A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE i (Sub-Total) (Sec. 3097,Civ. C.). 0 0 0 ,_j 0 �(1� PLAN CHECKING FEE Lender's Name II 0 7(; I Q 7 PERMIT ISSUING FEE `J Lender's Address I certify that I have read this application and state that the TOTAL FEE I 3 ��11 above 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-m ned property for inspection purposes. SEEIREVERSE FOR EXPLANATORY LANGUAGE Sig azure of Permittee Date. WORKERS'COMPENSATIOND.ECLARATION CE-8606G (2•BO) 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 certified copy thereof(Sec.3800,Lab.C.) � FOR APPLICANT TO FILL IN � JOB Policy No. Company EACH NO. FEE ; ADDRESS 580 New Residential Bldgs.&Pools c ❑ Certified copy is hereby furnished. I 1 &2-Family.Sq.Ft. $ — $ I LOCALITY ❑ Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST LZIM department. I Residential Swimming Pools OWNER OR i I FIRM NAME Date ' Applicant Outlets: Rec._Light--Z-Sw. MAIL I First 20 Sa d� ADDRESS b� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ) Total No. Additional CIT el No. PLAN CHECKSq /�� d (This section need not be completed if the work involved I APPLICANT E�� 0 t 20 First Fixtures i h Ligtng xtures rs ` by the permit is for one hundred dollars ($100) or,less.) i ADDRESS Total No.�_ Additional cc0 I certify that-in the performance of the work,for which this CITY 'Tel No. O permit is issued, I shall not employ Fixed Appliances Not Over 1 HP I•- p p. y an y person in any manner PERMIT �0.�- w so as to become subject to the ker ' mpensation Laws. Range_Heater D,W._ APPLICANT S 6YvJ a Oven _ Dryer_W.M._ I •AD.DRESSU) Date NO Applicant ' Top —FAU _W.H.._ I Hood —Fan. _Other— CITY' Tel No. 0 11 NOTICE TO APPLICANT: fter makingQ'the cate of Disp. _ Room Air Cond._ LICENSE OR �f Exemption, you 'should ecome subject orkers' I REG.NUMB Class Compensation provisions of the Labor Codeforth- Power Apparatus&Large Appliances DISTRICT NO. PR.00E ED BY with comply with such .provisions or this you shall be deemed revoked.. Size&Type HP,KW,KVA,or KVAR 5 Up to 1 Incl•. I FINAL Over 1 to.10 Incl'. DATE 7�3� — VALIDATION LICENSED CONTRACTORS DECLARATION Over 1.0 to 50 Incl. I hereby affirm that I am Licensed under provisions of Chapter • Over 50 to 100 Inc. ItBY INAL I 9 (commencing with Section 7000)of Division 3 of the Busi- I Over 100 ness and Professions.Code, and my license is in full force andeffect. Services �License NumberZ Lic.Class (��5 0-200'Amp.Under 600 V CkG9 j� v 201-1000 Amp.Under 600 V. �f Contractor Date r Over, 1000 Amp,or Over 600 V HOME OWNER-BUILDER DECLARA ION Temp.Power Pole&Appurtenances Ihereby affirm that I am exempt from the Contractor's Sign with One.Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): ' F1 I, Conduits&Conductors 1 1 2 2'P I, as owner of the property,;will do the work and the Other(See Complete Fee Schedule)— structurc is not intended or offered for sale (Section # o 0 o 0 0 2 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 0 0 0 (��0 0 I hereby affirm that there is a construction•lending agency for the performance of a work for which this permit is PERMIT FEE (Sub-Total) �, 0 0 0 0 9 0 OF! issued(Sec.3097,Civ.C�,,, Lender's Name l►ll "'� ) PLAN CHECKING FEE. (One-Fourth Permit Fee) 07.07-80 Lender's Address I PERMIT ISSUING FEE I I certify that I have.read this application and state that the j TOTAL FEE �A above information is correct.I agree to comply with all County, fl ordinances and State laws regulating Electrical wiring, and ! " hereby ze a resentatives of this County to enter upon ' the4bftesenrent ne arty forinspection purposes. j SEE'REVER.SE FOR EXPLANATORY LANGUAGE 5 Sig t re of Perini ItJ.Dat4t T -1 I I. ( WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) 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 Ir a certified copy thereof(See.3800,Lab.C.) ( T C1 Policy No. Company I FOR APPLICANT TO FILL IN I JOB New Residential Bldgs.&Pools EACH NO. FEE ADDRESS � F=1 17tSM hd Ain Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY ❑ I Multi-family Sq.Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. I Residential Swimming Pools OWNER OR FIRM NAME0- Date Applicant Outlets: Rec._LightASw. o?1 ADDRESS S First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CIT C el No. COMPENSATION INSURANCEPLAN / APPLICANT div (Phis section need not be completed if the work involved Lighting Fixtures First 20 C,1 by the permit is for one hundred dollars ($100). or less.) ADDRESS Additional W Total No. �7—_ O I certify that in the performance of the work for which this CITY Tel No. permit is issued, I shall not em Fixed Appliances Not Over 1 HP H p to an employ y person in any manner PERMIT so as to become subject to the ker ' mpensation Laws. Range_Beater D.W. _ APPLICANT a Oven — Dryer_W.M._ ' ADDRESS Z Top _FAU _W.H.._ Date Applicant , CITY Tel No 0 Hood _ Fan- _Other44 — NOTICE TO APPLICANT:Pecome er making is Certi icate of Disp. —Room Air Cond._ LICENSE OR ��nr Exemption, you 'should' subject t 'the orkers' REG.NUMBE Class Css Compensation provisions of the Labor Code,you st forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit shall be deemed revoked. i Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. Over 1 to 10 Incl. FINAL LICENSED CONTRACTORS DECLARATION i DATE 7�3�6 VALIDATION Over 10 to 50 Incl. I I hereby affirm that I am licensed under provisions of Chapter I Over 50 to 100 Inc. FINAL i BY 9 (commencing with Section 7000)of Division 3 of the Busi- i Over 100 C, ness and Professions.Code,and my license is in full force and I - effect. Services License Number:. Lic.Class12=4-5 0-200 Amp.Under 600 V `� t6k 201-1000 Amp.Under 600 V 3 Contractor Date r Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARA ION Temp.Power Pole&Appurtenances I hereby affirm that I. am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors 1 1 2 2 8 El I., as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structurb is not intended or offered for sale (Section I ) 0 0 0 0 0 2 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 a o 0 9, I hereby affirm that there is a construction lending agency 0 0 for the performance of a work for which this permit is I PERMIT FEE (Sub-Total) i. 0 0 0 0 9,()G FJ- issued(Sec.3097,Civ.C Lender's Name llllll��-``��L ) PLAN CHECKING FEE (One-Fourth Permit Fee) X7,07-80 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE �a above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and ' hereby autimaLze a resentatives of this County to enter upon b�ve=meet ne erty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Sig t re of Permi ee Da } COUNTY OF LOS ANGELES TEMPLE CITY DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS # 0508 ELEO 0801112080023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BIIILDING ADDRESS: 1 ITR: 6561 LT: 623 I I 5835 TEMPLE CITY BL I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802113 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1 18587-015-032 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl TENANT: IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.80 I I TOTAL FEES 66.60 IISSUED ON: PROCESSED BY: PLAN BY: 1 BANANA LEAF I 112/08/11 SR 1 I (OWNER: TEL NO: I IFINAL DATE FINAL BY: CODE: 1 1I BANANA LEAF (929) 247-5688- �' i I 5835 TEMPLE CITY BL. 1 1 (-4--11 " I ITEMPLE CITY CA 91780 I DESCRIPTION OF WORK 1 1 10NE SET INTERNAL ILLUMINATED CHANNEL LETTER WALL SIGN (APPLICANT: TEL. NO: I I I IYU, ALLISON (626) 336-1616- 116354 VALLEY BLVD. I 15PECIAL CONDITIONS: 1 1LA PUENTE, CA 91744 I I I ICONTRACTOR= TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 IFIRST SIGN CO. (626) 336-1616- 1 1I I I 116354 VALLEY BLVD LIC. NO 1 ITEMPORARY POWER POLE ILA PUENTE CA 91744 60568SC45 * 1 I I I I I I (UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 IUFER GROUND I I I I I I 1 LIC. NO: 1 IROUGH CONDUIT I I I I 1 I I I ROUGH WIRING I I 1 I IMAIN WATER LINE 1 1 I 1 1 1PLASTIC Y/N METAL Y/N I I 1 1 1 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I 1 I I I i I I I I I I I I I I I I I 1 1 I I I I I I I I 1 1 1 I I I 1 1 i 1 I I I I* ADDITIONAL DATA ON FILE I I 1 I I I I 1 1REPORT ID: DPR265 ROUTE TO: BS0508 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PJBLIC WORKS 9701 LAS TUNAS EL 0508 1112120008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID BUILDING ADDRESS: 1TR: 6561 IT: 623 I 1 5835 TEMPLE CITY BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802113 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS I 18587-015-032 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS—LGT,SW,RECP 4.00 OUT 7.80 I ITT: 1G2 LIGHTING FIXTURES 16.00 LGT 31.00 ISSUED ON: PROCESSED BY: PLAN BY: I (BANANA LEAF I TOTAL FEES 66.60 112/12/11 SR I (OWNER: TEL. NO: 1 IFIPAL DATE FINAL BY: CODE: IMOELVJONO, YOUDY (909) 521-1458— I 1 / I 12710 CALLA VISTA I I ICHINO HILLS I IDESCRIPTION OF WORK I I ITENANT IMPROVEMENT — ELECTRICAL (APPLICANT: TEL. NO: I I 1PRIMENET DATA SYSTEMS INC. (213) 268-0959— I I I 1 ISPECIAL CONDITIONS: I I I 1 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 1PRIMENET DATA SYSTEMS INC. (213) 268-0959— I 1 I 1740 MORADA PLACE LIC. NO 1 ITEMPORARY POWER POLE I I I IALTADENA, CA 93.001 961103 B * I I I I I I 1UNDERGROUND CONDUIT 1 ARCHITECT OR ENGINEER: TEL. NO: — i JUFER GROUND I I I LIC. NO: I IROUGH CONDUIT I I IROUGH WIRING 7yj+ I I IMAIN WATER LINE �1 a 1 I (PLASTIC Y/N METAL Y/N i 1 I I (UTILITY COMPANY NOTIFIED( 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 I I I I I I I I I I I I 1* ADDITIONAL DATA ON FILE 1 I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 1