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Home My Public Portal About5936-5936 1/2 TEMPLE CITY BLVD_Electrical__ DEPARTMENT OF BUILDINGTY N SAFEff APTLiCATION FOR PERMIT COUNOF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER 4 NAME fl ,+� // , !'f i'A Al'yl DISTLR.ICT NO.- GROUP ZONE PERMIT NO. U ADDRESS/ �h A /rte 2,549, F i 1./ "RECEIVED 13Y READY FOR'. DATE ISSUED U CITY rc // _/T L4//STEL.NO_.y ! / '7`1�`y? " y FIRST INSPECTION WCERT.NO. ifs S ;v i� EXPIRE>�7, "�i'S' / I• •`/j r+[' � -'""" _ �� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB � DESCRIPTION OF PORK ADDRESS Q� �p1`a C/C3+/Y .5/F NUMBER OF OUTLETS ON CIRCUITS LOCALITY7.;:_ LOCATION BY ROOMS ' NEAREST �. r ' LIGHT OUTLETS SW. PLUGS F17[r CROSS ST. .:_1' 1'i�.y✓.!�` ` f /' `"" ' CIRCUIT A B C D E F G. H — W NAME � r ,�- Z MAIL 5/O G J - 3 ADDRESS z g tF I O CITY TEL.NO. rt_ ` 1 AM THE LEGAL POSSESSOR`)OF,►THE/AtBOVE LOS •moi ANGE_LEB COUN[Y CERTIFICA7Ac_x QFrQUALIFICATION.. ELECTRICIAN. ".•`- ZA G� /. AIV6�LWL-OWNER OF THE PROPWIT DESC@IBED OWNER. Xlr' En.w�= CORRECTIONS S7'aIi',E• � � � Vii'' � � r- d"E7.r 5!r: Al ►� _z r n _ 17 R' • O ,r/ �+' / 'DOTAL rE� !!.t 7y � 1 NO. OR OUTLETS ffi I L APPROVALS HO. OF FIXTURES /(p ffi DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT G �" n f ,or,, NO. OF SIGNS TRANS. ffi WIRING NO. OF RANGES OR HEATERS ffi FIXTURES MISCELLANEOUSs� POWER PERMIT FEE / .► ',/ �� ffi �`? UTILITY CO.NOTIFIED �J TOTAL FEE AOL I=1-" IJ FINAL DNS S-A 2-46 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT 1- COUNTY OF LOS ANGELES ELECTRIC. WM. J. FOX CHIER ENGINEER a NAME p , ' DISTRICT NO. GROUP ZONE -PERMIT NO. ADDRESS 1OPT A> -)� � c- 3 U V CITY /{r '/ O� EL.NO. RECEIVED 13Y READY FOR DATE ISSUED �j FIRST INSPECTION .J COUNTY CERT.NO. W EXPIRESd APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF PORK ►°DDRESS 12 da Vt--' D C5 u1#5 06 .7" NUMBER OF OUTLETS ON CIRCUITS LOCALITY ' LOCATION BY ROOMS NEAREST �s LIGHT OUTLETS SW. PLUGS Fl7[T ,CROSS ST. .0/D I`. CIRCUIT A B C D E F G H m NAME Z MAIL 3 ADDRESS F15 O • CITY TEL.NO. 1 AM THE LEGAL .POSSESSOR OF THE ABOVE L68 ANGELES COUNTY CTIFICA FQUIFICATION..� 0 Wof ELECTRICIAN. AI AM BOVETElE LWAL OWNER OF THE PROPERTY DESCWRW. OWNER. CORRECTIONS a Z 0 rNO. OUTLETS $ APPROVALS FIXTURES $ DATE INSPECTOR'S NAME MOTORS H.P. $ CONDUIT F SIGNS TRANS. WIRING F RANGES OR HEATERS $ FIXTURES LLANEOUS !1 POWER T FEE 4 - i R eUTILITY CO.NOTIFIED FEE S - - c'Y. FINAL p' o 'may 1 a i w f-p i rl 76A663-CE8061'1/70 APPLICATION FOR ELECTRICAr PERMIT ,UI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING. BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH FEE 5 OWNER $ s, RECEP MAIL FIRST 20 2 ADDRESS -41 LIGHT TOTAL SWITCH OVER 20 ip CITY TEL. N01 PLAN CHECK LIGHTINGFIRST 20 .25 APPLICANT FIXTURES TOTAL OVER 20 ADDRESS .10 APPLIANCES CITY T L. NO. PERMITv RANGE DRYERJ—O- _WTR. HTR. APPLICANT '-' STA. COOK DISP. F.A.U. ADDRESS o I c7 '44 SPACE HTR. AIR COND; CITY TEL. NO. 2p "6 / CLOTHES WASH. DISHWASH. LICENSE N0. 7 46-P 'J CLASS./3 FAN OTHER �O 1.00 /O OQ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE IN TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES C NTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF, AND INTEND TO 1 — 1O 3.00 RESIDE IN, THE AB VE DESCRIB RE IDENTIAL PROPERTY. 0 SIGNATURE ��.41 U 10 - 50 5.001 OF PERMITTEE Cd 50 - 100 10.00 DISTRICTNO CLASS 10p PR CE H 100 61 - SOO 15.00 L LU SIGN, GAS SIGN AND ONE CIRCUIT NOTES: N Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS IAO SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 NDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 U ROUGH CONDIUT ��a ``f''� iA..f%)��• _._�� WIRING , FIXTURES P PERMIT FEE (SUB TOTAL) OWER AUTHORIZED UTILITY CO. NOTIFIED PLAN CHECK FEE / FINAL ! b '�Z PERMIT ISSUING FEE 3.00 3 O® JOSEPH C. ROOHAN TOTAL FEE 1.3000 SUPERVISING ELECTRICAL ENGINEEP PLAN CHECK VALIDATION CK. 'M.0. CASH PERMIT VALIDATION CK. M.0. CASH' LAC6 6 'S 22 7-w JLN,16 2 D 13.0 0: SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76Pr6a3eCE806.1 1470 ffLICATION FOR ELECTRICAL/PERMIT COUNLOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING •% BUILDING AND SAFETY DIVISION AODRE$Sj �J COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. S OUTLETS N0. EACH FEE OWNER u RECEPT.&I $ . $ MAIL LIGHFIRST 20 .25 �� ADDRESS T TOTAL A C OVER 20 CITY TEL. N0. SWITCH D _ .10 �D PLAN CHECK LIGHTINGTOTAL FIRST 20 Zg ` APPLICANT FIXTURES -gc •10 OVER 20 ADDRESS APPLIANCES CITY TEL. NO. �y}� PERMIT s��. 1 RANGE DRYER_WTR. HTR.,T70 APPLICANT/4/40tJ STA. COOK DISP. F.A.U. ADDRESS70 . 5No SPACE HTR. AIR COND. CITY T . NO. �6 CLOTHES WASH.' DISHWASH. LICENSE NO. rpQ CLASS. FAN OTHER 1.00 / 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY O�iDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, A D INTEND TO }. 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED REBID NT L PROPERTY. d SIGNATURE V 10 - 50 5.00 OF PERMITTEE 50 - 100 10.00 0 DISTRICTTNO CLASS ZONE PROC 3 Y 100 - 500 15.00 �✓ U j UJI SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: to TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT �y�'- %--7/n ay, WI RING FI XTU R PERMIT FEE (SUB TOTAL) POWER AUTHOR17tiED UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 JOS PH C. F49b HAN TOTAL FEE SUPERVISINGE )1K IG'AL ENGINEER.PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH !_til,o S ? 2 v MAY 8 2 D 1 3.4 5- Q SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TEMPLE COW • • of 76AWS-CE806 6-62 APPLICATION FOR ELECTRICAL PERMIT • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING _5- 36 G Gr ) BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER (��y /17-1 WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN cRoss ST. uF RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER , 1 1 v / LIGHT ADD'L ADDRESS113 Q S . w S brG ' SWITCH. I OVER 20 .10 1 LIGHTING 1t TOTAL FIRST 20 .20 CITY SLE G� TEL No. FIXTURES1 ADO'L OVER 20 10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS J U J GARB.DISP. STA.COOKc S CITY C TEL NO. -Qp DISHWASH. AUTO.-WASH. STATE ^7 SPACE HTRS. STA.APP.(V■H.P.MAX.) .50 LICENSE NO. MOTORSt OVER NOT OVER H.P. ,DISTRICT NO. GROUP ZONE PROqESSEDBY O 1 1.00 1 s 1.50 13 INSPECTION !RECORD s B 2.00 8 15 2.50, �' Y� / e 15 s0 3.00 ? , r so 100 5.00 U SIGNSt No.TRANS. NO.LAMPS Q SERVICE 0.60OV-NOT OVER 200A 1.o0 ri D. SERVICE 0-600V-OVER 200 A. 2.00 N SERVICE OVER 600V 5.00 z MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION PP OVALS DATE INSPECTOR'®BIGNATURIZ AND STATE THAT THE ABOVE IB CORRECI',AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /J ELECTRICAL WIRING. WIRING pC 1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR � LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I.AM THE LEGAL OWNER OF THE ABOVE DESCRIBED R991DENTJALP PERTY. POWER _ r � 91GNATURE UTILITY CO:NOTIFIED ibj OF PERMITTEE FINAL` V LIDATION A HUR C. VEIT MO CASH C USUPERVISING ELECTRICAL ENGINEER �1'ACO 8 06 7 Q FEB 1 2 D 4.9 0," q WORKERS'COMPENSATIONDECLARATION I CE-863O6G (2.80) APPLICATION FOR ELECTRICAL PERMIT � CE-8663 •� 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 J , r ' a certified copy thereof(Sec.3800,Lab.C.) Policy No. Company I FOR APPLICANT TO FILL IN JOB L ADDRESS 12--rwou New Residential Bldgs.&Pools EACH NO. FEE ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY T ❑ — NEAREST Certified copy is filed with the county building inspection Multi-family Sq.Ft. CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME. C Date Applicant Outlets: Rec.1-Light-z-Sw. 10 .010 MAIL f �. klao First 2 ADDRESS -"� CERTIFICATE QF EXEMPTION FROM WORKERS' Total No.go Additional CITY COMPENSATION Tel No. a COMPENSATION INSURANCE ' • PLAN CHECK f O (This section need not .be completed if the work involved a APPLICANT 0 by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20ADDRE00 Additional •Total'No.�, CITY el No. 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT p, P Oven — Dryer_W.M._ ADDRESS Z Date t=+"$�Applicant ear Top _ FAQ _W.H- Hood _ Fan _O.ther— CITY �G� �. Tel.No. f NOTICE TO APPLICANT: If, after g this Certificate of Disp. _Room Air Condom ' LICENSE OR )J_� Exemption, you should become subject to the Workers' REG.NUMBER 1RClas's -�� Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT N.O, PROCE ED BY' with comply with such provisions or this permit shall be '�� .' deemed revoked. Size&Ty a HP,KW,KVA,or KVAR v[�� Up to 1 Incl. 'O'ver 1 to 10 Incl. � � DATEFINAL �. LICENSED CONTRACTORS DECI ARATION • Over 10 to 50 Incl. VALIDATION. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Susi- Over 100 BY 1 ness and Professions.Cod.e,and my license is in full force and effect. Services License Number /3/MLic.Class 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V ContractorA!/:2/6i4,05a. to -t 2,-0) Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION 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 Hess and Professions Code): Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7094,Business and Professions Code). X01 80,E CONSTRUCTION LENDING AGENCY ! tf o 0 0 0• o C I hereby affirm that there is a construction lending.agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2 0 0 5 1,OC' issued(Sec.3097,Civ.C.). Lender's Name .PLANCHECKING FEE (One-Fourth Permit Fee) 0 0 o'5 1;0 C a, .Lender's Address PERMIT ISSUING FEE � OF12-i '1 I certify that I have read this,application apd state that the TOTAL FEE �® 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-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signat ermittee ate