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Home My Public Portal About6006 TEMPLE CITY BLVD_Electrical__ DEPARTMENT OF DUE DINNG AND SAFETY CATtON �iN1II'8' COU OF LOS ANGELES ELECTRIC VoM.' O CHIEF EN INE R NAME y `' O. ey n 1rc/ ,� pp...�, DISTRICT NO. GROUP ZONE PERMIT N ADDRESS .-4,I / Wt! �j RECEIVED BY READY FOR DATE ISSUED EL CITY Cd". ry T .NO / FIRST INSPECTION d DCOUNTY EERr.NNO. i1 / EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS-56 O cS el //_S NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS lsw. PLUGS P17[T CROas CIRCUIT A B 'C D E F G H S NAME ✓.7 Ie'11rSj�1 , Z MAIL .. r /'? ! 10, ADDRESS O -CITY TEL.No. Sy I AM THE LEGAL POSSESSOR CF/THE 'ABOVE LOS ANGKLKS COUNTY CERTIFIC/ATm OOFLQUA_LIFICATION.. •ELECTRICIAN. � f I AM THU AL OWNER OF 7=PROPKIM DESCRIBED ABOVE OWNER. COItREGTd®lois J • Z_ • _ 17 D LNO UTLETS $ (�t7 APPROVALS �� IXTURES $ DATE INSPECI0R'"AMC MOTORS H.P. B CONDUIT IGNS TRANS. S WIRING RANGES OR HEATERS $ FIXTURESANEOUS B POWER FEE S ✓ UTILITY CO.NOTIFIED EE ® FIN& DEPARTMENT OF BUKDIING AND SAFETY APPUCAYTION POR-PE]UM COUNTY OF LOS ANGELES ELECTRIC 14M. FOX, CHIEF ENGINEER NAME '•'� I n `+ •� r DISTRICT NO. GROUP ZONE PERMIT NO. / t� •,// ADDRESS` �� r 1 CITY �.}'• TEL.NO:; r A'lr ��' RECEIVED BY READY FOR DATE IS UED FIRST INSPECTION COUNTY .r•I� o. '' "� ! t'•/%' /��%' CERT.NO. JJ EXPIRES ,' ;; APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORD Jo ADDRESS �f' l' �� t�: e ; f NUMBER OF OUTLETS ON CIRCUITS LOCALITY • " ` LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS W7f7 CROSS CIRCUIT A I8 C D E F G H N NAME \4 `? Z MAIL ! - ADDRESS CITY TEL.NO. 'm 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OI?.QUALIFICATION.. ELECTRICIAN. - I AN TIDE LK&AL OWNER OF THE PROPI=ff DESCRIBED Q+ �7[9�,�•arpq��7(C� OWNER. colmECTIONS • J Q _Z m [C D T OTAL NO. OF OUTLETS S G^v APPROVALS j NO. OF FIXTURES S DATE INSPEC'!•OR' AME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. $ WIRING / NO. OF RANGES OR HEATERS $ FIXTURES fig MISCELLANEOUS $ POWER PERMIT FEE B "� YJ UTILITY CO.NOTIFIED TOTAL FE O f''<� FINAL 76A669 DOS 5A 11-60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OFF LOSLOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT GROT O. FOR APPLICANT TO FILL IN � UP ZONE PERMI �� . �•'o� � ELECTRICIAN A' A A AI R v V RES5,1VED BY READY FOR DATE ISSUED .1 ADDRESS _ ,� J1 l/�1 Ls� s / FIRST INSPECTION r CITYv t�r g TEL!NO,�Irt�[��I COUNTY LICENSE NO. d"A 9 k EXPIREs"r'j ) BUILDING i9 Al PERMIT FEES /� �ADDRESS !t ( (.. l e. / Air, ' NUMBFEE ER EACH LOCALITY A LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER /„ A %//W1 A-'® \/V TOTAL OUTLETS Sc I S Y ELEC. RANGES 85 �' !�' ADDRESS MAIL ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBERHORSEPOWER FEEI ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER E CN OF THE RESIDENTIAL PROPER DESCRIBED/ABOVE. NEW MVO. HP OVER INC. f /1 1/2 a LESS $ .25 SIGNATURE OR r �Ar�r / 1/2 2 .BO PERMITTEE 1 6 M Y . 2 5 1.00 INSPECTION RECORD s is 1 1.50 15 50 2.50 50 200 5.00 200 Boo 10.00 J Soo 1000 15.00 Z OVER 1000 20.00 5 M. G. SET/FREQ. CHANGER-HP Ic WELDERS:AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OFORIG.) MOVED MOTORS (73%OFORIG.) MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT- WIRING $1.00 CONDUIT CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY •50 FIXTURES POWER TOTAL FEE t $ ® , UTILITY CO. NOTIFIED 7- ,�o C1� ® f I FINAL 7- ,3n-Jz F RK`YiRS'COMPENSATIONDECLARATION CE-806G (2.80) APPLICATION FOR ECE.CTRICAL PERMIT CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELEL"� BUILDING AND SAFETY insure,.or a certificate of Workers'Compensation Insurance,or 1 a certified copy thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE New Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Certified copy is filed.with th cou 'y uilding inspection Multi-family Sq. Ft. CROSS ST de rtment. Residential Swimming Pools OWNER OR FIRM NAME Dat Applicant. Outlets: Rec.—Light_ —Sw. _ AIL ,a Amw ' First 20 ADDRESS v CERTIFICATE OF EXEMPTION.FROM WORKERS' Total No.—� Additional - CITY Tel No. COMPENSATION INSURANCE PLAN CHECK ! a APPLICANT ' O (This,section need not be cotr)pleted if the work involved Lighting.Fixtures First 20 � � V by the. permit. is for one hundred dollars ($100) or less.) / Additional ADDRESS' Total No. p I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel o. 0 ,permit is issued', I shall not employ any person in any manner PERMIT' so as to become subject to the Workers'Co pensation Laws. Range_Heater D.W. APPLICANT 9L Oven _ Dryer_W.M. ADDRESS U3 Date„"Applican.t Top . — FAU —W.H.._ Hood _ Fan _Other_ ` , CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond— / IC E OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code„you must forth- Power Apparatus&Large Appliances DISTRICT NO. PR. S BY with comply with such. provisions or this permit shall be I Size&Type HP,KW,KVA,or,KVAR QO deemed revoked. Up to 1 Incl. FINAL i Over 1 to 10 Incl. DATE LICEN�ED CONTRACTORS DECLARATION 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.Busi- Over 100 BY ness and Professions.Code, and my license is in full force and v effect. Services l icense Numb r AI 0-200 Amp.Under 600 V L "c.Class V i / _ 201-1000 Amp.Under 600 V t Contracto /�. Date �. + -01— 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 ness and Professions Code): :22 6.2 6 A Misc.Conduits&Conductors ° I, as,owner of the property, will do the work and the Other(See Complete Fee Schedule)— # 0.0'0 0 0 ' structure is not intended or offered for sale (Section 7044,Business and Professions Code). 2 0 - 1270 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction,lending agency S for the performance of the work for which this permit is PERMIT FEE (Sub•Total) 0 0 0 1 .2 7 0 2i issued(Sec.3097;Civ.C.). 0 1. 1 4-8 2 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 11. + Lender's Address ° ' PERMIT ISSUING FEE I certify that I. have read this application.and state that the TOTAL FEE f above information is correct.I agree to comply with all Cou_my 'ordinances and State taws regulating Electrical wiring, and hereb auth iz epresentatives of this County to enter upon the ve= ti proper or inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE , ignature of Permittee Date WORKERS'COMPENSATIONDECLARA°TION CE-806G (2-80) APPLICATION FOR EL,CTRICAI, PERMIT I hereby affirm, tbat.I have a certificate of consent to self. COUNTY OF LOS AN ES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,.or O6 d S -7 / O� 3 a certified copy thereof(Sec.3.800,Lab.C:) f 7' JOB Policy No. Company FOR APPLICANT TO FILL IN' ADDRESS r' New Residential Bldgs.&Pools EACH NO•. FEE Certified copy is hereby furnished. r 1 &2-Family,Sq. Ft. $ — $ LOCALITY / E] Certified co is filed.with the count building Multi-family Sq. Ft. — NEAREST copy y g inspection Residential Swimming Pools CROSS ST department. OWNER OR l FIRM NAME Date Applicant Outlets: Rec.:_LightSw. MA]L f� First 20 ADDRESS /cJ CERTIFICATE OF EXEMPTI..ON FROM WORKERS' s Total No. Additional CITYS Tel No. } COMPENSATION INSURANCE. I PLAN CHECK d APPLICANT 0 (This section need not be completed if the work involved Lighting Fixtures First 20 ADDRESS V by the permit is for.one hundred dollars ($100) or less.) Additional ng Total No. CITY Tel No. O I certify that in the performance of the work for which this , permit is issued, I shall not employ any perso in an manner Fixed Appliances l�(ot Over 1 HP F- p P Y Y � PERMIT C.) so as to become subject to the.W r ' o e ation La Range_Heater D.W._ APPLICANT W � Oven _ Dryer_W.M._ ADDRESS rDafed Applicant Top _FAU _W.H.,_ ) ' Hood _Fen _Other_ GITYS JPS Tel Nb. NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond` LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBE Class Compensation provisions of the Labor Code, you must forth-, Power Apparatus&Large Appliances DISTRICT NO. PRZCSED�BY with comply with such provisions or .this permit shall be Size&Type HP,KW,KVA,or KVAR L5 deemed revoked. Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. �� " - VALIDATION I hereby affirm that I am licensed under provisions of Chapter, Over 50 to 100 Inc. I BY A 9 (commencing with Section 7000)of Division 3 of the Busi-' O"ver 100 ness and Professions,Code, and my license is in full force and 'effect.' i Services .�� 0-200 Amp.Under 600 V License Number pe Lic.Class 201-1000 Amp.Under 600 V S�S� Contractor ) Date��'�� D 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 ness and Professions Code).: Misc.lbonduits&Conductors _,2 O 0 3 A El 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" -0 o 0 0 0 0 2 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a•construction lending agency 2° ° 5 7 0 C for the •performance of the work for which this permit is' PERMIT FEE (Sub-Total) 0 57,0035 issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) t 1,0 3=8 0 Lender's Address PERMIT ISSUING FEE I certify that I have read this. application and state that the" TOTAL FEE above•information is correct.I agree to comply with all County; r ordinances and State laws regulating Electrical wiring, and. r a-eya- ,..•..dv heim. ' re sentatives of his County to enter upon' O n opertyfo pection purposes. SEER VERSE FO. XPLANATORY LANGUAGE ... ; ignature.of Permittee Date