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Home My Public Portal About6105 TEMPLE CITY BLVD_Electrical__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0608250001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6105 TEMPLE CITY BL FFAULESS N: QUANTITY: UOM: AMOUNT: TEMP CA 917801748 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-012-009 ANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C P 1.00 FAU 10.95 TENANT: 3-10HP1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 58.35 08/25/06 JK 02/21/07 OWNER: TEL. NO: FINAL DA p BY: CODE: MARCELLO JUDITH E - �D II LC 6105 TEMPLE CITY BL TEMP 917801748 DESCRIPTION 61, W ELECTRICAL FOR RVAC SYSTEM APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 7,SABS3 DBS•SA 9.95 APPLICATION FOR ELECTRIC PERMIT DIVISION OF BUILDING AND SAFETY ' Depoitment of County Engineer County Of LOS Angeles' BUILDING/ y ��7/ WM.J.FOX.COUNTY ENGINEER ADDRES549fE�7 /LidtE // I/d36. 1/il CASSATT D.GRIFFIN.SUPT OF BUILDING .LOCALITY FOR APPLICANT TO FILL IN NEAREST ' PERMIT FEES - CROSS ST. r NUMBER EACH FEE OWNER LIGHT OUTLETS RECEPTACLES MAIL ADDRESS WALL SWITCHES �^- TOTAL OUTLETS• 5¢ S J CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN _ELEC. HEATERS 25 ADDRESS SZ7_(J,405 KW EA CIT TEL.N FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - 'DISTRICT NO. GROUP ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I L I MOTORS NUMBER I HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH fi &LESS S .25 fi- 2 .50 . 2 5 1.00 5 151.50 is - 50 2.50 50 200 5.00 •7 _t! �� R/G('a L f•, eZ, ^T eL ex MISC. NO.SIGNS .NO.TRANS. NO.SIGNS. 'NO..LAMPS FOR EACH PERMIT: . WIRING 51.00 O FIXTURES $1.00 t7 SUPPLEMENTARY - .50 APPROVALS TOTAL FEE g !I Q DATE y INSPECTOR'S SIGNNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT :, `^ •is to AND .STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY WITH. 'A'LC.'000NTY ORDINANCES AND STATE LAWS REGULATING WIRING �YJ/ii .7f' ✓ '-ELECTRICAL'WIRING• '.I•HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES - :•t"'.� A66FI/ xL.ICENSED AS REQUIRED B OS ANGELES COUNTY AND STATE OF .CAL'IFORNIA OR THAT AM TH 'LEGA OWNER OF THE ABOVE POWER :;DESCRIBED RESIDENTI `SIGNATURE l► ' UTILITY CO.NOTIFIED C I.�51 Gir21:2`�/r� "OFPERMITTEE WILLIAM J.FOX.COUNTY ENGINEER• VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR I'G24. 61 FE8 2 3.10 � : '65 DBS-.SA55 8.53 APPLICATION FOR ELECTRIC PERMIT DIVISION OF BUILDING AND SAFETY Department of County Engineer County.of Los AngelesNTY BUILDING/ RX WM.J.FOX.CCIUENGINEER ADDRESS NJ GES CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CR'SSS T. T �r NUMBER EACH FEE OWNER G LIGHT OUTLETS RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ '5' CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN X X A ' _ELEC. HEATERS 25 ADDRESS S 7 V n KW EA CIT TEL.N FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH Sc LESS $ .25 - 2 .50. 25 1.00 5 15 1.50 15 50 2.50 50 200 5.00 - 'A —6"J (O MISC. NO.SIGNS NO.TRANS. 4, NO.SIGNS. 'NO.LAMPS FOR EACH PERMIT: WIRING $1.00 y FIXTURES $1.00 d SUPPLEMENTARY 50 APPROVALS TOTAL FEE DATE' INSPECTOR'S SIGNATURE i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION. .• CONDUIT AND STATE THAT THE ABOVE IS CORRECT ANW AGREE TO COMPLY / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES f , tP r•.�e / LICENSED AS REQUIREAZZ OS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THATOWNER OF THE ABOVE POWER DESCRIBED RESIDENT! + / SIGNATURE UTILITY CO.NOTIFIED 'c t f!'•?/ /{ OFPERMITTEE FINAL '�•t<•f��` ""% b' - M. WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR -24615 FM 2 2 3.10 76A6 3 CESOG 468 APPLICATION -FOR ELECTRICAL'PERMIT COUNTY OF LOS ANGELES DEPA%TMENT 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 FILLIN CROSS ST. NO. EACH FEE RECEPT._ MOWNERAI . L LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING �TOTALIFIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP._F.A.U.— CONTRACTOR gif6 � SPACE HTR. AIR COND. ADDRESS C CLOTHES WASH._DISHWASH._ CITY TEL. NO. pq `T�tO FAN—OTHER 1.00 LICENSE 1J0. Q CLASS. MOTORS.TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT 1 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 REOU LATING 0 - 1 1.00 ELECTRICAL WIRING. . I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REOUIRED BY LOS EL OUNTY AND STATE OF CALIFORNIA OR THAT I EG W R OF, A INTEND TO 10 - 50 5.00 RESIDE IN, THE OV THE 'D IDENT PROPERTY. SIGNATURE 50 - 100 10.00 OF PERMITTE CD 100 - 500 15.00 O: MDlS :LRlCl�VP-[GR6uP NE PROCESSED BYSIGN,GAS SIGN AND ONE CIRCUIT 3.00 �_ • T. V TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: Y Q� t�i� SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 C Z SERVICE OVER 600 VOLTS OR 200 AMP 5.00 Ar/0 7-- �o Js� —rfp / /t�D , ✓�.I Y TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE. C e �J~ (i' JTEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING }��`j/�/.;g /eked FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 12.001 UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1..00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELEPCK AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH r� o 2 0 4� 1-My29 2 D 4.00- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �/ / WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) 76Ae63 APPLICATION FOR ELECTRICAL P•{}RMIT LLLJJJ I hereby affirm that I have a certificate of consent to self insure, or S a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORK ' UILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company �, FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY ❑ Certified copy is filed with the county'building inspection 1&2-Family,Sq.Ft. _ $ $ NEAREST department. Multi-family Sq.Ft. CROSS Sr. Applicant residential Swimming Pools' ASSESSOR Date APP MAP BOOK I PAGE. PARCEL I CERTIFICATE OF EXEMPTION FROM WORKERS' I OWNER OR /6 COMPENSATION INSURANCE •Outlets:Rea._Light ,Sw. FIRM NAME First 20 MAIL r �• (This section need not be completed if the work Involved by the Total.No. Additional ADDRESS permit is for one hundred dollars($100)or less.) �, NZ I certify that in the performance of the work for which this permit CITY rel. isoissued, I shall not employ any person in any manner so as to become subject to the Workers'Comp ti Laws. Ligliting Fixtures First 20 APPLICANT K iTotal No. Additional ADDRESS. Data Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTIC T .APPLICANT: If, after making this Certif' at of CITY rel.No. Exemption,you should become subject to the Workers'Com tion OTHER APPLIANCES NOT OVER. PERMIT . ` provisions of the Labor Code, you must forthwith comply with such power Apparatus&Large Appliances APPLICANT t/, �0 r C4 provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Size&Type HP,.KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of-Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Over 3 to 10 Incl. CITY / T.I.No.M-706 Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. } LICENSEr d ' Over 50 to 100 Incl. REG.NUMBER�j•��f$ G- D /� Over 100 DISTRICT NO. P SSED BY 0 License Number Lid.Class IDSL_ f! V Services,Swbd.,MCC&Panelbdards e, r e 0-399 Amp.Under 600 V DATE O Contracto 400-1000 Amp.Under 600 V V ❑ I ani exempt under Sec. ! Over 1000 Amp.or Over 600 V VALIDATION W FINAL B.&P.C.for this reasonBRANCH CIRCUIT FEES 6Y Z 15A,or 20A,120V,Lighting or Recept. Date: I / J _ 1 To 10 Branch Circuits Signature j 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 154,20A,208V To 277V Lighting Br.Circuits � 5 SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit lit t 15 F I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sectlon'7031:.5, Business and'Professions. AdJitional Sign Branch.Circuits �7I`w 75..0 Code): EM El1,as owner of the property,will do the work and the structure Misb.Conduits&Conductors II' =' is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) 75 a 901 and Professions Code). 1 �,,ilfyCK 75.sal. CONSTRUCTION LENDING AGENCY 1 I .� _ ,I Eli) I hereby affirm that there is a construction lending agency for the CHANGE o performance of the work for which this permit Is issued(Sec. 3097, PEFMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE rig-Irkr. 5ilOi Lender's Name cotG,a"t ',�(k �' S , r PERMIT ISSUING FEE 1.!3r i?MI-.;ITT Ls:Lt Lender's Address I certify that I have read this application and under penalty of purjury state TOtAL FEE S that the above Information is correct. I agree to comply with all County j ordinances and State laws regulating Electrical wiring;and hereby authorize repro .fives of this COU enter upon t7heab",wwe�menflloned property for inspe 'on purpo + SEE REVERE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE i.