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Home My Public Portal About6204 TEMPLE CITY BLVD_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I ELECTRICAL PtRMIT DEPARTMENT OF PUBLIC WORKS j 9701 LAS TUNAS EL 0508 0106660034 BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FES PAID BUILDING ADDRESS: ON FILE 6204 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749 ASSESSOR 1 ON NUMBER: j INEAREST CROSS STREET: LONGDN 5385-016-020 Al PERMIT ISSUANCE FEE 27.75 (THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY E1 TEMP SERV POWER POLE 1.00 TMP 43.65 TENANT: TOTAL FEES 71.40 ISSUED ON: PROCESSED BY: PLAN BY: ES 0 : 06/06%01 JK 12/03/01 OWNER: TEL. NO: FINAL E FIA CODE: BAGDADIAN;JOE AND HOURIG (626) 285-4673- 9237 LOWER AZUSA RD. G.� TEMP 917801749 I 14ESCRIO 0 �R TPP APPLICANT: TE 0: I SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: �� //�� APPRO ALS DATE INSP TOR SIGNATURE SAME AS OWNER LIC. NO � y ,,/" 0 POWER-POLE- UNDERGROUND O R 0 • r NDERGROUND CONDUIT `i ARCHITECT OR ENGINEER: TEL. 0: q r ALOMAR, ABDEL (714) 758-0817;; I F GRO D 1144 N. GILBERT LIC. N0 ' �� / —1_ I I_1 -=� , ROUGHi CO DUIT ANAHEIM, CA NONE ► r— '- i u�` p ROUGH WIRING MAIN WATER LINE 'U Li y PLASTIC Y/N METAL Y/N UTILITY COMPCOMPART 0 IffO n w .�i✓d�� `—_-, ,Lei%�. REPORT ID: DPR265 ROUTE TO: BS0508 i I t WORKER'S COMPENSATION DECLARATION 9 DPW(12. 76A663 9 APPLICATI® FOR ELECTRICAL PERMIT 76A66 I herebylsffirm thab l have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES t DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 00-P ADDRESS ❑ Certified copy is hereby furnished. New Residential Bidgs.&Pools NO. EACH FEE $ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.R. _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rea._Light Sw• FlRM NAME r ller COMPENSATION INSURANCE First 20 MAIL J (This section need not be completed If the work Involved by the Total No. Additional ADDRESS (7 ,G. D/I permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY 7L, rel.N _ is issued, I shall not employ any person in any manner so as to PLAN CHECK become sub act to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT &IL Total No. Additional ADDRESS Date ApplicA&4 'RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE O PPLICANT: If, after making thUS (ply ertificate of CITY Tel.No. Exemption,y should become subject to the Workompensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwithwith such PERMIT p y APPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR >_Over 50 to 100 Incl. REG.NUMBER Class' d Over 100 DISTRICT NO. PRQCESSED BY V License Number Lic.Class p Services,Swbd.,MCC&Panelboards �t%OI Q Contractor Date 0-399 Amp.Under 600 V DATE O F1 I am exempt under Sec. 400-1000 Amp.Under 600 V ^� ~ VALIDATION W Over 1000 Amp.or Over 600 V FINAL BY W B.&P.C.for this reason BRANCH CIRCUIT FEES Z Date: 15A,or 20A,120V,Lighting or Recept. 0 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits i Exemption for Reg.Maint.Elect. 15A,20A,20 VV To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances .1r HOE OWNER-BUILDER DECLARATION Sign with One Branch Circuit - - I hereby affirm that I am exempt from the Contractor's License Law Uj - for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits `'`` ` ' Code): 7 I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 4+-p 0 is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® i - s G 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(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name s� �, r PERMIT ISSUING FEE pr -J1 i j:{ I 1' Lender's AddressTOTAL FEE tY penal of p I certify that I have read this application and under ur'l ury state v. that the 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 pect4 n purpose . i SEE REVERSE FOR EXPLANATORY LANGUAGE �— SIGNATURE OF PER EE DATE r WbRI(ER'S COMPENSATION DECLARATION 20-0019 DPW(12.91) 76A663 APPLICATION FOR ELECTRICAL PERMIT jJ I herebyaffirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB /�� ADDRESS CrJ T ❑ Certified co Is hereby furnished. NO. EACH FEE PY� Y New Residential Bldgs.&Pools $ $ LOCAL! ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK �,&— I PAGE�0PARCELL�� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. FIRM NAME �/ COMPENSATION INSURANCE First 20 This section need not be com leted if the work Involved b the /t)_ ADDRESS MAIL ( P Y Total No. Additional permit is for one hundred dollars(5700)or less.) I certify that in the performance of the work for which this permit CITY Tel.No. �3 3 is issued, 1 shall not employ any person in any manner so as to PLAN CHECK uY become subject to the Workers'Compensatio Law Lighting Fixtures First 20 APPLICANT Total No. Additional ;=3g 09yye�ww ADDRESS Date Applicant RE ENTIAL AP 1 SNOTOV R NOTICE O APPLICANT: If, after aking t s Certificat of CITY Tel.No. Exemption,you should become subject to the Wor ers'Compens ion OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with s ch PERAPPLICANT IT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY rel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR Class. a Over 50 t0 100 Incl. REG.NUMBER Over 100 DISTRICT NO. PSED BY O License Number Lic.Class U Services,Swbd.,MCC&Panelboards �� fix Contractor Date 0-399 Amp.Under 600 V FAQ `` 0 F1400-1000 Amp.Under 600 V 2-26 � VALIDATION V I am exempt under Sec. Over 1000 Amp.or Over 600 VBY AL W B.&P.C.for this reason BRANCH CIRCUIT FEES a Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits r_141 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,20 VV To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 33-J.-_ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ; T;'_`1 Code): _ L..-1,•--_ Misc.Conduits&.Conductors _{.1 t AL ''E LP I,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) 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(Sec. 3097, PERMIT FEESub-Total Civ.C.) ( ) I,Itr -I_irij� 1't.' 1rCL PLAN CHECKING FEE rs-yv� �(e t Lender's Name PERMIT ISSUING FEE �p Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE � that the 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 -sea IGNATUREYF PERMITTEE DATE oss s-n 12-44 1' � 7�e }�� 7��,Tory p�� _'' - AP1�JWt4�lafl O FOR P� j MW ]DEPARTMENT��gO SDRJ1l11�DIING AND , COUNn Il ®IF 109 ANGELES WM. J. FOX. CHIEF ENGINEER DISTRICT NO. GRA P ZONEPERMIT NO.NAME S • r, s ADDRESS ��tU V R �✓LCa '�—_/1_'( RECEIVED READY FOR DATE SSUED 1� CITY p'A, Q,0. tf-o-e �� TEL.NOi L� �' '/% L FIRST INSPECTION TY W CERT.NO. ) C� L EXPIRES �EI' /SV/ is �+� LgIn JOB .�_ IDESCREMON OF WORK ADDRESS 14 40� -Si ,,o If /' /a' t� NUMBER OF OUTLETS ON CIRCUITS LOCALITY "T(7*�� C' �� `-7 •t J LOCATION BY ROOMS NEAREST -� s F t c' J LIGHT OUTLETS SW. PLUGS FItiT CROSS ST. {' -✓ A/ A CIRCUIT A B C D E F G IH W NAME )L//,?0 Ah� 5 dam: cc, Ap MAIL L n ADDRESS, )// s �. r'r''f�-a-r'•f,(. CITY ,6 be-j-es f:CN TEL.19-me-1-2 oe" 4,6 [) I AM THE LEGAL POSSESSOR OF .THE ABOVE HAS �'. ANGF-J.EB COUNTY CERT�IFICAT 0IF QUALIFICATIOVi. SFJ ELECTRIc1Aro. <1 i ANI THE LEGAL WMER OF THE PROPERTY DESCRIBED :. ABOVE li OWNER. comEcnoWs z '� cl 0 ' TOTA No. OF OUTLETS NO. OF FIXTURES E DATE INSPECTOIWS NAME NO. OF MOTORS if.P. CONDUIT _ ��4 f -•ty{tom'l! NO. OF SIGNS TRANS. WIRING NO. OF RANGES OR HEATERS FIXTURES _ ® MISCELLANEOUS $ POWER PERMIT FEE B UTILITY CO.NOTIFIED 1F.':GF' 1 `? }'��tk'plJ �•i TATAL REE a � - FINAL // � BA863-CEB06 4-68 APPLICATION FOR ELECTRZA' PE91T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS �� cG1 JOHN A. LAMBIE, COUNTY ENGINEER a =OLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Z(, lef NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE qq $ $ OWNER /C?l IECEPT._ MAIL _IGHT TOTAL FIRST 20 .20 ADDRESS TWITCH_ OVER 20 .10 CITY TEL. NO. PLAN CHECK .IGHTING JTOTAL FIRST 20 .20 APPLICANT ' XTURES OVER 20 .10 ADDRESS 2ANGE_DRYER—WTR.HTR.— CITY TEL. NO., iTA.COOK_DISP._F.A.U.— C0NTRAC TOR fJ/ll`' a eq N to iPACE HTR. AIR COND. ADDRESS Cp :LOTHES WASH._DISHWASH._ CITY ®1?d�;;0 jL// TEL. NO v =AN—OTHER 1.00 LICENSE WO. } CLASS. AOTORS,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 IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERBD AND/OR 1 - 10 3 00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF -- ----- ----• -- -- CALIFORNIA OR THAT 1 AM THE LE&ALopknIt OF, AN INTEND TO 10 - 50 5 00 RESIDE IN, THE ABOV SC IP RDENTI PROPERTY. 100- �10 00 SIGNATURE y � OF PERMITTEE U 100 - S00 115.00 DISTBIC,,TJP. G.gO•UP NE PROCESSED BY O TUBE,GAS OR SIGN AND ONE CIRCUIT 3.00 / (�J �- — � y� W MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 7`- O� CL i? 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 UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL /r A TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELEC ICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE