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Home My Public Portal About6208 TEMPLE CITY BLVD_Electrical__ 7GA553-CES06 468 APPLICATION FOR ELECTRICAL PERMIT. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING `7 BUILDING AND SAFETY DIVISION ADDRESS Cir JOHN A. LAMBIE, COUNTY ENGINEER ` COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS. ST. NO. EACH FEE RECEPT._ $ s OWNER MAIL 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 SPACE HTR. AIR COND.—ADDRESS CLOTHES WASH._DISHWASH._ CITY l��PEL. NO. ^`'�� FAN—OTHER 1.00 LICENSE NO. l 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 REGULATING 0 - 1 1.00 ELECTRICAL WIRING. ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED SY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL R OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE AB ES R R SIDEN IAL PROPERTY. CD SIGNATURE C.) 50 - 100 10.00 OF PERMITTEE O 100 - 500 15.00 H DIS I T O. G UP Z NE PROCESSE BY SIGN,GAS SIGN AND ONE CIRCUIT 3.00 fn LLJ TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:/-,,�i dJ' SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 —` ® C� 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 t SUPPLEMENTARY PERMIT ISSUING FEEI 1.00 p FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING EL2�CPK CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH ft EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� 76A663-CE808 9-64 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING O `�/ BUILDING AND SAFETY DIVISION ADDRESS C �!/ , f' / JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY I NEAREST /_2� /7f ^C 1„/ /IPC FOR APPLICANT TO FILL IN CROSSST. f-•� C�' l�f../' /%'{�l.� RECEPT. TOTAL - NO. EACH FEE �; OUTLETS FIRST 20 5.20 S O OWNER .g9clC /f�C+�v�Rlo�'/�-�I� LIGHT MAIL ADO'L ADDRESS wiO4 p///om-/o Cl AE JI SWITCH. OVER 20 .10 LIGHTING l TOTAL I FIRST 20 .20 CITY F. LrL TEL.NO. FIXTURES 1 _ ADD'L ,1O ELECTRICIAN Ci %C- OVER 20 RANGES CLO.DRYERS NRR.HTRS. 1.00 ADDRESS .cJ o- OX jE f - _ft e7- GARB.DISP. BTA.COOK CITYjVj-,r?l-,C Cl Y TEL.NO. 7 GFS/-r DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(yA X.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. I GROUP I ZO PROCESSED BY O 1 1.00 1 3 /a , 1.50 d INSPECTION RECORD 8 a 2.00 0 8 is 2.50 V 1s 50 3.00 so 100 5.00 0 W SIGNSI NO.TRANS• C U) NO.LAMPS Z SERVICE 0.000V-NOT OVER 200A / 1.00 ` 0 SERVICE 0-SOOV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 D SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE .$ 550 5 Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INS P R'S 81ONATURIC AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF . CALIFORNIA OR THAT 1 AM E LEGAL OWNER OF, A IN-T. TO RESIDE IN,THE ABO DE R rRESIDENTIAL PROP RTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL f LIDATION JOS PH ROOHAN MO CASH, SUPERVISING ELECTRICAL ENGINEER CK At o4 .4 3 7' AUG 30 2 D 5.50- ODUSTY OF LOO A■■ELEM APPZ.=T= FOS PEEMM Depwrbuient 3 DIVISIOS OF HIIMLDING & SAFETY t! WILLIAM L FOX. Omu Eglnew ELECTRIC I FOR APPLICANT TO FILL IN OIBTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN S_ LIVED ■Y READY FOR DAT! IYUID ADDRESS FIRST INSPECTION CITY TEL NO. 2—x. COUNTY LICENSE: Hu. EXPIRES ADDRE : Lt ,ig PERIM ms HUMMER EACH r!l LOCALITY LIMHT OUTLET■ :NEAMMOT / RECEPTACLES 4�y WALL SWITCHES •OWNER /" • + �+ -� TOTAL OUTLETS an MAIL !LEO. RAN■!■ N ADDRW spa/ CI& i ELEO. NEATEN N CITY & ' TEL HOA71—1 lArgr FIXTURES TA- ■ O r 1 Hamm-ItKN ! THAT 1 NAVE READ THIN MEMO. APPLICATION AND RAT! THAT THE AMOVE IS CORRECT HUMMER CIS LIMHT CIROYHS AND AMR!! TO COMPLY WITH ALL COUNTY ORDINANCES HUMMER Cr R!OlPTACL! CIRCUIT■ AND ■TAT! LAWS RESULATIN■ ELECTRICAL WININ06 MOTORB 1 CERTIFY THAT 1 PCNEN THE MOVE VALID LOM HUMMER HORSEPOWER FEE ANMELES OCUNTY LICENSE, ON 1 AM TH! LlMAL OWNER New Him HP oven IND. EACH Or THE RESIDENTIAL PROPERTY DO 01090 AMOVE. . uw .as mmmTumm or �--% • S .MC PlRMI ■ s 1.00 1 PEC7I01 BZCX SD M 7M 1.M0 1■ no 1669 ■O MOO M.DO MOO MOO 10.013 J fN 1000 11161013 Z OVER 1000 SO.00 M.O. mirr/rnm& ONAHMER-HP WELDCRMI AC-KVA 93 M!NERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (N%or coin.) MOVED MOTORS 17N% Or OnIO MiscL • BIBNB Na NO.TRAHL Na LAMPS APPSOVAIS run EACH PERMITI DAT! IN■PEWMW S NAM! WIRIN■ M1.O0 OOHDUIT - F )TURES 1111.00 MINIMS mumuemcwrAny .11112ON POWER TOTAL FEE ■ 3 1 O UTILITY CIL HOTIrIlD FINAL Jp 7-A RUN DH!#BA 4-111I W,JWER'S COMPENSATION DECLARATION 7GA663 9 DPW(12.81) APPLICATION FOR ELECTRICAL PERMIT 76A66 I hereby affirm that I have a certificate of consent to self insure, or er•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. 10S5�9 Company l/r�� FOR APPLICANT,TO FILL IN JOB T s n NO. EACH FEE ADDRESS r Certified copy is hereby furnished. New Resldentlal.Bldgs.&Pools LOCALITY 1&2-Family,Sq.Ft. — $ $ C ified copy is filed with the c building in action — NEAREST ) 1) d artm t. Multi-family Sq:Ft. CROSS ST. Date Appli t Residential Swimming Pools ASSESSOR - ss�� PAGE PARCEL YCTEIFICATE OF E MPTION FROM WOR RS' Outlets:.Reawk Li ht Sw. OWNER OR . COMPE ATION INSURANCE g FIRM NAME "L vdnr. (This section need not be ompleted if the work volved by the First io MAIL /,a ib I 71 vim' .permit Is.for one hundred ollars($100)or less,) Total No. Additional ADDRESS V CITY ^ TeI.No. I certify that in the perfor ance of the work for which this permit ]—d�o6 is issued, I shall not empl'y any person 1n any manner so as to PLAN C ECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT ° Total No. Additional ADDRESS .•r Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.' NOTICE TO APPLICANT: If, after making this Certificate of CITY TeI.No. a _0 66 9 Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. PERMIT provisions of the Labor Code, you must forthwith comply with such APPLICANT ' provisions or this permit shall be deemed revoked. Power Apparatus.&Large Appliances LICENSED CONTRACTORS DECLARATION Size&.Type HP,KW,KVA,or KVAR ADDRESS C 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 TeI.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' 11 p Gd Over 100 DISTRICT NO. PROCESS License Num O7 Lic.Class U - Se &Panelboarda Q 1-g 4 p .�� FINAL 0- 98 Amp,Under 600 V Cont or Dflte _ DATE IF V I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION IJU Over 1000 Amp.or Over 600 V FINAL `•� B.&P.C.for this reasonBRANCH CIRCUIT FEES BY Date: 15A,or 0 120V,Lighting or Recept. /� - ► 1 To 10 Branch Circuits `� Signature 11To 40.Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits7�(� 1-29.45 L'..L. SINGLE FAMILY Temp.Power Pole&Appurtenances 4 q HOME OWNER-BUILDER DECLARATION 1 .i I Ei,S I.hereby affirm that I am exempt.from the Contractor's License.Law Sign with.One Branch Circuit for the.following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits ��(�� -129.45 Code): } ii f Misc.Conduits&Conductors' CHECK 1.x.97.4 I,es owner of the property,will do the work and the structure �I� Is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , CHANGE • and Professions.Code). CONSTRUCTION LENDING AGENCY G0(3rj-I3Ol 1 7/21/94 1 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) 13 6178- 1 PM 4:31 Civ.C.) PLAN CHECKING FEE Lender's Name • PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL,FEE / t bo ve informatio is correct. I agree to comply. ' all C my ordinano .and State Is regulating Electrical wiring,and by su orize i re sen Ives of this ter upon the ab 4 SEE REVERSE FOR.EXPLANATORY LANGUAGE ' �7�5f NATURE OF PERMITT E TE