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HomeMy Public PortalAbout6213 TEMPLE CITY BLVD_Electrical__ I ` COUNTY OF LOS ANGELES TEMPLE CITY' # 0508 ELECTRICAL P DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 09712040050 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: GAL D: FEES PAIDBU I LD NG NEW- ON SS:ON FILE 6210 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801749 ASSESSOR IN ORMATION NUMBER: I NEAREST CROSS STREET: 5385-016-034 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY E3 TEMP XMAS TREE, ADDT 1.00 TEM 21.60 TENANT: TOTAL FEES 49.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 12/04/97 UT 12/04/98/04/98 I OWNER: TEL. 0: FINAL DATE FINAL BY• CODE: PACIFIC ACKWORTH FOUNDATION (818) 287-6880- 6210 TEMPLE CITY BL Z TEMP 917801749RZPTIO UF WORK rr MAS L� 6-1 (TEMPORARY LIGHTING CHRf�T APPLICANT: L. 0: COSINE ELECTRIC (626) 282-0315- i SPECIAL CONDITIONS: SLE C 1 CONTRACTOR: TEL. NO: ® IPPROVALS DATE INSPECTOR SIGNATURE COSINE ELECTRIC CO., INC. (818) 282-0315- ALHAMBRA, CACHESTNUT 229847 CIO \ST. LIC. NO ��� EMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR-ENGINEER: TEL. 0: - o f `l�fJ G 4F5R GROUND LIC. NO: '/ I \- ROUGH CONDUIT ROUGH WIRINGI G—}�it �a r �� � Ij MAIN WATER LINE " -3,L,I�G � u u-v".D_ PLASTIC Y/N METAL Y/N 1`, \- ,---f "-/•--�"--- ""� UTILITY COMPANY NOTIFIED co I }I r'1 Irl co �\ \ '01 I " I I I I i REPORT ID: DPR265 ROUTE TO: 890508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS Et- 0508 971204CC5T BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL S PAID NG ADDRESS: ON FILE 6210 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917801749 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-016-034 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TOTAL FEES 66.60 ISSUED ON: PROCESSED B S ON: 12/04/97 UT /04/98 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: PACIFIC ACKWORTH FOUNDATION (818) 287-6880- g+ 6210 TEMPLE CITY BL TEMP 917801749 SC R — NEWL LCAL-$ERV3-CE--PANEL,UPGW&DE 00 AMP-RESIDENTIAL APPLICANT: EL. NO: COBINE ELECTRIC (626) 282-0315- SPECIAL CONDITIONS: J CONTRACTOR: TEL. N0: �v. _ ' _ __- �: a APPROVALS DATE INSPECTOR SIGNATURE COBINE ELECTRIC CO., INC. (818) 282-0315- ' 1607 CHESTNUT ST. LIC. NO r -' = ~', y s TEMPORARY 0 E ALHAMBRA, CA 91803 229847 CIO ' UNDERGROUND CONDUIT ARCHITECTOR ENGINEER: TEL. 0: 1 ` LIFER GROUND LIC. NO: ROUGH CONDUIT ROUGH NG MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITYCOMPANY NOYIFIED REPORT ID: DPR265 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION 76-80B 10/81 APPLICATION ICATION FOR ELECTRICAL PERMIT CE-806G !�a t� uia il'A I hereby affirm that I have a certificate of consent to self insure, or a certificate of-Workers' Compensation insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy theregf_fSeq.3800,Lab.C.) �, Policy No'"41Company Ilk- FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is hereby furnished. New Residential Bldgs.&PoolsEACH NO. FEE ❑ Certified copy is filed with the cou building ins ection 1 &2-Family,Sq.Ft. �n/.� $ — LOCALITY�, r me . Multi-family Sq.Ft. — NEAREST depaCROSS ST. Date Applicant r Residential Swimming Pools OWNER OR FIRM NAME n CERTIFICATE OF EXEMPTION FROM WORK E S' Outlets:Rec_Light—,Sw.— MAIL / COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed if the work involved by the permit is for one hundred dollars($100)or less.) Total No. Additional CITY t Tel.No. I certifythat in the performance of the work for which this permit PLAN CHECK P P APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HPPERMIT J I NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. _ provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS Y �..n5,6 provisions or this permit shall be deemed revoked. Top — FAU _ W.H. ITY LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ CTel.No I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond.. REG.NUMBER Class. Professions Code,and my license is in full force and effect. DISTRICT NO. P SSED BY Power Apparatus&Large Appliances P y IX /' Q Size&Type HP,KW,KVA,or KVAR �i a �,��/'��✓ 0 License Number 47 /3 Lim Class ~lam Up to 1 Incl. FINAL /� !J Ave. Date Over 1 to 10 Incl. DATE I"2�� VALIDATION 0 Contractor Over 10 to 50 Incl. ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY � � B.&P.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboards ® Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT o V I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits. for the following reason(Section 7031.5,Business and Professions 3 248.95 Code): El 1, Conduits&Conductors 1 ITEM 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) _ ® TOTAL. 248.95 and Professions Code). CCi1.1 248.95 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the .OD performance of the work for which this permit is issued(.Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE =—=1 8! 895 Lender's Name PERMIT ISSUING FEE 1727 1 AN 8 0.02 Lender's Address I certify that I have read this application and state that the above TOTAL FEE `7 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 f ins cti rr p o SEE REVERSE FOR EXPLANATORY LANGUAGE na re itteV Date