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Home My Public Portal About6317 TEMPLE CITY BLVD_Electrical__ c�•eoe tenet APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES op BUILDING AND SAFETY FOR APPLICANT TO FILL tN New Residential Bldgs &Pools EACH NO FEE ADDRESS 1 &2 Family Sq Ft $ 025 — S LOCALITY Multi fom.ly Sq Ft 02 — NEAREST- 25 00 ST Residential Swimming Pools WN R NAME Outlets RecILLgh4--Sw SD AIL v "C First 20 Total No aJ Additional 30CITY Tel No — PLAN EC APPLI NT Lighting Fixtures First 20 50 ADDRESS Total No Additional 30 CITY Tel No fined Appliances Not Over I HP PERMIT Range_Herner_D W APPLICANT Oven_Dryer L—W M.2— ADDRESS Top _FAU —WH — CITY Tel No Hai _Other_ Dnp _RoomAirCond 250 REG LICENSE NUMBER Class Power A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Apparatus&Large Apphonces TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Sim 8 Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl 1 HEREBY CERTIF&LOS Y RE ST ED AND/OR Over 1 to 10 Incl 5 LICENSED AS REQUIRECO ND STATE OF Over 10 to 50 Intl 12 50 CALIFORNIA OR THAT T F THE ABOVEOver 50 to 100 Inc 25 00DESCRIBED RESIDENTIA 4000 PERMITEE Over 100 SIGNATURE Services 12 50 DISTRICT NO J PR ESSE[�BV 0 200 Amp Under600 .) _ 00 rr,,,n{�""'w�l 201 1000 Amp Under 600O V 2500 Over 1000 Amp or Over 600 V 50 DO = Temp Power Pole&Appurtenances 1000 Q Sign with One Branch Circuit 1000 Additional Sign Branch Circuits 200 INSPECTION 3 a oo INFORMATION Misc Conduits&ConductorsON REVERSE _ Other(See Complete Fee Schedule)_ SIDE U $4 4 6.7 A q . . . . . 2 PERMIT FEE (Sub Total) 2 * 2500 PLAN CHECKING FEE (One Fourth Permit Feel * 25005 F PERMIT ISSUING FEES7 00 0 0 5 1 8-79 TOTAL FEE O > INSPECTION FINALED date By 111CCC es LOSS CE EDB 4-68 APPLICATION FOR ELECTRICAL PEiWIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNT' EN(I=NrR COLEMAN W JENKINS. SUMAINTINDtTIT OI BUILDING LOCALITY A ze ` / NEAREST FOR APPLICANT TO FILL IN CROSS ST NO A RECEPT _ s OWNER MAIL LIGHT__L L FIRST 20 20 ADDRESS SWITCH_ OVER 20 10 CITY -TEL NO PLAN CHECK LIGHTING L FIRST 20 20 APPLICANT FIXTURESOVER 20 10 ADDRESS RANGE_DRYER_WTR HTR _ CITY TFL NO STA COOK—DISP _F A U 1 CONTRAC iO SPACE HTR _AIR COND ADDRESS CLOTHES WASH __DISHWASH CITY / TEL NO _2 FAN—OTHER 1 00 LICENSE NO O CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION S1ZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMELY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 1 00 1HERESY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR 1 10 3 00 LICE NICD AS REQUIRED BY LOS ANOEL LINTY AND STATE OT CALIFORNIA OR THAT I AM THC LEO W OF AND INTEND TO 10 50 5 00 RESIDE IN THE AS DE O SIDENT L PROPERTY 50 - 100 1000 SIGNATURE d Fl too - 500 16 00 DIST G$QUP Z E PROCESSED Y o TUBE SIGN A SIGN ANO ONE CIRCUIT 3 00 �Z U W MARQUEE ADDITIONAL CIRCUITS 1 00 �yT NOTES y SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 GV C ..�� C/V SERVICE OVER 600 VOLTS OR 200 AMP 5 00 f/Sp f>1 �( C Ste` TEMP SERVICE POLE 8 APPURTENA 3 00 APPROVAL! ATE WSPICTDI f SIGNATURE Veit TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 200 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 OO 'AIFINAL 6Q6 FEE JOSEPH C ROOHAN _gccl SUPERVISING ELE CAL ENGINEER PLAN CHECK VALIDATION CK M o cwsN PERMIT VALIDATION CK M o cA6N [pr„0 2 6 y� tkY29 2 0 4.00- EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE IGASBI C[BoS 4$B APPLICATION FOR �LECTRICA1�IT COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING •/ BUILDING AND SAFETY DIVISION ADDRESS LU i JOHN A LAMBIE COUNTY EN GINrrR COLEMAN JENKINS, SUPIKRINTKNDlMT 01 BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST RECEIPT_ NO s S OWNER '^ MAIL LIGHT_ TOTAL FIRST 20 20 Ze ADDRESS , SWITCH_ OVER 20 10 CITY TEL NO PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FI%TURES OVER 30 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U __ CONTRACTOR " Ad SPACE HTR —AIR COND I ADDRESS / edb CLOTHES WASH _DISHWASH __ CITY ?jejjlA9.d1,oleXEL NO /GIC FAN—OTHER 1 00 LICENSE NOCLA55 G IO MOTORS TRANSFORMERS RATING IND HEATERS ETC NP KW KVA I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION SIZE 8 TYPE OVER TO ANO STATE THAT THE ABOVE If CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 - 1 1 00 ELECTRICAL WIRING I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I 10 3 00 LICEMS[0 AS RE OU IRED MY LOS ANGELES COUNTY AND !TATE OF CALIFORNIA OR THAT I AM THE LEO R OF AND INTEND TO 10 SO Soo RESIDE IN THE ABO O D fIDENTI PROPERTY SO - 100 10 00 SIGNATURE CL OF PERMITTEE 100 - 500 IS 0 SIGN GAS DISTRICT NO GROUP E P CESSED BY O TUBE OR SIGN AMC ONE CIRCUIT 300 - yVy,,II MARQUE[ ADDITIONAL CIRCUITS 1 00 H NOTES 2 SERVICE NOT OVER 300 VOLTS OR 300 AAO 2 00 SERVICE OVER 300 VOLTS OR 200 AMP S 00 TEMP SERVICE POLL B APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES LPERMIT K FEE (50% PERMIT FEET POWER AUTHORIZED ING FEE 200 UT ILITY CO NOTIFIEDTARYPERMITISSUINGFEE 1 00 FINAL'449,24-grwazfYO JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION 1�q M 0 CASH LPPc1181% JLL29 2 0 1.40- _ _ _ . EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE Iy� 7SAM30=C.a:e:- ts/75. APPLICATION FOR ELECTRICAL PERMIT LW BUILDING AND SAFET ]VISION FOR APPLICANT TO WILL IN lj New Residential Bldgs & Pools EACH NO FEE A DRESS ly 1 &2 Finaily Sq Ft S - S LOCALITY Multi family Sq Ft - NEAREST Residential Swimming Pools CROSSST OR FIRM NAME ` Outlets Light,Switch& Receptacle ADDRESS �M First 20 T• ,,ll,, '' --I Additional CITY \ Tel No u,4s— 1 PLAN CHECK Lighting Fixtures APPLIC NT First 20 lee ADDRESS Additional CITY Tel No Fixed Appliances Not Over 1 HP PERMITAPPLICANT `t Range_ Heater_ DW gDDRESS ''[t W`�1" Oven Dryer _ W M Top _ FAU _ WHY OR Y 1 Tel No Hood Fen LICE Drip AC 1REG NUMBER Cleo p •CHIO1r L.... T ...APPLIC.TiO. THAT r . ..... I. c .CT ... ..... To co NPw Power Apparatus& Large Appliances wnN�T .o....C...Ne STATE LAP. ..ne LATI.. ~- Size&Type HP, KW KVA,or KVAR ELECTRICAL COUNTY e w 0 Up to 1 Intl .w.AT REQUIRE. r.. i A ..o P.w m.T.e.O AIOIO _ Over 1 to 10 Incl A.RNIA R THAI I A 1 1eiLo.w.O.L .c O .TAT. OF Over 10 to 501ncl c..<we.o. .NT.AL IT .OAL evri�TOP THE Aeov Over 60 to 100 Incl PERMITHR C' Over 100 SIGNATURG Services I TRICT NO PR S ED BY ` 0 200 Amp Under 600V �/•08 201 1000 Amp Under 600 V APPROVALS DATE IWfft-C-70—RS SIGNATURE Over 1 ODO Amp or Over 600 V TEMP POWER POLE Temp Power Pole& Appurtenances UNDERSLAB WORK Sign with One Branch Circuit BOUGH CONDUIT Additional Sign Branch Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITYCO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES ti V7,V �yeIV0 r,0^ FC FD /�pX£S TOTAL FEE PLAN CHECK VALIDATION CK M O CASH 5 04 FAD 1r 6A•1 2 V C -1-1 MO CASH /-� CASH t I 1 0.7 0 OJJ WORKER'S COMPENSATION DECLARATION DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT lJ I hereby affirm that l have a certificate of consent to self insure or a Certificate of Worker a 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 RLL IN JOB ❑ Certified copy is hereby furnished NO EACH FEE ADDRE89 L New Residential Bldgs 8 Pods LOCALITY /dm G L— /7 �T ❑ 182 Family SO Ft — S 5 E`er departed copy is/iletl with the county budding inspection NEAREST department Multi lemify Sq FI — CROSS ST C Date Applicam Residential Swimming Pods ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Roc —Light_S. =E= COMPENSATION INSURANCE (Thin sootlon need not be completed U the work Involved by the First 20 MAIL permit In for one hundred dollen($700)or lose) Total No Additional AGGRESS S 4rrJ e— {/ IQ I certify that in the performance of the work for which this permit CITY TM No is Issued I shell not employ any person 1n any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 PUN CHECK APP CANT Total No Additional ADDRESS Date Applicarit RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of CITY TM No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of rovisions or the Labor Code you must forthwith comply with such App g Appliances APPLICANT « p permit shall be deemed revoked Power Apparatus 8 Lar e LICENSED CONTRACTORS DECLARATION Sae a 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 Ind CITY TM No ProlessiMS Code and my license is in full force and effect Over 1010 50 Incl } Over 50 to 100 Incl REGLICENSE INNUMBER a Over 100 DISTRICT NO PROCE O License Number Lo Cess () Services Swbd MCC 8 Panelboards " Sj e Contractor Dae 0 399 Amp Under 800 V RNA_ E] Q DATE A F I em exemptp under Sec 400 1DDO Over 1000 Amor Over 800 V VALIDATION W FI B SP C for this reason BR CUR FEES BYt'AL y Date 15A or 2gA 120V Lighung or Recept Z S4gnature1 To 10 Branch Circuits Z 4W 91 Q fp 11 To 40 Branch Circuits Exemption for Rep Mem 41 Or Aare Branch Circuits Elect 15A 20A 20BV To 27th Sr Circuits 2 SFAMILY Temp wer PoPole 8 Appurtenances i HOME OWNERR BUILDER DECLARATION Sign with One Branch Circuit ACCT.r I hereby affirm that 1 am exempt from the Contractor a License Lew for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 3307 55.81 e) I at;owner of the property will da the work and the structure MisC Conduits 8 Conductors 1 ITM is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ TOTAL 55— S 1 and Professions Code) 55.1811 I hereby affirm that ere a aOconstruucton lending agency for the CHANGE .QCT performance of the work for which this permit is issued (Sec 3087 PERMIT FEE (Sub Total) Z Civ C) Lender a Nemo PUN CHECKING FEE =—WO1 12/ 9/92 PERMIT ISSUING FEE 69751 AM 9:38 Lender n Address 1 certify that I he"read this application and under penalty of purlury sate TOTAL FEE that the above information is correct I agree to comply with all Courdy ordinances and State laws regulating EWCVtcal wiring and hereby authonze representatives of this County to enter upon the above mentioned property for inspecum perp cue SEE REVERSE FOR EXPLANATORY LANGUAGE &a G ERY ,__A AT r COUNTY OF L09 ANGELES TEMPLE CITY p 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0702280027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT TEGA ID FEES PAID BUILDING ADDRESS ON FILE 6317 TEMPLE CITY BL 19 1 FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801431 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 53B2-022-060 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID T2 LOCALITY TEMPLE CITY, C IG1 OUTLETS-LGT,SW RECP 6 00 OUT 11 70 1 TENANT 02 LIGHTING FIXTURES 4 00 LGT 7 80ISSUED ON PROCESSED BY PIAN BY EXPIRES ON HA FAO LESS 3HP 1 00 FAU 10 95 102/ 28/07 JK 08/27/07 JB AC UNITS a3-10HP 1 00 AC 19 65 10FBIER TEL NO TOTAL FEES 77 85 P FIZJAJ, BY CODE PAKKRO GRASS" Y RANA G,XHALED (626) 309-0680- I / 6317 TEMPLE CITY BL 1 TEMP 917801431 DRSCRIPTION OF FORK 1 ` 1 ELECTRICAL FOR NEW ADDITIO I APPLICANT TEL NO KHAND,TIAN (818) 242-1431- 1 I 811 PELANCONI AVE ISPECIAL CONDITIONS 1 Qr ENDO E CA 91202 (CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE I IFAKHRO GHASSAN (626) 309-0680- 16317 TEMPLE CITY BLVD LIC NO TEMPORARY POWER POLE ITEMPLE CITY CA 91780 NONE 1 UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER TEL NO IUFER GROUND - I LIC NO ROUGH CONDUIT 1 AOUCY MIRING MAIN WATER LINE 1 PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFI I 1 I I I I I I I I 1 1 1 1 I 1 I I I I I I 1 1REPORT ID DPR265 R001R TO HS0508 1 l � , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0705210003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 6317 TEMPLE CITY BL 19 (FEB DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801431 ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET I 5382-022-060 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl IB 200 AMP PANELS, MCC 1 00 PAN 38 85 1 TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 05/21/07 SR 11/17/07 I OWNER TEL NO IFI/y�AL P CODE IFAKHRO GHASSAN Y,RANA G,RHALED (626) 309-0680- '1 i �i Irp 16317 TEMPLE CITY BL -i I TEMP 917801431 I DESCRIPTION OWORK ELECTRICAL PANEL UPGRADE TO 200 AMP APPLICANT TEL NO �KHANNIAN (818) 242-1431- 811 PELANCONI AVE - SPECIAL CONDITIONS GLENDALE CA 91202 I (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1FAKHRO GHASSAN (626) 309-0680- I I 16317 TEMPLE CITY BLVD LIC NO (TEMPORARY POWER POLE 1 TEMPLE CITY CA 91780 NONE I I UNDERGROUND CONDUIT 1 ARCHITECT OR ENGINEER TEL NO UFER ORO[RD LIC NO IROUGN CONDUIT ROUGH WIRING 1 MAIN WATER LINE 1 1 PLASTIC Y/N METAL Y/N I 1 (UTILITY COMPANY NOTI FIBD I I I I I I I I I I I REPORT ID DPR265 ROUTE TO BS0508