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HomeMy Public PortalAbout6431 TEMPLE CITY BLVD_Electrical__ 76A%.63-CEBOB-1-ee COUNTYAPPLICATION FOR ELECTRI L PE OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rA ILDING 3 BUILDING AND SAFETY DIVISION Da ESsJOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENTCP BUILDINGCALITY R NEAREST FOR APPLICANT TO PILL IN I CROSS ST NO/j C RECE Pt S OWNER l+O LIGHT TOTAL FIRST 20 RAD 20 " ADDRESS SWITCH /11 OVER 20 10 CITY TEL NO PLAN CHECK LIGHTING TO�TIAAL FIRST 20 20 ED APPLICANT , FIXTURES �� OVER 20 10 ADDRESS RANGE—DRYER—WT HTR CITY TEL NO /J STA COOK—DIS P/LF A U CON TRAC r RR d W , SPACE HTR ��AIRR,CONO ADDRESS � lX/ ark/ CLOTHHEE�4'WAS" LDISHWASH CITY d0 TEL NO T ^I 6 FAN(�OTHER 100 LICENSE NO -S'g 5p CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE 8 TYPE OVER TO AND STATE THAT THE ABOVE 1! CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING O - 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 1 10 - SO S 00 IM THE ABOVE DClCRIPED RESIDENTIAL PROPERTY O 60 - 100 10 00 SIGNATURE V OF PERMITTEE 09 too — Soo 15 00 jrR'S'DE IST I T G P P D SIGN GAS g$ON AND ONE CIRCUIT 3 00 TUBE OR d MAROUEE ADDITIONAL CIRCUITS 1 00 2 IROUGH T ES SERVICE NOT OVER BOO VOLTS OR 200 AMP 2 00 SERVICE WER 600 VOLTS OR 200 AMP 5 00TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIG"TURE MP POWER POLE DERSLA B WORK CONDUIT PERMIT FEE (SUB TOTAL) RING FIXTURES / ! PLAN CHECK FEE ( lv 505 PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 200 UTILITY CO NOTIFIED 0 1 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 AFINAL _144F TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELE AL ENGINEER PLAN CHECK VALIDATION CK M o cgsH PERMIT VALIDATION CK M o cgsH .40;EI !Ar,4 7 3 89 AM30 2 0 2 1.40;- EE E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� WORKER I have a CNSATION DECLARATION 76AM DPW efw APPLICATION FOR ELECTRICAL PERMIT I hereby-affirm that I have a cenHlcete of consent to Bell insure �� or a cenlflpete of worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sao 3800 Lab C) , Policy No Company FOR APPL1CArIT TO FILL a JOB 6431 Temple City Blvd ❑ Certified copy is hereby furnished New Residential Bilge 8 Pods EACH NO FEE LOCALITY ❑ Certified copy 4 Ned wilh the county building.pecten 1 A 2 Family Sit Ft = — $ department Mufti family Sq Ft — CCRRO�S.S NEAREST Dets Appl{pnl ' . Residential Swimming Poole ASR - L, OWNER Nu,BOOn PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Ree Light_Sw 2 _ COMPENSATION INSURANCE First 201E �D (This eectlon need rot be completed If the work Involved by the Iwvl Total No Additionalpeit Is for one hundred dollars($100)or leu) permitAODriE89 I certify that in the performance of the work for which this permit CITY TO No is Issued I shell not employ any person in any manner so as to PUN CHECK become subject to the Workers Compensation Laws Lighting Fixtures Fleet 20 APPLICANT Total No Additional ADDRESS Data 15 OR 20A 12DV BRANCH CIRCUITS NOTICE TO APPLICANT If after making this Certificate of CRY Tel No Exemption you should become Subject to the Workers Compensation I TO 10 INCLUSIVE EACH provisions of the Labor Code you must forthwith comply with Such 11 TO/D INCLUSIVE EACH PERMrt APPUCArrr Seymour L. Mecum provisions or this permit shall be deemed revoked 11 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLAFiARON ADDRESS } I hereby affirm that I am licensed under provisions of Chapter g 15 OR 20A 208VTOZ7N LIGHTING EACH 6431 Temple Cit Blvd a (commencing with Section 7000) of Division 3 of the Business and CITY Temple City Tel HP 818/447-9127 Professions Cadeend my license is in lull force and affect RESIDENTIAL APPLIANCES UP TO SHP LICENSE OR Ct® O Power Apparatus$Large Appliances REO NUMBER License Number LIc Clew Size 8 Type HP KW KVA or KVAR DISTRICT NO By UP to 3 Incl Contractorpejo Wer 3 to 10 Incl DAh N Over 10 to 50 Ind Q�❑ Z I am exempt under Sec Over 60 to 100 Incl N —�Z VALIDATION B$P C lar this reason Over 100 FINAL By Servkee Swbd MCC a Pendboerds Date 0 200 Amp Under Boo V Signature201 1000 AMP Under 800 V ❑ Exemption for Reg Maim Elect Over 1000 Amp or Over 800 V _ SINGLE FAMILY Temp Power Pde 8 Appunxiarices HOME am exempt from DECLARATION sly„with One Branch Cecuit I hereby affirm that I em exempt from the Contractors License Lew for the following reason (Section 7031 6 Business and Profession Additional Sign Branch Gmulls _-407 74.Code' E j I es owner of the property will do the work and the structureMlec Conduits$conductwe i 1 i END' Is not intended or defor sale(Section 7011 Business Other(See Capbte Fee Schedule)_ , T t ITAL .. m j and Pmfesabna Code)) m CONSTRUCTION LENDING AGENCY 1 hereby affirm that there Is a construction lending agency for the CFAIGE .IIQ performance of the Work for which this permit Is issued(Sec 3087 PERMfT FEE (Sub Total) CW C) Lender a Name PLAN CHECKING FFA _ (I'l'](I-(Ii.1 J i /!T57 92, PERMIT ISSUING FEE d' �r 73 1 (:g'( 9.0513 lander.Address _ _ �7 7• 9.�J I certlry that I have read this application and state that the above TOTAL FEE _ Information Is correct I agree to comply with all County ordinances and Slate laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned PrOpo for inspec lon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE slDi TUIE OFAPP moR Aoerrt DATE COUNTY OF LOS ANGELES TEMPLE CITY q 0506 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1209170012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE I 6431 TEMPLE CITY BL FEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917801435 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 15382-022-053 Al PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY Cl IP2 PC RES PV<10KW 153 90 I (TENANT IP3 INVRTR RES PV<10KW TOTAL FEES 2027 90 9 60 109/1E/12N PROCESSSED BY PLAN BY SR OWNER TEL NO I (FINAL♦��DATE FINAL BY CODE MECUM SEYMOUR L ISABEL (626) 447-9427- I �_n/I 6431 TEMPLE CITY BL /1 /"�/� 4 A/ (TEMP 917801435 I DDrSCCRIPTION OF WORK (SOLAR PHOTOVOLTAIC SYSTEM ROOF MOUNTING 16 PANELS (APPLICANT TEL NO A-1 SOLAR POWER INC (855) 410-4700- I 5632 VAN NUYS BLVD (SPECIAL CONDITIONS (VAN NUYS, CA 91401 I ICONTRACIOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IA-1 SOLAR POWER INC (855) 410-4700- 15632 VAN NUYS SL #36 LIC NO TEMPORARY POWER POLE (VAN NUYS,CA 91401 493623C-10 (UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER TEL NO iDFER GROUND LIC NO IROUGH CONDUIT I (ROUGH WIRING I (MAIN WATER LINE IPLASTIC Y/N METAL YIN I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I• ADDITIONAL DATA ON FILE I I IRE PORT ID DPR265 ROUTE TO BSO508 I I I I