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Home My Public Portal About6415 TRELAWNEY AVE_Electrical__ TEMPLE CITY 79A969-CEB05 &82 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �+ BUILDING AND SAFETY DIVISION wDDRlxee JOHN A LAMBIE, COUNTY ENGINEER !NOA41 WILLIAM A JENSEN,SUP T OF BUILDING LOCNEARESTF N FI cR09e B7 1. ei In- 13RECEPT TOTALFIRlT 2O B B OWNEROUTLETS �O Yo rVMAIL LIDXTA DD'L10 OVER 20 /LIGHTING T�� FlnlT 20 IIO CITY Ci TEFIXTURES ( ADD'Lto ELECTRICIAN OV R 20RANGES CLO DRYERS WTR HT11S 100 ADDRESS GARS GIN RA COOK CITY TE DISNWASH AUTO WASH STATE RA APF (w NP MAI[ ) Z 1 SO LICENSE NO MOTORS, ova NOT OVER NP DISTRI O G P OJJE P EBBED Y O 1 100 ` 1 — a ISO INSPECTION RECORD a e 200 a — IS 250 1D SO 300 So 100 Boob ! O0, BIONBI No No .ANPEE •••+ Q SERVICED SOOV NOT wDI YOGA 100 tS11 d SERVICE O 800V OVm1 200 A Y 00 Z 96RVIC6 OVER Soot/ Boo MISC PERMIT ISSUING PER 900 SUPPLEMENTARY PERMIT ISSUING FEB 100 TOTAL FEE I NERERY ACKNOWLEDGE THAT 1 NAVE READ THIS 13JL TIDNAPFRQYALS DAT[ IN R•vluTIJIIIIC AND STATE THAT THE AOOVE IE CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY OROINANCEI A" STATE "WS MOULATING ELECTEICAL WIRING WIRING LLIe I HERESY CERTIFY THAT I AM PNOPESLY REGIREIIES ANO/OR LICOLSED N REQUIRED EY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OE THAT I AM THE LEGAL OWNES OF THC ABOVE 06S Ilffi0 RESIDENTIAL PRO►ERTY POWER SIGNATURE UTILITY CO NOTIPIBD OF PERMI FINAL /PgII CAS ARTHUR C VEIT ELECTRICAL (vim MOO CASH SUPERVISING ELECTRICAL ENGINB[R A17453 JUL23 2 D 1190^' 4 7l Dae!A 3-Ea APPLI 'CATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ELECTRIC 1 COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEr ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP .gZrONE P6RMIT ,NO. ` ELECTRICIAN ` �a s ADDRESS L R[Q[IV[D BY READY rIRST IMSPEOTION DAT[ tSWI[D CITY TEL.NO L As ✓/a S COUNTY LICENSE NO rx1 Sul LD N r` PERMIT FEES NUMBER EACH F[t LOCALITY #7 p L LIGHT OUTLETS KARCUT L / N V 1^ Q REC[PTACLEB O WALL SWITCHES OWNKRd,OWNF O W TOTAL OUTLETS Sc MAIL CLEC RANGES .iB ADDRESS ELEC HEATERS 25 CITY T[L NO rIKTUREB B 1 HERESY AQKNOWLEDSE THAT 1 HAVE READ THIS IBC APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER Or RECEPTACLE OIRCUITB AND STAT[ LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIrY THAT 1 POSSESS THE ABOVE VALID LOS NOMBER HORSEPOWER rEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW Nw HP OV[B ,MD WH Or THEMAT REe1Dr� DD R1 • L[u � SIGNATURE OF yx 2 60 PKRMITTE 2 e 1 D INSPECTION RECORD S is ISO IB BC 250 BO ROD BOO 200 Boo 1000 J BOO I 1000 16.00 = OVER 1000 20.00 B M G sicT/rRrA CHANGER-HP Q' WEL.DERBI AD-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (76 or Gain) MOVED MOTORS (76 or aala) WHO SISNH MO NO TRANS. APPROVALS NO LAMPS FOR SACH P[RMITI DAT[ INSPECTOR'S NAM[ WIRING 01.00 Q Q CONDUIT rIKTUREe $100 WIRING SUPPLEMENTARY SCL rIXTURES POWER TOTAL FEE • l 1 UTILITYCO MOTIncD FINAL 76A003 APPLICATION FOR ELECTRIC PERMIT 1 C.ODNYY OF LOS ANGELES DEP OF COUN" ENGINEER BUILDING D7 )_ING AND SAFM$DrIMON ADDRESS CII8B8TI G1BffPII1.�l OE W—Id w LOCALITY FOR APPLICANT TO FILL IN c ossa PERMIT FMS ITEM NUMBER GCH PEE OWNER OUT ) S f MAIL LtGHK RECEPT BW / 10 ADDRE59 LIGHTING FIXTURES 10 ITYIT L NO ALEC HANGER CLO DRYERS ELECTRICIA WATER HEATERS DO DDRE59 ^11ORELEC SPACE TAS DISHWASHERS GARBAGE DISPOSERSAUTO- CIEL NO WASHERS BTA COOKING UNITS 20 STATE LICENSE NO MOTORS OVER INC N P ep O — 1/2 20 RawDT row Ixararnox Va — 2 BO 2 - B 1 GO INSPECTION RECORD B — 1B 150 1B — 30 250 BO— 200 500 SIGNS No TRANS NO LAMPS SERVICE O•SOOV 100 SERVICE OVER BOOV BOO MISC. WIRING PERMIT too FIXTURE PERMIT I GO SUPPLEMENTARY PERMIT BO TOTAL FEE f APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR 5SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING i 1 HEREBY CERTIFY THAT 1 AN PROPERLT REGISTERED AND/OR LICENSED AS REQUIRED By LOS ANGELES COUNTY AND STATE OF FIXTURES - CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI L PROPERTY ,� POWER SIGNATURE UTILITYCO NOTIFIED OF PERM INA YARATION ART"SIN VEIT O CLASH SUPRUR C LHCTRIGL ENGINEER M457O$: Aar 6 2 A 3.65 4 117 'JSASSE C9806 10 60 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING G w A� BUILDING AND SAFETY DIVISION ADDRESS 'T c JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP TOP BUILDING LOCALITY C' NEAREST FOR APPLICANT TO FILL IN CROSS ST — PERMIT FEES OWNER UYX AN s S'4f I T E M NUMBER EACH rt[ MAIL OUTLETS 3 $ ADDRESS LIGHTS RECEPT EW 10 CITY TEL NO LIGHTING FIXTURES 10 r/� Lhi O ¢LEC "NOW CLO DRYERS ELECTRICIAN >Tj ) C G� 0.7 t� 27I'ON*<A, ry WATER HEATERS 50 ADDRESS � II /� ol� [LEC SPACEHTRB DISHWASHERS CITY /9.V ,b"e J TEL NO �� f [ / GARBAGE DISPOSERS AUTO STATE WASNERS BTA COOKING UNITS 25 LICENSE NO LSS'7� MOTORS, OVER INC HIP DIST CT NO GR ZONE P ESSED BY o— vA 2a v.— z aD INSPECTION a RI{/ORDR,D (� 2— 100 / �� '/ d a— 1a too �p _ _� OV ia— 50 250 m 00— 200 Soo G0G SIGNS NOTRANG IL NO LAMPS GG.• N SERVICE O SOOV 100 SERVICE OVER 600V 500 MISC WIRING PERMIT 100 FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 30 TOTAL FEE I HEREBY ACKNOWLEDGE "AT I HAVE READ THN APPLICATION APPROVALS DATE INSPECTOR a SIGNATURE AND STATE THAT THS ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCED AND STATE LAWS REOULATIHO CONDUIT E.vCTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AE REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 M THE LEGAL O R OF THE ABOVE DEECRISEO RESIDENT, PROPERTY I POWER SIGNATURE J UTILITY CO NOTIFIED OF PERMITTE FINAL DATION ARTHUR C VETT DR MO. GASH SUPERVISING ELECTRICAL ENGINEER UZo 9 1 0 0 HAR 5 2 D ,7 0 ID b, qq t APPLICATION FOR ELECTRICAL PRMIT 'I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE, Coun ENGINEER WILLIAM A. JENSEN, SUP'TOF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROss OWNER O S 1 TEM NUMBER EACH F[[ OUTLETS] ! MAIL LIOHTB B[CEPT. BW. .10 Ga ADDRESS S/-}�*'1 L LIGHTING FIXTURES l0 L C CITY ELEC. RANGES CLO. DRYERS ELECTRICIAN Y- A WATER HEATERS .50 ADDRESS J/+ /O.3 - w-4 c ELEC.SPACE HTRS. DISHWASHERS CITY FI WY' -r TEL.NO. - a GARBAGE DISPOS[RB AUTO.- STATE (-- WASHERS STA.COOKING VNITS .25 LICENSE NO. MOTORS: OVER INC. M.P. DIST TGROUP PR ED BY O — V, .25 / <&,4 Z V. — 2 ,50 lotPECTION WORD 21.00 5 — 15 1.50 15 — 50 2.50 _�-- 1- ✓ . C ti O so — zoo 5.00 SIGNS] NO TRANS. W G NO. I..AMPB SERVICEO•SOOV 1.00 SERVICE OVER SOOV 5.00 MISG. WIRING PERMIT1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE • 10 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'SSIGNATUR[ AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 THE LEGAL OWNER OF THE A—. DESCRIBED RESIDENT] ROPERTY, ( POWER SIGNATURE , .L,i,,,,L_ �.<i(KtiC-� UTILITY CO. NOTIFIED OF PERMITTE FINA � �LIDATION ARTHURC.VEIT, CK NO CASH SUPERVISING ELECTRICAL ENGINEER L5.st' 7 7 9Qc F0 26 - 2 D 430 WORKERS COMPENSATION DECLARATION corse I waPv,sieT APPLICATION FOR ]ELECTRICAL PERMIT I hereby offum that I have a certificate of consent to self ;ate "insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELESV DEPT OF PUBLIC WORKS or a certdi o hereof ( 3800 L b C i Poly N pony 1 FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS erbfied copy is filed with the county building ins ec- 1 8 2-Family, Sq Ft $ — $ LOCALITY tion dspo est Multi-family Sq Ft — DEAREST Residential Swimming Pools OWNCROSER ST Dote Applicon OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Re, Light I Sw MAIL COMPENSATION INSURANCE First 20 /7 O ADDRESS (This section need not he completed If the work Involved by Total No �_ Additional CITY Tel N the permit Is For one hundred dollars($100)or less) PLAN CHECK certify that in the performance of the work for which this APPLICANT permit 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 Date Applicant Total No CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption you should become subject to the Workers Range— Heater—DW _ APPLICATION Compensation provisions of the Labor Code you must forth- Oven — DryerW M _ ADDRESS with comply with such provisions or this permit shall be Top — FAU Q W H — deemed revoked Hood — Fan —Other_ ITY Tel No LICENSED CONTRACTORS DECLARATION Dnp — Room Air Cond _ LICENSE OR Clan hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER (commencing with Section 7 of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO O SSED B > and Professions Cade and lice is in full force and effect d Size 8 Type HP KW, KVA or KVAR Q a- License Number Lic Up to 1 Incl INAL U Over 1 to 10 Ind DA's �0 ..C,Z VALIDATION 0 Contractor te'-`±7L% F_ ❑ Over 10 to 50 Incl FINAL am exempt under Sec Over 50 to 100 Inc BY U W B BP C for this reason Over 100 d Z / Onto Services, Swbd MCC 8 Panelboords Z 0-200 Amp Under 600 V lop Signature 201 - 1000 Amp Under 600 V ❑ ExampOver 1000 Amp or Over 600 V non for Reg Mamt Elect ^ SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circus i Ia�:rT.i I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch ircuit Low for the following reason (Section 7031 5, Business and V 3707 6(1,}'1 Professions Code) I i ITEM IDI, as owner of the property will do the work and the Mnc Conduits 8 Conductor structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ Poo. TOUL 60 - 91 Business and Professions Code) CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for I (HtiNGE x11 the performance of the work for which this permit is issued PERMIT FEE (Sub-Totol) (Sec 3097 CivC ) I ' PLAN CHECKING FEE - r 1000-Mol 9/17/92 lenders Name PERMIT ISSUING FEE 1_ r?J1I, 1 Fd'11C�e 1P Lender s Address I I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County - ordina s and State jaws regulating Electrical wiring and rob thonze representatives of this County to enter upon t n coned property for inspect pur as SEE REVERSE FOR EXPLANATORY LANGUAGE Sig oture ermi ee to ms