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Home My Public Portal About10902 WILDFLOWER RD_Electrical__ L 6A6Br-CE606 4-68 APPLICATION FOR ELECTRiIC PERMVf 0 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER t , BUI DING DING AND-SAFETY DIVISION, PADD i O ESS � v JQH A. LAMBIE, COUNTY ENGINEER Q COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALIT FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE S• OWNER_. RECEPTI� S MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS1 044 ..{{ SWITCH_ OVER 20 .1.0 CITY TEL. o24? PLAN CHECK LIGHTING TOT L FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGELDRYER-WTR.HTR.- CITY x TAE L. NO.' STA.COOK_DIS P._F.A.U.- O CONTRACT SPACE HTR. AIR COND. ADD 'CLOTHESS DISHWASH._ FAN " E LICEN SoE IJCLASS.60 MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS R ULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY R STEREO NO/OR 1 10 3.00 LICENSED AS REQUIRED BY LOS GELES COU Y AND A OP CALIFORNIA OR THAT IAM TH AL OWNE F NTEN TO 10 - 50 5.00 RESIDE IN, THE AS VE R R E AL PRO PE TY. C] V 50 - 100 10.00 SIGNATURE OF PERMITTEE CD 100 - 500 15.00 I- DIS IC O. G O P N P CE D BY w SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 Z NOTES• SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 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 1®/9 WIRING r w - - PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED of PERMIT ISSUING FEE 2.00 Cl UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELE CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH LG 7 .62812 @EC12 2 B 5.20- 4 :E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �► � CITY /1O 76 A668-veso6-6y62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES _ DEPARTMENT'OF COUNTY ENGINEERFNEAREST I)^ BUILDING AND SAFETY DIVISION �! JOHN A. LAMBIE, COUNTY ENGINEER ° WILLIAM A.JENSEN,SUP'T OF BUILDING ' i FOR APPLICANT TO FILL IN .RECEPT. TOTAL NO. EACX FEEOUTLETS FIRST 20 ffi20LIGHT -�)/' �J ADD'L 1O ADDRESS SWITCH. / OVER 20 .10 •'W' ari V LIGHTING DOTAL FIRST 20 .20 7� CI TEL. O FIXTURES ADO'L .10 ELECTRICIAN OVER 2O RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.D1SP. STA.COOK CITY TEL.-NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(+/a H.P.MAX.) .50 LICENSEmm O. MOTORS OVER NOT OVER H . DISTRICT NO. Gr I Z NEP ESSED BY O 1 1.00 i 1 s 1.50 INSPECTION RECORD S a 2.00 8 15 2.50 15 50 3.00e9, a So 100 5.00 ? O SIGNS- NO.TRANS. NO.LAMPS O �] H F 00V-NOT OVER 200A 1.00 ' � �" (�� ,.�� (,.u s �0V-Oven 200 A. 2.00R 600V 5.00 EMIT ISING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE ffi O 1 HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPL CATION APPROVALS 'DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING ` pd� � ELECTRICAL WIRING. WIRING .V\I ��i ` Y�.' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FULTURES 1 .-J-- CALIFORNIA OR THAT 1 AM THE LEGAL OWNERAF THE PBOVE DESCRIBED RESIDENTIAL PROPS Y. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL X47 . LIDATION ARTHUR C. VEIT I I CK MO CABN SUPERVISING ELECTRICAL ENGINEER 0.0 0. 1G JUN 11 2 D 4.0 0- t , 18A888-CE806-8-57 APPLICATION FOR ELECTRIC PERIVIITi 1 ' COUNTY OF LOS ANGILES EWA DEPARTMENT OF COUNTY BUILDING/a BU=ING AND SAFETY NJOHN A.LAMBIE,COUNTYERCASSATT D.GRIFFIN,SUPT OG LOCALITY --- FOR APPLICANT TO FILL IN CRosS ST. _L__ PFJWT FEES OWNER I UMSE RECEPTACLES SWITCHES MAIL NUMB ITEM EAC FEE ADDRESS UV TOTAL OUTLETS $ .10 $ ELEC. RANGES, WATRR SEATERS, CITY TEL.NO. CLOTHES DRYERS ..SO *UTO LEC. SPACE HEATERS,STAT'Y. COOK- ELECTRICIAN _ ( COOK- ING UNITS, GARBAGE DISPOSERS, �O gDDRE58 ^' WASHERS, DISHWASHER .20EWA IGHTING.FIXTURES .10 CITY N MOTORS STATE rf LICENSE NO. G/ HORSEPOWER STRICT NO. GRO ON READY FOR INSPECTION H.Pj OVER INC. Va&LESS .28 j vi — 2 .50 INSPECTION RECORD 2 5 1.00 s 18 1.50 18. SO 2.80 SO . — 200 5.00 MISC. SIGNS! I NO.TRANS NO.LAMPS SERVICE O-GOOV 1.00 SERVICE OVER BOOV 8.00.. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT •50 APPROVALS TOTAL FEE $ VIFO DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP IC ioN AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' CONDUITWITH ALL COUNTY ELECTRICAL WIRING,ORDINANCES AND STATE LAWS REGULATING WIRING I HEREBY CERTIFY T T I AM PROPERLY REGISTERED A /OR FIXTURES �/s �� '�fi"_a LICENSED AS REQUIRED Y LOS ANGELE COUN AN OF . CALIFORNIA OR THAT AM THE_ LEGA OWN OF OVE POWER DESCRIBED .RESIDENT P RTY. V Q SIGNATURE UTILITY CO.NOTIFIED 1 17,0.;,U OF PERMITTE .H .I!j i FINAL fP 'r/�.C.s^.d-•---4 Li [OHN A LAMBIE, VALIDATION ARTHUR C.VEIT, ..OUNTYWNGIN& CK MO CASH SUPERVISING ELECTRICAL ENGINEER LAICO 4 1 1 0 NOV 7 2 9.9.0 � Or � a r ° COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9802020017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: ES PAID BUILDING ADDRESS: TR: 23949 LT: 16 10902 WILDFLOWER RD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803511 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8573-034-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY F1 120V, 15/20A BR CKTS 1.00 BR 17.40 H7 RES EXHAUST FANS 1.00 EX 10.80 ISSUED ON: PROCESSED BY: PLAN EXPIRES TOTAL FEES 55.95 02/02/98 UT 02/02/99 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: WILSON JAMES H;SUSAN A (818) 579-0614- 10902 WILDFLOWER RD TEMP 917803511 DESCR P 0 OF WO K ELECTRICAL FOR EXTENTION APPLIC EL. NO: WINSLOW CONSTRUCTION (626) 358-6263- 525 W. WALNUT AVE. SPECIAL CONDITIONS: MONROVIA, CA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WINSLOW CONSTRUCTION (626) 358-5263- 525 W. WALNUT AVENUE LIC. NO TEMPORARY POWER POLE MONROVIA, CA 91016 668368 UNDERGROUND CONDUIT AR HIT C OR ENGINEER: TEL. NO: U ER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTIL TY COMPANY' IFIED REPORT ID: DPR265 ROUTE TO: BS0508 f t , 76A($U-CE000 "S APPLICATION FOR ELECTRIC PERMk ft'�` a COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING d BUlkDING AND-SAFETY DIVISION„ ADDRESS�O O JQH A. LAMBIE. COUNTY ENGINEER C COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALIT NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. AC . FEE RECEPTCA. S $ OWNER, MAIL LIGHT TOTAL FIRST 20 .20ADDRESS SWITCH_ OVER 20 .10 CITY TEL. PLAN CHECK LIGHTING i:;T LFIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGELDRYER—WTR.HTR._ ]CITY TAE L. NO. r STA.COOK_DISP._F.A.U._ G CONTRACT®® SPACE HTR.-AIR COND. ig DD /dg CLOTHES S DISHWASH._ EL. N FAN E 1.00 c�ZO® NE IJ CLASS. 02� 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 R ULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY R ISTERED ND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS GELES COU Y AND A OF CALIFORNIA OR THAT I AM TH AL OWNE F NTEN TO 10 - 50 5.00 RESIDE IN, THE ABOVE R R E IAL PR0PE TY. O 50 - 10010.00 SIGNATURE V fTEMP. ERMITTE100 - 500 15.00 IC O. GRO P ON. P CE D BY ED SIGN,GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR ZMARQUEE ADDITIONAL CIRCUITS 1.00 TES•SERVICE NOT OVER 600 VOLTS OR 200'AMP 2.00SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE POWER POLE URGH B WORK J'j Ak NDUIT ��/� C�r9__ �,r. r w ',PERMIT FEE (SUB TOTAL) PLAN CHECK FEE (50% PERMIT FEE) THORIZEDPERMIT ISSUING FEE 2.00 QO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL f TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELE CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 76280 =12 2 B 5.2Qa lq IE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _ �� " WORKERS' I have DECLARATION 76A663CE-806 10/81 A ®®CIC/k TION • OR ELECTnMAL PERMIT �' CE-806G d'"9f1�rr F1 Oil fly PERMIT I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) i Policy No. Company FOR APPLICANT TO FILLIN JOB Certified copy is hereby furnished. EACH NADDRE O. FEE SS New Residential eldgs..8 Pools LOCALITY. ® r ❑ 1 &2-Family, S Ft.. $ — $ Certified copy is filed with the county building inspec- y q' tion department. Multi-family Sq. Ff. NEARESTCROSS ST. Date Applicant Residential Swimming Pools OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL FIRM NAME COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First ti CITY Total No. Additional Tel. No. the permit is for one hundred dollars( 100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in a manner so as to become subject to the Work s'Co ens t Laws. Lighting Fixtures First 20 ADDRESS 17/ Total No. Additional CITY el. No. Dat plicant fixed Appliances Not Over 1 HP PERMIT NOTICE TO AMLICA If, after making this Certificate f APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS with comply with such provisions or this permit shall be deemed revoked. Top — FAU —W.H. — CITY Tel. IV •- LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Disp. Room Air Cond. LICENSE R .P1 Class& I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER �Jdna (commencing with Section 7000)of Division.3 of the Business Power Apparatus 8 Large Appliances DISTRICT N � `l� PROC BY and Professions Code,and my license is in full force and effect. t U ti Size 8 Type HP, KW, KVA, or KVAR' License Number Lic. Class Up to 1 Incl. FINAL O' Contractor Date 12 Over 1 to 10 Incl. DATE ^ �� Gw VALID ION ❑ Over 10 to 50 Incl. FINA Lu I am exempt under Sec. Over 50 to 100 Inc. BY a B.BP.C. for this reason Over 100 11211,1j6v? Z Dote: Services, Swbd., MCC 8 Panelboards — 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 8 Appurtenances4'] 1.3A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License #,R.0 0 0 0 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): .� o o 17.5 0' ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ .o 0.0:1 ,Z505 7044, Business and Professions Code). 0 5 2 7 Q'8 6 CONSTRUCTION LENDING AGENCY ' I hereby affirm that there is o construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name `` PERMIT ISSUING FEE 0 Lender's Address C I certify that I have read this application and state that the TOTAL FEE C above 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 th bove- ntioned IV rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE %D led Signature of Permittee Date