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Home My Public Portal About10935 WILDFLOWER RD_Electrical__ f ,GAB 8_CEBOG_S.B, APPLICATION FOR ELECTRIC PE;RMI'T 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER�0 �f BUILDING BUILDING AND SAFETY DMSION J ADDRESS '164 Rif C'Zlb JOHN A.LAMBIE.COUNTY ENGINEER /// CASSATT D.GRIFFIN,SUwT of BUILDING LOCALITY NEAREST FOR A PEST T TO FILL IN CROSS ST. OWNER LIGHTS RECEPTACLES SWITCHES NUMBS ITEM EACH FEE MAIL $ g ADDRESS Q TOTAL OUTLETS .10 ELEC. RANGES, WATER HEATERS, CITY TEL NO. -CL THES DRYERS .50 ELEC. SPACE HEATERS,STAT'Y. COOK- ELECTRICIAN NJ ING UNITS, GARBAGE DISPOSERS, ADDRESS UTO WASHERS, DISHWASHER .2s' LIGHTING FIXTURES .10 CITY TEL.NO MOTORS STATE LICENSE NO. HORSEPOWER H.Pj OVER INC. DISTRICT NO. GROUP ZON READY FOR INSPECTION %&LESS .25 ' - 2 .50 INSPECTION RECORD 2 s 1.00 s 18 1.50 ' is so 2.50 50 200 5.00 MISC. SIGNSi I NO.TRANS NO.LAMPS SERVICE O-SOOV 1.00 SERVICE OVER 600V 8.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50APPROVALS TOTAL FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATUIRE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY., CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS.REGULATING / ELECTRICAL WIRING. WIRING ��-�,� ��7 �� •J,1.7,C/rOf ��• I HEREBY CERTIFY THAT I AN PROPERLY REGI E D AND/OR i LICENSED AS REQUIRE HY LOS A ELES UN A STATE OFFIXTURES CALIFORNIA OR THAT AM THE GAL NE THE ABOVE pOWER DESCRIBEDRESIDENTIPERT SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL IOHN A.LAMBIE. VALIDATION ARTHUR C.VEIT, rOUNTY ENGINEER CK MO CASH SUPERVISING ELECTRICAL ENGINEER . ,ACO 41 o OP; NOV 7 2 1 0.10 V d . ®P WORKERS'COMPENSATIONDECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT I Beret y affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or t a certified copy thereof(Sec.3800,Lab.C.) Policy,No. Com any FOR APPLICANT TO FILL IN JOB p pw�V` New Residential Bldgs.&Pools EACH NO. FEE ADDRESS. Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. $ — $ LOCALITY L ' Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST. - AAA department. Residential Swimming Pools v OWNER OR FIRM NAME L e Date Applicant Outlets: Recight First 20 � �� ADDRESS/1� _$Y �l�Q LO�y CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY ' Tel No.4444,2-10-3-F } COMPENSATION INSURANCE PLAN CHEC 0- APPLICANT (This section need not be completed if the work involved V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional 0 Total No, p I-certify'that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY I •lol . Tel No. permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT Ale-LP,41C a Oven -_ Dryer_W.M._ ADDRESS/Q �/�L 4E40 LIV 4P V- Date—Applicant Top _ FAU _W.H.,_ _ Hood — Fan _Other— CITY ,eLQ• +�hVTel No. �r NOTICE`.TO APPLICANT: If, after-making this Certificate of Disp. —Room Air Cond.— LICENSE Oft Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code,you must forth- - Power Apparatus&Large Appliances DISTRICT NO. PRO E E BY with comply with such provisions or this permit 'shall be ` deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. FINAL Over.1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. r- VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL - 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. Services 0-200 Amp.Under 600 V License Number Lic.Class 1 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the-Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): r2 G {� Misc.Conduits&Conductors r R I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended -or offered for sale (Section $ 0 0 0 0 0 2 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 -9o900 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) ' 0 0 0 0 9 Q Q 1� issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 09, 1 8-80 Lender's Address PERMIT ISSUING FEE 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 I ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County.to enter upon the above-mentioned property for Inspection purposes. i SEE'REVERSE FOR EXPLANATORY LANGUAGE 'Signature of Permittee JfDate WORKERS'COMPENSATION DECLARATION Ta 31U APPLICATION FOR ELEV ICAL PERMIT Q ' I hereby affirm that I have a certificate of consent to self C6A60 eflo6G , frisure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB D / ❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADD SS (� ❑Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ LOC ITY tion department. Multi-family Sq. Ft. NEARIST Residential Swimming Pools CROS4 ST. Date Applicant CMINQ ORFIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' IOutlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ` , C First 20 ADDRE � y (This section need not be completed if the work involved by I Total No. Additional CITY i� Tel. No. '2 the permit is for one hundred dollars($100)or less.) PLAN CH CK I certify that in the performance of the work for which this i APPLICANT permit is issued, I shall not employ any person in any manner 1 Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers Compensation Laws. i Additional _ Total No. CITY Tel. No. Date Applicant I Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' 'I 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 Top — FAU —W.H. — I� deemed revoked. Hood — Fan —Other Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION I 'I' LICENSE OR i Disp. — Room Air Cond. — REG.NUMBER Class. 1 hereby affirm that I am licensed under provisions of Chapter 9 •; I (commencing with Section 7000)of Division 3 df the Business ,I Power Apparatus&Large Appliances I DISTRICT NO. PRO D BY >- and Professions Code,and my license is in full force and effect. 0- Size&Type HP, KW, KVA, or KVAR �� O License Number Lic.Class °�Up to 1 Incl. FINAL J �� Over 1 to 10 Incl. DATE VALIDATION Contractor • Date Over 10 to 50 Incl. FINV,�� AL ❑ I am exempt under Sec. i Over 50 to 100 Inc. ' BY W B.&R. . for this reason I Over 100 d CD Services, Swbd., MCC&Ponelboards Date: 0-200 Amp. Under 600 V Z /ignature I 201 - 1000 Amp. Under 600 V j Over 1000 Amp, or Over 600 V { + PExemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License I Sign with One Branch Circuit I A •t.i=1r Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): Conduit's&Conductors .� {;.11;=+-❑ .i- �- I, as owner of the property, will do the work and the Misc. I structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Scheduled 9 2 I TOTAL `� Business and Professions Code). I '- �� '� CONSTRUCTION LENDING AGENCY '_•SIE►_ t I hereby affirm that there is a construction lending agency for C"ANGE ; I 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 6110 Al 10 Lender's Address sem, '� F')``'`' I certify that I have read this application.and state that the TOTAL FEE ✓rev above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and i hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE I &061 8 Signature'of Permittee Date I ®s l� ;I• r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0603080019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 23949 LT: 7 10935 WILDFLOWER RD FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803512 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8573-034-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 37.50 03/08/06 JK 09/04/06 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: RIEDER VERENAWILDFLOWER S (626) 350-7037- 4 .7 10935 WILDFLOWER RD ! "�� (O TEMP 917803512 DESCRIPTION OF WORK 4 OUTLETS, 1 LIGHT FIXTURES APPLICANT: TEL. NO: ALBERTO MONTIEL (909) 594-7547- 786 PZNEFALLS AVE SPECIAL CONDITIONS: WALNUT, CA 91789 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE WEST COAST CUSTOM ROOMS (909) 594-7547- 786 PINEFALLS AVE LIC. NO TEMPORARY POWER POLE WALNUT CA 91789 471619BRIC UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED I REPORT ZD: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY ## 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1403050046 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 23949 IT: 7 I I 10935 WILDFLOWER RD IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917803512 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18573-034-007 ]A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY CAI I ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 ] TENANT: ] TOTAL FEES 66.70 ISS0ED ON: PROCESSED BY: PLAN BY: 1 ] 103/05/14 SR (OWNER: TEL. NO: I IFINAL TE FIW BY: CODE: 1 IMG ANZ ENTERPRISES INC (323) 869-0700- 1 1 1104 E WHITTIER BLVD. 1 31101 y a* 1 MONTEBELLO CA 1 ID (RIPTION OF WORK I 1 IUPGME ELECTRICAL PANEL FROM 100 AMP TO 200 AMP (APPLICANT: TEL. NO: I I I IHERNANDEZ, EFRAIN (562) 673-7685- 18714 MINES AVE 1 ISPECIAL CONDITIONS: IPICO RIVERA CA 90660 1 I I ]CONTRACTOR: TEL. NO: ]APPROVALS DATE INSPECTOR SIGNATURE 1 IEFRAIN HERNANDEZ JR (562) 673-7685- I 1_ I 18714 MINES AVE LIC. NO 1 ITEM�ORARY POWER POLE I I I IPICO RIVERA, CA 90660 915047 C10 ] I I IUNDFRGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFEF GROUND I I I I LIC. N0: I IROUGH CONDUIT I r/�f 1 (ROUGH WIRING (V I I IMAIN WATER LINE I ] IPLASTIC Y/N METAL Y/N ] I I I I (UTILITY COMPANY NOTIFIE I I I I I I I I I I ] I I 1 I I I �- I I I I I I ]REPORT ID: DPR265 ROUTE TO: BS0508 I I I I I i I I I I