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Home My Public Portal About4937 WILLMONTE AVE_Electrical__ SAG03-CESOO.-9.5, APPLICATION FOR ELEC ■ RIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN cRoss sr. PEBMT FEESA ITEM NUMBEK1 EACH FEE OWNER AIL OUTLET 2 $ 1O S 4 �D ADDRESS LIGHTB RECEPT. fS!S LIGHTING FIXTURES .10C17Y EL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN 47evflzo!9 .9 WATER HEATERS .50 If ADDRESS ELEC.SPACE HTRS. DISHWASHERS ' Gage Auro._ CITY ff TEL.NO. uJ . WASHERS STA.COOKING UNITS .25 STATE r LICENSE NO. MOTORS: OVER INC. H.P. DIS RICT NO. 1GZqNjE READY FOR INSPECTION O— 1/a .251/2 — 2 .50 2 — s I.- INSPECTION RECORD 15 — 15 1.50 is — 50 2.50 50— 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 D SUPPLEMENTARY PERMIT .50' TOTAL FEE g /10 APPROVAM I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP C TION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES 4� v LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL ERTY. _ SIGNATURE UTILITY CO.NOTIFIED lea OF PERMITTE FINAL LIDATION ARTHUR C. IEIT. - `,,C� MO CASH SUPEPIG RVISILECTRICAL EER NC3INE 1 5 3 29 FEB 25 2 A 11.3 0. M 78ASB8-CE808.8-37 APPLICATION FOR ELECTRIC PEFaMI'Ti '1 COUNTY OF LOS ANGELES .. DEPARTMENT OF COUNTY ENGngm BUILDING ? �/ d �`�-� BUILDING AND SAFETY DMSION ADDRESS J JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL 1N CROSS ST. F PEMMT FEES A 1 OWNER EX LIGHTS RECEPTACLES SWITCHES - NUMBER ITEM EACH FEE MAIL ADDRESS E TOTAL OUTLETS $ .f0 $ ELEC. RANGES, WATER HEATERS, CITY TE NO. CLOTHES DRYERS .50 ELECTRICIAN ./_" G E' ELEC.SPACE HEATERS,S7A7'Y. COOK- ING UNITS. GARBAGE DISPOSERS, ADDRESS / ~ � r [� AUTO WASHERS, DISHWASHER .25' J LIGHTING FIXTURES .10 CITY NC//�`pl✓O® TEL NO. O/L9/Sril MOTORS STATELICENSE NO. / J Q- I O HORSEPOWERINC. D RCT GRO P N READY FOR INSPECTION H.PJ OVER IN - F %&LESS .25 2 2 .50 1.00 INSPECTION RECORD 5 15 1:80 1s so 2.80 sa 200 s.00 MISC. d wFicr- $IGN51 I NO.TRANS NO.LAMPS i SERVICE O-GOOV 1.00 OD + SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 80 PROVAIS TOTAL FEE $ �0 I DATE. INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1. HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND.AGREE...TO COMPLY CONDUIT �. A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGTS4REDA RFIXTURESLICENSED AS REQUIRED LOS ANGELES C 1 F CALIFORNIA OR THAT AM THE LEygL NERE POWER DESCRIBED RESIDENTI OPERTY. // SIGNATUREPERMITTE .Gv`� UTILITY D A FINAL IOHN.A.ENGINEER VALIDAT ARTHUR C.VEIT. iOUNTY ENGINEER CK MO CAeN t ; SUPARV;SING ELECTRICAL FE aimrxR 0647- JAl A 2.20 WORKERS'COMPENSATIONDECLARA 41 - CE-806 ., CE-806G (2-BOJ APPLICATION FOR ELECTRICAL PERMIT ., I hereby affirm tha4 I hawe,a certificate of consent to self .i COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) Policy No. FOR APPLICANT TO FILL IN JOB `, /f/Ulu �w r+v! L • Company _ New Residential Bldgs.&Pools EACH NO. FEE ADDRESS +. ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY C ❑ Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR Date Applicant FIRM NAME Outlets: Recl&ight.�Sw. 7 Q ��. ADDRESS Jl // First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No AdditionalGCS CITY Tel No. COMPENSATION INSURANCE aaa�'�� '�" PLAN CHECK d. (This section need not be completed if the work involved 6 4 8O APPLICANT by the permit is for one hundred dollars ($100) or less.) Lighting Fixt(ires/ First 20 ADDRESS V ( Total No. Q'� Additional I certify.that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. O permit is issued, I shall not employ y p on in any ma PERMIT U so as to bec me ubject to the r ompe ation�a Range_Heater D.W._ APPLICANT IL d Oven _ Dryer_W.M.._ ADDRESS N Date cant Top _ FAU _W.H.._ Z Hood _ Fan _Other_ CITY Tel-No. NOTICE TO APPLICANT: If, after making this ertifi'cate of Disp. _Room Air Cond._ LICENSE OR 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. PROCESSED BY with comply with such provisions or this permit shall be � deemed revoked. Size&Type HP,KW,KV 1.or KVAR • � Up to 1 Incl. •� Over 1 to 10 Incl. DATE FINAL ��Q"�a� VALIDATION LICENSED CONTRACTORS DECLARATION' Over.10 to 50 Incl. lI 'I I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL �C�' ` 9 (commencing with Section 7000)of Division 3 of the Husi- Over 100 BY ness and Professions.Code, and my license.is in full force and effect. Services License Number Lic.Class 0-200,Amp.Under 600 V 201-1000 Amp.Under 600 V , Contractor Date Over 1000 Amp.or Over 600 V h b;n HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances i 0 0 0 0 0 9 V Sign with One Branch Circuit I hereby aff' that I am exempt from, the Contractor's additional Sign Branch Circuits 0 - 2730 License L for the following reason (Section 7031.5, Busi- Vanrofessions Code): I r�IMisc.Conduits&Conductors `; r.owner of the property, will do the,work and the Other(See Complete Fee Schedule)— Q'h—qture is not intended. or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY ` 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) ® . issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 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 ordinances a d State laws regu ting Electrical wiring, and ' hereb aut ze repre ntative f this County to enter upon , thepvetio. ed perty nspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE ermitt Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 00090600x.2 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGA FEES PAID rB Il:D TADDRE SS: TR: 9848 LT: 4 ( 4937 WILLMONTE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JTEMP CA 917804045 ASSESSOR INFORMATION NUMB : 'NEAREST CROSS STREET: LOWER AZUSA 8589-023-022 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 35.55 09/06/00 UT 03/06/01 OWNER: TEL. NO: FINAL DATE CODE: PHAN LAN T (818) 444-9397- 4937 WILLMONTE AV TEMP 917804045 DESCRIPTION OF WOR ELECTRICAL FOR PATIO APPLICANT: TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: �1�CELES Co CONTRACTOR: TEL. NO: ®cJ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. O: / FER GROUND LIC. NOf 1111111 ROUGH CONDUIT L ROUGH WIRING LI 1 - n M ��OrR S MAIN WATER LINE lur U IIh ILJ�LGI IIJi(� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED ` a o ILV"I Ll �ervece'�hat��t REPORT ID: DPR265 ROUTE TO: BS0508