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HomeMy Public PortalAbout5125 BALDWIN AVE_Electrical__ (2) 7GA663 DBS SA 7 51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER DISTRICT NO GROUP ZONE PERMIT NO FOR APPLICANT TO FILL IN /1 ELECTRICIAN Q /� _ I S �� RECEIVED BY READY FOR DATE 19SUED ADDRESS FIRST INSPECTION 9 CITY TEL N }C,� ..pp COUNTY LICENSE NO EXPIRES O' -V`.7 BUILDING /Dt'//� PERMIT FEES FEE ADDRESS1K NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSSST RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS S 5C $ MAIL ELEC RANGES yr, ADDRESS �-f/�^'_1�.•� ELEC HEATERS 25 CITY TEL NO FIXTURES 5 / O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NEW MVD HP OVER INC EACH OF THE RESIDENTIAL ,ROPER DESCRIBED ABOVE I/2 6 LESS $ 25 SIGNATURE OF I/2 2 50 PERMITTEE 4 2 s 1 DD INSPECTION RECORD 5 15 1 50 15 50 250 50 200 5 00 200 5OO 10011 J SOO 1000 15 OO Q Z OVER 1000 2000 0 M G SET/FREQ CHANGER HP it WELDERS AC KVA O GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (75% OF ORIG) MOVED MOTORS (75% OF ORIG) _ Mlsc SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR B NAME WIRING $1 DO f 00 CONDUIT ((�� FIXTURES $1 DO tl0 WIRING SUPPLEMENTARY 50 FIXTURES POWER _ TOTAL FEE ®� UTILITYCO NOTIFIED ,1 FINAL WILI '6A6Q. I,EBQ6 ; 66 APPLICATION FOR ELECTRICAL PERMI , C6UNTY OF LOS ANGELES I DEPARTMENT OF COUNTY ENGINEER BUILDING ;f BUILDING AND SAFETY DIVISION ADDRESS v i o� JOHN A LAMBIE COUNTY ENGINEER COLEMANW JENKINS SUPERINTENDENTOFBUILDING LOCALITY L-mac flr �e/ NEAREST At FOR APPLICANT TO FILL IN CROSS ST ,r� NO EACH FEE RECEPT v1 $ $ OWNER G� MAIL _ _IGHT TOTAL FIRST 20 T 20 0 ADDRESS AY k SWITCH_/_� -67OVER 20 10 /y CITY J TEL NO CHECKPLAN _IGHTING TOTAL FIRST 20 ( 20 V APPLICANT =1XTURES 2- OVER 20 10 ADDRESS RANGEDRYER—WTR HTR — CITY TEL NO STA COOK_DISP _F A U _ CO,JTRAC TOR 41f - 4 SPACE HTR AIR COND ADDRESS `3' jG (- ZLOTHES WASH DISHWASH CITY -90O rJ�EL NO J GJ!J_(' Z =AN—OTHER 1 00 LICENSE NO CRS CLASS !(,/ ROTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREB) ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH 1ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO d 10 - 50 5 00 RESIDE IN THE ABOVE DESrRIPED RESIDENTIAL PROPERTY O SIGNATURE U 50 - 100 10 00 I PERMITTEE Ix 100 - 500 15 00 S1CTSIGN GAS SIGN AND ONE CIRCUIT 3 00 TUBE OR MARQUEE ADDITIONAL CIRCUITS 1 00TES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 I TEMP SERVICE POLE &APPURTENANCES 3 00 J APPROVALS DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (507 PERMIT FEE) n POWER AUTHORIZED =ERMIT ISSUING FEE 2 00 2- 0� UTILITY CONOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK) M 0 CASH 3 7 0 'ic FED 16 2,D 3 40 BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� 1 WORKERS COMPENSATION DECLARATION CE 806G (2 0) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELESl' BUILDING AND SAFETY insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) t / Z-�l`�/rf���-L r FOR APPLICANT TO FILL IN JOB Policy No Company ADDRESS ` New Residential Bldgs &Pools EACH NO FEE Certified copy is hereby furnished 1 &2 Family Scl Ft $ — $ LOCALITY ❑ Multi family Sol Ft — F NEAREST , Certified copy is filed with the county building inspection CROSS ST Residential Swimming Pools department OWNER OR �f 'J FIRM NAME Da-teApplicant 0W Outlets Re.XKght Sw MAIL a 11 First 20 ADDRESS sn 02 CERTIFICATE OF EXEMPTION FROM WORKERS t Total No __� Additional CITY Tel N Z COMPENSATION INSURANCE } PLAN CHECK d APPLICANT a (This section need not be completed if the work involved Lighting Fixtures I First 20 ADDRESS U by the permit is for one hundred dollars ($100) or less) Additional O Fixed I certify that in the performance of the work for which this Total Appliances Not Over 1 HP CITY t Tel No H permit is issued I shall not employ any person in any manner PERMIT W so as to become subject to the Workers Compensation Laws Range_ Heater_D IN APPLICAN 0- ti , " Oven _ Dryer_W M ` ADDRESS 1 Z Date Appli>�adt Top _ FAU _W H b� ! i 1 �- Hood — Fan —Other CITY el No NOTICE TO APPLICANT f after making this Certificate of Dis _ Room Air Cond_ LICENSE OR > , Exemption p REG NUMBER ( lass p you should become subject to the Workers Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE ED,BY with comply with such provisions or this permit shall be Size&Type HP KW KVA or'KVARG deemed revoked Up to 1 Incl Over 1 to 10 Incl FINAL DATE '-77 // LICENSED CONTRACTORS DECLARATION c� !(p VALIDATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL y / 9 (commencing with Section 7000) of Division 3 of the Bust Over 100 BY ness and Professions Code and my license is in full force and effect �� , C Services License Num �I !� Lic Class �—7 d 0 200 Amp Under 600 V 201 1000 Amp Under 600 V S Contracto to `7_r� Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances 4 17,4 A I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit #10 oto 0 0 2 License Law for the following reason (Section 7031 5 Busi Additional Sign Branch Circuits I ness and Professions Code) + , - 2,- o 2550 b I as owner of the property will do the work and the Misc Conduits&Conductors - r Other (See Complete Fee Schedule)— o o e 2 S*5 0 structure is not intended or offered for sale (Section 7044 Business and Professions Code) 0224-81 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) - k Lender s Address PERMIT ISSUING FEE 1 I certify that I have read this application and state that the 1 TOTAL FEE above tnfor tion is correct I agree to comply with all County { r ordinan an State laws regulating Electrical wiring and h hereb authoriz representativ of this County to enter upon 51 d the ove men t oned pope for�nspect�on purposes .j, SEE REVERSE FOR EXPLANATORY LANGUAGE - nature of Permittee _ Date 5 I 76AG63 CBs SA 11 as j APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ECTRIC 1 WILLIAM J FOX, CHIEF EEN13INEER FOR PLI ANT ILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICI --s 41 - 11,7- Z_30 EIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION J// /- CITY TEL NO //� JCS COUNTY LICENSE NO EXPIRES BUILDING ADORES S A. ((fs(/ — ( PERMIT FEES FEE NUMBER OUTLETS EACH LOCALITY LIGHT gc $ NEAREST 6CR088 ST RECEPTACLES 5 FIXTURES 5 OWNER WALL SWITCHES 5 MAIL S d ELEC RANGES 25 I ADDRESS ELEC HEATERS 25 CITY TEL NO -- MISC I HEREBY ACKNDWLE THAT 1 HAVE READ THIS `J= NUMBER OF CIRCUITS INSTALLED J t. TOTAL APPLICATION AND STAT THAT THE ABOVE IS CORRECT Z LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NUMBER HORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS (O FEE NEW MVC HP CVER INC EACH ANGELES COUNTY LICE E, OR I AM THE LEGAL OWNER Z OF THE RESIDENTIAL PERTY DE RIBED ABOVE �- 1/2 & LESS $ 25 ol � Z V2 2 s0 SIGNATURE OF 2 5 100 PERMITTEE 5 is 1 so INSPECTION RECORD 1s I so 2 50 50 200 5 OD 200 Boo 1000 / ,p Ae 500 10130 15001 Q OVER 10013 2000 Z M G SET/FREQ CHANGER HP 2 n 'p ?O �/ S p WELDERS AC KVA GENERATORS KW ip O TRANSFORMERS KVA •/ T i L cJ TEMP MOTORS (75% OF CRIG) .0 MOVED MOTORS (75% OF ORIG) misc S 1 G N S TYPE NO TRANS TYPE NO LAMPS v ! APPROVALS FOR EACH PERMIT DATE INSPECTOR S NAME WIRING $1 DD CONDUIT FIXTURES $1 00 WIRING ♦ v � SUPPLEMENTARY So FIXTURES POWER TOTAL FEE $ UTILITY CO NOTIFIED p FINAL �� 5 d �/ ' !✓ .S WORKER S COMPENSATION DECLARATION 20009 DPW(12 91) 1` 76A663 APPLICATION FOR ELECTRICAL PERMIT Ll ( hereby affirm that I have a certificate of consent to self Insure or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) I p_olfcy Nb ompany to— V'IUp ! FOR APPLICANT TO FILL IN IILAD ADDRESS Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY ❑ — Certified Copy IS filed with the COUnfy building inspection &2 Family Sq Ft $ $_ NEAREST department Multi family Sq Ft CROSS ST Date Applicant � Residential Swimming Pools ASSESSMAP OR u / �J t PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Rec L 3 p OWNER OR O COMPENSATION INSURANCE Outlets Light SIA, NAME MAIL First 20 �d MAIL (This section need not be completed If the work Involved by the Total No —[-+ — Additional BO ADDRESS permit is for one hundred dollars($100)or less) I certify that in the performance of the work for which this permit CIT Tel No is issued I shall not employ any person in any manner so as to 0 PLAN CHECK become subject to the Workers Compensation Laws , Lighting Fixtures y� First 20 APPLICANT Total No Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If after making phis Certificate of / D CITY Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP ) ��q IT provisions of the Labor Code you must forthwith comply with such PPPLICANT / // r( . L7�5. provisions or this permit shall be deemed revoked Power Apparatus&Large rices LICENSED y- CONTRACTORS DECLARATION Size&Type HP K A or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and , 'Over 3 to 10 Incl CITY C�� �� Tel No Professions Code and my license is In full force and effect Over 10 to 50 Incl ab� i C LICENSE OR j' �,,,� Class a Over 50 t0 100 Incl REG NUMBER Ir It 14-- Over 100 DISTRICT NO PROCESSED BY Q License Number Lic Class _ d 0 �(( Services Swbd MCC&Panelboards �0 O cc Contractor I fAl/o'e- (,Z41,-,Ee —p 0 399 Amp Under 600 V FINAL O DATE 'n F-1 400 1000 Amp Under 600V u I am exempt under Sec VALIDATION V Over 1000 Amp or Over 600 V FINAL d B&P C for this reason BRANCH CIRCUIT FEES BY Date 15A or 20A 120V Lighting or Recept Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Cirtcuits � o Exemption for Reg Maint Elect 15A 20A 208V To 277V Lighting Br Circuis SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) ❑ I as owner of the property will do the work and the structure Mlsc Conduits&Conductors Is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)' 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 Issued (Sec 3097 PERMIT FEE (Sub Total) G 0 Ctv C) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE ' Lender s Address , I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above Information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize representativesA this County to enter upon the above mentioned property for Inspection poses SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE O MITTEE DATE COUNTY OF LOS ANGELES i TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308010015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT ADDRESSLEGAL ID — FEES PAID BUILDING TR 9481 LT 1 5125 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803902 NUMBERASSESSOR INFORMATION NEAREST CROSS STREET OLIVE 8589 007 001 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY LB 200 AMP PANELS MCC 1 00 PAN 38 85 TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 08/01/03 JK 01/28/04 OWNER TEL NO FINAL DATE fINAL BY CODE THOMAS SCHRANS (626) 443 4808 _ ( � -3 �'f � 5125 BALDWIN AV I TEMP 917803902 DESCRIPTIONOR 200 AMP SERVICE UPGRADE APPLICANT TEL 0 FRANK CHIAVARINI (626) 914 4000 P O BOX 688 SPECIAL CONDITIO S GLENDORA 91740 CONTRACTOR TEL NO APPROVALS —DKTE INSPECTOR SIGNATURE INTERSTATE ELECTRICAL CONTRACTORS (626) 914 4000 PO BOX 688 LIC NO /' , TEMPORARY POLE GLENDORA CA 91740 415324 C10 UNDERGROUND CONDUIT r ARCHITECT OR ENGINEER UFER GROUND- LIC NO _ I _ __ ROUGH CONDUIT Rb F WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N P NY NOTIFIED � r ' REPORT ID DPR265 ROUTE TO SS0508 �1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304070007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID S PAID BUILDINGSS TR 9481 LT 1 5125 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803902 ASSESSOR N NEAREST CROSS STREET LOWER AZUSA/LA ROSA 8589 007 001 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY JB AC UNITS +3 10HP 1 00 AC 19 65 TENANTTOTAL FEES 47 40 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 04/07/03 JK 10/04/03 OWNER TEL NO FINAL DATE FINAL BY COD SCHRANS,THOMAS `J 5125 BALDWIN AV % J �b '6-3 TEMP 917803902 DESCRIPTION OF WO C/O AIR CONDITIONING & HEATING APPLICANT TEL NO RS AIR CONDITIONING INC (626) 914 4408 718 E ROUTE 66 SPECIAL CONDITIONS GLENDORA CONTRACTOR TEL NO / j i - '��3 APPROVALS DATE INSPECTORIGNATURE R S AIR CONDITIONING AND HEATING (626) 914 4408 718 E ROUTE 66 LIC NO �� L �� TEMPORARY 0 POLE GLENDORA CA 91740 662914 UNDERGROUND CONDUIT ARCHITECTE -1 1 r, �� AUFER GROUND LIC NO ROUGH CONDUIT Ir ROUGH WIRING MAIN WATER LINE— PLASTIC INPLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED * ADDITIONAL DATA ON FILE REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106070022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS 1 ITR 9481 LT 1 I 1 5125 BALDWIN AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803902 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18589 007 001 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl 1G1 OUTLETS LGT SW RECP 5 00 OUT 9 70 1 TENANT 1G2 LIGHTING FIXTURES 2 00 LGT 3 90 (ISSUED ON PROCESSED BY PLAN BY TOTAL FEES 41 40 106/07/11 SR (OWNER TEL NO 1FINAL DATE FINAL CODE ISCHRANS THOMAS (626) 443 4808 1 15125 BALDWIN AV I��I� ITEMP 917803902 1 IDD2SCRIPTION OF WORK 1 11 GFI 2 SWITHS 2 LIGHTS FIXTURES APPLICANT TEL NO I I 1RAZ ARINBAUM (818) 448 1355 1 14759 KESTER AVE ISPECIAL CONDITIONS SHERMAN OAKS I I I I I I I (CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 (UNIVERSAL REMODELING (888) 343 9111 1 1 1545 WEST AVENUE 26 SUITE 201 LIC NO (TEMPORARY POWER POLE 1LOS ANGELES CA 90065 617830/B I I I I 1 1UNDERUROUND CONDUIT I I 1ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND I I I I I 1 LIC NO 1 (ROUGH CONDUIT I 1 I I I 1 1 ROUGH WIRING 1 I 1MAIN WATER LINE ( I I 1 1PLASTTC YIN METAL YIN I I I 1 1UTILITY COMPANY NOTIFIED( 1 I I I I I 1 I I I I I 1 1 I I I I 1 I I I I I 1 I I I I I 1 ( 1 I I I I 1 I I I I I 1 I I I I I 1* ADDITIONAL DATA ON FILE I I I I 1REPORT ID DPR265 ROUTE TO BS0508 I I I 1 I I � w