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HomeMy Public PortalAbout5406 BALDWIN AVE_Electrical__ (3) 78A688-CE60870-59 APPLICATION FOR ELECTRIC E IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGI BUILDING AND SAFETY DIVISION - - ' JOHN.A. LAMBIE, COUNTY ENGINEER ADDRESS `1 O .If 9T L7 WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY O ! FOR APPLICANT TO FILL IN NEAREST I' PERMIT FEES CROSS ST. f ; OWNER }#. v 1 T E Mi NUMBER I EACH FEE - OUTLETS: v $ $ MAIL rr{{ GPT . ADDRESS LIHTS ...EPT.- SW. 1O --- \ CITY "TE LIGHTING FIXTURES 10 ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS . ! CITY -. TESL. O. GARBAGE DISPOSERS + AUTO.. STATE C'S �' WASHERS STA.COOKING UNITS .25 LICENSE NO. i MOTORS: OVER I'Nc: H.P. DISTRICT NO. G OU PROCE - P BY O— jv' .25 ; �\ 1/2- ; 2 .50 INSP TI RD 2— 31'5 1.00 5— 115 5o 2.50 j 50-26o 1 5.00 SIGNS: NO.TRANS.S c) \ �, � NO.LAMP �. SERVICE 0-600V y I.&OU SERVICE OVER 600V�' O L — 17 WIRING PERMIT' } 1.00 i FIX�URE PERMIT 1.00 SUPPLEMENTARY PE_ R--MIT ,,,,,..50._...x....-......;"`.k...""" ..,.y.-�......-v..�..�,,.........w ,,... ..'."_""w.�,..,...«'.....,d..._.,M ^' TOTAL FEE Is I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATI NSP6�7'o® -1 E AND STATE THAT THE. ABOVE IS CORRECT AND AGREE TO COMPLY \ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ' ELECTRICAL WIRING. I WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE'OF FIX CALIFORNIA OR THAT 'I AM THE LEGAL OWNER OF THE ABOVE - DESCRIBED RESIDENTIAL PROPERTY. ( POWER b SIGNATURE . UTILITYCO.NOTIF ED OF PERMITTEE FINAL ®a VALIDATION ARTHUR C.VEIT, C .. Mo cases SUPERVISING ELECTRICAL ENGINEER TEMPLE CITY 76A663 CES06 10 61 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST 7s-yo /BUILDING AND SAFETY DIVISION 6 7 ea,&3& JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING FOR APPLICANT TO FILL IN CROSS$T 1 T E M NO EACH FEE / OUTLETS (FIRST 20) $20 $ OWNER f LIGHTS RECEPT BW MAIL OUTLETS (ADD L UNITS) ADDRESS LIGHTS RECEPT SW 10 LIGHTING FIXTURES (FIRST 20) 20 CITY TEL NO LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN �Cr, 2 //��! RANGES CLO DRYERS WTR HTRS 100 ADDRESS 2,5J L7 GARB DISP STA COOK // CITY TEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA APP (+/i H P MAX ) So LICENSE NO (� MOTORS OVOER NOT OVER HP 1OO DISTIZICOT I�Lp GrOUP ONE PROCESSED BY 1 3 1 so INSPECTION RECORD } 3 8 200 0 8 15 250 15 50 300 y fl ! (j 0 50 100 500 f 1 .. a SIGNS NO TRANS cn NO LAMPS ` SERVICE O 600V NOT OVER 200A 100 SERVICE O 600V OVER 200 A 1200 SERVICE OVER 600V Soo MISC PERMIT ISSUING FEE 200 L SUPPLEMENTA13Y PERMIT ISSUING FEE 1 00 TOTAL FEE $ � IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT O A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR d' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL OPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL 0 IDATION ARTHUR C VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER L 0 1 6 6 All 2 4 ? p 5 010— 76A663 CE606 10 79 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERM FEES CROSS ST 1 T E M NUMBER I EACH FEE OWNER OUTLETS $ $ MAIL LIGHTS RECEPT BW 7v 10 ADDRESS LIGHTING FIXTURES 10 CITY TEL N ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50ADDRESS 1V ELEC SPACE HTRS DISHWASHERS CITY TEL NO GARBAGE DISPOSERS AUTO STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC HP DISTRICT-NO GROUP ZONE I PROCESSED BY 0— 1/z 2 5 Z 1/2— 2 so INSPECTION RECORD 2— 5 100 5— 15 ISO Is— so 250 50-200 Boo SIGNS NO TRANS NO LAMPS SERVICE O 600V 100 SERVICE OVER 600V 500 MISC WIRING PERM 100 �J FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 TOTAL FEE g �L 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT 7 ELECTRICAL WIRING WIRING } � a �� L I HEREBY CERTIFY THAT 1 AM PROPERLY 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 RESIDENTIAL PROPERTY POWER SIGNATURE UTILITY CO NOTIFIED d OF PERMITTE ' FINAL �1� ®F CK MO � ARTHUR C VETT CK Mo cwBH SUPERVISING ELECTRICAL'ENGINEER L o8-0 8 1 " NAR -23 2 A � 20 J V A_ I H 76AGO3 CE00610 HY APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING G BUILDING AND SAFETY DIVISION ADDRESS JOHN A! LAMBIE COUNTY ENGINEER 0 WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PEPMT FEES CROSS ST OWNER I T M NUMBER EACH FEE MAIL LIGHTS OUTLETS RECEPT SW 1O $ C7 ADDRESS LIGHTING FIXTURES 10 CITY TEL N ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS IYT�O ELEC SPACE HTRS DISHWASHERS CITY TEL NO (�L� GARBAGE DISPOSERS AUTO STATE / �7 WASHERS STA COOKING UNITS 25 LICENSE NO MOTO S OVER INC H P DISTR1CT_NO GROUP I ZONE I PROCESSED BY - L 0— 1/2 25 S ti -2- 1/2— 1/2— 2 50 INSPECTION RECORD z— 5 ,3 too DTJ .>A0 5— 15 150 15— SO 250 Z �P 50-200 Soo SIGNS NO TRANS NO LAMPS �3 SERVICE O 600V too 00 SERVICE OVER 600V Soo MISC IJ I've, 10 WIRING PERMIT 100 FIXTURE PERMIT too (%d 9 awe�t� w r - SUPPLEMENTARY PERMIT 50 TOTAL FEE IV 6 v 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DAT INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE �r DESCRIBED RESIDENTIAL PROPERTY POWER SIGNATURE ? C/ UTILITY CO NOTIFIED OF PERMITTEE FINAL (�`�T mT��Cn.m ®F / I M C ATON ARTHUR C VEIT CK CK/J Mo cases SUPERVISING ELECTRICAL ENGINEER f ', 'fl8 5 5 61' hM 30 2 A 2780 `� I WORKERS COMPENSATION DECLARATION CE 806G (2 80J APPLICATION FOR ELECTRICAL PERMIT S I hereby 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 ` a certified copy thereof Sec 3800,Lab C) �Jr� � !,J 1,0467P �` FOR APPLICANT TO FILL IN ,JOB I n Policy No ' ompany /1 61/21244�Z- EACH NO FEE ADDRESS J G� / � New Residential Bldgs &Pools Certified copy is hereby furnished 1 &2 Family Sq Ft $ — $ LOCALITY r Multi family Sq Ft — NEAREST t Certified copy is filed with the county building inspection CROSS ST Ar _ department - Residential Swimming Pools _ OWNER O - FIRM NAME Datet?-ilsPPhcant Outlets Rec=Light First 20 MAIL ADDRESS�i L CERTIFICATE OF EXEMPTION ROM WORKERS Total No Additional CITYe Tel No _ COMPENSATION INSURANCE `7��1 / } + PLAN CHECK d APPLICANT O (This section need not be completed if the work involved Lighting Fixtures First 20 ADDRESS by the permit is for one hundred dollars ($100) or less) cc Total No Additional I certifythat m the \ O performance of the work for which this Fixed Appliances Not Over 1 HP, CITY Tel No 0 U permit is issued I shall not employ any person in any manner t � PERMIT soFas to become subject to the Workers Compensation Laws Range_ Heater_D W APPLICANT r s Oven Dryer_W M ADDRESS W Date Applicant Top _ FAU _W H Hood Fan _Other_ CITY Tel No NOTICE TO APPLICANT iIf after making this Certificate ofDisp _ Room Air Cond LICE E OR Exemption you should become subject to the Workers REG NUMBER Class 14d " Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances i DISTRICT NO PR SED BY with comply with such provisions or this permit shall be Size&Type HP KW KVA or KVAR deemed revoked 1 Up to 1 Incl FINAL Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATION TTTT- Over 10 to 50 Incl VALI DATI I hereby affirm thatII am licensed under provisions of Chapter Over 50 to 100 Inc FINAL / 9 (commencing with Section 7000 of Division 3 of the Busi BY ( g ) Over 100 n � w ess and-Professions Code and my license is in full force and ! effect � / Services License Numbey�1}fJ?7r// Lic Class f? 0 200 Amp Under 600 V T ��� 201 1000 Amp Under 600 V t Contractor A,k / �D2te�" - - Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances Sign with One Branch"Circuit - 3 I hereby affirm that I am exempt from the Contractors Additional Sign Branch Circuits ` r 1 r License Law for the following reason (Section 7031 5 Busi g 0 0 0 0 0 2 ness and Professions Code) I r i Misc Conduits&Conductors 2 0 io 1 IL J a I as owner of the property will do the work and the Other (See Complete Fee Schedule)— i structure isnot intended or offered for sale (Section _ o o l0 1 4- 1-- 0 i_ 7044 Business and Professions Code) t CONSTRUCTION LENDING AGENCY 0323 -82 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is t a ' ) PERMIT FEE (Sub Total) issued (Sec 3097 Civ C Lender s Name 1 PLAN CHECKING FEE (One Fourth Permit Fee) � 1 , Lenders 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 and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon s _ the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o ermittee Date i WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy tthh eire�ooff(Sec.3800 Lab. C.) Q�j Af P OIIP cy No.""��y3 V3 Company T-M l"l+ ` FOR APPLICANT TO FILL IN JOB ADDRESS �. Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY��'Y� �,� Ce ified co is filed with the count building inspection 1&2-Family,Sq. Ft. _ $ $ Y Y 9 P NEAREST de artme f Multi-family Sq.Ft. CROSS ST. Lt_ Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PP'AGGE- 1 PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FIRM First NAME COMPENSATION INSURANCE First 20 AL `(This section need not be completed if the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers' Compensation-Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT: If, after making this C .Certificate of CITY Tel.No. Exemption, you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. f �q provisions of the Labor Code, you must forthwith comply with such PERMIT AN r � _,�[� �+V provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS,13((J(( 1Ja I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section'7000) of Division 3 of the Business and CITY G1 Tel.N G,fI/ Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. >. Over 100 DISTRICT NO. PROCESSED BY (S' G� a Gass. f Over 50 t0 100 Incl. RIEG NNUMBER CESE OR ^ (/� (n•`Y[ License Number —" r� � � Lic.Class "� ✓�� � Services,Swbd.,MCC&Panelboards c�fi 0-399 Amp.Under 600 V O Contractor Date Z'7 FINAL I— ❑ 400-1000 Amp. Under 600 V �� VALIDATION V I am exemp nder Sec. Over 1000 Amp.or Over 600 V FINAL LU a B.&P.C.for this reason BRANCH CIRCUIT FEES BY f/) Date: 15A,or 20A, 120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits i SINGLE FAMILY Temp.Power Pole&Appurtenances A a HOME OWNER-BUILDER DECLARATION ` �' O'Ir itch Circ Br with One anu I hereby affirm that I am exempt from the Contractor's License Law Sign wD �^�i� ��°�.0 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits t Code): 1 ITEMS ❑ I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors ! I L F2 a — is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). . ..... ;. t r. 65 C. CONSTRUCTION LENDING AGENCY LiA I l)I I hereby.affirm that there is a construction lending agency for the t"1 ANGE ° performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) _ PLAN CHECKING FEE. 000-0-00-01 1/21/93 Lender's Name PERMIT ISSUING FEE �j J� '� ` 47 1 AM 10°5.3 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 reapec of this County to enter upon the above-m tinnLC1,101'e, ty forpurposes. / SEE REVERSE FOR EXPLANATORY LANGUAGE SIG TORE OF MITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 • - ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0003170020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 S PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5406 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 ASSESSOR INFORMATION NEAREST CROSS STREET OLIVE 8586 023 023 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY JX MOTORS LT 3 HP 1 00 MOT 15 30 TENANT JY MOTORS, 5HP 1 00 MOT 19 65 ISSUED ON PROCESSED BY PLA B EXPIRES/ON OAK TREE LIQUOR TOTAL FEES 62 70 03/17/00 VG 09/13/ 0 OWNER TEL NO FINAL DATE FINAL BY C E GLESBY ROSE F 631 PARKROSE AV MROV 910163770 DESCRIPTION OF WORK HOOK UP MOTORS/COILS FOR REFRIGERATI N PLICANT TEL NO MARTIN PAUL ELECTRIC (909) 394 5776 314 N IGLESIA ST SPECIAL CONDITIONS SAN DIMAS, CA 91773 ��OIELES CO CONTRACTOR TEL NO �OCj �/� APPROVALS DATE INSPECTOR SIGNATURE MARTIN PAUL ELECTRIC (909) 592 1042 314 N IGLESIA ST LIC NO TEMPORARY POWn—P(TLE SAN DIMAS CA 91773 NONE ` UNDERGROUND CONDUIT ARCHITECT R ENGINEER TEL NO UFER GROUND _ LIC NO 1111111 ROUGH CONDUIT ROUGH WIRING z3 UO (� �� n (JMAIN WATERLINE ILIA \`I//11V1/ ILLlhll(11 IUI(C� PLAST I C Y/N METAL Y/N UTILITY COMPANY NOTIFIED 0 o ® ®y I spvice Tha * ADDITIONAL DATA ON FILE REPORT ID DPR265 ROUTE TO BS0508