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HomeMy Public PortalAbout5634 BALDWIN AVE_Electrical__ (2) -7Sa6s3 099 SA 9-513 APPLICATION FOR PERMIT -=•_ DEPARTMENTCONTY OF LOS ANGELES DING AND AFETY /� ELECTRIC WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICAPT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN - }` 7747 7 p ADDREBS®!/ Ff j.t.�(k,d RECEIVED BY r FOR FIRST INSPECTION �IT6 ISSUED CITY TEL.NO. 'J 1 7 COUNTY LICENSE NO.I // EXPIRES BUILDING t—/ jj i PERMIT FEES ADDREBBc J(A /�/ '//� f NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER,'�, TOTAL OUTLETS Sr $ MAIL �/ ELEO. RANGES 85 ADDRESS ELEC. HEATERS 25 -115-CITY TEL NO. FIXTURES B Q 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS 3� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR IsAM THE LEGAL OWNER NEw MVC. HP OVER I INC- EACH OF THE RESIDENTIAL PROPERTY fDESCRIBED ABDVE- Y2 a LESS 111 .25 BIGNATURE 0 � Yz a .50 PERMITTER a 5 1.00 LINSPECTION RECORD 5 15 1.50 15 50 2.50 5O 200 5.00 200 500 10.00 JJ 500 1000 15.00 Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% of oRlo.) MOV.p MOTORS (75% aF oRIM.) MISC. SIGNS NO. NO.TRANS ' APPROVALS NO. NO.LAMPS DATE INSPECTORPB NAME FOR EACH PERMIT: WIRING $1.130 Q p CONDUIT //f FIXTURES $1.00 Qen WIRING /���/.,-H�S✓�i✓�/1 SUPPLEMENTARY .50 FIXTURES / / -/7-del POWER TOTAL FEE $� Q UTILITY CO.NOTIFIED FINAL -� ��- T ' N00R, -ERS'COMPENSATION DECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT 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.) FOR APPLICANT TO FILL IN ,JOB � Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS �-f ❑ Certified copy is hereby furnished. $ — $ LOCALITY )" ', 1 1 &2 Family,Sq. Ft. /` Multi-family Sq. Ft. Jam' F] Certifiedcopy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR J� FIRM NAMEJy Y Date Applicant Outlets: Rec1_'QLight J Sw-h 7 ^(3(� ADDRESS ` First 20 �r. a CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional COMPENSATION INSURANCE CITY" �� Tel No 9"/,_ © ' PLAN'CHE APPLICANT (This section need not be completed if the work involvedU Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or less.) .— ADDRESS � X Total No. Additional I certify that in the performance of the work for which this CITY el No. H Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner 'PERMIT so as to become subject to the Jo kers' Compensation Laws. Range_Heater D.W. APPLICANT U �7 "/ Oven -_ Dryer_W.M._ ADDRESS � Datepplicant, ? Top _ FAU _W.H.._ Hood _ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after makin this Certificate 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, PROCES D BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR Up to 1 Incl. ' Over 1 to 10 Incl. DATE VALI TION FINAL % LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. / �! I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. AFINAL 6 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 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 HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances a 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 295,2:,R: ness and Professions Code): z Misc.Conduits&Conductors o o e a o-2 I, as owner of the property, will do the work and the Other (Se Complete,(,Fee Schedule)— structure is not intended or offered for sale (Section I ® e 6 O,7 5 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ® o 0 2 I hereby affirm that there is a construction lending agency 0 9, 1 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 /6 I certify that I have read this application and state that the TOTAL FEE 7 above information is correct.I agree to comply with all County F�6O ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature f Permittee/ Date WORKERS'COMPENSATION DECLARATION 76-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that*I have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) C'� Policy No.7?.b73C%A Company s'r� FOR APPLICANT TO FILL IN JOB ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS PY New Residential Bldgs.&Pools 1 & 2-Family,S Ft. $ — $ LOCALIT ] ertified copy is filed with the ty building inspection y q dep ment. Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pool's OWNER OR, FIRM NAME /r CERTIFICATE OF EXEMPTION FROM WORKE, - ' Outlets:Rec— Light —Sw. — MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First'20 CITY T I permit is for one hundred dollars ($100)or less.) Total No. Additional I certifythat in the erformance.of the work,for which this permit PLAN CHECK, P P APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS , Additional Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PE J Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ PLICAN provisions of the Labor Code, you must forthwith comply with such Oven Dryer W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top FAU W.H. CITYTel.,No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ Ihereby affirm,that I am licensed under 'Provisions of Chapter 9 LICENSE OR Disp. Room Air Cond. REG.NUMBER J �� la (commencing with Section 7000) of Division 3 of the.Business and Professions Code,and my license is in full force and effect: Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY } Size&Type HP,KW,KVA,or KVAR D License Number Lic.Cla Up to 1 Incl. FINAL Co) - -� / Over 1 to 10 Incl. DATE VALIDATION Contractor ( �� Date Over 10 to 50 Incl. U FINAL ❑ I am.exempt under Sec. ho Over 50 to 100 Inc. BY W Over 100 IL B.&P.C.for this reason (� Services,Swbd.,MCC&Panelboards Z Date: 0-200 Amp.Under 600 V Signature 201 =1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V ❑ Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances i HOME OWNER-BUILDER DECLARATION Sign with One Branch'Circuit ACC v I hereby affirm that I am exempt from the Contractor's License Law ACC ■7 for the following reason(Section 7031.5, Business and Professions .Additional Sign Branch Circuits Code): 307 21AI ❑ Misc.Conduits &Conductors - I,as owner of the property,will do the work and the structure 1 I TWE is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) T and Professions Code). """""" _ TOT& 21.00 CONSTRUCTION LENDING AGENCY CHECK. 21.(x] I hereby affirm that there is a construction lending agency for the .HAW � r performance of the work for which this permit is issued'(Sec.3097, PERMIT FEE (Sub-Total) .0L1*I Civ.C.). PLAN.CHECKING FEE � 1 6/ 9 Lender's Name, '�26080O PERMIT ISSUING FEE4 �t� {�} Lender's Address m 4171 1 AM ." �� 'I certify that I have read this application and state that the above TOTAL FEE 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 the above-mentioned property fo i s ction purposes. 6/ SEE REVERSE FOR EXPLANATORY LANGUAGE90 _ Signature of Permittee " Dat s ' WORKERS;COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT •'I hereby aCE-806G that I have a certificate of consent to self CE-806G ` insO're, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILVIN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ❑ — - Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ $ LOCALITY tion department. Multi-family Sq. Ft. — 'NEAREST ResWendial Swimming Pools CROSS ST. Date Applicant OWNER OR !� FIRM NAME _ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light Sw. , MAIL . COMPENSATION INSURANCE ADDRESS G� ..� This section need not be completed if the work involved b First ti ( p y Total No. Additional CITY Tel. No. Q"` the permit is for one hundred dollars (;100)or less.) I certifythat in the performance of the work for which this PLAN HEC P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Work rs'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. 02� Additional CITY ." o. Date.Q:�21Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making thi ertificate off' APPLICANT y Exemption, you should become subject t 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 Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel: No. LICENSED CONTRACTORS DECLARATION LICE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO., PROCE$SE BY and Professions Code,and m ff license is in full force and eect. Power Apparatus& Large Appliances _ y. Size &Type HP, KW, KVA, or KVAR' O License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. } DATE VAL ATION Contractor Date Over 10 to 50 Incl. FIN U ❑ 1 am exempt under Sec. Over 50 to 100 Inc. B LU B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC&Panelboards ► 0 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. , SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2:6 2 32 A I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and 0 0 0 0 © 2 Professions Code): Misc. Conduits&Conductors I, as owner of the property, will do the work and the ( o - 2 0.25 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 7044, Business and Professions Code). , o o - 2 0,2 5 S CONSTRUCTION LENDING AGENCY ) 26 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). Lender's Name PLAN CHECKING FEE PERMIT.IS SUING FEE. 0 Lender's Address 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 t . above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE C " `-Signature Permitt6e 1,Y Date 0 i- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1210020060 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 16957 LT: 18 5634 BALDWIN AV I 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802628 1 (ASSESSOR INFORMATION NUMBER: I i INEAREST CROSS STREET: 1 18586-021-005 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl I 1JB AC UNITS +3-10HP 1.00 AC 19.70 (TENANT: I TOTAL FEES 47.50 11SSUED ON: PROCESSED BY: PLAN BY: 110/02/12 SR I OWNER: TEL. NO: IFINAL DATES - FINAL BY: a st CODE: ICOOPER, SHARON (626) 445-5509- I 7 a, 15634 BALDWIN AVE I_ —/f(p( :+ SPI" �' C'� ITEMP 917800000 IDESCRIPTION OF WORK- e.�+ I I 1ELECTRICAL FOR A/C UNIT I (APPLICANT: TEL. NO: ISCHNIERER, STEVEN (951) 241-6876- 125251 ALESSANDRO BL. ISPECIAL CONDITIONS: 1 IMORENO VALLEY 92553 ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISERVICE CHAMPIONS HEATING AND A, C (714) 777-7777- 1 1 122911 SAVI RANCH PARKWAY LIC. NO ITEMPORARY POWER POLE I I IYORBA LINDA CA 92887 799170 C20 1 1 1UNDERGROUND CONDUIT I 1ARCHITECT OR ENGINEER: TEL. NO: UFFR GROUND I I I 1 LIC. NO: 1 IROUGH CONDUIT 1 I I I I I IROUGH WIRING 1 1 I I I IMAIIQ WATER LINE 1 I I I IPLASTIC Y/N METAL Y/N 1 I 1 I I (UTILITY COMPANY NOTIFIEDI I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I