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HomeMy Public PortalAbout4905 BALDWIN AVE_Electrical__ 76A663411% 2/75 APPLICATION FOR ELECTRI L PERMIT ' I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS BaldYr BUILDING AND SAFETY DIVISION FORPP F LOCALITYTemple C1ty Vew Residential Bldgs& Pools EACH NO FEE NEAREST 1 & 2 Family Sq Ft $ 025 — $ CROSS ST Multifamily Sq Ft 02 — WNER OR FO RM NAME 111de Residential Swimming Pools 20 00 MAIL ADDRESS 4905 Baldti'f rl cutlets Light Switch & Receptacle CITY Temple City Tel No First 20 50 PLAN CHECK Additional 30 APPLICANT zf ADDRESS _Ighting Fixtures First 20 50 1 . 30 CITY Tel No Additional 30PERMIT APPLICANTHolzer Electric =1xed Appliances Not Over 1 HP ADDRESS 42 v Range—HeaterrD W _ CIT)Santa Fe SpringgelNo 6 �_ Top _ FAU W H Oven_Dryer_W M _ LICENSE OR _ REG NUMBER 2830Class Hood Fan I HE EBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Disp_A C ___ 2 00 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH AL COUNTY ORDINANCES AND STATE LAWS REGULATING L 'ower Apparatus& Large Appliances ELECTRICAL WIRING 512e & Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF Up to 1 Incl 200 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE dO Over 1 to 10 Incl 5 OO DESCRIrED RESIDENTIAL PROPERTY O V Over 10 to 50 Incl 1000 PERMITEE Over 50 to 100 Incl 2000 SIGNATURE :�Cc N Cd Over 100 3000 DISTRICT NO OC SED iervlces NO 7— /{t/J/ LU 0 200 Amp Under 600 V INSPfqT0R S 0- 201 1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATURE g Over 1000 Amp or Over 600 V 50 00 TEMP POWER POLE Temp Power Pole & Appurtenances 1000 1 UN DERSLAB WORK iign with One Branch Circuit 1000 ROUGH CONDUIT additional Sign Branch Circuits 200. WIRING Other) FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL Z-78 'ERMIT FEE (Sub Total) 21 .50 NOTES 'LAN CHECKING FEE (One Fourth Permit Feel 'ERMIT ISSUING FEE $600 6• 0 TOTAL FEE PLAN CHECK VALIDATION CK MO r CASH PERMIT VALIDATION�C`K MO CASH 3 2 9 OCT 7 2 © X 7 5 A--53 44 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 6^� WDrm th(' COMPENSATION DECLARATION CE 863 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm th3'4,have a certificate of consent to self CE 8066 {� insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY U or a certified copy thereof (Sec 3800 Lab C ) Policy No Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS �//ILJ F-1Certified copy is filed with the county building inspec 1 &12 Family Sq Ft $ — $ LOCALITY tion department Multi family Sq Ft NEAREST CROSS Date Applicant ST Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERSA2 MAIL r Outlets Rec�_Lig Sw COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved b rst 20 the permit is for one hundred dollars (:100)or less ) Y Total No Additional Z ;;,b CITY Tel No I certifythat in the performance of the work for which this PLAN CHECK p APPLICANT permit is issued I shall not employ any person in any manner so as to beco a subject to the War r Compens io Laws Lighting Fixtures First 20 o ADDRESS (r Total No / Additional Date Applicant � CITY Tel No NOTIC O APPLICANT If aft c ng this Certificate of Fixed Appliances Not Over 1 HP PERMIT Range_ Heater_D W APPLICANT Exem ion you should bec a subject to the Workers Co ensation provisions of a 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 LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond REG NUMBER Q 7 Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO P SED BY ` pr and Professions Code and my license is in full force and effect Q Size & Type HP KW KVA or KVAR Q U License Number Lic Class Up to 1 Incl FINAL DAT Over 1 to 10 Incl E VALIDATION Contractor Date ❑ Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc BY it Over 100 fn B &P C for this reason Z Date Services Swbd MCC& Panelboards 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ O Exemption for Reg Mamt Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole & Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit 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 Professions Code) ;I as owner of the property will do the work and the Misc Conduits &Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ 5 31 3 A 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY # o o o a o 2 j 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) ° - 3550 (Sec 3097 Civ C ) PLAN CHECKING FEE o o o 3 a 5 0 5 Lender s Name 30 a 2 6"8 6 PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEEJ above information is correct I agree to comply with all County ordinance's and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned propert for inspection pur ses SEE REVERSE FOR EXPLANATORY LANGUAGE at of Permittee Date i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0107190019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID S PAID BUILDING ADDRESS TR 9848 LT 19 4905 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804009 ASSESSOR INFORMATIONNEAREST CROSS STREET LOWER AZUSA 8589-025 015 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY G1 OUTLETS LGT,SW,RECP 5 00 OUT 9 75 TENANT HA FAU LESS 3HP 2 00 FAU 21 90 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON JB AC UNITS +3 10HP 2 00 AC 39 30 07/19/01 JK 01/15/02 TOTAL FEES 98 70 OWN TEL NO FINPL. DATE FINAL BY CODE WILDE JOHN L,BETSY N (626) 448 2175 / ,r�p -ey _f,.� �,/J 4905 BALDWIN AV v/ f l- (i TEMP 917804009 DESCRIPTION OF WORK NEW HVAC SYSTEM APPLICANT AIR TECH HEATING & AIR INC (626) 795-8880 204 S ROSEMEAD SPECIAL CONDITIONS PASADENA, CA CONTRACTOR TEL NO ��A� APPROVALS DATE INSPECTOR SIGNATURE AIR TECH HEATING AND AIR CONDITIONI (626) 795 8880 204 S ROSEMEAD BLVD LIC NO TEMPORARY POWER PASADENA CA 91107 541161/C20 UNDERGROUND CONDUIT ARCHITECT a R ENGINEER TEL NO UFER GROUND LIC NO / 1111111 ROUGH CONDUIT ROUGH WIRINGLF J �lM0 V O U U K7 O PLASTICTER Y/NLINE METAL Y/N UTILITY COMPANY��// U u NOTIFIED � O / D O P' SL va�0 c a REPORT ID DPR265 ROUTE TO BS0508 t ' A i I COUNTY OF LOS ANGELES TEMPLE CITY •# 0508- ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9610170048 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285 0488 EXT LEGAL ID FEES PAID BUILDING S TR 9848 LT 19 4905 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804009 ASSESSOR IN 0 ION NUMBER NEAREST CROSS STREET LOWER AZUSA RD 8589 025 015 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 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 10/17/96 TC 10/17/97 OWNER TEL NO FINAL DATE FINAL BY CODE WILDE JOHN L BETSY N (818) 448 2175 4905 BALDWIN AV 10-' r TEMP 917804009 DESCRIPTION F RK 80 lAje NEW ELECTRICAL SERVICE UPGRADE 2 AMP APPL TNO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO o O APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER D -0 zl\ LIC NO d; 0 0 ( TEMPORARY POWER POLE 0 n n n UNDERGROUND CONDUIT ARCHITECT ENGINEER TEL s v U, U U 0 j'I Q 11 llU79F GROUN LIC NO I b ROUGH CONDUIT Mill ROMH WIRING i G MAIN WATER LINE CPJLASTIC Y/N METAL Y/N {% I T I F I ED oil REPORT ID DPR265 ROUTE TO BS0508