HomeMy Public PortalAbout5125 BALDWIN AVE_Electrical__ 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
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