HomeMy Public PortalAbout5406 BALDWIN AVE_Electrical__ 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