The URL can be used to link to this page

Home My Public Portal About5148 BARELA AVE_Electrical__ _ .. • 1 4 Q •76A663-CES06 6/.63 APPLICATION FOR ELECTRAL PERMIT , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER r LDING BUILDING.AND SAFETY DIVISION RESS ol JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUP'T OF BUILDING ALITY REST FOR APPLICANT TO FILL IN sa ST. Q RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 111 $ OWNS Of I!g LIGHT - .20 MAIL_ ` 'ADD'L .10 ADDRESS ' SWITCH. OVER 20 LIGHTING TOTAL FIRST ,2p CITY FIXTURES } ADD'L ;.r7o ELECTRICIAN' O OQ CG� GY R 2Z0 RANGES CLO.DRYERS WTR.HTRS. 1.00 00 ADDRESS •Q 'S �'T�F GARB..DISP. .BTA.COOK CITY � LZ- TEL.N ._/ 64O7. DISHWASH. AUTO.-WASH: STATE SPACE HTRS. ' STA.APP.(VA H.P.MAX.) .50 LICENSE NO. MOTORSt OVER NOT OVER H.P. DIST$1CT GROUP ON P C . E BY ' O 1 1.00 1 3 I,gp INSPECTION RECORD 3. g 2.00 a is 2.50 g 15 so 3.00 ¢� SO too 5.00 F 'SIGNSt NO.TRANS. y NO.LAMPS Z SERVICE 0.600V-NOT OVER 200A 1.00 i 'SERVICE O BOOV-OvER 200 A. 2:00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT'IHAVE READ THIS APPLICATION I APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO'COMPLY CONDUIT WITH ALL•COUNTY ,ORDINANCES. AND STATE LAWS REGULATING 'ELECTRICAL WIRING. .y ` SIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREb AND/O A�;, !• 't ,t.3�✓y Y� LICENSED AS REQUIRED BY IAS AS U AND STATE 0�3.;`j� CALIFORNIA OR THAT 1 AM T. LEGA OF THE ABO ; F{'~IES 1 DESCRIBED RESIDENTIAL PR RT tY? pr SIGNATURE t��slIJ�L'•ITY CO.NOTIFIED OF PERMITTEE' u7 IFIN1►Lt 11 r�/. 2"Ed '° ARTHUR C..VEIT - '. SUPERVISING ELECTRICAL ENGINEER r H j . 5 S 7� NOV 4 2 D 4.0 0', a ' • ra� •Y ,� Mirk.) _. r'. - WORKERS'COMPENSATION DECLARATION 76A663 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self Ce aoe� insur pr-6T.ertlficate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a �rtified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ` El Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS J J 2 f✓ - LOCALITY Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ tion department. Multi-family Sq. Ft. NEAREST SS CR Residential Swimming Pools OWNERSOR � /�'� � Date Applicant r--- FIRM NAME L / ✓G^ fr CERTIFICATE OF EXEMPTION FROM WORKERS' MAILi COMPENSATION INSURANCE Outlets: Rec Light A Sw._ �� ADDRESS d L i=��'� ✓d� [� (This section need not be completed if the work involved by Total No. Addirst 20 al CITY Tel: No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of The work for which this APPLICANT permit 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 PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION Exemption, you should become subject to 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 LICENSE OR Disp. — Room Air Cond. — REG. NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. SED and Professions Code,and my license is in full force and effect. Size &Type HP, KW, KVA, or KVAR 0 License Number Lic. Class Up to 1 Incl. FINAL pe IMU Over 1 to 10 Incl. DATE t 1' 1 VALIDATION Contractor Date Over 10 to 50 Incl. – rh 0 FINAL 01 am exempt under Sec. Over 50 to 100 Inc. BY wB.&P.C. for this reason Over 100 s �, d Services, Swbd., MCC& Ponelboards , Z Date: z 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 t .7 I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign-Branch Circuits w € a "u=' Professions Code): 1 T T ENIE',', Misc. Conduits&Conductors I, as owner of the property, will do the work and the �;;f� �.�.. m �q'_,� structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ _ Business and Professions Code). ® I: CONSTRUCTION LENDING AGENCY 1 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.). PLAN CHECKING FEE _¢ Lender's Name 1 PERMIT ISSUING FEE 6 343,1 Lender's Address r 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 the o ove-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SignatuJi of Permittee ! Date WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3/B7 APPLICATION FOR ELECTRICAL PERMIT 1"hereby affirm that I have a certificate of consent to self Ce806G insu R;"ver a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS I9 ?--r a�cer ified 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 $ _ $ LOCALITY f 6 ❑Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. /-Vt f2 _ 1' tion department. Multi-family Sq. Ft. NEAREST 1 CROSS ST. S �— Date Applicant Residential Swimming Pools OWNER OR f FIRM NAME y Ce— ` J t CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_�Light Sw.�_ MAIL a COMPENSATION INSURANCE ADDRESS � l L - Go�� (This section need not be completed if the work involved by Total No. AddiFirst tional CITY C,,?— 6_,,'�,�,c 1 " Tel. No.245—sr-61 the permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit 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 G �"' Additional Date L D A licant - 1 Total No. CITY Tel. No. PP NOTICE TO APPLIC NT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the W-Hers' Range— Heater—D.W. — APPLICATION 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. CITY Tel. No: Hood — Fan —Other— LICENSED CONTRACTORS DECLARATION LICENSE OR . Disp. — Room Air Cond. REG. NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NP. PRO ED BY d and Professions Code,and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR 0 License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl., DATE VALIDATION Contractor Date Over 10 to 50 Incl. 0 ElFINA U I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 d / fn Date: Services,.Swbd., MCC& Panelboards ® .t Z 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 y HOME OWNER-BUILDER DECLARATIONpaf. T I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits a{? ;?�;'" Professions Code): 1 ITEMS Misc. Conduits&Conductors _ ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ TOTAL I AL. 12.. 75 Business and Professions Code). ® HC i• CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHANGE °!{ti{ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). /j j PLAN CHECKING FEE 130001-1001131 1�.. F•.'��7 Lender's Name ,. PERMIT ISSUING FEE +7621 AN 9e 153 Lender's Address I certify that I have read this application and state that the ITOTAL 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 tBove-mentioned �property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Wes Signature of Perm,(tee DatO COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703280009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 15683 IT: 52 - 5148 BARELA AV I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803846 I ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 18589-011-024 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: ILN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 105.45 103/30/07 JK 09/26/07 1 (OWNER: TEL. NO: FINALDA BY: CODE: MACKAY WALTER;PAMELA L (626) 287-0208- I I 15148 BARELA AV I I ITEMP 917803846 (DESCRIPTION Or WOR I 1ELECTRICAL PANEL UPGRADE TO 200 AMP AND SUB-PANEL 200 AMP 1 (APPLICANT: TEL. NO: ISAME AS OWNER I ISPECIAL CONDITIONS: I ICONTRACTOR: TEL. NO: I IAPPROV I I I ALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I LIC. NO I ITEMPORARY POWER POLE I I I I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I _ I I I I LIC. NO: I IROUGH CONDUIT I I I IROUGH WIRING I I I IMAIN WATER LINE IPLASTIC Y/N METAL Y/N I I (UTILITY COMPANY NOTIFIED( 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 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