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HomeMy Public PortalAbout5220 BARELA AVE_Electrical__ Y �. �J 76A663 CEf-80616/781_ APPLICATION FOR LECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB EACH NO. FEE ADDRESS 5220 Ba.rela. Tem le Cit New Residential Bldgs.&Pools LOCALITY 1 &2-Family,Sq. Ft. $ 025 — $ Multi-family Sq.Ft. .02 — NEAREST 25.00 CROSS ST. Residential Swimming Pools OWNER OR FIRM NAME Mr• & Mrs. Don Ca.rdella. Outlets:Rec Light Sw. MAIL First 20 •50 ADDRESS 5220 Ba.rela Total No. Additional .30CITY Temple City Tel. No. 285_3807 PLAN CHECK APPLICANT Lighting Fixtures First 20 •50 ADDRESS Additional 30 Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT Range_Heater_D.W. APPLICANT AAA Conditioned Air Inc. _ Oven—Dryer—W.M. ADDRESS 10160 Valley Top —FAU —W.H.— CITY El Monte Tel. No. 519_18011) Hood—Fan —Other LICENSE OR � Disp.—Room Air Cond. 2.50 REG.NUMBER 270863 Class. C-163 1.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Size&Type HP,KW,KVA,or KVAR Up to 1 Inc]. 2.50 REGULATING ELECTRICAL WIRING. d I HEREBY ERTIFY THAT AM PROPERLY REGISTERED AND/OR C Over 1 to 10 Iricl. 5.00 LICENSED AS RE UIRED BY LOS ANGELES COUNTY AND STATE OF � Over 10 to 50 Incl. 12.50 CALIFORNIA 0 THAT I AM THE LE L OWNER . THE ABOVE O Over 50 to 100 Inc. 25.00 DESCRIBED RESI ENTIAL PR ERTY. Over 100 40.00 PERMIT EE 9 /jJ SIGNATURE IL Services IL Services DISTRICT NO. PRO BY Z 0-200 Amp.Under 600 V 12.50 p 201-1000 Amp. Under 600 V !25. 0 _ Over 1000 Amp.or Over 600 V 0 Z .Temp.Power Pole&Appurtenances 0 O 0 -7 / o Sign with One Branch CircuiT Additional Sign Branch Circuits . 0 INSPECTION > INFORMATION Misc.Conduits&Conductors 10.00 ON REVERSE z Other(See Complete Fee Schedule) SIDE Z 4 41 3 6.8 A Q a 0 o a o o PERMIT FEE (Sub-Total) 2 0 0 1200 PLAN CHECKING FEE (One-Fourth Permit Fee) O 0 - 12006 PERMIT ISSUING FEE $7.00 j 5, 1 6-79 TOTAL FEE �� INSPECTION FINALEDLU 1 ode date: i ;1 Ii :? t' B -'„{; s• 0. ©s 76A663 CE 806R 10 77 APPLICATION FOR ELECTRICAL PERMIT . C � 9 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB A/ ADDRESS e Ave, BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. 7FEE CNEAREST ROSS ST. 1 &2-Family,Sq. Ft. $ 025 — $ OWNER OR Multi-family Sq. Ft. •02 — FIRM NAME Cardella Residential Swimming Pools 25.00 MAIL ADDRESS 5270 Rarela Ave Outlets: Rec 6 Light 6 Sw. 7 CITY Temple City Tel.No. 285-3807 First 20 .50 1 9 50 PLAN CHECK Total No. 1 9 Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 6 3 00 CITY Tel. No. 6 Additional 30 APPLICANT IT Ttal No. Holzer Electric Fixed Appliances Not Over 1 HP ADDRESS Ri Range—Heater.—S.W.I CITYSanta Fe S ringS Tel. No. 696-4555 Oven—Dryer—W.M.,_ LICENSE OR Top —FAU —W.H.— REG.NUMBER Class. — HOod_Fan —Other— 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2'50 1 5o THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW,KVA,or KVARHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 250 REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM . Up to 1 Ind. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. C) Over 1 to 10 Ind. 5.00 c� Over 10 to 50 Incl. 12.50 PERMITTEE (l - CD Over 50 to 100 Inc. 25.00 SIGNATURE �reJ' U w Over 100 40.00 DISTRICT NO. PR ESSE o- Services 0-200 Amp.Under 600 V 12.50 1 12 APPROVALS DAT INSPECTOURE 201-1000 Amp.Under 600 V 25.00 Ldtn 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE ower Pole&Appurtenances 10.00 UNDERSLAB WORK ith One Branch Circuit 10.00 ROUGH CONDUIT nal Sign Branch Circuits 2'00 WIRING onduits&Conductors 10.00 FIXTURES / ee Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL FEE Sub-Totall 2 NOTES5 1 2.Q A HECKING FEE (One-Fourth Permit Feel f} 0 0'0 002 ISSUING FEE $7.00 7 0 2;0 0 3 4.8 Q FEE `tl © 0 - 3 &.5 n 5 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. H-5 CASH 90 r 0 P C) ;2-10� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r --;�V — / / WORKERS'COMPENSATIONDECLARATION CE806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES r BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified c-opy thereof(Sec. 3800,Lab.C.) C Policy No. Company FOR APPLICANT TO FILL IN JO New Residential Bldgs.&Pools EACH NO. FEE ADDRESS �C�O Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ 1 LOCALITY ❑ Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR � Q sFIRM NAME furl. Date Applicant Outlets: Rec. Light- Sw.__L S First 20 AMDADILRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional •� COMPENSATION INSURANCE CITY -e Tel No S / PLAN CHECK 1 0- (This section need not be completed if the work involvedj S� APPLICANT U by the permit is for one hundred dollars ($100) or less.) Lighting Fixt es First 20 S ADDRESS U Total No. Additional tr I certify that in the performance of the work for which this Fixed Ap 'antes Not Over 1 HP CITY Tel No. 0 permit is issued, I shall not employ any person in any manner PERMIT 0 ' so as to become subject to the Workers' Compensation Laws. Range.* Heater D.W. APPLICANT LU fL Oven Dryer_W.M._ ADDRESS A 29 Date Applicant Top FAU _W.H.._ Hood _ Fan _Other_ CIT Tel NQ NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— o 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. PROCE SED BY with comply with such provisions or this permit shall be Type deemed revoked. Size&T e HP,KW, KVA,or KVAR - . f! Up to 1 Incl. FINAL Over 1 to 10 Incl. LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. DATE J - VALI DATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 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 j) effect. Services V License Number 0-200 Amp. Under 600 V Lie.Class 201-1000 Amp. Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances 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 ness and Professions.Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— ;2 3 0 1-7 R structure is not intended or offered for sale (Section 044, Business and Professions Code). # o o o o o 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 0 1 6.50 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). o 0 0 1 , 5 0 z. U Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel ' Lender's Address PERMIT ISSUING FEE 12-80 I certify that I have read this application and state that the TOTAL FEE SV above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and e y authorize representatives of this County to enter upon th ove-mentioned operty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date