HomeMy Public PortalAbout5315 BARELA AVE_Electrical__ 76AC53-.CIE80611,70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY �
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING .'L
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. / J
OUTLETS NO. EACHI FEE
$ $ OWNER /L�
RECEPT._ MAIL /c7
LIGHT TOTAL
FIRST 20 .251 ADDRESS
�
OVER 20 CI TY TEL. NO.� C
SWITCH .10, PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTAL
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U./ ADDRESS
SPACE HTR. AIR COND. / CITY TEL. NO.
CLOTHES WASH.' DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
• AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR HAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3,00 RESIDE IN, T
THE ABOVE DESCRIIJB-�E,,D RESIDENTIAL PROPERTY. CL
SIGNATURE f� 2'7 � O
10 - 50 5.00 OF PERMITTEE •��
50 - 100 10.000
DISTRI +
CT NO. CLASS ZONE ROCESSED BY V
100 - 500 15.00 )rj � �- a
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
3 � FINAL +� �� C.1-ri i
PERMIT ISSUING FEE 3.00 i JOSEPH C. ROOHA•N .
TOTAL FEE �/� SUPERVISING ELECTRICAL ENGINEER
��
PLAN CHECK VALIDATION CK. M.O. CASH PE MIT VALIDATION CK. M.O. ` cl nsH�
LAW L " 4 2 p "7.G
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
I,hereb adirm 76A663
y� 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.)
lPoliicy No. Company FOR APPLICANT TO FILL IN JOB
❑ �'..
-ADDRESS
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO.1 &2-Family,Sq.Ft. $ $EACH FEE LOCALITY 1, �L.�cC
Certified copy is filed with the county building inspection _ NEAREST
department. Multi-family Sq.Ft. CROSS ST. �
Date Applicant Residential Swimming Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' QWNER OR ✓'
Outlets:Rec. Light Sw. &IFIRM NAME C`` A
COMPENSATION INSURANCE r
First 20 MAIL
(This section need not be completed the work involved by the
permit is for one hundred dollars($100)or less.) Total No. Additional a`L-0 ® ADDRESS l,
I certify that in the performance of the work for which this permit CITY U-T 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
�&-E--R
� / ADDRESS
Date Applicant LI TIAL AP CE�OT ODER 3 HP. /Q•�S
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such PERMIT
provisions or this permit shall be deemed revoked.
Power Apparatus&Large Appliances APPLICANT
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
1 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 Tel.No.
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.
LICENSEClass.
Over 50 t0 100 Incl. REG.NUMBB ER �
Over 100 DISTRICT NO. PR SSED BY
License Number Lic.Class 0
Services,Swbd.,MCC&Panelbcards (J �jj�� �
Contractor Date
0-399 Amp.Under 600 V FINAL O
DATE I-_
F1
-1000 Amp.Under 600 V �',��1 VALIDATION V
I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL LU
8Y
B.&P.C.for this reason . BRANCH CIRCUIT FEES � r �
Date: 15A- V,Lighting or Recept.
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,,208V To 277V Lighting Br.Circuits
SINGLE FAMILY '
Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION r •L
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ��•i• ■tl
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits3307 +
Code): i
JN , as owner of the property,will do the work and the structure Misc.Conduits&Conductors S ITEMS-
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ® TOTAL 97-35
and Professions Code). (HECK 97.35
_-
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the CHANGE - - — -,130
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total)
Civ.C.)
PLAN CHECKING FEE 00011"000-1 31 2/9
Lender's Name �„ i
PERMIT ISSUING FEE 33.436 1 AN 11 02.'
Lender's Address {y
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
representatives of this County to enter upon the above-mentioned property
for inspp5t.ion pyy��rposes. ` SEE REVERSE FOR EXPLANATORY LANGUAGE
jq
SIGNATURE OF PERMITTEE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1402110026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 14210 LT: 9 1 5315 BARELA AV I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803243 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18589-002-009 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
I IG2 LIGHTING FIXTURES 8.00 LGT 16.00 1 I
(TENANT: I TOTAL FEES 43.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I 102/11/14 SR
(OWNER: TEL. NO: I IFTAL DATE FI AL BY: CODE: 1
(WANG, YIBING (626) 286-8883- 1 1 /f�7`^f/''�i�f` I I
15315 BARELA AV I I
ITEMP 917803243 1 I�CR PTIO OF WORK 111JJJ 1
I (ADD 8 LIGHT FIXTURES 1
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS: I
I I I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I I
I LIC. NO I ITEMPORARY POWER POLE I I I
I I (UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I
I LIC. NO: I IROUGH CONDUIT I I
IROUGH WIRING 1 1 1
I I IMAIN WATER LINE I �I
1 I IPLASTIC YIN METAL YIN I I
I (UTILITY COMPANY NOTIFIEDI 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
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1402100022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID:
FEES PAID I
ITR: 14210 LT: 9 BUILDING ADDRESS:
I I
I 5315 BARELA AV
1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803243
1 I
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
16589-002-009 JA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 20.00
(TENANT: JHA FAU LESS 3HP 1.00 FAU 11.00 (ISSUED ON: PROCESSED BY: PLAN BY: I
IH2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 102/10/14 SR I
I IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 I
JOWNER: TEL. NO: 1H4 RES RANGE HDS LT 3HP 1.00 HOO 11.00 JFI AL DATE FINAL Y: CODE: I
IWANG, YIBING (626) 286-8883- 1H5 RES WASH MACH LT 3HP 1.00 WAS 11.00
15315 BARELA AV IH7 RES EXHAUST FANS 1.00 EX 11.00
TEMP 917803243 IJB AC UNITS +3-10HP 1.00 AC 19.70 1 DEP�PTfONI OF WORK
TOTAL FEES 133.50 110 OUTLETS, A/C + FAU, GARBAGE DISPOSAL, DISHWASHER, RANGE I
IHOOD AND WASHING MASHINE
JAPPLICANT: TEL. N0:
ISAME AS OWNER _
I
I ISPECIAL CONDITIONS: I
I
I I
ICONTRACTOR: TEL. NO: i JAPPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER _
LIC. NO
(TEMPORARY POWER POLE I I I
I 1UNDERGROUND CONDUIT 1 I I
1ARCHITECT OR ENGINEER: TEL. NO: i 1UFER GROUND I I
I - _
LIC. NO: i IROUGH CONDUIT I
I I
IROUGH WIRING I
I I I
IMAIN WATER LINE 1 I
I
I
I (PLASTIC Y/N METAL Y/N I I
I
I I
1UTILITY COMPANY NOTIFIEDI I
I I I I I I
J I
I 1 I I I I
J I I I
I I I I I I
I I
I I I I I I
J I I I I
1REPORT ID: DPR265 ROUTE TO: BS0508 I I I
I I I I I
i
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0005170023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14210 LT: 9 5315 BARELA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803243
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8589-002-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
JB AC UNITS +3-10HP 1.00 AC 19.65
TENANT: TOTAL FEES 47.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
05/17/00 UT 1 '/13/00
OWNER: TEL. NO: FINAL DATEFINAL BY: CODE:
WITTE MARK A;LINDA J (818) 309-1700- c_,2_ .
5315 BARELA AV
TEMP 917803243 DESCRIPTION OF WORK
ELECTRICAL FOR NEW AIR CONDITIONING UNIT
APPLICANT: TEL. NO:
GENERAL HEATING AND AIR COND. (626) 358-0022-
1310 S. MYRTLE SPECIAL CONDITIONS:
MONROVIA, CA --
CONTRACTOR: TEL. N0: I,=:• ~~- ' ,\,..'"
GENERAL HEATING AND A, C (626) 358-0022- APPROVALS DATE INSPECTOR SIGNATURE
1310 S. MYRTLE AVE. LIC. NO TEMPORARY POWER POLE
MONROVIA, CA. 91016 469166 C20 -
i:, UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0:
UFER GROUND
LIC. N0; -- -{ J jI- ' - i 11 1 ROUG1 CONDUIT
- -` ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
-- - "' UTILITY COMPANY NOTIFIED
'-JIf=
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103030010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 14210 IT: 9 5315 BARELA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803243 I
(ASSESSOR INFORMATION NUMBER: - I I NEAREST CROSS STREET: OLIVE I
18589-002-009 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 1 I
(TENANT: IG2 LIGHTING FIXTURES 2.00 LGT 3.90 JISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 35.60 103/03/11 SR 1
(OWNER: TEL. NO: IFINAL DATE FINALY: CODE: I
IWITTE MARK A;LINDA J (626) 309-1700- I 4
15315 BARELA AV I
ITEMP 917803243 ID2SCRIPTION OF WORK
1 1ELECTRICAL FOR BATHROOM REMODEL I
1APPLICANT: TEL. NO: I 1 I
ISAME AS OWNER
I I ISPECIAL CONDITIONS:
I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
(SAME AS OWNER - I I I
LIC. NO I ITEMPORARY POWER POLE
I I I
I (UNDERGROUND CONDUIT I
I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I
_ I I I
1 LIC. NO: IROUGH CONDUIT I I
I I I
I I 1 ROUGH WIRING
I IMAIN WATER LINE �y
IPLASTIC Y/N METAL Y/N
I I I
I (UTILITY COMPANY NOTIFIEDI 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
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