HomeMy Public PortalAbout9452 BLACKLEY ST_Electrical__ 76A663-CE806 3-69
APPLICATION FOR ELECTRIC L PERMIT/
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADADU 11 LD DRESS
DRSs ��•� �. ,�I�/9C/G,{ E �.
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Te,4jJ l
FOR APPLICANT TO FILL IN NEAREST CROSS 4
CROSS ST
NO EACH FEE
$ $ OWNER
RECEIPT MAIL //��
ADDRESS 7V/S12 -9-A6
,t�cl-[e 1521%LIGHT TOTAL FIRST 20 20
SWITCHOVER 20 10 CITY -lE TEL N0,��7s7
PLAN CHEC
LIGHTING TOTAL FIRST 20 2p APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U
CONTRACTOR
SPACE HTR AIR COND ADDRESS ",,sa40-
CLOTHES WASH _DISHWASH CITY 'e TEL NOo`�7 XJ
FAN_OTHER 1 00 LICENSE NO CLASS
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - I 1 QO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
-ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3 DO CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO d
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 - 50 5001 1 V
SIGNATURE f
50 - 100 10.00 •OF PERMITTE
�j— F-
1DD - SDD 1500 DISTRICT NO/j(� GROUP ZO PRO E ED U
LU
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 , D N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE `
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2 00UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 0Z ov FINAL
TOTAL FEEJOSEPH C ROOHAN
X SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK I CK M 0 CASH PERMIT VALIDATION M o CASH
4 7 21 RPR 3 0 2 D ,0 0�" F
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE %/J
76A,63_C�e" '0/72 APPLICATION R LECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
C-
BUILDING AND SAFETY DIVISION
LOCALITY
FOR APPLICANT TO FILL IN CROSS ST oGQ liY
OUTLETS FN0EACH FEE RM NAMERECEPT/O $ $ MAIL
FIRST 20 25 ADDRESS
LIGHT_ TOTAL
CITY TEL NO
SWITCH _ OVER 20 10
PLAN CHECK
LIGHTINGFIRST 20 25 / APPLICANT
TOTAL ADDRESS
FIXTURES OVER 20 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER WTR HTR APPLICANT S�/•t-� s�J
STA COOK DISP LF A U ADDRESS )2.
SPACE HTR AIR COND CITY �,v;i TEL NO 2
CLOTHES WASH DISHWASH LICENSE OR Z 1 CLASS
'/ REG NUMBER
FAN—/—OTHER Y 100 Ly �� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING W ITH 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 COU h TY AND STATE OF
CALIFORNIA OR THAT I AM THE L AL OW R OF THE ABOVE
1 — 10 300 DESCRIPED RESIDENTIA PR PE p
U
10 — 50 500
PERMIT
T
URE O
F--
50 — 100 1000 U
NO_ SED Y uJ
100 — 500 1500 t) v 9 (2�S
z
SIGN GAS =SIGN ONE CIRCUIT 500PPROVALS DATE INS CTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3 DO LAB WORK
SERVICEOVER 600VOLTS OR200AMP 10001 1 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRINGA?lf i/ �' a
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL — Vz �
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 �Q
TOTAL FEE y
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
%�-� 5 8 4 tiAPR 18 2 D 1 3.5 G A�
SEE BACK OF APPLICATION FOR COMPLETE SCH ED" '-
'6Ae�y APPLICATION FOR ELECTRIC PERMIT �.
D65�M bMSION OF BUILDING AND•SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
WM J FOX, COUNTY ENGINEER ADDRESS
CASSATT O GRIFFIN SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMTT FEES CROSS ST
NUMBER EACH FEE I
OWNER
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 140 Sit $ CITY TEL NO
ELEC RANGES 25 ELECTRICIAN
_ELEC HEATERS 25 ADDRESS WP
KW EA CITY e- TEL NO !S/�
FIXTURES 5 LICENSE NO sx_
NUMBER OF LIGHT CIRCUITS - DISTRICT NO I GROUP I ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS _��� T-cF
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
E CA. `
NEW MVD HP OVER INC EACH 7,.{ S��ITL, Cd -+d.{8.. IC-51-
I/2 a LESS $ 25
I/2 2 50
2 5 1 00 ..xA tz I r.1C_ dJ�
5 15 1 50 r�r..+ I�'1.0 �a1'"�'� ILA S..LA. + _
15 50 2 50
50 200 500
M15C
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES $100 49 10
SUPPLEMENTARY 50APPROVALS
TOTAL FEE $ 46 DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES --I`
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROP RTY.
UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION A C.VEIT,CHIEF ELECT. INSPECTOR
AC048231R JUN 17 2 2.65 '
76.4563-CE806 9-67 APPLICATIOOW�FOR ELECTRICALPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO
EACH FEE
$ S OWNER
RECEPT MAIL
LIGHT TOTAL FIRST 20 20 ADDRES
SWITCH_ OVER 20 10 CITIYEL NO
9
b
LIGHTING NOTAL FIRST 20 20 CONTRACT R O
FIXTURES OVER 20 10 ADDRESS 1D D
RANGE_ORYER WTR HTR ) / TEL NO OW4O/ (/
STA COOK_DISP F A U LICENSE NO
SPACE HTR AIR COND IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN-OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND HEATERS, ETC HP KW KVA RESIDE IN, THE ESCRIBEO RESIDENTIAL PROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 — 1 l 00 OF PERMITTE
O
1 — 10 3 00 DISTRICT NO GROUP ZONE RO ESSED BY U
10 — so 5 00 10 —1 °C
Or
50 — 100 10 00 NOTES V
W
100 — 500 F300
4.
N
TUBE OR AS SIGN AND ONE CIRCUIT
MARQUEE ADDITIONAL CIRCUITS,
SERVICE NOT OVER 600 VOLTS OR 200 AMP
SERVICE OVER 600 VOLTS OR 200 AMP
TEMP SERVICE, POLE, &APPURTENANCES
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2 00 p� a�Q WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED
PERMIT FEE UTILITY CONOT]FIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL J
TOTAL FEE D JOSEPH C ROOHAN
SUPERVISING ELEC ICAL ENGINEER I
PLAN CHECK VALIDATION CK M 0 CASH l PERMIT VALIDATION CK M o CASH
5 '3_4a4% JUL - 3 2 0 220-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663-CE806 (0`74 fl
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
.,-DEPARTMENT OF COUNTY ENGINEER ADORE
BUILDING -2-
0 �.
BUILDING AND SAFETY DIVISION
ITYEST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH I FEE OER OR N NAME u
$ $
RECEPT_ ADDRESS C_FI RST 20
LIGHT TOTAL CITY t TEL NO
SWITCH _y_ , OVER 20 1p
PLAN CHECK ,
LIGHTINGFIRST 20 APPLICANT
T TAL ADDRESS
FIXTURES OVER 20 10
RESIDENTIAL APPLIANCES clrY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY jtYZ_C,4)rV 2 TEL NO 4'1,1-
CLOTHES
•j,J CLOTHES WASH DISH WASH REGE UMBER L, CLASS C_�
FAN OTHER 100 1 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/ R
� �.. O — 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE F }.
�•i�" CALIFORNIA OR THAI AM EGAL OWNER OF THE ABO E
1 — 1O 300 DESCRIFED RESIDE T P OPE Y O
V
PERM[TEE
10 — 50 500 SIGNATURE
h—
t�
'50 — 100 1000 Ltj
FSTRCT NO PRO ED
)oo — soo 1500
�
SIGN GAS SIGN AND ONE CIRCUIT 500 PPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 POWER POLE
SERVICENOTOVER600VOLTSOR200AMP 300 LAB WORK
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT `3 —'3
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED a
FINAL /
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDAT N cK' M o CASH
650NNoll 7 2 8.00A�18
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1011030034
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 14572 LT 53 I 1 9452 BLACKLEY ST 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803140 1
(ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET
18590-008-020 IS3 ADDTNL ELECT PLAN CK 1 00 HOU 109 40 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
IA1 PERMIT ISSUANCE FEE _ 27-80 I I
ITENANT IJX MOTORS, LT 3 HP 1 00 MOT 15 40 (ISSUED ON PROCESSED BY PLAN BY
TOTAL FEES 152 60 111/23/10 SR I
(OWNER TEL NO I IFINAL DATE FINAL BY CODE
JOSEPH (818) 438-7736-
19452 BLA
19452 BLACKLEY ST I I I
ITEMPLE CITY CA 91780 IDESCR PTION OF WORK 1
I ISOLAR INSTALLATION
I
(APPLICANT TEL NO - I
ILARIOS, LUIS A (951) 347-3855- I I I
19415 BELLEGRAVE AVE I ISPECIAL CONDITIONS 1
IRIVERSIDE CA 92509 I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
(ELITE ELECTRIC (951) 681-5811- 1 1 I
19415 BELLEGRAVE AVENUE LIC NO 1 ITEMPORARY POWER POLE I I I
IRIVERSIDE CA 92509 418242 C10 I I I I I
I I (UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER _ TEL NOIUFER GROUND I I I
_ I I I
LIC NO 1 IROUGH CONDUIT
I I I
IROUGH WIRING 1
I I I
IMAIN WATER LINE I I
PLASTIC Y/N METAL Y/N I 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
IREPORT ID DPR265 ROUTE TO BS0508
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0303140026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING SS:
TR: 14572 LT: 53 9452 BLACKLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803140
ASS FSSOR 0 NEAREST CROSS STREET: ENCINITA
8590-008-020 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39 00
G2 LIGHTING FIXTURES 7 00 LGT 13.65 ISSUED ON PROCESSED BY PLAN BY:
HA FAU LESS 3HP 1 00 FAU 10 95 03/14/03 JK 09/10/03
H7 RES EXHAUST FANS 1 00 EX 10.95
OWNER: TEL. N0: LB 200 AMP PANELS, MCC 1 00 PAN 38.85 FINAL DTE FINAL BY: CODE:
CAVALERI, JOSEPH (626) 286-0085- TOTAL FEES 141.15 $- b-3 ' v
9452 BLACKLEY ST
TEMPLE CITY 91780 PT WO K
ELECTRICAL FOR REMODEL
APPLICANT: TEL NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL NO. APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECTG - I UFER GROUND
LIC. NO ROUGH CONDUIT
ROUGH WIRING 7,
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
COMPANYUTILITY OT I D q
REPORT ID: DPR265 ROUTE TO: BS0508
J COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0610090003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 14572 LT 53 9452 BLACKLEY ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803140
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET CLOVERLY
8590-008-020 Al PERMIT ISSUANCE FEE - 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 5 00 OUT 9 75
TENANT G2 LIGHTING FIXTURES 5 00 LGT 9 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 47 25 10/09/06 JK 04/07/07
OWNER TEL NO FINAL DATEEXPUM CODE
CAVALERI, JOSEPH (626) 286-0085-
9452 BLACKLEY ST
TEMPLE CITY CA 91780 DESCRIPTION OF WORK
5 OUTLETS, 5 LIGHT FIXTURES, GARBAGE DISPOSAL, DISHWAHER,
EXHAUST FAN
APPLICANT TEL NO
HAMNER (626) 572-2724-
1131 KENTON DR SPECIAL CONDITIONS
MONTEREY PARK 91775
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
CAVALERI, JOSEPH
9452 BLACKLEY LIC NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 NONE
' UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO UFER GROUND
HAMNER, MICHAEL (626) 572-2724-
1131 KENTON DR LIC NO ROUGH CONDUIT
MONTEREY PARK CA 91755 NONE
RC UGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID DPR265 ROUTE TO BS0508