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HomeMy Public PortalAbout5912 BURTON AVE_Electrical__ 76A663 GE-806 NF 15/78- APPLICATION I�®R Edt:CrRICAL PERMIT .) � . . . COUNTY OF LOS ANGELES BUILDING AND SAFETY 1 FOR APPLICANT TO FILL INS91Z N . Burton Avenue New Residential Bldgs.&'Pools - ;.EACH NO. FEE ADDRESS 1 &2 Family,Sq. Ft. $' — $ LOCALITY San Gabriel Multi-Family'Sq. Ft. — NEAREST CROSS STQJ Residential Swimming Pools OWNER OR. Burwell , David FIRM NAME Outlets:Rec_Light_Sw._ MAIL 5912 N. Burton First 20 ADDRESS Total No. Additional CITY San Gabriel Tel. No.287-91.1 PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Total No. Additional - -N � - CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT .. APPLICANT B t Oven—DryerHeater— D.W. — ADDRESS oven—Dryer — 1911 Chris Lane, Top _FAU — W.H. _ CITY Anaheim Tel. No.937-010 Hood—Fan _Other_ LICENSE OR 306562 C-20 Disp.—Room Air Cord. REG.NUMBER Class, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO Size&Type HP, KW, KVA,of KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. y 3 Up to 1 Incl. 5 D HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 Over 1 to 10 Ind. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Ind. CALIFORNIA,OR THAT I AM THE LE L OWNER OF TH ABOVE O Over 5010 100 Inc. DESCRIBED R ENTIAL PROPERTY PERIAHE Over 100 SIGtIGN E ATU 6 N Services .. . . DISTRICT NO. P ES Y ' Z 0-200 Amp.Under 600 V -� 201 1000 Amp Under 600 V - Over 1000 Amp.or Over 600 V Zdl D�a(J'r O # Temp. Power Pole&Appurtenances Q �E Sign with One Branch Circuit - C ��- X203 4.( � . bR& J Additional Sign Branch Circuits INSPECTION > INFORMATION u Mix.Conduits&Conductors W ON REVERSE x Other(See.Complete Fee Schedule)_ - u :2 6'6 2.6 A_ SIDE. z 5 # ° 2 PERMIT FEE ���[��c5p�rb�Total) 5 D 1 -7.00 PLAN CHECKING FEE ^Fbne- a-F o h Permit Feel U - p ;° ° °1 7,00c, PERMIT ISSUING FEE 2 � o TOTAL FEE > /_ > INSPECTION FI ALED �G`� ^�2� dare: B ' ©s i' y r {{L� II�� AA pp'I� L�� L[ I� I[ . q�,FL� ^ p �I ,L� I�{. ._ 76A663 CE-B&(II %.]8).. P PPI LICAII I®IV POR® EL-tiCY II' ICAC LL �I�EIf KII _ n� .••'.T COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANTTO FILL IN JOB '• �^ ^ /� ` '-t'.-<- EACH NO. - -FEE ADDRESS. 6 _a- J. a N' ' New Residen idl Bldgs.&Paols: � � -- -, '1 &2-Family;Sq. Ft: $ .025 - $ LOCALITY - .-_. ._ ,�. _-.02 ._... _ .. NEAREST Muhl-family Sq. Ft. Residential Swim in Pools . .25.00 CROSS ST. ¢iLim�c:w . . 9. . __ : _- - - OWNER:OR..., FIRM Outleis:.Rec_Ughl- Sw._ - - MAIL - r• - / p�, y Eirst 20 _ .50 ADDRESS- ,: /7 Toud.No_ =Additional '.30 CIT _Tel.,` R ,/ PLAN CHECK APPLICANT._ lighting Fixtures First 20. :50 ADDRESS - .-.. -_ Additional ._ -.30,_ _.. . _. ..- _ _.__ __._ _ -. _ .. . Total No. CITY Tel.No. ' Fixed.Appliances Not Over 1 HP. gERMIT- ��)) ��pp.�yyy��Range_Heater_DW. _— APPLICANT _ LL'L6.//� .- , Ovenryer— W.M,_ __ _ :.ADDRESS `- -- - ��d�� //Q/��rrN7N� LJ Top _FAU —W.4. -_. - - CITY. RL1T -,._ _-_,Tel,_6 43 �Hood_Fan"____Other— LICENSE OR. q Dlsp.,—Room Air Cond., _ 2'S0 - _ REG.�NUMBER. I HEREBY ACKNOWLEDGE THAT,I HAVE READ THIS APPLICA Power Apparatus&Large Appliances, TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type COMPLY-WITH-ALC­COUNTY-ORDINANCES'AND-STATE'CAWSI Y ype HP,�KW, KL,E . •KVAR 2,50 REGULAT INGELECTRICAL WIRING, ' O Up to-1 Ind. -1 HEREBY-CERTIFY THAT["AM PROPERLY'REGISTERED'ANDIOR' Over 1 to 1.0 Incl. 5.00 LICENSED AS REQUIRED BY LOS'ANGELES COUNTY AND,STATE OF _ U' 0 - -- Over-I0 to 50 Inch _- .12.50, _ _ CALIFORNIA OR THAT 1 AM-THE.LEGAL_OWNER OF THE-ABOVE. 25.00 _ DESCRIBED-RESIDENTIAL PROPERTY. E.. Over 50 to IOD-Inc. _ __„PERMITEE 40.00 lUL - _ Over 100- -” SIGNATURE Services:-- P Z 0 200 AmpDISTRICT•NO..'Under 600 V. 12.50 t. ESSE Y_ �:..ems• r✓ 201 x1000 Amp.'Under 600V- " -'25.00 - - - --J--- - ---- - •^^'Y----- 50.00 '~— ,Over 1000 Amp,or Over 600 V 1 LSO '� C S✓ Temp. Power Pole&Appurtenances Sign with One Branch Circuit - 10.00 _ - AdditionalSignBranchCircuits '• 2'00 _ INSPECTION _ . INFORMATION u Misc.Conduits&Conductors 10.`00:. _ - - QN.REVERSE_-. ,__ . Other(See Complete Fee Schedule)_ __ SIDE - - IT PERMIT.FEE (Bub-Total). ro-'1 9.50 Z I PLAN CHECKING FEE (One Fourth Permit Feel O S0 x _ . _ ee19,' � PERMIT ISSUING FEE $7,00 tit OR22-, 79 TOTAL FEES., • INSPECTION FINALED e date: ��a/�/� By . WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT ll I hereby affirm that I have a certificate of consent to self insure, 6A663 or a certificate of Worker's Compensation Insurance, or acertified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.-3800 Lab. C.) ' Policy NO. Company FOR APPLICANT TO FILL IN JOB ❑n ADDRESS •r Certified copy'is'hereby furnished. New Residential Bldgs:&Pools NO. EACH .FEE +,. - _ $ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. department. MultifamilyS Ft. NEAREST P 1 Y 4 GROES SL 6SA Date "P' Applicant Residential Swimming Pools ASSESSOR moi/ MAP BOOK �p(� PAGE PARCEL OJ r CFRT IFICCO MOP ENSAT ON WSUROANCEORKERS; Outlets:Far. Light Go. -•U OWNER OR FIRM NAME eG First 20 MAIL (This section need riot be co mp feted if the work involved by the Total No.JL� Additional ADDRESS 5 permit'is`for one hundred dollars(5100) or less.) I certify th atein thle pe rfo rm an ca of the work far which this permit CITY J L Tel.No. IS 'I sa U ad, I Shall not smp l Oy any-PeISon 'In any ma00e r's0 as to - PLAN CHECK �T become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional d • •' ADDRESS Date Applicant ..RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT: It, 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 `r •LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm'that I am licensed underprovisions Of Chapter 9 Over 3 to 10 Ind.(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. LICENSE OR } Close. Over 5010100 Inc. REG.NUMBER d License Number Lic.Class Over 100 DISTRICT NO. PR SSED BY O V '- Services,Swbd.,MCC•&Panelboards ,D (� (_.J T_ 0-399 Amp. Under 600 V FINAL O Contractor Date DATE ❑ I am exempt under Sea 400- 1000 Amp.Under 600 V _ ~ - Over 1000 Amp.or Over 600 V FINAL VALIDATION W BAP.C.for this reason BRANCH CIRCUIT FEES BY W Date: - 15A,.or 20A.120V,.Lighting or Recept: r Z_ Signature - 1 To 10 Branch Circuits G 11 To 40 Branch Circuits ❑_ 41 Or More Branch Circuits _ Exemption for Reg..Mairit. Elect. 15A,20A,208V To 277V Lighting.Br.Circuits- SINGLE ircuitsSINGLE FAMILY _ 2 Temp. Power Pole&Appurtenances ..._._ .. _. ..__...._ HOME OWNER.BUILDER DECLARATION Br with Oneanch Circuit I.hereby affirm that I am exempt from the Contractor's License Law Sign w for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits - 331)7 41 � - .r Code): - . I, as owner of the property,will do the work andMiscConduits&.Conductors the structure --, isnot intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ © I OTAL 4 Q5 and Professions Code). v-- CONSTRUCTION LENDING AGENCY CHECK 't1. _ w I hereby affirm that there is a construction lending agency for the CHANGE ....- °UU performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) _- -- - ' "- Civ.U.) ' PLAN CHECKING FEE _ 0000-0001 2/19/9'3 _ .Lender's Name -- -- -- - PERMIT ISSUING FEE a6� 8726 - 1 itN10:$J Lender's Address I certify that I'have read this application and under penalty of purjury state TOTAL FEE 7 /, 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 th' County to enter upon the above-mentioned property - for inspection p es. SEE REVERSE FOR EXPLANATORY LANGUAGE / •o v SIGNATURE OF PERMITTEE OAT WORKER'S COMPENSATION DECLARATION 200019 DPW(12-91)6A663 APPLICATION FOR ELECTRICAL PERMIT IJ I hereby affirm 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 thereofi 3800 Lab.,C.)A - - - Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑' 'Certified copy is hereby furnishetl. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY . ❑ - '.Certified copy is.filed with the county building inspection 1 &2-Family,So:Ft. — $ $ J . ,de artment. Multi-famil S Ft. NEAREST' r.. . p Y 9 — CROSS ST. Date - Applicant Residential Swimming Pools ASSESSOR e �/� MAP BOOK �� :1 PAGE �1> PARCEIQWr v •�,CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rea SG Light_44 Sw._-!P� OWN NAOR COMPENSATION INSURANCE FIRMFirst 20 (This section need not be completed if the-work_involved by the / MAIL permit is for one hundred dollars(Stool or less.) Total Na / Additional ADDRESS Oiler V certifythat in the performance of'the work for which thi,permit CITY - Tel.No. is issued, I shall not employ any person in any manner so as to - PUN CHECK become.subject.lo the Workers' Compensation Laws. .. Lighting Fixtures .First 20 O APPLICANT • Total No. Additional. ADDRESS Date -" - -- •-- Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. 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. pro6slons Of. Labor Code, you must forthwith comply.With such - - PERMIT [he provisions or this permit shalt be deemed'revoked, Power Apparatus&Large Appliances APPLICANT I . - LICENSED`CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind. - (commencing with Section 7000) of Division 3 of the Business and - CITY' Tel.No ProfessionsCode, and my license is in full force and effect. Over 10 to 501nc1. LICENSE OR Over 50 to 100 Incl. REG.NUMBER Class. d License Number LIC.Class Over 100 DISTRICT NO. ! P�iSED BY O Services,Swbd., MCC&Panelboards - - .�• E.-6L- L�-G.��J CL Contractor Date 0-399 Amp.Under 600 V - DIANE 0 ❑" - 400-1000 Amp.Under 600 V O _ VALIDATION W I am exempt under Sec. Over 1000 Amp,or Over 600 V FINAL - - -B.&P.C. BRANCH CIRCUIT FEES for this reason BY � ' - Date: -15A,or 20A, 120V,Lighting or Recept. - . - Z_ - 1 To 10 Branch Circuits Signature it To 40 Branch CircuiIS ❑ - 41 Or More Branch Circuits Exemption fair Reg. Maint.Elect, 15A,20A,208V To 277V Lighting Br.Circuits _ - SINGLE FAMILY Temp.Power Pole&Appurtenances HOMEOWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 3350137 Code): _ I, as owner of the property, will do the work and the structure ISI Misc.Conduits&Conductors - - L !TENS' �C]t. Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL �� m�� and Professions Code). D _ - ev _ CONSTRUCTION LENDING AGENCY _ _ _ CHANGE at�fl I hereby affirm that.there is a construction lending agency for the w performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) -^- - - ---- Civ. C.) _ ' PLAN CHECKING liiJi}I}-QIJl�1 l ei 1/97` Lender's Name FEE PERMIT ISSUING FEE - 0823 1 Art. 1i Lender's Address - - - - -- _ - -- Icertify 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 inspection eel s. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTER D ` COUNTY OF LOS ANGELES TEMPLE CITY V 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0404090040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: LEGAL ID: - FEES PAID BUILDING ADDRESS: TR: 5903 LT: 99 'UN: .003 5912 BURTON AV N FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752630 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5386-014-054 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 31.00 OUT 53.85 TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H7 RES EXHAUST FANS - 2.00 EX 21.90 04/09/04 VG 10/06/04 TOTAL FEES 113.25 OWNER: TEL- N0: - FIL ^FINAL BY: CODE: TRAM KI EN H;NGO CAROLYN (626) 451-0336- � / 5912 BURTON AV SGAB 917752630 DE GRIP ION OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. NO: T B CONSTRUCTION (626) 675-1119- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS - DATE INSPECTOR SIGNATURE T B CONSTRUCTION (626) 675-1119- 520 N. MOORE AVE. LIC. NO TEMPORARY POWER POLE MONTEREY PARK, CA 91754 746963 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND ZHANG, RU-JIAO (626) 233-6640- 7220 N ROSEMEAD BLVD LIC. NO: ROUGH CONDUIT STE 202-8 C43767 SAN GABRIEL, CA 91775 - ROUGH WIRING MAIN WATER LINE 2z PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508