HomeMy Public PortalAbout9024 CALLITA ST_Electrical__ 76A663 CE BO6P 10))7 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB t
BUILDING AND SAFETY DIVISION ADDRESS GZ CAL1./%/q
FOR APPLICANT TO FILL IN LOCALITY �i/�/n(.b.. �)J"7'
New Re3idenliol Bldgs.&Pools EACH NO. FEE NEAREST
I &2 Family,Sq. Ft. $ .025 — $ CROSS ST. QSt-".✓JH74'b
OWNER O2
MUI)ifomily Sq.Ft. .02 — FIRM NAME /4S DYSA,.e-T
Residential Swimming Pools 25.00 MAIL _
ADDRESS 9b0YE
Outlets:Rec Light_Sw. _ CITY ep)�'(C_r-Ln/7,� Tel. No.
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Gghtinq Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLI ANi ItIO&457
Fixed Appliances Not Over I HP ADDRESS /;LT - T�p�.r/�}- Pe—
Range—Heater_D.W.— CITYA"r— Tel.No. _b
Oven _Dryer—W.M._ ��,�
Top —FACT —W.H._ LICENSE REG
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE.
Disp. _ Room Air Cone. 2'50 THAT THE ABOVE 15 CORRECT AND AGREE 10 COMPLY WITH ALL COUNTY ORDIN.
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances"' '-
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM >
Up lO l lnd. 2.50 THE LEGAL OWNEROF TH 70 E DESCRIBED RE ID EN PROPERTY. d
Over 1 to 101nc1. 5.00 v
Over 10 to SO Incl. 12.50 PERMITTEE IY
SIGNATURE
Over 50 to 700 Inc. 25.00 v
Over 100 40.00 DISTRICT NO. P OCE BY ti
Services
0-200 Amp.Under 600 V 12.50' 21INSPECTOR'5
201 1000 Amp.Under 600V 25.00 APPROVALS D E SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances
10.00 _
Sign with One Branch Circuit
10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2'00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedules POWER AUTHORIZED y
UTILITY CO.NOTIFIED .
FINAL I
PERMIT FEE . (Sub Totall NOTES
PLAN CHECKING FEE (One Fourth Perma Feel
PERMIT ISSUING FEE $7.00 '7,6y((-7�
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO �� CK. M.O. CASH
� 495Q�:MAY 18 2 D 1. 9:5DLag
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
' 1
51
DBS-5A APPLICATION FOR ELECTRIC PERMIT '
7GA663
II-ss
DIVISION OF BUILDING AND SAFETY
Dep. Ent OI County Engineer BUILDING , 11,o
II �1 ��y e.// T
C011nty OS L08 Angeles ADDRESS 66 L C.[C6�GLiTL _
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN. BUP'T oP BUILDING LOCALITY ..^, 4/O`
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEESc OSS ST. fLP -i
NUMBER
IS OWNER
LIGHT OUTLETS MAIL /8
RECEPTACLES ADDRESS /�' j,_ ,
WALLSWITCHES FEE CITY /LC TEL.
11) TOTAL OUTLETS ® 5¢ S ELECTRICIAN
ELEC. RANGES 25
ADDRESS
ELEC. HEATERS 25
KW EA CITY NO.
STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NO. GROU I/� I ZONE READY FOR INSPECTION
NUMB HORSEPOWER FEE I
NEW 1 MVD, HP OVER INC. EACH
Y2 S LESS s .25 INSPECTION RECORD
-- 1/2 - 2 .50111
2 5 Loo
5 15 1.50
15 50 2.50
50 200 5.00 oA/
b✓F_,zf e-RD EE4,61 l,'F_S
3 z r- r� f Yro N,.o P7aF zuA✓
NO. SIGNS NO.TRANS. D SFR /�SYFIa'O
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING 81.00 1
FIXTURES 81.00 e / T) ,CYT-WA-7,6:1? PJ,i9W,0,0
SUPPLEMENTARY ,50
G�Ce6GG6f✓YAPPROVALS�$,�SaME Rosi .,�
�. TOTAL FEE 8 DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONA rkti
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITWITH ALL L�7 �/yp'/N
ELECTRICALWIRING.OUNTY ORDINANCES AND STATE LAWS REGULATING WIRING -f L�S�f ///AY)ZI - i Y
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES 7 �,2`� 7 �'JI� i�%�!.//
'LICENSED AS REQUIRED BY LOS ANGELES NTY AND STATE OF
CALIFORNIA OR THAT pM THE LEGAL ER OF THE ABOVE POWER
DESCRIBED RESIDENT AL PROPE TY.
SIGNATURE �I�ir UTILITY CO.NOTIFIED
OF PERM ITTEE FINAL Z'd�S'7 /° ui A.P�
JOHN A.LAMBI E.COUNTY ENGINEER VA MATIQN,, ARTHUR C.VEIT,CHIEF ELECT. INSPECTOR
CK MO OABH
! 1 7 9 5 ' a;T29 2 2.60 SI
m
erg
76Afi63 CE 806R Ib/J] APPLICATION VORILECTRICAL PERNT
COUNTY OF LOS ANGELES
DtPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS VZ �L�' Z Eri
FOR APPLICANT TO FILL IN LOCALITY �- .� �. 6 via
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
I &2 Family,Sq. Ft. $ .025 — $ CROSSST.
OWNEROR
Multi-fomily Sq. Ft. .02 — FIRM NAME y 1.J
Residential Swimming Pools 25'00 -MAIL
ADDRESS �Z (� r`•
Outlets:Rec Light—Sw. - 6A A10,j etTel. Not&,i Z.
First 20 .50 .PLAN CHECK CI C
Total No. Additional .30 APPLICANT �OCJ I c3.
ADDRESS �(O V^
jil
Lighting Fixtures First 20 .50 CITY &.l Tel. No. 2�5-u6
Additional .30 PERMIT
Total No. APPLICANT
Fixed Appliances Not Over I HP ADDRESS
Range—Heater_D.W._ CITY Tel.No.
Oven _Dryer_W.M._
ICENSE OR
Top —FAU _WH._ REG.NUMBER �E-..Lr�d2 Class.
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION.APOSTATE -
Disp. _ Room Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH-ALI COUNTY ORDIN-
_ - - - — ANCES AND ST LAWS LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM 'r
Up tot Intl. 2'50 THE LEGAL OWNEROF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. d
Over 1 to IO Incl. 5.00 - w
Over 10 to 50 Ind. 12.50 PERMITTEE s
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 40.00 DISTRICT C E D BY d
Services Z
0 200 Amp.Under 600 V 12.50 INSKCTOR'S
201 1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V - 50.00 TEMP. POWER POLE /'
Temp. Power Pole&Appurtenances
10.00 UNDERSLAB WORK r-�j/�g ��y^.'•-ti
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedulei POWERAUTHORIZED ,� •d F,�,/
UTILITY CO.NOTIFIED if ?
FINAL f /�
PERMIT FEE ISuh�Torall NOTES .O Z 7� 06'ei tl'j& LJ1—, C/. L. e
PLAN CHECKING FEE (One-FounhPermit Feel
PERMIT ISSUING FEE $7.00 12
TOTAL FEE 3z-
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
—"f,e a'e'L rrt�[M J_"
6 0 24 2 U 3 2.0 0 A!�3
5EE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKERS'COMPENSATION DECLARATION ]6`8663 IQ/8I
I hereby affirm that I have a certificate of Cori'sent io self CE-8066 "�--""�7� APPLICATION FOR ELECTRICAL ��11'IItlY��
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES / C BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, L b C.)
P❑ohcy No. mpany FOR APPLICANT TO Fltl IN JOB
ADDRESS O
�-�5 Certified copy is hereby furnished New Residential Bldgs.,8 Pools EACH NO. FEE
ryy Certified copy is filed with the county building inspec- 1 8 2=1amily, Sq. Ft. $ —Is LOCALITY
'l" '
tion department. Multi-family Sq. Ft. NEAREST
r�1yCROSS ST.
Date�!J l7 f?Applicant �\ ' ' Residential Swimming Pools OWNER OR
FIRM NAME .L
CERTIFICATE OF EXEMPTION FROM WORKERS' _ Outlets: Rec�Light�Sw.� / f 'MAIL -
COMPENSATION INSURANCE First 20 ' J ADDRESS
(This section need not be completed if the work involved by Total No. Additional "O CITY Tel. No.
the permit is for one hundred dollars ($I00)or less.)
I certify that in the performance of the work for which this P ANCCAHE K
APPpermit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional -
CITY Tel. No.
Date Applicant Fixed Appliances Not Over I HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT
Exemption, you should" become subject to the Workers' Range_ Heater_D:W. —
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer W.M._ ADDRESS
with comply with such provisions or this permit shall be Top _ FAU I W.H. — ' 110106-, 41nAtl A"
deemed revoked. Hood Fan . _ Other— CITYTel. No
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm.thatt am licensedunder provisions of Chapter 9 - -Disp. -_ Room Air Cond. - - REG. NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business - DISTRICT NO. PROCE ED BY
and Professions Code, and my license is in full force and effect Power Apparatus 8 Large Appliances r 6 - 6
n q Size 8$Type HP, KW, KVA, or KVAR' J\ O
License Number.;2A Lic Class Up to I IncL FINAL V
K. C/"' W t O_( �_¢l� Over I to TO Incl. D TE ('� .Z !�/� VALIDATION 9
Contractor, .✓/cell-,A14-le Date v Over 10 to 50 Incl.
�/ gy AL w
❑ V
I am exempt under Sec. Over 50 to 100 Inc. `y-
B.BP.C. for this reason Over 100 W
Services, Swbd., MCC.B Ponelboards e - ?
Date: 0 -200 Amp. Under 600 V •J
Signature 201 - 1000 Amp. Under 600 V
F] Exemption
1000 Amp. or Over 600 V
Exemption for Reg. Main. Elect. /
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit :F 6 0 3.2 A
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and
Professions Code):
❑ - .Q.e s 5 i
opo o s5 I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors Gv
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D '(•Q•� - '
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I 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
PERMIT ISSUING FEE Sd ,
_Lender's Address r
I certify that I have read this application and state that the TOTAL FEE
above information is correcl. 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 ab e-mentioned property,for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of :04
ittee Date
DEC
TION
76A66
WORKERS'that
t I have
a certificate
cafe of corse CE-806 10/8I APPLICATION FOR (ELECTRICAL PERMIT
her96y affirm that I have a certificate of consent to self CE-9066
insure, or o certificate of Workers',Compensotion Insurance, COUNTY OF LOS ANGELESBUILDING AND SAFETY
or a certified copythereof (Sec 3800, Lab. .)
Policy No. 6/ ompan FOR APPLICANT TO FILL IN JOB
ADDRESS 2� L
Certified copy is hereby furnished New Residential Bldgs. 8 Pools EACH NO. FEE s
114
— Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY
T tion department. / Multi-family Sq. Ft. — 'NEAREST
Residential Swimming Pools CROSS OWNER OR
Date/ 7!/ YI ApplicantK b^J" �i��1--�iO�Q��
FIRMNA
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION'INSURANCE Outlets: Rec_Light $w. MAIL
This section need not be coin leted if the workirvolved b First 20 ADDRESS
-
( P T Total No. Additional CITY PLAN Tel. No
the permit is for one hundred dollars ($100)or less.) CH
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
Total No. Additional
CITY Tel. No.
Date Applicant Fixed Appliances Not Over I HP PERMIT
NOTICE TO APPLICANT: If, after making,this Certificate of APPLICANT
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 -_
,_ Room AirCond.- -REG
. , ... . — -- - - . -. Class.
= I.hereby affirm lhabl-am licensed underprovisionsfbf Chapter 9" _Disp.
— . NUMBER
(commencing with Section 7000) of Division 3 ofrhe Business DISTRICT NO. PROCES ED BY
and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances d
✓ , ]�� r � Size 8 Type HP, KW, KVA, or KVAR' I O
License Number % (l Lic,ClasS U
��`�/J / 7 _�_ Up to I Incl. FINAL
Convector ""'� Date J__[__`.,,,94 Over 1 to 10 Incl. DATE ,t Z . �� _ VALIDATION O
❑ I Over 10 to 50 Incl. FINAL �•`• U
1 am exempt under Sec. Over 50 to 100 Inc. BY S
B.&P.C. for this reason Over 100 W
Date: Services, Swbd., MCC'& Ponelboords D
0 - 200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V 7 2,3 2 P
SINGLE FAMILY Temp..Power Pole& Appurtenances r} e e e•e o 'Z
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit e o �'']„5 Q
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits
Low for the following reason (Section 7031.5, Business and to 0 0 7�5 0
Professions Code):
❑ I, as owner of thep p ert ro will do the work and the Misc. Conduits &Conductors
a Other See Com tete Fee Schedule D 11:3 0-8 3
structure is not intended or offered for sale (Section ( P )— '
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY ..
I 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
PERMIT ISSUING FEE Q '
_Lender's Address
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 au orize representatives of this County to enter upon
the abov mentioned property inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of P uee ate
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1305060026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
(ITR: 12522 LT: 9 1 9024 CALLITA ST
FEE DESCRIPTION: QUANTITY: POM: AMOUNT: SGAB CA 917752006
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET-
15382-011-003 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: Hl LOCALITY: TEMPLE CITY CA1
IP2 PC RES PVIIOKW 153.90
I TENANT: IP3 INVRTR RES PV<10KW 27.90 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 209.60 105/06/13 SR
TOWNER: TEL. N0: iFAL DATE FINAL BY: CODE:
DYSART MYRNA E;ALMSTADT SYLVIA M (626) 286-8829-
9024 CALLITA ST
ISGAB 917752006 ESCRIPTION OF WORK 9
ROOF MOUNTED 6.13 KW DC SOLAR INSTALL OF 25 PV PANELS S 25
IMICROINVERTERS
1APPLICANT: TEL. NO:
IJACQUES, HAMZAH (951) 300-0768-
13080 12TH STREET SPECIAL CONDITIONS:
IRIVERSIDE CA 92507
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
ISO LARMAX RENEWABLE ENERGY PROVIDER, (626) 965-4286- 1
13080 12TH ST LIC. NO TEMPORARY POWER POLE
IRIVERSIDE CA 92507 972048
1UNDERGROUND CONDUIT
1
ARCHITECT OR ENGINEER: TEL. N0: JUFER GROUND
LIC. N0: IROUGH CONDUIT
IROUGH WIRING
I
(MAIN WATER LINE
IPLASTIC YIN METAL YIN
1UTILITY COMPANY NOTIFIEDI(- ,
v 1
I II I I 11 I
I II I I �I I
1 I I I I
I I I I I
II I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508
I1 I I I I I
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403110008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: - FEES PAID BUILDING ADDRESS:
TR: 12522 LT: 9 ,. - 9024 CALLLTA STI
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: SGAB CA 917752006
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD BLVD
5382-011-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 17.00-OUT.._,. 33.15 -
TENANT: G2 LIGHTING FIXTURES' 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 72.60 03/11/04 VG 09/07/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
DYSART MYRNA E;ALMSTADT SYLVIA M (818) 286-1258- A�1���/
9024 CALLITA ST I" f (� �Fy
SGAB 917752006 DESCRIPTI N OF WOR
ELECTRICAL FOR LIVING ROOM EXTENSION
APPLICANT: TEL. N0:
KEPLER (562) 691-4920-
1940 KANDLA RD. SPECIAL CONDITIONS:
LA HABRA HTS. 90631
CONTRACTOR: - TEL- NO: APPROVALS DATE INSPECTOR SIGNATURE
KEPLER, JAMES (562) 691.4920-
1940 KANDLA RD. LIC. NO TEMPORARY POWER POLE
LA HABRA HTS, CA 90631 2950668
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: SS0508