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76A663-CE80610-61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERJ7'
G �/c
BUILDING AND SAFETY DIVISION / Q (ATT PITJOHN A. LAMBIE. COUNTY ENGINEERfWILLIAM A. JENSEN, SUPT OF-BUILDING Y J'
FOR APPLICANT TO FILL IN CROSS ST.
I T E M NO EACH FEE
OUTLETf!2(FIRST 20) +'7 $20 $' OWNER
LIGHTS !i RECEPT. L._ SW. MAIL
OUTLETS (ADD'L UNITS) 10 ADDRESS !1/ `I e� f
LIGHTS RU E S 20 CITY - � `� L. NO. 4 J `
_LIGHTING FIXTURES. (FIRST 20)- rL -20 f..
LIGHTING FIXTURES (ADDITIONAL) .10 ELECTRICIAN Q p/c -
RANGES' CLO.DRYERS WTR.HTRS. 1.00 ADDRESS L O V
GARB.DISP. STA COOK
CITY TEL NO.
DISHWASH AUTO.-WASH. -STATE
SPACE HTRS STA.APP.(+/i H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISJCT N GROUP ZONE P 'CESSED-BY
O f 1.00
i 3 1.50 INSPECTION RECORD r
D_
3 s 2.00 0
U
S 15 2.50
15 50 300 O
50 100- 5.00j
r a
SIGNS- NO.TRANS.
NO LAMPS
SERVICE 0.60OV-Nor OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V Soo ,
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $ L
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE
j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING nn
ELECTRICAL WIRING. WIRING
I HEREBY,CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY A GELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT A H E ER OF THE ABOVE
DESCRIBED RESIDENTIA P E POWER
SIGNATURE r UTILITY CO.NOTIFIED
OF PERMITT E
FINAL /
y�4LIDATION ARtl4UWC. VEIT �`-
^ MO CASH SUPERVISING ELECTRICAL ENGINEER
` (o 407 �` JUN 1 2 D 4.10
76AS63 DBS 5A 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
�� 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENDINEER
UM
F* �P7` tiJTIFTEL� DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN 5022 N. Wimmer
D REC 1VED BY READY FOR DATE ISSUED
Baldwin , FI T INSP CTION oe
CITYEl eet-ood-
NO. ll I L7
COUNTY LICENSE NO. �� EXPIRES ~.7d' BUILDING J�
ADORESB fir/
PERMIT FEES
NUMBER EACH FEE LOCALITY
,
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS _ Sc $� D MAIL
ELEC. RANGES 25 ADDREas
�i7 v
ELEC. HEATERS 25 CITY / TEL. NO.
.00
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC- EACH OF THE RESIDENTIAL PROP55TY DESCRIBED ABOVE.
V2 G LESS $ .25 SIGNATURE OF
V2 2 .50 PERMITTEE_,_..__,
2 s 1.00 INSPECTION RECORD
5 is 1.50
15 50 2.50
50 200 5.00 _
200 Soo 10.00 J
_ 500 1000 15.00 Z
OVER 1000 20.00 W
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (7s% OF ORIS.)
MOVED MOTORS (75% OF DRIG.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NO. APPROVALS
LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00 0
FIXTUREB $1.00 Q WIRING
SUPPLEMENTARY .50 FIXTURES
POWER J _
TOTAL FEE $ UTILITY CO.NOTIFIED
FINAL
76AS63 DBS SA 7-51 : APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY LI
COUNTY OF LOS ANGELES Cm
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT/X10. GROUP ZONE PERMIT NO.
ELECTRICIAN je S _ �-lr e
RECEIVED BY READY FOR DATE ISSUED
ADDRESS -7 FI.WT INSPECTION `S
CITY �l TEL. NO.W (
6iLm� &&W�X-e
COUNTY LICENSE NO. - 3 EXPIRES , AD BUILDING
Ld+�
PERMIT EES
RESB
PEE LOCALITY
NUMBER EACH "
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST
WALL SWITCHES OWNER ��
TOTAL OUTLETS Sc S C: MAIL �� c
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW I MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPER
T
Y
DESCRIBED ABOVE.
I/2 & LESS .25 SIGNATURE OF
%2 2 .50 PERMITTEE LLLT��G
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
_ 50 200 5.00
200 500 10.00 J
500 1 000 15.00 Q
z
OVER 1000 20.00 E3
M.G. SET/FREQ. CHANGER-HP m
WELDERS: AC-KVA 0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75,o Or DRIED.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 18 /, G 4�/f] UTILITY CO.NOTIFIED A r
/ FINAL
l�
WORKERS'COMPENSATION DECLARATION 1081 ' APPLICATION FOR ELECTRICAL PERMIT
I herr CE-806affirm that I have a certificate of consent to'self CE-8066
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec 3800, Lab C )
2t
Policy No W CoYmpany r ¢. FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS ✓t/�� ��
❑ Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY
tion department Multi-family Sq NEAREST Ft
Date Applican �+ CROSS S7
r2 � .�_ Residential Swimming Pools OWNER OR
� � � _ i - FIRM NAME YNO, Cc�,c ��..c.
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLight 5 Swq� i MAIL
COMPENSATION INSURANCE First 20 './� d ADDRESS ( a4a c::r (�,} ��.c.'r
(This section need not'be completed if the work involved by Total No�- Additional CITY d�a � Tel No _N 6
the permit is for one hundred dollars ($100)or less.) PLAN CHECK
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 d/�,y v'L
Total No — Additional 3
CITY Tel No i
Date Applicant Fixed Appliances Not Over 1 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 Z
with comply with such provisions or this permit shall be Top — FAU —W H —
deemed revokedCITY Tel No
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_
Disp _ Room Air Cond 3 LICENSE OR >, Class
I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO / d
� PROCES D Y
Size &Type
and Professions Code, and my license is in full force and.effect Power Apparatus &Large Appliances OY
q�j HP, KW, KVA, or KVAR
License Number r 1 �' Lic Class 13 Up to 1 Incl FINAL V
G �r Over ].to 10 Incl DATE VALID ION 0
Contractor Date Over 10 to 50 Incl F–
❑ FINAL
I amiexempt under Sec _ Over 50 to 100 Inc. BY W
B &P C for this reason Over 100. tan
Services, Swbd , MCC & Panelboards Z
Date 0 -200 Amp Under 600 V
Signature 201 - 1000 Amp Under 600 V
❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V ;21 8 8,0 A
SINGLE FAMILY Temp.Power Pole&Appurtenances # o o o 0 02
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits ° ° 3 5 2 5
Law for the following reason (Section 7031 5, Business and
Professions Code) • ° 0 3 5.2 5 c=i"
❑, j, as owner of the property, will do the work and the Misc Conduits &Conductors
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► o Q. 1 9 -85
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
• Lender's Address "
I certify that I have read this application and state that the TOTAL FEE 55,'�
above information is correct I agree to comply with all County
ordinances and State jaws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the above-mentioned property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
''Signature of Permittee Date
WORKERS'COMPENSATION DECLARATION -663 10/81
CE-906G APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have-a &rtificate of consent to silf insure,
or a certificate Or` Workerf Compensation Insurance, or-j'certifiept COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec,3800,Lab q) l T '
oh y No // Company �"14tle �""""4' - FOR APPLICANT TO FILL IN JOB ' O
Certified copy is hereby furnished New Residential Bldgs & Pools EACH.- NO FEE. ADDRESS �)(it�ll.l� 1/y
1 & 2-Family,Sq Ft $ — $ LOCALITY ''�
❑ Certified copy is filed with the county building inspection —
department Multi-family Sq Ft NEAREST
Date C A II . Residential wimmmg Pools s ST
CROSS
OWNER OR
Pp ''–���'''1]]] FIRM NAME
CERTIFICATE,OF,EXEMPTION FROM WORKERS' Outlets Rec�Llght Sw L MAIL-
� n
COMPENSATIOWINSURANCE,
(This section need not be,completed if_the work involved by the First 20 ADDRESS
permit is for one hundred,dollars($1CITY
0)or less.)
Total No Additional 'Q Tel No
that in the performance of the work for which this ermit PLAN CHECK
I certify P P •APPLICANT
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 [[ Applic Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT If, after making this Certificate of PERMIT (
Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D W APPLICANT 1 l�
provisions of the Labor Code, you must the
comply with such Oven _ Dryer W M ADDRESS
provisions or this permit-shall be deemed revoked• Top — FAU _ WH
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other CITY S4!�. Tel'No_
I hereby affirm that I am licensed under provisions of Chapter 9 Disp Class
Room Air Cond UCENSE OR ',�^–
(commencing with Section 7000) of Division 3„of the Business and REG NUMBER I v
Professions Code,and`my license is In full force and effect DISTRIC NO PR E SED BY
Power Apparatus& Large Appliances, _
Size& Type HP,KW,KVA,or KVAR :'r O
V
License Number Lic Class .�rUp to 1,Incl -' FINAL -'
Over 1 to 10 Incl DATE VALIDATION d'
'ContractoF Date Over 10 to 50 Incl V
FINAL
❑ I am exempt under Sec Over 50 to 100 Inc BY
B&PC for this reason Over 100 N
Services,Swbd',MCC& Panelboards Z
Date 0- 200 Amp Under 600 V
Signature 201 - 1000'Amp Under 600 V
❑ Over 1000 Amp or Over 600 V
Exemption for Reg Maint Elect
SINGLE FAMILY Temp Power Pole`& Appurtenances y
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 8
1 hereby affirm that I'am exempt from the Contractor's License Law
ACCT.4-
for'the following reason(Section 7031 5,Business and Professions Additional Sign Branch Circuits
Code) 37.30
Mlsc Conduits& Conductors❑ i ITEMS
�ht�. 1,as owner of the property,will do the,work and the structure 1 I 1 G� S
Is not intended or offered for sale (Section 7044, Business' Other•,(See Complete Fee Schedule)
and Professions Code) '
®. "TOTAL 37. 80
CONSTRUCTION LENDING AGENCY - - CHECK • 37.640
I hereby affirm that there is a construction lending agency for the
performance'of the work for which this permit is issued(Sec 3097,•-•- PERMIT FEE (Sub-Total) CHANG •Q0
Civ C)
PLAN CHECKING FEE
Lender's Name 5/22/90
PERMIT ISSUING FEE, 3
Lender's"Address ”
0840,' 1 AM 9:42
I certify that I have read this application and state that the above TOTAL FEE - 0 13
information Is correct I agree to comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authonze
representatives of this County to enter upon the above-mentioned
property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE - - .. •
SI ature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1104250037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID 1 FEES PAID
BUILDING ADDRESS I
ON FILE 1 10036 DAINES DR
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802704
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BALDWIN
18586-024-017 1A1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID. B3 LOCALITY TEMPLE CITY, Cl
JB AC UNITS +3-10HP 1 00 AC 19 70 I I
ITENANT I TOTAL FEES 47 50 (ISSUED ON. PROCESSED BY PLAN BY I
I 104/25/11 SR 1
I I
JOWNERISEOW, RICKY TEL NO 1 YNAL DATE FINAL Y CODE
TEL
674-3338- 1 1
110036 DAINES DR
ITEMP 917802704 I SCR PTION OF WORK 1
1 \ (ELECTRICAL FOR A/C UNIT
I _
APPLICANT TEL NO
1SAME AS OWNER
I
I ISPECIAL CONDITIONS I
(CONTRACTOR TEL NO-
SAME AS OWNER _ I SAME
DATE INSPECTOR SIGNATURE I
LIC NO1 ITEMPORARY POWER POLE I I I
I
I
1 I (UNDERGROUND CONDUIT I 1 I
(ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I
I -
1 LIC. NO 1 IROUC•"; CONDUIT 1 I 1
1 1 IROUGH WIRING I 1 1
I
1 I MALS WATER LINE I 1 I
1PLASTIC YIN METAL YIN I I
I
I
I (UTILITY COMPANY NOTIFIED( I I
1 1 1 -1f7s�� � I
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1 1REPORT ID DPR265 ROUTE TO BS0508 1
I I I
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS - 9701 LAS TUNAS EL 0508 0902100023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID I BUILDING ADDRESS
ON FILE 10030 DAINES DR
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802704 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1
18586-023-009 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
I ILB 200 AMP PANELS, MCC 1 00 PAN 38 85 '1 1
ITENANT I TOTAL FEES 66 60 (ISSUED ON: PROCESSED BY PLAN BY EXPIRES ON.
_ 1 102/10/09 SR 08/09/09
IOWNER TEL NO 1 (FINAL DA �I BY CODE 1
IRAMIREZ, RICK (626) 780-0100- I 1 1
110030 DAINES DR 1 I 1
ITEMP 917802704 I - IDESCRIPTION OF WORK
_ (UPGRADE SERVICE PANEL TO 200 AMP
(APPLICANT TEL NO 1 I
ISAME AS OWNER - 1
I 1SPECIAL CONDITIONS: -
I
ICONTRACTOR TEL NO 1 - - --IAPPP.OVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER -' I ! - I
I LIC NO 1 ITEMPORARY POWER POLE 1 I
I I (UNDERGROUND CONDUIT I 1
1ARCHITECT OR ENGINEER TEL NO: IUFER GROUND I
LIC NO I _ IROUGH CONDUIT
I I I I I I
- -IROUGH WIRING 1
I 1 IMAIN WATER LINE 1 1
PLASTIC Y/N METAL Y/N
(r
4( 1UTILITY COMPANY NOTIFIED
I I I I I I
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I I I I I I
I I I I I I
(REPORT ID DPR265 ROUTE TO BS0508