HomeMy Public PortalAbout5026 DALEVIEW AVE_Electrical__ OBS SA 25M SETS 7-47
DEPARTMENT OF BUILDING AND SAFETY APPLYCATION FOR PERTP
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COUNTY OF LOS ANGELES �-I LEC I RIC
WM, J. FOX CHIEF ENGINEER
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NAME
U , DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS /Z/IT�/.
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G CITY TEL.NO. RECEIVED BY READY FOR FIRST INSPECTIONCOUNTY 03�,V
DATE ISSUED
M CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB s�
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS /s
NEAREST l__
LIGHT OUTLETS SW_ PLaGlFI.1ROSS ST.
CIRCO A B. C D E FJr. NAME m, o
MAIL ppAR ���e
AODRESS✓ �O O !a+
CITY L.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
1
' ELECTR CIAN.
1 AM THE LEGAL OYlN6y OF THE P B ERTY ESCRIBED
ABOVE
OWNER. /
9 CORRECTIONS
_ J
Q
2
D
R
TOTAL 13 6
NO. OF OUTLETS '(/ $ APPROVALS
NO. OF FIXT❑RES DATE INSPECTOR'S NAME
r/
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
M•ISCELLANEOU3 $ �c POWER
PERMIT FEE $ rfJ UTILITYCO.'NOTIFIED
TOTAL FEE FINAL ' -
76A663'DBS 5A 7-51 APPLICATION FOR PERMIT
meDEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �IffElc Irm n I
- WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
.p 3
ELECTRICIAN /1 /� �1 V✓/� Y
RE IVED BY READY FOR DATE ISSUED
ADDR ESB �{..�� � � ,S � �(gJ.�./.,�T/`S FIRST INSPECTION
CITY _ TEL NO!/ (/C/
COUNTY LICENSE NBUILDING '
PERMIT FEES AD°RE8IS so G /7 All EV/r w
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS BY.
RECEPTACLES
WALL SWITCHES O OWNER �1
TOTAL OUTLETS 7 SO $ Q MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS (� 25 CITY TEL. NO.
FIXTURES / 5 !S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. T APPLICATION AND STATE THAT THE ABOVE 15 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS ICERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
Nunleeq HORSEPOWER FEE ANGELES COUNTY LICENSE, ORA
AM! THE LEGAL OWNER
NEw MVO. HP OVER IHC. EACH OF THE REST DENTAL 5.RRO/PERTY DESCRIBED ABOVE.
I/2 A LE55 $ .25 SIGNATURE OF
I/22 .50 PERMITTEE
2 5 I.OG INSPECTION RECORD
_ 5 is 1.50
5 so 2.50
SO
200 5.00
200 500 10.00 J
500 1000 15.00 Z
OVER 1000 20.00
M.G. BET/FRED. CHANGER-HP d'
WELDERS: AC-KVA O
GENERATORS - KW _
TRANSFORMERS - KVA
TEMP. MOTORS (75% DF DRio.)
_ MOVED MOTORS 05% OF OR.O.) _
MISC.
SIGNS
NO. NO.TRANS. i
NO. NAPPROVALS
O. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: -
I WIRING $1.00 00CONDUIT
f RING JZ WIRINGY�'--
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED
I_ FINAL ' 11
WORKERS COM11PENSATION DECLARATION ,
CE-806G (2801 .APPLICATION FOR ELECTRICAL PERMIT {�
CE-806LI
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES �. BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance.or
�a�ef�ppp ed py�t thereof(Sec:3800,
FOR APPLICANT TO,FILL IN JOB 5oaco
Policy No. o p y EACH NO. FEE ADDRESS
p.� New Residential Bldgs. &Pools
Certified copy is.hereby furnished. d / 1 &2-FamilY.Sq. Ft: $ • — $ LOCALITY Te ) .
Certified coMulti-family Sq. Ft, — NEAREST
fGJyr.�' py E filed with the county building inspection CROSS ST
T` 'department. Residential Swimming Pools OWNER ly CC
OF NAME V ) YI
Date licant ,f�' �• Outlets: Rea_Li9ht Sw. MAIL
Firsi,20 ADDRESS til N. G Ue t.J
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. AdditionalCITY �)'� e No. 57 •Q
COMPENSATION INSURANCE
PLAN CHECKCL
(This section need not be completed if the work involved APPLICANT O
Fixtures . First
by the permit is .for one hundred(dollars (5100) or less) Lighting � ADDRESS '
Total No. Additional - O
1 certify that in the performance of the work for which thisCITY Tel No.
Fixed Appliances Not Over 1 HP h
permitis issued, Ishallnot employ any person in any manner - PERMIT W
subject as to become subjeect to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT r a•
Oven _ Dryer_W.M. ADDRESS
Date" Applicant Top _ FAU _W.H.. .
Hood_ Fan _Other_ CITY Tel No.
.NOTICE TO APPLICANT:If, after making this Certificate of Disp. _ Room Air Cond._ LICENSE OR
Exemption, you should become subject Co the Workers' REG.NUMBER ss C"
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P ES D BY
with comply with such provisions or this permit shalt be
deemed revoked. Size&Type HP,KW, KVA,or KVAR �®
Up to 1 Incl. - J
Over 1 to 10 Incl. FINAL
LICENSED CONTRACTORS DECLARATION VALIDATION
Over 10 to 50 Incl, -
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
BY
9 (commencing with Section 7000) of Division 3 of the Busi-' Over 100
ness and Professions,Code. and my license is in full force and .,
v
effect. Services
0-200 Amp. Under 600 V F_
License Number Lic. Classy �C 1 201-1000 Amp. Under 600 V L ..
Contractor 'Date— -�1-'1--.I—y� .Over 1000 Amp.or Over 600 V — 2581 A ,
HOME OWNER-BUILDER DECLARATION Temp. Power Pole& Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi, Additional Sign Branch.Circuits ? o o 5(Yness and Professions Code): '
Misc.Conduits& Conductors o ee
1, as owner of the property, will do the work and the Other (See Complete Fee Schedulel— '2 3, 5 0 E
structure is not intended or offered for 'sale (Section Q 1 —82
7044, Business and'Professinns Code). � _
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction,lendingagency
for'Che performance of the work for which this'permit is i '
issued (Sec-'3097,Civ.C.). PERMIT'F EE (Sub-Total) 5- Ct
Gender's Name PLAN CHECKING FEE (One-Fourth Permit Feel
Lender's Address PERMIT ISSUING FEE -
I certify that I have:read thisapplication and state that the TOTAL FEE. qtJ -
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 purposes.
SEE REVERSE FO 'EXPLANATORY LANGUAGE -
.' Signature of Petmittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1211090022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE: (626) 285-0486 EXT:
ILEGAL ID: _ FEES PAID BUILDING ADDRESS:
ITR: 14020 LT: 16 5026 DALEVIEW AV
I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803519
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GRAND 1
18574-007-016 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI
I IFI 120V, 15/20A SR CKTS 1.00 BR 17.30
ITENANT: IF2 208, 277V LOT BR CKT 1.00 BR 27.30 (ISSUED ON: PROCESSED BY: PLAN BY:
'LN OTHER PNL 0-399 AMPS 1.00 PAN 38.90 111/07/12 SR
I IP2 PC RES PVQOKW 153.90 1
GARRISON,
TEL. NO: TOTAL FEES 265.20 iP�k �9%EFINAL BY: CODE:
GARRISON, HILDE (626) 827-9710— I/J FINAL
B
15026 DALEVIEW AV
1TEMP 917803519 D SCR PTION OF WORK
INSTALL (19) ROOF MOUNTED PV SOLAR PANELS, (19) MICRO—INVERTI
I 1ERS (1) SUB PANEL (1) AC DISCO AND CONNECT TO EXISTING MAIN
(APPLICANT: TEL. NO: I ISERVICE PANEL
ILEBEAU, DAN (949) 872-5658— 1 1
1310 PALM ST UNIT A - ISPECIAL CONDITIONS:
9REA CA 92821 1
F
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
(CERTIFIED SOLAR PROS INC (949) 872-5658-
1310 PALM STREET LIC. NO (TEMPORARY POWER POLE
1UNIT A 934858
IBREA CA 92821 1 1UNDERGROUND CONDUIT
1
ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND
LIC. NO: IROUGH CONDUIT
ROUGH WIRING
I
I I eI MAIN WATER LINE
PLASTIC FIN METAL Y/N
(UTILITY COMPANY NOTIFIEDI
1111 I (1111 IMI I I
1 I I I I 11
I I I I I 11
I I I I I I
I I I I I I
II 111 111 II I
1* ADDITIONAL DATA ON FILE
I I I I I I
I I I I I
REPORT ID: DPR265 ROUTE TO: BS0508
I I I I I I
C�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0509190029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGADDRESS:
TR: 14020 LT: 16 5026 DALEVIEW AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803519
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8574-007-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 - LOCALITY: TEMPLE CITY, C
F1 120V, 15/20A ER CKTS 2.00 BR 34.50
TENANT: HA FAN LESS 3HP 1.00 FAU 10.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
JB AC UNITS +3-10HP 1.00 AC 19.65 09/19/05 JK 03/18/06
TOTAL FEES 92.85
OWNER: TEL. NO: PI L DAT FINAL B CODE:
GARRISON (626) 827-9810-
5026 DALEVIEW AV
TEMP 917803519 CAI PION OF WORK
NEW SERVICE PANEL.100 AMP 6 ELECTRICAL FOR A/C
APPLICANT: TEL. NO:
R D SMITH HEATING AND AIR . (626) 334-7847-
850 W. FOOTHILL BL SPECIAL CONDITIONS:
AZUSA, CA 91702
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
R D SMITH HEATING AND A, C (626) 334-7847- '
850 W. FOOTHILL BLVD. LIC. NO TEMPORARY POWER POLE
AZUSA, CA 91702 635348/C20 -
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: ES0508