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HomeMy Public PortalAbout5026 DALEVIEW AVE_Electrical__ OBS SA 25M SETS 7-47 DEPARTMENT OF BUILDING AND SAFETY APPLYCATION FOR PERTP IT t-14rr COUNTY OF LOS ANGELES �-I LEC I RIC WM, J. FOX CHIEF ENGINEER - z NAME U , DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS /Z/IT�/. U 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