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HomeMy Public PortalAbout4825 DOREEN AVE_Electrical__ r COUNTY OF LOB ANGELES APPLICATION FOR PERMIT 0' of County Engineer DIVISION OF BUILDING & SAFETY LI S�"1 d1a� WILLIAM J. FOX, County Engineer FOR6FM N; T• F DISTRICT O. GROUP ZONE PERMIT NO. ELECTRICIAN FFCC ) 3-5-6 r -t RECEI ED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY GL TEL ND. FLIR11111 COUNTY LICENSE NO. XPIRES BUILDING D a IR � P Ft L / ADDRESS PERMIT FEES (� J I FEE ,AUC NUMBER EACH LOCALITY �J[ YiR"IA1 I LIGHT OUTLETS /' "lY_ NEA%%T. RECEPTACLES f�i.; C2 CROHB B //'PI►/rw (1�IfJ .S JL+YA/ 1.�TTlJF**rP/LLL... WALL SWITCHES /N�Ilp,=,' 14 — '74" v f OWNER fes' 1� .7 /'7 V TOTAL OUTLETS �I16 �.� SC $ _/ ^ MAIL ' ELEC. RANGES � 25 ADDRESS rl ELEC. HEATERS 25 – CITY TEL NO. FIXTURES 5 I 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB _NUHeaR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER New MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 A LEas $ .25 SIGNATURE Of I/2 2 .50 PERMITTE[ 2 B 1.00 INSPECTION RECORD B 1s 1.50 _ _ 15 so 2.50 _ so 200 5.00 _ 200 500 1 10.00 J soD 1Doo 1s.00 Q - OVER 1000 / v p zaD 2D.oD � M.G. SET/FRED. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF Gala.) MOVED MOTORS (75% OF GRIG.) _ MISC. SIGNS T� t) NO. NO.TRANS. APPRO Y ALS NO. NO. LAMPS FOR EACH PERMIT: ,,��..,� _ DATE INSPECTOR'S NAME WIRING $1.00 f ,tH/fie CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES X71_ POWER TOTAL FEE IS ! /� UTILITY CO. NCrTIFIED Q�Af r t / n 1 2 (//aj Me �..e t/ .v.1f 76A663 DIIS¢.'SA 4-52 FINAL ETS 2-47 DEPARTMENT .OF BUILDING AND SAFETY APPLICATION FOR PERPJITP COUNTY OF LOS ANGELES �1 ELECTRIC' , I M. J. FOX CHIEF ENGINEER a NAME 1 , {�n DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS I nI ,r�--�--. *, 7k© RECEIVED BY READY FOR DATE ISSUED U CITY 1 // TEL.NO. //1� q FIRST INSPECTION �/� ^ J COUNTY V �'S1/ /�/ IJX,L4/_ N CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK JOB IP —ADDRESS 1"�P-z r NUMBER OF OUTLETS 014 CIRCUITS LOCALITY �d /%tib M 7'St' LOCATION BY ROOMS EST �e LIGHT OUTLETS SW. PLUGS FI%T CRO556T. •E:2 P77 YAM bs ®."��. tVIN PC JAZLI Iri CIRCUIT A B C D E F G JH I C NAME fru.�11 14'. 13 1 !f✓ d". /3 ; ADDRESS ��r°J VV It'; ) D CITY TEL.NO./-A GJj90') '-J' I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE L.FGAL OWNER OF THE PROFERTY,.DESGRISED ABOVE p c� , _01,..P,> . OWNER.`.�r CORRECTIONS �1 L J Q Z I7 TOTAL 113 I3 /J NO. OF OUTLETS s s 5 APPROVALS NO. OF FIXTURES $ e D/A/TE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES OR HEATERS S FIXTURES MISCELLANEOUS $ POWER y - PERMIT FEE S UTI LITYCO.NOTIFIED TOTAL FEE 0 T ! FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC CTRIC M. J. FOX CHIEF ENGINEER Q NAME . rs . DISTRIC�TNO. GROUP ZONE PERMIT N. RECEIVED BY O. ADDRESS // READY FOR DATE ISSUED U 'CITY FIRST INSPECTION /4/J COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK 'n°DORESS/DJU+- JCL/ 0 c./ NUMBER OF OUTLETS ON CIRCUITS LOCALITY . %iJ l!/ LOCATION BY ROOMS NEAREST /�J <A� ArG OL.//J IA/f-17 /U�L1.3� LIGHT OUTLETS SW. PLUGS FR{T CROSS ST. /-` ,i CIRCUIT A B C D E F G H h' NAME Z MAIL ADDRESS 9'O? 1/11 .Kt A YJ O J l CITY TEL. Aj// 2 Of 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. AI AM BOVE THE LEGAL OWNERtOF THE PROPERTY ]DESCRIBED OWNER.- CORRECTIONS A _ y / Z_ I' V' o I TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HE'AT'ER,S,/ $ FIXTURES MISCELLANEOUS ��✓!/ '$ _ POWER PERMIT FEE $ / 1 / UTILITYCO.NOTIFIED TOTAL FEE S it;' -) FINAL �I - V 76AG63-CHBO67 APPLICATION! FOR. ELECTRIC ..PERMIT COUNTY OF LOS ANGELES - - •-'•* - j DEPARTMENT OF COUNTY ENGINEER BUILDING O /-n � BUILDING AND SAFETY DIVISION ADDRESS l�4 JOHN A. LAMBIE, COUNTY ENGINEER r— /J CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY `• 9 FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. hagea. A ` I I T E M NUMBER EACH FEE OWNER /�V OUTLETS: S $ MAIL (��/((�� ` .�^^ \/��(� LIGHTS RECEPT. SW. .10 ADDRESS T O 'l U L • L'4.1[z� �^a-P LIGHTING FIXTURES .10 O CITY TEL. NOX; O S•CSO ELEC. RANGES CLO. DRYERS ELECTRICIAN r WATER HEATERS .SO ADDRESS ELEG,SPACE HTR6. DISHWASHERS CITY TEL. NO. GARBAGE DI5PO6Efl8 AUTO.- _ STATE WASHERS STA. COOKING UNITS .ZS LICENSE NO. MOTORS: OVER INC. H.P. DISTRIC ,NO. I GROUP ZONE - PRCnESSED BY O— V, .25 / 1/2— 2 .so INSPEICTIONIMCORD 2— S 1.00 5— 15 1.50 1 s— so 2.50 5 so—too .00 ii, �S-✓'L/G CSS ins GCJ�iP.,,:G -. oo c� 1 .) NO. TRANS. /W/Ur­'- /Pd- SIGNS: NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 M ISC. WIRING PERMIT 1.00 `' 00 FIXTURE PERMIT 1,00 0O SUPPLEMENTARY PERMIT ,50 TOTAL FEE s APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LIGATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE I6 CORRECT AND AGREE TO COMPLY CONDUIT / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OW•NER R THE ABOVE DESCRIBEDRESIDENTIPOWER SIGNATURE U \Vy UTILITY CO. NOTIFIED OF PERMITTEE FINAL VALII)R1$ON--., C.C ARTHUR VETT. CK Mo e/) ARTHUR C.ELECTRICAL ENGINEER ` 6 8 9 3 FE3 2 5 a A .2..60_t7 WORKER'S COMPENSATION DECLARATION 720-0019 6A663 DPW 91e'~\ :` . APPLICATION FOR;ELECTRICAL PERMIT 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 thereof(Sec.3800 Lab. C.) r Policy No. Company FOR APPLICANT TO FILL IN JADDOB RESS Certified copy is hereby furnished, New Residential Bldgs.&Pools EACH NO. _IFEE ❑ $ _ $ LOCALITY J Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. department. Multi-family Sq.FLREST CROSS ST. G J L✓Pry Residential Swimming Pools ASSESSOR Date Applicant MAPBOOK,. PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Per._Light Sw. �i"'AOR / COMPENSATION INSURANCE RM INME t 'J (This section,need not be completed if the work involved by the First 20 ] _ MAIL C' - permit is for one hundred dollars(8100)or less.) Total No. Additionali - ADDRESS 6 ,('p y C h I certifythat in the performance of the work for which this permit - - CITY Tel.No. P P CHECK A is come s shall not employ any person io any manner so as to APDL NT become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT / q Total No Additional ADDRESS Date 9/////.Applicant i NOTICE TO APPLICANT: If, after making thi ertificate of 15 OR 20A,120V BRANCH CIRCUITS CITY T.I.No. Exemption,you should become subject to the Wo rs'Compensation t TO 10 INCLUSIVE EACH provisions of the..Labor Code: you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT �d �'- /t C ;H COprovisions or this permit shall be deemed revoked. APPLICANT ` l.- . P P 41 OR MORE BRANCH CIRCUITS EACH -3 p } LICENSED CONTRACTORS DECLARATION, ; ADDRESS �3.'d. 1 hereby affirm that 1 am licensed under provisions of Chapter 9 15 OR 20A,208V TO 27 V LIGHTING EACH d (commencing with Section 7000) of Division 3 of the Business and _ ._ 1 CITY �, /� Tel.No.'�G Ill 0 Professions Code,and my license is in full force and effect. :. RESIDENTIAL APPLIANCES UP T03HP ' LICENSE OR (� (�' !! Power Apparatus&Large Appliances _ REG.NUMBER /I J S J Class. C —to Q G// Lia Class C_/0 Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY Q License Number ' � Up to 3 Inc.- - - I O p o o W dW e(1gy21141 Date p, ri. ,`I Over 3 to 10 Inc[. FINAL d ��0 Or { - DATE Contractor ❑ Over 10 to 50 Incl. V�, /_ am exempt under Sec. Over 50 to 1.00 Incl. L� J VALIDATION Z 100 FINAL B.&P.C.for this reason Over BY Services,Swbd.,MCC&Panelboa s 3 . �O Date: 0-200 Amp. Under 60 - 1 Signature' 201'-1000 Amp. Under 600 V e ❑ - - Over 1000 Amp.or Over 600 V , Exemption for Reg. Mainz Elect. , SINGLE FAMILY Temp.Power Pole&Appurtenances Ar T a HOME OWNER-BUILDER DECLARATION - .. - . . I hereby affirm that I am exempt from the Contracto_is A Sign with One Branch Circuit License Law •T for the following reason (Section 7031.5, Business and Professions Additional Sign.Branch Circuits Code): ❑ I, as owner of the property,will do the work and the structure Misc:Conduits'&Conductors 1ITEM is not intended of offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL . 59 -55 and Professions Code). -•— - - cam. Cc CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHARGE CIO performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE. 4-'(Sub-Total) O7 _ Civ. C.) PLAN CHECKING FEE _ L�I�iI��—t�U01 }';'1C7Y.: Lender's Name _ PERMIT ISSUING FEE _ - _ _ i 542,4 1 AM v:1): Lender's Atldress �� ( certify that I have read this application and state that the above TOTAL FEE ' information is correct. I agree to comply with all Cc,my ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County ID enter upon the above-mentioned pro rty for inspe 'a urpo SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF APP R AGENT DATE COUNTY OF LOS ANGELES TEMPLE CITY q 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9"101 LAS TUNAS EL 0508 0906010009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 13645 LT: 46 4825 DOREEN AV I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917804140 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18585-024-031 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY, Cl ILS 200 AMP PANELS, MCC 1.00 PAN 38.85 (TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 106/01/09 SR 11/28/09 I TOWNER: TEL. N0: (FINAL DATA FINAL BY: CODE: (DAN K. AU - I /Cr �!1/ 14825 DOREEN AV 1 h." 1 ITEMP 917804140 1 IDESCRIPTION OF WORK 1 IMETER UPGRADE TO 200 AMP I (APPLICANT: TEL. NO: I ITERRY YU (626) 575-0843- 1 1 19625 ALPACA SE 1 1SPECIAL CONDITIONS: 1 IS. EL MONTE 91733 1 1 1CONTRACTOR: TEL. NO: 1 1APPEOVALS GATE INSPECTOR SIGNATURE 1 IK.Y.M. CONSTRUCTION, INC. (626) 575-0843- 1 1 IDEA TAI HEATING 6 A C LIC. NO ITEMPORARY POWER POLE 19625 ALPACA STREET 506659 1 1 1 1 I ISOUTH EL MONTE, CA 91733 1UNDERGROUND CONDUIT I I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER'GROUND I I I_ I I LIC. NO: IROUGH CONDU10T I IROUGi WIRING 1 1 MAIN WATER LINE IPLASTIC Y/N METAL Y/N I I I II (UTILITY COMPANY NOTIFIEDI�I 1� I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I (REPORT ZD: DPR265 ROUTE TO: BSO508 1