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HomeMy Public PortalAbout4521 ELLIS LN_Electrical__ 76AS63 OBS 5A 7-51 APPLICATIONS FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GRO P ` ZONE PERMIT NO. FOR APPLICANT TO FILL IN -4- /y :I � ` ELECTRICIAN a�C_o ArA,' + ! /T RECEIVED BY READY FOR DATE ISSUED ADDRESS.T.' Q � rd A!� FIRST INSPECTION _ ^ CITY p TEL. COUNTY LICENSE NO. EXPIRES `3(0- B U I LD ISN I�+JBgD ADDRE PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST • CROSS ST.' v RECEPTACLES WALL SWITCHES A OWNER TOTAL OUTLETS SC MAIL ELEC. RANGES 25 —tom ADDRESS_ ELEC. HEATERS 25 CITY - TEL. NO. FIXTURES 5 ?s 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 PROPERTY DESCRIBED ABOVE., _ I/a & LF5B $ .25 1.215 SIGNATURE OF V2 2 .50 PERMITTEE � 2nAe 2 5 1.00 INSPECTION RECORD 5 is I.so I S 50 2.50 50 200 5.00 200 500 10.00 J 500 1 000 15.00 _Q Z OVER 1000 20.00 - L3 M.G. SET/FREQ. CHAN13ER-HP Fy WELDERS: AC-KVA 13 GENERATORS- KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% or 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 $ �F� UTILITY CO.NOTIFIED ��ll FINAL 764663 CE-806(1,) /78)", QppdOC�Q��O I FOR �UCTRVCAL PERG`n T . ,COUNTY OF LOS ANGELES BUILDING AN,Q SAFETY FOR APPLICANT TO FILL IN JOB` / New Residential Bldgs:&Pools EACH NO: FEE ADD.RESS. . � .. S`•-,.� :'l &2-F.amil S Ft. $ .025 — $ LOCALITY 7— Multi family Sq Ft" 02 — NEAREST Residential Swim Ppols 25.00 . GROSS Si. L 2/11 OW;NER•OR" - - -FIRAiF AM'E�. :L L O.utlets:Rec Light, Sw._ 'MAIL -_ First 20 .50~ ADDRESS vL f L'J1l i' Total-No, .. .30 . CITY , ;-- :r' TeI, No,,._. Additional f'C (.' PL"AN CHECK. __ ... _.AP_P.LICANT_ 'Lighting Fixtures. First 20 .50 ADDRESS . .. _ Additional 30 Total No. CITY F Tel,No'. Fixed Appliances Not•Over•d-HR. _. w• „-,... :. _._ PERMIT APPLICANT (n� v Range_Heater__D W:'_ , p. --ADDRESS: : '_ _. Oven—D y 6—W.M. ; :... _,_ Too''_FAU WH.-_ ' CITY _ ., - Tel-.No _ ._ _ -T c -- Hood—Fan _Other_ r LICENSE OR 2.50 ' eQ Class Dis,p._Room Air Cond. - _ REG NUMBER ., lo_. D ..... 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power,Apporctus&Large Appliances' TION AND STATE THAT THE'ABOVE IS'CORRECT AND AGREE TO ' COMPLY WITH ALL' COUNTY:'•ORDINANCES'AND`"STATE`LAWS- Size&S ' ype HIP, KW, KVA,or KVAR REGULATING ELECTRICAL WIRING. Q' _ Up to.1 Incl._ 2.50 5.00 I HEREBY CERTIFY'THATTI AM PROPERLY REGISTERED A'ND%OR" "'y. Over 1 to 10 Incl. LICENSED AS"REQUIRED BY LOS ANGELES'COUNTY AND STATE OF Over 10 to 50.1nc1:- w CALIFORNIA,OR THAT ,AM„THE LEGALOWNER_OF THE ABOVE 12.50. _. - 25.00 DESCRIBED RESIDENTIAL PR E TY pe Over 50 to 100 I'nc..' 4000 PERMIT EE. Over 100, . ° SIGNATURE Services - .._ DISTRICT'NO .. ....PR EBBED _ e 0- 200 Amp.Under 600V 12.50 i 201-3 000-Amp. Under 600 V, :25.00 .. _r Over 1000 Amp:or,Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances” 10.00. -- Q Sign wifh.One Branch Circuit 10.00 Additional Sign Branch Circuits ). '2'00 INSPECTIOW >' INFORMATION A U Misc.Conduits&Conductors ;2'6.2'&5 A io.00 -REVERSE— .019 —s Other(See Complete Fee Schedule) v SIDE. d 2.o'd.21IL,50 PERMIT FEE " *ISub-Total) 1 °.°, ° 2 Q.5 0 5 _. .Z PLAN CHECKING FEE )One-Fourth Permit Feel _ O 0 8 2 2—`]<C) PERMIT ISSUING FEE $7.00 • J TOTAL FEE c::2 , > INSPECTION FINALED 6 W ' .date: � ����� BY, n O(��i6��� a ©S.- ' WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A663 or ah e}bificatL 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.) Policy No. Company �"��" '" FOR APPLICANT TO FILL IN JOB ADDRESSEl Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE $ $ LOCALITY Certified co is filed with the count building Ins ection 1 &2-Family,Sq.Ft. PY Y 9 P NEAREST department. I _ Multi-family Sq.Ft. CROSS ST. LGX�t l - 7 �,� ,6 " Date Applicant � fNV Residential Swimming Pools ASSESSOR /,/ MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.2 Light Swag_ OWNER OR / COMPENSATION INSURANCE g FIRM NAME �1 �/_� First 20 MAIL (This section need not be completed if the work.involved by the /y — permit is for one hundred dollars($100)or less.) Total NO. Additional ADDRESS j2� 5 ' I certify that in the performance of the work for which this permit CITY. C Tel.Nv—� is issued, I shall not employ any person in any manner so as toPLAl become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 A PLIICANTK Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I 'am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Over 3 to 10 Incl. / CITY Tel.NoW- Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. CJS LICENSE �7 2_�- CIass.G_- a Over 50 t0 100 Incl. REG.NUMBER Gf J License Number 's-� LIC.Class C J ` D Over 100 DISTRICT NO. PROC EED BY OU Services,Swbd.,MCC&Panelboards 17--3) FINAL �p�20-399 Amp. Under 600 V Q Contractor �� / "' �N� Date � DATE /q / ❑ I am exempt under Sec. 400-1000 Amp. Under 600 V �` G -gl�. ~ Over 1000 Amp.or Over 600 V FINAL 11F���� VALIDATION W B.&P.C.for this reason BRANCH CIRCUIT FEES BY a- Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits F141 Or More Branch Circuits Exemption for Reg.Maint. Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2 SINGLE FAMILYTemp.Power Pole&Appurtenances AC•C-Taa HOME OWNER-BUILDER DECLARATION _,, Sign with One Branch Circuit 0 r I hereby affirm that I am exempt from the Contractor's License Law g �,�0,? _t4,fCl for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits i ITEMS Code): 1 t C ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 54 _ 70 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHECK 54.70 and Professions Code). D C CONSTRUCTION LENDING AGENCY CHANGE a 00 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) Civ. C.) 0000-10001 6/13/96 7D _ PLAN CHECKING FEE6p�4 1 AM 8.*14Lender's Name y `� PERMIT ISSUING FEE Lender's Address D I certify that I have read this application and under penalty of purjury state TOTAL FEE that the 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 lection purpose / SEE REVERSE FOR EXPLANATORY LANGUAGE L� �Q�i� SIGNATURE OF PERMITTEE DATE •, 7SA667 DBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 10, COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT GR. UP ZONE MIT NO. Belvedere Plumbing Co. � E PLUMBER b RECEIVED BY FIRST pINSPECTION 0111 DATE ISSUED ADDRESS 136 So.. Palm Ave. . �;���{/�'_`�/ s 1,, L AT 95025 BUILDING 4521 Ellis Lane CITY Alhambra TENo. ADDRESS COUNTY LOCALITY Rosemead - Co. LICENSE NO. EXPIRES 0- e NEAREST PERMIT FEES CROSS ST. NUMBER - TYPE CF FIXTURE OR ITEM FEE OWNER C. P. Morgan _ MAIL WATER CLOSET(TOILET) @ 0.50 $ 5 0ADDRESS BATH TUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 1 APPLICATION AND STATE THAT THE ABOVE IS CORRECT LAVATORY (WASH BASIN) @ 0.50 O AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE.LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS 1 LAUNDRY TUB OR TRAY @ O.SO 0 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DEBCRIBED ABOVE. 1 GAS SYSTEM__l_OUTLETS @ 0.50 50 SIGNATURE OFAa__ aye WATER HEATER @ 0.50 PERMITTE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.SO DRINKING FOUNTAIN @ 0.50 r , URINAL @ 0.50 HOUSE SEWER @ 0.50 - _Z MISCELLANEOUS - O Disrosalo APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING _ t! F t'•Y�•'� GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL ' SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER ?� PERMIT I 1.00 GAS TEST UTILITY CO. NOT[FI ED--) TOTAL FEE $ 5[.700 FINAL 1 c-/ 296