HomeMy Public PortalAbout8853 ELM AVE_Electrical__ 1��y ,. .. 1�7��,ypy F , .pry. �1�y �yq_ I���.�.ry��� ..:... .. ,,. -
76A663-CE806-11-5�(/`�1 0 P U C A T.1 O N FO W E �E C T W 11�\tom' .•.P E R o17 F T
COUNTY.OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING p�
BUILDING AND SAFETY DIVISION ADDREss D _
OFIId A.LAMBIE. Count Engineer
C AIT D. GRIFFIN.Supt of Building LOCALITY
4' NEAREST .,.._: ...•
FOR APPLICANT TO FILL IN CROs ST. 6�
PERMIT FEES y J
ITEM NUMBER EACH FEE OWNER
OUTLET : �j $ r $ �j MAIL
LIGHTS RECEPT. SW.y ..10 O�J A' DRESS `
o, LIGHTING FIXTURES 10Q. CITY TEL.NO.
ELEC.RANGES CLO.DRYERS - ELECTRICIAN,
WATER HEATERS .50
ELEC..SPACE HTRS.- DISHWASHERS ADDRESS
GARBAGE DISPOSERS AUTO.- TEL.
WASHERS STA.COOKING UNITS '.2S LTATE
ICENSE NO.
MOTORS: OVER INC. H.P.
DISTRICT NO. GROUP ON R
I/i FOR'INSPSCTION
O — .25
I/2 — 2 .50 _
2 — 5 1.00
INSPECTION RECORD
5 — 15 - 1.50
15 — 50 2.50
SO— 200 .5.00
SIGNS: NO.TRANS. .. -
NO.LAMPS - -
r, SERVICE 0-600V '.1.00 !- Q(�•.
SERVICE OVER 600V $.00 -
WIRING PERMIT - 1.00 ®Q -
FIXTURE PERMIT . .1.00- ®�J
SUPPLEMENTARY PERMIT .50' -
TOTAL FEE $ ® APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1' HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T0. COMPLY CONDUIT
` WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. - - WIRING G-fS- �27 J&7
IHEREBY CERTIFY THAT I--AM PROPERLY REGISTERED AND/OR -
LICENSED AS REQUIRED B S ANGE ES COUNTY,AND STATE OF FIXTURES
e CALIFORNIA OR THAT I AM H J L ' L OWNER OF THE ABOVE ' - +
DESCRIBED RESIDENTIA PRO POWER //
SIGNATURE ,,,� A '' UTILITY CO.NOTIFIED h -'s V.97,v 1h er�1
OF PERMITTE -
.,i:
VALIDA ARTHUR C.VEIT,
CK* mo CASH SUPERVISING ELECTRICAL ENGINEER
t :o 7 9 6 4 - ,Iutd 15 2 A 4.0 0 z .
"
WORKERS'COMPENSATION cafe of
76 663 10i81 n PP C n MN FOR E (2C`?L,I UC/tel p PERM
P7
I thereby affirm that I have a certificate of consentYto•self CE-806G , G=v11T L� G�1 IlV h� LS LSI�S U ll� G�1L� U LSh\111V11 ll
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH. NO. FEE ADDRESS
❑ Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ _ $ LOCALITY LL T�
tion department. r r y� ulti-family Sq. Ft. 'NEAREST 2 ;
5�V I � esidential Swimming Pools CROSS ST. CJ�-U Y
Date A licant OWNER OR !
PP FIRM NAME Y��/ �1y,��V Lj 7 -"
CE IFICATE OF EXEMPTION FROM WORKERS' ' Outlets: Re'c Light, Sw.� �" IL
COMPENSATION INSURANCE �� 74,ADDRESS S
This section need not be completed if the work involved b First 20
( p Y Total No. Additional CITY Tel. No.
the permit is for one hundred dollars'($100)or less.) '
I certifythat in the performance of the work for which this PLAN CHECK
P APPLICANT
permit is issued, I s II not employ any person in any manner
so as to be me s ject o'the Work s'Compensation Laws. Lighting Fixtures First 20 —� ADDRESS
Total IN 3> Additional
CITY Tel. No.
DatW
Applicank Fixed Appliances Not Over 1 HP PERMIT
NOTICE T` If, after milking this a t' icate of APPLICANT
Exempti, , ould, become subject to the Workers' Range_ Heater_D.W. —
Compe saticn provisions of the Labor Code, you must forth- Oven Dryer — W.M.— ADDRESS
with comply with such provisions or this permit shall. be Top FAU —W.H. —
'.deemed.revoked. Hood _ Fan Other_ CITY Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR '
I hereby affirm that I am licensed under provisions,of Chapter 9 Disp. 'Room Air Cond. REG. NUMBER CI ss.
(commencing with Section.7000) of Division 3 of the Business DISTRICT NO PROCE BY
and Professions Code,and my license is in full force and.effect. Power.Apparatus& Large Appliances �..._ 06
Size&Type HP, KW, KVA, or KVAR' (./ , O
License Number Lic. Class Up to 1 Incl. FINAL "94V.
Over 1 to 10 Incl. DATE VALIDATIOFb O
Contractor Date Over 10 to 50 Incl.
FINA
❑ I am exempt under Sec. Over 50 to 100 Inc. BY LU
B.&P.C. for this reason Over 100 of
Services, Swbd., MCC& Panelboards
Date: 0 -200 Amp. Under 600 V
Signature 201 -',1000 Amp. Under 600 V �,3 v 3 A
❑ Over 1000 Amp. or Over 600 V_ # o o 0 0 0 2
Exemption for Reg. Maint. Elect. t
SINGLE FAMILY 4 Temp. Power Pole&Appurtenances 2.•00 1 9.50
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License 0 0 a 1 9.50'
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits o
Professions Code):, 0.90 8-84
ElMisc. Conduits&Conductors
I, as owner of the.property, will do the work and the J
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— D
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
above information is correct. I agree to comply with all County s
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permit a Date
,WORKERS COMPENSATION DECLARATION 76-663 10(81 LW'll'l�L�����0�ll�l' FOR ELECT �, A �EANT
CE-806G ,`• N 4y L� -
Phereby affirm that I have a.certificate of consent to self,insure,
or'a certrficate of Workers Compensation Insurance, or a'certified COUNTY-OF<LOS ANGELES BUILDING AND.SAFETY °
c6pytthereot-(Sec.3800,Lab C.)
Policy N8' Com an FOR APPLICANT TO FILL•IN:. AOB
❑ p y
Certified copy Is hereby furnished. New Residential Bldgs.&Pools EACH ..NO. FEE Y
:-
1 & 2-Family,Sq.Ft. $ $
ADDRESS ,
Certified .co LOCALIT G'
copy is filed the building inspection
department. Multi.family Sq.Ft. NEAREST
Residential Swimming Pools CROSS ST
Date Applicant r
,FIRM NAME S,�L ,YY
CERTIFICATE OF:EXEMPTION'FROM WORKERS' MAIL r
Outlets:'Re Light �,Sw/
(: COMPENSATION INSURANCE " ADDRESS
First 20
This 13.19
section need,not be;completed,if the;work involved by'the. CITY Tel.No.
,permit is for•one hundred dollars($100)orless.)-
Total No. Additional 1
I certify'that`.in the performance of the work for wl icli this permit =
:PLAN CHECK
is issued, I,shall'not employ'any;person in ariy'manner;'�so as to -
.. APPLICANT
become'subject to the,Workers'Compensation Laws: Lighting Fixtures ' -- First 20, ADDRESS'
Total No: Additional
Date Applicant U/' CITY Tel.No.
- Fixed Appliances Not Over 1,HP, PERMIT
NOTICE TO,APPLICANT If,; after making ;this 6rtifL/at of
-• ,Range— Heater_'.D:1N. APPLICANT.
Exemption;you should become subject to the Workers Compensation —
provisions of the Labor-Code,you;must forthwjfh'comply with suct Oven _'Dryer _ 'W.M ADDRESS
provisions or this permit shall be deemed revoked.
Top FAU - W.H. —
CITY..✓ •Tel.No.: ..
LICENSED CONTRACTORS'DECLARATION Hood — ,Fan' Other_ '
I hereby affirm that I am'�licensed under 'provisions of'Ohapter-9 Disp. Room Air Cond. uCENSEOR
(commencing.with'Section 7000)'of Division 3 of the Business•and - - - 'REG.NUMBER Glass „
.,PCOfessions Code,and my license is infull force and`'&ffect. • DISTRICT NO.' "PROCESSED Y - -•�„
ize
Power Apparatus,& Large Appliances
r V
iS Type HP,KW,KVA,or KVAR U.
License'-
Number Lic Class Up to 1 Incl FINAL
Over:1 to 10 Incl.. DATE (�/.�/L 8"p/� 0,
Contractor Date. " r / VALIDATION-, O
Over 10 io,50`Incl.❑ FINAL
BY V I am.exempt under Sec: Over'S0 to i00 Inc.. ;,�
`
(�'�
; B.&P:C.for this reason - Over'100{ N
Services;Swbd.,MCO& Panelboards
Date:
0-200 Amp.Under600'V
.�
D
i
Signature.' – 201 `- 1000 Amp:«Under,600,V
Over 1000 Amp:
Exemption for Reg::MainE.Elect:
or Over.600 V
�z SINGLE FAMILY Temp.Power Pole& Appurtenances
HOME OWNER-BUILDER,DECLARATIONt
,
Sign,with.One Branch GrcuXC
l hereby'affirm that,I-am exempt from the ContFactor's License Law.: 4
for'the:followin reason(Section 7,031.5 Business and Professions
Additional Sign Branch Circuifs P7ir4 e
Code). 9
, 3Q7 1130,50: .
Misc Conduits &Conductors ; 4 "
I,:as owner of the property,will do-the work and the structure. 1 d
Schedule)
is not intended'or. offered.for sale (Section•'7044,,Business- -
TOT
p� ~
and'Professions Code).. Other(See Complete Fee 1,111Sd. c �
1,11
_...... //++��
CONSTRUCTION LENDING AGENCY
\rf� .:-' d3o+W
I hereby affirm that there is a'construction lending agency,for the ..
performance;of the work for which this permit is issued(Seo.:3097, PERMIT FEE (Sub-Total)' e
I
Civ.C. ?
PLAN CHECKING FEE
Lender's'Name q QQ
1 A�d�IG 7
. PERMIT ISSUING FEE • P41�
oaoo-�
Lender's Address ►tJ+W ba 10
1 certify tnaT l,haye read this application and state that the above TOTAL FEE
informaiiontis 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 °
proper for:inspection purposes.
SEE REVERSE.FOR EXPLANATORY LANGUAGE '
Signature of P..er tteeDate.
WORKERS' COMPENSATION DECLARATION CE806G 10/81 li�ll�l�L��CATTOIN FOR EL�ECTMICAL� PERMPT
I hereby affirm that I have a certificate. of consent to self
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No. Compony' FOR APPLICANT TO FILL IN J OP
ADDRESS �� L��<
•.Certified copy N
is hereby furnished. New Residential Bldgs, & Pools EACH o. FEE
a1 & 2-Family, LOCALITY
Certified copy is filed with the county building i.nspec- y, Sq. Ft. $ — $ r �)
tion•deparimeni. Multi-family Sq. Ft. — NEAREST'
CROSS ST. U FF/;/ 9
Date A licant Residential Swimming'Pools r OWNER OR �/l
PP FIRM NAME HJT/ � ZI v✓. -
CERTIFICATE'OF EXEMPTION FROM WORKERS', f 1 1, MAIL
Outlets: Rec Light'_Sw.
COMPENSATION INSURANCE '7`- ADDRESS
First.20
(This section need not be completed if the work involved by Total No. Additional ' CITY / �/ ��T Tel. No
the permit is for one hundred dollars ($100)or less.) _
1 certify that in the erformance of the work for which this PLAN CHECK ` /
P APPLICANT j-7 &/;
!i
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
Additional
Total No.- CITYTel. No.
Date Applicant
Fixed Appliances Not Over 1 HP PERMIT 7 31 L (% /
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT �(/+✓ �C/ it,J
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 �'3 j� L•.C�
with comply-with.such provisions..or this permit shall be Top _ FAU„ —W.H. —
deemed revoked. CITY' N No.
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_
OR
.
DispRoom Air Cond. LICENSE
I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER Class. .
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROC ED BY
and Professions Code,and.my license is in full force and-effect Power Apparatus&targe Appliances - 9L
Size &Type HP, KW, KVA, or KVAR' _ O
License Number' Lic. Class Incl
I UP to . V
� fF `
Over.1 to 10 Incl DATFINAL E o VALIDATION ImO
Contractor Date Over 10 to 50 Incl. - u
❑ FINAL
I am exempt under Sec. Over 50 to 100 Inc.. BY Vis,, mi
HB.&P.C. for this reason Over 100
Services, Swbd., MCC& Panelboards D
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 „� r'
HOME OWNER-BUILDER DECLARATION + O a 6'A
Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's Licenseuits .4 0 0 o o o.2
Law for the following.reason (Section 7031.5; Additional Sign Branch Circ
Business and -- • •
Professions Code): 2 o'� F C
Misc. Conduits&Conductors
I, as owner of the property, will do the work and the r• z
Other See Complete Fee Schedule)— c'O ° v .
structure. is not intended or offered for sale (Section ( P, ) U
7044, Business and Professions Code). D
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
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby,authorize re4reseatives of this County to enter upon
th ve-mentionerty for inspection purposes..
SEE REVERSE FOR EXPLANATORY LANGUAGE
i/U
Signature of Permittee Date
tOUNTY'UF LOS ANGELES' TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704180013
BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
1TR: 3623 LT: 101 UN: .002 8853 ELM AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:. TEMP CA 917801843
(ASSESSOR INFORMATION NUMBER: - I I NEAREST CROSS STREET: ROSEMEAD
15387-010-011 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 . LOCALITY: TEMPLE CITY, Cl
ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 I
(TENANT: I TOTAL FEES 66.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
104/18/07 JK 10/15/07 1
I I
(OWNER: TEL. NO: I iF AL DAT FIN BY: CODE: 1
1HWANG SHUWA;HWAN SHUN T (626) 285-7581- 1 �/ 1
18853 ELM AVE 1 a� i 1
ITEMP 917801843 1 ID SCRIPTION OF WORK I
1UPGRADE SERVICE PANEL TO 20 AMP FOR FRONT HOUSE I
I I
(APPLICANT: TEL. NO: 1 1
SAME AS OWNER -
1 ISPECIAL CONDITIONS: 1
I I
1
1CONTRACTOR• TEL. NO:- I (APPROVALS DATE INSPECTOR SIGNATURE 1
I
ISAME AS OWNER - I1 1
I _ LIC. NO ITEMPORARY POWER POLE
I I I
1UNDERGROUND CONDUIT
1 I I I I
1ARCHITECT OR ENGINEER: TEL. NO: I JUFER GROUND I I I
LIC. NO: IROUGH CONDUIT 1 I 1
IROUGH WIRING
1 IMAIN WATER LINE 1
IPLASTIC YIN METAL YIN
1UTILITY COMPANY NOTIFIE 1
I I I I I I
I 1 I I I I
I 1 I I I I
I I I I I I
I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508
'COUNTY-DF LOS ANGELES 1' TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703230001
BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 3623 LT: 101 UN: .002 8853 ELM AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801843 1
ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: ROSEMEAD 1
15387-010-011 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 1 I
(TENANT: _ IG2 LIGHTING FIXTURES 3.00 LGT 5.85 (ISSUED ON: PROCESSED BYPLAN BY: EXPIRES ON: I
TOTAL FEES 53.10 103/23/07 JK 09/19/07 1
_ I I
10WNER: TEL. NO: 1 1F DATE FIN Y: CODE: 1
1HWANG SHUWA;HWAN SHUN T (626) 285-7581-
18853 ELM AVE I 1 1
ITEMP 917801843 1 1DE CRIPTION OF WORK 1
1ELECTRICAL FOR FRONT HOUSE iEMODEL 1
(APPLICANT: TEL. NO:
I SAME AS OWNER
SPECIAL CONDITIONS: T \ 1
I 1 I 1
I
1CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER LIC. NO 1 ITEMPORARY POWER POLE I I I
(UNDERGROUND CONDUIT I I
I 1 I I I I
(ARCHITECT OR ENGINEER: - TEL. NO: 1 JUFER GROUND I I
LIC. NO: IROUGH CONDUIT I I I
IROUGH WIRING
1 - IMAIN WATER LINE I
IPLASTIC Y/N METAL Y/N 1 1
I I I I
1UTILITY COMPANY NOTIFIEDI I
I I I I
1 1 I I I I
1 1 I I I I
I 1 I I I I
1 I I I I I
I 1 I I I I
1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I
1 I I I I I