HomeMy Public PortalAbout5812 ENCINITA AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0811250006
BUILDING AND SAFETY / LAND DEVELOPMENTTEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
JTR: 6561 LT: 5 BL: .001 5812 ENCINITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802420
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: WORKMAN
18587-002-025 jA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: S3 LOCALITY: TEMPLE CITY, Cl
JB2 1 OR 2 FAMILY DWELL 1349.00 SQ 141.65
TENANT: TOTAL FEES 169.40 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
111/25/08 SR 05/24/09
OWNER: TEL. NO: IFINA DATA FINAL BY: CODE:
ILEE, HELEN (626) 497-1577- lam
19725 LONGDEN AVE.
ITEMP 917802420 ID5SCRIPTIOn OF WORK
ELECTRICAL FOR NEW RESIDENCE
APPLI CAN T: TEL. NO:
I
KO ELECTRIC CO. (626) 926-9816-
J5453 BALDWIN AVE. (SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
I
1CONTRACTOR: TEL. N0: 1APPROVALS DATE INSPECTOR SIGNATURE
IKO ELECTRIC CO. (626) 926-9816- 1
15453 BALDWIN AVE LIC. NO 1TEMPORARY POWER POLE
ITEMPLE CITY CA 91780 591509C10 1 I
(UNDERGROUND CONDUIT I
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUNDI
LIC. NO: IROUGH CONDUIT
IAODGH WIRING ��
MAIN WATER LINE
(PLASTIC Y/N METAL Y/N
1UTILITY COMPANY NOTIFIED( I
1 I � I
1
I I I I I I
I I I I I I
I I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508
I
_ WORKERS' COMPENSATION DECLARATION pgP LICATI O,Itl FOR .,Ir PERMIT
Ihereby affirm that I have o certificate of consent to self
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec. 3800, Lob. C.) 76A364C HEATING - VENTILATING - AIR CONDITIONING. t
r�' 20-0046 DPW 9/88
Policy No. 90�/lfCompany S'f/ ,� ruri.� . T
❑ .Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY
I Certified copy i's filed with the county building inspec- FOR APPLICANT TO FILL'IN BUILDING r p
!— tion Fly J �i�i � C y �/ /.A i
(PRINT OR TYPE ONLY)
Date Applicant s - �e - LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST S Tv /V 4.5
t I COMPENSATION INSURANCE CROSS ST.
(This section need not be completed if the work Involved by ABSORPTION UNIT, BTU DISTRICT NO. PROCESSED
the permit is For one hundred dollars ($I00) or less.) O�
` certify that in the performance of the work for which this AIR HANDLING UNIT, CFM '
permit is issued, I shall not employ any person-in any manner .BOILER, BTU
s0 oYta become subject to the Workers' Compensation Laws. APPROVALS DATE / 'INS 'CTOR'S SIGNMUE
COMPRESSOR, BTU �O ROUGH /
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL Rv
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth, EVAPORATIVE COOLER VALIDATI N
with comply with such provisions or this permit shall be deem-
ed revoked. FURNACE: FALL—GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED >5E UNIT— D OD
(commencing with Section 7000)of Division 3 of the Business' - WALL'
-and Professions Code,and my license is in full forces and effect. 'a
Gr a (oma
License Number '//o S Lic Class D O
Corit I., . �r•!Dote
poa.s 4 O
❑ I am exempt under Sec.
Plan check fee v
B.BP.C. for this reason ,�j. PERMIT ISSUING FEE $ m
Signature' / w�� Dff2 TOTAL FEE Q z ,
OWNER-BUILDER DECLARAI PLAN CHECK APPLICANT
1 hereby affirm that I am exempt from the Contractor's License
Law forthe following reason (Section 7031.5, Business and NAME -
Professions Code):
\
'
El 1,I, as owner of the property, or my employees with -' �L/sp
wages as their sole compensation, will do the work and --"'" ACCT.V'.
the structure is not intended or offered for sale(Section
CITY_ TEL. NO. .. ....
7044, Business,and Professions Code). r RU -'_ �7
OWNER '1'-O /✓ /.4 _. .DLL ,SQ
❑ I, as owner of the property, am exclusively contracting I ' h A C/ �O sCxt} RO /1 OR 1 ITEMS
/NCt N
with licensed contractors to construct the project (Sec- ""' ' "
S �� / 7 A .A�-�
tion 7044, Business and Professions Code). TOTAL z
CONSTRUCTION LENDING AGENCY CITY T G /? TEL. NO.�es- 9�/� '�®d .5.®'
1 hereby affirm thasthere is a construction lending agency for - D �{K 30.561
the performance of the work for which this permit is issued CONTRACTOR M//IJ,s �e/¢'Ti ,v(� ^� l00.l.1�/i �sL���r�
(Sec. 3097, Civ. C.). `7/ .0/ �f ... .. _...... .VSTttiRK
ADDRESS � -s�y //AL�� 7-r R't�ll.. . . . .............e W_
Lender's Name J _ (�(�/�I�r���s
CITY �. OS-P, if�/q(J TEL. NO. a�J..-L//3. Wulf-WUi 25/
Lender's Address STATE (� s�6W�'
I certify that I have read this application and state that the LICENSE NO. ��f O S CLABS �'�� _ 3,527 1 AM Pro 19
above information is correct. I agree to comply with all County
ordinances and State laws relating to building construction, "
and hereby outhoriz resentatives of this County to enter ,
upon bov -me ed property for inspec on pur ses. I - - -
�� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant r gent Date
@s
DOS 6-A 2-16 APPLICATION FOR PERMIT
DEPARTMENT OF BURRING AND SAFETY y
COUNTY OF LOS ANGELES EL�CTRIC
WM. J. FOX CHIEF ENGINEER
i DISTRICT NO. I GROUP ZONE PERMIT NO.
q NAME (/•j _
RADDRESS �+ _'z (�lJ� 2
U
CITY TEL.NO. RECEIVED"BY READY FOR DATE ISSUED
W FIRST INSPECTION v.(
J COUNTY ! �7,
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK
JOB lAoPIKO AgNCI / J"n
NUMBER,OF OUTLETS ON CIRCUITS LOCALITY /
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS FIiT CROSS ST.
CIRCUIT A B IC D E I F G H W NAME /7 IAe,N J1/1�YT6/�, n/.n
S MAIL �—
,=
ADDRESS n
D CITY 7-1 TEL.NO T,2-;1q-m)
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER O THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
Z
6
a
0
TOTAL 7 ,J
NO. OF OUTLETS $ .,r APPROVALS
NO. OF FIXTURES $ _ _� DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING -A
NO.
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS ^1 $ POWER
/ 2
PERMITFEE
, ..5 I a �� �J UTILITYCO.NOTIFIED
TOTAL FEE F /' FINAL
r
°"°B3.GEBQBI2-°B APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES 'M
DEPARTM ENT OF COU NTY ENGIN EER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER .
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS R y y—
OWNER
ITEM NUMBER EACH FEE
OUTLET ey g MAIL
LIGHTS REGEPT SW .lO ADDRESS
LIGHTIN FIXTURES .10 U CITY TEL.NO.
ELEC.RANGES CLO.DR ERS ELECTRICIAN I''
WATER HEATERS .50 gDDR 5 O lz
ELEC.SPACE HTRS. DISHWASHERS
CIT TEL.NO D
GARBAGE DISPOSERS AUTO..
STATE
WASHERS STA.COOKING UNITS .2$ LICENSE NO. L
MOTORS: OVER INC. H.P. DISTRIC O. GROUP ZONE f PR BY
O— Va .25 G ' —
v:— 2 .50 INSPECTION RECORD
2- 5 1.00
kN
- 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS_
NO.LAMPS
ICE 0-500V 1.00
ICE OVER 600V 5.00
.
NG PE R MIT 1.00 (lV
URE PERMIT 1.00 DO
LEMENTARY PERMIT .50
TOTAL FEE s Zj APPROVALS
HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION DATE INSPECTOR'S SIGNATURE
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUITTRICAL WIRING. WIRINGr�HEREBY CERTIFY THAT I AM PROPERLY REGIST D AND�OR /�NSED AS REQUIRED BY LOS ANGELES C TY STATE OF FIXTURES R-19- lIFORNIA OR TNAT MTHE LEGAL R THE ABOVE
RIBED RESIOENTIA OF.RTY. POWER
NATOR UTILITY CO.NOTIFIED
PERMIT FINAL
®° LI ARTHUR C. VETT,
MOO CASH
K/ SUPERVISING ELECTRICAL ENGINEER
/< C/ CASH
3Co 9 6 8 21; JUL 17 2 A
3 .2 0
DIISn-A'2-46 5APPLICATION FOR PERM$
DEPARTMENT OF BUILDING AND SAFETY
.COUNTY OF LOS ANGELES ELECTRIC ,
WM. J. FOX CHIEF ENGINEER
NAME ELECTRIC C DISTRICT NO. GROUP /Z/ONE PERMIT NO.
U ADDRESS SO nR ` Y IIT O
U f
W CITY ffiI MponFo Cnlll TEL NO. RI/I lL1�eh'IQ RECEIVED BY READY FOR DATE ISSUED
b9 FIRST INSPECTION
m C RRiT..NCO ,/ 1. I4 . IO EXPIRES% ?§ ' �y' "�i.�
7
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRWTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST 0 /r
LIGHT OUTLETS SW. PLUGS 1'..' -CROSS ST.
CIRCUIT A B C D E F G H
f /T ; MAIL
ADDRESS �S��G ✓L� i�ftl
clTv "/.-1. ;�;� ;.�—�.:_ TEL.NO-
1 AM THE LEGAL��POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERi1FiGTE;OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
— _Z
L7
d'
0
TOTAL ^ n
NO. OF OUTLETS _ $ L APPROVALS
NO. OF FIXTURES 9 J DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT �n
NO. OF SIGNS TRANS. S WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ „� UTILITYCO.NOTIFIED
TOTAL FEE 3 FINAL nAAzL.�' /
WORKERS'COM11PENS ATION'DECLARATION CE-806 APPLICATION �FO.R ELECTRICAL PERMIT {�
CE-806G (2 80) LJ
1 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 certified copy thereof(Sec. 3800,Lab.C.) _
' FOR APPLICANT TO FILL IN 30g � �j
Policy No. Company EACH NO. FEE ADDRESS
New Residential Bldgs.&Pools
Certified copy is hereby furnished. r 1 &2-Family,Sq. Ft $ — $ LOCALITY / 7=�
❑ Multi-family Sq. Ft. — NEAREST
Certified copy is filed with the county building'inspection CROSS ST
'department. Residential Swimming Pools OWNER OR
FIRM NAME -
Date Applicant Outlets: Rec.—Light See. MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No..
COMPENSATION INSURANCE
PLAN CHECK a-
AZ
(This section need not be completed,if the work involved APPLICANT — O
U
by the permit is for one hundred dollars ($100) or less.)' Lighting Fixtures- First 20 ADDRESS
Additional
Total No.— 0
1 certify that in the performance of the work forwhich this Fixed Appliances Not Over 1 HP CITY Tel No. I—
permit is issued, I shall not employ any person in any mannerPERMIT .�a � / J _ W
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT /` a
'' --++ � Oven _ Dryer_W.M. -ADDRESS
�Date11 �P�plican[ Top — FAU _W.H. _
Hood _ Fan _Other— CITY dLYS
Tel No.
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Coact,& r�D0-0-LICENSE OR i (�
Exemption, you should become subject to the Workers' REG. NUMRE Class-
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY
with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR
U
deemed revoked. v °�a
p to 1 Incl.
FINAL
- - Over 1 to 10 Incl: DATE
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. ' • VALIDATION
I herebv affirm that I am licensed under provisions of Chapter » Over 50 to 100 Inc. FI AL
9 (commencing with Section 7000) of Division 3 of the Busi- Overt100 - �
rness and Professions.Code, and my license is in full force and -
effect. Services
'l�'f1ic. Class 0-200 Amp. Under 600 V L) "— "0 9
License Numbe / 7 U -
/ 201-1000 Amp. Under 600 V
Contracto ate�..'•� �! w / . Over 1000 Amp.,or Over 600 V
HOME OWNER-BUILDER ECLARATION " 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
ness and Professions Code):
El
Misc.Conduits&Conductors � 1 9r7 1 A
I, as owner of the property, will the work and the Other (See Complete Fee Schedule)—
structure is not intended or offered
d fur sale (Section ,
7044, Business and Professions Code). a e o e a 2
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction lending agency ,2,° O 2AQ50'
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
issued (Sec. 3097,Civ.C.).
Lender's Name PLAN CHECKING FEE (One-Fourih Permit Feel
• 1 1. 1 6-81
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE .P S6
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 FOR EXPLANATORY LANGUAGE
ns
7 Gly_ _" J4f-- / /G _
I Signature of Permittee D e