HomeMy Public PortalAbout6008 ENCINITA AVE_Electrical__ COUNTY OF LBS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ��MCCT21 I
DIVISIONSION OF BUILDING & SAFETY
WILLIAM J. FOX, CauntY Engineer
FOR APPLICANT TO FILL IN
DIBTRICT-NO. GROUP ZONE PERMIT NO.
ELECTRICIAN --
_ RF�EIV BY9 READY FOR pAT.E Issyto
ADDRESS // FIRST INSPECTION / y
CI TEL NO.
COUNTY LICENSE NO. 3 EXPIRES BUILDIN
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY _ p
LIGHT OUTLETS NEAREST
CROSS BT.
RECEPTACLES _
WALL SWITCHES Elval7l*
TOTAL OUTLETS / 5e S S MAIL
ELEC. RANGES 25 ADDRESS
CLEC. HEATERS 25 ) n- CITY TEL NO.
FIXTURES 5 / G
--— I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC. APPLICATION AND STATE THAT THE ABOVE 19 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 L05
NUMBER HORS EPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
New MVO. HP avIn IMC. EAC" OF THE RESIDENTIAL PR� DESCRIBED ABOVE.
_ I/s A LEBB S .25 SIGNATURE
_ I/x 2 .50 PERMITTE -
2 5 1.00 INSPECTION RECORD
_ s Is 1.50
is so 2.50
50 zoo 5.00
_ 200 500 10.00 J
500 1000 15.00 a
— Z
OVER 1000 20.00LD
M.G. SET/FRED. CHANGER-HP
WELDERS: AC-KVA D
GENERATORS - KW
TRANSFORMERS • KVA
TEMP. MOTORS (75% OF ORIG-)
_ MOVED MOTORS (75% OF ORIG.) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO., NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
51.00 G 6 CONDUIT �) / �A.
WIRING .
WIRING ~/ F�
FIXTURES 51:00
SUPPLEMENTARY 50 FIXTURES I'SS
POWER
TOTAL FEE UTILITY CO.NOTIFIED
FINAL
ICA663 DRS$5A 4-52
." APPLICATION FOR ELECTRICAL -PERMIT �
COUNTY OF LOS ANGELES -.-
_
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS _O U. 1E1U `A)gX4-
JOHN A.LAMBIE, Coulvr ENG.'. 1
WILLIAM A. JENSEN, SUP-TOP BUILDING LOCALITY JEK G Z"
FORAPPLICANT TO FILL IN NEAREST �CtCJQ%'L,u/x Cy
CROSS ST
PERMIT FEES f T
OWNER
ITEM NUMBEREACH FEE MAIL
OUTLETS: $ $ ADDRESS SA N4
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY TEL.NQCLO. DRYERS ELECTRICIA'jN • tIt !w!
WATER HEATERS .50 S ADDRESS '
ELEC.SPACE HTRS. DISHWASHERS CITY H,`1 /I',
,."+F TEL.NO.?
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA. COOKING UNITS .25 LICENSE NO. �.
MOTORS: OVER INC. H.P. DIST�RIC,T NO. GROUP ZONE P CESSED BY
O %z .25 Cjj'' .L
'A — 2 50 INSPECTION RECORD
2 5 1.00 d
s — Is 1.50 O
15 — 50 2.50 O
50 200 5.00 F
V
NO TRANS. W
SIGNS: 0.
NO, LAMPS N
_Z
SERVICE 0.600V 1,00
SERVICE OVER 600V 5.00 i
MISC.
I
WIRING PERMIT 1 pp p-b
FIXTURE PERMIT 1.00 '
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ ��
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AG EE TO COMPLY 'I
WITH ALL COUNTY RDINANCEB AND STATE REGULATING CONDUIT 1 10
ELECTRICAL WIRIN WIRING
1 HEREBY CERT THAT I AM PROPE LY TE ANO/OR
LICENSED A9 RE U RED BY LOS pNGELE CO Y AN T TE OF FIXTURES
CALIFORNIA OR T 1 AM THR LEGAL ER P ABOVE
DESCRIBED RESI E IAL PROPERTY. POWER
SIGNATURE TILITY CO. NOTIFIED /91 ^ p
OF PERMITTE FINAL, ��/ oo '>—p7 ( Q.�r.►�
, FA4I O CAS ARTHUR NGC. ELECTRICAL
It.
—
CK MO GASH SUPERVISING ELECTRICAL ENGINEER
UEO a 3 9 7 � JUR 12 2 D 2 .5 13 r
WO"hat I have
acertificate
COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT IJ
76-663
I heRby 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(Seo.3800 Lab.C.)
Policy No. U 1 t2G I Company FOR APPLICANT TO FILL IN gDORESS
W Vp(G�ov `GLN
® Certified copy is hereby furnished. 5 New Residential Bldgs.&Pools NO. EACH FEE LOCALITY 'I'C•yj T L L�
❑ Certified copy is filed with the count buildinginspection 1 &2-Family,Sq.Ft. _
$ S ���•.(�y� �^�
)department. G y p Multi-family Sq.Ft. CRAOSSSST. VECW IST
Date!Oe,cLI Applicant 1' , Residential Swimming Pools ASSESSOR
e�
-7 MAP BOON PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' 1 { OWNER OR
COMPENSATION INSURANCE Outlets:Rec. Light-21--Sw._— / GO r FIRM NAME •J 1�• ,..n
� First a G MAIL
(This section need not be completed )the work involved by the Total No._! Additional ADDRESS (`j W. KI r'� 1"✓
permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit CITYAV-0401*
Tal.No.423
is issued, Ishall not employ any person in any manner so as to PLAN CHECK ('+gyp /a
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT r rA (I
Total No. Additional
ADDRESS ''(L3 h.1. 0 • 0cl
Date - Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HPp
NOTICE y APPLICANT: after making this Certificate of CITY Tel.No. $3r 415-4415-4Ezemption, you should became
.subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions Of the Labor Code, you must forthwith Comply With such APPLICANT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS'
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 101net.
(commencing with Section 7000) of Division 3 of the Business and CITY TeL No.
Professions Code,and my license is in full force and effect. Over 10 to 50 Ind. n �-•�
LICENSE Over 50 to 100 Ind. REG.NUMBER
License Number 47 1 A 1 Lic.Class Over 100 DISTRICT NO. R EBBED BY Q
,r�Fn� (�� Services,Swbd.,MCC&Panelboards T-�� L/�C � er
Contractor S* Date S� I e-I 0-393 Amp.Under 600 V FATE Q U
❑ 1 am exempt under Sec. 400- 1000 Amp. Under 600 V 1 Z Z1` ~
VALIDATION U
Over 1000 Amp.or Over 600 V FINAL LU
BAP.C.for this reasonBRANCH CIRCUIT FEES BY
'Bate: 15A,or 2OA.12OV,Lighting or Receipt. Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,208V To 27N Lighting Br.Circuits ,T
SINGLE FAMILY Temp.Power Pole&Appurtenances L
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit t•ff``C T^;r
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code):
❑ Tsr-I'S
I,as owner of the property,will do the work and the structure Misc.Conduits 8 Conductors 1 1 1 C11..�
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ D T(i i AL 48 = 00
and Professions Code). ° +
Pfl
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the CHANCE
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) /
Civ. C.)
PLAN CHECKING FEE -7 '
QijQll—iJll1lj 1Qj:;,r';'q
Lender's Name _
PERMIT ISSUING FEE ?6 O 7451 1 AM 9--.',
Lender's Address O
I certify that I have read this application and under penalty of purjury state TOTAL FEE o
that the above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
r resentatives of this Countyto ant upon the above
mentioned property
1 inspection or a SEE REVERSE FOR EXPLANATORY LANGUAGE
10 j-1-1 •`L
SIGN TITRE OF RMI EE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT '
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006020029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDR SS:
TR: 6561 LT: 367 BL: .001 6008 ENCINITA AV �1
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801934
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF
5385-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSITED ON: PROCESSED BY: PAN BY: EXPIRES ON:
TOTAL FEES 58.35 06/02/00 UT 11/29/00
OWNER: TEL. NO: FINAL DATE FINALLY: CODE:
LIU, STEVEN (626) 285-2389- lQ��,� /06008 ENCINITA AV
TEMP 917801934 DESCRIPTION
ELECTRICAL FOR NEW HVAC SYSTEM
APPLICANT: EL. NO:
LIU (626) 579-1559-
4901 ARDEN DR. _ SPECIAL CONDITIONS:
TEMPLE CITY, CA -----
c p�GELES c
CONTRACTOR: TEL. NO: d�J NAd APPROVALS DATE INSPECTOR SIGNATURE
NORMAN LIU SERVICE CO. (626) 579-1559-
4901 ARDEN DR LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 559374C-20/
/ UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: f � � . UFER GROUND
LIC. NP '�tl l'�111 ROUGH CONDUIT
ROUGH WIRING
r -
jt MAIN WATER LINE
i r
PLASTIC Y/N METAL Y/N
1 --- - - -- --- - - - -- --
UTILITY COMPANY NOTIFIED
C SerVIC@ Ya18f
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC YORKS 9701 LAS TUNAS EL 0508.9905110001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA D: FEES PAID BUIL G AD ESS:
TR: 6561 LT: 367 BL: .001 6008 ENCINITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801934
ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: WOODRUFF
5385-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 9.00 OUT 17.55
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON:—PROCESSED AN EXPIRES ON:
TOTAL FEES 51.15 05/11/99 UT 11/07/99
OWNER: TEL. NO: FINAL DATE FINALB ODE:
LIU;STEVEN (626) 285-2389-
6008 ENCINITA AV �Z iA 'bel
TEMP 917801934 b IPT 0 Of WO
ELECTRICAL FOR ADDITION OF 120 FT.
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
P�(3ELES `'
CONTRACTOR: O��/ APPROVALS DATE INSPECTOR SIGNATURE
SAMEASTEL. N0:OWNER �Q�J
LIC. NO TEMPORARY )ER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: . NO: / GROUND
LIC. NO 1111171 ROUGH CONDUIT
F�►"lI—(L ROUGH WIRING
I-�(1 D O (1 �� p /1 pO�U/J ([�
MAIN WATER LINE
U U ICI' \1VI/\\VI/ I11K(�C\vJ1 PLASTIC Y/N METAL Y/N
UTIL T COM IED
o a 1'
I
c Service That
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0005110005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GAL ID: FEES PAID BUI DING ADDRESS:
TR: 6561 LT: 367 BL: .001 6008 ENCINITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801934
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF
5385-004-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 16.00 OUT 31.20
TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
// TOTAL FEES 66.75 05/11/00 , UT 11/07/00
A
OWNER 1 Z TEL. N0: FINAL DATE FIN BY: CODE:
cxreCrANNE
MS, rAS-AtbtSON TRUST (818) 287-0202-
6008 ENCINITA AV �� �'�
TEMP 917801934 ESCRIPTIO� WORK
ELECTRICAL FOR BEDROOM AND BATHROOM ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER - -
SPECIAL CONDITIONS:
CE LES Co
�
CONTRACTOR: TEL. N0: OS PN �T APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
/ UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: / UFER GROUND
LIC. N0: 1111111 ROUGH CONDUIT
►�1`' ROUGH WIRING �
�j r-�(1 (7RED:))
O n j� n /jO�))a (S MAIN WATER LINE
Ill^ U ILIA V\\vl/ I11,-,L411LI1���]N\�J PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFI D
O O 11 iI.
IFIL_
ServiOce That�ot�-
REPORT ID: DPR265 ROUTE TO: B50508