HomeMy Public PortalAbout6039 ENCINITA AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308180016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL _ FEES PAID BUILDING
TR: 5904 LT: 376 ON: .002 6039 ENCINITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801935
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-013-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45
TENANT: G1 OUTLETS-LGT,SW,RELP 5.00 OUT 9.75 ISSUED ON: PROCESSED N:
G2 LIGHTING FIXTURES 3.00 LGT 5.85 08/18/03 JK 02/14/04
TOTAL FEES 97.80 1
OWNER: TEL. NO: FIN TE FINAL BY: CODE:
HARTY; TIMOTHY J & ANGELA M (626) 285-3850- �• ��
6039 ENCINITA AVENUE
TEMPLE CITY 91780 DESCRIPTIONDWORK
ELECTRICAL FOR LIGHTS & SWITCH OUTSIDE & SPA
APPLICANT: . NO:
SAME AS OWNER
SPECIAL CONDITIONS: -
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND /
a
LIC. N0: _ ROUGH CONDUIT
ROUGH RING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFM
REPORT ID: DPR265 ROUTE TO: 850508
ORKERS'COMPENSATION DECLARATION CE7GA663 806G 10/81
CE APPLICATION FOR ELECTRICAL PERMIT {�
hereby affirm that I have a certificate of consent to s6if insure, -aesLl
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof (Sec.3800,Lab. C.) -
Policy No. Company FOR APPLICANT TO FILL IN - JOB o�
❑ EACH NO. FEE ADDRESS —
Certified copy is hereby furnished. New Residential Bldgs.8 Pools
❑. 1 8 2-Family.Sq.FL $' = S LOCALITY.
Certified copy isrfiled-with the county building inspection
department. Multi-family Sq.Ft. - NEAREST /
-y .t CROSS ST. /1�I� C/it/llf•
Date Applicant Residential Swimming Pools• _ I. ', ' -0WNER OR T `J
- ,l. •, '�r FIRM NAME
CERTIFICATE OF EXEMPTION FROM.WORKERS' Outlets:Ree 5 Light 3 Sw3 I MAIL
.
COMPENSATION INSURANCE ADDRESS 6Q� �i1�fi:U/%
(This section need not be completed if the work involved by the First 20
Total NoAdditionTel.No. .
permit is for one hundred,dollars ($100) or less.) .� al CITY •�� ClT 6. 'C
PLAN CHECK
.I certify.that in the performance of the work for which this permit -APPLICANT /
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
v -f L Additional
Date/"?// Ir .Applicant - , Total No. .�^ CITY Tel.No. ,
NOTICE TO APPLICANT: If, after making .this Certificate of Fixed Appliances Not Over 1 HP PERMITIF
Ran . Heater_ D.W. APPLICANT
Al
Exemption,you should become subject to the Workers'Compensation 9e_ —
provisions of the Labor Code, you must forthwith comply with such Oven Dryer — W.M._ - ADDRESS
-
provisions or this permit shall be deemed revoked. Top- FAU _ W.H. CITY �G Tel.No. y
LICENSED CONTRACTORS DECLARATION Hood Fan — Other_
I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR G
(commencing with Section 7000) of Division 3 of the Business and Disp. ROOM Air Cond. r REG.NUMBER J Zl/p Class���f
Professions Code,and my license is in full force and effect.. Power Apparatus 8 Large Appliances DISTRICT PR C ED BY d
fi Size 8 Type HP,KW,KVA,or KVAR
License Number �yJ ZO Li Class �Q - Up to 1 Incl. FINAL - V
p Over 1 to 10 In . DATE VALIDATION
Contract ate _��0 Over 10 to 50 Incl. U
❑ FINA
I am exempt under Sec. Over 50 to 100 Inc. BY
-Over d
Over 100
B.&P.C.for this reason N
Services,Swbd.,MCC& Panelboards .Z-+ •
Date:- 0- 200'Amp.Under 600 V
Signature 201 - 1000 Amp. Under 600 V — ;21328{+
❑ - - Over 1000 Amp.or Over 600 V 2j O '
Exemption for Reg.Maint-Elect. I o 0
SINGLE FAMILY Temp.Power Pole 8 Appurtenances _ e e o 2 1,0 0 3
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law additional Sign Branch Circuits 1 215'!688
for the following reason(Section 7031.5, Business and Professions
Code):
❑ I,as owner of the property,will do the work and the structure Misc.Conduits 8 Conductors - -
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D
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(Sec.3097, - PERMIT FEE (Sub-Total)
Civ. C.).
PLAN CHECKING FEE -
Lender's Name /y
PERMIT ISSUING FEE (J '
Lender's Address
I certify that I have read this application and stale that the above TOTAL FEE
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
prop or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
ure of Permittee Date
]OA6B.i.CE 9.6R .O,]] APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES +�
DEPARTMENT OF COUNTY ENGINEER ADDRESS O/C/JC
BUILDING AND SAFETY DIVISION
FORAPPLICANTTO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO, FEE NEAREST o O C[ f
182Famil S Ft. $ .025 — $ CROSS ST.
Family, q' OWNER OR
Multi family Sq. FL .02 — FIRM NAME
Residential Swimming Pools !
2 .0 MAIL
ADDRESS J.0/( as; ATOS+
Out lets:Rec Light—SW. CITY Tel. No. 0
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITYTel.No.
Tocol No. Additional '30 AIT
PPLC-,/C—C CC/l/ 4
e
Fined Appliances Not Over I HE ADDRESS S 3 �; �A/ /L 15610
Range_Heater_D.W.— CITYNo.
Oven _Dryer_W.M.— O 3
LICENSE OR
Top —FAU —W.H._ REG.NUMBER zy�'�� Class. C- _/y
Hood_Fan —Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. — 2'50 1 THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY WITH ALL COUNTY ORDIN.
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Y
Up lollncl. 2.50 THE LEGAL OWNEROFTHE BOV1 DESCRIBEDRESI NTIAL PROPERTY.
2%/1✓/1✓ Over 1 to 10 Ind. 5.00
Over 10 to 50 Incl. 12.50 PERMITTEE O
Over 50 to 100 Inc.
25.00 SIGNATURE
Over 100 40.00 DISTRICT NO.
Services
0 200 Amp.Under 600 V 12.50 /Z �R INSPECTOR'S
201 1000 Amp.Under 600 V
25.00 APPROVALS DA SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances
10.00
Sign with One Branch Circuit
10.00 ROUGH CONDUIT
Additional Sign Branch CIFCUII1 2'00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule! POWER AUTHORIZED L
UTILITY CO.NOTIFIED 7�
n FINAL
PERMIT FEE (Sub-Total) / NOTES
PLAN CHECKING FEE LOne Fourth Permit Feel '
Fu
PERMIT ISSUING FEE $7.00 � '—
C
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA ID TION CK. M.O. CASH
.7��- �- 'n,a� .� ul c s 3 -4=4 a 3 fo 7
CH �(
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
i._ 22- 7Ci
76A663_CE80611,70 . APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF BUIILDING AND SAFETY DIVISION FBUILD , j) CI fCOLEMAN W. JENKINS SUPERINTENDENT OF BUILDING pjo1c, C, J
.yl•FOR APPLICANT TO FILL IN / Qn S
OUTLETS NO. EACX FEE
S S OWNER O
RECEP
LIGHT TOTAL._� MAIL
LIGHT_ _
FIRST 20 Zy ADDRESS rIlaI CL
;
OVER 20 CITY TEL.N0. 6-p)g p•
SWITCH_ 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FI%TURES .10
OVER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE_DRYER—LWTR. HTR._ APPLICANT / e
STA. COOK_DISP._F.A.U._ ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH._ LICENSE NO. CLASS.
FAN_OTHER 1.00 / ' HEREBY ACKNOWLEDGE THAT HAVE READ THI5 APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY OR OINANCES AND STATE LAWS REGULATING
IND. NEATEfl S, ETC. MP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REOU HIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR
THAT I AM THE LEGAL O2VAEES.OF, AND INTEND.TO >_
1 - lO 3.00 RESIDE IN, THE ABOVE DESCRIBED REL
RESIDENTIAL PROPERTY.
SIGNA Tu
10 - 50 5.00 OF PE R MRIT TE � r AYVZ O
CC
SO - 100 10.00OISTRICTNO. CLASS ZON a P SSED BY O
��p�
100 - 500 15.00 -/ 4,G�_>✓ uw Q_
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:. /�, Z O Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 OeeJ
SERVICE NOT OVER600 VOLTS OR 200 AMP I' 3.00 /f
APPROVALS GATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 _
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00 /
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 _
ROUGH CONDIUT
WIRING
FIXTURES
/ e
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED / t
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 (7 LD JOSEPH C. ROOHAN
TOTAL FEE rn D SUPERVISING ELECT CAL ENGINEER.
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATION DK. M.O. CASH
I .
LU 2 6 4 4 uGi 1 2 D 7.0 0~
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
TEMPLE CITY
76A.BC-CE#BOC 5.61 APPLICATO®N FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING 5039 ZIT• Enc finita
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY T P.TIS ' C 1 t�j
NEAREST l�Y � � ^
FOR APPLICANT TO FILL IN GROSS ST. / r
PERMIT FEES OWNER Johnson
I T E M NUMBER EACH FEE MAIL
OUTLETS: 111 3Ia s 3 Q0 ADDRESS
LIGHTS RECEPT. BW. .10 CITY TEL. NO.
LIGHTING FIXTURESA .,O qO
CLEC. RANGES CLO. DRYERS ELECTRICIAN 01C0 Elec . Corp
WATER HEATERS .SO ADDRESS Boy` 221
ELEC.SPACE HTRS. DISHWASHERS 5
l L 0
CITY Covina, TEL NO. L.I T IJ 1119)
GARBAGE DISPOSERS 1 AUTO.- r STATE D C10
WASHERS STA.COOKING UNITS ,2$ L7 LICENSENO. 179983
MOTORS: OVER INC. H.P. J DISTR,IICCT O GROUP ZONE P ESSED Y
Fan G— vz zs 211 �] 91
e,
— 2 50 INSPECTION ECORD
2— 5 1.00G7/ 7 /J/r (i�r bW c�it� d
5— 15 1.50
15— 50 2.50 ad-
50— 200 ~
9.00 U
W
NO TRANS. a'
SIGNS:
NO.LAMPS z
f��1 Z
SERVICE 0-600V 1.00 1 00
SERVICE OVER 600V 5.00
MISC
WIRING PERMIT 1.00 1 00
FIXTURE PERMIT 1.00 1 00
SUPPLEMENTARY PERM IT .50
TOTAL FEE s 8130
IHEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION APPROVALS DATE I INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 1 1 1111
WITH ALL COUNTY GRDINANCES ANO STATE LAWS REGULATING
ELECTRICAL WIRING. //////////// A
1 HEREBY CERTIFY THAT I AM BR ECj(S IEREO AND/OR WIRING Y \11\ i O \/ \\\\�(11.�
LICENSED AS REOUIREO BY LOS:A'_ S C Ulff AND STATE OF FIXTURES ,\ \\\v
CALIFORNIA OR THAT 1 AM N N OF THE ABOVE
DESCRIBED RESIDENTIAL P.�/ '� POWER \ I V. v
SIGNATURE // '1/v / UTILITY CO.NOTIFIED 'j I, /11
OF PERM]TT _/ FINAL ..)I I I I(O(__
LIDATION ARTHUR C. VEIT-
I' cK Mo CASH SUPERVISING ELECTRICAL ENGINEER
LI'io9 91 8 > >iR ?2 2 D 8.31.D /
TEMPLE CITY �� J
J6 fi6C.CC NBDfi$.fi, APPLOCATION FOR ELECTRICAL
PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER Buaowc'3a' ',
BUILDING AND SAFETY DIVISION ADDRESS -N' cirri Ua
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY Temple City
NEAREST Garibaldi
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER Tobnson
I T E M NUMBER EACH I FEE MAIL
OUTLETS: $ $ ADDRESS
° LIGHTS RECEPT, SW. .1D
CITU TEL. NO.
LIGHTING FIXTURES .10
ELECTRICIAN 0100 Electric Corp
ELEC. RANGES CLO. DRYERS
WATER HEATERS .50 ADDRESS P.00Dnary22
OX it1
ELEC,SPACE HTRS. D15HWASHER9 Covina
CITY $ TEL NO. Ed 14950
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS ,2$ LICENSE NO.
MOTORS: OVER INC. H.P. DISTRIC y./ GROUP O E P ESSERYY
0— I/2 1 .25 5 L lfi3'L
I/:— 2 so INSPECTION REC RD
0
5= f5 1.50
15— 50 2.50 Q
N
50— 200 5.00 LLiil
SIGNS:
NO TRANS. a
N
NO.LAMPS Z
SERVICE0-600V 1.00 1
SERVICE OVER 600V 5.00
MISC.
WIRINGPERMIT _ 1.00
FIXTURE PERM IT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ 75
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS (DATE I INSPECT
OR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 11
CO NDUIT \ \ /
WITH ALL COUNTY ORDINANCES AND ST LAWS REGULATING 1 \
ELECTRICAL WIRING. WIRING A11 \ 1AI/�
/ �'IMAVVIIP
1 HEREBY CERTIFY THAT 1 A ERLY EDI FERE. ANO/OR FIXTURES \\\'\' J CV" I+� Ail
LICENSED AS RE.UIRCO BY ELES C,OU AND STATE OF I
DESCRIBEDCALwoRNIARESRTHAT I IDENTIAL G L WN OF THE ABOVE POWER \I ll//II/ A/�1//
SIGNATURE UTILITY COCNOTIF IED I 1 I'1 P tln
OF PERMITT FINAL 1 I I J/V'
,YI ARTURtI VETT 1
Moo CASH HH SUPERVISING ELECTRICAL ENGINEER
Ids y
o'2, 3 9 � FM 3 0 ? U
.75 N
iy �m/