Loading...
HomeMy Public PortalAbout6243 ENCINITA AVE_Electrical__ 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES �/ 7 DEPARTMENT OF COUNTY ENGINEER FDORE55 BUILDING AND SAFETY DIVISION - LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER OR , S S FIRM NAME RECEPT._ MAIL / FIRST 20 25 ADDRESS LIGHT_ TOTAL CITY TEL. N0. SWITCH_ OVER 20 .10 PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMI T RANGE_ORYER_WTR. HTR._ APPL ICANTLClr✓ STA. COOK_OISP.�F.A.U._ ADDRESS SPACE HTR. AIR COND.4_ CITY TEL. N0. 8 BE CLOTHES WASH.�OISHWASH.� D LICENUMS '7 7`_�Q CLASS. h REG. NUMBER J FAN_OTHER 1.00 V 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS. TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE B TYPE OVER TO HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANO/OR Q - 1 100 LICENSED AS REQUIRED I BY LOB ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI AM THE LEGAL OWNER OF THE ABOVE a 1 - ID 3.00 OESCRIP.ED RESIDENTIAL PROPERTY. O PERMITEE 10 - 50 5.00 SIGNATURE V O H 50 - 100 10.00 DISTRICT N0. PROCESSED BY w 1 100 - 500 15.00 �© Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1,001 TEMP. POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP ! 3.00 3 Od UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES rr POWER AUTHORIZED UTILITY CO. NOTIFIED 1 FINAL PERMIT FEE (SUB TOTAL) NOTES: l/7• 0 ( ^� PLAN CHECK FEE PERMIT ISSUING FEE 3.00 3tzl 4 TOTAL FEE 00 PLAN CHECK VALIDATION CK. M.O. CASH P, RMIT VALIDATION CK. M.D. <.s' .00-SI Ar- 2 1 4 373 jUL 11 2 C 1 0.00- SEE EE BACK OF APPLICATION FOR COMPLETE SCHEDULE / 78A883-CEDOs-756 APPLICATION FOR ELECTRIC PERMIT ]� BUILDING AND SAFETY DMSION Department of County Engineer BUILDING County of Los Angeles ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER - �r CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY 91(C A NEAREST /OAr / FOR APPLICANT TO FILL IN CROSS ST. 0� N PERMIT FEES NUMBER OWNERLL LIGHT OUTLETS MAIL ADDRESS 54 A4 E . RECEPTACLES _ WALL SWITCHES FEE CITY TEL. NO. TOTAL OUTLETS L 5Q s ELECTRICIAN aECT ELEC. RANGES 25 ADDRESS !Ft< T ELEC. HEATERS 25 CITYTEL. NO. 9 KW EA STATE 1�1 FIXTURES 5 LICENSE NO. O� MOTORS DISTRICT N GROUP Z E aEAox roa �xs PEcn ON NUNeER HORSEPOWER FEE NEW MVO, HP OVER INC. EAC. 12•LESS S .25 INSPECTION RECORD 2 .50 2 5 1.00 5 IS 1.50 S 50 2.50 50 200 1 5.00 ,r7 {77 /C71 X7//211' MISC. �{�OT/a/./ Ql✓. NO. SIGNS NO. TRANS. - NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING PERMIT SLOO FIXTURE PERMIT 51.00 ' SUPPLEMENTARY .50 APPROVALS TOTAL FEE S��C . DATE INSPECTOR'S SIGNATURE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT -- AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY �J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES 7 _ 1 HEREBY CERTIFY THAT I PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOSS ANGELES COURTYARD STATE OF POWER CALIFORNIA ORTHAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE Q ���� FINAL ^J— M1 , 'l I�PLW�+4�c p�t� JOHN A. LAMBIE. VALIDATION ARTHUR C. VEIT. COUNTY ENGINEER - CH MO ASH SUPERVISING ELECTRICAL ENGINEER C 2.5 U /t�:07 9 3 0 v FAY g . ;:2 n S WO that 1- ave a certificate DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT _ 76A663G '• I hereby 'affirm that I-gave a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELESBUILDING AND SAFETY copy thereof'r:ec. 3800,Lab. C.) Policy No. ' Company FOR APPLICANT TO FILL IN JOB �j A , ❑ Certified copy is-hereby furnished. - New Residential Bldgs.&.Pools EACH 'NO. FEE 'ADDRESS „! - f AAI I V�A ❑ 1 & 2-Family.Sq.FL $ _ $ LOCALITY T�I'►'I li� �Y 'Certified copy is filed with the county building inspection department. Multi-family Sq Ft. NEAREST .Residential Swimming Pools CROSS ST LC/ Date Applicant OWNER OR �{ FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rao Light Sw. MAIL / �. d - _ f C704 C1 Al-�MAIL -Ar COMPENSATION INSURANCE - ADDRESS 10 2-`f' 3 '(This section need not be completed if the work involved by the First 20 / permit is for one hundred dollars ($100) or less.) I Total No! / Additional CITY `'YI `�' :• / p irol.No3pGf�036 I certifythat in the performance of th for which this permit PLAN CHECK P P APPLICANT is issued, s al not employ any per any mann as to 29 become su ct o the We, Co e ion LQuds. Lighting Fixtures . First 20• •. ADDRESS Additional . ' /� y 7• ✓(/ Total No. CITY o. Date V (! Applicant - Fixed Appliances Not Over 1 HP PERMIT NOTICE 0: AP Ll ANT: If, .after making_ this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT 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 Tel.No. - LICENSED CONTRACTORS DECLARATION Hood —'Fan Other_ _ hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR - Class. (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Professions Code,and my, license is in full force and effect. DISTRICT NO PROCESSED BY Power,.Apparatus&Large Appliances .. _ Size& Type HP,KW,KVA,or KVAR Q Q 'License Number Lic. Class Up to 1 Incl. - FINAL U Over t to 10 Incl. DATE VA DATION fY '. Contractor Date Over 10 to 50 In . �. cl FINAL U ❑ I am exempt under Sec Over.50 to 100 Inc. BY - W R.&P.C: for this reason - �Over 100 d N Data. Services;Swbd.,MCC & Panelboards - D Z _ 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. ' - - ;9810a4a - SINGLE FAMILY Temp.Power Pole-8 Appurtenances a8 a HOME OWNER-BUILDER DECLARATION - Sign with One Branch Circuit a ^ ^ 5 1 hereby affirm that I am exempt from the Contractor's License Law - for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits -- - j Code): I a o 7 -87 Misc.Conduits& Conductors ' I,as owner of the property,will do the work and the structure Other (See Complete Fee Schedule is not intended C offered for Sale (Section 7044, Business ) and Professions Code). - CONSTRUCTION LENOING�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, PERMITTEE (Sub-Total) - . Civ.-C.). - PLAN CHECKING FEE - - - Lender's Name• ' PERMIT ISSUING FEE , Lender's Address Q 4,, 1hal t haveread thisapplication and state that the above TOTAL.FEE s a” CLIagree tocomply sregulating Electrical vilringantl sof IsCountytoentermape f o uposesC. SEE REVERSE FOR E%PLANATORV LANGUAGE Permittee r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1110100004 BUILDING AN➢ SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626)-285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 5904 LT: 280 1 6243 ENCINITA AV I FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917801640 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: 115384-011-018 JAI PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl G1 OUTLETS-LGT,SW,RECP 15.00 OUT 29.10 1 TENANT: G2 LIGHTING FIXTURES 6.00 LOT 11.60 (ISSUED ON: PROCESSED BY: PLAN BY: I I TOTAL FEES 68.50 110/10/11 SR I I I TOWNER: TEL. NO: I (FINAL DATE FINAL BY: CODE: 12LAM, LY VIVIAN (626) 318-8298- 1 16624343 I I ENCINITA AV IrrhV V ITEMP 917801640 1 DESCRIPTION OF WORK (REPLACE 15 OUTLETS AND 6 LIGHT FIXTURES I APPLICANT: TEL. NO: TILE BEAU, RENE (626) 794-5005- 12850 REPOSA LN. I ISPECIAL CONDITIONS: I IALTAEENA, CA 91001 1 1 II I (CONTRACTOR: TEL. NO:. 111 (APPROVALS DATE INSPECTOR SIGNATURE I IFAULTLESS ELECTRIC (626) 794-5005- 1 1 12850 REPOSA LANE LIC. NO ITEMPORARY POWER POLE ALTADENA, CA 91001 232895 C10 I (UNDERGROUND CONDUIT IARCHITECT OR ENGINEER: TEL NO: IUFER GROUND I LIC. NO: I IROUGH CONDUIT ROUGH WIRING LL( t _I I I I (MAIN WATER LINE I I PLASTIC Y/N METAL Y/N I I I I (UTILITY COMPANY NOTIFIED( I I I I I I 11 I I I I I I I I I I I I I 1 III I 11 I III II (111 111 II I I I I I I I 111 I 11 I I I I I I 11111 I I I I 111 (III i i 111 REPORT ID: DPR265 ROUTE TO: BS0509 I