HomeMy Public PortalAbout6400 ENCINITA AVE_Electrical__ 76A663 DES SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF NG AND SAFETY JL � II
COUNTY OF'LOS F'LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO.
ELECTRICIA��Nr5,P I S �/ /3.529
ADDRESS 7 S. S f0( �T[, 1G �— RECEIVED BY READY FOR DATE ISSUED
LS
I L FI RBT INSPECTION
CITY �.�`i OL b.. .G a TEL NO./7/� 7�r0>•o J �� �
COUNTY LICENSE NO. QI EXPIRES .?d gDDRESB f
PERMIT FEES EAl e- I A-,y/G�+ : /v 0
FEB LOCALITY
NUMBER EACH
LIGHT OUTLETS J NEAREBT /O
CRDBB ST. L. O
d
RECEPTACLES .Z'.� f
WALL SWITCHES J. OWNER ♦ P. / /r
TOTAL OUTLETS w Sc ! MAIL
ELEC. RANGES 2S ADDRESS
ELEC. HEATERS 2S CITY TEL NO.
FIXTURES s 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
MIBC. APPLICATION AND STATE THAT THE ABOVE IS 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 LOS
NUHe[R HORSE!200,
ER FEE ANGELES COUNTY LICENSE, ORA AM THE LEGAL OWNER
N[W MVO. HP OVORHC. FADS OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
LESS 111 .2S fs� SIGNATURE OF2 .s0 PERMITTE 2 B 1.00 INSPECTION RECORD
S 18 1.50isso 2.SOso S.GO200Boo 10.00 J
500000 Is.00 Z
OVER l000 2o.00 0
M.G. BET/FRED. CHANGER-HP G
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIO.)
MISC.
SIGNS
NO. NO.TRANH. APPROVALS
NO. ND. LAMPS
FOR EACH PERMIT: DATE IINSPECTOR•B NAME
WIRING $1.00 00 CONDUITI',
FIXTURES SLOG (. 190 WIRING q L /(�SrO NO L-I)
SUPPLEMENTARY .BO 2- FIXTURES -I2�•lTi 1'A! 1u_
POWER
TOTAL FEE S 6 2O UTILITY Co.NOTIFIED
FINAL
'16/.669 D9B5I. Ii-+9 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ��OCT
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FDX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO.
ELECTRICIAN .00
/CS O S 6/; 6
RE C 1VE Y READ Y.FOR DATE ISSUED
ADDRESS
FIRST INSPECTION �
CITY TEr _ � b ky
i,VL
L NO.
COUNTY LICENSE NO. F EXPIRES 6 .�O 6' BW LDING b ry� I/ 2HG
PERMIT FEES ADDRESS / l ��V7 F//
NUMBER OUTLETS EACH FEE LOCALITY
LIGHT 5D 8 NEAREST /
CROSS ST. /r9/fy O•H
RECEPTACLES 5 y I _ AlFIXTURES 5 OWNER V/
WALL SWITCHES 5 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
MIGC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
TOTAI APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
HUMMERHORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LDS
NEw Mvo. HP OVER IHc.
EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
WLC .25
I/2 .50SIGNATURE OF
PERMITTEEs1.50 INSPECTIIONRECORD152.50sa200500JOVER0.00 Z
M.G. SET/FRED. CHANGER-HP — [7
,I WELDERS: AC-KVA
O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (74% of DAIS.)
MOVED MOTORS (75% OF GRID.)
MIBC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMP: APPROVALS
FOR EACH PERMIT: - DATE INSPECTOR':NAME
CONDUIT //l
WIRING 81.001 G
WIRING
FIXTURES 81.00
/ Y
SUPPLEMENTARY .50 FIXTURES
(J POWER
TOTAL FEE :/ UTILITY CO. NOTIFIED
FINAL
o i
WORKER'S
haveCOMPENSATIONcertificate
DECLARATION 20x019 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT
]0.001
I hereby 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(Sec.3800 Lab.C.) '
PO
Policy N ✓ 7 Company /3„��`r r FOR APPLICANT TO FILL IN JOB
OORESS oo E17614t.
❑ Certified copy is hereby furnished. New Residential Bidgs.&Pools EACH NO. FEE
1&2-Family,Sq.Ft.
$ _ $
LOCALITY
Certified copy is filed with th ca building i tion _ NEAREST
departme_nt. Multi-family Sq.Ft. CROSS ST
Date `Y� plican esidential Swimming Pools ASSESSOR
MAP PAGE PARCEL
CERTIFICATE E ION FR WORKER Outlets:Rec. Light�Sw. OWNER OR
CO ION INSU NCE FIflM NAME
(This section need not be completed 1f a work Involved by the First 20 ✓ MAIL
permit Is for one hundred dollars($100) r less.) Total No. Additional LY A'1 'V
1 certify that in the performance of the work for which this permit CITU Tal.NoZIL17
is issued, I shall net employ any person In any manner so as t0 PLAN CHECK
become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT
- Total No. Additional
ADDRESS
Date Applicant 15 OR 20A120V BRANCH'CIRCUITS
,
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel No.
Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH
previsions of the Labor Code, you must forthwith comply with such 11 T040INCLUSIVE EACH IT
APPLICANT
provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH
LICENSED CONTRACTORS DECLARATION - - ADDRESS a),
I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,20BV TO 277V LIGHTING EACH (L
(commencing with Section 7000) of Division 3 of the Business and CITY / / Tal.No. u
Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR
Power
r
Power Apparatus&Large Appliances REG.NUMBER 61, Class.C— D 0
Size&Type HP,KW.KVA,or KVAR DISTRICT NO. PROCESSED By O
License Number Lic.Class Y
�J/V] •C/! l'f� ate �� 9y Over 3 oInd.
10 ILI
IL
Over 3I0 10 Incl. FINAL fl
Contractor DATEu (n
❑ Over 10 to 50 Incl. VALIDATION
d[ Z
am exempt under Sec. Over 50 to 1 G Ind.
FINAL
B.&P.C.for this reason Over 100 BY
Services,Swbd�CpC&Panelboards -
Date: _ 0-200 A< ender 600 V ' O
Signature 201-1000 Amp.Under 600 V
❑ Over 1000 Amp.or Over 600 V
Exemption for Reg.Maint.Elect. i
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOMEOWNER-BUILDER DECLARATION
hereby affirm that Sign with One Branch Circuit 74
em exempt from the Contractor's License Law :.`(j7
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits _ '
Code): j .l TErj_.
❑ I, as owner of the property.will do the work and the structure Misc.Conduits&Conductors T; T- I - —3
is not intended or offered for said (Section 7044, Business Other(See Complete Fee Schedule)_ 1 IJ "_`_5
and Professions Code). - > (_ jF t: ..
CONSTRUCTION LENDING AGENCY
l-_nriVG _IJI=
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.) (ti til l— "(OI =/a; ;9=
PLAN CHECKING FEE °-'
Lender's Name PERMIT ISSUING FEE _ aLf I All I J.af.)
Lender's Address -
I certify that I have read this application and state that the above TOTAL FEE
-13
information is correct. I agree to comply with all County ordinances
and State laws regulating Electrical wiring, and hereby authorize
representatives of chi, unty to ant r upon the above-mentioned --
property r inspecti p Apses. SEE REVERSE FOR EXPLANATORY LANGUAGE
5 V—/L
III SI T PP CANT AGENT DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0608010008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: PEES PAID BUILDING ADDRESS:
ON FILE 6400 ENCINITA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801319
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5382-017-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
E1 TEMP SERV POWER POLE 1.00 TMP 43.65
TENANT: TOTAL PEES 71.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
OB/01/06 JK 01/28/07
OWNER: TEL. NO: g,IN) �L/pATE NAL BY: CODE:
LU, JINN NEN (626) 621-9339- y yW �� ----
6400 9ENCINITA17BD131 AV V �! RK
TEMP 917801319 DESCRIPTION OF WORK
TEMPORARY POWER POLE
APPLICANT: TEL. NO:
LU (626) 621-9339-
6400 ENCINITA AVE SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LU, JIM WEN (626) 621-9339-
4 SHU QING CREW LIC. NO TEMPORARY POWER POLE
6400 ENCINITA AVENUE NONE
TEMPLE CITY, CA 91780 UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED /
REPORT ID: DPR265 ROUTE TO: SS0508
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0506 1208090003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: - FEES PAID BUILDING ADDRESS:
ON FILE 6400 ENCINITA AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801319
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
15382-017-024 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
1 101 OTHER INSPECTIONS 1.00 HOU 109.40
(TENANT: TOTAL FEES 137.20 JISSUED ON: PROCESSED BY: PLAN BY:
108/09/12 SR
ILU, J TEL. N0: i NAL iI{TE FI Y: CODE:
LU, R: WEN (626) 821-9339- 1 (Cy1J_)�L1�
6400 ENCINITA AV
TEMP 917801319 (DESCRIPTION OF WORK
ITO FINALIZED EXPIRED PERMIT (EL 0608010005) ELECTRICAL FOR
(ADDITION, REMODEL AND UPGRADE SERVICE PANEL 200 AMP
APPLICANT: TEL. NO:
ILU, JIAN WEN (626) 821-9339-
16400 ENCINITA AVE ISPECIAL CONDITIONS:
ITEMPLE CITY CA 91780
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
LU, JIAN WEN (626) 621-9339- 1 1
I& SHU QING CHEN LIC. NO ITEMPORARY POWER POLE
1
16400 ENCINITA AVENUE NONE 1
ITEMPLE CITY, CA 91780 1 (UNDERGROUND CONDUIT I 1
(ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
1 1-1-
LIC. N0: IROUGH CONDUIT I
ROUGH WIRING
MAIN WATER LINE I
PLASTIC YIN METAL YIN
I I
(UTILITY COMPANY NOTIFIED
I I I I I I
I
I I I
(REPORT ZD: DPR265 ROUTE T0: 850508
COUNTY OF LOS ANGELES - TEMPLE CITY q 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0608010005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6400 ENCINITA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801319
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5382-017-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.50
TENANT: _ G2 LIGHTING FIXTURES 25.00 LGT 45.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA PAU LESS 3HP 1.00 PAU 10.95 OB/01/06 JK 01/28/07
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H3 RES RANGEDISHWASHRRD$ LT 3HP 1.00 DIS 10.95 FTNAL DAxB`/��q p�)IMjL BY: CODE:
LU, JIM WEN (626) 621-9339- H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 iYL,�X/` 1I11�R)'ILL-U
6400 ENCINITA AV HS RES WASH MACH LT 3HP 1.00 WAS 10.95
TEMP 917801319 H7 RES EXHAUST FANS 1.00 EX 10.95 DESCRIPTIOOF 0 K
JB AC UNITS r3-10HP 1.00 AC 19.65 ELECTRICAL FOR ADDITION AND UPGRADE SERVICE 200 AMP
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
APPLICANT: TEL. NO: TOTAL FEES 250.20 -
LU (626) 621-9339-
6400 ENCINITA AVE SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL N0: APPROVALS DATE INSPECTOR SIGNATURE
LU, JIM WEN (626) 621-9339-
& SHU QING CHEN LLC. NO TEMPORARY POWER POLE
6400 ENCINITA AVENUE NONE
TEMPLE CITY, CA 91780 UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UPER GROUND
LIC. NO: ROUGH CONDUIT
^' ROUGH WIRING
!�
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003150003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID J BUILDING ADDRESS:
J ON FILE 6400 ENCINITA AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801319
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
I53B2-017-024 - JAI PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I 101 OTHER INSPECTIONS 1.00 HOU 109.35 1
ITENANT: I TOTAL FEES 137.10 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: J
103/15/10 SR 03/15/11
TOWNER: TEL. N0: I (FINAL DATE FINAL BY: CODE: I
ILU, JIM WEN (626) 821-9339- 1 2
16400 ENCINITA AV I ( "-'� U
TEMP 917801319 J �DEPTION OF WORK
(FINALIZED EXPIRED PERMIT EL 0608010005
APPLICANT: TEL. N0:
ILU (626) 821-9339- J
16400 ENCINITA AVE J TSPECIAL CONDITIONS:
ITEMPLE CITY CA 91780
I I I I
JCONTRACTOR: TEL. N0: (APPROVALS DATE INSPECTOR SIGNATURE J
ILU, JIM WEN (626) 621-9339-
I& SHU QING CHEN LIC. NO ITEMPORARY POWER POLE I I
16400 ENCINITA AVENUE NONE 1 1-1-
ITEMPLE CITY, CA 91780 (UNDERGROUND CONDUIT
TARCHITECT OR ENGINEER: TEL. N0: j JOKER GROUND
LIC. NO: IROUGH CONDUIT
IROUGH WIRING I
J (MAIN WATER LINE
(PLASTIC Y/N METAL Y/N
JUTILITY COMPANY NOTIFIED
I I I I I
EXPIRED aa) o
IREPORT ID: DPR265 ROUTE TO: BS0508