HomeMy Public PortalAbout6418 ENCINITA AVE_Electrical__ UA6E31 DB65A 7-s1 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES gg�517
Z(D'effR9(K19l a
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE I PERMIT NO.
FOR APPLICANT TO FILL IN
ELECTRICIAN �M�f ,f�Pr ��� J•( �G� '
ADDRESS / s2 ,�O rrl,U PiN /�✓, •jN RECEIVED BY READY FOR DATE ISSUED
�` /• L ,/ i(1 tl FIRST INSPECTION
CITY NE.N (t A, /lV/P-� TEL. NO. Q//� .SOY f�lf/l)`/,Vh//•{Y� -{�
COUNTY LICENSE NO. EXPIRES BAUILODDREI No
SS C9/ ,/ //-•
-
PERMIT FEES / /✓
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES !/
WALL SWITCHES OWNER
TOTAL OUTLETS 5C !0__/ (J MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 /—/–� CITY TEL. NO.
FIXTURES Is U u 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. 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 1 POSSESS THE ABOVE VALID LOS
rNEWVD
HORSEPOWER ANGOLE9 COUNTY LICENSE, OR I AM THE LEGAL OWNER
HP OVER wo- EncR OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
FEE
LEss $ .25 SIGNATURE
I/¢ 2 50 PERMITTEE
z 5 ,.DD INSPECTION RECORD
s 1s LSD
15 50 2.50
sD 200 5.00
200 500 15.00 J
5310 I IOOO 15.00 Z
Z
OVER tOUO 20.00_ 5
M.G. SET/FRED. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% Of DRIG-)
MOVED MOTORS (9S% of oalo.)
MISC.
SIGNS
NO. NO.TRAN9.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1. �j'_(Z CONDUIT G .-3
`� —
FIXTURES $1.0000 � B WIRING �InJ I:LNI�
SUPPLEMENTARY .50 FIXTURES �
POWER
TOTAL FEE $ /• �p UTILITY CO. NOTIFIED
FINAL
Taneea-ceaoe s-Bo APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER FA
1LDwG �� cG..-rT--a--L
BUILDING AND SAFETY DIVISION ADORE 7 � T G, G^"e—
JOHN A, LAMBIE, COUNTY ENGINEER l,-U-
'CASSATT D. GRIFFIN,Su"T OF BUILDING CALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
OWNER EPW'ArZP WC MAN
ITEM NUMBER EACH FEE
OUTLET : $ $
d.
ADDRESS I Ff F_h( G A
LIGHTS RECEPT.—{ BW. /-L .10
LIGHTING FIXTURES Ll 10 CITY . L TEL NO.A 1rr— 7 S
ELEC.RANGES CLO.DRYERS ELECTRICIAN W / AN L /Z/A/ �f
WATER HEATERS .50 ADDRESS-• /-j.p KAUI=l=M^1V AVYY
ELEC.SPACEHTRS. DISHWASHERS
CITY EvIA i-i; CI TEL. NO. T —
GARBAGEDISPOSERS AUTO.
STATE I p.
WASHERS STA.COOKING UNITS .25 LICENSE NO. e-9 4
I� `1 � � O �/co
MOTORS: OVER INC. H.P. DISTRICT NO. I GROUP IZONE P BY
O— 1/E .25
a:— 2 _SO INSPECTION RECORD
2— 5 1.00
5— is 1.50
Is— 50 2.50
SO-200 5.00
SIGNS: No.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT LOO _LOZI
. FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF/HE ABOVE
DESCRIBED RESIDENTIAL )/�J7 I POWER
111,1ATURE iI%�� Gi• C1yYt_!i UTILITY CO.NOTIFIED
OERMITTE FINAL
OF DATION ARTHUR C.VEIT,
OK MO CASH SUPERVISING ELECTRICAL ENGINEER
�(08225IM 2'7 2 A 3.60
,aaaaa.ceeaa a.aa APPLICATION FOR ELECTRIC PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /,
BUILDING AND SAFETY DIVISION ADDRESS 1� CN C I N t T
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OP BUILDING LOCALITY T, L
FOR APPLICANT TO FILL IN NEARE sT. = =hal4N
PERM FEES CROSS
ITEM NUMBER EACH FEE OWNER I°12 IA/CU All
OUTLETS: �1 $ 10
$ ADDRESS
LIGHTS REC£PT. £W. G�
LIGHTING FIXTURES 10 CITY TEIAPLF_ C- TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN r_ i AIN N
WATER HEATERS .50 ADDRESS (,19-,9 KAU FF/V/HN AVF
ELEC SPACE HTRS. DISHWASHERS
CITY - G 1 TEL. NO.N�. '
GARBAGE DISPOSERS ,AUTO.•
STATE
WASHERS STA.COOKING UNITS .ZS LICENSE NO.
�. MOTORS: OVER INC. H.P. DIST`T NO4 I GK P ZONE I P S D BY
0— V. .25 U ��
1/2- 2 .50 INSPECTION RECORD
2— 51.00 ,
5— 15 1.50
is- 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00 1 r.
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 hh
SUPPLEMENTARY PEI I �' 2 .50 �v
TOTAL FEE �(�x7IS9 $ Z
I HEREBY ACKNOWLEDGE THAT 1 HgVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING /��Q• / //1q�Ll.R/_WY.I
I HEREBY CERTIFY THAT I S PROPERLY REGISTERED ATE OR
CLICENSEDALIFORNIA
AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES -_
DESCRIBED RER THAT i AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P PERTY. POWER
SIGNATURE r UTILITY CO.NOTIFIED
OF PERM=E _ FINAL 3�f O ["mss/ /PLI�.cLIO�
®T T19DF–� SUPERVISING ELI
CK MO ELECTRICAL ENGINEER
CK MO H
F!! S 5 :n 3C., 2 n .7C. ;
WORKERS'COMPENSATION DECLARATION 76A663
CE-806G (2-80) APPLICATION :EOR .ELECTRICAL PERMIT
I hereby affirm that 1 have a certificate of consent to-self - "COUNTY OF LOS ANGELES 7- ° BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insure ce,or -
a certified copy thereof(Sec. 3800, Lab. C.)
Policy N6.!//Ja'1/Company _—r-. J FOR APPLICANT TO FILL IN JOB /
EACH NO. FEE ADDRESS bq
New Residential Bldgs. &Pools
�'rtified copy is hereby furnished. 1 &2-Family,Sq. Ft $ — I LOCALITY f t -
Certified co Multi-family Sq. Ft. _ NEAREST
copy is tiled with'A county building inspection CROSS ST to ,.h
de a t ent.. Residential Swimming Pools OWNER OR
Date/tet / FIRM NAME
[ / 1pplicant ld 1 Outlets: Hec.1Light�Sw. I S!J MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION YOM WORKERS' Total No. AdditionalTeI N
CCTV
COMPENSATION INSURANCE L
P
LAN CHE K 0
APPLICANT f.7
(This section* need not be completed if the work involved !�U
by the permit is for,one hundred dollars First 20 ADDRESS
Lighting s ($100) or less.) Additional
Total No.AL_ 0
I certify that in the performance of the work for which this
Fixed Appliances Not Over 1 HE CITY .TeI No,
permit is issued, I shall not employ a[iy p rson in any manner PERMIT /
so as to become subject to the Wo/REr ompensation Laws. Range_ Heater_D.W. _, APPLICANT
+� // Oven _ Dryer_W.M._ ADDRESS �i Z
J o 1 Top _ FAU —W.H..— ; t Tel o. P='-! p.= Z_
Dale Applicant -
-
Hood Fan _Other_ CITU � ! Tel No. �'�� �t •P•
NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room.Air Conn*._ LICENSE OR ��ll `• c.
Exemption, you should become subject to the Workers' REG.'NUMBER3 5 '•" Class J �•"
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROC SSEDBV
with comply with such provisions or this permit shall be f/
deemed revoked. Size&Type HP, KW, KVA,or KVAR S 6 d
' Up tolIncl. '
Over 1 to 10 Incl. FINAL.
DATE
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. --IZ, �.� VALIDATION ;
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL(
BV I I `
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 V`J
ness and Professions.Code, and my license is in full force and ,
effect. 1'p�n(, ' (� Services
1' C%3 3/J✓ V 1. 0-200 Amp. Under 600 V
License Number Lic. Class
201-1000 Amp. Under 600 V /Sa
Contractor.)4I-A /� Date Over 1000 Amp.or Over 600 V
1 •
HOME OWNER-BUILDER DECLARATION 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): 4 4 2 O A
Mise.Conduits& Conductors
O1, as owner of the property, will do the work and the Other (See Complete Fee Schedulel— # e e(e o s 2
structure is not,mtended or offered for sale (Section
7044, Business and Professions Code). 2 e s e 9.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency - e o e e =for the performance of the work for which this permit is �r9'
issued (Sec. 3097.Civ.C.). PERMIT FEE (Sub-Total I; CX
� a 1 :7.-81
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel
Lender's Address PERMIT ISSUING FEE
I certify that.1 have read this application and state that the TOTAL FEE
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby aut�rizee P seotatives of this County to enter upon
the above- e/t/ion property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
l
Si na ure of mi to to '
WORKERS' COMPENSATION DECLARATION 76_663 10/81
APPLICATIONI hereby affirm that I have a certificate of consent to self CE-&6G FOR -ELECTRICAL PERMIT
lmMIT
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, Lab. C.) 1
Policy No. Company FOR APPLICANT TO FILL IN JOB `Q
Certified copy is hereby furnished. I New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS /Q
❑ Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ — $ LOCALITY
lion department. Multi-family Sq. Ft. — NEAREST
PC V
Dote Applicant Residential Swimming Pools OWNER OR
q FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' � f— MAIL
COMPENSATION INSURANCE _ Outlets: Re< Light Sw. ADDRESS
First 20 7S
(This section need not be completed if the work involved by I Total No. Additional CITY Tel. No.
the permit is for one hundred dollars ($100)or less.)
1
I certify that in the performance oPLAN CHECK
f the wark�for which This APPLICANT
permit 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 7 7 ADDRESS
//////JJJJJJ��.��.�����I��I������QQQQQQ QQQQQQ������((((//������{{{{{{ Total No. Additional CITY Tel. No.
Date pplicant Qft'ems Fixed Appliances Not Over I HP PERMIT
NOTICE T APPLICANT: If, after m Jing tis Certificate of APPLICANT
Exemption, you should become subject to the Workers' Range_ Heater—D.W.
Compensation provisions of the Labor Code, you muss forth- Oven — Dryer — W.M.— ADDRESS Aup,
with comply with such provisions or this permit shall be Top FAU —W.H. CITYR, T.I.
deemed revoked. Hood Fan _ Other—
p
LICENSED CONTRACTORS DECLARATION LICENSE OR �/
I hereby affirm 4ot I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER 7�/ Class. e (�
(commencing with Section 7000) of Division 3 of the BusinessDISTRICT NO. PROCESS BY
y
and Professions Code, and m license is in full force and effect. Power Apparatus 8 Large Appliances / _ >
_ Size & Type HP, KW, KVA, or KVAR' .../ O
License Number_.29/7� Lic. Class e' �a Up to I Incl. FINAL V
C.&CA, ,_ ��- � Over 1 to IO Incl. DATE �3L, VALIDATION 0
Contractor Dare [/�= Over 10 to 50 Incl. V
FINAL ~
❑ I am exempt under Sec. Over 50 to 100 Inc. BY - d
B.BP.C. for this reason Over 100 Z
Date: a2 Services, Swbd., MCC 8 Panelboards D /�
0 - 200 Amp. Under 600 V
S'nnnture 201 - 1000 Amp. Urider 610 V
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect.
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm IhaPl am exempt froom the Contractor's License Additional Sign Branch Circuits ;24 6 5,6 A
Low for the following reason (Section 7031.5, Business and
Professions Code)' # e is is is eZ
❑ 1, as owner of the property, will do the work and the Misc. Conduits 8 Conductors
structure is not intended or offered for sale (Section Other_(See Complete Fee Schedule)_ 2 °,° 5,7'5
7044, Business and Professions Code). D era ° 1 5 715
CONSTRUCTION LENDING AGENCY '
I hereby affirm that there is o construction lending agency for 0822—83
the performance of the work for which this permit is issued PERMIT FEE - (Sub-Total) S -
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE -.
Lender's Name
PERMIT ISSUING FEE
Lender's Address -
I certify that I have read this application and state that the TOTAL FEE,
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
ignatur of Permittee Date _
e
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 0906100007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0482 EXT
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6418 ENCINITA AV
EEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801319
I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LONGDEN 1
15382-017-020 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
TENANT: IHA FAU LESS 3HP 1.00 FAN 10.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
ISA HEAT PUMPS 13-IOHP 1.00 HT 19.65 106/10/09 SR 12/07/09
INA 100 AMP PANELS, MCC 1.00 PAN 38.85 1
OWNER: TEL. NO: I TOTAL FEES 99.15yjqD TE FINAL BY: CODE:
HARRIS, THEA (626) 675-1617- 1 11 !'1^iVI16418 ENCINITA AV
ITEMP 917801319 ESCRIPT ON OF OF WORM(
(UPGRADING OF ELECTRICAL PANEL TO 125 AMP AND 50 AMP FOR
(CENTRAL AC/HEATING UNIT
1APPLICANT: TEL. NO:
SAME AS OWNER -
(SPECIAL CONDITIONS:
I I
CONTRACTOR: TEL. N0: ((APPROVALS PATE INSPECTOR SIGNATURE
SAME AS OWNER - I
LIC. NO (TEMPORARY POWER POLE
(UNDERGROUND CONDUIT III
ARCHITECT OR ENGINEER: TEL. NO: INFER GROUND �6
jLID. NO: IROUGH CONDUIT
IROUGH WIRING
MAIN WATER LINE
IPLASTIC YIN METAL YIN
10TILITY COMPANY NOTIFIEDI / 1 1
I I 1 III II
i
II II II I I I
I I I I I
I I I II I II
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IREPORT ID: DPR265 ROUTE TO: BS0508
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