HomeMy Public PortalAbout9843 ESTRELLA AVE_Electrical__ 6
' CGUNTY OF LOS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1111210048
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0486 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 16712 LT: 11 9843 ESTRELLA AV
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917801417 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15383-023-011 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI
I _IFI 120V, 15/20A BR CKTS 6.00 BR 103.90
TENANT: IG1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.40 ISSUED ON: PROCESSED BY: PLAN BY
( :
G2 LIGHTING FIXTURES 20.00 LOT 38.80 11/21/11 SR
IH2 RES GREG DISH LT 3HP 1.00 DIS 10.90
IOWNER: TEL. N0: 1H3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 (FINAL DATE FINAL BY: CODE: 1
1YU LI, TAM (626) 203-6362- IH4 RES RANGE HDS IT 3HP 1.00 HOO 10.90 /
19843 ESTRELLA 1H7 RES EXHAUST FANS 1.00 EX 10.90 h C
(TEMPLE CITY CA 91780 TOTAL FEES 266.50 I ESC IPTION OF WORK
INSTALL AND REPLACE SWITCHES, LIGHTS AND ADO SUB-PANEL 60
AMP FOR KITCHEN AND BATHROOMS REMODELING
(APPLICANT: TEL. NO:
ILEE, RAYMOND (626) 825-2614-
I9322 KLINGERMAN ST C I ISPECIAL CONDITIONS:
SOUTH EL MONTE 91733
CONTRACTOR: TEL. NO: III APPROVALS DATE INSPECTOR SIGNATURE
RAY LEE CONSTRUCTION, INC. (626) 825-2614-
19322 KLINGERMAN STREET kC LIC. NO (TEMPORARY POWER POLE
ISOUTH EL MONTE, CA 91733 7295165
I (UNDERGROUND CONDUIT
I
ARCHITECT OR ENGINEER: TEL NO JUFER GROUND
LIC. NO: ROUGH CONDUIT
(ROUGH WIRING
MAIN WATER LINE
(PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
I I
III (III ' III I I III
(III (III i VIII
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II I I II II
II I I I I I
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I I« ADDITIONAL DATA ON FILE I I I I
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I (REPORT ID: DPR265 ROUTE TO: 850508 1 I I I
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76A683 CE.Bois(6/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH- NO. FEE ADDRESS
1 &2 Family,Sq. Ft. $ .025 - S LOCALITY -
Multi-family Sq. Ft. .02 - NEAREST '
_
Residential Swim25.00 CROSS ST.
ming Pools OWNER OR
FIRM NAME L
Outlets:Rec—Light_Sw._ MAIL
First 20 .50 ADDRESS
Total-No. Additional .30 CITY Tel, No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional _30 _
Total No. CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_ D.W. — APPLICANT
Oven.Dryer— W.M.— ADDRESS
Top _FAU — W.H._ CITY G Tel.No yy4 3;,7
Hood_Fan —Other— LICENSE OR
Disp.—Room Air Cond. 2'50 S "� REG.NUMBER1;7(f3 Closs.C/U
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
Size&Type HP, KW, KVA,or KVAR - COMPLY-WITH ALL COUNTY ORDINANCES AND STATE LAWS
YP Up to 1 Incl. 2.50 REGULATING ELECTRICAL WIRING.
HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
Ovver 1 to I O Ind. - 5.00 uCENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF as
10 to 50 Ind... 1250 CALIFORNIA OR i I AM THE LEGAL OWNER OF THE ABOVE
E
25.00 DESCRIBED TI PROPERTY Y:�
Over 50 to 1001 nc. DESCRIBE D'RESI
40.00
Over 100 SIGNATURE
Services DISTRICTOCE ED BY
0 200 Amp.Under 600 V 12.50 L ,$'U'
201 1000 Amp. Under 600 V 25.00 �,J• .0 O 6 tl
Over 1000 Amp.or Over 600V 50.00 Z
p
Temp, Power Pole&Appurtenances 10.00 WA>r7,F-209 5y -
0.00 G
Sign with One Branch Circuit '
Additional Sign Branch Circuits 2"00 INSPECTION >
Misc.Conduits&Conductors 10.00 INFORMATION W
ON REVERSE x
Other(See Complete Fee Schedule)_ SIDE _ 242S3A
5
# avevo2
PERMIT FEE [Sub Totoll $ Q 2 e - 25,00
PLAN CHECKING FEE (One-Fourth Permit Feel O o e e 2 5005
F
PERMIT ISSUING FEE $7.00 ss o O rj,0 8—7 9
TOTAL FEE >
INSPECTION FINALED a
W
date:
7EA663 .Rs SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM,4. FOX. CHIEF ENGINEER _
FO PLICTO FILL I e� DISTRICT NO. GROUP ZONE PERMIT NO.
E LECTR I C IA V rA ,, --
RECEIVED,BY READY FOR DATE ISSUED
ADDRESS /. ' i�� fi, FIRST IN�CTIDN /�f
CITY
COUNTY LICENSE NO. EXPIRES ,/ 'BUILDING
PERMIT FEES - ADDRESS Z� 43
NUMBER EACH lr FEE LOCALITY
LIGHT OUTLETS NEAREST w
— CROSS ST.
RECEPTACLES �..�
WALL SWITCHESOWNER
TOTAL OUTLETS 50 $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS r 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
NungeR HORSEPOWER ANGELES COUNTY CENSE. OR AM THE LEGAL HER
FEE 1 I
New MVo. HP -T.R ISD. EACH OF THE RESIDENT AL ROP D C B ABOV
I/p a Legg $ .25 SIGNATURE OF/
.2 .50 PERMITTE
2 /5 1.00 INSPECTION RECORD
A/
1 1.50
! I o 2.50
t�
G. DD ro.DD J
DG IDDD 1s.DD Z
OvR /000 1 20.00 (�
M.G. 5ET/FRE CHANGER-NP O
WELDERS: AC-KVA D
GENERATORS - KW •'
TRANSFORMERS - ,KVA
TEMP. MOTORS (75% OF ORio.)
MOVED MOTORS (7S% of oRIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING /♦V $t,pp caNDUIT 3— l u-S-I 1 0/�V�yh� AA
' FIXTURES $1.00 WIRING �" •iJl !?lIM_
SUPPLEMENTARY .SO FIXTURES -5-111..NI (' Vt✓C
POWER
TOTAL FEE $ / UTILITY CO. NOTIFIED
FINAL
.WORHERS'COMPENSATION DECLARATION 76"663 101/81 APPLICATION FOR ELECTRICAL PERMIT
' I hereby affirm that I have a certificate of consent to self insure, CE-806G `
or a certificate of Workers' Compensation Insuranc or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof (Sec.
33800,rL�ab.C.)
Cy No.V / O JU6•l.Compariy1 ' - FOR APPLICANT TO FILL IN. 'ADORESS.
JOB
• ❑' Certi)ted copy is hereby furnished. New Residential Bldgs. 8.Pools EACH NO .FEE ,
Policy 1 8 2=Family,Sq. FL• LOCALITY
era d copy'is filed with th co building inspection NEAREST '
epa menti Multi-family Sq.Ft.
-! •CROSS 6T.
Date plicaht Residential Swimming Pools' �• OWNER OR '
y ! FIRM NAME
• C TIFICATE OREXEMPTION FROM.WORK • .MAIL '
Outlets.Rec— Light _ Sw� t
. :. . COMPENSATION INSURANCE - � � � ADDRESS
. (This,section need not be completed if the work involved by the . . First 20
permit is for one hundred dollars($100) or less.) Total No: Additional CITY Tel.No.
that in the performance,of the work for which-this permit PLAN CHECK?
I certify P P APPLICANT
is issued, I shall.not employ any person tany ruanner so as 40 _
become subject to the Workers' Compensation Laws. �� Lighting Fixtures First'20 - 'ADDRESS
Additional
Total No. - CITY Tel,No.
Date t - Applicant ' Fixed Appliances Not Over 1.HP '
NOTICE TO 'APPLICANT L. after making this 'Certificate of P IT m
Exemption,you should become subject to the Workers'Cpmpensffiion Range_. Heater_ D.W. PLIC NL
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. -
LICENSED CONTRACTORS DECLARATION Hood Fan Other_ i' CITY - Tel.No.
hereby affirm that 1 am licensed under provisions of Chapter 9LICENSE OR
—. NUMBER J / b Clas
(commencing with Section 7000) of Division Dap. Room Air Cond. REG.3 0' the Business and r
Professions Code;and my license is in full force and effect. Power_Apparatus'S Large Appliances DISTRICTDIO. PROCESSED By(J
Size&Type HP,KW,KVA,Or KVAR J �;�. J - Q
License Number Ste_ Lia Class ' - " 'Up to 1 Incl. - FINAL V
_� Over I to 10 IncL :7 DATE
Contractor f (� Date VALIDATION .
❑ Over 10 to 50 Incl Inc. FIN U
I am exempt under Sec. Over 50 to 100 . B W
BBP.C. forthis reason Over 100 N
Services SwI d.,MCC & Panelboards - --• - - - Z
Date: 0- 200 Amp.Under 600 V ee.
Signature '20,1 -,1000 Amp.Under 600 V
❑ Over 1000 Amp.or Over 600 V ._....-._ . . .•
Exemption for Reg.Maint.Elect. sem,
SINGLE'FAMILY Temp:Power Pole& Appurtenances
HOME OWNER-BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License,Law Sign with One Branch Circuit
for the following reason(Section 7031.5, Business and Professions Additional Sgn,Brairl Circuits AW a4 /�
Code): _ ^. . . .. - . .., ... .... W. 21°OD
i
Misc.Conduits & Conductors -
❑ 1 ITEM.
as owner of the property,will do the work and the structure -
is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule)
and Professions Code),. CHECK 21°W�i11�'1i
. :_ ............;
CONSTRUCTION LENDING AGENCY .. � ._ �. - _ { .. .� _ CHECC
I hereby affirm that there is a construction lending agency for the _ •c u °{Nr
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE- (Sub-Total) P Vf1TU'iVG 4w
Civ.C.). - . . .. .. .. .. '
PLAN CHECKING FEE .. ..... t /OO
Lender's Name -Q. ! 1 6/23/89
PERMIT ISSUING FEE
' Lender's Address 41.z1 1 P51 f W e 11 ,
I certify that I have read this application and state that the above TOTAL FEE 1 " "—
information is correct. I agree to comply with all County Ordinances -
• and State law regulating Electrical wiring, and hereby authorize
represerntativ s N this County to enter upon the above-mentioned `
prop ty fo ms cti purposes.' SEE REVERSE FOR EXPLANATORY LANGUAGE '
Signature of Permittee Date -
WORKERS'COMPENSATION DECLARATION 76-683- 10/81 APPLICATION' FOR ELECTRICAL PERMIT {�
DE-aosLJ
hereb;q affirm that I have a certificate of consent to self insure,
oca certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
iopy'thereof(Sec.3BbO,Lab.C.) -
Policy No Company FOR APPLICANT TO FILL IN JOB
❑ EACH NO. FEE ADDRESS 84 Estrella Avenue
Certified copy is hereby furnished. .New Residential 81dgs. & Pools I LOCALITY,
❑ Certified copy is filed with the..county,building inspection 1 & 2-Family, Sq.Ft. $ - Temple City, CA 91780
department. : Multi-family Sq.Ft. - NEAREST -
CROSS ST' 'Baldwin Avenue
Dade Applicant
Residential Swimming Pools OWNER OF
- FIRM NAME,Ernestrand So hie. Johnson
CERTIFICATE,OF EXEMPTION FROM WORKERS'.. Outlets:Rae 53 Light'( Sw. '2 MAIL
COMPENSATION INSURANCE S ADDRESS e
(This section need not be completed if the worK involved by the First 20+ - CITY Tel.No
permit is for one hundred dollars ($100)or less.) ,. Total Na.^�
Additional Tem le Olt 285-3532
I certifythat 9n,ihe performance of the work.for which this permit PLAN CHECK -rr
APPLICANT Fame-as a' ni.r
bissued, shall not employ any person iti any manner soas to
become subject to the Workers'Compensation Laws. -' 'Lighting Fixtures First 20 ADDRESS
+ Q 4 Additional � •
.2 .�. 'r S Total No. • CITY Tel.No.
Date �.t r" 'Applicant ��-oe, Eixed Appliances Not Over 1 HP PERMIT
S -
NOTICE TO APPLICANT: If, after making -this Certihc to of Range— Heater_ D.W. APPLICANT saffenas.abovev , "!
'_Exemption,you should become subject to the Workers'Compensation 9
provisions of'the Labor Cade,you.must for comply with such Over Dryer — W.M. _ ADDRESS
Provisions or this permit shall be'deemed.revoked. Tap FAU W.H.
LICENSED CONTRACTORS DECLARATION Hood' Fan Other= _ 'CITY Tel.No.
—
,I hereby affirm that I am Iicensed,under,provisions of Chapter 9LICENSE OR
Disp. Room Air COod. REG-NUMBER
Class.
(commencing with Section 7000) of'Division'3 of the Business.and
Professions Code,and'my license is in full force and effect. Power Apparatus& Large Appliances _ DISTRICT NO. PROCESSED R `
�\0 rye tea'
' Size & Type HP,KW,KVA,or KVAR' [l/ Q U
License NumberLlc.Class - - Up to'1 Incl. FINAL / U
` Over 1 to'10 Incl. - DATE a.
Z CCC///CCC111 VALI ION
Contractor Date - Over 10 to 50 Incl. FIN 0
E] I am exempt under Sec. Over 50 to 100 Inc. B / W
. .. iCiC, C.
B.&P.C. Over 100;for this reason i �a O,aBA
Services,Swpd.,MCC&Panelbcards cn
Date, - 0- 200 Amp.Under 600 V '#o,e aio,o 2
Signature '201- 1000 Ampr Under 600 V -
- • . - . Over 100D Amp. or Over 600 v I ": 1 9 7 5
Exemption for Reg.Maint.Elect. I
SINGLE'.FAMILY - Temp.Power Pole & Appurtenances 0 •j^J a 7 5 55
HOME OWNER-BUILDER DECLARATION -Sign with One Branch Circuit .0 9.2 8`- 8 7
1 hereby affirm that I am exempt from the Contractor's License Law Additional Sie Bra ch Circuits
for the fallowing reason(Section 7031.5, Business and Professions . -
Code): -
❑ Misc.Conduits & Conductors ' • - - -
l,as owner of the property,will do the work and the structure Other (See Complete Fee Schedule)
is not intended or offered for sale (Section 7044,'Business D
and Professions Code).
CONSTRUCTION LENDING AGENCY - -
I hereby affirm that there is a construction lending agency for the
performance of the work far which this permit is issued(Sec 3097, PERMIT FEE - (Sub-Total)
Civ. C.T. . .
PLAN CHECKING FEE .
Lender's Name
PERMIT ISSUING FEE ,
Lender's Address I
I certify that I have read this application and state.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 ` owner/builder contracted. • - - - -
property for inspection purposes: '
SEE REVERSE FOR EXPLANATORY LANGUAGE
�4 . w ?SSoQ�• 1782
Signa re of Permittee Date