HomeMy Public PortalAbout9849 ESTRELLA AVE_Electrical__ ,6A663-CEBO610-6I APPLICATION FELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION - ADDRESS /
JOHN A. LAM BI E, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY lamiO4E Coi
NEAREST
FOR APPLICANT TO FILL IN CRDSS ST. 9��YN V�
1 T E M NO. EACH FEE
OU LET (FIRST 20) 5 z0 $ OWNER f�gRo!-� 26 LL
LICHis RECEPT. SW. MAIL 9 -'
OUTLETS: (ADD'L UNITS) ADDRESS 0 T"/ rd �L�A ^�� '•
"LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES: (FIRST 20) .20 CITY c !TMOL¢ Gjf TEL. NO. 49O6 �L
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN
y ANG CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(:h H.P.MA%.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. - DISTR/I(;T f}O/ GROUP O E P ESSED BY
0 1 1.00
1 3 1.50 INSPECTION RECORD
r
3 B 2.00 /y3/v o
B 15 2.50
ry
15 50 3.00
50 100 5.00 Gtt�—Ov I lJ ttJJr�
SIGNS: NO.TRANS. INL
NO.LAMPS Z
SERVICE 0600V-NOT OVER 200A 1.00
SERVICE 0-60OV.OVER 200 A. 2.00
SERVICE OVER 600V 15.00
MISC.
PERMIT ISSUING FEE 2.00 /
SUPPLEMENTARY PERMIT.ISSUING FEE 1.00
TOTAL FEE
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 CONDUIT / //1/ II//
WITH ALL COUNTY ORDINANCES AND STATE LAW$ REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY L S ANGELES COUNTY AND STATE OF FIXTURES Y
CALIFORNIA OR THAT I AM HE LEGAL OWNER OF THE ABOVE I/�
DESCRIBED REBIOENTIAL P;�E�M � UTILITY Y CO.NOTIFIED / ; .1
SIGNATURE J 44 / 1 .y1��
OF PERMITTEE FINAL /.h/ /��O V'A�'V
VALIDAT ARTHUR O. VETT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
t�o 2 6 9 5 6 2 D 5 .0 0
76.663 DBS BA '3-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM .1. OX. rEuHIEF ENGINEER
FOR LICA LL IN DISTRICT NO. GROUP ZONE PERMIT NO.
DRESS
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADFIRST INSPECTION L /
CITY TEL NO. 1V ll-�
/141J'y
COUNTY LICENSE NO. EXPIRES G ,1 BUILDING Z -
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY '
LIGHT OUTLETS NEAREST ,
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER �.
TOTAL OUTLETS SC ® MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 V
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. ( .APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS 1- AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OFIRECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I OBSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY L EN9E. O �GRIE
THE LEpAL, MER
New Mvo. HP ovew N.C. EACH OF THE RESIDENT L ROPER D14, AS
12 A Lee. B .25 SIGNATURE OF ((�`
1/2 2 .50 PERMITTEIE
2 5 1.00 INSPECTION RECORD
s is 1.50
IS 50 2.50
SO 200 5.00
zoo 500 10.00 J
spO, 1000 15.00OVER Q
f z_
M.G. HET/FRED. CHANGER-P za.00 14,14 4( )N IJ D TIF . FrT O
/ Q'
WELDERS:AC-KVA )1- A 'fes ,C) (1/ O
GENERATORS - KW
TRANSFORMERS - "A
TEMP. MOTORS (75% Or DRIG.) 'I ' 11� IV LI fe g� /k//P-I�s
MOVED MOTORS (75% Or DwID.) US G_n — 1'gAie-C ' Lr-
MISC. Ru,
SIGNS
NO. NO.TRANH. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT c---) U / '11
FIXTURES 1111.00 WIRING 3-/'� r/yyWyyw✓
SUPPLEMENTARY .50 FIXTURES • I �Jp l
POWER
TOTAL FEE104,
2UTILITY CO. NOTIFIED ,f, h .Ili
-:51-FINAL vp rh
WORKER'S COMPENSATION DECLARATION 0-001 76A663 DPW n2-9,) APPLICATION FOR ELECTRICAL PERMIT
hereby affirm that have a certificate of consent to self insure.
or a cGIAWbarG 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.) �,
P❑O icy No. W Q S l T T 1 f1T 1 Z(t��n party 'al Ci l FOR APPLICANT TO FILL IN JOB 11(l
—air— NO. EACH FEE ADDRES0849 Estrella,
II1� Certified copy is hereby furnish New Residential Bldgs.&Pools LOCALITY Tem e City
Lb C if;tl co s filPI
ad with a count m in c' n 1 &2-Family,Sq. Ft. $ S
CRY y — NEAREST
p(trrlAgnI MultifamilySq. Ft. CROSS ST.Baldwin
Date +4 ""� A lican Residential Swimming Pools .ASSESSOR
¢ PP / MAP BOOK PAGE PARCEL
CERTIFICATE OF EXE54PT ON FROM WORKER Outlets:Rec._Light�Sw. g OWN NAME Harold Bell
cc INSURANCE _ First 20 / /
(This section,need not be completed If the work Involved by the ADDRESS
permit is for one hundred dollars(B1 DO)or less.) Total No. Additional
I certify that in the performance of the work for which this permit CITY ity Tel.N
is issued, I shall not 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 RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT:. If„after making Ihis Certificate of CITY - T.I.No.
Exemption, you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such PERMIT A/C TDc
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICA
r LICENSED CONTRACTORS DECLARATION' Size&Type HP,KW,.KVA,or KVAR DDRESS ,1350 E. Las Tunas Dr
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind.
(commencing with Section ]000) of Division.3 of the Business and CTHan Gabriel, CA TeL NdZ Bf)-1141
Professions Code, and my license is in full force and effect. Over 10 to 50 Incl }
Over sD to mD toc1. REG NN UMBER 221751 Crs,i . 122- d
Over 100 DISTRICT NO. P ESSED BY O
License Nu 2 1 1 Lic.Class C-20 U
�r rye vices,Swbd.,MCC 8 Panelboards '.✓ CC
Contractor L !'” Dyte. 0-399 Amp.Under 600 V oaie O
❑ 1 exempt under Se OI Ixve-1000 Amp. Under 600 V �-- A„ W
Over 1000 Amp,or Over 600 V FINAL 4 D VALIDATION a
- 8.8P.C:for this reason BRANCH CIRCUIT FEES BY U)
Date: 15A,or 20A, 120V,Lighting or Recept. .. Z
-- - 1 To 10 Branch Circuits
.Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits .�
Ekernption for Reg. Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNERBUILDERDECLARATION Sign with One Circuit
I hereby affirm that I am exempt from the Contractor's License Law g 7` -4': t
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits fc_
Code): :. !_M;-
❑ 1,as owner of the property,will do the work and the structure Misc.Conduits'&Conductors T-7
_ _'S
is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) E
and Professions Code). '•„t1U
CONSTRUCTION LENDING AGENCY '_HAi If__ .lhl
I hereby affirm that there is a construction lending agency for the r
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total)
Civ. C.)
PLAN CHECKING FEE
Lender's Name � � IlllJi S is�'.''
PERMIT ISSUING FEE 1 sNr
Lender's Address Y/
I certify that I have read this application and under penalty of purjury state TOTAL FEE /
that the above information is correct. I agree to comply with all County
ordinances and State laws a ting Electrical wiring,and hereby authorize /
repre yeis¢ un toenter upon the hove- e tioned p operty
for t J/ '/ ' SEE REVERSE FOR EXPLANATORY LANGUAGE
N F MITTEE I/' DATE({/�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508 1206260030
BUILDING AND SAFETY / LAND DEVELOPMENT / TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID. FEES PAID BUILDING ADDRESS:
ITR: 16712 LT: 10 9849 ESTRELLA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801417
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: LONGDEN
5383-023-010 JAI PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, CI
I IGS OUTLETS-LGT,SW,RECP 4.00 OUT 8.00 I
I TENANT: IG2 LIGHTING FIXTURES 2.00 LOT 4.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 39.80 106/26/12 SR
(OWNER: TEL. NO: (FINAL DATE FIC1 BY CODE:
LIU, HSIAO-CHUNG (626) 614-8508- 1 /�/Il�/
19849ESTRELLA AV "�/ 1 v
ITEMP 917801417 1 DBSCP IPTION OF WORK
12 LIGHTS, 2 SWITCH, AND 2 OUTLETS
(APPLICANT: TEL. N0: I I I
IJENG, CANDY (626) 203-2387-
15612 HUDDART AVE (SPECIAL CONDITIONS:
IARCADIA, CA 91006
1CONTRACTOR: TEL. N0: 1 IAPPROVALS DATE INSPECTOR EIGNATORE 1
IJEN'S CONSTRUCTION INC. (626) 203-2387-
15612 HUDDART AVENUE LIC. NO TEMPORARY POWER POLE
ARCADIA, CA 91006 897784
UNDERGROUND CONDUIT
I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFEA GROUND I I I
I
LIC. NO: JRCUGH CONDUIT
I I 1ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
I I
DTILZTY COMPANY NOTI FI EDI
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1 (REPORT ID: DPR265 ROUTE TO: BS0508 I I I I