HomeMy Public PortalAbout5016 FARAGO AVE_Electrical__ 76A663-CC-BO6 YC17,T " APPLICATION F UkE ICAL PERMIT
COUNTY OF LOS,ANGELES
DEPARTMENT-OF COUNTY ENGINEER .JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY '.41At7t
Cl
' FOR APPLICANT"TO FILL IN NEAREST 1 CROSS ST ! +�
OUTLETS " S .NO EACH FEE OWNER OR 1t C
$ $ FIRM NAME / ata
1, 4 ✓ D
RECEPT MAIL
ADDRESS �S d
LIGHT TOTAL FIRST 20, Zy Q
CITY t TEL NO
SWITCH_ 'OVER 20y 10 PLAN CHECK /
LIGHTING 1 FIRST 20 Zy APPLICANT
I TOTAL
FIXTURES 10
OVER 20 ADDRESS
RESIDENTIAL,APPLIANCES CITY TEL NO
RANGE DRYER_WTR HTR APPLIICANT ccJ/V e-
STA COOK DISP F A U ADDRESS
SPACE HTR AIR CONE) CITY- u TEL NO
CLOTHES WASH DISHWASH' LICENSE OR CLASS
REG NUMBER
FAN OTHER 100 I 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 '
S1ZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3 00 DESCRIPED RESIDENTIAL PROPERTY p
U
10 - 50 900 PERMITEE
SIGNATURE CD
F�
50 - 100 _ 1000 01STU
RIC 0 ROCE SED BY Ljj
100 - 500 19 00 4 \ Z
SIGN, GAS SIGN AND ONE CIRCUIT 900 APPROVALS DATE INSPECTO SIO RE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 'UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 900 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO" NOTIF E
FINAL "
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK,FEE Ala A
PERMIT ISSUING FEE ' 300 �
TOTAL FEE (J' y
PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATION CK M 0 CASH
Y
t 49 4
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE oV p
76AG66 CE6061059 APPLICATION FOR ELECTRIC PERMIT ,1
COUNTY OF LOS ANGELES /
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS CC�1
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES
CROSSST
1 T E M NUMBER EACH FEE OWNER
OUT LE //J MAIL
LIGHTS RECEPT S (/ 1O 2-
r
ADDRESS
1
LIGHTING FIXTURES .� 10 00 CITY TEL NO
ELEC RANGES CLO DRYERS „ ELECTRICIAN –'
TER HEATERS 50 ADDRESS 8923 'R- RRO A T)WAY Dic
ELEC SPACE HTRS DISHWASHERS CITY SAN CrARPIRT, TEL NO AT-7-1-0539L
GARBAGE DISPOSE AU STATE
ASHE STA COOKING UNITS1178()87
25 LICENSE NO
MOTORS 4VER INC H P �TRICT NO 6 UP ZONE PR CE55ED Y
O— 1/2 25 Of I
1/2- 2 50 INSPECTION CORD
2— 5 100 .7 /l 3 /
5— 15 150
15— 50 25050-200, Boo
SIGNS NO TRANS •/
NO LAMPS
SERVICE 0-600V too
SERVICE OVER 600V Soo -
MISC
WIRING PERMIT too
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE t
1 HEREBY ACKNOWLEDGE THAT 1 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 A J _
ELECTRICAL WIRING Ai n rj /
�j(
I HEREBY CERTIFY THAT 1 AM PROPERLY REG TE A OR WIRING i' /V 77/1 ✓/�V' / /
LICENSED AS REQUIRED B OS ANGELES COU Y ST OF FIXTURES _ f ten,/
CALIFORNIA OR THAT,
HAT I THE LEGAL ER HE A OVE
DESCRIBED RE NTIAL OPERTY; POWER
SIGNATURE UTILITYCO NOTIFIED lj /
OF PERMITTEE FINAL ,
®F V LIDATION ARTHUR C VEIT,
cK Mo CASH SUPERVISING ELECTRICAL ENGINEER
iE'lfl 9 3 2 4 JU,L 1 2 0 9.45 �, .
X76 A 663A.E606`I/70 O APPLICATION FOR ELECTRICAL PERMIT
,-'I GUNTY OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS p (a p
JOHN A LAMBIE COUNTY ENGINEER LOCAL)TY yvM
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING
NEAREST ��
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE �/)
OWNER (� d,tA S +7�.1�Q
RECEPT $ $ AMAIL
DDRESS
LIGHT TOTAL FIRST 20 17 20 _ 1
1—i
CITY& et TEL NOSWITCH �,� OVER 20' ,10 (/ (f
PLA CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL 20 L
OVER 20 ADDRESS
FIXTURES t�_ 10
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER LWTR HTR APPLICANT
STA COOK DISP F A U L ADDRESS
SPACE HTR AIR COND- ° CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
`FAN I OTHER 1 00
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY
MOTORS TRANSFORMERS CRATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
INDHEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
/� CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
1 - 10 300 -( RESIDE IN THE ABOVE DESCRIPED RESIDENTIAL PROPERTY
J
SIGNATURE ! CL
10 - 50 500 OF PERMITTEE O
V
50 — 100 1000
DISTRICT NO CLASS GRO ZONE PR CE Y GC
100 — 500 1500r,pf-.
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600VOLTSOR200AMP 200
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600VOLTS OR200AMP 500
TEMP POWER POLE
TEMP SERVICE,POLE, IN APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300 Wl�L
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) _
POWER AUTHORIZED � �j
PLAN CHECK FEE (50% PERMIT FEE) I
17
UTILITY CO NOTIFIED
PERMIT ISSUING FEE 200
FINAL L
SUPPLEMENTARY PERMIT ISSUING FEE 100
JCfSEF3H C ROOHAN
TOTAL FEE mo SUPERVISING ELECTRICAL ENGINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONcK M 0 CASH
99 8 1 ti APR 2 8 2 D 1 9.0 0-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1
I CCCJ,
WORKERS COMPENSATION DECLARAION 76-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
q�-- CE-806G
I heM1eby°affirm that'l have'a certificate of consent to self insure � 4
or a cerhficatebof Workers, Compensation Insurance or a certified COUNTY.OF LOS ANGELES BUILDING AND SAFETY +
copy themof(Sec 3800 Lab C)
Policy NO `l a Company " + - FOR APPLICANT TO FILL IN �, - JOB , ✓1
❑ i i ADDRESS
Certified copy is hereby furnished New=Residential Bldgs & PoolsF EACH NO FEE
O
r, �r t� ar $ LOCALITY + ,
y❑ r ' 1 & 2,-Family Sq-Ft
,"Certified,copy is filed 'with the,,county building inspection 4 - , -
"'" department , i,^ t' ; JMultrfamdy Sq Ft` ` — NEAREST a , }
'.4 r ° CROSS ST F.>a&r is
wt Residential SwimmingPools* '
Dete + ' Applicant' }" p, w OWNER OR
,FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light —,Sw { v ry MAIL
'n ;; R COMPENSATION INSURANCE`;` - , I ADDRESS
(This section need not be completed If the work involved by the First 20 " „ r, ti. t
ermd Is for one hundred dollars Additional CITY G Tel' ��5.,Pz
p ($100) or less) - r' Total Nor
u iv , + PLAN CHECK
-1 cert4 that in the performance of the work for which this permit x, APPLICANT
° is issued I shall not'employ any persona any manner so as to k , A
become subfect to°the Workers Compens n La '� Lighting Fixtures 'First 20, ��'" � .ADDRESS
' �, Additional
Total NO ' ^ CITY ,Tel'No a y '
Date 'Applicant Lti�
t, ' Fixed Apphances,Not Over,1 HP,; PERMIT
NOTICE TO APPLICANT ,,"If after making this„Certificate of y ,
' Ran e} Heater D W ' APPLICANT
Exemption you should become subfect to the Workers>Compensatiom 9 r
,r proGisior s of the Labor'Code'you must forthwith comply with such ',Oven Dryer _ W M „ , 'ADDRESS p w k
f provisions or this permit shall'be^deemed revokd �' �, Top '< FAU WH , <,' yw4 f>+ '
LICENSED CONTRACTORS DECLARATION CITY 4 _��,zTel No
�� � , _ , Hood — Fan Other_ - ' • _
1°hereby affirm that I'am,licensed under provisions of-Chapter 9 ' s LICENSE OR
a+ Disp — Room Air Cond "^,Class °
+, (commencing with Section 7000) of Division 3 Of the Business and ., ,� z - '" REG NUMBER -
^ Professions Code and my4l cense is in full force,and effect i DISTRICT /R PROC %S1Y
r ,
e PowerxApparatus& Large Appliances (JY
T Size& Type HP KW KVA or KVAR W
License Number ' Lic Class, ' r Up to 1 Incl 7 INAL` -, " U
" �Z t
Contractor Date Over 1 �o 10 Incl DATE'F� o'
' - Over 10�to 50'Incl VALIDATION
❑ I'am exempt under Sec Over 50 to 100 Inc FIN- Ff ' r U' i
B&P C for this reason" ` Over,100,
r, „ l tt)
rServices Swbd MCC,& Panelboards ( � �� 4i _ Z n,
Date " i, a rs
,
0;'1 200 Amp Wnder 600 V,.
n; 1 Signature " ` -1_ ;, 201 1000 Amp Under 600 V
t�� ,1000 Amp Or`Over 600'V'
�.p - Exemption for Reg Mamt Elect
.. , , - i f , 1
r SINGLE FAMILY- -_ Temp Power Pole & Appurtenances
HOME OWNER-BUILDER DECLARATION
� , , Sign with One+Branch Circuit', �/�/�T
I hereby affirm that 1 am exempt from the Contractors License Law r f' 171rb1 a4
Additional'Si n Branch Circuits w
for the following reason (Section 7031 5 Business and Professions g _ `,. ,{' w_ a r„° ' �y
Code) 14.50
Misc Conduits,& Conductors
LJ; I as owner of the&operty will do the work and the structure` 5 Other,(See Complete Fee Schedule) y 7 3 1 j ” °
't , 'b +`�` l
isnot intended'or offered for sale (Section 7044-•Business ^
and Professions Code) 4" s _ ®{ , 9� , - ``, TOTAL, '� 14-.501
>, CONSTRUCTION LENDING AGENCY' A�,, , , ,{ bft
I hereby affirm 4hat,there is a,construction lendmg agency for the CHANGE 4t t 0P
M performance of the work for, hich this permit is issued(Sec 3097, pERM1T FEE r' (Sub-Total); t '` CHANGE a � r�.0 `
" .(`.Iv Ci) ", { a u ;h� i , 1 r ; { _ e mil g - , cA"' . t�-.F 1 - . �, Y.re ejXi.,lq +
PLAN CHECKING FEE M [' k sie
.Lender s`Name OOOD-U�1' + 'T�'6/ =
f ,
PERMIT ISSUING FEE � I� +
=Lenders Address. r , N $ rJ°►J1 . :4 1.-,SpddGoO�tt
{
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 zt. *yr ' ,
and State laws regulating Electrical wiring and hereby-authorize - f
t representatives,of,this County to enter upon the,above-mentioned - c ", - -
proper for insp ction urp es 3 ' v 1 v ti
SEE REVERSE FOR+EXPLANATORY LANGUAGE w
a"' Signature,of Permittee Date I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1101060009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 11497 LT 14 BL B 1 5016 FARAGO AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803525 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18574-009-049 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY, Cl
I G1 OUTLETS-LGT,SW RECP 6 00 OUT 11 60 I
ITENANT IG2 LIGHTING FIXTURES 4 00 LGT 7 80 (ISSUED ON PROCESSED BY PLAN BY
1 IH5 RES WASH MACH LT 3HP 1 00 WAS 10 90 101/06/11 SR I
I I TOTAL FEES 58 10 1
(OWNER TEL NO I IFINAL DATE FIN '? CODE
TONG AMANDA (626) 616-1719 i --F '/ I
620 RAMONA ST #B
ISAN GABRIEL CA 91776 1 ID SION OF WORK 1
I I (ELECTRICAL FOR KITCHEN BATHRM REMODEL, LAUNDRY AND POWDER I
I IROOM 1
(APPLICANT TEL NO 1 I I
(TONG, AMANDA (626) 616-1719- I 1
1620 RAMONA ST #B I ISPECIAL CONDITIONS
ISAN GABRIEL CA 91776
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IFUN ON CO (323) 842-8306- I 1
11948 LANSDOWNE FIVE LIC NO I ITEMPORARY POWER POLE I I I
ILOS ANGELES CA 90032 685987 I I 11 I
I I (UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I
I - I I I I
1 LIC NO IROUGH CONDUIT I I I
I I I
I IROUGH WIRING I I I
IMAIN WATER LINE I I
IPLASTIC Y/N METAL Y/N
I I I
I (UTILITY COMPANY NOTIFIEDI I
I I I I I I
I I I I I I
1 I I I I I
I I I I I I
I I I I I I
I I I I I I
1 (REPORT ID DPR265 ROUTE TO SS0508
I I I
I I I I I I