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HomeMy Public PortalAbout5025 FARAGO AVE_Electrical__ DSS SA 25M SETS 1 48 �gpll LW AIS'/ ON FOR 81E1DTSRTINII ]DEPARTMENT OF COUNTY f LOS ANGELES N ELES Y 1 j'li<rLS�YL�LEYYCiV 2TCfl! gI1CL1�1��. COUNTY 8 � 1N.7 t'11VV1Ci'S��J g M P C I , DISTRICT NO GROUP ZONE PERMIT NONAME 7 U ADDRESS CITY TML.NO RECEIVED B//Y READY FOR 1 DATE ISSUED '� � V FIRST COUNTY INSPECTION CERT NO sou-IRFAi L��/'�gy-AyF�'PLICAN'I'®d��.g�IN HEAVILY OUTLINED POWnON ONLY (/,�/y DT�.T.,�IlE Y 1tO1'1 OF WORK ADDRESS 3 5 a S � IT I LI NUMBER OF OUTLETS ON CIRCUITS LOCALITY if-1 NO O LOCATION BY ROOMS LIGHT OUTLLT8 SIOV PLUW FIXT NEAREST ST c Sr. L CIRCUIT' A_113 C ( D E F (3 H m NAME a��t�^ a� [�_ . f ( j aaoamss .3, O CITYr��e i�f�' TEL NO 1 AN THS LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION ELECTRICIAN 1 Ali'1 HU L2QAL OWNER OI+TH6 PROPF�FLEC D C-]AN FJ) AJbOVX 7 - OWNER CORRECTIONS J Q Z_ O O 1 1 NO OF OUTLETS $ APPROVALS NO OF FIXTURES f ffi O ATE INS ECTOR S NAME NO OF MOTORS H P ffi CONDUIT NO OF SIGNS TRANS ffi WIRING ANO OF RANGES OR HEATERS ffi FIXTURES -MISCELLANEOUS J POWER PERMIT FEE $ / UTILITYCO NOTIFIED / �,p FIN (� d{7 l f i1101 f / 1 76A§63 CE806 168 APPLICATION F;R-ELEC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETrY DIVISION ADDRESS Off/ JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGNEAREST LOCALITY FOR APPLICANT TO FILL IN CROSS ST 7RECE1- NO AC FEE$ $ OWNER MAIL TOTAL FIRST 20 20 �) ADDRESOVER 20 10 CITY C TEL 400 a PLAN CHE(?fK LIGHTING �TOTALFIRST 20 20 I APPLICANT FIXTURES OVER 20 10 ADDRESS RANGEDRYER—WTR HTR — CITY TEL NO STA COOK_DISP F A U — COI4TRAC TOR SPACE HTR AIR COND ADDRESS CLOTHES WASH —DISHWASH CITY TEL NO FAN—OTHER 1 00 LICENSE IJO CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT,AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I - 10 3 00 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO d 10 - 50 5 00 RESIDE IN THE ABOVE DESCRIPED RESIDENTIAL PROPERTY O SIGNATURE V 50 - 100 10 00 OF PERMITTEE 9X too — soo 15 oo DIST C/T GRO P Z E PROCESSED BY r)SIGN GAS SIGN AND ONE CIRCUIT 3 00 (1 1� W TUBE OR CL MARQUEEADDITIONAL CIRCUITS 1 00 h NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE 8: APPURTENANCES 3 00 APPROVALS DATE INSPECTOR 5 SIGNATURE TEMP POWER POLE UNDERSL`AB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED ,r� � I / �p�qJ�-'� PERMIT ISSUING FEE 2 00 04 1I UTILITY CO NOTIFIED �yJ SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M 0 CASH L&O4903,S JUA 3 2 D 380 EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE I` 7 , (f- / ry 0 /-- 7� °�"�� (,- 7-V 76A663 CE806 168 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 6 JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST NO EACH FEE RECEPT $ $ OWNER _ MAIL LIGHT ,(TOTAL FIRST 20 20 ADDRESS SWITCH_/ OVER 20 10 CITY TEL NO .j� PLAN CHECK LIGHTING �TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE—DRYER r WTR HTR _ CITY TEL NO STA COOKOISP F A U _ COi4TRAC TOR i SPACE HTR AIR COND l ADDRESS L CLOTHES WASH DISHWASH _ CITY TEL NO FAN—OTHER- 1 00 LICENSE NO CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 10 - 50 5 00 RESIDE IN THE ABOVE DESCRIPED .RESIDENTIAL PROPERTY O SIGNATURE V 50 - 100 10 OO pF PERMITTEE 99 100 - 500 15 00 mmomiiiiiiiid o DIST CT NQ GROUP gN* PR�ESSEI� BY TUBE SIGN A SIGN AND ONE CIRCUIT 3 00 jf _ MARQUEE ADDITIONAL CIRCUITS 1 00 N NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 n UTILITY CO NOTIFIED -71 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINALIV TOTAL FEE n JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CAsd lnLc 6 5 2 0 SEP 2 3 2 D 4 P 0 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /I 7GA663 CE606 rO 69 APPLICATION FOR ELECT; PERMIT 1 v COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNARE G A BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING Y G FOR APPLICANT TO FILL IN PERM FEES T OWNER ITEM NUMBER EACH FEE MAIL OUTLETS $ $ y ADDRESS LIGHTS RECEPT SW 10 LIGHTING FIXTURES f r 10 CITY TEL NO ELEC RANGES CLO DRYERS ELECTRICIAN R WATER HEATERS 50 ADDRESS 8923 F.Broadyvay ELEC SPACE HTRS DISHWASHERS CITY TEL NO At-7-0539 GARB �T y- STATE 178987, WASHERSS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC H P Dl! ICT NO I IWPZ NE PR CESS D BY O— 1/2 25I I 1/2— 2 so INSPECTION RECORD 2— 5 100 5— 15 150 15— 50 250 50—200 500 SIGNS NO TRANS NO LAMPS SERVICE O 600V 100 t1 u SERVICE OVER 600V Soo MISC WIRING PERMIT 100 j BO FIXTURE PERMIT too SUPPLEMENTARY PERMIT 50 TOTAL FEE t ff I 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 ELECTRICAL WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /' r7 Ad CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI PROPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTE -FINAL ®PDATION ART URC VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LI _c, � 1J WORKERS' COMPENSATION DECLARATION 20-0019 DPW 3/87 CAPPLICATION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self E eobG insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB FICertified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO, FEE ADDRESS El Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY —/,7E/tJA/_fi C r tion department. Multi-family Sq. Ft. — NEAREST J__ / Residential Swimming Pools CROSS ST.OWNER OR Date Applicant FIRM NAME ( C 7 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL y COMPENSATION INSURANCE First 20 ADDRESS Sfl fs 4 4-4k6 O (This section need not be completed if the work involved by Total No. Additional CITY f- �iZ Tel. No. S the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work 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 ADDRESS Additional Total No. CITY Tel. No. Date Applicant�� Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PRO SSED BY and Professions Code,and my license is in full force and effect. �� �-�- O Size &Type HP, KW, KVA, or KVAR License Number Lic. Class Up to 1 Incl. FINAL Contractor Date Over 1 to 10 Incl. DATE -�/! i// VALIDATION cr ❑ Over 10 to 50 Incl. FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY -� W B.&P.C. for this reason Over 100 a Services, Swbd., MCC& PanelboarL7 ® Z Date: 0- 200 Amp. Under 600 V 40 Z Signature 201 - 1000 Amp. Under 600 V ElExemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION I herebyaffirm that I am exempt from the Contractor's License Sign with One Branch Circuit _. P Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and 9 Professions Code): I, as owner of theproperty, will do the work and the Misc. Conduits& Conductors _ structure is not intended or offered for"sale(Section 7044, Other (See Complete Fee Schedule)_ Business and Professions Code). 1is'':L 3 3 00 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of The work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name P3 t' { ? •.`",:;_) I 4 ` Lender's Address PERMIT ISSUING FEE / -'='�` � A'# -,23, �•_F IN TOTAL FEE certify that I have read this application and state that the - � � �d 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 Os Vnature of Permittee Date D COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL_PERMIT, DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9704040019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285 0488 EXT LEGAL ID FEES PAID BUILDING TR 11497 LT 13 BL A X5025,=FARAGO-AV- FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803526 ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET FREER 8574 008 035 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY G1 OUTLETS LGT,SW,RECP 2 00 OUT 3 90 TENANT HA FAU LESS 3HP 1 00 FAU 10 80 ISSUED OW--ROCESSED BY PLAN BY EXPIRES JB AC UNITS +3-10HP 1 00 AC 19 65 04/04/97 TC 04/04/98 TOTAL FEES 62 10 OWNER TEL NO FINAL DATE FINAL BY SEIBERT MARY E (818) 579 3709 5025 FARAGO AV TEMP 917803526 DESCRIPTION OF WORK ELECTRICAL FOR NEW HEAT/AIR COND SYSTEM APPLICANT , AIR TRO INC (818) 357 5311 SPECIAL CONDITIONS � t -- CONTRACTOR TEL NO �\�0� _ '` APPROVALS DATE INSPECTORSIGNATURE AIR TRO, INC (818) 357 5311 1630 S MYRTLE AVE LIC NO 0 POWER POLE MONROVIA, CA 258288C 20 * ✓� � �� �� UNDERGROUND D I T t ARCHITECT G ✓ UFER GROUND LIC NO ��� 1 _� ROUGH CONDUIT ROUGH 1Jl�C��114AIN R I E L PLASTIC Y/N METAL Y/N 10, UTILITY COMPARV-OTTM15 UPJ F� �0� U U ❑ 0- ADDITIONAL ADDITIONAL DATA ON FILE REPORT ID DPR265 ROUTE TO BS0508