HomeMy Public PortalAbout4526 FIESTA AVE_Electrical__ 8,663 CE806 5 62 A LICAT�O FOR ELECTRIC
LCTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J/
BUILDING AND SAFETY DIVISION ADDRESS `T
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY t
NEAREST
FOR APPLICANT TO FILL IN CROSS ST 1 r c
RECEPT TOTAL NO EACH FEE
OUTLETS FIRsT 20 $20 $ OWNER /
LIGHT �• /l� 2
OVER MAIL
G // ADD L 1O ADDR SS �C..P
SWITCH � � O �L
LIGHTINGL-13-1
TOTAL OVER0 20 CITY ` t TEL NO 47
FIXTURES ADD L 10 ELECTRIC/IAN
IAN
OV R 2O
RANGES CLO DRYERS WTR HTRS
1100 ADDRESS SQ
GARB DISP STA.COOK - i „ rt
CITY TEL NO
DISH<lI/ASH AUTO WASH s - v STATE
SPACE HTRS STA'APP (V.H.P'MAX j 350 LICENSE NO
MOTORS. OVER 'NOT OVER H P s DJ�CT tJQL.. I G P Z P E D
" }O 1 - 100 �`, o e7
r ;1 S- - so rrj- INSPECTION RECORD
13 V 8 1200 F"�1 .,.�5e V,4 ^i1 O•t/.f� ve�.s�
B 1s 250 �� � � � ,� ✓
15 50 300
C � � 0
50 100 Soo /l ✓ _2�1_ v _
o
SIGNS NO TRANS
NO LAMPS f ' j I V W
J t 1 D_
SERVICE O 600V NOT OVER 200A 1 00 , s�3�� }� ,Y/ � 44 ?''F -i& Z
SERVICE O 600V OVER 200 A 1200 `
f
SERVICE OVER 600V Soo <
MISC.
d _ t
PERMIT ISSUING FEB _ P 2 GO sS�/91pVf�r�� �f t�f1 1 �•tJati`s[�✓ 7.-,N
SUPPL6MENTABY PERMIT ISSUINI3 FEE 1 OO
r �
TOTAL FEE r -
I HEREBY ACKNOIMLE15,6E THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRI=AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINAHCE9 AND BTATE'LAWS-REGULATING q
ffLV=MCAL WIRING - 1 , WIRING
1 MMEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �y
LICENSED AS REQUfRM BY-LOS ANGELES COUNTY AND STATE OF FIXTURES 7
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWERS
SIG;ATURE _ � 1 a � ILITY C6 NOTIFIED � . ���� �, ,/•/
OF PERMITTE FINAL P�lhq 16 3 7'�.G2'rns:
VALIDAT� ARTHUR C VEIT
CK MO CASH
O SUPERVISING ELECTRICAL ENGINEER
�,��0 9 9 G 5'.0" JAI' 2 2 2 D 4 80-
�'
S COMPENSATION DECLARATION 63 tD/BI APPLICATION FOR ELECTRICAL PERMIT
` her offii\ th'at I` CE 8have a certificate of consent to self CE 806G
insure or a cgrtificat4f Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec 3800 Lab C )
Policy No Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS A
® —Certified copy is filed with the county building mspec 1 8 2 Family Sq Ft $ — $ LOCALITY �7 �.E i
tion de art ent Multi famil S Ft NEAREST Q �J Q D
_� &� Residential Swimming Pools CROSS ST ZV 141�/4
Date Applicant�"'�'"�"' OWNER OR Q j�
oo�� FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS � ,Ci MAIL
Outlets Rec Light Sw
COMPENSATION INSURANCE20 It -0 ADDRESS .5��� �1�'f r�
This section need not be completed if the work involved b � J� First ti
( p Y Total No�L� Additional CITY ��d�C' ��� Tel No
the permit is for one hundred dollars ($100)or less )
that in the performance of the work for which this PLAN CHECK
I certify P 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 Aj
Total No Additional CITY No
Date z - f Applicanta*% "8 Fixed Appliances Not Over 1 HP PERMIT
NOTICETO APPLICANT If after making this Certificate of APPLICANT
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 Class
REG NUMBER
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO,,,, PROCESSE B U CL
and Professions Code and my license is in full force and effect Power Apparatus 8 Large Appliances G
Size 8 Type HP KW KVA or KVAR b
License Number Lic Class Up to 1 Incl FINAL G=
Contractor Date Over 1 to 10 Inc[ X419DATE VALIDATIO
Over 10 to 50 Incl FI W
I am exempt under Sec Over 50 to 100 Inc B N
B &P C for this reason Over 100 Z
Services Swbd MCC 8 Ponelboards
Date 0 '200 Amp Under 600 V
Signature 201 1000 Amp Under 600 V
❑ Over 1000 Amp or Over 600 V
Exemption for Reg Maint Elect i
SINGLE FAMILY Temp Power Pole 8 Appurtenances
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit #;02
I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits
Law for the following reason (Section 7031 5 Business and 1 - ° 1 9 5 0
Professions Code)
1-1
1LJ I as owner of the property will do the work and the Misc Conduits 8 Conductors ° ° ° 1 9 5 0
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 0 2 1 1 -86
7044 Business and Professions Code) \
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) O
(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 t
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
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I EL 0508 0906080046
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 12998 LT 15 1 4526 FIESTA AV
I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917804209
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LOWER AZUSA
18592 001 028 IA1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY Cl
I ILB 200 AMP PANELS MCC ' 1 00 PAN 38 85
TENANT I TOTAL FEES 66 60 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON
106/08/09 SR 12/05/09
OWNER TEL NO IFI DATE FIN4 BY CODE
IBRUNO ARMANDO BERTHA (626) 823 0498 1 _ I
14526 FIESTA AV I
ITEMP 917804209 1DE CRIPT ON OFW RK
I (UPGRADE SERVICE ANEL TO 20 AMP 1
I
APPLICANT TEL NO I I
ILOPEZ (626) 960 1043 1 I 1
14831 LA SENA AVE ISPEC_AL CONDITIONS
1BALDWIN PARK 91706 --
ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I
124/7 ELECTRIC (626) 960 1043 1 I
14831 LA SENA AVENUE LIC NO I ITEMPORARY POWER POLE I I I
IBALDWIN PARK CA 91706 919788 C10 I I I I I
UNDERGROUND CONDUIT i 1
(ARCHITECT OR ENGINEER TEL NO IUFER GROUND
I I
LIC NO i TROUGH CONDUtr
I
I 1 IROUGH WIRING
I I I
IMAIN WATER LINE I I I
(PLASTIC YIN METAL YIN i I
(UTILITY COMPANY NOTIFIED( I
I
I I I
I I I I I I
I I I I I I
s
I I I I I I
I I I I I I
I I I I I I
I I I s I I I
I I I I I I
I I I I I I
I I IREPORT ID DPR265 ROUTE TO BSO508 I I I I
I I I
i a