The URL can be used to link to this page

Home My Public Portal About4942 FIESTA AVE_Electrical__ TEMPLE CITY #r lll34 {� 76A663-CE80610/74 APPLICATION FOR ELECTRICAL PERMIT u " COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 4942 N-Finstsi Ave LOCALITY C• NEAREST FOR APPLICANT TO FILL IN CROSS ST, Ropa Dr OUTLETS NO. EACH FEE OWNER OR FIRM NAME RECEPT. $ $ MAIL FIRST 20 ADDRESS LIGHT_ TOTAL 0 / CITY TEL. N0285-4008 SWITCH, �- OVER 20 i 6O PLAN CHECK LIGHTING 1 FIRST 20 APPLICANT J} TOTAL FIXTURES OVER 20 p ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR._ APPLICANT - STA. COOK DISP. F.A.U. ADDRESS 15834 Worlman SPACE HTR. AIR COND. X CITY T,n Pupntp TEL. N0. 333=591 9 CLOTHES WASH. X _DISHWASH. LICREGENSE OR CLASS. Lin FAN OTHER �I,. oo 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. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS A GELES COUNTY AND STATE OF CALIFORNIA OR THAI I THE LEGAL OWNER OF THE ABOVE C 1 - tO 3.00 DESCRIP.ED RESIDE NTIA P OPE TY. U 10 - 50 5.00 PERMITEEp SIGNATUR H % V 50 - 100 10.00 Lu DISTRICT NO. OCESS D BY N 100 - 500 15.00 2-- SIGN, SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED /) d ? 7 FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE gn TOTAL FEE -2— PLAN 2PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 3 5 3`_'nrr 1$a- 2 B 2 2.6 0 Az SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TEMPLE CRTV 76A663 CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER a� WILLIAM A JENSEN SUP T OF BUILDING LOCALITY ce II NEAREST FOR APPLICANT TO FILL IN cRoss ST RECEPT j TOTA LNO EACH FEE OUTLETS FIRST 20 20 $ OWNER LIGHT MAIL OVER L f0 ADDRESS /ISWITCH w ` VER 20 TOTAL CITY p"p 1 e'i TEL NO LIGHTING � FIRST 20 20 FIXTURES ADD L 10 ELECTRICIAN OVFR 20 RANGES CLO DRYERS - WTR HTRS too, ADDRESS GARB DISP STA COOK CITY TEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA APP ('/.H P MAX ) 50 LICENSE NO MOTORS OVER NOT OVER HP 7/ 1 GRQyP Z NE P CESSED Y O 1 100 1 3 150INSPECTION ECORD A 3 s 200 8 15 250 x 15 50 300kdi G ,oC/y d 50 100 5 00 � J✓'.y W e�� AFJ�� O NO TRANS SIGNS NO LAMPS � 0 SERVICE O 600V NOT OVER 200A too W SERVICE 0 600V OVER 200 A 200 IL N SERVICE OVER 600V 500 z MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Sr�oA r CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED REST NTIAL PROPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTE FINAL VALIDAP61N, AgrHUR C VETT CK MO SUPERVISING ELECTRICAL ENGINEER CASH 3 0 4 VG 0 AN D 5 ,00- } �°Jfirm that COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that,I have a certificate of consent to self CE-806G insure, or a certificate of Workers"Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800,ppLob. C.) o/4/ -As. 41*s I y FOR APPLICANT TO FILL IN JOB Policy No. Company � . Certified co is hereby furnished. EACH NO. FEE ADDRESS (C PY Y New Residential Bldgs. 8 Pools ® 1 & 2-Famil S Ft. LOCALITY Certified copy is filed with the county building inspec- Y- q� $ — $ � tionI'VW _ Multi-family Sq. Ft. — 'NEAREST �p ` ,,k Residential Swimming Pools CROSS ST.DateApplicant �� d'1 �� FFIWNER OR IRM NAME A JA iv CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec/2- Light�Sw._ MAIL COMPENSATION INSURANCE First 20 5 ADDRESS (This section need not be completed if the work involved by Total No.2- CITY Tel. No (ap the permit is for one hundred dollars ($100)or less.) Additional ,c S I certify that in the performance of the work for which this PLAN CHECKAPPLICANT 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 Total No.� Additional CITY el. No. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT 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. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSEDJOY and Professions Code, and my license is in full force and effect. �- f �1 { � ee Size &Type HP, KW, KVA, or KVAR' `� CJU License Number l' 4 ZZ-6 Lic. Classes Up to 1 Incl. FINAL 4�T-� K44 e Over 1 to 10 Incl. Contracto ` Date DATE VALID TION ❑ Over 10 to 50 Incl. FINA U I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 ! 4Z41_1 Services, Swbd., MCC & Panelboards g Date: 0 - 200 Amp, Under 600 V Signature 201 - 1000 Amp. Under 600 V 1 F] Exemption 1000 Amp. or Over 600 V 1 8 a 4 A Exemption for Reg. Maint. Elect. 1 # o 0 0 0 0 'Z SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit - I o o 3 4 2 5 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits o 0 a 3 4 2 5 5 Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits & Conductors 0 4, 1 9-85 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 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) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name jO PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE 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 ab o e-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ermittee Date