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HomeMy Public PortalAbout9115 GARIBALDI AVE_Electrical__ 7A663OR-00 8 W6 "e APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGBA BtgMNG AND SAFETY FOR APPLICANT TO FULL W New Ras6entlal Bldgs.&Pools EACH NO. FEF RESS CA 11 C-5 ILL 1 &2-Family,Sq. Ft. v — $ LOCALITY Multi-family Sq. Ft. — lRestdentlal Swimmin Pools — T Outlets: Lq 5w I. First 20 ADDRESS Total No. Addttlonal pC�I,T�YN C��C Tel. PPLICANTK Lighting Fixtures First 20 ADDRESS Total No. Additional .CITY Tel.No - Fixed Appllances Not Over 1 HP PEWIT Range_Heater—D.W. APPLICANT Oven—Dryer_W.M.— ADDRESS Top —FAU '—W.H._ G Tel. N Hood—Fan —Other LIC E315EOR Disp.—Room Air Cond. REG.NUMBER � • I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPDCA- Power Apparatus 3 Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size S T HP, KW, KVA,or KyAR CdMpLY WITH ALL CC>UNTY ORDINANCES AND STATE LAWS Type REGULATING ELECTRICAL WIRING. Up to 1 Ind. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Ind. LICR45ED AS REQUIRED BY LOS ANGELES COUINTY AND STATE OF Over 10 to 50 Ind. CAuFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 4U DESC3t1BED IAL PROPERTY Over 50 to 100 I roc Over 100 SIGN Tff � SIGNATURE. Un 0 Servkes DISTRICT NO. ry��t 0-200 Amp.Under 600 V c''Q Ej 201.1000 Amp. Under 600 V Over 1000 Amp,or Over 600 V Temp.Power Pole&Appurtenances Sign with Or»Brandt Orcult Additional 54gn Branch Circuits IN$PE{riON > INFORMATION M1sc Conduits&Conductors ON REMSE Other 6&e Complete Fee Sdredulel SIDE ;94753A• # 0.,G 0 o 0 2 PERMIT FEE (Sul-Total) 2003200 PLAN CHECKING FEE (One-Fourth Pecrnft Feel 000 ,32006 PERMIT ISSUING FEE O 6 O 5;;--.7 9 TOTAL FEE 3A — INSPECTION FINALED claw By es r 76A663-CE806-f1-57 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. Count Engineer I -T CASSATT D. GRIFFIN. Supt of Building LOCALITYif NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES ITEM NUMBER EACH FEE OWNER f: ,; '/ �� --� AY14 OUTLET : J $ $ MAIL - , LIGHTS RECE PT. / SW.�G .10 J - ADDRESS ! / l �� �..= '4. �. r t '' Lam" -'S`• LIGHTI G FIXTURES .10 CITY ` ` -f.../ --�' TEL.NO. /1 /-7 7. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL. NO. WASHERS STA.COOKING UNITS 25 STATE LICENSE NO. MOTORS: OVER INC. H.P. DISTRICTN-O. 1GROUP1 ZONE I READY FOR INSPECTION +/2 - 2 .50 2 — 5 1.00 �a INSPECTION RECORD 5 — 15 1.50 15 — 50 2.50 50 — 200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT / 1.00 FIXTURE PERMIT 1.00 V-0 - SUPPLEMENTARY PERMIT .50 TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICATION 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. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL FRUPERTY. �/ SIGNATURE _ /' /n UTILITY CO. NOTIFIED t <_. `". :kms t'�- ' ., . OF PERMITTEE 1... FINAL 2 rDATION yy �` ARTHUR C.VETT. SUPERVISING ELECTRICAL ENGINEER ir,oCK MO CASHp} ��^^�� }+,., WO herebV"- firrftthatClI havEe a certificate ofconsent to self '°'81 APPLICATION FOR ELECTRICAL PERMIT Insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a cerilf4cl copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APftXANT TO ALL LN JOB Certlf4cl copy Is hereby furnished. NEACH NO. FEE Alm ew Residential Bldgs. 8 Pools ❑ Certlfled copy Is filed with the county bullding Inspec- 1 8 2-family, Sq. Ft. $ — ; LOCALITY tion deportmgnt. Multi-fomlly Sq. Ft. — NEAREST Residential Swimming Pools OWNSROSS�' Date Applicant ��,,)) FlC��RM NAM�E CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Recl Light�Sw. �S / COMPENSATION INSURANCE Flnft 20 (This iectlon need not be completed H the work Involved by Total No Additional CITY Tel. No.,2��-7 / the permit Is for one hundred dollars ($100)or kms.) Z. I certify that 1n the performance of the work for which this PLN CHECK permit Is Issued, I shall not employ y rtb In any manner APPLICANT to as to become subject to the Wor Co pe Ion Laws. Lighting Fixtures Firtt 20 ADDRESS Additional i Total No. CITY NOTI T Dote �Ltpllcant Fixed Appllances Not Over 1 HP PERMIT TO APPLICANT: if, after ak ng this Certificate of APPLIG4fJT Exemption, you should become subject to the Work Ars' Range_ Heater_D.W. — Compensation provislons of the Labor Code, you must forth- Oven _ Dryer — W.M., ADDRESS with comply with such provisions or this permit shall be Top _ FAU _Other—W.H. — deemed revoked. CITY Tel. No. Hood _ Fan _Other— LICENSED CONTRACTORS DECLARATION DI _ Room Air Conk — LI(B�OR affirm I hereby arm tfwt I am licensed under provisions of Chapter 9 sp' REG. NUMBER Clap. (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROCE Y and Professions Code,and my license is in full force and effect. Size 8 Type HP, KW, KVA, or KVAR ' License Number I Ic. Cgass Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE �/ 0 [7 V T10N Contractor Date T 0v&r 10 to 50 Incl. FINAL ❑ I am exempt under Sec. Over 50 to 100 Irrc. BY B.BP.C. for this reason Over 100 fie' Z Services, Swbd., MCC 8 Panelboards , 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for-Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances 14 0 8 3 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit #t•o o,0 0 0 2 I hereby affirm that I am exempt from the Controctors License Additional One SigranchBrancCircuits Law for the following reason (Section 7031.5, Business and Professions Code): 7� o o27.00 ❑ I, as owner of theMlsc. Conduits b Conductors property, will the work and the See Complete Fee Schedule)—structure Is not Intended or offered Other (d for sdie (Section p ) 'o o.0 . 7044, Business and Profeulons Code). 2'].0 0 6 CONSTRUCTION LENDING AGENCY 22 1 8 6 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 Lenders Name ` Lender's Address PERMIT ISSUING FEE !0 I certify that I have read this application and state that the TOTAL FEE �'0 6 above information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby uthorize representatives of this County to enter upon th a e-m ntioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE YI Sig tun of Permlttee Date ~ COUNTY OF LOS ANGELES TEMPLE CITY OSQ8 E RC`TR.ICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RL 0508 0802070018 BuiLDzNo AND SAFETY / LAED DEVEwp}pNT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EMT: LDGAL, ID: PAID BUILDING ADDRESS: TR: 5904 LT: 222 UN: .002 9115 GARIBALDI AV FEE DESCRIPTION: QUF+NITTY: DOM: ]MOUNT: TEP CA 917801622 ASSESSOR INFORMATION NUMBER: NEAREST CROSS SIREFiT: 5384-010-001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TT3fPLE CITY, C G1 OUTLETS-IAT,SM,RECP 25.00 OUT 45.75 TENANT: G2 LIGHTING FITIWM 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EMPIRES ON: LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 02/07/08 SR 08/05/08 TOTAL FEES 118.20 OWNER: TEL NO: FINAL DATE F Y: CODE: HiAPG SHU YANG;SHON SANE (626) 287-5263- 91L5 GARIBALDI AV TEN]? 917801622 5.1BCRIPTION OF FARlC ELECTRICAL FOR GUEST UNIT AND SUB-PANEL 30 AMP APPLICANT: TEL. NO: AMPB CONI-RUCTION, INC. (626) 284-3260- 2618 W. MAIN ST. kC SPECIAL CONDITIONS: ALHAMBRA, CA 91801 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE AMPS CO3NSIRUCTION, INC. , (626) 284-3260- 2618 W. MAIN ST. LIC. NO TEMPORARY POWER POLE ALHAMBRA, CA 91801 863573 B IILIDRRGRDQHIJ CONDUIT ARCHITECT OR ENGINE R: TEL. NO: UFER GROUND LIC. NO: ROUGH CONI)= ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N VTSLITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: M0508 COUNTY OF LOS ANGELES TEMPLE CITY G 0508 ELECTRICAL PERIQT DEPARTMENT OF PUBLIC FORR.9 9701 LAS T17NA.9 RL 0508 1112080049 BUILDING AND SAFETY / LAND DEVELAPME TP TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: LEGAL ID: FEES PAID BU=INO ADDRESS: TR: 5904 LT: 222 UN: .002 9115 GARrAALDI AV FEE 6ESCRIPTION: QUAN TTY: DOM: AMOUNT: TEMP CA 917801622 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5384-010-001 Al PERMIT ISSUANCE FEE 27.80 T9061AS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CA G2 LIGHTING FIXTURES 10.00 LOT 19.40 TENANT: TOT7aL FEES 47.20 I58= ON: PROCESSED BY: PLAN BY: 12/08/11 SR OWNER: TEL. NO: FINAL DATE F BY: CODE: FOAM SHU YANGISHOW JANE (818) 286-8177- J 9115 GAR J3ALD I AV /� —r TEMP 917801622 DESCRIPTION OF WORK � ADD 10 RECESS LIGHTS APPLICANT: TEL. NO: BEN 4 LI CORPORATION. - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BEN AND LI CORPORATION (626) 905-0077- 5657 ANDOVER WAY LIC. NO TE POPARY POWER POLE '+ CHINO HILLS CA 91709 837201 UNDERGROUND CONDUIT ARCHTTECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: - ROUGH CONDUIT ROUGH WIR-ING i - MAIN 1fATIIt LITUi PLASTIC Y/N METAL Y/N . UTILITY CO[4PANY NOTIFIED REPORT ID: DPR265 ROUTE TO: B80508 COUNTY OF LAS ANGEIJ 9 TE3(PI2 CITY 4 0508 EL8C1'AICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAB TUNAS EL 0508 1111140024 .LX. BUILDING AND SAFETY / LAND DEVSLAPWMT TEXPL& CITY CA 91780 . PHONE: (626) 285-0488- ETT: . iO3AL ID. r FEES PAID BUILDING ADDRESS� M 5904 LT: 222 DR: .002 9115 (ARIBALDI AV FEE DESCR-=OH:. QCUUV TY: POM: AMOUNT: TEMP CA 917801622 - ASSESSOR =RMAT'ION NUMER: NEAREST CROSS STRE&'P: - 5384-010-001 - Al PERMIT ISSWCE FEE 27.80 TH 44 S PAGE: 596 GRID: H2 LOCALITY: T NpLE CITY CA Gl OUTLETS-LwT,S)I,RECP 34.00 OUT 57.80 TENANT: G2 LIGHTING FIXTUR.EB 4.00 LOT 7.80 ISSUED ON: PROCESSED BY: PLAN BY: 71 NO PERMT OTHER OCCUP 257.00 DOL 257.00 11/14/11 SR TOTAL FEES 350.40 090m: TEL. NO: FINAI, DATE FIl[FLL.BX i. CPRE: HUAW SHU )ANG;S" JANE (818) 286-8177- Al 9113 GARIBALDI TEMP 917801622 CRI ON OF WORK RE?L 34 OUTISTS, AND 4 LIGHTING FIXTURES . APPLICANT: TEL. NO: }'4' BSP G LI. CORPORATION r - . SPECIAL CONDITIONS: J CONTRACTOR: TEL. -NO: 1APPROVALS = DATE INSPECTOR SI BSN i LI CORPORATION- (626} 905-0077- 5657 ANDOVER 10. LSC. NO TE3CPORARY POWER POLE . CHINO HILT CA 91709 837201 - • .. UNDSRQROUND CONDUTT ARCHITECT OR EAOIlKER: TEL. NO: - IIFSR GROUND .LSC. NO: - - RbuGH oodr= . . - - ROUGH WIRING - - •r. MAIN HATER LINE - - PLASTIC YIN ►?PAL YIN - - UTILITY COMPANY NOT FIED . rte._ i _ _"�r�'.�'1+� _y' �..•' •1t _ � .,y. is