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