HomeMy Public PortalAbout9550 GIDLEY ST_Electrical__ 79Ae■z-azw .-i,,vAPPLICATION FOR ELECTRIC PERMIT 1
comrrr Oe LOS xxomm
EUArnW= OF COUNTY ENGEM SuDLDRa�s � oS
BUUXMja,IAND SAFEff EIMMOx
LOCkuTY
FOR APPS .$TC !Tgo OT, 04X alty
TO j�1LL IN NISARaaT
1 T[Y p�V�' UUMM [A FQ OWNER
u■H'1's Rian•T, i .1 O ; DRESS 1
LIGj_MNG FIXTUM". .10 -CITY RASOAVIAD TM.,NQ, It 14
K r^ RAND a-O'anrod ELECTR]CIAI`1
WAT[R H[AT[ ■ 00 _ ADDPtXgg ✓
�Q.RAC[HTR*. PLS WA■HDR■
OwRnw OR DIBPOGRM AUTO, CITY TH.L.NO.
WA■H13M STA.0001UNG UKrrZ a STATE
LI
MOTORS, ovbt IN H-P
O — �h 215DISTRI(7 GR WPI RX&DY FOR IRar■al am
n
IL
w — 2 .150 17
! — D 1.00
- - -
ON B�COSD
la LK 1.50 c ', O
115 = 15o 2.150 fv f q A c. _7_;ie.S a A.I.-•�rC
150— 200 0.00
SIGNS: NO.TRAHs:
NO.LAHT■
SERVICE 0-600V 1.00 vo
SERVICE OVER(5OOV 15.00
MISC. �
T.f cO eV -r iCD
7S
WIRING PERMIT 100 0 C�iz ire f� /Na-•O, ^
t�
FIXTURE P1SR1A r 17 1.00
SUPPLEMEN-rARY PERMIT
TOTAL FEE i APPHOVAIS
1 KMUMT Ac Em uwQ VYT��HAT 1 HAVE READ THIS APP1�CA ;(U TO r DATE INSPECTOR'!SIaMTURI
AND WITH AA11,,�L CTO IITT ORDT THE INNAIICIES CORRECT
STATE LAWAND S REGULATING CONDUIT
ELECTRICAL, WIRING. WIRING
I HEREBT CMMFT THAT 1 AN pR0 PERLT RIGISTERM) AILD/OR FIXTURES
LICEMMM AS REQUIRES) BT LOS ANGELES COUNTT AND STATE OF
CALIFORNIA OR THAT 1 Al TH11 LEGAL OWNU OF THE ABOYE POW
DESCRIBED RESIDENTIAL P ERTT.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTME 0& id agr=
FINAL
ATION goPlav ui
Cx YO OAMi
` 06 8 4 8 n NOV 2 2 A 625
r 3 5-A 12-43 25M f'71�"" APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
ELECTRICf COUNTY OF OS ANGELES
WM J O ' eHIEF ENGINEER
Q NAME DISTRICT NO. GROUP ZONE PERMIT NO.
FU ADDRESS, ? LC i .r /l 2READY FOR
W CITY TEL.NO.//G j_ J RECEIVED BY FIRST INSPECTION DATE ISSUED
,.I COUT
NY
W CERT.NO. �(j� EXPIREz '
APPLICANT FtCL IN HEAVILY OUTLINED PORTION ONLY
DESCRIP'T'ION OF WORK A DRESS_
NUMBER OF OUTLETS ON CIRCUITS LOCALITY C✓ "
LOCATION BY ROOMS �z
NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D E F G I H K NAME G
-- Z MAIL
3 ADDRESS
O �� . . _
_ CITY / ( TEL.NO. �*jrS Lei}
1 AM THE eEGAL POSS ��F. E ABOVE LOS
/ ANGELES COUNTY CERTI IFICATION..
I AM THE[EGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
Z_
D
O
/t
TOTAL ` 4
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES �(/ $ /U AT IN CTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE - $ Z UTILITYCO.NOTIFIED
TOTAL FEE s FINAL
Q7&;6.a &W AA T-al I APPLICATION FOR PEST
DEPARTMENT OF BUa.DnQa AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CNI[F ENOINE[I!
FOR APPLICANT TO FLLL IN DIRTRICT Nd. OROU ZONE PERMIIT ND.
ELECTRICIAN Q. U
R[D[IV[D BY RtADY FOR DAT[ IOWm
ADDRKM FIRRT INEPEOTICM /
OITEL NO '2�'
COUNTY LICENSE H0. Apse tXIl I NULL=AD
PEB3= FEES u
F[[
tozf NUMBER EACH LdOALITY
LIO T MEAR[OT
OR W ST. (1;
R[OEPY Lio
WA ■w ITCHES ❑WNER
TOTAL OUTLETe sv r 'r
EL O. N Eli 48 ADDR[RR r9 7 O
[LEC. HILATERS 46 CITY TEL M4
FU(TUREI 6 1 H[RTRY ACKNOWLIEDO[ THAT I HAVE If ,&D tHl
I APPLICATION AND OTATI THAT THE AOOVK IN CCMREOY
NLIMEER OF LIGHT OIROUITm AND AORAIlt TO COMPLY WITH ALL COUNTY ORCIMAMCEIII
MUMB*R OF If[0[FTACL.Y QIRCUITE AND OTIkT[ LAWS REOULATINO [LIOTRIOAL WIRING. _
M-OT❑RB I CERTIFY THAT I FOad 1 TH[ ABOVE VALID LD/
MuwR[R HORNEPOW[RANd� COUNTY LIO[NOE. OR I AM THE LEGAL OWNER
�[ OF THE RgID[NTIAL PRO! DKEORIO[D A!lQVG
NIIW MVO. HP OVER IRO- KAA~
ya • L"• •25 ■IGMATU it F
2' .60 P[RMI -—
2 a 1.Dd MPECMGN RECORD
5 1• 1.60 �Y
15 6Q 4.60
SO 200 b.DD
loo ■m 1C.ar
Q
6Q0 1 000 1 6.E70 Z
OVER IOQO 4d.00
M.O. EET FR OHANOIER-HP
WELDERO1 AO-IYA O
OEN[RATORO - KW
TRANSFORM[RB * KVA
TEMP. MOTOR■ (76 Or ORIu•)
MOVED MOTOR■ (75S OF ORI■
MIPJC
ElIONB
NO. M b.T RAN L t A r PAP V A T S
MrL N o. LAM Pp DATE I immduilLropim NAM[
'FOR LA03H P[IiMITI
CONDUIT
WIRIMO $1.130 _
XTLRKR I.00 WIRING
FI
K["LIEtjKKTARY .50 FIXTURC0
POWER
TOTAL Fr-E 1 O UTILITY O0:NOTIFIED
INAL
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �
BUILDING AND SAFSIY DIVISION ADDRESS
JOHN
ajNMM
CJ TT D.OltUrPIPCD. go—,OF LOCALITY O S
FOR APPLICANT TO F ;kL IN NEARaBTPEHMrr FM -QgQIiW 6T, d � 4 73 4�
OWN R
ITRU MUYItlt [wC>•1 FR
LIGHT rl�: ,DD f
LIOH-r. R>�aT. nv t.So � 66�� TT
LIGHTING FIXTURES .10 cl /r �<
Q.ic R"GC/ cL.O.DRYXKX ELECTRICIAN LrG
W A T A R H[A T[R■ .150 ADDRESS Q
n KC ■PACK HTRI. D1611W"HEM
cITY 4 TEL No N
GwRewvi Dlrro�w Au ro.- STATE
WASHIE" sTA.coOKINO unrro .219 LICIENSE NO.
MOTORS: Ov[It INC. H.F. G
0— +/. .215
.150 INSPECTION BECOBD
2— a 1.00
19— 18 1.190
IV— 150 2.50
50-200 15.00
SIGNS: NO.TRAM.
NO.LAMFf
SERVICE 0-e00V 1.0q O
sERVIcaOVER e0ov 5.00
L IBC.
WII4ING PERMIT 1.00
FIXTURE PERMIT I.OQ
71,r I
SUPPLEMENTARY PERMIT .150 -OPPC.J� �, O / /
TOTAL. FEE t APPBO`/AIS
1 HQti1Y ACK14OWLKDOR THAT 1 I /P
HAV[ RAD THIS APPLICATION DATI INLCTOR-9 WlW ATURX
iI ill
AND STATR THAT THR AOV1• CORAKCT AHD AGRTO COMPLY
WITH ALL COUNTY QRDINANCEI AND XTATi LAW■ R[GUL.ATING CONDUIT
ILICTRICAL WIRING. WIRING
I HILREMY CIATIFY 'SHAT I AM FRO PMtLY RIGISTQtID AND/OR
UCiN RED M RtOUIRm MY LOS ANOaRE
[1 COUNTY AND WrATi OF FIXTUS
Y
CALIFORNIA OR THAT 1 ATHt LIKQAL OVfKXR OF THi ADOVI
DtSCRiMm RXMIDQfTLAL POWER
SIG NAETRUMRIE UTILITY co.NOT1Fl® r
E.
VAIJDATJ gRTHUR C.yEIT.
CK YO t Ur[1tV1GINO RSI rrCl'RfCAL EHQINQR
LAC08 3 6 55� JUN 23 2 A 150
70AS9&-CX8OG 1:-ee APPLICATION FOR EIEC- RIC PE MIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY KNGumKzn s
CWWATT D.QR1rnK oR BuDi mo LOCALITY
FOR APPDICANT TO FIS IV NEARESTPEHWT
EMS ONVIN EF2
T Z Y IflJMl10! fACFI Fa [L,,
OUTLETS: ; f ADDhESS W
L-IGHTS R=C>rr. M .10
LIGHTING FIXTURES .10 CITY AA if A
XI-KC.RANOKS CLO.DRYIIi1 ELD=RICLAN •' C
W A T R H I A T K R S .DO AfSDREBS 3 V
[LTC.SPACI HT7RL DILIiWA8H[R1
CITY
GSTEL-NO.
LOG ARIAGi DIlP0XRA AUTO.- ATE
WALHKRS TA_COKIlIUHrrd .2D
MOTORS: ovxm INC. H.P.
O— yn
y,— 2 .ao nVSP=ON BECOSp
2— D 1.00 O ��
a— iD I.aO
ta— ISO s.150 Z
50-200
NO.TR
SIGNS: AHs. _
NO.LAMFs
SERVICE 0-600V 1.00
BERVICH ovate aoov 0.00 L.
Qlea.
WIRING PERMIT 1.00
FIX-17URE PERMIT 1.00
SUPPLEMENTARY PERMIT .DO
TOTAL FEE t ALS
I HQiIY ACKNOWLXDQK THAT 1 HAV[ RIAD 71-118 APPLICATION DATL IHLPLCTOR'S 816WATURI
AHD LTATZ THAT THR ASOVK Is CORRKCT AND AGR" TO COMPLY
IT
WH ALL COUNTY ORDIHAHCL AND STAT t LAWS NKODUATRIG CONDUIT
KLKCTRICAL WIRING. WIRING
I RI
Fi[ RY CIE
TIF
RY THAT I AM PROPWtLY RIGILTQRID AND/OR
LICIHI[D AS RIOUIRIm SY LOA AN011." COUNTY AHP STAT[ OF FIXTIIREH
CALIFORNIA OR THAT 1 AM THX LiGAL OWHnR OF AbOV[
D[SCRISm RLID[H'TIALPOWER
SIGNATURE U-nLITY CO.N IFI SD
OF PERMIT E , w
OrFINAL
VAUDATPK, Sur¢R�UiIiIN aa�.RtcAt.ENOIN1tTR
ax Mo
T.A6E3-ADO.•,D.DG APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
DeparWment of CoOm�ty Engro-vI BUILDING
County Of Los ADQ�M ADDRIE" V
JOHN A. L.AWIBM COUNTY ENGINEER
CASS TGRIFFIN. SUr'T of BUILDING LOCALITY
T D.
' j NEAREQT
FrOR APPLE FILL IN
uotrn FLICKPTA!]LES rwrtaHxs
OWNER
NUY■ T x4cH FQ MAIL
ADDRE6A
TOTAL OUTLET!! 4 . 9 56
10
■LIC. W.[I, WATRR HKATICI, C
CLOTIIRR DRTRlf .60
RLRC. ITACR CRATXM ITAT'T. COOK- ELECTRICIAN
IRR DRITI, •ARIA.[ DISrOSae, ADD
� AITO WAfT1rIL11OIII,WASI10 .26
LIGHTING FIZTURES .10 Q CITY ,ry TEL O
MOTORS STATE L
u e No
DIGT
eoRIEPOWt�
RIIMEA"roitimmmoff
•uw R6
YZ
Y .60 ENSPE=Olq REMED
n — 6 1.00
6 16 1.60
16 60 2.60
60 200 6.00
BIG Na No.TRANS
No,
LAMPS
PEpty1cl 600v 1.00 0,0
HERVICE OVER 600V 6.00
WIRING PERMIT 1 1.00D
FIXTURE PERMIT 1.00 O
9UPPL acrARY PEItMI'T .60
APPROVALS
TOTAL -"
HEART fM
ACEMOWLEQ" THAT FLAYS RIAp THIS CATION DATE INSPECTOR S euu
AIkI STATE THAT THE ADM IS FLAYS
Mb AGREE TO COMPLY CONDUIT
WITH ALL COUNTT ORDIRAIICE/ AND STATE LAWS REGULATING
ILICT'RICAL WHUNG. WIRmcl l Li
I HST CYRTIFT THAT I AN PROPERLY REGISTERED AND/OR FIXTIIR" --J
LICENSED AS REQpIRRD BY LOS AXGI" B COUIfTY AMD STATE OR
CALIFORNIA QR T$AT 1 A■ TQI LE•AL OVM OF THE AI30YE pyypl
DI6Cm EATIAL FEITT. I
SIIONATURE UTILITY CO. NOTIFIED
OF FVWn-r t*
:oHuni-r ammmiATION IrFr�vt.aa IT' cnL
YO CA"IcxM
1�
Q 5 9 209 'M-22 2 A 4.9 0 �
76A663-CE806 8/63 APPLICATION FOR ELECTRICAV PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST J
FOR APPLICANT TO FILL IN CROSS ST. !9 r� C'r IC/ v/
RECEPT. J TOTAL NO. EACH FEE OWNER
LIGHT OUTLETS FIRST 20 y,0 $2O $ Q o MAIL `
_ / ADD'L P f0 ADDRESS 2y G-c,
SWITCH. c OVER 20
LIGHTING TOTAL FIRST 2020 CITY / I TEL.NO. C1 L/�31!
i
FIXTURES .. ADD'L 10 ELECTRICIAN f'GI 00 Z
OV R 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 1 1 c /G.
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE p
"" I LICENSE NO. OJ�
SPACE HTRS. ( STA.APP.(vP
.H.__MAX_ / .50 5
MOTORS: OVER NOT OVER H.P. DISTRICT NO, GROUP ZONE I PROCESSEID
EW
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 e 2.00 '
8 15 2.50
V
15 50 3.00 -
O
50 100 5.00 u
V
_ w
SIGNS: NO.TRANS D_
NO.LAMPS (A)7-
SERVICE
Z
SERVICE 0-60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V --+- 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 9 �(
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION APPROVALS
DATE INBPlL'TOR'88IGNATUR!
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERT FY
LIY THAT I AM PROPERLY REGISTERED AND/OR 'x
CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
III CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ,
DESCRIBED RESIDENTIALqPOPERTY. POWER
SIGNATURE i (,/� --�� UTILITY CO.NOTIFIED _..
OF PERMITTEE
FINAL
VALIDAT N ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
D 7. J
4
T
Z
7awS9 -10.15e APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Deparwumi Of i BUILDING rl `
CommiT 146+.+�1...� �A.DDRtDH V
JOHN A. IE. COUNTY ENoINrjM
CA SATT D. GiRnrF1N. 5iup-r of Rmi-Dimm L.001.LVII
IK
NEAREST
FOR APP 1 ILL IN ea aT,
uoliTE IClalrrrwaa.rs rrarlu
OWNER
Nur1aE>, 1 CH MAIL
ADDPtXM
TOTAL OUTL£TD # .10
f O
ELEC. RAItn, WATER SKATERS, C NO
CL.OT9n DETERS ,50 ELECTRICIAN
ELIC. SPA el
■EATEES, STAT-Y. COOK-
IES DEITS, SAEEASE DISrOSnS. ADDRIUM
AUTO WAS71112, DISAVAELEE .219
LIGHTIAG F=REf ,10 C T NO.
*OTOIIf ST'E'T
N
d01if�O�t
H.F. OVER INCL DISTRICTRO EEALtt FOR IESPECTION
yp •Lxso .25
2 .moo INSPEMON BDCOSD
: — a 1.00
r G
5 —
lb 1.50
to — ao 2.50
e0 — 20o a.00
YLua. �
' •IOIYH NO.TRAMS
NO.Lis
GERVICE O-1500V 1.00
` amwicE OVIR 000V 5.00
WIRING PR rT 1.00 Q
FIXTURE PERMIT 1.00 1 .610
QUPPLiMENTARY FMlHIT XQ I I OVAIB
TOTAL,
1 HURM ATI � THE
LR THAT I HAVI QMD THIS "RIM CAT10R CTOR f f MTMX
VIT'HAND �ALL COUNTY ORDI Al11CI0 A1OORRKCT AATID A*$ RROULATIRQ CORPLY -CONDUIT
E TICAL rullti. WINING
LICfIII® AEAE 0IIi1la Hi LOE=Allad[f JOU11IrAHD 9 ANJ OF FIXTURES XT
CALJFOIIIIA OR THAT I A 7� O7 HIM OF THE A"
DESCRIEI'ID RIM Prm I
SIGNATURE )_ ) Lf TiLITyCo. NOTIFI®
OF F�JvI w FINAL
&U1Nwry�1'u'm 2LITON a 14�aTnlawL liLialNR�e
y9 r.AAH
,L>,0 1 1 �_ L 11 ? 5.6
��7 6 A 6 6 3 - C E 8 0 6 , 0 . 6 2 A P P L I C A T I O N F O R E L E C T R I C A L P E R M I T
` 1
C O U N T Y O F L O S A N G E L E S
D E P A R T M E N T O F C O U N T Y E N G I N E E R B U I L D I N G
B U I L D I N G A N D S A F E T Y D I V I S I O N A D D R E S S
I �� J O H N A . L A M B I E , C O U N T Y E N G I N E E R ��
W I L L I A M A . J E N S E N , S U P T O F B U I L D I N G L O C A L I T Y
N E A R E S T I r . , t ��
F O R A P P L I C A N T T O F I L L I N C R O S S S T .
R F C E P T . T O T A L N O . E A C H F E E `
- - O U T L E T S F I R S T 2 0 $ 2 0 $ O W N E R S
L I G H T M A I L
A D D ' L A D D R E S S
S W I T C H .
O V E R 2 0 . 1 O
T O T A L C I T Y t T E L . N O .
L I G H T I N G
F I R S T 2 0 . 2 0
F I X T U R E S A D D ' L G e v
1 0 E L E C T R I C I A N ��
_ O V E R 2 0
R A N G E S - . - . C L O . D R Y E R S W T R . H T R S . 1 . 0 0 A D D R E S S J ����
G A R B . D I S P . S T A . C O O K C I T Y _ 3
_ r T E L �� J l /
D I S H W A S H . A U T O . - W A S H . S T A T E
S P A C E H T R S . S T A . A P P . ( 1 / p N . P . M A X . ) , 5 0 L I C E N S E N O . b
M O T O R S : O V E R N O T O V E R H . P . D I S T R I C T N O . G R O U P Z O N E I P R O C E S S E D B Y
O 1 1 . 0 0 O
+ 5 1 . 5 0 I N S P E C T I O N R E C O R D
5 8 r 2 . 0 0 1 / 0 0 O
8 1 5 2 . 5 0 V
1 5 5 0 5 . 0 0
5 0 1 0 0 5 . 0 0 p A
S I G N S : N O . T R A N S . ` . N
N O . L A M P S A ��. Z
S E R V I C E O . 6 0 0 V - N O T O V E R 2 0 0 A 1 . 0 0 ~ v y '
S E R V I C E 0 . 6 0 0 V - O V E R 2 0 0 A . 2 . 0 0 r
��p
S E R V I C E O V E R 6 0 0 V 5 . 0 0
M I S C . ; ������, , . '��I e �� V M
' e
e ��
e
P E R M I T I S S U I N G F E E 2 . 0 0
S U P P L E M E N T A R Y P E R M I T I S S U I N G F E E 1 . 0 0
T O T A L F E E $ ����
1 H E R E B Y A C K N O W L E D G E T H A T I H A V E R E A D T H I S A P P L I C A T I O N A P P R O V A L S D A T E I N S P E C T O R ' S S I G N A T U R E
A N D S T A T E T H A T T H E A B O V E I S C O R R E C T A N D A G R E E T O C O M P L Y C O N D U I T
W I T H A L L C O U N T Y O R D I N A N C E S A N D S T A T E L A W S R E G U L A T I N G
E L E C T R I C A L W I R I N G . W I R I N G ��-
I H E R E B Y C E R T I F Y T H A T 1 A M P R O P E R L Y R E G I S T E R E D A N D / O R
L I C E N S E D A S R E Q U I R E D B Y L O S A N G E L E S C O U N T Y A N D S T A T E O F F I X T U R E S
C A L I F O R N I A O R T H A T 1 A M T H E L E G A L O W N E R O F T H E A B O V E
D E S C R I B E D R E S I D E N T I A L P R O P E R T Y . P O W E R L
S I G N A T U R E U T I L I T Y C O . N O T I F I E D 5 4 r
O F P E R M I T T E E ������ / l 6 r - -
F I N A L 1 , 4 1
L I D A T I O N A R T H U R C . V E I T
C K M O C A S H S U P E R V I S I N G E L E C T R I C A L E N G I N E E R
1 6 . 5
� 1
WORKERS'COMPENSATION DECLARATION Clt$t6G (2-80) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation insurance,or
a certified copy thYereof Sec. 3800,Lab.C.//)��,�.7.�� ,.ETA
Policy No.�L�^J mpany-� `f w� -"�� FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
Certified copy Is hereby furnished. 1 &2-FgrnIIy,Sq. Ft.—T — LOCALITY, t a,r�
Multi-famlly$q. fit. _ EA
Certil9pd copy is filed with thecounty bull a inspection ResldentlAl SWlmmlrp Pools
CFIOSB ST t
��4���```"` de arfinent.�
r OWNER OR"
Data �� l�� �� FIRM NAME
T 8ppllcant Outlets: Rec._Light SW. (/0
Int 20 ADDRESS G
—
7�
bOMQENSATION INSURANCE
CERTIFICATE OF.EXFIAnION FROM WOf2KERS' Total No. Additional CITY Tal N
CZ }
PLAN CL
(T"hfa section need not be completed if the work Invoh-ed APPLICANT 8
by the permit it Tor one hundred .dollar/ (5100) or leas.) Lighting Fixtures First 20
AbORESS
Total No. -0
I certify that in (he performance of the work for which thi$ CITY Tal Na.
.permit h hued, I shall not aaiploy.any person to�sny manper PE FIMFixed Appliances Not Over 1 HP t
w as to boome subject to the Workers' Com ensalloh Laws. Re APPLi T +►—
c�W
p age— Heetar D.W. _ P ANT X Z_
Oven _ D,
-Dryer_W.M._ ADRESS OC:t:5,
Date Applicant Top ,_'FAU '_W.H.• e
Hood — Fen _Other_ CITY 7.1 No.
NOTICE TO APPLICANT: If, atter Making this Certl.ffcate of OI Room Alr Condom `,
I'xiamptioq,, you should become subject to the Workers' REO.N MBE e_5 ry T_-7 Cl.
Compensation provisions of thb Labor Code, you must forth- Power Apparatus h large Applierien DISTRICT NO. ORODE SED OY
with comply with such provisions or this permit shC be r KVA KVA
KW
Type HP
$r yp , , ,e
deemed reybked. Size T
Up to 1 Incl.
FI AL �
Over 1 to 10 Incl. DATE
LICENSED CONTRACTORS DECLARATIONOver i0 to 60 Intl P> VALI aATION'
I hereby ■ffh-M that I sin licensed under provlatons of Chapter Over 50 to 100 Inc. FINAL
9 (comrbencing with Section 7000) of Division 3 of the Buri- Over 100 BY
nous and Profpadons.Code, and my license is In hill force-and
effect. Services.
vicense 14UmberIaO2 Ydc..Clau / 0-200 Amp.Under 600 V
201-1000 Amp_Under 600 V
Cgntri fit eA". bata Ovgr 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECL TION Temp,Power Pole&AppurtOpertcea'
I hereby affirm that i am exempt final the Contractgr's
Sign Odth One Blanch Clrtxilt '
License Law for the foliowIn; reason (Section 1031.5, Bull- Additional Sign Brandi Clrcults
'nets and Profmajom Code): 65 1. O A
Misc.Conduits&Cooductorx
I, as owner of the property, will do,the work apd the Other(See Complete Fee SChadule)= # o�o 0 0 0 2
structure it not Intended or offered for sale (Section
7044, Businowand Profesaigns Code). '
CONSTRUCTION LENDING AGENCY ,2 ° ° ° 9.9 Q
I hereby affirm that there L a construction Iendipg agency
0 T3
for thb performance of the work for which this permit fa PERMIT FEE (Su oi0'0 0 9,7
issued(Sec. 3097,Ctv.C.). 0'9.2 8'8 2
Lender's Name. PLAN CHECKING FEE (060-Fourth Permit Fee)
Lenderti Address PERMIT ISSUING FEE
I certify that I have,read this application and state that the TOTAL IF EE
above information Is orrect.I agree to comply With ail County
ordinances and State laws regulating- Electrical wiring, and
hereby aut rWntattves of this.County to enter upon
ed perty for Cmpectlon purposes.
SEE-REVERSE FOR EXPLANATORY LANGUAGE
ture of Permittee Data s _
COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9806170062
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) M-0488 EXT: x
I
LEGAL ID: fthN PAID BUILDING ADDRESS:
ON FILE '9550 GIDLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: iTEMP CA 917804213
ASSESSOR Bm: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8592-004-039 Al PERMIT ISSUANCE FEE 27.75 THOW PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
01 OTHER INSPECTIONS 0.50 HOU 54.75
TOTAL FEES 82.50
06/17J98 UTUWN t:x TEL. W: FINALTDATE FI CODE:
06 /99
OCHOA,STEVEN (562) 807-8804 41
-
9550 GIDLEY ST 5- ?, 1
TEMP 917804213
INSPE TION FOR PANEL ONLY (FIRE DAMAGE) ANY ADDITIONAL WOlk
WILL UIRE ELECTRICAL CONTRACTOR TO OBTAIN AN ELECTRICAL
APPLICANT: TEL.-W PERMI
SAME AS OWNER -
M. NO: APPROVALS DATE INSPECTOF-9TUVOWr-
/ \
SAME AS OWNER - � / ' ��•`•�'
LIC. NOROUlGFCOiNDUIT
T045ZMY POWER POOLE
Ir F-
1
LIC. MO Jf14AIN WATER LINE
I 1111111
L' f Ujil L�,S L!1��^ "J��� �}��11�'�. PLASTIC Y/N METAL YJM
UTILITY COMPANY NOTIFIED
- F
!f a ,
y REPORT ID: DPR265 ROUTE TO: BS05DB
COUNTY OF LOS ANGELES xLcCtFt s TEMPLE CITY F•• , :•-ELECTRICAL PERMIT
F.d� ;
DEPARTMENT Of PUBLIC WORKS 9701 LAS TUNAS -` EL 0508 9908230003 `n
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-04.88
E AIDU NG ADDRESS:
AVN' FILE .., n - -.. .; r 9550 GIDLEY ST
- FEE_,DESCRIPTION .. UO TEMP .CA 917804213 ,u.
27.75+
R NET CRO8S STREET: •"
� . .. AR�SAl PERMIT. ISSUANCE-FEE _.."�:"� �.`..
$592 1y "=039 THOMAS PAGE: 597 GRID A5 LOCALITY'; -C17Y "
,y
PY
TEL. N0: NAi=
44
0 ER: w A. x:... .. .._._ _ DAT F I L B
LEE KI S -
9550 GIDLEY ST _
TEMP 917804213 DESCRIP N F WOR
CHANGE M ANEL T 200 AMP
• �.:
APP CANT: TEL. N0:
+! t19TMKIM awe71,4) 996-6546-
1 �iiTNA DEL 'Alta S . ��* A OND IONS.
CONTRACTOR: ""`"` TEL. NO: "'' APPROVALS DATE INSPECTOR SIGNATURE
JAN HO KIM (714) 996-6546-
1242 E. VINA DEL MAR AVE. LIC. NO TEMPORARY POWER POLE
DBA: J. KIM ELECTRIC CO. 753789 C10
PLACENTIA, CA 92870 UNDERGROUND CONDUIT
A ECT OR TEL. NO: RS GRO ND -
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
LITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508