HomeMy Public PortalAbout9620 GIDLEY ST_Electrical__ 7enee3-ceeQe'11>;D APPLICATION FOR -ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OR COUNTY EN¢INEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS upN UI No LOCALITY f
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. b
OUTLETS No.
OWNER
$ Mlfav
J
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 2D ADDRESS
CITY TEL. NO.
SWITCH_ OVER 20 .Ip
PLAN CHECK
LIGHTING 1TOTAL FIRST 20 251
APPLICANT
FIXTURES .10
J}
OVER 20 ADDRESS
APPLIANCES CITY TEL. No.
RANGE DRYER_WTR. HTR. PERMITAPPLICANT C ItI
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY C o V/AlTFL. NOF —Jv /
CLOTHES WASH. DISHWASH. LICENSE NO. / CLASS. C-
FAN OTHER 1A0 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.
BIZ! L TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 Epp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL OWNER OF NO INTEND O
1 — 10 30p RESIDE IN, TH! ABOV DESCRIB REIID L PR Y.
SIGNATURE V
10 — 50 0.00 OF PERMITTEE
80 — 100 1oD0 . 0
DISTRI CT NOCLASS ONE p ESS!
100 - 600 1 B.o O
a
SIGN, GAS TSIGN AND ONE CIRCUIT 0.00 NOTES: 7 1 21
Z
TUBE, OR aw
MARQUEE ADDITIONAL CIRCUITS IAO &rwr .Q 7
3ERVICENOT OVER 600VOLTS OR200AMP 3,00
APPROVALS DATE o+a ECTarS Nk1ATURE
SERVICE OVER 600 VOLTS OR 200 AMP IOAo
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 0.00
UNDERSLAB WORK
TEMP WHT OR R CEPT. SYEM 3.00
ROUGH CONDIUT
WIRING
FIXTUR
POWER AUTHORIZED
PERMIT EE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL 7
PERMIT ISSUING FEE 3.00 I
&V JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. -m*.0. CASH PERMIT VALIDATION CK. M.O._SH
1 8 9 JUL 1 2 D 4 .0 0
SEE BACK OF"FLICATION FOR COMPLETE SCHEDULE
75/1659-CE&OB I/gip" APPLICATION FOR ELECTRI L ERM1T
��• COUNTY OF LOS ANGELES
DEPARTMENT-OF COUNTY ENGINEER BUILDING +
BUILDING AND SAFETY DIVISION ADDRESS -fig
COLKMAN W. JKNKINs LOCALITY / tM
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. t
OUTLETS NO, RAM I FEE
OWNER
RECEPT,,V I MAIL ,
LIGHT TOTAL
FIRST 20 ADORES
3
CITY - - TEL. N0.
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL
FIRST 20 - APPLICANT
/la— OVER 20 O ADDRESS
FIXTURES •10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLfCANT
STA. COOK DISP. F.A.U. ADDRESS
7
SPACE HTR. AIR COND. CITY TEL. N Q
CLOTHES WASH. DISHWASH. C+/
LICENSE NO. CLASS. d,
FAN Ar OTHER 1.00 //// 1HEREBY ACKNOWL[D[E THAT I HAVE RSAD THIS APPLICATION
{J V AND /TAT[ THAT THE AEOV[ IS CoR R[CT MND ABI1[ .TO COMPLY
MOTORS, TRANSFORMERS IIA.TI NS WITH ALL COUNTY ORDINANCES AND -STATE LA WS�REBULATINS
IND. HEATERS, ETC. HP. KW. KVA. [LECTR ICAL WIR INS. _
SIZE Ili TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REBISTKRFD ArD/Op
0 - 1 1.0 LICENSED AS REQUIRED BY LOS A-MMELES COUNTY AND STATE DF
CALIFORNIA OR THAT'Y AM THE LEGAL OWNER OF, AND INTEND TO )-
C 1 - 10 / 3.010 RCSIDE IN, THE ABOVE DESCRIBED R[1fD NTIAL OPERTY. d
SIGNATURE
� f 10 — 80 mm OF PERMITT
SO - 100 1OD0 DISTRICT NQ CLAIS ONE PR Y
100 - S00 15.00 JVrQ� •. + (�
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3m
SERVICE OVER 600 VOLTS OR 200 AMP 1 70 AP OVALS DATE D�[cTDWS21w.TURE .
(/V TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 9.00
ROUGH CONDIUT
WIRING
FIXTUR
POWER AUT
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL 7
PERMIT ISSUING FEE 3.DO i SF-13H C. kOOHAN
TOTAL FEE SUPERVISING EL RI CAL ENGINEER
r
PLAN CHECK VALIDATION CK. -M.0. CASH PERMIT VALIDATION CK. M.0. CASH
I AP, 1 3 0 OL_ WL 8 2 U 62.00-
SEE
2.OOrSEE ■ACK OF APPLICATION FOR COMPLETE SCHEDULE !n,
`.I
r 7 e w a a 3ee ,�-- /f � MM; �A ,tiT,ON
---
I A l (I FOR ELAL' ERMI
COUNTY OF LOS ANGELES
�• DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO PILL IN NEARESTGL
CROSS ST.
NO. EACH F[[
i OWNER
RECEIPT. MAIL
LIGHT TOTAL
FIRST 20 .20 ADDRESS
CITY TEL.N0.
SWITCH_ OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOKDISP. _F.A.U. CONTRACTOR
SPACE HTR_ AIR COND. ADDR
CLOTHES WASH._DISHWASH. CITY +— TEL.N0.
FAN OTHER 1.00 LICENSE N0. CLASS. C ��
MOTORS,TRANSFORMERS RATING I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE Il CORRECT AND AGREE TO COMPLY
SIZE TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
8 ELECTRICAL WIRING.
O — A 1.00 1 H[REIY CERTIFY THAT I AM PR [PLY R[ IlT[R[D ASO/OR
LI CEMS[D AS REQUIRED BY LOS AN/ [S COU Y AND STATE OF
1 T 1O J.00 CALIFORNIA OR THAT 1 AM L[GA ONN[R AND INTEND TO
/ RESIDE IN, THE MOVE D C [D R[ ID[NTI PROP[ /�
10 — 50 5.00 }8
SIGN RE
5o — Tb0 10.00 OF P MITT O
100 - 600 15.00 DISTRICT NO ROUPxoN /ED MY
SIGN,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1,00 NOTES:
SERV ICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APP UIRTE]ANICFS 3.00 APPROVALS DAT[ MSP[CTC" SIdNATllli
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (SO% PERMIT FEE)
PERMIT ISSUING FEE 00i UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1,00 FINAL / 7
OTAL FEE ( JOSEPH C. ROOHAN ofo
SUPERVISING ELECTRICAL qE .NEER
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. CMH
LCO 2 ? 7 89 w1 12 2 6 2.0 0cil
-
BACK OF APPLICATION FOR COMPLF.TF Ff[ RCHTDULE 1 \/
� r��III/-III'111
'7QAee3-CE806 111"70 fi APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEBUILDMNa AND SAFETY DIVISIONENT OF COUNTY ER
fo
COLIEMAN W. JLrNKINB u N I
POR APPLICANT TO FILL'IN OUTLETS o F7 -7WNER
RECEPT. FIRST 20ADDRESS 2O / 0G
LIGHT TOTAL ` CITY C7TI`kL. N04,� DZO3
SWITCH OVER 20 .10 0 PLAN CHECK
LIGHTING FIRST 20 / APPLICANT �I 0
TOTAL
FIXTURES OVER 20 10 /;G 3 D ADDRESS
APPLIANCES C1 TY TEL. NO. ��GS
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTH E§WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 140 I H[R[BY ACKNOWLEDGE THAT I HAV[ R[AD THIS APPLICATION
AND STATE THAT THE ABOV[ IS CORR[CT AND AGREE TO COMPLY
MQTORS, TRANSFORMERS PLATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HLAT[RS, ETC. HP. KW. KVA. ELICTRICAL WIRING.
SIZE 6 TYPE OYER TO
I H[R[BY CERTIFY THAT I AM PROPERLY REGIST[R[D AND/OR
v� it pJs,Qg s O LICI!"ED AS REQUIRED BY LOS ANGELS COUNTY AND STATE OF
,t CALIFORNIA OR THAT AM THE LE OWN KA OF, AND INTEND TO >-
4l j F'S �1/1b 1 - 10 �� Sapp )[f � R[SID[ IN, TH[ OV[ EBC D R[IIDE NTIkL PROP[RT Y. CL0
10 - 50 0.00 OFGPERMRTT �1� V
so - 100 10-00 f p DISTRICT NO. 0.AS1 NE PR CE¢4ED By 0
r 100 - S00 10.00 t'
d
SIGN' GAS SIGr1 AND ONE CIRCUIT 6.00 NOTES: z
Z
TUBE, OR
.WARQUEE ADDITIONAL CIRCUITS 140
SERVICENOTOVER 600VOLTS OR200Amp 9.00
SERVICEOVERBOOVOLTSOR200AMP 1000 �� r APPROVALS DAT[ Gee�gcTD1rSSNNYTURE
TEMP.POWER POLE ''`I'
at
TEMPSERVICE,POLE, &APPURTENANCES 6.00 -
UNDERSLAB WORK '
TEMP LIGHT OR RECEPT. SYSTEM 340
ROUGH CONDIUT
WIRINq
POWER AUTHOR14ED
PERMIT FEE (SUB TOTAL) Q
UTILITY CO. NOTJFIED
PLAN CHECK FEE
FINAL / Q
PERMIT ISSUING FEE 340
JOSEPH C. ROOHAN .
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
2.5 4 '24. 8 a 5.5 Os
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
I 7e.jee3-cEebe t1}7o
i4PPLICATIO � RIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / /
BUILDING AND SAFETY DIVISION ADDRESS ZQ /a
LOCALITY
COLEMAN W. JENKINB u N o IN -�
NEAREST
FOR APPLICANT TO FILL IIICROSS ST.
OUTLETS FEE OWNER �� C
RECEPT._ $ S
MAI L
LIGHT TOTAL FIRST 20 2B ADDRESS
SWITCH OVER 20CITY .y TEL. NO. G x-03
10 PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
OVER 20 ADDRESS
FIXTURES .10 ,
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT,4G y
STA. COOK DISP. :F.A.U. ADDRESS L /(�/•hQ_
SPACE HTR. AIR COND. CITY ✓ TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE N0. � CLASS. C-10
FAN OTHER 1.00 1HEREBY ACKNOWLEDGE THAT I HAV[ READ THIB APPLICATION
ANO STATE THAT THEABOVE I1 CORRECT AND AGREE TO COMPLY
TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND
MOTORS, TRANSFOSTATE LAWS REGULATING
IND. HEATERS, ETC. HP. RW. KVA. ELECTRICAL WIRING.
D IZE L TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
100 /1 LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF
V CALIFORNIA OR THAT I THE LEGAL 'WOES
F, AND INTEKD TO
10 3.00 D
RESIDE IN, THE A [- D RISE f IIEI/J<KTIAL PR QP ERT Y. O
t ? r
10 - 60 Epp SIGNATURE +/} V
tI OF PERMITTE
OC
50 - 100 / IODO /D 8 DIDTRICTNO. ICLAIS PONE PROCESSED BY O
100 - 600 16p0
SIGN, GASSIGN AND ONE CIRCUIT 6.00 NOTES:
a Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1p0
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3,00
APPROVALS DAT[ Ri6PECTOWS SHI IATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 10
.00
TEMP.POWER POLE
TEMP SERVI CE,POLE, &APPURTENANCES 6.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTUR
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) v -
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE I DAO '310 0
J65EV3H C. OOHAN
TOTAL FEE N SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH l PERMIT VALIDATIONCK. M.Q. CASH
I
LAC0
2 6 7 29 wl 4 2 D 10 9,0 OM 27'
SEE BAC% OF APPLICATION FOR COMPLETE SCHEDULE
76AB63{ 7-G-
EB0611-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY QF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �� r
i LOCALS TY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OUTLETS NO, EA CH I FEE
OWNER
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 ADDRESS
OVER 20 CITY c_ TEL. NO.
SWITCH_ 10 PLAN CFfECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES I .10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT C
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AI R COND. CI Ty TEL.'NO. LtL
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. I
FAN OTHER 140 1 HERESY ACKNOWLEDGE THAT I RAVE READ THIS APPLICATION
ANO STATE THAT THE ABQVE IS R
CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS EGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE TYPE OVEN TO
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ON
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND BTATE OF }'
CALIFORNIA 011 THAT I A E LEGAL OWNER OF, AND INTEND To
V
1 — 10 SAO RESIDE IN, THEA"" ESCRIB ESIDENTIAL ROPERTY.
SIGNATURE
10 - 50 B00 OF PERMITTEE 0
b0 - 100 10A0
DISTRICTNO. CLASS ZONE PROCSISJIKD BY
100 - 500 15Ao �� a
SIGN, GAS IS AND ONE CIRCUIT 0.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS IAO
SERVICENOT OVER 600VOLTS OR200Amp BAO
APPROVA4S DATE DdIECTOMS SNNMTU!
8ERVICE0VER600VOLTS 0R200AMP IO
I, TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 0.00 V
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 5.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIE
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE DAO
TOTAL FEE 16
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID N CK. M.O. CASH
k&,o 0 4 6 6 R3 GGT 2 6. 2 D 8.0 0-
SEE
NSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
T� �°' Q}° ., APPLICATION FOR ELiCTRIC,41. PERMIT
LJ
, COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING STS
BUILDING AND SAFETY DIVISION ADDRESS 7
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS No, BACH I PER
OWNER4*99104
R FC MAIL •
;J7FIRST 20 ADDRESSfAgdG �1'/ r
LIG TA
TLC
BWITC OVER 20 Tj .1
0 CITY TEL. NO.`
PLAN CHECK
FIRST 20 2.6 APPLICANT
LIGHTING TOTAL
OVER 20ADDRESS
FIXTURES •10
RESIDENTIAL APPLIANCES CITY 40 TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT oolff
STA. COOK DISP. F.A.U. ADDRESS, , (iI
SPACE HTR, AIR COND. •CITY _ TEL. NO. _r- j"
0.0THtt3 WASH. DIBHWASH. LICENSE N0. CLASS. d
FAN—OTHER 1DO I HEREBY ACKNOWL[D9[ THAT I HAV[ READ THIS APPLICATION
AND STATE THAT THE AgOyF I9,.CORRICT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH A(.:L COUNTY ORDINANCk/ AND STAITE LAWS REGULATING.
IND. HEATERS, ETC. HP. KW. RVA. [L[CTAICAL WIRING. '
SIZE & TyrE OVER TO
I HER[EY CERTIFY THAT I -AAI PROPERLY R[SIST[RED AND/DR
0 — 1 IDG LICENSED A/ R[QUIRkD EY Ld#,ANG[}E■ COUNT'( AND STATE,OF
CALIFORNIA-OR-T�A.T, I AM T11k OWNER OF, AND INTEND Tb
1 — 10 �pQ R[/ID[ IX, TH[ V[ DE/CRI R[SIbENTIAL PROPERTY. 0
10 — EO Q00 SIGNATURE Q7 OL
IA Q OFPERMITT
50 - 100 .10D0
DISTRICT NO. CLAD/ ZONE PROCESSED BY
100 - b00 15.00 ,Q$
AS
TUBE OR
, OR
SILT! AND ONF CIRCUIT &DO NOTES:
TUBE
MARQUEE ADDITIONAL CIRCUITS at 1.001 L O
SERVICEN_OTOVER 600 VOLTS OR 200 AMP 9A0
APPROVAL/ DAT[ 0W[CTOIM2 SIMNTUPE
8ERVICEOVER 600VOLTS 0R200AMP 10.00
TEMP.POWER POLE '
TEMP SERVICE,POLE, &APPURTENANCES 0.00
UNDERSLAB WORK
TEMP LIGHT OR RFCEPT, SYSTEM 9.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED of
PLAN CHECK FEE
FINAL 13
PERMIT ISSUING FEE 9.00Q
TOTAL FEE
PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDA dN CK. M.D. CASH
i
LAL,o 9 5 5 8;1. WV 1 2 D 79.50- cg
S[[ BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE806 1/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7DR
G
BUILDING AND SAFETY DIVISION 2
JOHN A. LAMBIE, COUNTY ENGINEER Y
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING Temple City , Calif.
FOR APPLICANT TO FILL IN T, Venue
OUTLETS NO. EACH FEE
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
CITYpmp EL. NO.
SWITCH_ OVER 20 .10 PLAN CHECK
LIGHTINGTOTAL l FIRST 20 20 APPLICANT
FIXTURES 10
)}
OVER 20 ADDRESS
APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR._ APPLICANT Commerce Constr. Co. , I
STA. COOK OISP. F.A.U. ADDRESS 6252 E. Telegraph Road
SPACE HTR. AIR COND. CITY Los Angeles TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. 255129 CLASS. B-
FAN OTHER 1.00 1HEREBY 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
O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH LEG I! OWNER OF AND INTEND TO
1 - 10 3.00 RESIDE IN,^T},i F��-A$.Q S C SID L ROS€QJ.�': CL
SIGNATURE O
10 - 50 5.00 OF PERMITTEE V
50 - 100 1 COOad
DISTRICTN LAS.B GROU ZONE P OC SS BY
100 - 50015.00 V
r
W
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: 9-
TUBE, OR h
Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 300 4.6
3,
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
FINAL - -
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEPH C. ROOHAN
TOTAL FEE �,e1v SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION ICK!/ M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DEC
WORKERS'COMPENSATION have cerci cafe of cons � '°'B1 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent;to self
Insure, or a certificate of Workers' Compensation Inspronce, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, Lab. C.) j
Policy No. Company FOR AST TO FILLIN JOB
❑ C;ertified copy Is hereby fumished. / New Residential Bldgs. 8 Pools EACH NO. FEE
❑ ; _ ; LOCALITY
Certified copy Is filed with the county bullOing Inrpec- 1 8 2-Family, Sq. Ft.
tion department. Multi-family Sq. Ft. NEARESTcRO -+
SVlff
Residential Swimming Pools OWNZS ST.
R OR
Date Appllcqnt /� RRM NAME
E(JN
CERTIFICATE OF PTION' WORKERS' MAIL
COMPENSATION INSURANCE Outlets: Rec Light Sw._
s section need not be completed If work InvoFwd First 20
AWRESS
�I p � . total No Additional CITY r e. No.
the permit is for ono hundred dollars,(;T00)or 1q".)
I certify that In the performance of the work for which Thls ECY
PLAN
x
permit Is Issu I shall not employ an n In any manner
so as to a subject to the W m Ion Laws. Lighting Fixtures First 20 ADDRESS
Additional
Total No. CITY Tel. No.
Daj/NOTICEpll nt Fixed Appliances Not Over 1 HP p�T
TO APPLICANT: If, gfter making thi Iflcate of APPi1CANT
Exemption, you should become subject to the Workers' Rdnge_ Heater_D.W. —
Compensation provisions of the Labor Code, you most forth- Oven — Dryer —W.M.— ADDRESS
with comply with such provisions or this permit shall be Top — FAU —W.H. — CITY Tel. N
deemed revoked.
LICENSED.CONTRACTORS DECLARATION
Hood —Fan —Other— LKB�Sf
I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp. — Room Air Cond. REG NI W2a .7 (3 Clasa�
{commencing with Section 7000}of Division 3wf the-BvslrtesaDISTRICT NO. P D 8Y
and Professiont Code,and my license Is In full force and effect. Power Apparatus 8 Large Appliances >_
Size 9 Type HP, KW, KVA, or KVAR or
License Number I Ic. Class Up to 1 Incl. FINAL V
Over 1 to 10 Incl. DATE VAIJDATION
Contractor Date
❑ Cher 10 to 50 Incl.
FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY CL
Over 100
B.BP.0 for this reason
Date: w
Services, Sbd., MCC 8 Pahelboards ,
0 _200 Amp, Under 600 V
Signature 201 - 1000 Amp. Under 600 V
Over 100)0 Amp. or Over 600 V
❑
Exemption for Reg. Malnt. Elect.
SINGLE FAMILY Temp. Power Pole Q Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits
Low for the following reason (Section 7031.5, Business and
Professions Code): $0 8 a 2 A
❑ I,as owner of the r will do the work and the Misc. Conduits 8 Conductor
structure Is not Intended or offered for sale (Section Other (See Complete Fee Schedule)— ► # o 0 0 0,0 2
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY 2"
1 hereby affirm that there Is a construction lending agency fof -o 0 o 3 2'5 0 T3
the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) ,
(Sec. 3097, Civ. C.). 0 3 3 1 —8 3
PLAN CHECKING FIS
Lenders Name
PERMfT ISSUING FEE
Lender's Address -
I certify that I have read this application and state that the TOTAL FEE
above Informatlon Is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives pf this County to enter upon
thea entloned erty for Inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
a } MINT`( OF LOS ANGELES TEMPLE CITY # 0508 :ECECTRIUL--VEkMIT
DEPARTMENT PF PUBLIC WORKS 9071 LAS TUNAS 'Et 008 9709020001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA ti
PHONE: (818) 285-0488 EXT:
LEGALL ID: FEES PAID _TR: 12998 LT: 64 BL: .001 1 Y"960:GIDLEY-ST'
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ~'TEMP CA 4178042J5
ASSES" IWFOMTION NUMBER: NEAREST__CRM-STREET: TEMPLE CITY
8592-004-054 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW RECD 73.00 OUT 110.55
JR TRANSFORMERS, 45 KVA 1.00 XFM 4605 PROCESSED BY: PLAN BY: EXPIRES
JT TRANSFORMERS, 75 KVA 1.00 XFM 86.40 09/02/97 . UT 09/02/98 .
JY MOTORS, 5HP 12.00 NOT 235.80
OWN ERTEL. WO: J1 MOTORS, 20HP 1.00 MOT 46.05 F INAL T" FINAL BY' CODE:
J. P. MC GUIRE EMT. (626) 443-4-026- J2 MOTORS 25 HP 1.00 NOT 46.05
961Q GIDLEY ST J7 OT PI APP +10-50HP 1.00 PVR 46.05
TEMP 917804211 LB 200 AMP PANELS MCC 1.00 PAN 38.85
LN OTHER PML 0-39§ AMPS 1.00 PAN 38.85 . INSTALL ELECTRICAL FOR MEW Eblll ENT FOR LAWN AND GARDEN
TOTAL FEES 722.4-0. MANUFACTURER
APPLICANT: TEL. NO:
TRIPLE E ELECTRICAL CONT. INC. (626) 447-5D96-
SPECIAL COKDITIONS:
(''+
CONTRACTOR: TEL. NO: X1
= �✓ APPROVALS DATE INVE
2535 S. THIRD AVE. LIC. NO ,
TRIPLE E ELECTRICAL CONT., INC. (626) 447-50%- r`i
� �.
�-'. ��:
f�J 4LTEJfVMY POWER POLE
ARCADIA, CA 91006 410132 C10
ARCHITECT TEL. NO: UFER
"'—���✓� /�� \ .tri �. ` . '�
dq
LIC. N0: �L'!,f IIJ'� J�I �'C�` _ 11��r � CONDUITf
ROUGH WIRING
��I I '�� L�•� ��'JI ''_r�l G b �, PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
I
I
I
REPORT ID: DPR265 ROUTE TO: BS-0508