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HomeMy Public PortalAbout5636 GRACEWOOD AVE_Electrical__ I I 76A663-CE60610-59 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES it DEPARTMENT OF COUNTY ENGINEER BUILDING f/ ���� BUILDING AND SAFETY DIVISION ADDRESS�(��� /� L�-kgtGwnc�/C ��c JOHN A. LAMBIE, COUNTY ENGINEER J WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY�dRCAQ%fj FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. - toe - I i 1 T E M NUMBER EACH FEE MAIL OUTLETS: i .1 $ $ LIGHTS RECEPT. SW. + 10 6`-U ADDRESS ? LIGHTING FIXTURES 10 C�) CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN om^rU eg WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRIf NO. I GROUP I ZONE PRO ESSED BY 0— 1/2 .25 1/2— z 50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 IS— 50 2.50 50-200 5.00 �: _�% .✓, SIGNS: NO.TRANS. f°�b _��...(, �t"��:5� :/_• . NO.LAMPS all- SERVICE SERVICE 0-600V 1.00 �. �_ Ic SERVICE OVER 600V 5.00 a �l MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $,y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. -- 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE �(I UTILITY CO.NOTIFIED OF PE RM ITT - FINAL ®c �L O CASH ARTHUR C.VETT, CK Mo cwsH SUPERVISING ELECTRICAL ENGINEER ry o DEC ?g 2 u 3 .5 5 r, %y�y�rrl�t� 76A663 DBS SA 11-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC � ����' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE /ERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS /+ FIRSTINSPECTION � �� CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS 1 NUMBER OUTLETS EACH FEE LOCALITY -/9 r LIGHTS Sc I$ 1 t.' NEAREST - } / ry/� -y I RECEPTACLES 5 I�P; CROSS ST. L�!Iti//f�Y L- FIXTURES 5 't C% OWNERS J WALL SWITCHES 5 I a AMAIL DDRESS ELEC. RANGES 25 - ELEC. HEATERS 25 I CITY TEL. NO. MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING CLECTRICAL WIRING. NUMBER HORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE NEW MVD. HP OVER NC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER I OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. T '/2 a LESS $ .25 I I/2 2 .501 SIGNATURE OF _ PERMITTEE 2 5 1.00 5 15 1.50INSPECTION RECORD i 15 50 2.50 p _ 50 200 5.00 200 500 10.00 -- _ 500 1000 15.00 J'� I v`, Q OVER 1000 I 20.00 Z M.G. SET/FREQ. CHANGER-HP 1� 0 WELDERS: AC-KVA `�" O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO. TRANS. TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT / �, , I FIXTURES WIRING [! - $1.00 SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL i L\`� � 76A663-CE80610-62 APPLICATION FO ELECTRICa►L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS IGS �s f JOHN A. LAMBIE, COUNTY ENGINEER A WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY NEAREST - - FOR APPLICANT TO FILL IN cRoss Sr. 0^1 RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHTMAIL SWITCH. AUD'L ADDRESS OVER 20 .10 TOTAL CITY TEL.NO. LIGHTING I FIRST 20 .20 FIXTURES AOD'L OVER 20 .10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1 1.00 ADDRESS rC,! GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.('/i H.P.MAX.) ,$0 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT O. GROUP ZONE P ESSED B O 1 1.00 �?� — + 3 1.50 INSPECTION RECORD 3 S 2.00 8 15 2.50 u 15 s0 3.00 50 100 5.00 ) 3 SIGNS: NO.TRANS. - W� NO.LAMPS h z SERVICE 0.600V-NoT OVER 200A 1.00 r SERVICE 0-600V-OVER 200 A. 2.00 / SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 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 / DESCRIBED RESIDENTIAL PROPERT POWER EE SIGNATURE 1' -` UTILITY CO.NOTIFIED OF PERMITT FINAL " LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER D.B.S.5A 25M SETS 10-47 APPLICATION FOR PERM F DEPARTMENT OF BUILDING AND SAFETY Air COUNTSOF LOS ANGELES ELECTRIC R WM. J. FOX CHIEF ENGINEER Q NAME DISTRICT NO. GROUP ZONE FER"m1.9' U ADDRESS I / �1 W CITY TEL.NO. RECEIVED BY READY FOR DATE iSSUED FIRST INSPECTION ,•.z,R. y -1 COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK -ADDRESS Z 004 OZ NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FI%T CROSS ST. "" CIRCUIT A E3 C D E F IG I H m l NAME MAIL -7 * 3 ADDRESS /�'•' CITY NO. a 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION- ELECTRICIAN. I AM THE"GAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J z E 0 I TOTAL NO. OF OUTLETS L $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITY CO.NOTIFIED TOTAL FEJg �7 FINAL DBAPPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER z DISTRICT NO. GROUP ZONE PERMIT NO. Q NAME ��^ U ADDRESS I" RECEIVED BY READY FOR DATE ISSUED W CITY TEL.NO. FIRST INSPECTION ,.1 COUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK JOB v NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. Q CIRCUIT A B C D E F G H IY NAME Z MAIL 3 ADDRESS O CITY ��+ � •' TEL.NO. .• "� 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS J Q i Z_ C7 O TOTAL NO. OF OUTLETS - $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES E LANEOUS $ POWER FEE $ UTILITY CO.NOTIFIED FEE FINAL WQRKEFS'COMPEjJSATIofQDECLARATION CE 06 I2430> APPLICATION FOR ELECTRICAL .PERMt7- 1 hereby affirm that I have a certificate of consent to.self COUNTY OF LOS ANGELES BUILDING AND SAFETY Insure,for ■ cerdflcate of Workers'Compensation Innuango,or- a gortifled copy tbareof(Ser.3800,Lab.C.) 4 - V V FOR APPLI-CANT TO FILL IN JOB ll Policy No. Compagy f I EACH NO. FEE ADDRESS 5ytr New Residential Bldgs.&Pools El Certiflad copy Y hereby furnished. .1 2-Ferrilly,Sq. Ft. — $ LOCALITY Certified copy Y flied with tho-county building Inspection Multi-fetnlly Sq.fit.T— CROSS 8T degartmgnt. Residentlel SwlmmlrgPools OWNER OR /► ^ / FIRM NAME RQ N A ON S Data Applicant Outlets: Rec.kLiglit Sw.2 �� Al L ` .AOR�y� /n Irrt 20 DDRESS rCV LW 00 40 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. AdditlonelCITY T-I No. y - COMPENSATION INSURANCE ?LAN CHECK ('I'hls section need not be comptated if the work tpvotved PPLLCANT 8 wulred doUus (5100) of len.) Lighting Fixtures �arrt 20 _by file permit to for one h Additional ADpFFES8 _ � Total No. I certify that in the performance of the work for which thisFixed Appllenca�s Not Over 1 HP CITY To] No. 0 �petmitlY Issued, I'shall not employ any person in any Tn■nner PERMIT ,so as■s to become subject to the Workers' Compensation,Laws. Range_ Heater D.W. APPLICANT'C/W u F—1�,' WW 1 Oven Drygr_W.M._� ADDRESS f� �Date�PPllcant Top FAU _W.H. Z Hood Fen —Other CI`rY tai No. NOTICE TO APPLICANT: If,.efter making this Cgrfiflcate of Dlsp, _ Room Air Conti C R Exemption, you should become subject to the Woikers' �IEl3.N MBER Close Compensation provblonl of the Labor Cede, you mµsb forth- ppyyer Apparatus&Large Appliances DISTRICT NIP. !P:J�F_D with, comply with such provfafons' or this permit shall beSlze&Type HP,KW,1C�/A,or KVA deemgd revoked ' Up to 1 inti. - Over 1 to 10 Ihcl. FI AL LICENSED CONTRACTORS DECLARI'TION ATE VALIDA N t— Over 10 to 60 Incl. I hereby affirm that I am licensed under provisions of ChapterQver 6Q to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the BtW- 'Over 100 Y pass And Professions,Code,.a-ad my license Is In full force and + effect. Services License Number Ldc.Class 0-200 Amp. Under 800•V _n 201-1000 Arrrp. UnQpr 600 V /�! Cogtrattor Date Over 1 OQO Amp.or Over 800 V �.4 7 a 7 A HOME OWNFR-BUILI)EA DECLARATION Tamp.Power Pole&Appurtenances #t�0'0 ro 0-o 2 Sign with One Branch Circuit '/ I hereby ■}firm that I am exempt t'rotp- the Copira031.5, tor'sBuil- Additional Sigh Branch Clr'cults• �(/ 2 0 0 1 3,O 0 a. License L,aw for the following reason (Section 7031.5, Bull-, ness and Professions Codi: o 0 0 Q Misc.Conduits&Conductor ® I, 0-p owner of the property, *ill do the work and the Other (See Complete Fee Schedrile)— structure, is not intended qt offered for palm (Section 0 11, 7044, Buatness and ProfdWons Code). CONSTRUCTION LENDING AGENCY I hereby affirm that.there Is ■"corutructlon lending agency for the perfprmancq of the work for which thin permit is issued(Sec. 3097,Civ.C.), P�f3M1T FEE (SutrTotelr Lender's Namq PLAN CHECKING FEE '(One-Fourth Permit Feed Lender's Address PERMIT ISSUING FEE_ I certify that. I have read this application and date that the TOTAL FEE above Information Is tbtrect.-I agree to comply with all County ordinances and State larva regulating Electrical wiring, and hereby tuthorlse repregentatives of thisti.ounty to enter Uppn. the abovementioned property for Inspection purposes. SEE'REVERSE FOR EXFLA�NATORY LANGUAGE Stinature of Permittee Data DEC TION WORKERS'COMPENSATION cafe of corms - 10,81 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self �j Insure, or a certfficate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY Iu' or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company POR APPLICAM YO PRL IN JOB Certified copy Is hereby fumished. New Residential Bldgs. d Pools EACH- NO. FEE ADDRESS ❑ Certified copy Is filed with the county building Inspec- 1 8 2-Famlly, Sq. Ft. $ — f LOCALITY tlon department. Mulfl-family Sq. Ft. — NEAREST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME S/&o N CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Roc Light—Sw._ L n COMPENSATION INSURANCE First 20 ADDRESS WSJ (This sectl n read not be completed If the work Imrohrad by Total No Additional CITY d"4,d Tel. No. the permit Is for one hundred dollars (=100)or{ass.) lly I certify that In the performance of the work for which this FLANCHECK]NT APPLICANT permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers'Compensation Lighting Fixtures First ti ADDRESS Total No. Additional CITY Tel. No. Date , oft r Fixed Appliances Not Over 1 HP pfd NOTICE TO APPLICANT: If, after making this Certificate of APRICANi �`M� Exemption, you should become gabled to the Worker' Rang_ Heater—D.W. — Compensation provisions of the Labor Code, you mutt 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 DEIO CLARATN DI _ Room Alr Cond. LKM tSE OR I hereby affirm that I am licensed under provisions of Chapter 9 sp' REG. NUMBER Crass. (coand Pro axingnlo with Section y license of Division 3 of the d effect. Power Apparatus d Large Appliances DISTRICT NO. Y and Professloru Code,and my licence b In full force and effect. ,J^ Size 8 Type HP, KW, KVA, or KVAR1__� 1 5 License Number I Ic Class Up to 1 Incl. FI Over 1 to 10 Incl. DA V ATION Contractor Data Over 10 to 50 Incl. FI ❑ 1 am exempt under Sec. Over 50 to 100 Inc. BY B.BP.0 for this reason Over 100 All N Z Date: Services, Swbd., MCC 8 Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V 14 6 4�` El Exemption 0 0 0 0 3 Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances I o - 2S50 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License .0 ­25506 Law for the following reason (Section 7031.5, Business and Addltlonal Sign Branch Clrtults Professions Code): 0 5 0 7 .18 6 Misr- Conduits 8 Conductors .Com lee as owner the property, will do the work and the s Other Sate Fee Schedule)— structure It not t Intended or offered for saie (Section ( P , 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 Lenders Name PERMIT ISSUING FEE Lender's-Address /01 I certify that I have read this application and state that the TOTAL FEE L�rSo 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 e above-mentionproperty for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ( 6j _ _/ 6 Signature of Permittee pato COUNTY OF,LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC (ARKS 9701 LAS TUNAS EL 0508 0107120x22 ,BUILDING AND SAFETY /+LAND DEVELOPMENT TEMPLE CITY CA 91750 ` PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5636, GRAC E1A00 AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078411 ASSESSOR INFORMATION NLJMBER: NEAREST CROSS STREET: LIVE OAK 8586-014-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY C2 SPAS HOT TUBS, OTHR 1.00 SPA 54.45 Truaff T— G1 OU%I TS-LGTSY RECD 34.00 OUT 57.90 . G2 LIGHTING FIiiaES 14.00 LGT 27.30 07/12/01 UT . 01/08/02 . JB AC UNITS +3-10HP 1.00 AC 19.65 OWNER: TEL. NO: TOTAL FEES 187.05 WU MEI-TER (626) 446-6026- Ozi. 56U GRACEUAOD AVE ARCADIA CA 91007 DESCRIPTION OF WORK ELEC. FOR ADFITION APPLICANT: TEL. NO: SAME AS OWNER - � �GELES co P APPROVALS DATE INSPECTOR SIGMIURE SAME AS DIMER LIC. � T'}� LIC. NO � � TEMPORARY POWER POLE UM59MOUND CONDUITSHAItG HWANG AND ASSOCIATES (626) 282- } �RCHITECT OR ENGINEER: TELr 801 S. GARFIELD AVE. LIC. J 111111 ALKAM M, CA 91501 C26640 ROUGH WIRING WrW-WATER LINE {I�t ou 101 s PLASTIC YIN METAL Y/N kv UTILITY COMPANY NOTIFIED \\\A D ❑ rvice T �/ REPORT ID: DPR265 ROUTE TO: RS0508