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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