HomeMy Public PortalAbout8763 HERMOSA DR_Electrical__ P
... "° APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 63 NA
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'TOF BUILDING LOCALITY
7FFIXTURES
APPI ICANTTOFILLIN NEAREST
CROSS ST
PERMIT FEES
OWNER
NUMBER EACH FEE MAIL
[LIGHTING
S S ADDRESS
SW. .10
,IpLITY T;NO.roRY, � ELECTRICIAN
CAV 5-746
WATER H EATERS L .50 ADDRESS ♦ I
ELEC.SPACE HTRS. DISHWASHERS
CITY TGARBAGE DISPOSERS AUTO.. STATEWASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DIST TNO. GRQLE Z NE I PR CESSED BY
O %x .25
V2 — z so 1 INSPECTION RECORD
2 — 5
1.00 y
s 15 1.50 0
V
15 — 50 2.50 Q
so — 200 5.00 ~
V
W
SIGNS: NO TRANS. D_
NO. LAMPS N
Z
SERVICE O.SOOV 1.00
SERVICE OVER 600V 5.00
MISC. .�♦♦..����
WIRING PERMIT 1.00 Y�
FIXTURE PERMIT 1,00
SUPPLEMENTARY PERMIT ,gp
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 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. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ��� v ry-•
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA OPERTY. POWER
SIGNATURE W UTILITY CO. NOTIFIED ee /
OF PERMITTE FINA ��iA�e'�O( aget��
LIDATION ARTHURC.VEIT,
cK ; MO CASH SUPERVISING ELECTRICAL ENGINEER
0372 JUL 2-1 2 A 2 :00 r
I
APPLICATION FOR ELECTRICAL PERMIT 'I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER M BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY ,�.�
FOR APPLICANT TO FILL IN NEARECROSS ST . M
PERMIT FEES ��
OWNER Ck
I T 8 M NUMBER EACH FEE MAIL
OUTLET , S.10 $ I O ADDRE
LIGHTS ...EPi. W.
LIGHTING FIXTURES 70 CITY TEL.NO
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS ` '
ELEC.SPACE HTRS. DISHWASHERS CITY , TEL NO. V'
GARBAGE
WASHERS DISPOSERS
ETA. COOKING UNITS 25 STATE ' 1 i-7 ( O
LICENSE NO. –I O
MOTORS: OVER INC. H.P. DISTRICTNO. GSD.UA ZONE PR CESSED BY
UL.U, o — V2 .2s V JrJ l
V — 2 50 INSPECTION RECORD /
2 — 5 1.00 - _4�>n , Y, TA p4—.-led ' )�nl lr y
5 — is 1.50 n �v11 vQ'n/ ou
15 — s0 2.50
s0 — 200 5.00 ~
`L W
SIGNS: NO TRANS. ' �" / G.
NO. LAMPS V7
Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .5
TOTAL FEE �, I S
1 HEREBY ACKNOWLEDGE THAT 1 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. WIRING
A
1 HEREBY CERTIFY THAT 1 S PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED I BY LOS ANGELES COUNTY AND E AB OF FIXTURES I' A
DESCRIBED OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE TIAL PftPERTY. POWER
SIGNATURE VI,J UTILITY CO. NOTIFIED - A,
OF PERMITTE
FINAL
ARTHUR .
CKK MO MO CASH SUPERVISINGNG ELECTRICAL ENGINEER
[„fl2799 —� FEB 20 2 A 6.25 ' /
7
A W9RKFRS' COMPENSATION DECLARATION 76A663.. 10/81 APPLICATION FOR ELECTRICAL PERMI
I herebyl pff irm that I have a certificate of consent to self CE8061,
mTre; or a j•;.7tificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
ora certified copy thereof (Sec. 3800,'Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS / V
Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ - $ LOCALITY 1 L f
NEAREST
tion department Multi-family Sq. Ft. CROSS ST. ii 2
7 Residential Swimmin Pools
Date d Applicant 'fix.` �'LTt-C� 9 OWNER -
FIRM NAME
CERTI KATE OF EXEMPTION FROM ORKERS' Outlets: Recj_Light sw,�` MAR
First 20
COMPENSATION INSURANCE ADDRESS
(This section need not be completed if the work involved by Total No. Additional CITY Tel. No.
the permit is For one hundred dollars ($100)or less.) PLAN CHECK
'
I certify that in the performance of the work for which this PLANCHET
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No.-4 Additional
CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE Tn, APPLICANT: If, after making this Certificate of AAPLICAN G! �J "C r
Exemption, you should become subject to the Workers' Range_ Heater_D.W. _
Compensation provisions of the tabor Code, you must forth- Oven _ Dryer — W.M.— - ADDRESS
c!D
with comply with such provisions or this permit shall be Top _ FAU W.H. t� ��rr
deemed revoked. 1_ - / CITY �r/J Tel. No
LICENSED CONTRACTORS DECLARATION Hood _ Fan --Other—
Disp. — Room Air Cone. LICENSE OR �7.r r/ Clas/G^�y
hereby affirm that am licensed under provisions of Chapter 9 REG. NUMBER(/] C% �/ )G /S
(commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. PROCEBE BY
and Professions Code, and my license is in full force and effect. ' d
Size 8 Type HP, KW, KVA, or KVARO
License Number ` 7 Lic. Clas�7U'{'GSA"' Up to 1 Inc[, FINAL V
Contractor 2 Date 7 Over 1 to 10 Incl. DATE / it,6� VALIDATI Q
❑ y Over 10 to 50 Incl. FINAL' (� I V V
am exempt under Sec. Over 50 to 100 Inc. BY su
B.BP.C. for this reason Over 100 0_
Dote: Services, Swbd., MCC 8 Ponelboards pj�j (rJ y 91 47. 5A
Z
0 -200 Amp. Under 600 V ► / (Y (`''J�y"/t�/J) # e e 0 o2
Signature 201 - 1000 Amp. Under 600 V 0 0 1 7.75
F-1Over 1000 Amp. or Over 600 V
Exemption for Reg. Mainz. Elect. o e o 1 7.7 5 3
SINGLE FAMILY Temp. Power Pole 8 Appurtenances p 0.2 3 -85
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
Law for the following reason (Section 7031.5, Business and
Professions Code):
❑ I, as owner of the property, will do the work end the Misc. Conduits 8 Conductors
structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)— ,
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, Ci, C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address -
certify that I no a read this application and state that the TOTAL FEE r
above info, ti is correct. I agree to comply with all County
ordi nonce a tate laws regulating Electrical wiring, and
hereby a t representatives of this County to enter upon
In abo e n for inspection ,poses. SEE REVERSE FOR EXPLANATORY LANGUAGE
if
Signal re oil Permittee Z /6ote
COUNTY OF LOS ANGELES TEMPLE CITY h 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1406160048
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ZD: 1 FEES PAID BUILDING ADDRESS: 1
ITR: 5903 LT: 79 UN: .002 8763 HERMOSA DR E
I IFEE DESCRIPTION: QUANTITY: DON: AMOUNT: 1 SGAB CA 91]]53008
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15386-012-059 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY CAI
TENANT: IG1 OUTLETS-DGT,SW,RECP 51,.00 OUT 80.60
G2 LIGHTING FIXTURES 35.00 LOT 59.20 (ISSUED ON: PROCESSED BY: PLAN BY:
ILB 200 AMP PANELS, MCC 1.00 PAN 38.90 106/16/14 SR 1
TOTAL FEES 206.50
0WNEA: TEL. NO: I IFINAL DATE FINAL BY: CODE:
MAN, WILLIAM (626) 456-4150- � , "
18763 HERMOSA DR U/
SGAB 91]]53006 iD sc �I N OF WORK 14
RE-WIRE ENTIRE HOUSE AND UPGRADE SERVICE PANEL TO 200 AMP
APPL ICANT: TEL. NO:
ICHENG, JASON (714) 757-5999-
15161 DOVER DRIVE 1 15PECIAL CONDITIONS: 1
LA PALMA CA 90623
I I
I
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
J5 PRECISION CORP (719) ]5]-5999-
15161 DOVER DRIVE LIC. NO 1 ITEMPORARY POWER POLE
ILA PALMA CA 90623 930282 11
I UNDERGROUND CONDUIT
I I I
ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND
I I I
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE '
(PLASTIC Y/N METAL Y/N
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1UTILITY COMPANY NOTIFIED(
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REPORT ID: DPR265 ROUTE TO: BS 0508
COUNTY'OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1406110045
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 5903 LT: 79 UN: .002 8763 HERMOSA DR E
_IEEE DESCRIPTION: QUANTITY: ROM: AMOUNT: SCAB CA 917753008
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15386-012-059 JAI PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY CAI
G2 LIGHTING FIXTURES 30.00 BUT 52.40
ITENANT: I TOTAL FEES 80.20 JISSUED ON: PROCESSED BY: PLAN BY:
106/11/14 SR
INTEL. N0: F DATE FINAL BY: CODE
MA :
MAN,, WILLIAM (626) 456-4150-
18763 HERMOSA DR
SIAH 917753008 1 IID SCRIPT NRIPT N OF WORK
11NSTALL RECESSED LIGHTING FIXTURES THROUGHOUT THE HOUSE
(APPLICANT: TEL. N0:
ICHENG, JASON (714) 757-5999-
15161 DOVER DRIVE ISPECIAL CONDITIONS:
ILA PALMA CA 90623
I I 11 11
CONTRACTOR: TEL. NO: I JAPPROVP.LS DATE INSPECTOR SIGNATURE
IJS PRECISION CORP (714) 757-5999- I
15161 DOVER DRIVE LIC. NO ITEMPORARY POWER POLE
ILA PALMA CA 90623 930282 1
I (UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: TEL. NO: 9FER GROUND
LIC. NO: (ROUGH CONDUIT
J ROUGH WIRING f/y�
MAIN WATER LINE
IPLASTIC YIN METAL YIN
I I I 11 I 11
JUTILITY COMPANY NOTIFIED I 1
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11 I I I I I
11 I I 111 I I
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IRE PORT ID: DPR265 ROUTE TO: BS 0508 I I I I
I J I I I I