The URL can be used to link to this page

Home My Public Portal About5414 HILTON AVE_Electrical__ V'� ^:• COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County EngineerL E C T I PR'I C DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROU ZONE PERMIT NO. ELECTRICIAN �U L-.C7 ♦ 1 RECEIVED BY READY FOR DATE IBBUED ADDRESS 1_ + FIRST INSPECTION C CITY y U TEL,N � _J COUNTY LICENSE NO. 2 EXPIRES q - 10 S, BUILDI NG� / � / PERMIT FEES ACORESB J /j4, * I� / AI I - \I NUMBER EACH FEE LOCALITY I_ Y`YI�p LIGHT OUTLETS NEAREST EAEI V AC RECEPTACLES ,^,, WALL SWITCHES • OWNER G /// ' A U TOTAL OUTLETS a Sc IS MAIL n l� (- n / ../ ELEC. RANGES 25 ee♦♦ _ ADDRESS f �,.,J_V• /{ �j,/ / ELEC. HEATERS 25 1.� CITY/1 II,+. A //1 /C ILA TEL NO. FIXTURES 5 — 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH19 MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS D AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSEBB THE ABOVE VALID LOS *�RHORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE OVER �Hc. EACH OF THE RESIDENTIAL^PROPERTY DESCRIBED ABOVE. I/p s EEBa $ .25 SIGNATURE OF� 1/2 2 .50 PERMITTEE a s 1.00INSPECTION_BECORD5 is 1.5015 sD 2.50 i5-so zoa s.o❑200 50010.00 soo 1000 1s.Do i z,1 OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP .� �� - L-� �� •J• (r� WELDERS:AC-KVA ✓ ✓T I O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% oryRIG.) �P C.7r Tv V•a�. misc. �♦ �.,�, / SIGNS \ / NO. NO.TRANS. APPROVALS , NO. NO. LAMPS \ FOR EACH PERMIT: DATE INSPECTOR'S NAME_- j A/• _ WIRING $1.00 CONDUIT—j _!L UTILITY CO. NOTIFIED — FIXTURES $1.00 + U WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE G N�✓ FINAL �vter . 76A663 DBS#5A 4-52 WORKERS COMPENSATION DECLARATION'S _ 76-663 ,D,B,CE-BOBS APPLICATION FOR ELECTRICAL PERMIT {1 LJ I hereby affirm that I have a gertificate of consont toself insure, or a certificate of Wdrkers' Compensation Insurance, or a certi;ed COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof (Sec.3800.1-ab. C.) _ Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. EACH NO. FEE ADORE SS '7 New Residential Bldgs.& Pools ❑ 1 & 2-Family,Sq.Ft. $ — $ LOCALITY Certified copy is tiled with the county building inspection /� department NEAREST Multi-family Sq.Ft. CROSS ST. Residential Swimming Pools Date Applicant VVNER OR FFIIRM NAME '6[ xA`,A;i CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:RecL Light � Sw.� p l l(JAJ COMPENSATION INSURANCE x /D ADDRESS (This section need not be completed if the work involved by the �Q First 20 �_ permit is for one hundred dollars ($100)or less.) Total No.L[� Additional CITY Tel.No.��— I certify that in the performance of the work for which this permit PLAN CHECK is issued, I shall not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS 7c Additional / Total No. CITY Tel.No. Date Q Applicant �L%'�/" Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMITr-+ Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT Q(/ ./G provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M. _ ADDRESS - S7— provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. �1 '` p LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other CITY //x/�/t/� Tel.No. I hereby affirm that 1 am licensed under provisions of Chapter 9 �/ D LICENSE OR .C.1 q Disp. — Room Air Cgntl. REG.NUMBER �/ 24 Class V (commencing with Section 7000) of Division 3 of the Business and Professions Cade,and my license is in full force and effect. Via f L DISTRICT NO. PROCESSED BY Power Apparatus Large A lances I p q O > Size& Type HP,KW,KVA,or KVAR �Oyu O License Number /� Class G Up to 1 Incl. FINAL O U ContractorOver 1 to 10 Incl. DATE e E] Over 10 to 50 Incl. VALIDATION 0 am exempt under Sec. •g�19/ Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 2 Services,Swbd.,MCC& Panelboards ® N Date: 0- 200 Amp.Under 600 V Z Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.MainL Elect. _1 SINGLE FAMILY Temp.Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.r 1 hereby affirm that I,am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits »017). d"' 4�.�46.20Code ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits& Conductors I ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL 1} } `7Q and Professions Code). CONSTRUCTION LENDING AGENCY CHECK 46.20 1 hereby affirm that there is a construction lending agency for the CHANGE performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) / .00 Civ.O). PLAN CHECKING FEE Lender's Name 13,300-13001 9f I�19c f PERMIT ISSUING FEE Lender's Address ,.,Si' I AM 8:06 I certify that I have read this application and state that the above TOTAL FEE 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 pon the above-mentioned prop r inspectia purposes J q SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee " Date _ WORKER'Shave a certificate DECLARATION 726A663 DPW(1291) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, or a.certi fiesta of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(See 3800/L-a/1b. C.) r I Policy NO. G r! l v Company_ 7�L� v FOR APPLICANT TO FILL IN gppRESSWig Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. $ EACH S FEE LOCALITY -r Certified copy is filed with the co uil ing inspection 1 &2-Family,Sq.Ft. W17 NEAREST department. (/ Multi4amily Sq.Ft. NEARS ST. V —�� Residential Swimming Pools ASSESSOR Dale �Applicant MAP BOOK PAGE PARCEL CERTIFICATE OF E%EM ION FR ORKERS' OWNER OR COMPENS OON INSUR CE Outlets:RBC._Light Sw. FIRM NAME IL (This section need not be compthe work Involved by the Total NoAdditional ADFirst 20 MADRESS L /J permit is for one hundred dollarss(SI(5100D .)or less.) (� I certify that in the performance of the work for which this permit CITY _7„V Tel.No. �- y33 is issued. I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT 0 P-r Total No. Additional ADDRESS xi z L C Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY J� TeI.N., 2 +� I Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. J provisions of the Labor Code, you must forthwith comply with such PERMIT Appliances APPLICANT A Apparatus&Large pp provisions or this permit shall be deemed revoked. Power App _ LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,ar , . ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 1 nc (commencing with Section 7000)of Division 3 of the Business and CITY T.I.No. Professions Code,and my license i5 in full force and effect. Over 10 to 50 Incl. LICENSE OR'/ ^/ } Over 5010 100 Incl. REG.NUMBER 2 Class. C 2 d License Number vl_ic.Class C 2_V(� Over 100 DISTRICT NO. p P O SSED BY O Services,9wbd,,MCC&Panelboands CL ��O Contractor Date 0-399 Amp.Under 600 V FINAL DATE F // 400-1000 Amp.Under 600V Q�6—�� Q ❑ I a exempt,Ln er Sec. V VALIDATION W r Over 1000 Amp.or Over 600 V FINAL d &P.C.for41 is reasonBY BRANCH CIRCUIT FEES �^'-� / Z Date: 15A,or 20A, 120V,Lighting or ReCept. ,✓ N� �!&r/ Signature 1 To 10 Branch Circuits 11 To 40 Branch CircuiCircts 2 ElExemption for Reg.Maint. Elect. 15A,20A,208V To 2T7V41 OLighting Brre a Clnc hr uitsuils ACCT.r SINGLE FAMILY Temp. Power Pale&Appurtenances 3303 46.70 HOME OWNER-BUILDER DECLARATIONSign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5. Business and Professions Additional Sign Branch Circuits Code): ❑ I, as owner of the property, will do the work and the structure Misc.Conduits&Conductors 1+ ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)_ Pool and Professions Code). CONSTRUCTION LENDING AGENCY TOTAL 46.70 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) CHECK 46.70 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's AddressD CHANGE •00 I certify that I have read this application and under penalty of purjury state TOTAL FEE UeMl�iy Qty that the above information is correct. I agree to comply with all County �Ol 1 tU 1 7 57 ordinances and State laws r ulating Electrical wiring,and hereby authorize representative is C y to er pan the above-mentioned property for inspect or os SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATV OF PER / `V� , DATE �� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS EL 0508 1306100042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID TBUILDING ADDRESS: R: 17387 LT: 13 5914 HILTON AV I IPEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803122 (ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET: 18588-029-005 IA1 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 20.00 1 1 1TENANT: 1G2 LIGHTING FIXTURES 6.00 LOT 12.00 11SSUED ON. PROCESSED BY: PLAN BY: I H7 RES EXHAUST FANS 1.00 EX 11.00 106/10/13 SR I TOTAL FEES 70.80 1 OWNER: TEL. NO: 1FIN DATE FINAL BY: CODE: PARKS, RONALD/JUDITH (626) 826-3594- � Lj{\ 5414 HILTON AV 0�/ TEMP 917803122 ID 'CR PTI OF WORK 110 OUTLETS, 6 LIGHT FIXTURES AND EXHAUST FAN (APPLICANT: TEL. NO: 1 1 111 ICASTRO, RICK (714) 980-0349- 122632 GOLDEN SPRINGS DIAMOND BAR CA 91765 EPECIAL CONDITIONS: I I 111 111 CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE ALLIED RESTORATION SERVICES (714) 980-0399- 1 122632 GOLDEN SPRINGS DRIVE LIC. NO 1TEMPORARY POWER POLE DIAMOND BAR CA 91765 908870 I UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL, NO: 1UFER GROUND I I I 1EARL AMMERMAN (951) 352-3588- 19980 INDIANA ST k3 LIC. NO: I (ROUGH CONDUIT I I 1 1RIVERSIDE CA 92503 NONE -I ROUGH WIRING i 7 11 IMAIN WATER LINE II PLASTIC Y/N METAL Y/N (UTILITY COMPANY NOTIFIEDI 1I I 11 I 11 I 1 1I 1111 I 111 I 1 I I I I I I I I I I I I I I I I I I I I I I 1111 I 111 I I I I 111 1111 I I 11 (REPORT ID: DPR265 ROUTE TO: ES0508 �I