The URL can be used to link to this page

Home My Public Portal About5524 HILTON AVE_Electrical__ TEMiPLE VYIflr 76AC63-CE606 6-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ._ BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING _ LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL -NO. I EACH FEE OUT FIRST 201!7 1$20 $ OWNER LIGHT MAIL cy / ADD'L ADDRESS SWITCH.-4 d OVER 20101 / , TOTAL CITY- - "ryL (GO LIGHTING l FIR ST20 .20 TEL. NO. FIXTURES II ADD'20 L ov R ,10 ELECTRI IAN RANGE$ CLO.➢RYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. OISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(T/2 H.P.MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST O. GRyO�UP ZONE P CESSED Y O 1 1.00 1 3 1.501 INSPECTION RECORD s a 2.00 8 is 2.50 I _ 15 50 3.001 1 50 100 5.00 0 SIGNS: NO.TRANS NO.LAMPS OL 1- 1- SERVICE SERVICE O-600V.NOT OVER 200A 1.00 UVj SERVICE 0-60OV.OV ER 200 A. 2.001 US SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 11,00 TOTAL FEE a 1 HEREBY 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 1 AM PROPERLY REGISTERED ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI�qy/PROPERC f POWER SIGNATURE RO / Y � . UTILITYCO.NOTIFIED OF PERMITTEE �LI ARTHUR C: VEIT F ' CK MOO CAS Cg6H SUPERVISING ELECTRICAL ENGINEER LG 2.2 9 9'G NOV 6 2 D 6.40- 76AD66�CE606-10.56 APPLICATION 'FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County of LOS Angeles ADOR ESS JOHN A. LAMBIE. COUNTY ENGINEER �i, ' LSO ,SIA-%'1 CASSATT D. GRIFFIN. SUPBT°AeA fjy T OF ]BUILDING LOCALITY // G' 4kk NEAREST Fz OR APPLICANT TO FILL IN Ross Br i/+!+ y��l✓�']r-,/i,JL / /,� PERMT FEES OWNER1 4 I C Y /�xw/-yl lS RECEPTACLES SWITCHES I T E M EACH FE /{�. ADDRESOUTLETS $ ,Ip 5 �ANGES, WATER HEATERS, CITY •TEL, NO. DRYERS .50 PACE HEATERS, STAT'Y. COONELECTRICIANITS, GARBAGEDISPOSERS. ADDRESSASHERS, DISHWASHER .25 NG FIXTURES .10 t 0 CITY d+ r-1.. .:-I�!� :S!��L' TEL. NOMOTORSTENSE � 5HORSEPOWER OVER INC. DISTRICT NO. GROUP ZONE READY FOR INSPECTION %i IN LESS .25 F— v — 2 .50 . INSPECTION RECORD 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS NO,LAMPS SERVICE 0-500V 1.00 IF s 6 SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 �D FIXTURE PERMIT 1.00 Q SUPPLEMENTARY PERMIT .50 y APPROVALS TOTAL FEE S3 7 o DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �J ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE, LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL�PROPERTY. SIGNATURE lj- A �� j/✓ Ir�1 , UTILITY CO. NOTIFIED 1 OF PERMITTEE '" '�- FINAL -I icy^ (. U!'• JOHN A. LAMBIE. lb9LIDATION ARTHUR C. VEIT. ti COUNTY ENGINEER cH mo CASHSUPERVISING ELECTRICAL ENGINEER ',LCO1 3 8.5 AUG 21 2 3.70 ? 'DOS MrA 2-AG APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER z LDISTRICIT NO. GROUP ZONE PERMIT NO. uNAME �m d t � ioz 10 3 � ADDRESS J J c� /2ba1, �"✓g� CITY TEL.N ey[� D BY READY FOR DATE ISSUED U q �jp A !Y3&. / FIRST INSPECTIONCERT.NO. ! t7 J E%PIRE9 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK A DRESS J , NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST {♦ / LIGHT OUTLETS SW. PLUGS Fd'r CROSS ST. CIRCUIT A B C Q E F G H C NAME / Z MAIL 3 ADDRESS O CITY TEL.NO. 3 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICy�TFs OF QUALIFICATION.. , EECTRICIAN. Pry I AAM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS -any ,ef&A&t.ft l- r-le C7- yid /'1P Y r -v> V�dh s J Q Z M E O TOTAL !� NO. OF OUTLETS / S APPROVALS NO. OF FIXTURES $ 60 DATE INSPECTORS NAME NO. OF MOTORS H . $ CONDUIT NO. OF-SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER �! PERMIT FEE UTILITY CO.NOTIFIED ` TOTAL FE •> FINAL (� . 1'WORKERS'COMPENSATION DECLARATION 76A663 10,81 APPLICATION FOR ELECTRICAL PERMIT 2'fiereby affirm that 1 have a certificate of consent to self CE CE-806G insure, or.a.certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.j Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS ❑ Certified copy is filed with the county building inspec- 18 2-Fomily, Sq. Ft. $ — 5 LOCALITY FE tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. OWNER OR �J Date—Applicant FIRM NAME l CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_LightSw.T MAIL COMPENSATION INSURANCE ADDRESS First 20 (This sectpermit i nor not be red leteddolga it the work involved°d by Total No. Additional CITY {' Tel. No. 2. the permit is for one hundred dollars ($100)or less.) PLAN CHECK 1 certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'CompensaI n Laws. Lighting Fixtures First 20 ADDRESS Additional j.> A01 ,/ a Total No. CITY Tel. No. Dat ` PPlicant ✓� NOTICE AP/IC ANT: If, a r making this Cert icat of Fixed Appliances Not Over 1 HP PERMIT Exempt on, you should b me subject to the �r ers' Range_ Heater_D.W. APPLICANT Compensation provisions of the Labor Code, you must forth- Oven — Dryer _ W.M._ ADDRES C with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood Fan _ Other— CITY el. No. LICENSED CONTRACTORS DECLARATION LICE 5E OR 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER Class. — } (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. "/ PR S D BY CL Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances /f y 0 Sr Size 8 Type HP, KW, KVA, or KVAR V L5 License Number Jr J ��Ie Lic. Class /10 Up to 1 Incl. FINAL C) i..4emp,07der Over 1 to IO Incl DATEUContrac + Date Over 10 to 50 Incl. FIW❑ I Sec. Over 50 to 100 Inc. N Over 100 B.BP.C. for this reason - z Date: Services, Swbd., MCC 8 Panelboards 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mains. Elect. Over 1000 Amp, or Over 600 V � SINGLE FAMILY Tem Power Pole 8 A 1F z Temp. Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( ° - 3250 hereby affirm that g r exempt from the Contractors License Additional Sign Branch Circuits 2- Fl fs q= Law for the following reason (Section 7031.5, Business and Professions Code): - ❑ I, as owner of the property, will do the work and 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) ,R{ (Sec. 3097, Civ, C.). 2 Ov PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEEId M Lender's Address q I certify that I have read this application and state that the TOTAL FEE 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 ignaturetf bove-mentioned perry r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Permittee �� pRKERS' COMPENSATION DECLARATION 76A663 ID/e, APPLICATION FOR ELECTRICAL PERMIT t I fft�i that' I have a certificate of consent to self. CE-8066 I or-a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certifl9d copy thereof (Sec 3800, Lab. C. Policy No" Company FOR APPLICANT TO FILL IN JOB Pol Certified co is hereby furnished. EACH NO. FEE ADDRESS PY Y New Residential Bldgs. 8 Pools ❑ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — $ LOCALITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimmin Pools CROSS ST. Date Applicant g . - OWNER OR //�� FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecJ _Light�Sw.� MAIL - COMPENSATION INSURANCE �y/�j First 20 ADDRESS (This section need not be completed if the work involved by Total No.1Z Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) I certifythat in the PLA CHECK performance of the work for which this APPLICANT permit is issued, I shall not employ any person in an manner so as to become subject to the W kers'Compensat on lows. Lighting Fixtures First 20 ADDRESS Total No. 16 Additional Date // Applicant CITY Tel. No. NOTICE PLICANT: If, r making this C tifi Rane-LHeater_D.W. APPLICANTof Fixed Appliances Not Over 1 HP PERMIT Exemption, you should be me subject to the rkers' 9 _ Compensation provisions of the Labor Code, you must forth- Oven — Dryer W.M. ADDRESS with comply with such provisions or this permit shall be Top FAU W.H. _ deemed revoked. Hood L Fan L Other_ CITY Tel. No LICENSED CONTRACTORS DECLARATION LICE EOR Disp. Room Air Cond. O / Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCE V a' and Professions Code,and my license is in full force and effect. Power Apparatus 8 LargeApplionces (/ O License Number Lic. Class /O Size 8 Type HP, KW, KVA, or KVAR 151 U Up to 1 Ind. FIN — — y ! O `��f^�'��''� Over 1 to 10 Incl. (J VALI ATION I-= Contractor ate_��y�� / Over 10 ro 50 Ind. FIN#L LU ❑ I a exem 1 er Sec. Over 50 to 100 Inc. BY d.' fn 8.8P.C. for this reason Over 100 Z_ Dale: Services, Swbd., MCC 8 Pone lboards '10 , 0 - 200 Amp. Under 600 V V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Mainf. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit hereby affirm that I exempt from the Contractor's License Additional Sign Branch Circuits 9 3 5 0 3 A Law for the followingg r reason (Section 7031.5, Business and Professions Code): ❑ Misc. Conduits 8 Conductors # o o e o • 2 I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)_ , .I e e 9 3 5 0 7044, Business and Professions Code). e e e g 3 S O U CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 11. 1 the performance of the work for which this permit is issued PERMIT FEE 9"85 (Sub-Total) - (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name n PERMIT ISSUING FEE 3V Lender's Address I certify that I have read this application and state that the TOTAL FEE r above information is correct. I agree to comply with all County ordinances and State lows regulating Electrical wiring, and hereby authorize representatives of this County to enter upon ;ignoature bove-me ed or perry f r spect,on purposes. ✓ SEE REVERSE FOR EXPLANATORY LANGUAGE of Perm, eeC?% Dat / COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 ELECTRICAL PERMIT DEPARSMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0505230021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 205-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 12410 LT: 15 5524 HILTON AV FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802405 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY 8588-002-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: T4 LOCALITY: TEMPLE CITY, C C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45 TENANT: GI OUTLETS-LGT,SW,RECP 101.00 OUT 148.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 30.00 LGT 52.50 05/23/05 SX 11/19/05 H7 RES EXHAUST FANS 4.00 EX 43.80 OWNER: TEL. NO: TOTAL FEES 326.85 FINAL DATE FINAL BY: CODE: HAYNES CHARLES E;SL IZABETH A (626) 285-4381- I—lep 5524 HILTON AV Y/—l/ TEMP 917802405 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. NO: MATTESON ELECTRIC (213) 840-0223- 10333 GUM AVE SPECIAL CONDITIONS: WHITTIER, CA 90605 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MATTESON ELECTRIC (213) 840-0223- 10333 GUNN AVENUE LIC. NO TEMPORARY POWER POLE WHITTIER, CA 906D5 708576010 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND CAL CIVIC ENGINEERING (626) 798-2828- 2160 PARNELL WAY LIC. NO: ROUGH CONDUIT ALTADENA, CA 91001 NONE ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508