HomeMy Public PortalAbout5525 HILTON AVE_Electrical__ UHS SA .5M ..l. 1'97
D -LtR1 ENi' OF BUILDING AND SAFETY "PLICATION FOR PERIVIP
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COUNTY OF LOS ANGELES v'T1'��� 1
WM. J. FOX CHIEF ENGINEER
t DISTRICT NO. GROUP I ZONE PERMIT NO.
NAME
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U ✓ /�//, ��{//
� ADDRESS
U CITY TEL.NO. REC�EIIVE//D/�{$,Yom, READY FOR DATE ISSUED
W _ /�LlLiV�`�- FIRST INSPECTION
COUNTY 67W CERT.NO. 6XPIRE3
APPLICANT FILL IN IIEAVILYLOLITLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS S /I /-ADO
NUMBER OF OUTLETS ON CIRCUITS LOCALITY C 7 C.
LOCATION BY ROOMS
NEAREST I
LIGHT OUTLETS SW. PLUGS FIST CROSS ST. 7 MO
CIRCUIT A B C D E F G I H I NAME O10A / W
2 MAIL
70 ,= ADDRESS
O
CITY j� TEL.NO.
.I 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DE C ISED
ABOVE /
Yr~L.
eZ
WRER.
CORRECTIONS
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TOTAL �.y7
NO. OF OUTLETS $ A '7e APPROVALS APPROVALS
NO. OF FIXTURES e/ $ 144 DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT r -
NO. OF SIGNS TRANS. $ I� WIRING
NO. OF.B'AM6E9 OR HEATERS $ !]C FIXTURES
MISCELLANEOUS $ �I POWER hip r'
PMITFEE ER $ / iL UTILITY CO.NOTIFIED V I G-'T
TOTAL FEE P ' �� In FINAL
T°A......... °° APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADD RES.
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER EACH FEE OWNER
OUTLETS: S S MAIL
LIGHTS RECEPi. SW. .10 v ADDRESS
LIGHTING FIXTURES 10 CITY
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL. NO. _
GARBAGE DISPOSERS AUTO.- STATE '#/`f ✓Q
WASHERS STA.COOKING UNITS .25 LICENSE NO. O
MOTORS: OVER INC- H.P. DIST IF�CJJ�O. I GRt]�Ip� ZONE I PROCESSED Y
0— v. .25 �, l I
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE O-SOOV 1.00
SERVICE OVER 500V 5.00
MISC.
lit
WIRING PERMIT 1.00 BO
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE Is
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 q ^
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR WIRING V I�1
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITYCO.NOTIFIED
OFPERMITTE
FINAL
..rte Q'7 l :5l /�� 1 .�
®r rynLIDATION ARTHUR C.VEIT,
11'/��Cffrt;� MO IO SUPERVISING ELECTRICAL ENGINEER
LACo 1 74 4 3; AUG 2 6 2 A 1 .10
DEC
TION
W
thaCI have ATION cafe of corse CE-806 lO,BIAPPLICATION FOR ELECTRICAL PERMIT
that have a certificate of consent to self 76AB Gtificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, Lob. C.)
PolicyNo. Company FOR APPLICANT TO FILL IN JOB
❑
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS _ ,.S .ac�cJ -'7—D'"
❑ I & 2-Fomil S FL $ — $ LOCALITY
Certified copy is filed with the county building inspec- V• q' NEAREST Y
tion department. Multi-family Sq. Ft. —
CST.
Residential Swimming Pools OWNER OR ,(� �?—
Date Applicant 1 _ t• FIRM NAME /L �-7-
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_Light_Sw._ MAILADDRESS
COMPENSATION INSURANCE First 20
(This section need not be completed if the work involved by Total No. CITY Tel. No. Er D
the permit is for one hundred dollars ($100)or less.) Additional
PAN CHECK
I certify That in the performance of the work for which this APPLICANT
permit is issued, Ishall not employ any person in any manner
sees
to be co a subject to the We
mpensation Laws. Lighting Fixtures First 20 ADDRESS '
Additional
Total No. CITY Tel. No.
Date App ' Fined Appliances Not Over 1 HP PERMIT
NOTIC O A LICANT: If, after making 11 5 rh yII . to of APPLICANT i
Exem ion, you should become subject to the Workers' Range_ Heater—D.W. _
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W,M._ ADDRESS
with comply with such provisions or this permit shall be Top _ FAU —W.H: — CITY / el. Na.,7��2
deemed revoked. Hood _ Fan _Other_
LICENSED CONTRACTORS DECLARATION LICENSE OR /�
hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG, NUMBER Class.`. 10 }
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCES Y C.
and Professions Code, and my license is in full force and effect. Power Apparatus 8 Large Appliances /'
Size 8 Type HP, KW, KVA, or KVAR
License Number Lic. Class Up to 1 Incl. AF
-
O
Over I to 10 Inc). / .i S VALI TION 0
Contractor Date Over 10 to 50 Ind. W
❑ 1 am exempt under Sec. Over 50 to 100 Inc. d
B.BP.C. for this reason Over 100 z
Date: Services, Swbd., MCC & Ponelboards
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp, or Over 600 V z 3 5 2 7 A
Exemption for Reg. Maint. Elect. # e e e o e 2
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits .I'• o 3 2 5 0
Low for the following reason (Section 7031.5, Business and
Professions Code):
❑ ) Misc. Conduits 8 Conductors e o * 32506
I, as owner of the property, will do the work and the
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)- 1 1.21 —$ 5
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for na
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) V
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address 3 a so
I certify that I have read this application and state that the TOTAL FEE s '
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives o unty to enter upon
th ov inertia roper or inspe ion pur ores. ,
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Perini} Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0012140019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12410 LT: 17 5525 HILTON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802406
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
8588-002-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60
TENANT: TOTAL FEES 43.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
12/14/00 UT 06/13/01
OWNER: TEL. NO: FIN DATE _ FINAL BY: CODE:
KATSAFADOS HELEN (626) 285-8243-
5525 HILTON AV
TEMP 917802406 DESCRIPTION OF WORK
C/0 8 GFCI RECEPTACLES (HOME REHAB)
APPLICANT:
R.ABLE II GENERAL CONTRUCTION (626) 357-9766-
132 W. POMONA SPECIAL CONDITIONS:
MONROVIA, CA _ -
CONTRACTOR: TEL. N0: - - < APPROVALS DATE INSPECTOR SIGNATURE
R ABLE II GENERAL CONTRACTORS (626) 357-9766- _ -
132 W POMONA LIC. NO �, �/ TEMPORARY POWER POLE
MONROVIA CA 91016 469975 B
UNDERGROUND CONDUIT
e _44,,
ARCHITECT0 ENGINEER: TEL. N0: / [ - � UFER GROUND
LIC. NO:,
� ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
vIca .
REPORT ID: DPR265 ROUTE TO: BS0508