HomeMy Public PortalAbout9022 LAS TUNAS DR_Electrical__ 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS Zy Z/9-,r ABUILDING AND SAFETY DIVISION
LOCALITY �-
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH I FEE OWNER NAME / Q�
RECEPT_ $ Is
MAIL J
FIRST 20 25 ADDRESS
LIGHT TOTAL CITY J- TEL. NO
SWITCH OVER 20 10 �`
PLAN CHECK
LIGHTING 1FIRST 20 25 APPLICANT
Jy TOTAL ADDRESS
FIXTURES OVER 20 10
RESIDENTIAL APPLIANCES CITYaf::�:
TEL NO.
PERMIT js -r
RANGE DRYER_WTR HTR,_ APPLICAN
STA COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY &1110 TEL N0.
Rslz
CLOTHES WASH. DISHWASH. LICENSE OR CLASS. '�
REG. NUMBER
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING.
S1ZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY EG TERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES C NTY AND STATE OF
CALIFORNIA OR THAI AM THE LEGAL 0 ER OF THE ABOVE
1 — 10 300 DESCRIPED RESIDE AL PROPERTY p
v
PERMITEE
10 - 50 500 SI GNATUR p
F-
50 - 100 1000 DISTRICT NO. PROCESSED BY U
W
CL
100 - 500 1500 _50
R Cn
If
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
,-o POWER AUTHORIZED
14 LS gn AZ
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES �ijq.�6L�� we
PLAN CHECK FEE +-- G-_ , e74�j
PERMIT ISSUING FEE 0
TOTAL FEE (Q
PLAN CHECK VALIDATION CK M 0 �SH PERMIT VALIDATION LcK M 0 CASH'
3 'nFr. 17 2 D 6.00 A,d
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DB S-A 12-43 25M
DEPARTMENT OF BUILDING AND SAFETY CATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
NAME DIST O. GROUP ZONE rrIT
U ADDRESS Q R1 3 0 t�p //c C &
CITY00
READY FOR r y , TEL.NO. ED4S zns=
.FIRST IN6 ECTION
/� EXPIRES DA ISS ED
Nj COUNTY �r .01, / ��
W CERT.NO° -v ✓.�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS O a * ti G
NUMBER OF OUTLETS ON CIRCUITS LOCALITY '
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FdT CROSS ST.
CIRCUIT A B C I D I E I F G JH 0! NAME Agot
ZMAIL
3 ADDRESS �5f 009
CITY @ {i/ TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGsppppw COUICATE 1C 10
c ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCFMED
ABOVE
OWNER.
CORRECTIONS
J
Q
A� �� ��. _Z
O_
!Y
O
TOTAL
No. OF TLETS $ APPROVALS
NO. OF FI RES DATE INSPECTOR'S NAME
r
NO. OF MOTOR H.P. ffi CONDUIT
NO. OF SIGNS TRA $ \ WIRING
NO. OF RANGES OR HEAT FIXTURES
1 ELLANEOUS ffi POWER
PERMIT FEE ffi a� UTI LITY CO.NOT]FI ED
TO FINAL /�
DB n-A 7-40 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No.
.r -- � el,
WIRING FIXTURES SERVICE
RECEIVED BY READY FOR
DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION
SIGNS MISCELLANEOUS a 3
P ICAN31LLL IN ffEAVILY OUTLINED PORTI ONLY /
Z JOB
NAME j f
a t ADDRESS
U
ADDRESS LOCALITY
yy� +�'� wr
NEAREST
W CITY i9(Y{y v �sC1c� TEL 9 i 1 CROSS ST.
COUN4Y
CERT. NO. L EXPIRESldxf� a 11 NAME
DESCRIPTION OF WORK z MAL '
NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS
LOCATION BY ROOMS O
CITE' TEL No.
LIGHT OUTLETS I SW.1 PLUGS IRIXT I AM THE LEGAL POSSjo
EVH
TE OVE LOS
CIRCUIT A B C D E FG H ANGELES COUNTY CERTIFI AL ATION. fl
I I I
LIVING ROOM —
ELECTRICIAN.
DINING ROOM —— ea 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBE
ABOVE.
BRFST. RM.
T _ _OWNER.
BAT" -- I CORRECTIONS
ENT. HALL
HALL NO.
FRONT PORCH
OUTSIDE
KITCHEN
SERV. PCH. J
BDRM. NO. I Z
CLOSET
BDRM. NO. O
CLOSET
TOTAL
NO. OF OUTLETS ` $ APPROVALS
NO. OF FIXTURES J $ DATE INSPECTOR'S NAME
NO. OF MOTORS H. P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
IPERMIT FEE $ ! ,� 1UTILITYCO. NOTIFIED d"
TOTAL FEE $ / FINAL
Dq 9$A 4-40 tom APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE P RMIT No.
WIRING FIXTURES SERVICE
RECEIVED B111 READY FOR DAT¢ ISSUED
RANGE HEATER POWER rj FIRST INSPECTION
SIGNS MISCELLANEOUS q—
MPLICANTXILL IN flEAVILY OUTLINER PORTION ONLY
,OB
Z �-
Q NAME ADDRESS
U
ADDRESS LOCALITY
CITY TES or � CROSS ST. sk�2"4"00 Ll
COUNTY �k-kJ
CERT. NO. EXPIRES NAME
DESCRIPTION OF WORN Z MAIL
NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS v
LOCATION BY ROOMS OCITY TEL No.
LIGHT OUTLETS I SW.I PLUGS lFIXT. I AM THE LEGAL POSSES A
SyR OF THE OVE LO
CIRCUIT I ANGELES COUNTY CERTIFIC 0 UAL CATION.
IA IB CI DIE FIGtHI � J�'.
LIVING ROOM 3
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DE8CR16 D
DINING ROOM ABOVE.
BRFST. RM.
OWNER.
BAT" —— CORRECTIONS
ENT. HALL
HALL NO.
FRONT PORCH
OUTSIDE
KITCHEN
SERV. PCH.
J
BORM. NO. Q
-- Z
CLOSET
BDRM. NO.
0
CLOSET
i
TOTAL
NO. OF OUTLETS $ O U APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H. P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING �D-
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ 1 POWER / AV
PERMIT FEE $ UTILITY CO. NA FIED ' />
r-
TOTAL FEE
Is FINAL �.�' '•� ,
WORKERS'COMPENSATION DECLARATION CE-806G 80) APPLICATION FOR ELECTRICAL, PERMIT
I hereby affirm that I have a certificate of nsent to s COUNTY OF LO ELES BUILDING AND SAFET�
insure, or a cbrtificate of Workers'Compens nsurance,or`-- 1/
a,f ertif a co�yth reof(Sec.3800,Lab.C
�✓� �" "+r FOR APPLICANT TO F IN /P0� 9O;f p
Policy No Company L/4� I ADDRE S .P' / ��,f• r��/J1/i
_ New Residential Bldgs &Pools A C H NO ��
❑ Certified copy is hereby furnished. �' 1 &2 Family,Sq Ft $ — $ LOCALITY TG ,y
❑ Multi-family Sq Ft NEAREST 7� A�
Certified copy is filed with the county uilding inspection CROSS ST !J 'Lr ,
depar me t _Residential Swimming Pools OWNER OR
Date A Lcan FIRM NAME D.>0 ZCL�G;�,/6
PP tlets Rec_Light Sw AMAIL
DDRESS ���r3( �✓ 7�/1Vff 6R12
• First 20
CERTIFICATE OF EXEMPTION FROM ORKERS' Total No Additional CITY �� (j el Noy�,!"�g
COMPENSATION INSURANCE PLAN CHECK 91
(This section need not be completed if the work involved APPLICANT 0
by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS
Total No Additional lr
I certify that in the performance of the work for which thisFixed.Appliances Not Over 1 HP CITY Tel No 0
permit is issued, I shall not employ any person in any manner P PAIM IT U
so as to become subject to the Workers' Compensation Laws Range_ Heater_D•W APPLICANT "616� C-
L 6//i�v a
Oven , Dryer_W M ADDRESS �/ Volx ,��� Z
Date Applicant Top FAU _W.H. _ i �/ �• �5�
Hood Fan _Other_ CITY C Tel N
NOTICE TO APPLICANT If, after making this Certificate of Disp Room Air Cond.— LICENSEOR ` ,.�
Exemption, you should become subject to the Workers' REG NUMBER .1 Class 6 -
Comperisatron provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO P C S DB
Y
with comply with such provisions or this permit shall be �/
deemed revoked Size&Type HP,KW, KVA,or KVAR '�a
Up to 1 Incl
Over 1 to 10 Incl W4TEL �4
LICENSED CONTRACTORS DECLARATION p i r/� VALIDATION
Over 10 to 50 incl
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL
BY 10
9 (commencing with Section 7000) of Division 3 of the Busr- Over 100
ness and Professions Code, and my license is in full force and
effect Services
0-200 Amp, Under 600 V
License Number Lic Class
- 201-1000 Amp Under 600 V •
Contractor Date Over 1000 Amp or Over 600 V
,HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031 5, Busi Additional Sign Branch Circuits
ness and-Professions Code) 2 9 8 7 A
Misc Conduits&Conductors
E] 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)—
structure is ,not intended or offered for sale (Section # o o 0 0 0 2
7044, Busmess and Professions Code)
CONSTRUCTION LENDING'AGENCY o 0 0 0'01-0 0
I hereby affirm that there is a construction lending agency
for the performance of the work fog which this permit is PERMIT FEE (Sub-Total) 1 1.07-80
issued(Sec 3097,Civ C.)
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE
above information is correct.I agree to comply,wrth all County
ordinances and State laws regulating Electrical wiring,, and
hereby authorize representatives of this County to enter upon
the above-m do ed roperty fo inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE '
Sig natu of r Date
COUNTY OF''LOS ANGELES 'TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1102140038
1 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID I BUILDING ADDRESS I
ITR. 12157 LT 5 9022 LAS TUNAS DR 1
I IFEE DESCRIPTION. QUANTITY- UOM. AMOUNT TEMP CA 917801834
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET-
15387-029-004 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE: 596 GRID H3 LOCALITY. TEMPLE CITY, Cl
G1 OUTLETS-LGT,SW,RECP 67.00 OUT 102 10 1
TENANT: IG2 LIGHTING FIXTURES X32 00 LGT 55-10 JISSUED ON. PROCESSED BY PLAN BY
IVUONG AARON IIA N-RES EX FANS LT 3HP 2 00 EX 30 70 105/09/11 SR
I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.80 1
OWNER TEL NO TOTAL FEES 254 50 IFINAL DATE FI Y. CODE
IVUONG, AARON (626) 918-8906- _/
11139 GLENVIEW RD. N
IWEST COVINA CA 91791 I IDESCR PTION OF WORK i1
ITENANT IMPROVEMENT ELECTRICAL
I I I I
(APPLICANT TEL NO I
INGUYEN, LAP (626) 674-3014- 1 1
11139 GLENVIEW RD. ISPECIAL CONDITIONS 1
IWEST COVINE CA 91791 I I I
I I I I
I I I I
ICONTRACTOR: TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
ICM DESIGN AND CONSTRUCTION, INC. (951) 760-8138- 1 1
131805 HIGHWAY 79 SOUTH #164 - LIC NO I ITEMPORARY POWER POLE I I I
ITEMECULA, CA 92592 795191 B I 1 1-1 1
I (UNDERGROUND CONDUIT
I I I
1ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I I
I LIC NO IROUGH CONDUIT I 1
I
1 1 IROUGH WIRING 1
I
1 1 4
(MAIN WATER LINE I
I I IPLASTIC Y/N METAL Y/N
1 1UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
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I I I I I I
I I I I i I
1 IREPORT ID DPR265 ROUTE TO BS0508
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106150027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE- (626) 285-0488 EXT
(LEGAL ID I FEES PAID
I BUILDING ADDRESS I
ITR 12157 LT 5 1 1 9022 LAS TUNAS DR 1
I IFEE DESCRIPTION QUANTITY UOM: AMOUNT: ( TEMP CA 917801834 1
(ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET:
15387-029-004 1A1 PERMIT ISSUANCE FEE 27 80 1 THOMAS PAGE 596 GRID: H3 LOCALITY TEMPLE CITY, Cl
I ILN OTHER PNL 0-399 AMPS 1 00 PAN 38 80 1 1
ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY 1
VUONG AARON 1 106/15/11 SR
(OWNER TEL NO. I I TE F BY CODE 1
IROZAK, RANDY (949) 474-4906- I I
12192 MARTIN STREET I
(IRVINE I S RIPTIO OF WORK
• i IREMOVE FUSE PANEL & INST L NEW 60 AMP CIRCUIT BREAKER PANELI
I I
1APPLICANT TEL NO-
IPOWER SOURCE CONSTRUCTION (626) 233-2561-
18305 DUARTE RD ISPECIAL CONDITIONS.
I
(SAN GABRIEL CA 91775 1 I 1
I 1
(CONTRACTOR- TEL NO- 1 (APPROVALS DATE INSPECTOR SIGNATURE
IPOWER SOURCE CONSTRUCTION (626) 233-2861- 1
18305 DUARTE ROAD LIC NO 1 ITEMPORARY POWER POLE I I I
SAN GABRIEL, CA 91775 947906B i1 11
1 (UNDERGROUND CONDUIT I I I
ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND
LIC- NO i IROUGH CONDUIT
I I I
IROUGH WIRING I I I
1 IP INTATER LINE
1 i LAS C Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIEDI I I
'vv
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1* ADDITIONAL DATA ON FILE I I
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REPORT ID DPR265 ROUTE TO BS0508
I I I I
COUNTY OF.LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPAkTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106210032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT-
LEGAL ID FEES PAID BUILDING ADDRESS 1
ITR 12157 LT 5 9022 LAS TUNAS DR
I IFEE DESCRIPTION. QUANTITY: UOM AMOUNT TEMP CA 917801834
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15387-029-004 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE. 596 GRID H3 LOCALITY TEMPLE CITY, Cl
IK1 SIGNS, OUTLINE LGT 1.00 SIG 38 80 1
(TENANT- I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY.
ISTATE FARM INSURANCE I 106/21/11 SR I
I I I I
(OWNER TEL NO 1 IFINAL DATE FINAL BY- CODE 1
IVUONG, AARON (626) 237-1862- 1 11
19022 LAS TUNAS DR 1 1 v 1
ITEMPLE CITY CA 91780 IDESCRI TION OF WORK
I ZONE SET OF ILLUMINATED WALL SIGN
1
1APPLICANT TEL. NO 1 1
ISIGNS EXPRESS (626) 443-3333-
11438 SANTA ANITA AVE I ISPECIAL CONDITIONS I
ISO EL MONTE 91733 1 I 1
ICONTRACTOR- TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE
ISIGNS EXPRESS MANUFACTURING (626) 443-3333- 1 1
11438 SANTA ANITA AVENUE LIC NO 1 ITEMPORARY POWER POLE I I I
ISO EL MONTE, CA 91733 552097C45 1 11 1
I 1UNDERGROUND CONDUIT
I I I
1ARCHITECT OR ENGINEER TEL NO I IUFER GROUND
I I I
LIC NO IROUGH CONDUIT I I I
I I
1 IROUGH WIRING I I I
1 1 IMAIN WATER LINE I I I
1 1 IPLASTIC Y/N METAL Y/N
I I I
1 1UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I I I I I
I I I I I I
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I I I I I I
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IREPORT ID DPR265 ROUTE TO BS0508 1 I
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