HomeMy Public PortalAbout9026 LAS TUNAS DR_Electrical__ 4-40 ,a�, APPLICATION FOR PERMIT
• PARTMENT OF BUILDING AND SAFETY ������
,COUNTY OF LOS ANGELES
W,M. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I Z NE PERMIT NO.
WIRING FIXTURES SERVICE � 1 �"�7 o45' B
RECEIVEDB READY FOR DATEISSUED
RANGE HEATER, POWER "y � ' IR FP N
SIGNS MISCELLANEOUS ! 1 /I ?� J F 6
CANT ILL IN •HEAVILY OUTLINE PORTIONNLY
.A
Q NAME JOB , -i✓r`F'_ ''b
f '� ADDRESS
ADDRESS ( LOCALITY
7— V' NEAREST
W CITY TEL c' CROSS ST.
�j COUNTY
CERT. NO. EXPIRESYWIrk
NAME
DE1,4CRlPTlON OF WORk z MAIL /
NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS
O
LOCATION BY ROOMS CITY TEL No.
LIGHT OUTLETS I SW.I PLUGS IFIXT• I AM THE LEGAL POSSES RO AL O THE 'ROVE ION.
ANGELES COUNTY CERTIFIC ' LO ,
CIRCUIT I API B C I D E IG
I F l H� CAT
LIVING ROOM �' __
aucrRlclwM. 000,
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
DINING ROOM —— ABOVE.
BRFST. RM.a __
OWNER.
BATH —— CORRECTIONS
ENT. HALL
HALL NO.
FRONT PORCH: I
OUTSIDE —_I
o'
KITCHEN i
SERV. PCH.
BDRM. NOS. __ Q
Z
CLOSET•i 6
BDRM. NO. 0
CLOSET
iN
TOTAL
' NO. OF OUTLETS $
APPROVALS
OF FIXTURES $ DATE INSPECTOR'S MAME
4
NO . OF MOTORS H. P. $ CONDUIT // l�
;1110. OF, SIGNS TRANS. $ WIRING �J� T
7 '
NO. ,OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
'd
..........
I' PERMIT FEE $ 6� UTILITY CO. NOTIFIED
$ A"'� FINAL
D9 s A:4 4D:rbM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
��� �
COUNTY,OF LOS ANGELES
W.M
J. FOX, CHIEF ENGINEER
1VATURE'OF, INSTALLATION DISTRICT NO. GROUPZONE PERMIT. No.
WIRING. - FIXTURES SERVICE 2 T I� Lf/2-�S'lLyr
RECEIVED BY READY FOR : D TE ISS ED
RANGE, HEATER.. - POWER (� FIRST INSPECTION t. .
SIGNS MISCELLANEOUS .Y*.-..IKJ.1 \ :.
PLI NT L IN H. VILY OUTLINED ,PORTION NL�Y
JOB. r..
Z - NAME ADDRESS
a
v LOCALITY
'
ADDRESS
~ , � �/''` �ry� NEAREST
W CITY TEL o, / �?�":*► CROSS ST.
'1 COUNTY
W :CERT.. NONAME
. - EXPIRES K,
DESCRIPTION OF WORK 3 MAIL
NUMBER OF OUTLETS ON CIRCUITS ADDRESS
O
LOCATION-BY ROOMS CITY AfTEL No.
LIGHT OUTLETS II SW.1 PLUGS. JFIXT• 1. AM THE LEGAL POSSESS Rw�Q TH.A• ABOVE.. LO
CIRCUIT I I'BB: C I' D'I E p I F I G - I ANGELES COUNTY CERTIFIC OF UtCAT10M. '
LIVING-:ROOM ECECTRICtAN. .'
c 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIB
DINING ROOMABOVE.
mll *ROW
B,RFST. RM..
OWNER.•
BAT" AV A ACORRECTIONS
ENT.,HA L'"
HALL NO, -- 1
4,
.FRONT PORCH
OUTSIDE I __T
KITCHEN _ I-
SERV.. PCH.
,CLOSET Q'
BDRM. NO. O:
CLOSET _
TOTAL
NO. OF OUTLETS $
APPROVALS
OF FIXTURES $ DATE INSPECTOR'S NAM[
NO. OF MOTORS H. P. $ .CONDUIT d�
NO. OF SIGNS TRANS. $ WIR;ING "� f
NO.'.OF RANGES OR HEATERS. $ FIXTURES
I I
MISCELLANEOUS - $ POWER -
IPERMIT FEE $ UTILITY CO': NOT iAANr ✓r'
TOTAL FEE $ FINAL !
OB B-A 7-40 23M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I FZNE P RMIT No.
WIRING FIXTURES SERVICE � I /
VED,BY READY FOR DATEISSUED
RANGE HEATER POWER f, , IRS INSPECTIO
FN o�
SIGNS MISCELLANEOUS (VO
,/AEgMqANTL IN IPAVILY OUTLINED PORTION ONLY G p
Z JOB
G NAME 000 ADDRES
U
a A REBS LOCALITY
UNEAREST
W CITY q _ TEL CROSS ST.
COUNY-
CERT TNO. /i EXPIRE92fifZ& W NAME
DESCRIPTION OF WORK Z MAIL
NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS d
LOCATION BY ROOMS OCITY TEL NO.
LIGHT OUTLETS I SW.1 PLUGS IFIXT I AM THE LEGAL POSSE OR OF THE ABOVE LOO
CIRCUIT II ANGELES COUNTY CERTIFI 7..O UALL CATION.
IA B C D E _IFIG ( H�
,�.
LIVING ROOM IS L
BLHCTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBE
DINING ROOM m __ ABOVE.,
BRFST. RM. u _
OWNER.
BATH -- CORRECTIONS
ENT. HALL
HALL NO. 0000
——
FRONT PORCH
OUTSIDE ,
KITCHEN
SERV. PCH.
— Q
BDRM. NO. Z
CLOSET Q
BDRM. NO.
CLOSET
I —
II _
TOTAL
. NO. OF OUTLETS - APPROVALS
NO. OF FIXTURES / $ DATE INSPHCTOR'S NAMH
NO. OF MOTORS H. P. $ CONDUIT
-NO. OF SIGNS TRANS. $ WIRING
i
'NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
_ PERMIT FEE $ / �,�� ITILITY CO. NOTIFIED � P•
_ EE $ ( FINAL
.:y'
76A663-CES06 10.6= APPLICATION F•OR,..�ELECTR�IECA L. PERMIT� _
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BulLbtiNG"' I
BUILDING AND SAFETY DIVISION ADDREss 4h
JOHN-A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING `S LOCALITY C_
NEAREST-.`
FOR APPLICANT TO FILL 1N 'C'Oss ST:_ -
RECEPT. - TOTAL NO. EACH FEE-
OUTLETS
EE OUTLETS FIRST 20 15.20 $: OWNER
LIGHT .MAJL
SWITCH.
OVER 20` 10 :ADDRESS
. TEL.-NO.
LIGHTING TOTAL� FIRST 20 .20 CITY ,
FIXTURES ADD'L
OVER 20 10 ELECTRICIAN r
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS' �`yf" O
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE ..,
'SPACE HTRS. -STA.APP.(I/z H.P.MAX.) "50 LICENSE:NQ.:
"MOTORS: OVER NOT OVER H.P. D15T'RL�T�-N „ ZON E,'�R
O 1 1.00 e
1 3 1.50 INSPE 1'O RECORD'
3 S 2.00 >-'
//d--��
8 15 2.50 y
15 50 3.00 Am50 1100 5.00 W -
SIGNS: NO.TRANS.
NO.LAMPS w -
tn
SERVICE 0.60OV"NOT OVER 200A / 1.00 1 Q z
SERVICE 0-60OV-OVFR'200 A. 2.00 -
SERVICE OVER 600V 5.00 -
MISC.
PERMIT ISSUING FEE 2.00 1.04 / ✓�
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ✓-�� -A -
TOTAL FEE $ t �w-
' I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPR VALS DATE INSSPECTOJR'S`SIGNAT1.URE. -
AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY' ''CONDUIT
WITH-ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
-----ELECTRICAL WIRING,
"-IHEREBY,. CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED,rAS'REQUIRED BY LOS ANGEL S COUNTY AND STATE OF FIXTURES �1
�CAIJFORNIA- OR THAT THE LE L OW OF THE ABOVE-
DESCRIBED RESIDEN L' ROP RT ..POWER
M
SIGNATURE UTILITY CO.NOTIFIED
QF PERMITTE - -
FINAL
DATION A1?THUR C. VEIT
CKO CASH SUPERVISING ELECTRICAL ENGINEER
�, '. 2 6 0 ,11 2 NOV 15 2 D 5.0 QN ,q
COUNTY OF LOS ANGELES - APPLICATION FOR PERIVlIT3 .
DEPARTMENT OF COUNTY ENGINEER ELECTRIC
DIVISION OF 1UILDING, & SAFETY
WILLIAM J.'FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN A f L 5 /,*.4 Teo-o4
ADDRESSf RECEI}/ED BY READY FOR DATE ISSUED
A IA FIRST INSPECTION
CITY •�' yx F TEL. NO.�O l�' lY�`A�, 1, —
COUNTY LICENSE NO. / EXPIRES lft6-W Y BUILDING /� T
PERM FEES
ADDRESS �' �� S
r
NUMBER EACH FEE `
LOCALITY 1� fi / r i 7/
LIGHT OUTLETS NEAREST
RECEPTACLES OSS F�J/jj
40 S *feel cl k1 c(
WALL SWITCHES OWNER Ct./ TJ e'I.v. � 4ffde-
TOTAL OUTLETS �� 5C $ + MAIL �/ # /�
ELEC, RANGES 25 ADDRESS O • f�V !Y L4-*t (J✓J Ap
ELEC. HEATERS 25 Ca d TEL. NO. &,q7- 117-3
FIXTURES 5 .x,"" CITY
MI C. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS Q a APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
M
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORSS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEIN MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
z a LESS $ .25
- SIGNATURE OF
1/2 2 .50 PERMITT
2 s 1 1.00
s is 1.50 INSPECTION RECORD
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
OVER 1000 20.00 Z
M.G. SET/FREQ: CHANGER-HP a
WELDERS: AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
-NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT• DATE /I INSP`ECTOR'S NAME
WIRING $1.00 Q Q CONDUIT (�,> f Qom_fes„
WIRING \ ! / //
FIXTURES $1.00 / U O �> /
SUPPLEMENTARY .50 FIXTURES /
Po POWER
TOTAL FEE $ a UTILITY CO, NOTIFIED
FINAL
76A 663 DNS# 5A. 4-52 /�
WORKERS'COMPENSATION DECLARATION 76-663 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby a�ffirm that I have a certificate of consent to self insure, CE-606G
or a,certfcate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy the f(Sec 3800,Lab C)
Policy N mpany—Ce FOR APPLICANT?O FILL IN, JOB
❑ Certified copy is hereby furnished ADDRESS
New Residential Bldgs & Pools EACH NO FEE
❑ 1 & 2-Family, Sq Ft $ — $ LOCALIT
Certif ed c py is Bled with the county bwidi99�� inspectssn NEAREST
d t e /►�/ , / Multi-family Sq Ft CROSS ST
I�1 Y Residential Swimming Pools OWNER O
Date AppliCa FIRM,NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec- Light SW MAIL
COMPENSATION INSURANCE ADDRESS
(This section need not be completed if the work Involved by the First 20 CITY1 N
permit is for one hundred dollars ($100)or less.) Total No Additional
I certify that in the performance of the work for which this permit PLAN CH
p P
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 -
Additional
\ Total No CITY . Tel No
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If, after, making this Certificate of
Exemption,you should become-subject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT
provisions of the Labor Code, you must forthwith comply with such Oven Dryer W M _ ADDRESS
provisions or this permit shall be,deemed revoked FAU WH
Top
CITY of No
LICENSED CONTRACTORS DECLARATION Hood Fan _ Other_
I hereby affirm that I am licensed under provisions of Chapter 9 uCENSE OR
DISp Room Air Cond- Clas
(commencing with NUMBER
Section•7000]of Division 3 of the Business and •
Professions Code,and my license is in full force and effectoDISTRICT NO SED BY
Pwer Apparatus& Large Appliances a
/,¢�J //-/ (^J Size& Type HP,KW,KVA,or KVAR
License Nu r/✓ Lic Class v " Up to 1 Incl, FINAL V
Over 1 to 10 Incl DATE VALIDATION Q
ContractorZ"k� Date (14q, Over 10 to 50 incl
❑ FINAL
I am exempt under Sec Over 50 to 100 Inc BY W_ W
Over 100
B&P C for this reason N
Services,Swbd,MCC& Panelboards , Z
Date 0- 200 Amp Under 600 V
Signature 201 - 1000 Amp Under 600 V
❑ Over 1000 Amp or Over 600 V
Exemption for Reg Maint Elect
` SINGLE FAMILY Temp Power Pole& Appurtenances w�
�
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.*
I hereby affirm that I am exempt from the Contractor's License Law h C
B
Sign Branch Circuits. . '3303' �l
42
for the following reason (Section 7031 5, Business and Professions Additional .`r0
Code) 1 TT
❑ I,as owner of the property,will do the work and the structure Misc Conduits & G�onductors - n w�
is not intended or offered•for sale (Section 7044, Business Other(See Complete Fee Schedule) , TOTAL. 42.50
-
and Professions Code) CHEM 42■50
CONSTRUCTION LENDING AGENCY, CHANGE .00
I 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)
PLAN CHECKING FEE 0000-0001 3/11/96
PERMIT ISSUING FEE
Lender's Name /�y O 5227 1 PM12+23
O�// •
Lender's Address
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 St a laws regulating Electrical wiring, and hereby authorize
repres tatives of this County to enter upon the above entioned
prop4y for ins ction pu os s
SEE REVERSE FOR EXPLANATORY LANGUAGE
nature of Permftree D to
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0904150012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS 1
ITR 12157 LT 5 1 9026 LAS TUNAS DR 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917801834 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET SULTANA
15387-029-004 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE, 596 GRID H3 LOCALITY TEMPLE CITY, Cl
I IHA FAU LESS 3HP 1 00 FAU 10 95 I
(TENANT: IJB AC UNITS +3-10HP 1.00 AC 19 65 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
I TOTAL FEES 58 35 104/15/09 SR 10/12/09
(OWNER: TEL NO I 1FDATE F BY. CODE 1
IROZAK FAMILY PROP (949) 474-4906- I 1I AL
12192 MARTIN ST J ,• � I
IIRVINE 1 JtZeSCIPTIbN OF WORK 1
I I 1ELECTRICAL FOR HVAC SYSTEM
I I I I
(APPLICANT TEL. NO 1 I I
1POWER SOURCE CONSTRUCTION (626) 233-2861- I I
18305 DUARTE ROAD I ISPECIAL CONDITIONS 1
ISAN GABRIEL CA 91778 I 1
ICONTRACTOR- TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE
IPOWER SOURCE CONSTRUCTION (626) 233-2861- 1 1 I
IF 0 BOX 52 LIC NO I ITEMPORARY POWER POLE I I I
ISAN GABRIEL, CA 91778 833729 I 1 1 I I
I I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I
I I I
LIC. NO i TROUGH CONDUIT I
1-1
I IROUGH WIRING
I I I
I I IMAIN WATER LINE I I
I I I
I I IPLASTIC Y/N METAL Y/N
I I I
I ,(UTILITY 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
I I I I I I
I I I I I I
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IREPORT ID DPR265 ROUTE TO BS0508 I I I I
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