HomeMy Public PortalAbout9067 LAS TUNAS DR_Electrical__ DBS S-A 12-44
MPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
M. J. FOXo)cHirEF ENGINEER
UNAME ' DISTRICT N0. GROUP ZONE P2E 6 e,o'/
� ADDRESS � C�
CITY TEL.NO. " RECEIVE7,,BY READY FOR DATE+ISSUED
j �� FIRST INSPECTION 111� i ��
W COUNTY EXPIRES �� f
CERT.NO.
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
OB
DESCRIPTION OF WORK ADDRESS = t �
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D E IT IG IH IC NAME
Z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THF- ABOVE LIOS
ANGFI E COUNTY CERTIF,LCA E OF QUAJJFICATIO
. > .
-� ELECTRICIAN.
�i
AI AM BOVE TIM LEGAL OWNER OF THE PROPERTY DESCRIBED o
OWNER.
' CORRECTIONS
J
Q
Z_
L7
!Y
O
TOTAL
NO. OF OUTLETS $ APPROVALS
1 NO. OF FIXTURES $ / DATEINSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT �f!/ /a--0r
NO. OF SIGNS TRANS. $ WIRING l
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ Od UTILITY CO.NOTIFIED
TOTAL FEE y FINAL
SS S-A 12-44
DAPPUCATION FOR PERM OF BUILDING AND SAFETY COUNTY
COUNTY OF LOS ANGELES �L������
WM. J. FOX CHIEF AGINEER
NAME DISTRICT NO. GROUP I ZONE PERMIT NO.
1 F- C3 7-3r3 S�
ADDRESS
CITYTEL.NO. RECI-JUFD BY READY FOR DATE ISSUED
ly FIRST INSPECTION
COUNTY -f y�
CERT.NO. EXPIRES
' PLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST A
LIGHT OUTLETS JSW. PLUGS RIRT CROSS ST
CIRCUIT A S C D I E I F IG IH Ir NAME111
3ci 0.
Z MAIL
3 ADDRESS
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGFLLES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
ABOAM
VB TH6 LEGAL OWNER OF 6 PR7ARrTY�DESCRIBED
l
7� O NER.
�Lldry" ) CO CTIO1r s
Lq d
Wt
�yr
,
J
Q
Z
3
O
TOTA
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES DATE INSPECTOR'S NAME
kPERMIT
MOTORS H.P. ffi CONDUIT
SIGNS TRANS. ffi WIRING
RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS POWER J ! f
FEE G UTILITYCO.NOTIFIEDEE FINAL N f^
��e w e e a - c e e o e s - e o A P P L I C A T I O N O R E L E T R I C P E R M I T 1
C O U N T Y O F L O S A N G E L E S
D E P A R T M E N T O F C O U N T Y E N G I N E E R B U I L D I N G
B U I L D I N G A N D S A F E T Y D I V I S I O N A D D R E S S
J O H N A . L A M B I E , C O U N T Y E N G I N E E R
C A S S A T T D . G R I F F I N , 8 U P ' T O F B U I L D I N G L O C A L I T Y
F O R A P P L I C A N T T O F I L L I N N E A R E S T
P E R N I I T F E E S C R O S S S T .
I T E M N U M B F R I E A C H F E E O W N E R ( . ��
O U T L E T S : f $ M A I L
L I G H T S R E C E P T J S W . . 1 0 i A D D R E S S
L I G H T I N G F I X T U R E S 2 7 1 0 7 0 C I T Y T E L . N O .
E L E C . R A N G E S C L O . D R Y E R S E L E C T R I C I A N
W A T E R H E A T E R S . 5 0 A D D R E S S
E L E C . S P A C E H T R S . D I S H W A S H E R S
C I T Y T E L N O .
G A R B A G E D I S P O S E R S A U T O . -
S T A T E ! J b
W A S H E R S S T A C O O K I N G U N I T S . 2 5 L I C E N S E N O .
M O T O R S : O V E R 1 N c H P . D I S T R I C T N O . I G R O U P Z O N E P R O C E S S E D B Y
t
0 / 2 . 2 5 ( ' ' d v r * l 6 t 'C L T ��-
I i 2 z 1 . 5 0 I N S P E C T I O N R E C O R D
2 5 1 . 0 0
a i s 1 . 5 0
i s s o 2 . 5 0
5 0 2 0 0 5 . 0 0
S I G N S : N O . T R A N S .
N O . L A M P S
S E R V I C E 0 - 6 0 0 V 1 . 0 0
S E R V I C E O V E R 6 0 0 V 5 , 0 0
M I S C .
W I R I N G P E R M I T 1 . 0 0
F I X T U R E P E R M I T 1 . 0 0
S U P P L E M E N T A R Y P E R M I T . 5 0
T O T A L F E E 9 0
1 H E R E B Y A C K N O W L E D G E T H A T I H A V E R E A D T H I S A P P L I C A T I O N A P P R O V A L S D A T E I N S P E C T O R ' S S I G N A T U R E
A N D S T A T E T H A T T H E A B O V E I S C O R R E C T A N D A G R E E T O C O M P L Y
W I T H A L L C O U N T Y O R D I N A N C E S A N D S T A T E L A W S R E G U L A T I N G C O N D U I T
E L E C T R I C A L W I R I N G .
1 H E R E B Y C E R T I F Y T H A T I A M P R O P E R L Y R E G I S T E R E D A N D / O R W I R I N G
L I C E N S E D A S R E Q U I R E D B Y L O S A N G E L E S C O U N T Y A N D S T A T E O F F I X T U R E S
C A L I F O R N I A O R T H A T I A M T H E L E G A L O W N E R O F T H E A B O V E
D E S C R I B E D R E S I D E N T I A L P R O P E R T Y . P O W E R
S I G N A T U R E U T I L I T Y C O . N O T I F I E D
O F P E R M I T T E
F I N A L Z
f i r 0 . X M
A T I O N A R T H U R C V E T T ,
C K M O C A S H S U P E R V I S I N G E L E C T R I C A L E N G I N E E R
��% , 0 2 8 5 7 - 0 F E B ) 3 2 0 7 . 2 0 1
DB B-A 4-40 10. T 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 c 3E PERMIT 5- �
WIRING FIXTURES ]- SERVICE
RECEIVED READY FOR DATEISSUED
RANGE HEATER POWER _ FIRST INSPECTION (/
SIGNS MISCELLANEOUS {✓ 1 N /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �d
4 NAME HUGHES & P,+�Livl;� �1 JOB z
ADDRESS J 0 .7 L OQ
U ADDRESS 4137 Tweedy Blvd., South Gat6i waltFr LOCALITY 7-,6Nlt
L- G
K
NEAREST
JU CITY TEL No. CROSS ST.COUN
/�� /�� /�
W CERT.TNO. EXPIRES / � K NAME I t!'4- ' , IV104 , Yi 0.
DESCRIPTION OF WORK v 3 MAIL
NUMBER OF OUTLETS ON CIRCUITS ADDRESS
O
LOCATION BY ROOMS CITY TEL NO.
LIGHT OUTLETS I SW.I PLUGS •IFIXT 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT I A I B C I D E F I G H I ANGELES COUNTY CERa��
, qU ;Oil rir?iAeC/ l
LIVING ROOM ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
DINING ROOM ABOVE.
BRFST. RM. —— OWNER.
BATH T CORRECTI NS
ENT. HALL _ EL
HALL NO. —— 1
FRONT PORCH
OUTSIDE �.
KITCHEN
SERV. PCH.
BDRM. NO. J
-- / a
CLOSET Z
BDRM. NO. O
CLOSET I__
! .3
TOTAL -�
NO. OF OUTLETS �O $ - APPROVALS
NO. OF FIXTURES J $ / DATE INSPECTOR'S NAME
NO. OF MOTORS H. P. ffi CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS $ .• POWER
IPERMIT FEE $ , 2-4 UTILITY CO. NOTIFIED J /GSC
TOTAL FEE I $ { FINAL /_�/ ! ��
DB S-A 12-43 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WM. J. FO CHIEF ENGINEER
zDISTRICT NO. GROUP I ZONE PERMIT NO.
< NAME
ADDRESS S�Z C-IL
1 v� RECEIVED BY READY FOR - DATE ISSUED
UB CITY TEL.NO. �� 4) FIRST INSPECTION �� �� �
COUNTY ! y r���
CERT.NO. EXPIRES C' �
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS /-4-0
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST (<
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST
CIRCUIT A B C D I E F G IH 0: NAME
ZMAIL
3 ADDRESS 4 �Av,
O
CITY ,JrEL.NO.
1 AM THE LEGAL POSSESSOR OF T ABOVE LOS
1 r ANGELES COUNTY CERTIFICATE OF QU Fl AT N..
ELECTRIGAN.
I AM THU LEGAL OWNER OF THB PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
z_
O_
lY
O
TOTAL
NO. OF OUTLETS ffi APPROVALS
NO. OF FIXTURES E DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. >$ WIRING
EF RANGES OR HEATERS !$ FIXTURES
LLANE US $ POWER
T FEE �I Y%- E % UTILITY CO.NOTIFIED
F �' S� C FINAL
D.B.S.SA 25M SETS 10-47 APP1 YCATION FOR PERMM
DEPARTMENT OF BUILDING AND SAFETY "E'LECT IC
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEWENGINEER
Q NAME / DIST S NO. GROUP ZOiVE PERMIT NO.
ADDRESS • � ✓ � �
REC BY READY FOR DATEISSUED
W CITY TEL.NO. FIRST INSPECTION
COUNTY
Cj9RT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTUINETD PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS O
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS F11(T CR08 ST.
CIRCUIT" A B G D E R IG lH W NAME
Z MAIL
3
ADDRE907
O
CITY TEL.NO.
g 0 AM THE LEGAL POSSESSOR OF E ABOV9 LOS
ANGELES COUNTY CERTIF CA 6 OF Q IFICA Rel..
c
I
ELECTRICIAN.
II AM TIM LEGAL OWNER OFA ME PROPBdtYY DESCRIBED
AHOYi u
OWNER.
C0CTION�7QQ
Y
- J
Q
- _ Z
L7
IY
O
NO. oR OUTLETSFsl,
APPROVALS
NO. OF FIXTURES DATE INSPECTOR'S NAME'
NO. OF MOTORS H.P. CONDUIT
NO. OF SIGNS TRANS. WIRING '
NO. OF RANGES OR HEATERS FIXTURES
MISCELLANEOUS POWER
PERMIT FEE F v UTILITY CO.NOTIFIED f'
TOTAL FINAL +r1
WORKERS'COMPENSATIONDECLARATION
CE-806G (2-80) .APPLICATION FOR ELECTRICAL PERMIT
CE-806
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES - BUILDING AND SAFETY �D ,
insure, or a certificate of Workers'Compensation Insurance,or
i�e of c er of(Sec 3800,Lab C) '
Ins. 0i0• FOR APPLICANT TO FILL IN JOB
Policy No. Company ADDRESS 9067 LaS Tunas
New Residential Bldgs &Pools EACH NO FEE
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft $ — $ LOCALITY Temple City
Multi-family Sq Ft — NEAREST
Certified copy is filed with the county building inspection CROSS ST Sultana
department Residential Swimming Pools OWNER OR
L1-6-81' Edwards Electric FIRM NAME
Date Applicant Outlets Rec_Light_Sw MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No
COMPENSATION INSURANCE 0-
� PLAN CHECK �
(This section need not be completed if the work involved APPLICANT V
by the permit is for one hundred dollars (5100) or less.) Lighting Fixtures First 20 ADDRESS
Total No Additional ccO
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No U
permit is issued, I shall not employ any person in any manner PERMIT
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D W APPLICANT d
Oven _ Dryer_W M ADDRESS ' N
Date - -Applicant Top _ FAU _W H 2535 S. el rd Ave. _ ?
Hood _ Fan _Other_ CITYArcadia Tel No 447-5096
NOTICE TO'APPLICANT If, after making this Certificate of Disp. _ Room Air Cond.— LICENSE OR C-l0
Exemption, you should become subject to the Workers' REG.NUMBER Class
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCESSED•BY
with comply with such provisions or this permit shall be
deemed revoked Size&Type HP,KW, KVA,or KVAR S
Up to 1 Incl
FINAL
Over 1 to 10 Incl DATE
LICENSED CONTRACTORS DECLARATION `/ VALIDATION
Over 10 to 50 Incl
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL
9 (commencing with Section 7000) of Division 3 of the Busr- Over 100 BY
ness and Professions Code, and my license is in full force and
effect` Services
License Number 257191 Lic.Class C-10 0-200 Amp Under 600 V
Edwards Elec}�. Ju 1982 201-1000 Amp. Under 600 V
Contractor HA�� 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 g 4 4 A
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code) o o o — 2,
Misc Conduits&Conductors
1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— o 0 0 10 0 0 0
structure is not intended or offered for sale (Section /
7044, Business and Professions Code)
CONSTRUCTION LENDING AGENCY - G —8
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
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 NO Fee
above information is correct I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby'authonze representatives of this County to enter upon
the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
I-,--7 4-6-81 !
Signature of Permittee Date