HomeMy Public PortalAbout9082, 9082 1/2 LAS TUNAS DR_Electrical__ 6 APPLICATION FOR PERMIT
TMENT OF BUILDING AND SAFETY ELECTRIC
OF LOS ANGELES
W . J. FOX. CHIEF ENGINEER
NAME r �Z��. DISTRICT NO. GROUP I ZONE PERMIT NO.
ADDRESS 2-1-cl 3
~ CITY TEL.NO. I���f' -&- RECEIVED BY READY FOR DATE ISSUED
COUNJ , Ii FIRST INSPECTION
CERT.NO. O D EXPIRES �h r 6� C
APPLICANT FILL IN HEAVILY OUTLINED PORTIONONLY
DESCRIPTION OF WORK ADDRESS 8 !
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS
CIRCUIT A B C D E F G JH G: NAME
' Z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG91.E6 COUNTYFI ATBZOF QUALIFICATION..
.��L�i"I
[LECTRICIAN.
A RAMS THIS LEGAL OWNER OF THE PROPF,RTY DESCRIBED
OWNER.
' CORRECTIONS
J
• Q
. Z
L7
Ei
a
TOTAL
NO. OF OUTLETS $ I APPROVALS
NO. OF FIXTURES $ VS DATE INSPECTOR'S NAME
LF MOTORS H.P. $ CONDUIT
F SIGNS TRANS. $ WIRING
F RANGES OR HEATERS $ FIXTURES
LLANEOUS $ POWER
T FEE $ J UTILITY CO.NOTIFIED
FE FINA /g' 4
M I
DBDEPAR 2aTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
[rUe
NAME DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS
RECEIVED BY READY FOR DATE ISSUED
CITY
TEL.NO. ��4. X f� /C F FIRST INSPECTION
COUNTY /
CERT.NO. EXPIRES RES -Z
APPLICANT FILL IN HEAVILY OUTLINED POjRTIO1N ONLY
JOB
DESCRIPTION OF WORK OB
ADDRESS f .'' A
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS FI7(T CROSS ST-
CIRCUIT
T.
CIRCUITr A B C D I- F G H IX NAME
Z MAIL
J � ieI 3 ADDRESS
0 � cITY �' TEL.NO.
/ 1 AM THE LEGAL POSS R OF THE ABOVE LOS
ANG91-98 COUNTY CERA RT 1 TE OF UALIF CA ON..
4 _ ELECTRICIAN.
IITT 1 AM THU LUGAL OWNER OF THU PROPURTY DESCRIBED
ABOVB
OWNER.
'
CORRECTIONS
W
F-
Q
U
J
a
0
TOTAL
NO. OF OUTLETS $ 7 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 $ UTILITY CO.NOTIFIED n,
TOTAL FEE
D65 5-A 12-44 APPLICATION FOR
PERNM
IDEPARTMENI! OF BUILDING AND SAFETY ` ""Ir(.���aY 11 dL J�G1ii�1vg�A��"
COUNTY OF LOS ANGELES. ELECTRIC
WK-J.-FOX. CHIEF ENGINEER
a NAM r DISTRICT NO. GROUP ZONE PERMIT'NO.
ADDRESS-2,
CITY �j TEL.NO. 3 /L RECEIVED BY READY FOR DATE ISSUED
�. CERT.NO. 6 L (D ,EXPIRES Q FIRST INSPECTION
APPLICANT FILL. IN I[EAVILY OUTLINED PORTIO ONLY /o
DESCRIPTION OF WORK _ _ JOBADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
'LOCATION BY ROOMS NEAREST
LIGHT OUTLETS• JSW. PLUGS FO(T CROSS ST _
-CIRCUIT I! B C D E F G H. 0! NAME l/
f / _ Z MAIL
ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF SATE OF QUALIFICATION..
ELECTRICIAN.
I APR THE,LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
Z
I7
TOTAL
NO. OF OUTLETS h $ I�pp APPROVALS
NO. OF FIXTURES ' ��' V DATE INSPECTOR'S NAME
NO. OF MOTORS ti:P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
LNO. F RANGES'OR H ATERS "t >$ FIXTURES
LLANEOUS ffi POWER
T FEE / CC 7 1$ UTILITY CO.NOTIFIED FEE FINAL / �/
WORKERS' COMPENSATION DECLARATION _76A663 1081 APPLICATION FOR ELECTRICAL PERMIT
I hereby off
that I have a certificate of consen't�to self. CE-8066
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certifi o pe//�,{ (Sec 3800, Lob
Com) /ice '
Policy N V Company�7 " ��-- � / FOR APPLICANT TO FILL IN JOB F ` "
Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS L. ���?�
Certified copy is filed with the county building mspec_ 1 & 2-Family, Sq Ft s — s LOCALITY . /pje-
tion department Multi-family.Sq Ft — NEAREST 7
Residential Swimming Pools CROSS ST /Y
Date Applicant Mr. „� OWNER•,OR"
CERTIFICATE OF EXEMPTION FROM WORKERS' »'±';��s�'v t .,'a_• FIRM'NAAh1 �[/
C Outlets Rec Light Sw
COMPENSATION INSURANCE ADDRE53
• First 20
(This section need not be completed if fhe work involved by', l
Total No . CITY Y s ,r` Tel'•No'
the permit is for one hundred dollars ($100)or less.) tr± Additional r'-
I certify that in'the performance of the work for which'this ?fl, ,4» • PLAN CHECK'-
permit is issued, I shall not employ any person in any manner, APPLICANT '
so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS ,
Total No Additional
Date Applicant CITY Tel No
NOTICE TO APPLICANT If, after makin this Certificate-of Fixed Appliances Not Over.1 HP., PERMIT (('tt�� /y�� �J / !�
making_this APPLICANT��'�� "/1-'�f> � . CO-
Compensation
you should become subject, to the Workers' Range_—'Heater— W _ : ,..,� -
Compensation provisions'of the Labor Code„you must forth- Oven _ Dryer W M — ADDRESS
710 _-eV1-7771 f77(2'
with comply, with.such provisions, or this permit shall be Top ' — FAU -W H
deemed revoked CITa/Yj07/f
d' a Tel No44-
m/
LICENSED CONTRACTORS DECLARATION Hoo _ Fan _Other_
ir'ConId LICENSE '7 Clas
I hereby affirm that I am licensed under pro 'Disp --Room A
vis�ons�of Chapter 9' REG NUMBER/ft �l
(commencing with Section 7000):of Division 3 of the Business DISTRICT NO PROCESSED CL
Power Apparatus& Large Appliances
and Professions gond m115�nse is m full force and effect-_ i O
a/iLC J+ QQ>�/ Size 8 Type HP, KW, KVA, or KVAR
License Number Lic Clas� Up to 1 Incl FINAL
DATE O
�ML-741 l/&t1 t >�/� 4r4 Over 10 to 50 Incl FIN
IV
Over-I to 10 Incl VALIDAT N
Contractor `Gate , 4�z k2
I am exempt under Sec' ° Over 50 to•100 Inc BY :fCL
n
B&P C for this reason Over 100. Z,
Services,'Swbd , MCC& Ponelboards d
Date 0 -200 Amp- Under 600 V ”
Signature 201 - 1000 Amp Under 600.V ' r.
Over 1000 Amp or Over 600 V ;
Exemption-for Reg Maint ,Elect
SINGLE'FAMILY' Temp' Power Pole&Appurtenances A 5'2 4;3 A
HOME OWNER-BUILDER DECLARATION
Sign with One Branch Circuit' 1Z #lo;o,o,lo,o 'Z
I hereby affirm that I am exempt from the Contractors License Additional Sign Branch Circuits L
Law for the following reason (Section 7031'5, Business and
Professions Code) I w't• o 4 Q 50 '
Misc Conduits &Conductors
I, as owner of the property"will do the work and the --1,?7? 40.50,5--
structure
Q•50,5•-
structure is not intended or offered for sale (Section Other (See.Complete Fee Schedule)_ 1, ,
7044, Business and Professions Code) 0 , '0 al,3t-86
'
CONSTRUCTION LENDING AGENCY, ,
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)
(Sec 3097, Civ C )
PLAN CHECKING FEE_
Lender's Name
_ PERMIT ISSUING FEE 0
Lender's Address ,)
I certify that I have read this application and state that the TOTAL FEE v 3V "
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 ;
thmbove-m ��dWr inspection purpo�seQs� SEE REVERSE FOR EXPLANATORY LANGUAGE
= - 4
Si Date
COUNTY OF LOS ANGELES TEMPLE CITYF # 0508 ) ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1008310021
BUILDING AND SAFETY / LAND DEVELOPMENT- TEMPLE CITY CA 91780 - S
PHONE (626) 285-0488 EXT �y
1 -
ILEGAL ID FEES PAID �'✓' l ; BUILDING ADDRESS I
ITR 5905 • LT. Al BL: 001 9082 LAS TUNAS DR 1
IFEE DESCRIPTION. QUANTITY. UOM AMOUNT I. TEMP CA 917801902 - 1
(ASSESSOR INFORMATION NUMBER. I - 1 NEAREST CROSS STREET SULTANA '
15387-023-032 - IA1 PERMIT ISSUANCE FEE 27.80 1 j THOMAS-PAGE 596 GRID. H3 LOCALITY. TEMPLE CITY, Cl'
I ILB 200 AMP PANELS, MCC 1 00 PAN 38.80 1 1
ITENANT. I TOTAL FEES 66 60 (ISSUER ON PROCESSED BY PLAN BY-- I
MAMA PETRILLO'S- - i 108/31/10 SR I
(OWNER TEL NO: `I ,(FINAL DATE FIN Y. CODE- 1
IPETRILLO, JOHN - - I - 1
9082 LAS TUNAS DR
(TEMP 917801902 _ IDESCRIPTION OF WORK - I
INSTi4LL NEW MAIN PANEL 200 AMP ,
(APPLICANT TEL NO: I I 1
IPRIZIO, PAUL (951) 805-6500-
12159 HEATHER WAY - 1 ISPECIAL CONDITIONS , - I
POMONA CA 91767 i 1 -
I 1 I 1
(CONTRACTOR: - TEL. NOI , 1
I •(APPROVALS DATE INSPECTOR SIGNATURE
IPRIZIO-CONSTRUCTION (951) 805-6500= - _
12159 HEATHER WAY LIC NO ITEMFORARY POWER POLE
IPOMONA, CA 91767 434770 I - '
" - i - (UNDERGROUND CONDUIT
II.
ARCHITECT OR ENGINEER: TEL NO 1 UFER',GROUND /�p'�•,y`�'
I LIC NO: IROUGH CONDUIT
I I -
_ IROUGH WIRING
I 1 IMAIN WATER LINE 1 I
- (PLASTIC Y/N METAL Y/N
_ _ I
(UTILITY COMPANY NOTIFIE
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REPORT ID DPR265 ROUTE TO- BS0508
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