HomeMy Public PortalAbout9083 LAS TUNAS DR_Electrical__ . .
70A863-CESOG APPLICATIO r � ECT;Rh ,A Al,,, _PERMIT
COUNTY.OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.It? tell
OUTLETS O EACH FEE
OWNER
RECEPT._ $ $ MAIL
LIGHT TOTAL
FIRST 20 PO ADDRESS
OVER 20 CITY TEL. N0.
SWITCH_ 10 PLAN CHECK
FIRST 20 20 APPLICANT
LIGHTING TOTAL
OVER 20 ADDRESS
'_FIXTURES 10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR._ APPLICANT
STA. COOK DISP. F.A.U. I ADDRESS
SPACE HTR. AIR COND. i' CITY TEL. N0. _,22
CLOTHES WASH. DISHWASH. LICENSE NO. CLASSL9-167
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
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REOUIRE Y LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 D RESIDE IN, THE BOVE DESCRIBED RESIDENTIAL P P Y.
4.
10 - 50 500 SIGNATURE OF
OF PERMITTEE V
50 - 100 1000D�
DISTRICT NO CLA -GROUP ONE e� ROCES9 ED BY O
100 — 500 1500 ,�1 G
W
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES: f 1 a '
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 100 7-2 P -t�
SERVI CENOTOVER 600 VOLTS OR 200 AMP 200 `� ,1117/
SERVICEOVER 600 VOLTS OR200AMP 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE l
TEMP SERVICE,POLE, &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED 2_•7 �f� �
PERMIT ISSUING FEE 200
iAim
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 100
JOSEPH C. ROOHAN
TOTAL FEE ® lop
40. SUPERVISING EDCAL ENGINEER
RLAN'CHECKVALIDATION cK M o CASH PERMIT VALIDATION CK o, CASH
�-'
[ CO2 1 4 2- �:17 ? D 0,0 Q, m-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DBIDEPARTMENT OF BUILDING AND SAFEff APPLICA�'ION FOR PEI310IYIT
COUNTY OF LOS ANGELES ���i� I� 1
WM. J. FOX CHIEF ENGINEER
FwNAME DISTRICZO. GROUP ZONE PERMIT NO.
ADDRESS Q
CI - TEL.NO. �2t
PEC BY READY FOR DATE ISSUED
COUNTY FIRST INSPECTION
A CERT.NO. EXPIRES �~2 ZL
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLET'S ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D I E E G I H 0 NAME
Z MAIL
2 ?� ADDRESS
` O
CITY TEL.NO.
Sato -1, 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIIFIQ/{TZF PWAUON..
ELECTRICIAN.
I AM THE LEGAL.OWNER OF THE PROPF,RTY DESCRIBED
ABOVE
OWNER.
s CORmCuoNs
J
Q
Z_
[7
lY
O
TOTAL
NO. OF OUTLETS vn�p
APPROVALS
,110
NO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ ' CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS IS FIXTURES
MISCE LAN OUB $ POWER
cr -o
PERMIT FEE 1 $ UTILITYCO.NOTIFIED
TOTAL FEE FINAL
DBS ,2SM SETS 2-47 APP TAATION FOR PLT*fwA T
DEPARTMENT OF BUILDING AND SAFETY 8d141�11 1� 11113 Ll�l�il�
COUNTY OF IAS ANGELES ELECTRIC
CTRIC
WM. J. FOX. CHI F NGI EE s+
Q NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS_7�D LAr
��. READY FOR _
W CITY•"WlrDlVL?-'°"w TEL.NO. {�V BY FIRST INSPECTIONCOUNTY
h e_
N CERT.NO. EXPIRES 4
APPLICANT FILL IN HEAVILYAtTLINED PORTION ONLY
JOB
DESCRIPTION OF wolm ADDRESS 17I-CL&V
NUMBER OF OUTLETS ON CIRCUITS LOCALITY ► -�9.; d1 �/I1 �
LOCATION BY ROOMS NEARE !
CROSSSST
LIGHT OUTLETS SW. PLUGS Fair
CIRCUIT A B C D E F G H X NAME
M
Z MAIL
ADDRESS
3
0
I CITY TSL.NO.
/ I AM THE LEGAL POSSESSOR OEeTHE,ABOVE LOS
ANGFQ COUNTY CERTIFIA?ErOF QUALI TION..
/ �p��� ELEGTRIci N.
I AM THE LEGAL.OWNER OF THE PROPERTY DESCRIBED
` ABOVE
OWNER.
CORRECTIONS
i J
Q
Z
6
_ R
O
TOTAL
NO. OF OUTLETS $ OS APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT n
NO. OF SIGNS TRANS. S WIRING 4
NO. OF RANGES OR HEATERS $ FIXTURES
71
MISCELLAN OU $ POWER 7 //
PERMIT FEE $ UTILITY CO.NOTIFIED` 7
[TOTAL FEE 2 FINAL
WORKERS'COMPENSATIONDECLARATION
CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT;
CE-806G
I hereby affirm that I have a certificate of consent to self COUNTY-OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation'Insurance,or
c of cQjpx ere f(Sec 3800,Lab.C.)� U Ins. CO. FOR APPLICANT TO FILL IN SOB
Policy No. Company
of the West New Residential Bldgs.&Pools EACH NO ' FE ADDRESS 9083 LaS Tunas
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Temple City
Multi-family Sq Ft — NEAR T
copy is filed with the county building inspection Residential Swimming Pools CROSS ST
Sultana
Certified
department OWNER OR
Date 4- 6-81 Edwards lectric
FIRM NAME
Applicant
Outlets Rec_Light Sw MAIL
- First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No
}
COMPENSATION INSURANCE PLAN CHECK 0-
APPLICANT
APPLICANT 0
(This section need not be completed if the work involved Lighting Fixtures First 20 v
by the permit is for one hundred dollars ($100) or less.) Additional ADDRESS Cr_
Total No
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 LU
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D W. APPLICANT Edwards d
Oven _ Dryer_W.MADDRESS Cf)_
Date Applicant
Top _ FAU W.H. 2535 S. 3rd Ave. z
'
Hood _ Fan _Other_ CITY Arcadia Tel No 447-5 96
NOTICE TO APPLICANT If, after making this Certificate of Disp. — Room Air Cond. LICENSE OR C—ZO
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 Size&Type HP, KW, KVA,or KVAR
deemed revoked
Up to 1 Incl
FINAL J JP
Over 1 to 10 Incl. � DATE `/
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION
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 Busi- 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 ElectENe July 1982 201-1000 Amp. Under 600 V
Contractor a e 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 4 0 A
ness and Professions Code).
Misc.Conduits&Conductors n '# 0'* e 92
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 e e e e e
7044, Business and Professions Code). I
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency 4.:1 4 81
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 authorize representatives of this County to enter upon
the ab
e-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
4-6-81 ,
Signature of Permittee Date