HomeMy Public PortalAbout9090-9092 LAS TUNAS DR_Electrical__ re Pope Ot 7 t,
176 806a* APPLICATION FOR El.i � 1CAL PERMIT
C 4T
PCOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER ��y1
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. d
RECEPT. TOTAL NO. EACH FEE
4
OUTLETS FIRST 20 S.20 S O OWNER
LIGHT MAIL
SWITCH. OVER 2VER 2O .10 ADDRESS ;r�1iN Gr'J�
TOTAL CITY ] TEL. NO. -� b
LIGHTING 1 FIRST 20 .20
FIXTURES 1 OV R 20 .10ELECTRICIAN A4 �3
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY AVD LAJ i All Pjk TEL.NO.
DISHWASH. AUTO.-WASH. STATE f 76 / /O
SPACE HTR8. STA.APP.(+/i H.P.MAX.) ,50
LICENSE NO. ` 6
MOTORS: OVER NOT OVER H.P. DISTRICT O G P71 ZONE I PSEED BY
O 1 1.00 eq c 3
3 1.5o I PECTION REC D
9 S 2.00
8 is 2.80
18 50 3.00 }
a
s0 100 5.00 O
, U
SIGNS: NO.TRANS. C
NO.LAMPS O
SERVICE 0.600Y•NOT OVER 200A 1.00 ' Vto
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 p
SUPPLEMENTASY PERMIT ISSUING FEE 1.00
TOTAL FEE ffi
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY L08 ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA ORMTHATAHE LEGAL OWNER OF THE ABOVEDESCRIBED RESIROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE Admz�� n
FINAL
VALIDATIQN,, AR, C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
J
DES 5-A 6-46 -. . - . H - '• .". .....
MPLICA A®N' OR PER
DEPARTMENT OF
BgY&L91NTEpi ,S '
COUNTY OF LOS.-Ag/ EyES
WN. J. FOX TILLCIC
_
_ .
a " NAME ' -� DISTRICT NO. "`''GROUP° ZONE PERMIT NO.
U ADDRESS
I / � �'RECEIVED,B�y' READY FOR DATE I6S ED
U CITY TEL.NO:' FIRST INSPECTION n
J COU
W CERT.NO.. 3, EXPIRES
FILL IN HEAVIL; OUTLINtD PORTION ONLY
.. 17n�,,_ _ � JOB oZ
.. - 8.v�i'S�iMPTION'®F W®a¢al. .. ADDRESS-
b1UMBER.OF OUTLETS ON CIRCUITS LOCALITY _ �R
LOCATION'BY ROOMSIV
'NEAREST
LIGHT OUTLETS SW. PLUGS FU[T ' CROSS ST.
CIRCUIT A b ; :C D" E F ..,G t6 (eNAME . v
NAIL I ...
ADDRESS
O
.. CITY TEL.NO.
1 AM THE, LEGAL"POSSESSOR OF THE:,ABOVE_ LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..,:
ELECTRICIAN.
VAN THE[,ECiA3:OV!'NER OF'TIIi€ PROPERTY'DESCRIBED .
" ABOVtq
OWNER:•=
C6.kftE
A®1Y�7
\. Al
.J
Q'
Z,.
,
Lr .
TOTAL.' b�
NO. OF OUTLETS 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 `.;.. - $" r. POWER
PERMIT FEE -"-" _$ - UTILITYCO.NOTIFIED
TOTAL FEE -.'. °'•�` - - FINAL
ops 5A,251 SETS 9047 ;Aff LIC�t9.T ON. FORPER�NdI'�'
DEPARTMENT. ®F. BUILDING SAFETY
COUNTY OF LOS ANGELES
]EIEC ' IC
VKM.. J; 'FOX. CHIEF ENGINEER
a, NAME • DISTf21CT NO. GROUP ZONE PERMIT NO.-
ADDRESS' Q�.►s �l -_Z_
�. CITY EL.N0.3 �!�' j RECEIVED BY F►RST INSPECTIONJ COUNTY
REAbYFOR DATE ISSUED
CERT NO. C7 5 PIRES
APPLICANTFILL IN'HEtAYILY OUTLINED`PORTION ONLY
DESCRIPTION,OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS ;LOCALITY +rte
LOCATION.BY ROOMS
N19' REST
LIGHT OUTLETS ISW.
PWGS FAIT CROSS'ST.
CIRCUIT A BC D E F G ,H' car: , NAME
Z MAIL
(� 3 ADDRESS
O
CIN 'v E_L.NO.
1 AM THE LEGAL POSS_FSSQ YOM.
L0'.
ANGELES COUNTY CERTIF F
N(:PT,
I AM THU LEGA.OWNER OF THE PROPERTY DESCR BED
r ABOv •_
- OWNER.
CORRECTIONS
t
1
- Q
Z
O
lY
TOTAL try
NO. OF OUTLETS / $ PPROMS
s
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
LNO. F-RANGES OR HEATERS $ FIXTURES
LLANEOUS $ POWER
T FEE p $ UTILITYCO.NFEE '� D- FINAL
78A863. Des SA' „-so .. t APPLICATION.:FOR PERMIT -
DEPARTMENT OF BUILDING AND, SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, .CHIEF ENGINEER
ELECTRIC 1
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO
`t",, �.
ELECTRICIAN �/� � �• � � `
(�y". ,J I - RECEIVED BY READFOR DATE ISSUED
ADDRESS �x / Q --- Y.,Jr FI ST INSPECTION -
CITY,' _fl :L..fIJtL. TEL. NO` a P.J
^�
COUNTY LICENSE.NO. EXPIRE! -.7 G 'B6 6'
PERMIT'FEES ADDREss'
FEE. Pa
�' Y•-. NUMBER EACH'9 LOCALITY
LIGHT OUTLETS NEAREST y /!
REC`EFTACLES
CROSS ST. / t!
WALL SWITCHES' - OWNER ,:� .. •"+r .y
TOTAL-OUTLETS _ SCS. $ MAIL -
ELEC. RANGES 25 ADDRESS '
ELEC HEATERS. CITY TEL. NO.
FIXTURES
1 HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS
MISC. APPLICATION AND STATE THAT THE .ABOVE' .IS CORRECT
NUMBER OF LIGHT CIRCUITS - - AND AGREE TO COMPLY WITH ALL .COUNTY `ORDINANCES..
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING. ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID -'LOS
ANGELES COUNTY LICENSE, OR 1 ;AM TH,E LEGAL OWNER
NurneER HORSEPOWER
FEE T
NEW MVD. HP OVER INC. EACH ,OF THE RESIDENTIAL PROPERTY- DESCRIBED. ABOVE.
-
t/2 &LESS $ .25 ;SIGNATURE OF
1/2 2 .50 .
PERMITTEE
-
a 5 1.00 INSPECTION RECORD
5 is 1.50'
15 50 2..50:
1, 50 1 200 5,00 .
200 500 10:00
Soo 1000 15.00 Q-
Z ,
OVER 1000 20.00 t
M: G. SET/FREQ. CHANGER-HP -
WELDERS.:AC-KVA cf -. -
GENERATORS-KW-
..
TRANSFORMERS-KVA
TEMP. MOTORS (,75%OFORIG.)
MOVED MOTORS.(75%OF ORIG.) ,.. .
..MISC.. -
SIGNS
NO..-:.. NO..TRANS. APPROVALS...:
NO. NO. LAMPS
DATE INSPECTOR'S NAME
..FOR EACH PERMIT: - -
,., ,�R.IN,G' $1.00• ! I,. CONDUIT -
WIRING
FIXTURE ... $t.00
SUP.PLEMENt"W"RY. ,�50. I .FIXTURES -
,' �) POWER - -
TOTAL FEE $ f (f UTILITY CO. NOTIFIED
FINAL �.
i -
7GA6" DBS'SA 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BIIILDING AND SAFETY ELECTRIC
����
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
• IT
FOR APPLICANT TO FILL IN DISTRICT G��/v l e �� �e p,
ELECTRICIAN
RE V BY READY FOR DATE ISSUED
ADDRESS v �' / FIRST INSPECTION
h7A�
CITY .
COUNTY LICENSE NJ. EXPIRES r AD BUILDING
RESS / 6
PERMIT FEES
FEE
NUMBER OUTLETS EACH LOCALITY
LIGHT Sc $ NEAREST
CROSS ST. �
RECEPTACLES 5 _ �,y
FIXTUREB s OWNER /wr_�/Vv�7Y A4
_
WALL SWITCHES s MAIL
ELEC. RANGES 25 ADDREBB
ELEC. HEATERS 25 PECITY TEL. NO.
MISC. 1 HEREBY CKNOWLEDG THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEW I MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
%2 6 LESS $ ,25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 2 .50 SIGNATURE OF 1
2 s 1.00
PERM
5 is 1.50 INSPECTION RECORD
is so 2.50
50 200 5.00
200 soo 10.00
SDO 1000 15.00rE it J
OVER 1000 20.00 z
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS - KW O
TRANSFORMERS - KVA
TEMP. MOTORS (75% of DRIG.)
MOVED MOTORS (75% OF ORIG.)
MISC. _
SIGNS
TYPE: NO.TRANS.
94
TYPE: f NO. LAMP8 APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTUREB $1,00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ ®® UTILITY CO. NOTIFIED _
FINAL /
76A663 SA 26M SETS 7-48 MMCknON FOR PEMU
]DEPARTMENT OF BUILDING AND SAFETY
` ELECTRIC
COUNTY of LOS ANGELES
-WM..J. FOX. CHIEFENGINEER
a NAME_ DISTRICT NO. GROUP ZONE PERMIT NO.
Ia- ADD S
U CITY / f TEL.NO. s ' Q RECgIVED BY READY FOR DATE! UED
FIRST INSPECTIONCOUNTY
LICENSE NO./ / EXPIRES /-
APPLICANT FILL IN HEA Y OUTLINED POIRTION ONLY
DESCRIPTION OF WORE
JOB `�•rt�• ••-
HUMBER OF OUTLETS ON CIRCUITS LOCALITY' r
LOCATION BY ROOMS NEAREST,
LIGHT OUTLETS SW. PLUGS FWT CROSS ST.
CIRCUIT A B C D E F G H E NAME
Z MAIL r
ADDRESS
/ °
CIlra ,./� TEL.NO.
AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGRLF.S COUNTY CERTIFICAT OP UALIF ATION
M
G � ELECTRICIAN.
I AM THE LEGAL OWNER O THE PROPERTY DESCRIBED
ABOVE
1-1 OWNER.
L / CORRECTIONS
w :
ri
dr-Urp
J
Q
� t f
T TAL _ 41 '
No. OF OUTLETS L.� $ C?C APPROVALS
NO. OF FIXTURES -z'o t 00 DATE INSPECTOR'S SPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING /-f' �A ll l jk
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ . POWER
PERMIT FEE UTILITY CO.NOTIFIED f (\
TOTAL FEE FINAL
DAPPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFff
E
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX. CHIEF ENGINEER
z 1-5DISTRICT NO. GROUP ZONE PERMIT NO.
C NAME C
ADDRESS S Y' ,6 O
I RECEIVED BY READY FOR DATE ISSUED
U CITY TEL.N FIRST INSPECTION
COUNTY
CERT.NO. VJ r)j' EXPIRES/—, 7
" APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS t�C — / ��
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /V
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D E F G H � NAME
Z MAIL
,= AODRE
O
CITY TEL.NO.
2— 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA��F f2U�ICU
2 !!/!/✓✓1 -�/1�iFwL' ELECTRICIAN.
n I AM THE�EC#AL OWNER OF THE PROPERTY DESCRIBED
/� ABOVE
OWNER.
CORRECTIONS
1 1
_ J
fitz
2
0
TOTAL
NO. OF OUTLETS $ d APPROVALS
NO. OF FIXTURES $ DATE INSPECTORS NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
:PERMIT FEE $ UTILITYCO.NOTIFIED
AL FEE FINAL j—o t
e
l,
76A663•CES06.7.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING p�Y
County of Los Angeles ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cRoss ST
NUMBER OWNER ►�„F{� '(f q—
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL t4O. I
TOTAL OUTLETS @ 5¢ $ ELECTRICIAN ---�
ELEC RANGES 25 ADDRESS ""�
ELEC HEATERS 257
=±L09
KW EA STATE del
FIXTURES 5 LICENSE NO. 1�
MOTORS DISTRICT NO. IGROUPZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE r 3
NEW MVD HP OVER INC EACH
I1h&LESS S 25 INSPECTION RECORD
I/2 2 50
2 5 1.00
5 15 1 50
15 50 2.50
50 200 5 00
M ISC
NO SIGNS NO TRANS
NO SIGNS NO. LAMPS
FOR EACH PERMIT
WIRING PERMIT $100
FIXTURE PERMIT $1.00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 1
ELECTRICAL WIRING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT AM TME LEGAL OW ER OF TH• BOVE
DESCRIBED RESIDENTIA PROP Y. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL (-l✓
JOHN A.LAMBIE. VALIDATIOR
ART UR C.VE►T.
COUNTY ENGINEER CK MO 'ASH) SUPERVISING ELECTRICAL ENGINEER
1LjA,C0 9 1 0 5 JUN 11 2 2.4 5 N
76A663-CE8061/70 gppVELI0N F ELECTRICAL PERMIT
COUNTY OF LES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY 1
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO EACH FEE
OWNER
$ $
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 PO ADDRESS
CITY TEL. NO
SWITCH, OVER 20 _ - 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER WTR. HTR._ APPLICANT
STA COOK DISP F.A.0 ADDRESS S �
SPACE HTR, AIR COND CITY TIL NO 3 7-z2-33
CLOTHES WASH DISHWASH. LICENSE NO. ? CLASS.L/ D
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT IHAVE 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, THE A80 pE SC PED RESIDENTIAL PROPERTY
SIGNATURE
a
10 - 50 500 OF PERMITTEE • ` G r O
V
50 - 100 1000
DISTRICT NO CLASS JGROVP ZONE PR CESSE Y
100 - 500 1500 V
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES: UI
O_
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOT OVER 600 VOLTS OR 200 AMP 200
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600VOLTS OR200AMP 800
TEMP POWER POLE
TEM P SERVI CE,POLE, &APPU RTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDI UTIV
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL �J
JOSEPH ROOHAN
TOTAL FEE SUPERVISINGELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATI01�1. M 0 CASH
I 0777r JUN10 2 0 3.20r r
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
r
,A66s-eeeD6 s_s2 APPLICATION F`O ELECTRICPE
A RMIT
COUNTY OF LOS ANGELES -
DEPA,RTMENTrOF CO#UNTI(, ENGIN
ILDING.:AEER ? BU,ILD'ING /�D 'c"
BUND�.SA,FETY..DIVISION ADDREs"S % l�7
•JQH,WA. LAMBIE, COUNTY ENGINEER: -
W1LLI
..4 _ AM A.:_JENSEN,�SUP.T,of NBUILDING. _ -.,j LOCALITY
'NEAREST �/ \.
F07Rw'.4PP-LCCAN 1 :TO?'FIL'L'IN CROSS ST. D /
REC EP T. TOTAL NO. EACH 'FEE
OUTLETS FIRST 20 $.20S OWNER
LIGHT -�� /{ ff ys4!►ni As�1Gti S
AOD'L .10 ADDRESS L? ;�. G 4S min J
SWITCH. OVER 20
LIGHTING TOTALF5RS7 20 20 CITY � G� TEL.NO.
FIXTURE§ ' } AD'D'L'' 10 ELECTRICIAN
ov R 20
RANGES— CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.AIBP. .STA.COOK r y' .
.CITY' Q('C.r TEL.NO. V
DISHWASHi i AUTQ,WASH- STATE,
SE
PACE{HTREi STA.APP.(y¢H:P:MAX.) .50
LICEN3 45S
,*0TORs.,•,'ovEe-. NOTaOVER Aj,P.: �,.DISE ICT' Oti G` OU,P ON;E. P ESSED BY
O, i 1,00 � 1
1.50 j S7J INSPECTION RECORD
8 2.000
8 '15 2.50 7,VA L✓` AW 4'117
-,L-/- �/�' 'd
15 50 3.00 /�r✓" O
.c
50 100 5:00
SIGNS: NO.TRANS l Y / / : J/" Y W,
NO.LAMPS
SERVICEO.600V•NoTOVER200A- 1.00
Z
SERVICE 0.60OV•0vER200�A. 2:00
,SERVICE bVER 1600V 5.00
MISC.
PERMIT`ISSUtING,FEE:' 2.00
SUP PLEM��MLT ISSUING'FEE._ 1.00
TOTALFEE,
L.rHEREBY'ACKNOWLEDGE THAT I HAYEREAD.7
HIS APP LICATION baAPPROVALS DATE INBPECTOR'B:BIGNATURE�
AND STATETNAT ITHE;;ABOVE 18 CORRECT-AND.AGREE TO COMPLY _ •`CONDUIT
WITH ALV COUNTY ORDINANCES.AND-STATE LAWS REGULATING,
':ELECTRIC:AL'WIRING.' - k,WIRING
i.,'HEREBY"jCERTiFY' THAT I:AM PROPERLY REGISTEREDIAND16w, - -
LICENSED AS.REQUIRED BY,:LOS ANGELES COUNTY,AND STATE OF ,.,FIXTURES
CALIFORNIA-=;OR THAT-1 AM THE LEGAL OWNER.OF THE-'ABOVE ev -
DESCRIBED,RE81DEf�T1'AL,PROPERTY. ,IPOWER+
57
- /
SIGNATURE_ , ,iii .UTILITY'CO.NOTIFIED �
OFPERM1;;, E 4"
FINAL
" VALIDATI9� ARTHUR C. VEIT
CK MO 'I CASH SUPERVISING ELECTRICAL ENGINEER
3''3' 3 8% AUG 2 2 2 D 3.5 Q^'
76A663 CE806B 12,75 APPLICATION FOR ELECTRICAL PERMIT -
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB O
.New Residential Bldgs.& Pools
EACH NO. ---FEE ADDRESS
1 &2 Finaily Sq Ft $ — $ LOCALITY
Multi-family Sq. Ft — NEAREST
CROSS ST
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets Light, Switch& Receptacle MAI L
First 20 ADDRESS Sp rrr _AL
Additional CITY 0111, 0"-4 Tel No 0.0 i
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
i 'Ile—
Range
Range Heater_ D.W
ADDRESS
Oven _ Dryer W M
Top FAU W H. CITY l/ Tel No
Hood Fano..
_ LICENSE OR
Disp A C REG NUMBER Class •
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1--
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LtJ
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING a
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AZ
Over 1 to 10 InCI. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATETE AND/OR
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Incl PERMITEE /
Over 100 SIGNATURE
DISTRICT NO SSED BY
Services r.
0-200 Amp Under 600 V
201 - 1000 Amp Under 600 VAPPROVALS DATE [NSYECTOR'S NATURE
Over 1000 Amp or Over 600 V
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) W 1 R I NG
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITYCO NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee)
FINAL /g
PERMIT ISSUING FEE 4e - z YY� NOTES a S�ivESS �CGSts�
TOTAL FEE
:h
PLAN CHECK VALIDATION CK Mo CASH PERMIT V41LIDATION CK MID CASH
3 8 Or-'JUL 5 2 9 2 : L °�
C,' I/0'
s S-A 2-46 APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
M. J. FOX CHIEF ENGINEER
ZDISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME ' ._
U ADDRESS
RECEIVED BY READY FOR FIRST INSPECTION DATE ISSUED
W CITY ( TEL.NO,4T- Z
J I COUNTY `r rl 7-,47
CERT.NO. EXPIRES
APIPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESs
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS Isw. _PLUGS FIxT CROSS ST.
CIRCUIT A I B C D E F G H Ir NAME
Z MAIL
ADDRESS
O
_ CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERT ApTE OF !CATION..
i AM THE ELECTRICIAN. '
�,EGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
1 CORRECTIONS
J
Q
— Z
E7
R
TOTAL
NO. OF OUTLETS $ APPROVALS
1 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
TOTAL FEE FINAL
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
1 hereby afliem that I have a certificate of consent to self Insure, 76A663
ora certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS-ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV
copythere Sec 3800 b C) 7/ /
Policy No Company FOR APPLICANT TO FILL IN JOD'RESS
❑ Certified copy is he eby furnished New Residential Bldgs &Pools NO EACH FEE CATY
(J) 1 &2-Family,Sq Ft _ $ $ /
P«I ertifieKI P
d copy is filed with the county building inspection NEAREST
epartmen // Multi-family Sq Ft CROSS ST
Residential Swimming Pools ASSESSOR
Date Applicant MAP BOOK PAGE PARCEL
CERTIFIC TG OF EXEMPTION FROM WORKERS' Outlets Rec _Light Sw FIRMOWNER OR
NAME
OMPENSATION INSURANCE First 20
(This section need not be completed if the work Involved by the MAIL /
Total No Additional ADDRESS
permit is for one hundred dollars($100)or less) �-
1 certify that in the performance of the work for which this permit CITY Tel
is issued, I shall not employ any person in any manner so as t0 PLAN C C /
become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT
Total No Additional
ADDRES
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HPrJb
NOTICE TO APPLICANT ,If; after making this Certificate of CITY 1 AA
T No
Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP
rovisions of the Labor Code, you must forthwith comply with such PERMIT
p y p Y APPLICANT
provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS G
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl
Tel
(commencing with Section 7000) of Division 3 of the Business and CITY N
Incl 50 I
10 to nc
Professions Code, and my license Is in full force and effect Over LICENSE OR
Over 50 to 100 Incl REG NUMBER Class a
Over 100 DISTRICT NO PEUDCESSEn BY O
License Number - Lic Class le-1 I
Services,Swbd,MCC&Panelboards !/ O
FINAL
Contracto 0-399 Amp Under 600 V DATE F"
❑ 400-1000 Amp Under 600 V S , VALIDATION W
I am exempt under Sec
Over 1000 Amp Or Over 600 V FINAL O_
B&P C for this reason BRANCH CIRCUIT FEES BY U)
Date 15A,or 20A, 120V,Lighting or Recept Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circu is ,_
SINGLE FAMILY Temp Power Pole&Appurtenances "C;T '�
HOME OWNER-BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit i•`IJ e 51-,
for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits
Code) ATE NE
❑ Conductors&C
t
d
Conuis o - '�
I, as owner of the property,will do the work and the structure Mlsc �'(1-;1� �� ,� -_s
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code) t #:•
it C.'r
'_['
CONSTRUCTION LENDING AGENCY w'1Eii3G e=tl
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 =! — rja L V 7-1
Lender's Name 1-�
PERMIT ISSUING FEE j z i
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE (�
that the above information Is correct I agree to comply with all County
ordinances and State laws regul ting Electrical wiring,and hereby authorize
repress ves of this County o enter upon the above-mentioned propert
for ins a Ion purposes // SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNAT E O PER EE DATE
COUNTY.OF LOS•ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1312300023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
-.� PHONE (626) 285-0488 EXT
LEGAL ID • FEES PAID BUILDING ADDRESS
ITR 590547 9092 LAS TUNAS DR E
I ` IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15387-023-013 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITYX
IF1 120V, 15/20A BR CKTS 12 00 BR 202.70
TENANT I TOTAL FEES 230.50 JISSUED ON PROCESSED BY PLAN BY•
1 112/30/13 SR
OWNER TEL NO- I (FINAL DATE FIN BY CODE
I WONG, AMY (626) 215-6522- 11
/2( (f
19092 LAS TUNAS I 1/ l W `l
TEMPLE CITY I 11�SCAIVTIO OF WORK
1 1 112 CIRCUIT REPLACEMENT
1 1 I I
APPLICANT TEL NO
1TRAN, BAC (626) 409-8820-
1617 SAXON AVENUE #B ISPECIAL CONDITIONS
ISAN GABRIEL CA I I
I I I I
I I I I
ICONTRACTOR TEL NO. I (APPROVALS DATE INSPECTOR SIGNATURE 1
IBAC TRAN (626) 409-8820- I 1 1
1617 E SAXON AVENUE #B LIC NO 1 (TEMPORARY POWER POLE I I 1
ISAN GABRIEL, CA 884875 1 1 1
1 (UNDERGROUND CONDUIT 1
(ARCHITECT OR ENGINEER TEL NO IUFER GROUND I
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I LIC NO I IROUGH CONDUIT
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1 (ROUGH WIRING 1 1
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(MAIN WATER LINE 1 1
I (PLASTIC Y/N METAL Y/N 1 I 1
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I (UTILITY COMPANY NOTIFIEDI I 1
I I 7 I I I
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1 1 1 I 1 1
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i I i " • it I I I
I (REPORT ID DPR265 ROUTE TO BS0508 1 1 1
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