HomeMy Public PortalAbout9163, 9163 1/2 LAS TUNAS DR_Electrical__ 8 5-A 12-43 2SM
DDEPARTMENT OF BUMDING AND SAFETY APPLYCA�'YON FOR PER""
COUNTY OF LOS ANGELES EL RIC
WM. J. FOX CHIEF ENGINEER
a
NAME // ,, DISTRICT NO. GROUP ZONE GPERM�I+TT iNfO.
ADDRESS 4 _ K!/r- ` D �I7)v
CITY TEL.NO. RECEIVED BY READY FOR DATE ISSUED
W COUNTY �ll /� /� J�/ /� FIRST INSPECTION
W CERT.NO. EXPIRES J//��i —- �_y y
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW.I PLUGS FI][T CROSS ST.
NRIT A B C D E F G H It NAME
Z MAIL
/ 3 ADDRESS
O
2. 'L CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
/Kdif/w.t� A
ELECTRICIAN.
i AM THE LEGAL OWNER OF THE PROPF,RTY DESCRIBED
ABOVE
OWNER.
commCTI®NS
jAv
J
Q
_Z
_O
!r
O
TOTAL 2 J 6
f NO. OF OUTLETS O $ fa APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. E WIRING
/ ✓�/
ENO. F RANGES OR HEATERS / ffi FIXTURES
S z 4 POWER
IT FEE Zg UTILITYCO.NOTIFIED
FEE i FINAL �1'
DDEPARTMENT OF BUILDING AND SAFETY APPLYCATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC ,
WM. J. FOX. CHIEF ENGINEER
Q NAME (iyai =EXPIR [
DISTRICT NO. GROUP ZONE PERMIT NO.
U n
F2 ADDRESS
_ < `CITY/J/ BY READY FOR DATEISSUED
COUNTYrFIRST INSPECTION ,i � y,CERT.NO. /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK. JO
ADDRESS �
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTL SW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D E F G H It NAME
Z MAIL
_ 3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGgLEG COUNTY CERTIFICATE OF ALIFICATION..
6 CTRICIAN.
I AM THE LEGAL OWNER OF THE PROPF,RTY DESCRIBED
ABOVE
OWNER.
COIiR.EGnONS
J
Q
_Z
O_
D
TOTAL -s a' 2 2 2r
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES E DATE INSPECTOR'S NAME
i
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE ?
000% $ UTILITY CO.NOTIFIED
TOTAL FEE FINA 7/
DB S-A 12-43 25M APPLICATION FOR PERMIT
r. DEPARTMENT OF BiJIY.DING AND SAFETY ELECTRIC
OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER-
� DISTRICT NO. GROUP ZONAE PPERMITNO.
NAMEU .00
ADDRESS .3 O.S� lI.O J` S� �� :C- /8`(
CITY TEL.NO. t RECEIVED BY READY FOR DATE ISSUED
yI `/- i FIRST INSPECTION
A COUNTYW CERT.NO. EXPIRES �1 3//'/� , /�� �^y�I��
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS
LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW.I PLUGS FIXT CROSS ST. /
k[R�WrA B C D E F G H- 0! NAME .1
Z MAIL
�L � ADDRESS
Z 7 O CITY TEL.NO.
AM THE LEGAL POSSESSOR OF THE ABOVE LOS
GELES COUNTY CERTIFICATE OF QUALIFICATIO ..
2ELECTRICIAN.
Y AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
/ 3 CORRECTIONS
J
41 1
2
A
J
Q
_Z
� O
r �
0
i
TOTAL 8 �s 8 7 Zvi I
NO. OF OUTLETS w $ 17 p APPROVALS
NO. OF FIXTURES 7�Y, $ DATE INSPECTOR'S NAME
1
NO. OF MOTORS H.P. $ f CONDUIT `/44
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ v UTILITY CO.NOTIFIED
TOTAL FEE v s r FINA `1 6
76AS63-CE80e7.BB APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION AIDRESS
JOHN A LAMBIE, COUNTY ENGINEER
CASSATT D GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PER YU FEES CROSS ST
I T E M NUMBERI EACH FEE OWNER
OUTLETS $ $ MAIL
LIGHTS RECEPT. SW 10 ADDRESS 'C" -
LIGHTING
LIGHTING FIXTURES .10 CITY TEL. NO.
ELEC. RANGES CLO. DRYERS ELECTRIC?AN v/yy�.
W A T E R H E A T E R S .50 ADORES -b
15 Zllc"�tz
ELEC SPACE HTRS. DISHWASHERS
CITY 4 TEL. NO.Off,
GARBAGE DISPOSERS AUTO.-
STATE `I L
WASHERS STA COOKING UNITS .25 LICENSE NO. (r
MOTORS OVER INC H P. DISTRICT NO. I FOUPI ZONE PFCESSED BY
O— 1/i .25 �
v2— 2 so INSPECTION RECORD
2— s 1.00
5— is 1.50
is— so 2.50
v
50—200 5.00
SIGNS: NO. TRANS. C "-�'J T' 7.J.LJ` �� --•'��.
/ NO LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 '
SUPPLEMENTARY PERMIT .50
TOTAL FEE s APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
VALIDAf 1 ARTHUR C. VETT,
CK MO CASH/) SUPERVISING ELECTRICAL ENGINEER
i
9 FIT 1 Q 2 A - 4.8
G--q8
LICO 4 8 1 8 u; APR 10 2 A 2.0 0 M
Ad
78 ,3
DBSj3.33
APPLICATION FO ■ ELECTRIC PERMIT 1
1 DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
COIIIIty Of I.O$ AIIJ2ieS BUILDING
ti WM.J. FOX, COUNTY ENGINEER ADDRESS
� CASSATT D.GRIFFIN. SUPT OF BUILDING C�
LOCALIT
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER EACH FEE
OWNER
LIGHT OUTLETS
MAIL
RECEPTACLES ADDRESS 0.p
WALL SWITCHES
TOTAL OUTLETS 51t I $ CITY TEL O
re
ELEC. RANGES I 25 ELECTRICIAN
_ELEC HEATERS 25 ADDRESS (sem
KW EA CITY �C,�- TEL NO
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS J v
NUMBHORSEPOWER FEE I WER � INSPECTION RECORD
NEW MVD HP OVER INC EACH
�/2&LESS $ .25
1/2 2 50
2 5 1 00
5 15 1 50
15 50 2 50
50 200 Soo
MISC.
w
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $1.00 I ,
FIXTURES $100
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE g � DATE INSPECTOR'S SIGNATURE
I 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
ELECTRICAL WIRING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND S1ATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW ER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P ERTY.
SIGNATURE UTILITY CO. NOTIFIED
OF PERMITTEE FINAL
IN SINMa
WILLIAM J.FOX, COUN+i/ANGINEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
LAC0 6 9 2 jL'n-' AUG 1 Q 2 2.0 0
0
76AB68-CEBOS 7.86 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
CASSATT D GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
I T E M NUMBER EACH FEE OWNER
OUTLETS $ $ MAIL )/1
LIGHTS RECEPT. SW. .10 ADDRESS �K•�.
LIGHTING FIXTURES .10 CITYTEL. NO.
ELEC. RANGES CLO. DRYERS ELECTRICIAff
WATER H EATERS .50 ADDRESS V
ELEC.SPACE HTRS. DISHWASHERS , -e
CITYTEL. NO. S'G
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS .STA. COOKING UNITS .25 LICENSE NO.
MOTORS OVER INC H.P.
O— 1/2 .25 -DISTRICT NO. GROUP ZONE PROCESSED BY
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50—200 5.00
NO TRANS.
SIGNS: NO. LAMPS ''--
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC
WIRING PERMIT 1.00
FIXTURE PERMIT too --
SUPPLEMENTARY PERMIT .50
TOTAL FEE $� APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPER POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL I
CK MO ' CASH 1 ARTHUR C. VETT,
( � SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
LAUO 9 4 3 5 jUL 14 2 A 2.0 0 M
76A�_' C E S06'3-69 ,.r
w �f
APPLICATION FOR ELECTRICAL�MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS 9163 un
E Las Tas
JOHN A. LAMBIE, COUNTY ENGINEER -
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST LOCALITY Temple Cit
FOR APPLICANT,TO FILL IN CROSS ST.
NO. EACH FEE
RECEIPT. $ $ OWNER Vito erran e
ADDRESS 2614 Lakeview Ter
LIGHT TOTAL FIRST 20 20 T,.,
CITYLOSAngeleS TEL.N0.
SWITCH OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES }�_ OVER 20 .70 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL NO.
STA COOK_DISP. F.A.0
CONTRACTORGIBBSBROSELBCTR
SPACE HTR. AIR GOND. ADDRESS 1754 No Main St
CLOTHES WASH DISHWASH. CITY LOS Angeles 90031 TEL.NO 225 5945
FAN OTHER 1.00 LICENSE NO. 169324 CLASS C-10
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY T OPERLY REGISTERED /O
LICENSED AS REQUIR BY LOS AN ELES COUNT D S ATE }
1 - 10 3 00 CALIFORNIA OR TH 1 AM THE LEG L R AN I
RESIDE IN, THE OVE DESCRIBED E T P E O
10 - 50 500 U
SIGNATURE
50 - 100 10A0 OF PERMIT OC
- O
F-
100 - 500 15.00 DISTRICT NO. GTrOURZON
E PROCESSED BY
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 `� '�(l r� y ON
TUBE, OR Z'
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 a D O UTILITY CO.NOTIFIED
FINAL O
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 1
TOTAL FEE JOS PH C. ROOHAN
2 SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0 ■ CASH r� q dPERMIT VALIDATION cK. ' M.O. CASH
j
J
SEE BACK OF APPLICATION FOR COMPL ETF FEE GCH FOUI.E ,
YAPPLICATION FOR ELECTRICAL Pkm�
78A663-CEBOB 4 65 d
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS. SUPT OF BUILDING LOCALITY ` l�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. t
RECEPTACLE TOTAL No EACH FEE
OUTLETS FIRST 20 $ 20 $ OWNER
LIGHT MAIL / _ n
SWITCH ADD'L 10 ADDRESS / L e,--
OVER 20
TOTAL FIRST 20 20 CITY - GC� f3 TEL. NO �(r ZZ -J
LIGHTING 1-.FIXTURES OFIXTURES ADD'L CONTRACTOR
OVER 20 •10
RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS
GARB.D18P STA COOK T . NO CLS1��S,�a
CITY
DISHWASH AUTO-WASH STATE /1
SPACE HTRS, STA.APP.I'/a H.P.MAX.) .50 LICENSE NO i>C �-2—
MOTORS.
MOTORS. OVER NOT OVER HP. DISTRICT NO. GROUP ZONE PROPESSED BY
O 1 1.00 3
I" 3 150 INSPECTION RECORD
3 S 2.00
8 Is 2.50
18 50 3.00 d
O
50 100 500 V
OG
SIGNS. NO.TRANS O
NO LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00 O.
N
SERVICE 0.60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
I
PERMIT ISSUING FEE 200 ..�
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE I APPROVALS DATE INSPECTOR'S SIGNATURE
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQU Y LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORT AT I A THE LEGAL OWNER OF, AND INTEND TO POWER
RESIDE IN,THE ABOVE D CRIBED RESIDENTIAL PROP RTY
SIGNATURE _ UTILITY CO.NOTIFIED If
OF PERMITT
FINAL
U JOSEPH/C. R O
CK MOO CAS CA6H SUPERVISING ELECTRICAL ENGINEER
LAW 1 4 4 ?,20 APR 21 2 D 9.5 0
78A683•CE006 4.65 APPLICATION FOR ELECTRICXL PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
61
COLEMAN W JENKINS. SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
RECEPTACLE TOTAL NO, EACH FEE
OOWNER
UTLETS FIRST 20 $.20 $
LIGHT MAIL
SWITCH ADD'L 10 ADDRESS
OVER 20
TOTAL CIT
LIGHTING FIXTURES FIRST 20 ,20 Y - c fie/, TEL. NO.
FIXTURES ADD'L 10 CONTRACTOR .LANCA�T.€f �,/!2 COrYv
OVER 20 A
RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS
GARB DISP. STA COOK JiI ��
CITY ! 7-.C/1 TEL. NO. Q
('�-
DISHWASH. AUTO.-WASH STATE
SPACE HTRS. BTA.APP.('A H.P.MAX ) 50 LICENSE NO. '
MOTORS OVER NOT OVER H.P. DISTRICT NO. � GROUPI ZSNE I PR_ O SSED
/ O 1 1.00 .-.r
1 s 150 / ,57C INSPECTION RECORD
3 8 2.00
8 15 250
15 50 300 O
50 100 1500 V
ce
SIGNS NO.TRANS O
NO LAMPS V
W
SERVICE 0.600V-NOT OVER 200A 1.00 •/' N
SERVICE 0.600V-OVER 200 A 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTAFtY PERMIT ISSUING FEE 100
TOTAL FEE $ APPROVALS DATE INSPECTOR'S SIGNATURE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS R BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA O HAT! M THE LEGAL OWNER/rERTY
NO INTEND TO POWER
RESIDE IN,THE ABOV ESCRIBED RESI ENTIA
SIGNATURE\ UTILITY CO.NOTIFIED
OF PERMITY' dd - - =--v,
FINAL � / l ., 3�
LIDATION JOSEPH . ROOHAN
UKMO CASH SUPERVISING ELECTRICAL ENGINEER
1 4 4 0-0 APR 21 2 D 5.5-0-
WORKERS'COMPENSATION DECLARATION CE 806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
1 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 n
a certified copy thereof(Sec 3800,Lab C)
192- l 3080-2 Ins. CO. FOR APPLICANT TO FILL IN JOB
Policy o Company EACH NO FEE ADDRESS 9163 Las Tunas
of the West New Residential Bldgs &Pools
❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft $ — $ LOCALITY Temple Git
Multi-family Sq Ft NEAREST
® Certified copy is filed with the county building inspection ( CROSS ST Herm
department Residential Swimming Pools OWNER OR
I FIRM NAME -
Date 1+—�-81 Applicant EdWaxdS Electric Outlets Rec_Light_ Sw MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No }
COMPENSATION INSURANCE
PLAN CHECK IL
(This section need not be completed if the work involved APPLICANT UO
by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS
Total No Additional
cc
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No 0
permit is issued, I shall not employ any person ,n any manner PERMIT
so as to become subject to the Workers' Compensation Laws Range_ Heater_D W. APPLICANT W
W
CL
Oven Dryer_W M ADDRESSto
Date Applicant Top FAU _W H _
2535 S. 3rd Ave. z
Hood Fan _Other_ CITY Arcadia Tel No 447-5096
NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond.— LICENSE OR
Exemption, you should become subject to the Workers' REG NUMBER Class C-10
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 , r���
rJ
Up to 1 Incl
' FINAL '
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE ' /, / VALIDATION
Over 10 to 50 Incl ey`
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 Buso- BY Over 100 '
ness and Professions Code, and my l,cense',s in full force and
effect Services
License Number 257191 , Lic Class C-10 0-200 Amp Under 600 V
201-1000 Amp Under 600 V
Contracto�EaWdS ElectrDia�e July 1982 Over 1000 Amp or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances
I hereby affir
m Sign with One Branch Circuit
that I am exempt from the Contractor's Additional Sign Branch Circuits
License Law for the following reason (Section 7031 5, Busi- -
ness and Professions Code)
Misc Conduits&Conductors
❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)—
structure ,s not intended or offered for sale (Section '�4 7 6 9 A
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency 0 0 0 0 0 2
for the performance ,of the work for which this permit ,s
issued,(Sec 3097,Civ CPERMIT FEE (Sub-Total) ` 0 0 0.0 0 0 0
)
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Q Q 1'4'—$ 1
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 above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
t✓n- , Y� , L` ✓mss--C - 4-6-81
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9608290025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGALID: FEES PAID BUILDING ADDRESS:
TR: 5905 LT: 9 9163 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801906
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA
5387-016-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: TOTAL FEES 33.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TAM'S PRINTING 08/29/96 TC 08/29/97
OWNER: TEL. N0: FINAL DATE FINAL,
CODE:
1808SANTORO ROBERT S - 9_�A
1808 PARKVIEW DR
ALHM 918032613 �IPT�F WORK
INSTALL 3 NEW OUTLETS ON EAST WALL
1 `
APPLICANT: TEL. 0: 1,
ARCADIA ELECTRIC (818) 447-5756-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: O/� APPROVALS DATE INSPECTOR SIGNATURE
ARCADIA ELECTRIC (818) 446-5756- v
1225 HOLLY AVE. LIC. NO �('^ GJ/ RA POWER OL
ARCADIA CA 91006 325086 C10
• l/� UNDERGROUND CONDUIT
ENGINEER:ARCHITECT OR EL. R GROUND
LIC. NO: �}� ROUGH CONDUIT
Rb9ffFI W R I G
� ��C VVn�' � MAIN WATER LINE
C PLASTIC YIN METAL YIN
TITI L I T COMPANY NOTIFIED
�
i
REPORT ID: DPR265 ROUTE TO: BS0508
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