HomeMy Public PortalAbout8701 LONGDEN AVE_Electrical__ 76AG63 CE-806(6/78) O"'00 PUC ATIO l V �OR ELECTRMAL PERMIT
COUNTY OF LOS ANGELES' . BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS G1 7 d ( �� /� �1�✓ V�.
New Re"sidential Bldgs &Pools EACH NO FEE
1 &2-Family,Sq Ft $ 025 — $ LOCALITY
Multi-familySq Ft 02 — NEAREST
Residential Swimming Pools 25 00 CROSS ST
OWNER OR
FIRM NAME GV�L+L l2
Outlets Rec q bght�Sw MAIL
First 20 50 td Ott ADDRESS
Total No Additional 30 CITY Tel No
PLAN CHECK `
APPLICANT
Lighting Fixtures First 20 _ 50 ADDRESS
Additional 30
Total No CITY Tel No
New
Appliances Not Over 1 HP PERMIT ovull
Range_Heater_D W APPLICANT
Oven—Dryer_ W M— ADDRESS
Top _FAU — W H CITY Tel No
Hood_Fon —Other LICENSE OR
Disp —Room Air Cond 2 50 REG NUMBER Class
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH-ALL COUNTY ORDINANCES AND STATE LAWS
Size&Ty�e HP, KW, KVA,or KVAR
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF U
Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc
25 00 DESCRIBED RESIDENTIAL PROPERTY
Over 100 4000 PERMITEE
SIGNATURE VA
VA
Services DISTRICT NO PROCESS D BY
0 200 Amp Under 600 V 12 50
201-1000 Amp Under 600 V 25 00
Over 1000 Amp or Over 600 V 5000 Z
p
Temp Power Pole&Appurtenances 1000 Q
Sign with One Branch Circuit 1000 G
Additional Sign Branch Circuits 200 INSPECTION >
1 0 00 INFORMATION W 20 6 4.7 A
Misc Conduits&Conductors ON REVERSE x
Other(See Complete Fee Schedule) A
SIDE v # 0 0 0 0 0 1
Z
r�
L p ,o 1`200
PERMIT FEE (Sub-Total) 1200
PLAN CHECKING FEE (One-Fourth Permit Fee) O Q 0 6—7 8
0
PERMIT ISSUING FEE $000 �2
J
TOTAL FEE >
INSPECTION FINALED
d
"
C
date By ts
76A663-CE806 9-64 APPUCAMN FOR ELECTMAL PERM07
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING C
BUILDING AND SAFETY DIVISION ADDRESS G
JOHN A. LAMBIE, COUNTY ENGINEER L
COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT TOTAL NOEACH FEE �e
LIGHT OUTLETS FIRST 20 $20 $ OWNER V
MAIL
ADD'L ADDRESS
SWITCH OVER 20 .10
TOTAL CITY TEL. NO.
LIGHTING � FIRST 20 .20
FIXTURES _ ADD'L 10 ELECTRICIAN •
OV R 2O
RANGES CLO DRYERS WTR -TRS too PJ ADDRESS ✓
GARB.DISP. STA COOK CIT TEL.
DISHWASH AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(% �/y H.P.MAX ) .50 LICENSE NO. VV
MOTORS OVER NOT OVER HP DISTRICT NO. GRrj ZONE P O ED
O 1 100
+ 3 ISO INSPE6TION RE ORD
3 8 200
a
O
8 15 2.50 u
15 50 1300
50 100 500 Q
NO TRANS CILI
SIGNS NO LAMPS H
Z
SERVICE 0.600V-Nor OVER 200A 1.00 Q
SERVICE 0.60OV-0VER 200 A V200
SERVICE OVER 600V 5.00
1 MISE.
t
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSP 'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND_STATE LAWS REGULATING
ELECTRICAL WIRING.
S WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T E LEGAL WN F. AND INTEND TO
RESIDE IN, THE ABOVE CR ED REST NT PROPERTY POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL 1�
VALIDATI JOSEPH C'ROOHAN
CK M
SUPERVISING ELECTRICAL ENGINEER
CASH
Ao 2 6 0 9 MAY 13 2 A 4.00-
76A663-CE806 3-69
APPLICATION FOR ELECTRICAL PERWT
' COUNTY OT' LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rA
ILDING
BUILDING AND SAFETY DIVISION DRESS - LQJOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITY nqFOR APPLICANT TO FILL IN AREST
CROSS ST.
NO. EACHI FEE
$ $ OWNER
RECEIPT._ MAIL
LIGHT TOTAL
FIRST 20 ,20 ADDRESS
CITY TEL.N0.
SWITCH OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL NO.
STA. COOK_DISP. _F.A.0 CONTRACTOR 14 _ A(-D — L '� R
SPACE HTR. AIR COND. ADDRESS SL
CLOTHES WASH._DISHWASH. CITY - TEL.NO Q'_
FAN OTHER 1.00 LICENSE NO. 0 C) ~' CLASS.Cl
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.
O - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
CL
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF O
( lu�( 1 - 1O I 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO U
RESIDE IN, THE ABOVE DD RIBED RESIDENTIAL PROPERTY.
10 - 50 5.00 /
SIGNATURE z O
50 - 100 10A0 OF PERMITTEE u
V
w
100 - 500 15.00 DISTRICT NO,
GROUP ZON P CESSED Y N
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES
r
SERVICE NOT OVER 600 VOLTS OR 200 P 0 2.00
2-110
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 A
UTILITY CO.NOTIFIED
PERMIT ISSUING FEE 2.00 2
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL f/,vP
r
TOTAL FEE 1>
JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. MID CASH PERMIT VALIDATION CK. M.O. CASH
3.8C' to 28 2 A 7.0 0�'
SEE BACK OF APPLICATION 101 1"OMPI ITE FEE SCHEDULE
W6RKERS'COMPENSATIGNDECLARATIGN
, 76A663CE-806G (2-80) ABPCAT ® C -FOR ELECTRICAL PERMIT
� -
I hereby,affirm Ofat I liave a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec 3800,Lab C.)
FOR APPLICANT TO FILL IN JOB IO _
Policy No Company EACH NO FEE• ADDRESS
' New Residential Bldgs &Pools
Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY (�
OMulti-family Sq Ft — NEAREST A,
Certified copy is filed with the-county building inspection Residential Swimming Pools CROSS ST Q/v
department OWNER OR
FIRM NAME J14 (. m
Date Applicant Outlets Rec Lighti sw21— ADDRESS Y
y
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional' CITY �V �o el No 3 }
COMPENSATION INSURANCE _
- PLAN CHECK a'
(This section need not be completed if the work involved PPLICANT / t"i' O
by the permit is, for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS �-n�
Total No , Additional
1 certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP , CITY T`7(�I Tel No�P ZQ 0
permit is issued, I shall not employ any person in any manner PERMIT W
so as to become subject to the Workers' Compensation Laws Range_Heater-9 W. APPLICANT — ti, a
Oven _ Dryer W.M._ ADDRESS • _ Z
Date " Applicant S%I r�-y (fit Top _ FAU _WH' _ Z
;0 F
Hood Fan _Other_ CITY t:-
Tel No J
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
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PRO ED BY
with comply with such provisions or this permit shall be
deemed revoked Size&Type HP,KW, KVA,or KVAR
'Up to 1 Incl
Over 1 to 10 Incl FINAL
DATE
LICENSED CONTRACTORS DECLARATION VALIDATION
Over 10 to 50 Incl
I 14cFINALreby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc - BY �
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100
ness and Professions Code, and my license as in full force and
effect pQ Services
License Number Lic Class ell— 0-200 Amp Under 600 V
��tt 201-1000 Amp.Under 600 V
G
Contractor #11LY -b-YC :Date 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 1 4 A
ness and Professions Code) #'o a o o,0 2
Misc Conduits&Conductors
EJ 1, as owner of the property, will do the'work and the Other(See Complete Fee Schedule)— 2 0 0 2 G 5 0
structure is not intended or offered for sale (Section
7044, Business and Professions Code) Ja'o ° 2 G J�0 6CONSTRUCTION LENDING AGENCY
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) 0 a 0 2'-8 3
issued (Sec 3097,Civ C.) I I k ,
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's AddressPERMIT ISSUING FEE
® ,
I certify that I have read this application and state that the TOTAL 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- entioned property for ins ection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE -
8 7-
Sign ure of.Permittee Date
COUNTY, OF LO§ ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703190013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I _ FEES PAID I BUILDING ADDRESS I
ON FILE I I 8701 LONGDEN AV I
IFEE DESCRIPTION: QUANTITY. UOM- AMOUNT I SGAB CA 917751813 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ROSEMEAD
15381-022-020 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE: 596 GRID• G2 LOCALITY TEMPLE CITY, Cl
1G1 OUTLETS-LGT,SW,RECP 20'00 OUT 39 00 I I
ITENANT 1G2 LIGHTING FIXTURES 5.00 LGT 9.75 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
1H1 RES ELEC OVEN IT 3HP 1.00 OVE 10.95 103/19/07 JK 09/15/07 1
I 1H3 RES DISHWASHR LT 3HP 1.00 DIS 10 95 1 I
(OWNER: TEL. NO 1H4 RES RANGE HDS LT 3HP 1.00 HOO 10 95 1F AL TE FI - CODE
ILIU, TINA (626) 780-4694- 1 TOTAL FEES 109 35 1 � i
18701 E. LONGDEN AVE I I {{{•••••���///
ISAN GABRIEL CA 91775 1 ID SCRIPTION OF WORK
I I 1ELECTRICAL FOR INTERIOR RE ODEL 1
1APPLICANT TEL NO: 1 I
ISAME AS OWNER
ISPECIAL CONDITIONS
I
I I -�- t-_ `� I I
CONTRACTOR: TEL NO- ^"ti) `
I I _ (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - 1 I I
1 LIC NO 1 1TEMPORARY POWER POLE 11 I
I 1 (UNDERGROUND CONDUIT
I I I
ARCHITECT OR•ENGINEER TEL NO1UFER GROUND 1 I
_ I I I
1 LIC- NO 1 IROUGH CONDUIT
I I I
I 1 1ROUGH WIRING
I I IMAIN WATER LINE
I PLASTIC Y/N METAL Y/N 1 1 I
(UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 I I I I I
I IREPORT ID DPR265 ROUTE TO- BS0508 I I