HomeMy Public PortalAbout9128 LONGDEN AVE_Electrical__ 76A663-CE806 10/74 [!"1111 PUCAMlI V FOR ELE-0RC// L PLSRN'T
COUNTY OF-LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION
LOCALITY E H PCC % T
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO EACH FEE OWNER OR
FIRM NAME �'f"I� /'����
RECEPT._ S $ MAIL ,,
LIGHT TOTAL
FIRST 20 "/ ADDRESS l zo, Al e_-, o
OVER 20 .CITY " I� f L..NO a
SWITCH_ / PLAN CHECK
FIRST 20 'y _ APPLICANT
LIGHTING TOTAL
]..� OVER 20 ADDRESS
FIXTURES TTEL. N0. a O (IJ
RESIDENTIAL APPLIANCES CITY 210
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA COOK DISP F A.0 ADDRESS 9 A 4")
SPACE HTR AIR COND CITY EL. NO /�
CLOTHES WASH DISHWASH LICENSE OR
REG. NUMBER CLASS.
FAN OTHER % l�� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
�,J 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 THAI I AM THE LEGAL OWNER OF THE ABOVE 0
1 - 10 300 DESCRIP.ED RESIDE N7 PROPERTY CJ
PERMITEE
10 - 50 500 SIGNATURE
U
50 - 100 1000 LLA
DISTRICT NO. PR CESS BY 'O-
N
100- 500 1500 � 0,13z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DAT INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED ,
UTILITY CO.'NOTIFIED _
FINAL Z 4127
PERMIT FEE (SUB-TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE x900 �O
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M O CASH
5 9 9 r&PR 2 a 1 1.6 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
TEMPLE CITY
76A663-CES06 8-62 APPLICAT16N FOR ELECTRICAL PERNT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
G
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING Y G�Y 1 f-G lr// Y. ,
^%N/' ` '4�
FOR APPLICANT TO FILL IN . C� i( J
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ '2-6 MAIL
OWNER
LIGHT ADD'L 10 ADDRESS E
SWITCH OVER 20 �+
TOTAL CITY ��` L6 C I TEL NO.
LIGHTING 1-1
FIRST 20 .20 /FIXTURES ADD'L 10 ELECTRICIAN W LEC/ c
OVFR 20 /, C
RANGES CLO DRYERS . WTR.HTR9. 1.00 ADDRESS -5--a(0 (/LL /
GARB.DISP. STA COOK
CITY �"l PLE TY TEL.NO. —O.pyS—
DISHWASH AUTO.-WASH STATE
SPACE HTRS ' BTA.APP.(,/a H.P.MAX.) .50
LICENSE NO.
MOTORS OVER NOT OVER H P DISTRICT NO. G P NE MPEj!�r BY
0 1 1.00 _ a0
1 3 150 INSPECTION RECORD
"D 3" a 2.00 "
8 is 2.50
15 50 300 �.
a
50 100 Soo O
U
NO.TRANS
SIGNS, NO.LAMPS O
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00 i N
SERVICE OVER 600V 500 r
MISC.
PERMIT ISSUING FEE 200 O
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $ 5'
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING n '
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P OPERTY POWER g)
SI
OF PERMITTEE GNATURE UTILITY CO.NOTIFIED
yy ,/
mm FINAL A�{^�•�U�
CK
0MO CASH IDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
Vhl 7 7 5 6 Jr�PJ 2� 2 D 520-
v _ WORKERS'COMPENSATIO1.N DECLARATION 76-663 10/81 MA PPIL CAMO,N FOR (gyp ECTM/�p RyERNT
I�6mby affirm that I havd"a bertific`ate of,consent,to self insure, CE-806G I��I� AA�� IG IL bi11L IT BH9
or a certificate of Workers' Compensation Insurance, or a certified COUNTY,OF LOS ANGELES BUILDING AND SAFETY
copy Areof(Sec 3800,Lab C)
POhCy NO Com an FOR APPLICANT TO FILL IN. JOB '
❑ Certrfied copy is hereby furnished New Resdential Bldgs & Pools" EACH, .NO FEE ADDRESS f �_
" i - $ —'$- LOCALITY
❑h,r Certrfl@d copy is filed with the county' building inspection , 1 & 2-Family,Sq Ft I J 7 s —
department' �' Multi-family Sq Ft NEAREST
�. CROSS ST' 4t,
Date cant ' Residential Swimming Pools OWNER oR .
• • ., Appy - ,., 'i. �✓y tet, I, FIRM NAME.. Z z
M CERTIFICATE-OF EXEMPTION FROM.WORKERS'q " ' �'` MAIL ( .
Outlets Rec T Light•-'Z Sw �-
-, • ' - •-•• •,,COMPENSATION,INSURANCE ','w,;,•�,"' - '13,' � ADDRESS .• '— -- ,
,(Thls'section need riot be�coinpleted if the work.involved`by the First 20 ;
F permltyistfor;one,Hundred;dol[ars.,($100)ror.less.j; Total No. A Additional,` �- CITY— (f -Tel No
+" PLAN CHECK-"
;J;certify;that in the performance of,the.work.for.which-this•,permt. " APPLICANT
is,issued, I shall not,gmploy.any person'in,any,manner so'as to +
become'sublect}to,,the Workers'"Co pet "' Lighting Fixtures,e -=First 20' ° rr t ADDRESS `
Additional r > '
_ Total No ��, - CITY-. ^d .Tel'No,
.3, -
Dat Ap
NOTICE;T—PLICANT after'. makm is Certificate 'of Fixed*Appliances NOt�•Over 1 HP y PERMIT' •y;ro - F '
�.., - _ x.:- „ _ 'APPLICANT '
Exemption,you should become subject to e Workers'Compensation Range_ Heater_ DW •
° 'provisions ofrthe Lebor:Code •you`must'forthwith`comply wdh such' Oven _ Dryer WM _- ADDRESS'
provisions or this•permi?shall Abe deemed revoked � , Top FAU ,_'�W H _
LICENSED,CONTRACTORS DECLARATION � Hood �'Fan Other'g ;+ CITY r-'��' �' Tel No
-yl hereby affirm;that l am'licerised��under prowsiors of
'Chapter '9 J t j •`� g"' uCENSE OR'
t _ - t, bis _jc Room Air,Cond m Class':3
(c&4encing_with`Section'7000) of Division 3 of.the Busuiess and P '• REG NUMBER �
Professions Code,aa`nd my licehse is in fulkforce and effect Power Apparatus& Large Appliances DISTRICT No i `P CES BY
-
li 'Siie& Type HP,KW,KVA,or KVAR
`` .License'Number Lic,Class r ' Up to 1 Incl `• "`'FINAL e v'
"� ;{ � x -Over 1 to 10 Incl " DATE }+ d4 �• �NVALIDATION� 0 °
ContractorYJ�✓y'L*�"`"
Da e', r^
„ �, Over 10 to 50 Incl FIN- .' V
I am exempt under Sec - Over 50.to 100 Inc
By,
r1 w
B&PC for this reason ,,,Over 1 00
~ V Services;Swbd,MCC&Panelboards r;� rf2 - Y `
;Date - 200 Amp Under 600'V-
0
Signature% ^ 201`-^1000'Amp Under600V
Over'1000-Amp or Over 600 V
Exemption for,Reg Maint,Elect r s4
t'
°SINGLE FAMILY 1" n' - ° ;Temp Power Pole'&'"Appurtenances
` HOME OWNER-BUILDER DECLARATION Sign with One Branch'Circuit,'' + - A
I hereby affirm that I am,exempPfrom the Contractor's,Licerise Law' g'
for•the following reason'(Section 7031 5, Business•and Professions_
Additional Sign Branch Circuits
Code) , ', s 7 // •�c
' - 07
MISC Conduits& Conductors t; -
I,as,owner of the property,-will do the vwork•and the structure'' t �� �
is not intended'or offered for sale'-(Section 7044,,Business Other(See Complete Fee Schedule),_ ,
and Professions,Code) 34='
r Y NOTALWit_
CONSTRUCTION LENDING AGENCY, -- -- - -7
l,he' by affirm that there"is`a 'construction lending agency for the �, �`. CAC '
performance of the work�for which this permd`,Is,issued(Sec,3097,;:_ PERMIT FEE' (Sub-Total) i i, - CHANGE , I�
Civ C) , • ,
�� a, es
Pi,-AN-CHECKING FEE'
Lender's,Name If i— 3/28/89
` PERMIT ISSUING FEE " < /� a � O M
Lender's Address- :Y , ' •. �'s. . a y,d111 29.
('certify'that have read this application and state that the above TOTAL';FEE Y t '
r7 r-4
information is'coriect I agree to comply wdh,all County,ordinances•: '' "
and,State laws regulating.Electrical wiring, and hereby, authorize i
representatives of this County'to-enter upon the above-mentioned 'k �'• Y
property for
_mspecUon purpo
SEE,REVERSE FOR•EXPLANATORY.LANGUAGE_
� ,.��w!�' , k, • � . •t' a Y' ' �
,1,i", Y l
+ re 0 ermitte Date
' •M
COUNTY OF°LOS ANGELES TEMPLE CITY # 0508 EL'ECTRICAL,PERMIT
DEPARTMENT OF PUBLIC WORKS 9071-LAS TUNAS ELtA508-97-102100393
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LIEGAL FEES PAID
TR: 5904 LT: 241 �9128•LONGDEN_AV--
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP"CA'917801603
ASSESSORA ON - NEAREST CROSS STREET:
5384-009-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 - LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75
A T: G2 LIGHTING FIXTURES 16.00 LGT 31.20 ISSUED 0 SE ES
TOTAL FEES 68.70 10/21/97 UT 1 10/ %98
OWNER: TEL. NO: FINAL DA -TINAL BY: CODE:
RAMIREZ CRUZ R;ESTELA
9128 LONGDEN AV 1- A
TEMP 917801603 DYMOMON OF WORK
LIGHTING IN'FAMILY ROOM
APPLICANT:
SAME AS OWNER
LES
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: ®� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO � /�j TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT-OR R: ® UFER GROUND
LIC. N0: OUGH'CONDUIT
ROUGH tttttti
WIRING
P U B U C W O U K S MAIN WATER LIN 6l�
W PLASTIC Y/N METAL Y/N
0UTILITY COMPANY NOTIFIED
�j 0 t ��
REPORT ID: DPR265 ROUTE TO: BS0508