HomeMy Public PortalAbout9402, 9404 LAS TUNAS DR_Electrical__ 4AG63=CEB0610-60 APPLICATION FOR,,ELECTRICAL..PERMIT
COUNTY OF LOS ANGELES .
DEPARMENT OF.COUNTY ENGINEER, BUILDING �' 3
BUILDING AND SAFETY DIVISION; ADDRESS
r Lr.'
JOHN A. LAMBIE, COUNTY ENGINEER (v p
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY `
NEAREST
FOR APPLICANT TO FILL-IN CROSS sT'. �I.CSS Cy
PERMIT FEES OWNER lyr
MAIL
I T E M NUMBER. EACH FEE. ADDRESS
OUTLETS: $. $
LIGHTS RECEPT✓B SW. .10
CITY TEL. NO.
LIGHTING FIXTURES
�ELEC. RANGES CLO. DRYERS ELECTRICIAN "/ 'L L'L I I �/'�L
WATER' HEATERS x.50 ADORES$ 5`6
ELEC.SPACE HTRS. DISHWASHERS. - - (�� r ' /
CITY 4 J?• TEL NO. 2
GARBAGE DISPOSERS AUTO.- STATE j -
WASHERS STA.COOKING UNITS .2S � '
LICENSE NO. F `
MOTORS: OVER INC. H.P. - _ DISTRICT NO.' I G OUP ZONE -I PESSED.BY
1/2— 2 ' .50: � INSPECTION'.RECORD-
2— 5 t.00a
2 0 _ O
5— 15 1.50 CJ
15— 50 2.50
50— 200 5.00 a
NO TRANS.
SIGNS: -./
NO.LAMPS C L/ d/�?Y \ i. (- ,< /Z
SERVICED-600V tpp -7-A4.r ^I A,rRJT;s
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERM IT ` .:50. -
TOTAL FEE $ 3
1 HEREBY ACKNOWLEDGE THAT I'HAVE- READ THIS..APPLICATION APPROVALS 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 '
1HEREBY CERTIFY THAT I AM'PROPERLY-REGISTERED AND/OR -
LICENSED AS REQUIRED BY LOS ANGELES.-COUNTY_ AND STATE OF FIXTURES -
CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENT L P P ,Yt. POWER'
OF PERMIT TE �Yh� /` 1. a. .UTILITY CO.NOTIFIED
FINAL
VALIDATION-1 ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
i.J•4:z. f 4` ��.n ..i d
i �
CBS'&A 25M SETH'.
DFPARTNFENT ,O,F BUII� G AICD SLiCATION FOR PERMIT
COi7NTY SOF' I.OSA�GEdks �-1 �' I '
Mk_.J.aF IEF�`. ER:
2 - II,E67RlCT N0. GROUPZONE PERMIT NO
RECEIYED.BY DATE ISSUED i
C:IT"1fir � `. �TIEL NOJ � FIRST 7INSPECTIONr
,w
ry Y a 'LINED
ON ONLY
" APPLLCANT: IN III;AcY[I.
DEC TIOF:WORK ` A fltR c/ .cc�rL orf
NUMBER O1:0uati&re oav;cawcultS Locw
LOCATION w ROOlAC. NHARRST
LIGHT OUTLETS- SW. GS Pt7iT . ,C - ST f-� ]C�11�{yA/4,mss>t_./lf 1) 1 L./.s6'.,
CIRCUIT A B C D E F G H 0: NAME f.
MAIL
3 ADDRESS
O
CITY TEL.NO.
AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANOWJM COUNTY CERTIFICi.TE OF,QUALIFICATION:.
ELEQTRICIAN.
1 AM THE"GAL OWNER OF THE PROPERTY DESCRIBED
cz
ABOVE
OWNER: ;
CORRECTIONS
IT's eAAr i..t"4't/2 / /'��. z
Zz,f I 1=
OT Z?1 �S / ' '119 11 1 1
- 73 APPROVALS
NO. OF OUTLETS >'
2 '
' N OF l7X7'UitaB$ ��j1 _ I DATE INSPECTOR'S-NAME
NO. OFiMOTORS,fifH.P.
NO. OF SIGNS TRANS.— > WIRING —s
'NO. OF RANGES OR HEATERS $ I FIXTURES
M.1 $ i POWER
_PERMIT FEE $' / �1. UTILITY CO.NOTIFIED
TOTAL FEE 2.L FINAL r
APM
RWr
DSS
SA25MSETSS7--A7 �1 }/7�g�y,�T^ fq� �pt/�'g� C a MON FOP, AE
DEPARTMENTgr��r�O�IC 7BUILDING
�Y7J�ILDI 1p!pL7,(v E��1Ng.@�.D� S A1[1L' 8.9. I�E3� �^
COW17H 1 OF DUOS ANGELES .. ELECTRIC
'
WM. J. FOX. CHIEF EN INE R ..I
e. NAME;
777-77777" DISTRICT NO. GROUP ,ZONE PERMIT NO.
U ADDRES- •. 1`j �' fF �i � � �11,''
U CITY ,+l f �//`l;(`� - TEL.NO Pte/ G-� 'RECEIVED BY READY FOR DATE ISSUED
1 i FIRST INSPECTION
CUNTY
W CERT.NO. EXPI RES/A
r
APPLICANT FILL IN HEAVILY.OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS //! �U �._lrfJ J /,/�.`f^n•.�l.fi�..f_1��lt. .
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST f y
LIGHT OUTLETS JSW. PLUGS Flur CROSS ST. /.�d,��1 iI� d_,�i3 1�!�" /✓I�.
CIRCUIT A B C D I E F G H X NAME /✓LG
''�,y - Z MAIL -
L' t21.i k' ADDRESS
r �W4! xrcx C� O CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
�f ELECTRICIAN.
I AM THM LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
' - OSUNER.
coptiREMONS .
Q
Z
E3
a,
D
TOTAL Z
No.'OF OUTLETS r-3 . $ APPROVALS
NO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
- v
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ ^� POWER
/J
PERMIT FEE / >s✓ UTILITY CO.NOTIFIED // t
TOTAL FEE
BS S-A7
D 4DEPARTMENT OF BUILDING AND SAFE'T'Y '
APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES i L CTRIC '
WM. J. FOX CHIEF ENGINEER,
DISTRICT NO. GROUP ZONE PERMIT .
G NAME /�-^ C-3
/_ QQ /p
U ADDRESS '1/LI
E w�
Gam(��3� 7.. CEIVED BY READY FOR DATE ISSUED
W CITY ,,{ TEL. FIRST INSPECTION / �-
W CERT.NO. D 6 EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS I FIZT CROSS ST. A m�i��
CIRCUIT A B C D E F G H IX NAME Or I e
Z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF Q ALIFICATION..
ELECTRICIAN.
I AM THE"GAL.OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
i CORRECTIONS
J
— a
Z
0
TOTAL
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 $ qq POWER
PERMIT FEE $ V® UTILITY CO.NOTIFIED �-
TOTAL FEE FINAL
i. _. .APPLICATION
®�. ®.7g� gpp�■p .. ELECTRIC
n p�eagg�gp�� p/�_ PERM 1
]:)BS-5A 3-55
., ' DIVISION OF BUILDING AND SAFETY
Department of County Engineer f-C 6
Coln of Los Angeles ADDRESS I
WM.J. FOX, COUNTY ENGINEER
CASSATT D.GRIFFIN, SiiP-T OF BUILDING �+ y
LOCALITY ygaqt-
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
1' NUMBER EACH FEE :'OWNER
LIGHT OUTLETS _
RECEPTACLES ADDRESSMAIL V
WALL SWITCHES
TOTAL OUTLETS - _ U S CITY lit 1 E11 NO.
ELEC. RANGES - 25 ELECTRICIAN I-� �d�j
_ELEC. HEATERS 25 ADDRESS :3 1• -� _ y
KW EA CITY TEL. NO. ; 7�6
FIXTURES 5 LICENSE NO. 0.
NUMBER OF LIGHT CIRCUITS. DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE'CIRCUITS I C -;%ALv
MOTORS
NUMBER HORSEPOWER ,FEE IIVSPE TION RECORD
NEW MVD. HP OVER INC. EACH
I12&LESS. S .25
1/2 2 .50 -
2 5 1.00
5 15 1.50
15 50 2.50 .
50 200 - 5.00 -
MISC. I '
NO.SIGNS NO.TRANS.'
NO.SIGNS NO. LAMPS "
FOR EACH PERMIT:
WIRING $1.00
FIXTURES SI.00 �1
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE g DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 'I-HAVE'READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT V AM PROPERLY. REGISTERED AND/OR FtXTURES�
LICENSED AS REQUIRED BY LOS ANGELES.000NTY AND STATE OF -
CALIFORNIA OR THAT I-AM THEGAL-'OWNER •F THE ABOVE POWER -
DESCRIBED RESIDENTIAL PRO -STY -
SIGNATURE /• j .UTILITY CO;NOTIFIED _
OF PERMITTEE - FINAL
WILLIAM J. FOX.'COUNTY ENGINEER' VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
7 MAR 2 0 2 2.0 U
0
DB$Sp1�5-pA�♦12�-r44��1��,7rp� -p�g�g�T 91�T� �v��rg�� �PU��®N �R P,.„�.,,.,,.�.
g[7[:St].OLLAlr%9:�17A '®� �IJYD-�Y71tla� t91�lYJ SAFETY �g./�� ��i��•��
COUNTY OF LOS ANGELES
WM:`J. FOX CHIEFeENGINEER
q NAME DISTRICT NO. GROUPJZONE PERMIT NO.
U—a ADDRESS
CITY Y TEL.NO. /'��31 RECEIVED BY READY FOR DATE ISSUED
yy�� // '/ FIRST INSPECTION
W CERT.NO. U ! EXPIRES D 3 — � �'► � +®Pa+ ^
APPLICANT FILL IN HEAVILY OUTLINED POIITIQN ONLY
JOB
DESCRIPTION OF WORK ADDRESS ��
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST „-¢)
LIGHT OUTLETS ISW. PLUGSFIxT CROSS ST. /j'
CIRCUIT A B C D E F G H p: NAME / (� r
/ z' MAIL
J/ Q ADDRESS
--m , �[ o
CITY TEL.NO.
13 d.4, L I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF UALIFICATION..
c Iry 7&14
ELECTRICIAN.
I AM THE"GAL OVINER OF THE PROPERTY DESCRIBED.
ABOVE
OWNER.
9
CORRECTIONS
J
— Q
_Z
L7
O
TOTAL 2
NO. OF OUTLETS $ 1S" APPROVALS
> NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS W.P. w $ CONDUIT
NO. OF SIGNS . TRANS. $ j WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FEE _2 FINAL } ��
76A663C— CE806B 12/75 APPLIC 0
ION FOR ELECTRICAL .PERMIT
! 1 '
BUILDING D SAFETY DIVISION
FOR APPLICANT TO FILL INate{.. ^
New Residential Bldgs. & Pools EACH NO. FEE ADDRESS /! (��yf
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft, CROSS ST. ",
Residential Swimming Pools OWNER OR
FIRM NAME jGV % �rt�T
Outlets: Light, Switch & Receptacle MAIL Gv
First 20 ADDRESS
Additional CITY _r_-Y-</—Le 6 trT,41. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel. No.
PE
Fixed Appliances Not Over 1 HP APPLIICANT 4-6U_)A,
Range Heater— D.W. ADDRESS 'a-T2 2• C.-{ S Tom-✓t9 S
Oven Dryer VV.M.
Top FAU W.H. CITYr6—--e C-I. 7 Tel No
Hood Fan LICENSE OR
REG. NUMBER Class.CP---/
Disp. A.C. o
U
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING f
Size&T ELECTRICAL WIRING. V
Type HP, KW, KVA,or KVAR LLJ
Up to 1 Incl. 12—.�� 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR N
Over 1 to 10 InCI. LICENSED AS REQUIRED By LOS ANGELES COUNTY AND STATE OF
Z
CALIFORNIAOR 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 y
DISTRICT NO. P CE FAD BY
Services / ,
0-200 Amp. Under 600 V '��' c L� �J I�Lg ',
201 - 1000 Amp. Under 600 V APPROVALS DATE INSP TOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances 1UNDERSLAB WORK t
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WI R.I NG t '
v �
FIXTURES (�
POWER AUTHORIZED ✓
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL L � Z�'
PERMIT ISSUING FEE
NOTES
TOTAL FEE '
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4: 0 6 x;1; 4 �? :C) U A,'':;
_ 1
76A663-CE8061-67 APPLICATIO N ELECT L PERMIT
OR
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9 149 / ?U�1/►�S 'd
AD
BUILDING AND SAFETY DIVISION DRESS 7 T7 /v
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY a Q 1
NEAREST / /r
FOR APPLICANT TO`FILL IN CROSS ST.
RECEPT.. TOTAL -No. EACH FEE IuT�N G
OUTLETS FIRST 20 $.20 $ K.�
-.O. .OWNER /� `_J
SWITCH LIGHT MAIL
ADD'L f0 ADDRESS �D SIG .46 77011 S �8.
OVER 20
TOTAL FIRST 20 ,.20 CITY / .TEL. NO.
LIGHTING FIXTURES
FIXTURES OVER
2 CONTRACTOR vy,/f} 1714" L ��
OVER 20 .10 1 r1 d
-RANGES DRYERS WTR.HTRS. 1.00 ADDRESS 7" C, / /�F O r71C ♦/7 All
GARB.DISP. STA.COOK 4/<z6
/� (o
' CITY � � TEL.NO. �f W
DISHWASH. AUTO.-WASH.. STATE -)q
SPACE HTRS. STA. APPL. .50 -LI;CENSE NO.
MOTORS: OVER NOT OVER H.P. {DISTRICTO. GROUP ZONE ES ED BY
2, O 1 31� 100
�f� =- �PRQC
3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50 G /C,i..A1Ce_
15 50 3.00 }
IL
50 100 5.00 0
SIGNS: NO.TRANS- O
NO.LAMPS
SERVICE 0.600V.NoT OVER 200A 1.00 W
CL
SERVICE 0-60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00 -
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $ s
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 10 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 1 AM PROPERLY REGISTERED AND/OR FIXTU REB
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A �HE �L OWNER OF.AND INTEND T. POWER
,RESIDE IN,THE ABOVE E CRIBt RESIDENTIAL PROPERTY. /1
SIGNATURE UTILITY CO.NOTIFIED t',/ ref/. //,
OF PERMITTEE FINAL Com/ v v
�LCDATIQN JOSEPH E. ROOHAN
CK MO CASH SUPERVISING ELECLEC
TRICAL ENGINEER
Lily 0 1 7 11-rl- XJG21 i= D 6.0 0 N ov
D5S65A3.55 APPLICATION FOR ELECTRIC PERMIT '4
DIVISION OF BUILDING AND SAFETY
Depastmeait;of County Engineer
County of Los Angeles BUILDING G
...', WM.J. FOX: COUNTY ENGINEER ADDRESS�,' ..�
r• CASSATT D:60ZI FFI N, SUPT OF BUILDING _ #
LOCALITY z-•f .'' 1....
FOR APPLICANT TO FILL IN
NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE
OWNER f'—q.." 7 lam.I�V i I f•
`I LIGHT OUTLETS � - -
k RECEPTACLES - MAILADDRESS -
WALL SWITCHES •y'� s � I
TOTAL OUTLETS 5¢ $ CITY 1 ,L I '�-k . ✓ ITE`
.c. L. NO.
ELEC. RANGES I 25 ELECTRICIAN
_ELEC. HEATERS 25 ADDRESS-
KW EA - CITY IL `"(L.ff ' _7 TEL.NOf
FIXTURES 5 LICENSE NO. It ' !J •I- G^>,f— '
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP I ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS ,�✓ I/�r
MOTORS ^J
NFEE
R l -. HORSEPOWER INSP CTION RECORD
NEW MVD. HP OVER INC. EACH
1/2&LESS $ .25
1/2 2 .50 --
2 5 1.00
5 15 1.50
I'S 50 2.50
.50 I 200 5.00
-MISC.
NO1.SIGNS.' NO.TRANS. n l
N0.SIGNS .r / NO.LAMPS
F,OR_EACH PERMIT:
gA'IRING - $1.00 -
"FIXTURES $1.00
'SUPPLEMENTARY .50 - - APPROVALS
_ TOTAL FEE I g L.�(,! _ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT .THE ABOVE:IS CORRECT AND AGREE TO COMPLY li
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING -
ELECTRICAL WIRING. .
I HEREBY CERTIFYTHAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF .,
CALIFORNIA OR THAT 1 AM THE LEGALy OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY-/ i-•fE' -
¢% UTILITY CO.NOTIFIED
SIGNATURE M I.. :. - -
OF PERMITTEE a' FINAL
WILLIAM J.-FOX;'COUNTY ENGINEER VALIDATION- A. C.VEIT,CHIEF ELECT.INSPECTOR
.. 'J � •
O
WORKERS'that
COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-806G 7�
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY lu'
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS
❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY
tion department, Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST. !�
Date Applicant OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL
COMPENSATION INSURANCE ADDRESS
s section neenot completed if the work involved b First 20
(Thitid t b
p Y Total No. Additional CI� Tel. Na
the permit is for one hundred dollars ($100)or less.)
that in the performance of the work for which this PLAN CHECK
I certify P APPLICANT
permit is issued, I shall not employ any person in any m nner
so as to become subject to the W r s'C p nsa ' aws. Lighting Fixtures First 20 ADDRESS
`3146 Total No. Additional
CITY Tel. No.
Date
J ( I v Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT L
Exemption, you should become subject to the Workers' Range— Heater—D.W.
Compensation provisions of the Labor Code, you must forth- Oven — Dryer — W.M.— ADDRESS
with comply with such provisions or this permit shall be Top FAU —W.H. —
deemed revoked. Hood _ Fan _Other_ CITY Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. Class. }
NUMBER
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO
and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances ! LE E Y d
C)
Size&Type HP, KW, KVA, or KVAR t v
License Number Lic. ClassU to 1 Incl. FINAL
Over 1 t 10 Incl. DATE 'Z O
Contractor Date ( VALI TION
Over 10 to 50 Incl. FINAL W
I am exempt under Sec. Over 50 to 100 Inc. BY U)
B.&P.C. for this reason Over 100 z
Date: Services, Swbd., MCC& Panelboards ,
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V 3 958 A
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect.
# . . . . . 2
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ) • - 2550
1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits • • * 25505
rVr Professions Code): Misc. Conduits& Conductors 0 1.314--86
LAJ I, as owner of the property, will do the work and the
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name Pa
PERMIT ISSUING FEE
Lender's Address
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
te
y auth ize representati e f this County to enter upon
ve- ntio d pr p or inspection purposes.
^� r` � SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of PermWe; Date
f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105310057
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9404 LAS TUNAS DR E
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( LCNT CA 91780
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ALSESSANDRO
18587-006-017 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
IG2 LIGHTING FIXTURES 2.00 LGT 3.90
(TENANT: I TOTAL FEES 31.70 JISSUED ON: PROCESSED BY: PLAN BY: 1
PLATINUM ACADEMY, LLC. 105/31/11 SR I
OWNER: TEL. NO: I IF ///'''���DATE FI BY: CODE:
ICHANG HWANG, CHIANG (626) 755-8709-
19404 LAS TUNAS DR. �I't X
TEMPLE CITY CA 91780 1 1Dk,9CR PT ON OF WORK
INSTALL 2 EXTERIOR LIGHTS
(APPLICANT: TEL. NO:
IQUIROZ ELECTRICAL CONTRACTOR (323) 240-1172-
1451 W. 47TH PLACE (SPECIAL CONDITIONS:
ILOS ANGELES 90037 1 1 1
I I I I
I I I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IQUIROZ ELECTRICAL SERVICING (323) 240-1172- 1 1 1
1451 W. 47TH PLACE LIC. NO 1 ITEMPORARY POWER POLE I I 1
ILOS ANGELES, CA 90037 872153 I I__ I
I I (UNDERGROUND CONDUIT I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
I LIC. NO: I IROUGH CONDUIT I I 1
I (ROUGH WIRING I I 1
I I I I I I
1 (MAIN WATER LINE I 1 1
(PLASTIC Y/N METAL Y/N 1 1 1
I I I I I I
1 I (UTILITY COMPANY NOTIFIEDI I
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I IREPORT ID: DPR265 ROUTE TO: BSO508 1 1 1
j COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9610160007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9404 LAS TUNAS DR E
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LCNT CA 91780
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESSANDRO
Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/16/96 LC 10/16/97
OWNER: TEL. NO: FINAL DATE FINAL BY• CODE:
CHEN, CHIANG (818) 447-4192- /0-17-gb
604 S. OLD RANCH RD
ARCADIA, CA 91007 DESCRIPTION OF WORK
ELECTRICAL MAIN SERVICE UP-GRADE AND RELOCATION
APPLICANT: TEL. NO:
TOM LAM (818) 452-8890-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
TO LAM (818) 452-8890-
3532 LASHBROOK AVENUE LIC. NO TEMPORARY POWER POLE
ROSEMEAD, CA 91770 NONE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND
LIC. NO: I ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508