HomeMy Public PortalAbout9570 LAS TUNAS DR_Electrical__ 76A663•CE806 4-68
APPLICATION FOR ELEC ICAL PERMIT ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING7W?
BUILDING AND SAFETY DIVISION ADDRESS �JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITNEAREST
FOR APPLICANT TO FILL IN CROSSST �/�• S
NO. EACH FEE -
$ $ OWNER
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO. —
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.U. CONITRAC FOR
SPACE HTR. AIR COND. ADDRESS (� SS
CLOTHES WASH. DISHWASH._ _CIT TEL. NO.
FANOTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
�'�/ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 RESIDE IN. THE ABOVE DESCRIFED RESIDENTIAL P PE TV. O
SIGNATURE U
50 - 100 10.00 OF PERMITTEE �-
O
100 - 500 15.00 ~
DIS IC T NJ O. Gf- d P 7(9NISSED BY w
TUBE, A SIGN AND ONE CIRCUIT 3.00 _j �
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
PERMIT FEE (SUB TOTAL) WIRING
tz FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) tz J�/ POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 v- UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL I C
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� ''",v/(iri✓"
76A663•CE806 4-68
APPLICATION FOR ELECT ICAL PERMIT ,�o ,
COUNTY OF LOS ANGELES �J7
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 79520
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE -,
$ $ OWNER
RECEPT._ -`/�
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS l'
SWITCH_ OVER 20 .10 CITY TEL.-NO.--
PLAN
EL. NO.PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 IAODRESS
RANGE-DRYER-WTR.HTR._ CITY TEL, NO.
STA.COOK_DISP._F.A.U._ CONTRAC rOR
SPACE HTR. AIR COND. ADDRESS ([�
CLOTHES WASH-DISHWASH- _CIT TEL. NO.
FA N_0THER 1.00 LICENSE 1,10 CLASS. /
IM
OTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WINTH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
O - 1 1.00 Cry ELECTRICAL WIRING.�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 RESIDE IN, THE ABOVE PESCRIPED RESIDENTIAL P P
� U
50 - 100 10.00 SIGNATURE
OF PERMITTEE CD
100 - 500 15.00 ~
DIS�$IC O. GAUP �N SED BY w
TUBE,SIGN,GAS OR SIGN AND ONE CIRCUIT 3.00 _j V)
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
PERMIT FEE (SUB TOTAL) WIRING
.- FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��"' `', (ti✓i'C/
r
76A663-CE806 3-64 APPLICATION FOR EL CTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING s U L! 2
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY i
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL $NO. EACH FEE
OUTLETS FIRST 20 20111
OWNER LL J/✓
LIGHT MAIL
ADD'L .10
LIGHTING ADDRESS
SWITCH. OVER 2O
1 TOTAL IF1Rsr 20 .20 CITY TEL. NO.
I
FIXTURES J ADD'L
Ov R 20 •10 ELECTRICIAN�1
RANGES CLO.DRYERS WTR.HTRS. ` 1.00 ADDRESS L.
GARB.DISP. STA.COOK CITY ,
G i`N TEL. NO.//--
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA.APP.(ya H.P.MAX.) .dO
LICENSE NO.
MOTORS. OVER NOT OVER H.P. DISTRICT NO. GROUP ONE P E-S'SE�DgY
O 1 1.00 p �
1 3 1.50 00 INSPECTION RECORD }
a
3 a 2.00 O
V
8 18 2.50
15 50 3.00 0
U
60 100 5.00 w
a
SIGNS: NO.TRANS Z
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.00 00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER BOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 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
I HEREBY CERTIFY THAT 1 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 RESIDENT/ PROPERTY. POWER
n
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE �� >'
FINAL
ALIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
a
• WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hergby affirm that I have a certificate of consent to self CE-806r'
insure, or.a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
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 r
❑ Certified copy is filed with the county building inspec- 1 & 2-Family, Scl Ft $ — $ LOCALIT 1
tion department Multi-family Scl Ft 'NEAREST
Residential Swimming PoolsCROSS S
Date Applicant OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
Outlets Rec Light Sw
COMPENSATION INSURANCE First ADDRESS
Additional r
(This section need not be completed if the work involved by ti Cl Tel No
the permit is for one hundred dollars ($100)or less.) Total No Addl
PLAN CHECKcz &M27
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compens tion Laws Lighting Fixtures First 20 ADDRESS
�^ �/ Total No Additional
Date "' Applicant ' CITY Tel No
a�J
Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If, after making this Certificke of
Exemption, you should become subject to the Workers' Range_ Heater_D W _ APPLICANT
Compensation provisions of the Labor Code, you must forth- Oven _ Dryer _ W M _ ADDRESS ri
with comply with such provisions or this permit shall be Top _ FAU —W H _ '
deemed revoked Hood _ Fan _Other_ CITY Tel No
LICENSED
LICENSED CONTRACTORS DECLARATION LICENSE OR
114 X;
I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond I REG NUMBER 10, Class
(commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO P O SSED BY >_and Professions Code, and my license is in full force and effect d
0 9�$ �y�O Size &Type HP, KW, KVA, or KVAR 0
License Numb``e,� X6
�� Lic Class 6 Up to 1 Incl FINAL V
Contracto bUdf>;d�L�ate Over 1 to 10 Incl GATE VALIDATION 0
Over 10 to 50 Incl FINAL Wp V
❑ I am exempt under Sec Over 50 to 100 Inc BY #'G Q b 9 uL
Over 100 d
V11
B&P C for this reason ► ` , Z
Date Services, Swbd , MCC& Panelboards
0 -200 Am Under 600 V
- 24,50
Signature 201 - 1000 Amp Under 600 V ( • p j�]_
❑ 0
Over 1000 Amp or Over600V 1QJ��O4
Exemption for Reg Mamt Elect
SINGLE FAMILY Temp Power Pole &Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 7031 5, Business and
Professions Code)
❑ I, as owner of the property, will do the work and the Misc Conduits& Conductors
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
PERMIT ISSUING FEE
Lender's Address _O
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 bove-mentio d property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Q
ignature of Permittee Date
` WORKERS' COMPENSATION DECLARATION CE-806G10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self
11svre, Cr a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copyLtheree9f (Sec 3800,,^Lab C )
Policy No / o,6O( Company 57:1"47-e- /`,v 14D FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished New Residential Bldgs & Pools
EACH NO FEE ADDRESS E. A5 Tr/n�AS
El Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY 44 MAI `
NEAREST
tion department i Multi-family Sq Ft CROSS ST
G_ �,� �} -de —ie.f Residential Swimming Pools OWNER OR
Date Applicant j FIRM NAME s51i bx1 p I V v
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw MAIL
COMPENSATION INSURANCE First 20 ADDRESS 5 �-
(This section need not be completed if the work involved by Total No Additional CITY �j / Tel No. ,? -,�6
the permit is for one hundred dollars ($100)or less.) PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 DDRESS
Total No Additional
CITY Tel No
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT If, after making this Certificate of APPLICANT
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 0
with comply with such provisions or this permit shall be Top — FAU _W H —
deemed revoked CITY /_C) R,4 ,'e%_fTel No q���p
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_
Z
Disp Room Air Canal REG
OR Class
.
I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER � U L-
(commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO PROC S BY
and Professions Code,and my license is in full force and effect /) d
������ O Size & Type HP, KW, KVA, or KVAR l �/ 0
License Numbe 2 Lic ClassC`Z-eZ Up to 1 Incl FINALV
UST/C,f Date - 09
Over 1 to 10 Incl DATE �,�_ / i VALID 1 N 0
Contractor 1' 47
F-1
Over 10 to 50 Incl FINAL y F-
V
I am exempt under Sec Over 50 to 100 Inc BY LU
d
Over 100
B &P C for this reason Z
Date Services, Swbd , MCC & Panelboards
0 - 200 Amp Under 600V ;909Q9p
Signature 201 - 1000 Amp Under 600 V
❑ Over 1000 Amp or Over 600 V # • • o • • 2
Exemption for Reg MainT Elect
SINGLE FAMILY Temp Power Pole& Appurtenances o - 21.00
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit e 2 �'O O�7Ai02
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuitss ••�-
Law for the following reason (Section 7031 5, Business and
Professions Code) ,I Q 1 7—8 4
MLsc Conduits & Conductors
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
PERMIT ISSUING FEE
Lender's Address
1 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 jaws 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
Signature-of P rmittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0005180047
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ES PAID BUILDING ADDRESS:
TR: 6561 LT: 629 BL: .001 9570 9574 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802106
ASSESSOR 0 TION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8587-015-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN I ON:
TRUE LOVE 05/18/00 UT 11/14/00
OWNER: TEL. NO: FINAL DATE FINAL BY: ��CO E:
ZOCCOLI GABRIEL TR ZOCCOLI FAMILY T e4l
9578 LAS TUNAS DR
TEMP 917802106 DESCRIPTION ORK
ELECTRICAL SUB PANEL
APPLICAN
WU (626) 912-3289-
1843 VILLA CLARA ST. SPECIAL CONDITIONS:
ROWLAND HEIGHTS
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
KONGEA CONSTRUCTION CO. (626) 912-3289-
18403 VILLA CLARA STREET LIC. NO TEMPORARY 0 POLE
ROWLAND HEIGHTS, CA 91748 731678 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGHIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
` COUNTY-OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0004140014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 629 BL: .001 9570 9574 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802106
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8587-015-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40
TENANT: G2 LIGHTING FIXTURES 22.00 LGT 41.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TRUE LOVE TOTAL FEES 92.85 04/14/00 VG 10/11/00
OWNER: TEL. NO: FINAL DATE FINAL BY CODE:
ZOCCOLI GABRIEL TR ZOCCOLI FAMILY T
9578 LAS TUNAS DR 6��
TEMP 917802106 D5SCRIPTION OF WOR
ELECTRICAL FOR TENANT IMPROVEMENT
APPLICANT: EL.
WU (626) 912-3289-
1843 VILLA CLARA ST. SPECIAL CONDITIONS:
ROWLAND HEIGHTS =_
n\�
CONTRACTOR: TEL. N0: �"� ��`��n� APPROVALS DATE INSPECTOR SIGNATURE
KONGEA CONSTRUCTION CO. (626) 912-3289-
18403 VILLA CLARA STREET LIC. NO �✓R� \ TEMPORARY POWER POLE
ROWLAND HEIGHTS, CA 91748 731678 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: ���� FER GROUND
LIC. NO:� � �� �� 1111111 ��,, ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- -
UTILITY OMPA Y NO FIED
REPORT ID: DPR265 ROUTE TO: BS0508