HomeMy Public PortalAbout9574 LAS TUNAS DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC I
DIVISION OF BUILDING 8c SAFETY
WILLIAM J. FOX, County Engineer
FOR AP ICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN r
ADDRESS f �- .+_.., RECEIVED ABY READY FOR DAT 7)—
UED
FIRST INSPECTION y
CITY TEL NOG" !`
COUNTY LICENSE NO. 4zZZEXPIREAi/
AZUILDING
DDRESS
PERMIT F S
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROS6 6T.
WALL SWITCHES OWNER....-::' �a/"(r '4C•, �'1`_
TOTAL OUTLETS Sc S
MAIL
ELEC. RANBEB 25 ADDRESS
ELEC. HEATERS 25 CITY ,. �f [ -TEL NO.
FIXTURES 5
1 HEREBY �CKNOWLEDGE;'THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENBE..OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIOENTIAtf PROP, R"rSCRIBED AS VE.
Vp 6 L[86 $ .25 Z•
SIGNATURE OF —
_ %s 2SO
PERMITTEE-
.
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
_ 200 600 10.00 J
500 1000 15.00 Q
1E Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIS.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS �Gi
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES N1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE »'� UTILITY CO.NOTIFIED
FINAL • 5�3
76A663 DBS#5A 4-52
D.B.S.SA 25M SETS 10-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
M. J. FOX CHIEF ENGLAMER
NAME /f DISTRICT NO. GROUP I ZONE PERMIT NO.
ADDRESS ` i/t �� c Z UL
I RECEIVED BY READY FOR DATE ISSUED Y
WU CITY Ilf- t7TEL.NO. <' ( �[!
FIRST INSPECTION (C /
J COUNTY _ � __-.. _
"y " -3 Ci
YI CERT.NO. ZEXPIRES
APPLICANT FH411N HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS t
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST -^- -
LIGHT OUTLETS ISW. PLUGS FIXT CR06S ST. �-y
CIRCUIT A B C D E F G H It NAME / G� �,,e `
Z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABO • LOS
ANGELES COUNTY CERTIFIC O Q IFI N..
�[c
ELECTRICIAN•
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
� I
J
Q
_Z
C7
O
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS / TRANS. Z, $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FE w FINAL r
7SA663 DBS 5A 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TEL FILL IN DISTRICT NO. 1:3ROUP ZONE PERMIT NO.
C
ELECTRICIAN Z / 3 702/
RE VED BY READY FOR DATE ISSUED
ADDRESS St w FIRST V"
,0414& PECT N
CITY TEL.NO. V
COUNTY uDENSE NO.PERMIT FES EXPIRES BUILDING .`ii7441 Gas /uY1as
ADDRESS
FEE
NUMB R EACH LOCALITY f
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER /� '/��. /7/00
TOTAL OUTLETS 5c $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 6
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
HP OVER
NEW MVD. INC. EACH
1/2 6 LESS S .25 SIGNATURE OF i
%2 2 .50 PERMITTEE-
2 s 1.00 INSPECTION RECORD
5 15 1.50
is 50 2.50
50 200 5.00
200 500 10.00 - -1
500 1000 15.130 Q
OVER 1000 20.00 L
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF aRIG.)
MISC.
SIGNS
NO. NO.TRANS
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING >$1.00 60 CONDUIT
FIXTURES $1,pp WIRING v
SUPPLEMENTARY .50 FIXTURES /
'f POWER
TOTAL FEE TCS UTILITY CO.NOTIFIED
FINAL
gym. _ o C.
76A663-CE606 4-65 APPLICATION FOR ELECTRICAL PERMIT r�
COUNTY OF LOS ANGELES
DEARTME'NT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 7
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY t�Ctr C' L
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. L
RECEPTACLE TOTAL NO. EACH FEE t
l OUTLETS I FIRST 20 �20 $ OWNER�LCL
LIGHT 1 MAIL �+ r
SWITCH ADD'L f0 ADDRESS
OVER 20 _
TOTAL FIRST 20 .20 CITY J�9LLC- - - TEL. NO.
LIGHTING I
FIXTURES
FIXTURES ADD'L 10 CONTRACTOR Z
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 3�
GARB.DISP. STA.COOK CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE y� �-->
SPACE HTRS. STA.APP.(+/z H.P.MAX.) .50 LICENSE NO. �z L
MOTORS: OVER NOT OVER H.P. DIS I/C'�T ROUP Z NE P E
0 1 1.00 1/ {
1 3 1.50 INSPE ION RECORD
- t
3 S 2.00
8 Is 2.50
15 50 3.00
O
50 100 5.00 V
'NO.TRANS- / MM
SIGNS: NO.LAMPS -/ O
�C Lu
SERVICE 0.600V-NOT OVER 200A 1.00 d
to
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
TOTAL FEE $ APPROVALS DATE INSPECT R'S SIGNATURE
I HEREBY 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 V
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES CO AND STATE OF
C ALIFORNJA OR THAT�M THE LEG L OW NE OF, N�END TO POWER
RESIDE IN,THE AB ESCRI BE ESIDE NTI PROP PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
LIDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LI LO 8 1 4 9'0 DEC 17 0 5.G Q Y
I
'�� �
L �-CJ
00 _ I
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING * r
BUILDING AND SAFETY DIVISION ADDRESS / r
•}fir,. ,�
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST a
PERM FEES CROSS ST.
r e
ITEM NUMBER OWNERMAIL
EACH FEE -
OUTLETS: $ $ ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY'j 1 lG. Lt TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN ' °x + t
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY 0'e-9-4 TEL. NO.
GARBAGE DISPOSERS AUTO.-
STATE 7
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO. G OUP ZONE PR CESSED BY
0— 1/2 .25
_)o
1/=- 2 •50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
is— 50 2.50
50-200 5.00 2 t fj
A/
110.
'J
/ NO.TRANS. r
SIGNS: 1!
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00 7 ,
MISC.
T
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM 'PROPERLY REGISTERED AND/OR WIRING
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE 1 <- UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL Z" X
®r VALIDA ARTHUR C.VEIT,
CK MG CASH
SUPERVISING ELECTRICAL ENGINEER
l ,
, +5 2 3 6 FEB 9 2 A 2.0 0
7GA663-CES067.58 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FBUILIDINCG
BUILDING AND SAFETY DIVISIONJOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. ✓-SIG
1 T E M NUMBER EACH FEE OWNER
OUTLET / $ $ / 1 MAIL
LIGHTS RECEPT. SW. .fO ADORES
LIGHTING FIXTURES .10I
CIT .J71 TEL. NO
ELEC. RANGES CLO. DRYERS ELECTRICIA ''
WATER H EATERS .50
ADDRESS ' �-
ELEC.SPACE HTRS. DISHWASHERS _
CI S ft r. TEL. N ��✓
GARBAGE DISPOSERS AUTO.- STATE I f
WASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICJVO. I G UPJ ZONE =RS BY
O— 1/2 .25
+/2— 2 .50 INSPECTION RECORD
2— s 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 cc
FIXTURE PERMIT 1.00 1
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES Z — !O G
CALIFORNIA OR T I AM T LE OWNER OF THE ABOVE
DESCRIBED RESIDE TIA R T POWER
SIGNATURE - UTILITY CO.NOTIFIED
OF PERMITTEE FINAL "+ i 7- 5,. :•
VALIDATIAN-1 ARTHUR C. VEIT,
r/ SUPERVISING ELECTRICAL ENGINEER
CK Mo CASH
L529 �� JAN 15 2 A 5.50 Ell
76A663-CE8061-67 APPLICATION FOR ELECTRI AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �2 `
RECEPT. 1 TOTAL NO. EACH FEE
I OUTLETS FIRST 20 $.20 $ OWNER �� - Q
LIGHT J} MAIL-
SWITCH ADD'L f0 ADDRESS C Z
OVER 20
TOTAL FIRST 20 .20 CITY O G TEL. NO.
LIGHTING I
FIXTURES -
FIXTURES ADD'L 1O CONTRACTOR
OVER 20
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS S G
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT N G P ZONE E D
O 1 1.00 y v
1 3 1.50 INSPECTION RECORD
3 8 2.00 L C
8 15 2.50
15 50 3.00 }
a
50 100 5.00
SIGNS: NO.TRANS O
NO.LAMPS
1--
SERVICE 0.60OV-NoT OVER 200A 1.00 t! W
a
SERVICE 0.60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 y 00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION UNDERS LAB 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES-COUNTY AND STATE OF
CALIFORNIA OR THAT THE ALO ER OF, AND INTEND TO POWER
RESIDE IN,THEA ES RIB D R TIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITT
FINAL ��-"'� � .r ,
VALIDATION. JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Ljto 1 `1' 0 6:a W i 2 7 D
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
I hereby e�ffirm that I have a certificate of consent to self Insure, 76A663
or a certificate of Worker's Compensation Insurance, ora cbrtifieC COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof(Sec 3800 Lab C)
POIICy NO Company FOR APPLICANT TO FILL IN JOB
ADDRESS
El 1.iy Cse_�
Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY
❑ 1 &2-Family,Sq Ft — $ $
Certified copy Is filed with the county budding Inspection _ NEAREST
department Multi-family Sq Ft CROSS ST
Date Applicant Residential Swimming Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec _Light Sw IRM NAME
COMPENSATION INSURANCE
First 20 MAIL
(This section need not be completed the work involved by the Total No Additional ADDRESS (XIII�e__7permit is for one hundred dollars($1000)or less)
I certify that in the performance of the work for which this permit CITY /Tel No
Is Issued, I shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT
Total No Additional ADDRESS
xDate �ppllcant / ��~ ��
EZ Ecz
NOT TO APPLICANT If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY
Exe ption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP
provisions of the Labor Code, you must forthwith comply with such PPRMT
provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl CITY Tel No
(commencing with Section 7000) of Division 3 of the Business and
Professions Code,and my license Is in full force and effect Over 10 to 50 Incl LICENSE OR .� >_n Over 50 t0 100 Incl REG NUMBER Class �°1
41 L.� e)3 /��Y �/O Over 100 DISTRICT NO P SSED BY C.•
License Number '/ 7 (S {{{!11 Llc Class �r f�
(s���// { ' 45alt'
cc
Services,Swbd,MCC&Panelboards �/O , G
Contra oft r L 0
—�� C/�G��' 0 399 Amp Under 600 V DAFINTE
❑ I am exempt under Sec 400-1000 Amp Under 600 V W
Over 1000 Am or Over 600 V VALIDATION
P FINAL a
B&P C for this reason BRANCH CIRCUIT FEES BY U)
Date _15A or 20A, 120V,Lighting or Recept Q Z
s� 5 1 To 10 Branch Circuits • Ab ✓�
Signature 11 To 40 Branch Circuits `
El
41 Or More Branch Circuits t'
Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits i :
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 Law
for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits -S!f d*k�fi
Code)
AL
❑ Mlsc Conduits&Conductors i CH 61--L.4'-i
I, as owner of the property,will do the work and the structure
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , _If) _ oOct
and Professions Code)
CONSTRUCTION LENDING AGENCY ii .�•c
I hereby affirm that there is a construction lending agency for the ) !!�! —!_tlsll �• -i
performance of the work for which this permit Is Issued (Sec 3097, PERMIT FEE (Sub-Total)
Civ C)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE (� ,
that the 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
II5il�` ATURE OF PERMITTEE � DATE
• `` WORKERS' COMPENSATION DECLARATION 76A663 10/81 + APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-8066
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
Certified copy is filed with the county buil g inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY ?-
tion department Multi-family Sq Ft — NEAREST +
CROSS ST
�,� Residential Swimming Pools OWNER OR
Date �L�Applicant Outlets Re FIRM NAME �, ,(Q,
CERTIFICATE OF EXEMPTION FROM WORKERS' �� Li / MAIL
ght Sw ADDRESS /Q
COMPENSATION INSURANCE First 20 ,2d rK
(This section need not be completed if the work involved by Total No 15�/ Additional CITY Tel No 2 4)S,14'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 manner
so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS
Total No 13 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 — ADDRESSG
with comply with such provisions or this permit shall be Top _ FAU —W H
deemed revoked CITY Tel No%6y(f.2g
LICENSED CONTRACTORS DECLARATION Hood Fan L Other_ �L/ p J
LICE
SE OR
I hereby affirm that I am licensed under provisions of Chapter 9
Disp _ Room Air Cond REG NNUMBER 7 (p 3 Class
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO _/ PROCESS BY
and Professions Code, and my license is in full force and effect Power Apparatus& Large Appliances ��— �.
Size &Type HP, KW, KVA, or KVAR 0
O
License Number Lic Class Up to 1 Incl FINAL,,'-J- V
Contractor Date Over 1 to 10 Incl DAT VALIDA ION I=
❑ Over 10 to 50 Incl FI �
I am exempt under Sec Over 50 to 100 Inc B LU
B&P C for this reason Over 100 / lwlt)
N
Services Swbd MCC& Pon (boards Z
Date 0 -200 Amp Under 600 V
Signature 201 - 1000 Amp Under 60D V
❑ Over 1000 Amp or Over 600 V
Exemption for Reg Maint Elect
SINGLE FAMILY Temp Power Pole&Appurtenances ;P 2 4 1.8 A
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # e o o e o 2
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 I o - 71.25
Professions Code)
❑ I, as owner of the property, will do the work and the Misc Conduits 8 Conductors o ® 0 7 1. 2 5 6
structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ►
7044, Business and Professions Code)
p7.p9-8
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
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 representative o this County to enter upon
thea me oned p perty or nspec"on rposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature r Permittee +���
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1101180004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID I FEES PAID BUILDING ADDRESS
ITR. 6561 LT. 628 1 9574 LAS TUNAS DR
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917602106 I
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET TEMPLE CITY
18587-015-012 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
I IK1 SIGNS, OUTLINE LGT 1 00 SIG 38 80
TENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY
101/18/11 SR
I
OWNER TEL. NO IF AL DATE FINAL BY CODE
1HY, SARINA (626) 589-0959- 1 �
19574 LAS TUNAS DR
(TEMP 917802106 1DE CRIPTION OF WORK 1
ZONE SET OF ILLUMINATED C EL LETTERS WALL SIGN IN 18" HEIGI
I 1
(APPLICANT TEL NO
SIGN ART CO (626) 287-2512-
1423 S CALIFORNIA ST ISPECIAL CONDITIONS I
ISAN GABRIEL CA 91776 I 1
I I I I
I I I I
ICONTRACTOR TEL NO- I (APPROVALS DATE INSPECTOR SIGNATURE I
ISIGN ART CO (626) 287-2512- 1 1 1
1423 S CALIFORNIA ST LIC NO I ITEMPORARY POWER POLE I I I
ISAN GABRIEL CA 91776 757903 C45 1 11 1
I 1 (UNDERGROUND CONDUIT I I 1
I I I I I I
1ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I I
1 LIC NO I IROUGH CONDUIT I 1 I
I I IROUGH WIRING I I I
I 1 IMAIN WATER LINE
1 I IPLASTIC Y/N METAL Y/N
I I I I I I
1 (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
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
IREPORT ID DPR265 ROUTE TO BS0508
I I I I I I
COVINTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1101060022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID I BUILDING ADDRESS
ITR 6561 LT: 628 9574 LAS TUNAS DR
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802106
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET TEMPLE CITY
18587-015-012 JAW PC CITY $109 35 MIN 0 00 141 80 THOMAS PAGE 596 GRID. J3 LOCALITY TEMPLE CITY, Cl
IA1 PERMIT ISSUANCE FEE 27 80
ITENANT IF1 120V, 15/20A BR CKTS 12 00 BR 202 50 (ISSUED ON PROCESSED BY PLAN BY 1
TOTAL FEES 372 10 101/06/11 SR
(OWNER TEL NO 1 IFINAL DATE FINAL BY CODE 1
ZOCCOLI GABRIEL TR ZOCCOLI FAMILY T �--
19578 LAS TUNAS DR 1
ITEMP 917802106 11D�PTIO OF WORK 1
I I ITENANT IMPROVEMENT OF COSMETIC SALON ELECTRICAL 1
1APPLICANT TEL NO 1 I
IKWOK, TERENCE (323) 697-2120- 1 I
1260 E GARVEY AVE I ISPECIAL CONDITIONS 1
IMONTEREY PARK 91755 1 1 I
I I I I
I I I I
ICONTRACTOR TEL. NO- I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ITTL CONSTRUCTION (626) 780-1990- 1 1 I
1702 PARK AVENUE #210 LIC NO 1 ITEMPORARY POWER POLE 1 1 1
ISOUTH PASADENA, CA 91030 626157 B 1 I I 1
I I (UNDERGROUND CONDUIT 1 1
1ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND 1 I I
IKWOK, TERRENCE (323) 697-2120- 1 1 I I I
1260 E GAREY AVE LIC NO 1 1ROUGH CONDUIT 1 � 1
1MONTEREY PARK, CA 91775 C-24796 C I 1 � I
I IROUGH WIRING I I
I I IMAIN WATER LINE 1 1 1
I 1 IPLASTIC Y/N METAL Y/N 1 1 1
(UTILITY COMPANY NOTIFIEDI I
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1 IREPORT ID DPR265 ROUTE TO BS0508 1 I 1 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9810120004
a BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12998 LT: 20 BL: .001 9574 LOWER AZUSA RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804224
ASSESSORINFORMATIO ER: NEAREST CROSS STREET:
8592-001-061 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85
TENANT: TOTAL FEES 66.60 ISSUED N: PROCESSED BY: EXP .
A MART 10/12/98 UT 10/12/99
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
CHEN WILLIAM SCHEN REBECCA S -
1343 VIA DEL REY ST
SPAS 910303630
DESUKIP11UN OF WURK
ILLUMINATED CHANNEL LETTER SIGN
APPLICANT: TEL. O:
SUCCESS SIGN (626) 280-8932-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SUCCESS SIGN (626) 280-8932-
820 E VALLEY BLVD LIC. N
0TEMPORARY POWER POLE
SAN GABRIEL CA 91776 739177 C45
r ! UNDERGROUND CONDUIT
ARCHITECT G EE : TEL. _ 71; UFER GROUND
LIC. N0: --—� I _, - ROUGH CONDUIT
ROUGHRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
V � i
REPORT ID: DPR265 ROUTE TO: BS0508