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HomeMy Public PortalAbout9578 LAS TUNAS DR_Electrical__ DSS SA 25M SETS 7^47 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC M. J. FOX HIEF ENGINEER t NAME ECTRIC DISTRICT NO. GROUP ZONE PERMIT NO. 4101 HAS+ 6ARYFolt t, U ADDRESS CiARVEY CALIF. PHONE �` —�" .3 Z Z �Z NU CITY NO. R BY READY FOR DATE ISSUED A COUNTY }� FIRST INSPECTION N CERT.NO EXPIRES 3 70 APPLICANT FILL VII.Y OUTLINED PORTION ONLY DESCRIPTION OF WORK JOB NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIl[T CROSS ST. CIRCUIT A B C D E F G H IL' NAME Id MAIL ! Z ADDRES 3 0 CITY ► �- TEL.NO. 1 AM THE LEGAL POSSESSOR OF TH ABOVE S ANGELES COUNTY CERTIFIC O ' Q A FIC TION ELECTRICIAN. 1 AM THE LEGAL OWNER OF ROPZRTY DESCRIBED ABOVE t OWNER. CORRECTIONS i Q z 1� Pik 0 TOTAL NO. OF OUTLETS $ APPROVALS I NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNPADRANS. $ 4X0 WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ ! ' UTILITY CO.NOTIFIED TOTAL FEE FINA 76A663 Das 6A ■-49 ® APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR'APPLICANT TO FILL IN DISTRIC_ T INO. GROUP ZONE PERMIT NO. UARSTEN ELECM0 ELECTRICIAN . RE EIVED BY EADY FOR DATE ISSUED ADDRESS FIRST INSPECTIONIF. PHONE AI-074"rre J� CITY TEL. NO. `�����'✓ '' �_�Q COUNTY LICENSE NO. EXPIRES 2 Q ro BUILDING` r _ /' _ i�:�' f f_ ,'-f PERM FEESADDRESS, NUMBER OUTLETS EACH I FEE LOCALITY LIGHTSSc I$ NEAREST CROSS ST. `L RECEPTACLES 5 1 r FIXTURES 5 I OWNER —=t • << e I WALL SWITCHES 5 I� MAIL ELEC. RANGES25 ADDRESS ELEC. HEATERS' 25 I� CITY TEL. NO. misc. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES _ MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER I ING. EACH � IOF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1A&LESS $ .25 y2 2 .50 SIGNATURE OF PERMITTEE 2 5 1.00 s 15 1.50 INSPECTION RECORD 15 50 2.50 SO 200 5.00 200 500 10.00 500 1010 15.00 J Q OVER 1000 I 20.00 Z M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA O ,,.. GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS 75% OF ORIG.) MISC. { SIGNS TYPE: NO. TRANS., TYPE: NO. LAMPS APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 FIXTURES $1.00 WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE $� UTILITY CO. NOTIFIED FINAL - i _ •C }. .� D.S.S.SA 25M SETS 10-47 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �L�CTRIC M CHI ENGINEER NAME b# DISTRICT NO. GROUP I ZONE PERMIT NO. ADDRESS �,.r d ';IPV 1 n R I ED BY READY FOR DATE $SUED IU C1TY TEL.NO.//� FIRST INSPECTION / COUNTY moo- / CERT.NO. :�• Expip"" .SrO APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORD ADDRESS (v , L NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FIZT C OSS ST. S CIRCUIT A B C I D E F G H a NAME 51'1 CI Ef D Z MAIL ,I 3 ADDRESS O CITY EL.NO. 1 AM THE LEGAL P SOR THE LOS ANGELES COUNTY 16L N.. / c ` ..F- EL)) TRICIAN. I AM THE GAL OWNER OF Tii PROP�TY DESCRIBED ABOVE OWNER. CORRECTIONS Q z Lo a TOTAL Ll NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. i. v WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWfiR PERMIT FEE $ UTILITY CO.NOTIFIEU TOTAL FEEFINAL 76A963-CE90910-59 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER =ADDRESS BUILDING AND SAFETY DIVISION J U JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. ITEM NUMBER EACH FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. 10 ADDRESS v TEL. LIGHTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIA r j e WATER HEATERS .50 ADDRESS ''1'/�7 ELEC.SPACE HTRS. DISHWASHERS CITY AA) .I TEL. NO. 'y (/`!' GARBAGE DISPOSERS AUTO.- STATE I WASHERS STA.COOKING UNITS .25 LICENSE NO. / MOTORS: OVER INC. H.P. DISTRICT NO. I GR�9UP ZON PRO E S D BY O— 1/2 .25 1/2— 2 .50 INSPECTION RECORD 2— s 1.00 s— is 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 IkI ;:Z10 1 SERVICE OVER 600V 5.00 i- - r MISC. 0,87-,9/AT1/1S WIRING PERMIT 1.00 --400 7 v FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 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 I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM E AL OWNER OF THE ABOVE DESCRIBED REBID TI £ POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE - FINAL OF YAVON ARTHUR C.VETT. ICK MoO CASH SUPERVISING ELECTRICAL ENGINEER Li.L'c5530 0 1 -25 7GA668-CE8067-88 APPLICATION FOR ELECTRIC PERMIT i COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS `, JOHN A. LAMBIE, COUNTY ENGINEER c I CASSATT D. GRIFFIN, 5UP'T OF BUILDING LOCALITY (: FOR APPLICANT TO FILL IN NEAREST PERMIT FEES cRoss sr. /J I T E M NUMBERI EACH FEE OWNER �G- �„L•"w (,:_. OUT LE $ $ MAIL /��, LIGHT RECEPT. SW. .1O 4� ADDRESS �'�r,{_{�1�.I��-'/ LIGHTING FIXTURES .10 CITY EL. NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER H EATERS .50 ADDRE S ELEC.SPACE HTRS. DISHWASHERS r CITY ll r O. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA, COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. O— +/2 .25 DIST T NO. I GROUP ZONE I PaQCESSED BY /2 z 50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 NO. TRANS. SIGNS: NO. LAMPS SERVICE 0-600V '2111.00 p SERVICE OVER 600V 5.00 misc. may+ WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 J TOTAL FEE $1,6 APPROVALS 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR TH T I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESID TI O SIGNATURE .;� UTILITY CO.NOTIFIED O -f f% - F PERMITTEE - FINAL "�- VALIDAjj ARTHU C. VEIT, CK MOC CASH SUPERVISING ELECTRICAL ENGINEER OB S-A 4.41 2EM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY WM. J. FOX, CHIEF ENGINEER ELECTRIC � -' COUNTY OF LOS ANGELES NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. WIRINGFIXTURES SERVICE R€CEIVSD BY READY FOR DATE ISSUED RANGE HEATER 1_1 POWER ._ ./ / FIRST INSPECTION [� fief 0 tJ• .. ..f SIGNS MISCELLANEOUS i a +APP�)LICANT FILL IN HEAVILY.. UTLINED/ PO/RTI)O�N) ONLY JOB �y, NAME .f-- ! 41 .�lY z ,f7 A(.l'° o,�1� ` 49,E ADDRESS ��! � i r ADDRESS (�� J � �s=- LOCALITY ��` ...I. W CITY TEL.NO. ���' CR"NEA:%Tt. C" WCERT. L. EXPIRES % f W NAME DESCRIPTION OF WORK 3 ADRESs `'% l 7 / ,� ,L 7-Y 11.' t.� NUMBER OF OUTLETS ON CIRCUITS O LOCATWN BY ROOMS CITY �� � TEL.NO. LIGHT OUTLETS SW. PLUGS FIXT I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFIC�TE�CjF' QUALIFICATIO CIRCUIT A B C D E F G H 'm !F LIVING ROOM ,. ELECTRICIAN. --------'-- I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM ABOVE. SRFST.RM. OWNER. BATH - -_--- CORRECTIONS ENT.HALL HALL NO. FRONT,PORCH i OUTSIDE KITCHEN SERV.PCH. _------ - - Q BDRM.NO. Z CLOSET ---------- �_ BDRM.NO. Q CLOSET TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS ,.= TRANS. - I/t�' WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE L9 D =�— o(/ UTILITY CO.NOTIFIED oa TOTAL FEE S V t" FINAL I DSS DSA 11-46 APPLICATION FOR PERMIT PARTMENT OF BUILDING AND SAFETY -,COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER NAME Tf.°;/ / .� DISTRICT NO. GROUP I ZONE PERMIT NO. U-a ADDRESSi! ��t// CITY Q? ✓� TEL.NO fT' 'Y f RECD�Y READY FOR DATE ISSUED / / FIRST INSPECTION CERT.NO.COUNTY �.a EXPIRES E� 3� - / 7 J APPLICANT FILL IN HEAVII.Y OU LINED POJRTION ONLY JOB DESCRIPTION OF WORK ADDRESS /! 'mss 7V` .�4�-- ' n NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS EST LIGHT OUTLETS SW. PLUGS FIXT CROSS ST. CIRCUIT A B C D E F G H E NAME • + " Z MAIL 3 ADDRESS O CITY TEL.O. 1 AM THE LEGAL POSSESSOF4 F E ABOVE ANGEKL.ES COUNTY CERT f ALIW ELECTRICIAN. I AM THK LEGAL OWNER E PROPF,RTY DESCRIBED ABOVE OWNER. CORRECTIONS 1 z Aj 1 _ TOTAL NO. OF OUTLETS 7 $ APPROVALS NO. OF FIXTURES Q $ DATE INSPECTOR'S NAME NO. OF MOTORS G H.P. h $ CONDUIT NO. OFSIGNS TRANS. $ WIRING NO. HEATERS $ �J FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ - UTILITY CO.NOTIFIED TOTAL FE FINAL -' OB°-A 4.41 25 " APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY • - COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. WIRING FIXTURES SERVICE RECEIVED BY READY FOR DATE ISSUED RANGE HEATER POWER FIRST INSPECTION '} SIGNS MISCELLANEOUS A-E PPLICANT PLL IN H VILY OUTLINED PORTI N ONLY zJOB w., NAME ' ' �.ti ADDRESS ....... 1 '.; . a AD6RFSS � , "! i+L.- " '� �1. LOCALITY ,-,% r 1 NEAREST 1 CITY ,, `,:�.P 6/ TEL.NZ7'. qE R <., CROSS ST. y1 COUNTY CERT.NO. EXPIRES W NAME `,e DESCRIPTION OF WORE 3 MAIL ADDRESS NUMBER OF OUTLETS ON CIRCUITS O LOCATION BY ROOMS CITY TEL.NO. LIGHT OUTLETS SW. PLUGS FIxT. I AM THE LEGAL POSSESSHE OVE LOS ---- ---- ANGELES COUNTY CERTI OF-OR LI ATION. CIRCUIT A B C D E F G H �r.r LIVING ROOM ELECTRICIAN. ---------- 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBE DINING ROOM ABOVE. OR-FST.RM. OWNER. BATH ------- -- CORRECTIONS ENT.HALL HALL NO. FRONT PORCH OUTSIDE KITCHEN SERV.PCH. _---_--_----- - "'I Z BDRM.NO. -------- � CLOSET Q: BDRM.NO. ---------- CLO ET _ 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 1 $ POWER i PERMIT FEE $ UTILITY CO.NOTIFIED - TOTAL FEE ; C FINAL ' - DB 8-A 4-41 25M APPLICATION FOR PERMIT DEPARTMENT OF .UlUrjDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. WIRING FIXTURES SERVICE RECEIVED BY READY FOR DATE ISSUED RANGE HEATER --I POWER FIRST INSPECTION y _ SIGNS MISCELLANEOUS C�- -'"" ✓ �'�f� t APPLICANT FILL IN Ii VILY OUTLINED PORTION ONLY NAME ADDRESS I �� �I - U C ADDRESS 2 ti. LOCALITY NEAREST CITY TEL.NO. CROSS ST. L, N L� yl COUNTY /: CERT.NO. EXPIRES W NAME ��r� T7 DESCRIPTION OF WORE 3 AD MAIL NUMBER OF OUTLETS ON CIRCUITS 0 'r LOCATION BY ROOMS CITY 14 ) .� TEL.NO-w"4 'f LIGHT OUTLETS SW. PLUGS FIX1 1 AM THE LEGAPOSSESSOR OF THE ABOVE LOS A B C D E F G H ANGELES COUNTY f�ERTIFICATE OF QUALIFICATION. CIRCUIT LIVING ROOM ELECTRICIAN. - ------- I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM ABOVE, BRFST.RM. BATH -- CORRECTIONS ENT.HALL HALL NO. FRONT PORCH OUTSIDE KITCHEN SERV.PCH. J BDRM.NO. Z 1 CLOSET --------- � BDRM.NO. Q CLOSET ----- - TOTAL NO. OF OUTLETS / $ APPROVALS NO. OF FIXTURES DATE INSPECTOR' NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ / } POWER PERMIT FEE $ J L UTILITY CO.NOTIFIED t TOTAL FEE S A FINAL 76A689 DBS EA a-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY !,) COUNTY OF LOS ANGELES r ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN jDISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN L'" /G C /6J 0 HbaM%lGRECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST 1"PECT,ION / ; I�y�.�VV// L._.G ; CITY HARVEY/ CALIfd;ELI'HE3NE AT.0-47 4 COUNTY LICENSE NO. 6 , EXPIRES � , BUILDING PERMIT FEES ADDRESS FEE NUMBER I OUTLETS EACH LOCALITY t i LIGHTS 5c I$ I NEAREST CROSS ST. I RECEPTACLES 5 e I FIXTURES 5 OWNER WALL SWITCHES 5 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY t TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWERI CERTIFY THAT I POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER 1 NEW MVD. HP OVER INC. EACH _ OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. l/9 LESS $ .25 I/2 2 .50 SIGNATURE OF" PERMIT TFEE - 2 5 1.00 5 Is 1.50 INSPECTION RECORD Is 50 2.50 50 200 5.00 200 500 10.00 500 1000 15.00 "1 4 OVER 1000 20.00 Z M.G. SET/FREQ. CHANGER-HP Q' WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO. TRANS /'{ TYPE: NO. LAMPS (/ APPROVALS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ �� UTILITY CO. NOTIFIED FINAL Y OB B-A 4.41 IBM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. JGROUP ZONE PERMIT NO. WIRING FIXTURES SERVICE RECEIVED BY READY FOR DATE ISSUED RANGE HEATER POWER `. FIRST INSPECTION z SIGNS AMISCELLANEOUS ^ry T jgL IN H VILY OUTLINED JORTION ONLY .217 (f, JOB Tow NAME -�' ADDRESS ��° ADDRESS r ` LOCALITY ''" �.,- �. .001 EAREST W CITY * d � TEL. CROSS ST. COUNTY CERT.NO. EXPIRES W NAME DESCRIPTION OF WORK 3 MAIL ADDRESS NUMBER OF OUTLETS ON CIRCUITS O LOCATION BY ROOMS CITY TEL.NO. LIGHT OUTLETS SW. PLUGS FIXT. 1 AM THE LEGAL POSSES" E AB LOS ANGELES COUNTY CERTIFICATE '!" IF IC ON CIRCUIT A B C D E F G H 996 . LIVING ROOM , ELECTRICIAN. —'--'------- t AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM ABOVE. SRFST.RM. OWNER. CORRECTIONS ' ENT.HALL ---------- HALL NO. I FRONTPORCH -----_--_ OUTSIDE KITCHEN SERV.PCH. ----_---_— J BDRM.NO. t--------_— 0 CLOSET a BDRM.NO. ----------_ O � CLO it TOTAL NO. OF OUTLETS ; APPROVALS NO. OF FIXTURES 17 ; y DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ; CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES OR HEATERS S FIXTURES MISCELLANEOUS f POWER PERMIT FEE $ / G` UTILITY CO.NOTIFIED _,__:_3 —_� TOTAL FEE ; i. FINAL DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC NATURE OF INSTALLATION 15TRIG'r.NO. GROUP TYPE PERMIT No. WIRING FIXTURES 1_1 SERVICE READY FOR REC7VE Y DATE/ISSUE} RANGE HEATER POWER FIRST INSPEC LION SIGNS MISCELLANEOUS f, •'n ~ {. 1 APPL ANT F LLIN HEAVILY OUTLINED PORTIO?j ONLY Z JOB NAME ADDRESS tAs.- U _ f ADDRESS ''� /Lsi•` ` LOCALITY '�"� C, r •- `�iL-414,ommig V � � NEAREST W w CITY �# TEL. N CROSS ST. STAT � `1�'" COUNTY ,r W LICENSE No. / J J T 1REG. No. E NAME •C-C. T— WMAIL DESCRIPTION OF WORK Z ADDRESS NUMBER OF OUTLETS ON CIRCUITS O CITY 'F• •TEL. NO. LOCATION BY ROOMS LIGHT OUTLETSSW. PLUGS PIXT. CORRECTIONS CIRCUIT I AI BI CID I EI I FGIH .LIVING ROOM I DINING ROOM BRKFST. RM. BATH I ENT. HALL I I I I I I I I I HALL No. FRONT PORCH OUTSIDE � KITCHEN I I I I I _ J SERV. PCH. I I I I I I I I I Z BDRM. No. I I I I I I D CLOSET I I I A I I I I I o ■DRM. No. CLOSET I I I I I I I I III III II II II TOTAL NO. OF OUTLETS APPROVALS NO. OF FIXTURES S DATE INSPECTOR'S RAMI NO OF MOTORS H. P. g CONDUIT NO. OF SIGNS / TRANS. I $ j� WIRING NO. OF RANGES OR HEATERS $ FIXTURES MI6CELLANEOUB $ POWER PERMIT FEE $ 3 •` UTILITY CO. NOTIFIED FINAL TOTAL FEE {. T DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC '. NATURE OF INSTALLATION DISTRICT No. JOB No. PERMIT No. WIRING I FIXTURES SERVICE RANGE HEATER POWER _ READY FOR /�2 EIVED BY DATE ISSUED FIRST INSPECTION pt SIGNS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTWN ONLY Z NAME M e...? 1(! 1 JOB o Q ! 6,„/f � '!��.: ADDRESS - U ADDRESS �- '�" L 'i ... LOCALITY �a..t+•- ''A'�''�-�+ C �;;yy n y- NEAREST v( U CITY bk-'f-%•47�'C..1. ykc TEL. NO. �Z�7 rfCROSS ST. W STATE p q�I� (✓ COUNTY LICENSE NO.)? / ,! J y REG. NO. NAME �CA.�v4'�+,,.G'l(� /J -' ( (,,�,..•.''+�. MAIL DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS �'� ✓ LOCATION BY ROOMS CITY TEL. NO. LIGHT OUTLETS SW. PLUGS FIXT. ORREC IONS CIRCUIT A B C D E F G H LIVING ROOM DINING ROOM BRKFST. RM. BATH ENT. HALL HALL No. FRONT PORCH OUTSIDE J KITCHEN Q Z SERV. PCH. BDRM. NO. 0 CLOSET BDRM. NO. CLOSET TOTAL NO. OF OUTLETS $ NO. OF FIXTURES $ APPROVED NO. OF MOTORS H. P. $ _ INSPECTOR'S NAME DATE t.y 1 CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ Y._ UTILITY CO.NOTIFIED TOTAL FEE FINAL - - 76A663-CE80610.62 APPLICATION FOR ELECTRICAL/PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGp BUILDING AND SAFETY DIVISION ADDRESS GI570S TUN/6s JOHN A. LAMBIE, COUNTY ENGINEER ,1 WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. 6 G/T RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ �� OWNER 7 _ =L• LIGHT 4 MAIL •ZO ADDRESS OVER .10 y2 S ND SWITCH. d Q' LIGHTING 11 TOTAL FIRST 20 .20 z CITY A'n+f?2,b TEL. NO. �O ����D� FIXTURES 1� OVER ELECTRICIAN 11 OVER 20 •10 �^ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS G GARB.DISP. STA.COOK CITYTEL.N / d DISHWASH. AUTO.-WASH. STATE / 2 ` Q SPACE HTRS. STA.APP.(I/p H.P.MAX.) .50 LICENSE No. q1 �r l MOTORS. OVER NOT OVER H.P. DISEBIC y N OU ZONE P ,95E O 1 11.00 /VJ 1 3 1.50 INSPECTION RECORD ' 3 8 2.00 CIL S 1 a 2.50 15 50 3.00 ad 50 100 5.00 0 SIGNSI NO.TRANS. d NO.LAMPS h z_ SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V d5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 11.00 TOTAL FEE f IHEREBY 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 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 `� UTILITY CO.NOTIFIED OF PERMITTEEy VALIDAT ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 4 i <) 'J 1 LIS c: U 2.4 C',. v. 76A663-CE806 3-69 `-7-- APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ✓lfi/iL�L� } SUILDING.AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY (J NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE $ $ OWNER Q/fjL� RECEIPT. MAIL TOTAL FIRST 20 ,20 �r ADDRESS LIGHT lJ SWITCH L- (.J OVER 20 .10 CITY TEL.NO.,A a PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT ADDRESS FIXTURES OVER 20 .10 RANGE_DRYER_WTR. HTR. CITY TEL.NO. STA. COOK_DISP. _F.A.U. CONTRACTOR � J SPACE HTR AIR COND. ADDRESS -1,e-',e- CLOTHES � CLOTHES WASH._DISHWASH. CITY q TEL.NO. FAN OTHER 1.00 LICENSE NO. / CLASS. (2 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. 0 - 1 1'00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATEOF 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 - 50 5.00 V SIGNATURE � - 50 - 100 10.00 OF PERMITTEE Q H- 100 - 500 15.00 DISTRICT NO GROUP eN Eo CE SED BY w SIGN,GAS SIGN AND ONE CIRCUIT CL 3.00 v/ N TUBE, OR 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 WIRING PERMIT FEE (SUET TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 �v UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE D JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH t r 4� UL 2 0 5.0 Q SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 1 GA666-CE6066-60 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS \ V\ LL S JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN. SUP'TOF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST cRoss sr. PERMIT FEES ` T OWNER c_, w D — t I T E M NUMBER EACH FEE MAIL OUTLETS: S $ ADDRESS GL b a) V F LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES 10 CITYRR TEL.NO. ELEC. RANGES CLO. DRYERS ELECTRICIAN �ck J CI WATER HEATERS .50 ADDRESS ZAIX (I e`r v'.C_V 1 •V �-� ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. —LO GARBAGE DISPOSERS AUTO.. STATE WASHERS STA. COOKING UNITS .25 LICENSE NO. \ ✓ �� MOTORS: OVER INC. H.P. DISTRICT NO. OUP ZONE P SED BY o — V2 .25 �G° � ,r tl67.3 .:>u. X12 — 2 .50 INSACTION RECORD 2 5 1.00 } CL 5 15 1.50 0 15 50 2.50 _ r w O 50 — 200 5,00 / TRANS. ! . w SIGNS: ~T d. . LAMPS N� < SERVICE"8'-600V 1.00 f !� {� Z SERVICE OVER Goov 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $`j � LDESCRIBED BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LL COUNTY ORDINANCES AND ST S REGULATING CONDUIT CAL WIRING. WIRING EBY CERTIFY T T 1 AM PROP LY R ISTER AND/OR D AS REQUI ABY A GEL C TY AN TATE OF FIXTURES NIA OR TH AM HE L GA E ABOVE ED RESIDE 1 P ERTY. POWER URE UTILITY CO. NOTIFIED MITT FINAL VALIDATION ARTHUR C.VEIT, Mo CASH SUPERVISING ELECTRICAL ENGINEER 76A663-CES0610-59 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING 4 J d �^ BUILDING AND SAFETY DIVISION ADDRESS 1 17 C t ac�V 1n 0.S JOHN A. LAMBIE, COUNTY ENGINEER ^� 1 WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY \ -e v'— J \ C FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. �. OT �� ITEM NUMBER OWNER EACH FEE MAIL OUTLETS: $ s ADDRESS LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN l!- \I WATER HEATERS .50 ADDRESS0 ELEC.SPACE HTRS. DISHWASHERS /� CIT � ' `�\ ' TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICTNO. JGEIOUP ZONE PR CESSEDCOY 0— 1/2 .25 J 1/2— 2 .50 INSP&CTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 r / � SIGNS: N0.TRANS. O - Y �i 1 Z. ✓ r NO.LAMPS SERVICE 0-600V 1.00 v SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE s 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REG TING CONDUIT ELECTRICAL WIRING. 1 HEREBY CERTIFY TH AM PROPERLY EGI D AND/ R WIRING LICENSED AS REQUIRED Y OS GELES C UNTY D STAT F FIXTURES CALIFORNIA OR THAVI TH LEG NER F THE VE DESCRIBED RES EN AL OF POWER SIGNATURE UTILITY CO.NOTIFIED _ r?_ FINAL --/ OF ATION ARTHUR C.VEIT, CK Mo CASH SUPERVISING ELECTRICAL ENGINEER i o ,IAt 4 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER ELECTRIC DIVISION OF BUILDING & SAFETY WILLIAM J. FOR, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. z�"L�.rte ELECTRICIAN I 1- l.." �J :J ADDRESS 14009 " RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION / CITY BALDWIN PARK, CA1.1F. TEL. NO. FL. 7.3508 OG( /7/J� COUNTY LICENSE NO. ti 6 O Z$ EXPIRES 6 " 4-1 5 ADDRESSP�[SFEES � '���1 d1• FEE ' NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST 'h RECEPTACLES ROSS ST. 7Z C 1, WALL SWITCHES OWNER TOTAL OUTLETS 5C $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 FIXTURES 5 CITY TEL. NO. MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITSAND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. '/2 a LEss $ .25 ' SIGNATURE OF ,,.� 2 2 .50 r11 PERMITTER 2 5 1.00 INSPECTION RECORD 5 15 1.50 / 15 SO 2.50 50 200 5.00 200 SOO 10.00 .J SOO 1000 15.00 Q Z OVER1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA GENERATORS -KW TRANSFORMERS-KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO. TRANS. NO. NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1,00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES aO POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL 75A 663 0138S1 5A. 4-52 WORKER S'COMPENSATION DECLARATION CE 806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have 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 it Policy No. Company EACH NO. FEE ADDRESS �Z11 New Residential Bldgs.&Pools ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. NEAREST IPQ Certified copy is filed with the county building igsp#ction CROSS ST dep tmen . Residential Swimming Pools OWNER OR ��// r' FIRM NAME Date/��jpplicantA ) �T !_. ;a // t—�— Outlets: Rec._Light_ Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY el No. y COMPENSATION INSURANCE PLAN CHECK APPLICANT (This section need not be completed if the work involvedLihting Fixtures First 20 t U by the permit is for one hundred dollars ($100) or less.) g ADDRESS � cc Total No. Additional .� O 1 certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. 1— permit is issued, I shall not employ any person in any manner PERMIT ,r U so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. _ APPLICANT CL Oven _ Dryer_W.M.! ADDRESS Date Applicant Top _ FAU _W.H. Hood _ Fan _Other_ CITY a T k NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond.� LICEN R , _�C�/1 Exemption, you should become subject to the Workers' REG.NUMBER s Compensation provisions of the Labor Code you must forth- DISTRICT NO. PROCESSED BY P P Y Power Apparatus& Large Appliances S with comply with such provisions or this permit shall be deemed revoked. Size&Type HP, KW, KVA,or KVAR Up to 1 Incl. ir�10 FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9comm i 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and effect. ServicesAll- f CX License Number Lic. Class 0-200 Amp. Under 600 V ' t 201-1000 Amp. Under 600 V J, f Contracto ,; t�ate Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole& Appurtenances V" I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law f the following r n Additional Sign Branch Circuits tri' ,�' or o owing eason (Sectio 7031.5, Busi- .r Q b 9, 1 P ness and Professions Code): f.• Misc,Conduits&Conductors • • 0,0 2 ❑ 1, as owner of the property, will do the work and the / ;Other (See Complete Fee Schedule)— � structure is not intended or offered for sale (Section 2 • • (( 4, 0 7044, Business and Professions Code). ; CONSTRUCTION LENDING AGENCY �° e • - (; 55611 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 3.2 3—8 issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE �� G 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-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE C_ /' Signa3u?e of Permittee rate WORKERS' COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES C BUILDING AND SAFETY a c rti ied copy Thereof (Sec 3800, Lab C ) y Ce-Z -436S' 74"-27 i P1olicy No Company FOR APPLICANT TO FILL IN JOBB ADDRESS Certified copy is hereby furnished � � New Residential Bldgs & Pools EACH NO FEE f� Certified copy is filed with the ty building inspec- 1 & 2-Family, Sq Ft $ _ $ LOCALITY. do department Multi-family Sq Ft NEAREST tv Residential Swimming Pools CROSS ST Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPT ON F OM WORKERS' Outlets Rec Light Sw_ MAIL COMPENSATIO I RANCE ADDRESS c First 20 (This section need not be completed if the work involved by Total No Additional CIT Tel No the permit is for one hundred dollars ($100)or less.) that in the performance of the work far 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 Additional Total No CITYj5U Tel N 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 with comply with such provisions or this permit shall be Top — FAU —W H deemed revoked CITY Tel N 7 LICENSED CONTRACTORS DECLARATION LICEHood _ Fan _ Other— Disp Room Air Cond REG OR I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO RO ED BY and Professions Code,and my license is in full force and effect Size &Type HP, KW, KVA, or KVARO O License Number Lic Class_ Up to I Incl FINAL V Contractor l� Over 1 to 10 Incl DATE t,- y��C�3 VALIDATION 09 Date ❑ vTT— Over 10 to 50 Incl F– FINAL I am exempt under Sec Over 50 to 100 Inc BY w B&P C for this reason Over 100 CL Date Services, Swbd , MCC & Poneiboards ► 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V Y 7y ❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V 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 7' Law for the following reason (Section 7031 5, Business and r. Professions Code) ❑ I, as owner of the property, will do the work and the Misc Conduits& Conductors c " " ° � structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 0 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) I (Sec 3097, Civ C ) A _ PLAN CHECKING FEE Lender's Name � v PERMIT ISSUING FEE �U 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 or'ze representatives of this County to enter upon the ab'­_m tinned prq rty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f Permittee Dat ' WORKERS'COMPENSATION DECLARATION CE 806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES -7 BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or / I "fl a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN J ^ - Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — Is LOCALITY ❑ Multi-family Sq. Ft. — NEAREST * Certified copy is filed with the county building inspection CROSS ST '74 -/ de artment. Residential Swimming Pools OWNER OR p d FIRM NAME 4f44d6za, Date Applicant Outlets: Rec:'Light_Sw. MAIL .� First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel Nod COMPENSATION INSURANCE PLAN CHECK 0- (This section need not be completed if the work involved APPLICANT by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Additional O Total No. I certify that in the performance of the work for which this CITY Tel No. F- Fixed Appliances Not Over ? HP permit is issued, I shall not employ any person in any manner PERMIT Cy� �-� p W CL so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT , 6 5P,6P_ y /��// a W 4 Oven _ Dryer_W.M._ ADDRESS6J15h F. ��/v L'1 C ry � �� j z_ Date �jC� Applicant r. Top _ FAU _W.H. CITYfTIE®� Tel No. '/✓ �� / Hood — Fan _Other_ L NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond,_ LICENSE OR . 7 a 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. PROC-SED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR s� —s� ��jjUp to 1 Incl. r— pf,� l'-•Over 1 to 10 16cl. ? FINAL _ DATE LICENSED CONTRACTORS DECLARATION 7 VALIDATION Over 10 to 50 Incl I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and effect. 7/�f� Services License Number/ 4l`�' �I ic.Class +- 0-200 Amp. Under 600 V ��� '� 201-1000 Amp. Under 600 V Contractors ""' Date i S13 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 ness and Professions Code): 9 1 i,3 A Misc.Conduits&Conductors ElI, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— !2 • 01"010 • 2 structure is not intended or offered for sale (Section • • 2 O O 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency • • ? & 0 0 c= for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). Q 1,1 7—8 3 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE T I 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 thea ove-mentioned pro„P rty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date w r 6OUNTY Ob LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1008230023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 6561 LT- 628 1 9578 LAS TUNAS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802106 1 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET TEMPLE CITY BLVD 16587-015-012 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl I M1 CONDUITS, CONDUCTORS 1 00 MIS 65.20 TENANT I TOTAL FEES 93 00 (ISSUED ON PROCESSED BY PLAN BY. 1 ITEA STATION 08/23/10 SR I (OWNER TEL NO IFINAL DATE FINAL BY CODE: 1 IPAN, TERESA (626) 288-3785- 1158 W VALLEY BLVD. I I ISAN GABRIEL CA 91776 DE CRI TI N OF WORK IMISC CONDUITS FOR TRANSFORMER 1APPLICANT TEL NO 1 I 1 IBOOMERANG ENGINEERING INC (626) 780-6694- I 1 11227 W. VALLEY BLVD (SPECIAL CONDITIONS. 1 ALHAMBRA CA 91803 (CONTRACTOR: TEL. NO 1APPROVALS DATE INSPECTOR SIGNATURE (BOOMERANG ENGINEERING INC (626) 780-6694- 1 1 11227 W. VALLEY BLVD , #115 LIC. NO (TEMPORARY POWER POLE I I ALHAMBRA, CA 91803 861501 C36 *I 1 1 1 I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NOI IUFER GROUND I I I _ 1 I I I LIC. NO (ROUGH CONDUIT 1 I I I I 1 (ROUGH WIRING I I 1 I I I 1 IMAIN WATER LINE 1 1 PLASTIC Y/N METAL Y/N I I 1 (UTILITY LCOMPANY NOTIFIEDI I I 111 �[A. J4 z?-,;o 11 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* ADDITIONAL DATA ON FILE 1 1 I I I I I I (REPORT ID DPR265 ROUTE TO. BS0508 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1005100010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR. 6561 LT: 628 9578 LAS TUNAS DR I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917802106 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET. TEMPLE CITY BLVD 18587-015-012 JAW PC CITY $109 35 MIN 0 00 695 94 THOMAS PAGE 596 GRID. J3 LOCALITY TEMPLE CITY, Cl 1 IAl PERMIT ISSUANCE FEE 27.75 TENANT IF1 120V, 15/20A BR CKTS 33 00 BR 505 05 (ISSUED ON PROCESSED BY PLAN BY ITEA STATION 1F2 208, 277V LGT BR CKT 2 00 BR 54 60 105/11/10 SR IG1 OUTLETS-LGT,SW,RECP 38 00 OUT 63 30 1 1OWNER TEL NO IG2 LIGHTING FIXTURES 92 00 LGT 136 20 IFINAL DATE FINAL BY CODE I IPAN, TERESA (626) 288-3785- IJB AC UNITS +3-10HP 1 00 AC 19 65 I I 1158 W VALLEY BLVD IJX MOTORS, LT 3 HP 4 00 MOT 61 20 I ( I ISAN GABRIEL CA 91776 IJ5 OTHER PWR APP LT 3HP 5 00 PWR 76 50 [DESCRIPTION OF WORK 1 1 ILA 100 AMP PANELS, MCC 1 00 PAN 38.85 ITENANT IMPROVEMENT RESTAURANT ELECTRICAL 1 1 ILB 200 AMP PANELS, MCC 1.00 PAN 38 85 (APPLICANT• TEL. NO IS3 ADDTNL ELECT PLAN CK 1.00 HOU 109 35 I ITAI, DANIEL (626) 359-3568- I TOTAL FEES 1,827 24 1 1 1322 E FOREST AVE I ISPECIAL CONDITIONS 1 IARCADIA, CA 91006 I I I I I I I I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE IATECK CONSTRUCTION INC (909) 393-9798- 1 1 1 115800 EL PRADO ROAD UNIT C LIC. NO ITEMPORARY POWER POLE I I ICHINO CA 91708 845160 B I I I I I I (UNDERGROUND CONDUIT I I I I I I I I (ARCHITECT OR ENGINEER: TEL NO. I 1UFER GROUND 1 I I LIC NO 1 IROUGH CONDUIT I 1 I I I ROUGH WIRING �1 W IMAIN WATER LINE I I IPLASTIC YIN METAL YIN I I I I I I 1UTILITY COMPANY NOTIFIEDI 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 I I I I I I I I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO- BS0508 1 1 I 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1003030006 BUILDING AND-SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS ITR 6561 LT• 628 1 9578 LAS TUNAS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802106 ASSESSOR INFORMATION NUMBER i NEAREST CROSS STREET TEMPLE CITY 18587-015-012 1A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID- J3 LOCALITY TEMPLE CITY, Cl IK1 SIGNS, OUTLINE LGT 1 00 SIG 38 85 ITENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON ITEA STATION 103/03/10 SR 03/03/11 1 I I I (OWNER TEL NO I IFINAL DATE +� FINAL BY CODE IHUANG, JIMMY (626) 286-3785- 19578 LAS TUNAS DR V 1 ITEMP 917802106 1 jD3SCRIPTTO_N OF WORK I I 1ELECTRICAL FOR ILLUMINATED CHANNEL LETTERS I 1APPLICANT- TEL NO 1 ISIGN ART CO (626) 287-2512- 1 1423 S CALIFORNIA ST 1 ISPECIAL CONDITIONS ISAN GABRIEL CA 91776 I I I I I ICONTRACTOR TEL. NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISIGN ART CO (626) 287-2512- 1 1 1423 S CALIFORNIA ST LIC NO I ITEMPORARY POWER POLE 1 ISAN GABRIEL CA 91776 757903 C45 1 I 1 I 1UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND 1 1 LIC NO IROUGH CONDUIT I I I I I IROUGH WIRING 1 I I I IMAIN WATER LINE 1 1 PLASTIC Y/N METAL Y/N I 1 1UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I 11 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