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
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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
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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
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11 I I I I I
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IREPORT ID DPR265 ROUTE TO BS0508
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