HomeMy Public PortalAbout9651 LAS TUNAS DR_Electrical__ SA663-CE806-10.56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
ADDRESS ' (GJ —Gl h/•
County of Los Angeles
JOHN A. LAMBIE.COUNTY ENGINEER /
re
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY
NEAREST r C
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES •
OWNER
LIGHTS RECEPTACLES SWITCHES /�J��
IF I
NUMBER i T E M EACH FEE MAIL ADDRESS / ���
TOTAL OUTLETS $ .10 S
ELEC. RANGES, WATER HEATERS, CITY rr le rl Y V TEL. NO.
CLOTHES DRYERS ,50
ELEC. SPACE HEATERS, STAT-Y. COON- ELECTRI IAN
ING UNITS, GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25 `
LIGHTING FIXTURES ,10 /_ !i CITY Yl TEL. NO.el l�`
MOTORS CACI
LICENSE NO. J �/ / / C
HORSEPOWER
H.P. OVER INC. DISTRICT NO. I GROUP ZONE READY FOR INSPECTION
V2&LESS .25 6
- Z
I� - 2 .50 �./� INSPECTION RECORD
2 5 1.00 (/ w
5 15 1.50 7
15 50 2.50
50 200 5.00 _
MISC. "
2
SIGNS NO.TRANS
NO.LAMPS &2T
SERVICE 0-600V 1.00 " >' Sc
SERVICE OVER 600V 5.00 7-/-/ S ' ,
WIRING PERMIT 1.00 v
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES OU NTY AND STATE OF
CALIFORNIA OR THAT I HE LEGAL NET OF ABOVE POWER
DESCRIBED RESIDENTIAL 0 PITY.
SIGNATURE UTILITY CO. NOTIFIED — -*
OF PERMITTEE '07
FINAL >
OHN A. LAMBIE. VALIDATION ARTHUR C.VEIT.
.OUNTY ENGINEER (5 .- CASH SUPERVISING ELECTRICAL ENGINEER
i _, {,1 .1 `, _ �..
G�
'8A663-CE@06 10-62
APPLICATION FOR ELECTRICALERMIT
•
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER ✓
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS Sr.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OWNER /2v
LIGHTMAIL
SWITCH. ADD �A ADDRESS
OVER LO .10
LIGHTING TOTAL FIRST 20 20 CITY TEL.NO.
FIXTURES ADO'L ( ��
OVER 20 .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 11.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(y=H.P.MAX.) ,50 LICENSE NO. C/
MOTORS: OVER NOT OVER H.P. DISTjRI�T NO. GROUP //ZONE PRJDC BY
O 1 1.00 - C� 7 1
+ 3 1 1.50 INSPECTION RECORD
3 a 2.00
e 1 s 2.50 O
_ U
15 50 3.00 Ix
50 100 5.00
- 0
SIGNS: NO.TRANS.
NO.LAMPS
N
SERVICE O-SOOV-NOT OVER 200A 1.00
SERVICE O-SOOV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC. - - - - -
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TAIL FEE f D
1 HERE Y ACKNOWLEDGE - ATI VE01EAD THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM LEGAL OWNER OF ABOVE - --
DESCRIBED RESIDENTIA RO Y. POWER _
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE -
FINAL
ALIDATION ARTHUR C. VEIT
1 MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
�I� 1 7 2 21-Zi JUL 23 0 2.50-
'6A663.CE.oU610.62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING _
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER //ff�� �C
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY dG
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 f 20 $ OWNER
LIGHT MAIL
SWITCH. ADD ADDRESS
OVER AGO .10
TEL.NO.
LIGHTING TOTAL� FIRST 20 .20 CITY
FIXTURES ADD'L I
OVER 20 .+0 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /l
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH.
STATE
SPACE HTRS. STA.APP.(ys H.P.MAX.) ,50 LICENSE NO. sJ
MOTORS: OVER NOT OVER H.P. DISTRkg:TDN GR UP ZONE PR CE D BY
O 1 1.00
+ s 1.50 INSPECTION RECORD
s s 2.00 6)(7
O
8 15 2.50 V
m
15 50 8.00 7 -
50 100 5.00
a
SIGNS: NO.TRANS. N
NO.LAMPSL
SERVICE O.600V•NoT OVER 200A 1.00 `JG
SERVICE 0.600V•OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
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 CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORS
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE•OF FIXTURES
0)
OR THAT I AM .THjy.L7EAL OWNER O THEABOVE
DESCRIBED RESIDENT I A RTPOWER
SIGNATURE UTILITY CO.NOTIFIED v
OF PERMITTEEV'A - _ - - ---
FINAL
LIDATION ARTHUR C. VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
_CfC
Liu 1 7 0 1 JUL 2 2 .? U 6.5 0-
kv-�
(N WORKERS'COMPENSATION DECLARATION 76A663 10/81 ��������� � ®R ELECTRICAL PERMIT
I he�by affirm that I have a certificate of consent to self CE-8066
insure, ar a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, L6b. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS S J u ti J
❑ Certified copy is filed with the county building inspec- 1 &2-Family. q•S Ft. $ _ $ LOCALITY tion department. Multi-family Sq. Ft. 'NEAREST ell
CROSS ST. L.
Date Applicant Residential Swimming Pools OWNER OR
pP I� FIRM NAME N fir!
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_faLight Sw� AMAk
DDRESS `/ L
COMPENSATION INSURANCE First 20 n
(This section need not be completed if the work Involved by Total No.. i Additional CITY Tel. No.
the permit is for one hundred dollars($100)or less.) PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall not employ any person in any manneri
so as to become subject to the Workers'Compensation Laws. Lighting Fixture& First 20 Z ADDRESS
Total No. K Additional CITY
Dat c' Applicant ��!18N IN e1 Fixed Appliances Not Over 1 HP
NOME O 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. — CITY / Tel. No.
revoked. Hood — Fan _Other_
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond, REG.NUMBER Class.
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCES F,D BY
and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances r� / 0.
Size&Type HP, KW, KVA, or KVAR' O
License Number Lic. Class Up to 1 Incl. FINAL Ili
ION
Contractor Date 29
Over 1 to 10 Incl. DATE VALID
❑ Over 10 to 50 Incl. FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY
fA
BAP.C. for this reason Over 100
Services,Swbd., MCC&Panelboardss ,) e
Date' 0 -.200 Amp. Under 600 V v �v
Signature 201 - 1000 Amp."Under 600 V
❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V 7 6 3 2 A
SINGLE FAMILY Temp. Power Pole&Appurtenances # o o o o o 2
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o 039.00
I hereby affirm that I am.exempt from the Contractor's License Add tional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and o 0 - 39.00'
Professions Code):
❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors 0 al
0-87
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lend'er's Name
PERMIT ISSUING FEE
Lender's Address g
I certify that I have read this application and state that the TOTAL.FEE /t 0
above information is correct. I agree to comply with all County
ordinances and tatef
s regulating Electrical wiring, and
h 'e authorize eprtatives of this County to enter upon
e ove-menti edperty for inspection pur osQes. SEE REVERSE FOR EXPLANATORY LANGUAGE
i atu o er tee Do e
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ErECTUCA[-PERMIT
DEPARTMENT.OF PUBLIC WORKS 9071 LAS TUNAS EL 05081.
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGA FEES PAID BDRESS;
TR: 6561 LT: 138 \J9651 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP--GA-917802103
ASSESSOR INFORMATION R: NEAREST CROSS STREET:
8587-020-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00
TE G2 LIGHTING FIXTURES 17.00 LGT 33.15 ISSUED ON: PROCESSED B LAN BY: PI E .
IA N-RES EX FANS LT 3HP 3.00 EX 46.35 01/12/98 UT 01/ 9
TOTAL FEES 146.25
OWNER: TEL. NO: FINAL DATE FINAL 8 CODE:
SCURTO, PETE N. (818) 289-6543- 12'f
TEMP 9178000125 .IAN E-WORK
EkE.CTRIC9L-EOR-IENANS__IMPREOVM
APPLICANT: TE 0:
SAME AS OWNER -z- SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO:
�h` j' ":'•��• APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO !.`�y. > ttj r^'' TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: UFER GROUND
LIC. NO:,j' - i ' �1111i11 tiy�'� ROUGH CONDUIT
l- - ---- - - - ---------- -- - -I
ROUGH WIRING
77 rl I'- ' �',j l{rj l , jL'';�l'' -' MAIN WATER LINE
PLASTIC Y/N METAL Y/N
----__-_ --- --- _ - ---_� UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508