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HomeMy Public PortalAbout9654-9656 LAS TUNAS DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR. PERMIT Department of County Engineer �������� DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer 1- FOR APPLICAN TO FILIfi IN DISTRICT NO. GROUP! ZONE PERMIT NO. ELECTRICIA �. RECEIVED BY READY FOR DATE ISSUED ADDRESS -�4^'),1 FIRST INSPECTION CITY e ` TEL. NOA COUNTY LICENSE N . S EXPIRES - V- BUILDINGLAW, y PERMIT FEES ADORE=S /� _ _ �^ ' NUMBER EACH FEE LOCALITY _ LIGHT OUTLETS ,°„ NEAREST RECEPTACLES 'A CROSS �7 CROSS ST. WALL SWITCHES — OWNER �y�r TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 _ _ CITY TEL. NO. FIXTURES 9 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 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 ANGELES COUNTY LICENSE, OR 1 AM T14E LEGAL OWNER FEE rNEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESC ED ABOVE. _ I/Z a LESS B .25 SIGNATURE OF V2 2 .50 PERMITTEE-- _ 2 S 1.00 INSPECTION RECORD 5 15 1.50 is so 2.50 50 200 5.00 200 500 10.00 J - — Q 500 1000 15.00 .7 �-"2 OVER 1000 20.00 (,G M.G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA _ /9 '-f 0 GENERATORS - KW - TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORtO•) MOVED MOTORS (75% OF GRIM.) MISC. - SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS -- FOR EACH PERMIT: -- CONDUIT DATE INSPECTOR'S NAME-a— -- WIRING $1.00 FIXTURES $1.00 WIRING ' Z_ ."�.>7 C- BUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED - - FINAL 76A663 DBS#5A 4-52 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department Of County Engineer ELECTRIC DIVISION OF BUTLDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN •w— DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN____­__ ------- -- -- RECEIVED BY READY FOR I DATE ISSUED _ADDRESS FIRST INSPECTInN , CITY TEL. NO. •� COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS '� .rte ----- -- FEE `NUMBER EACH LOCALITY - LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES _ OWNER_ - TOTAL OUTLETS Sc $ __ MAIL - ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 _ CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT I 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 HORSEPOWERFEE ANGELES COUNTY EN8E, OR 1 'M THE LEGAL OWNER NEW MVO. HP OVER INC. EACH OF THF RESIDE N A PROPERTY O BEO ABOVE. %2 & LEHH $ .25 SIGNATURE OF I '! _ V2 2 .50 PERMITTEE 2 s 1.00 INSP CT ON RECORD 5 15 1.50 15 50 2.50 - ___ 50 200 5.00 200 500 10.00 ,j 500 1000 15.00 Q -- Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP _ WELDERS:AC-KVA O i _ GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.)_ MOVED MOTORS (75% OF ORIa.) MISC. __-- _-_--- / - SIGNS " NO. NO.TRANS. APPROVALS NO. NO. LAMPS --- — ---FOR EACH PERMIT: DATE - INSPECTOR'S NAME CONDUIT — FIXTUREH_____ ____ __$1.00 L�_WIRING SUPPLEMENTARY — v .50 FIXTURES POWER TOTAL FEE - UTILITY CO. NOTIFIED _ FINAL -- IGA663 DBS#5A 4-52 76A663 CE 606i;p.10,7' APPLICATION FOR ELECTRICAL IERMIT U ♦YCOUNTY OF LOS ANGELES EPA DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO, FEE CNEAREST ROSS ST. 1 &2-Family,Sq. Ft. $ .025 — $ OWNER OR Multi-family Sq. Ft. 02 — FIRM NAME Residential Swimming Pools 25.00 MAIL ADDRESS Outlets:Rec Light_Sw. _ CITY 00,t,l Tel. No First 20 .50 PLAN HECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional 30 PERMIT �f_ r,L L Total No. APPLICANT G-�-� Fixed Appliances Not Over 1 HP ADDRESS 2��- ✓� 3T Range_Heater_D.W._ CITY 1 , Tel. No. I y Z Oven —Dryer_W.M. LICENSE OR Top —FAU —W.H._ REG.NUMBER q/} Class. C 1 v Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR i HEREBY CERT FV THAT AM PROPERLY REGISTERED AND/OR LICENSED AS 2.50 REOUI RED BY LOS ANGELES OUNTY AND STATE OF CALIFORNIA OR THAT I AM Up 10 1 Ind. f THE LEGAL OWNER OF THE OVE DESCRIBED RESIDENTIAL PR RTY. O f �Ye6 Over 1 to 10 Incl. 5.00 Uc7 `-Y'— Over 10 to 50 Incl. 1 2.50 tRE L�j o 25.00 Over 50 to 100 Inc. vOver 100 40.00 NO. PROCE ED B�]Services - "0- 200 Amp.Under 600 V ZCX��- 12.50 1 SINSPECTOR S 25.00 PROVALS DATE SIGNATURE 201-1000 Amp.Under 600 V TEMP. POWER POLE Over 1000 Amp.or Over 600 V 50.00 UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedulei POWER AUTHORIZED UTILITY CO.NOTIFIED �,rJ FINAL r+ PERMIT FEE ISub-Totals NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 7 TOTAL FEE `j6v PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION CK M 0. CASH J L I Jlr'� L) J /.. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �6A�•S3-CEBO'% 10/72 APPMATION F R ELECT 9CAL PERMW COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION Y / T FOR APPLICANT TO FILL IN T. 7RECEPT.- TS N0. EACH FEE R "'~�' $ $ FIRM NAME L° E.� o MAILTOTAL FIRST 20 25 ADDRESS CITY TEL. NO. SWITCH_ OVER 20 AD PLAN CHECK LIGHTINGTOTAL •1p FIRST 20 25 APPLICANT FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY bef> EL. N0. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBERMQCLASS /&- FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE IN TYPE OVER TO 1 HE BZTIFYAT I AM PR PERLY REGISTERED AND/OR 0 - 1 100 LICENSBY LOS NG E9 CO TY AND STATE OFCALIF. NIAA TH L 0 OF THE ABOVE1 - 10 3.00 DESCRI DL RO R C Cj 10 - 50 5.00 PERMIT SIGNAT O I-- 50 - 100 10.00 FDISTRICT N0. OCE D100 - 50015.00 ,, 5--V S SIGN, GAS SIGN AND ONE CIRCUIT 5.00 CJAPPROVALS DATE INSPEC SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 POWER POLE SERVICENOTOVER600VOLTSOR200AMP 3.00 SLAB WORK SERVICEOVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVI CE,POLE,&APPU RTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 30 v TOTAL FEE �-(sD PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH cq o s y 973 APR 1.�. 8.0 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ;eases- sos a-ss �iy �J�n � APPLICATION FOR EL CTR�.�,�L PEB7 �, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS m 6 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temj3lp- City FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE $ $ OWNER Statler Bldgs RECEIPT._ MAIL LIGHT TOTAL FIRST 20 ,20 ADDRESS 9654 Las Tunas SWITCH OVER 20 ,10 CITY Temple CityTEL.NO. PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE DRYER WTR. HTR. CITY TEL.NO. STA. COOK_DISP._F.A.U. CONTRACTOR Cm Wm GARTSIDE ELECT,SPACE HTR. AIR COND. ADDRESS 6 yy AT o Angeleno Ave. CLOTHES WASH._DISHWASH. CITY AZUSA CA. TEL.N0. 6 =222 FAN_OTHER 1.00 LICENSE-NO. 204628 CLASS. Cel 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 A/pJ 6 ELECTRICAL WIRING. ` O - 1 1.00 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR • LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF I - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL NER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBE D NTIAL 10 — so 5.001 DE ` SIGNATURE C 50 - 100 10A0 OF PERMITTEE 100 - '5500 15.00 DIST R T NO. GROUP 20 E P•O• 33ED BY ' SIGN GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR 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 (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL / TOTAL FEE 07 JO P Q HAN L SUPER VI G ERE//R�,�/)L ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID/y I / y� M.O. CASH rvv ^ 4 b' -SEP 6 2 D ,0 UN v SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _76A663-CE80610/72 APPLICATION FOI�Z ELtd'T AL PERMIT � A JAS COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ]oB BUILDING AND SAFETY DIVISION ADDRESS LOCALITYL;4 Yy NEAREST APPLICANT TO FILL IN CROSS ST. Cpl pA�' 77FOR LETS NO. EACH FEE FOW OWNER OR IRM NAME ' ¢� 0 W $ $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS Ci'ry"� CITY �j� TEL. NO. SWITCH OVER 20 .10 PLAN CHECK FIRST 20 .25 FIXTURES APPLICANT LIGHTING TOTAL 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. N0, PERMI RANGE DRYER_WTR. HTR. APPLIC p Y e STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NOM4 y CLOTHES WASH. DISHWASH. REG•NUMBER CLASS 11 FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY GE TIF THAT I AM PRO RLY REGISTERED AND/OR O - 1 1.00 LICENSED AS R QUIR BY LOS ANG S COUNTY AND STATE OF' CALIFORNIA 0 THAI 1 AM HE E OW OF THE ABOVE 7„ 1 - 1O 3.00 DESCRIBED R ID AL PR P Y C PERM[ *EE v 10 - 50 5.00 SIGNATURE O 50 - 100 10.00 W DISTRICT NO, OC ED BY 100 - 500 15.00 S^ SIGN, GAS SIGN AND ONE CIRCUIT 5.00 UO APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.001 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 1 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 3a TOTAL FEE o (� PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK., M.O. CASH .GdSE [ J�, 0 8 6 7 73 i--AY 1 2 D 8.00- SEE E BACK OF APPLICATION FOR COMPLETE SCHEDULE r . , � fpl� //p�� Inry7��I 1`��f{7� � A 76ABB ff'�PPLOC[i�1'UM V FOR EL�ECTU L PERMIT COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER � •;.BUILDING /� BUILDING AND SAFETY•DIVISION ADDRESS U's L V v JOHN A. LAMBIE, COUNTY ENGINEER •COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING ', LOCALITYG•' NEAREST ^� FOR APPLICANT TO FILL• IN CROSS ST. f✓ NO. EACH FEE s s OWNERsTA, QF.WTE MANIA RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY—r& TEL. NO. PLAN CHECK LIGM-TING FIRST 20 .20 APPLICANT FIXTURES ITOTAL " OVER 20 10' ADDRESS RANGEe-DRYER—WTR.HTR.— CITY TEL. NO. TSTA.COOK_DISP._F.A.U.— CONTRACTOR A 1 ,SPACE HTR.—AIR COND. ADDRESS IU> ur CLOTHES WASH._DISHW.ASH._ CITY I TEL. NO. FAN_OTHER 1.00 . LJCENSE 1.4 0. CLASS. G^- MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE 9r+T1f PE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - i 1.00 A HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES C LINTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL R OF,,, NTEND TO 10 - 50 5.00 RESIDE IN, THE AB DES RI;k7 RESID AL ROPERTY. 50 = 100 10.00 SIGNATURE C OF PERMITTE.E Q) 100 - Soo ff 15.00 DISI RIC NO. G OUPON PROCESS)ED BY SIGN,GAS ,1 3.00 0 TUBE, OR SIGN AND ONE CIRCUIT V MARQUEE ADDITIONAL CIRCUITS 1.00 W D_ " NOTES• N SERVICE NOT OVER 600 VOLTS OR 200 AMP 12.00 - 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 (SUB.TOTAL) FIXTURES PLAN.CHECK FEE (50% PERMIT FEE) =>.•POWER AUTHORIZED PERMIT ISSUING FEE 2.00 '.UTILITYCO.NOTIFIED Ael SUPPLEMENTARY PERMIT ISSUING FEE OCt FINAL O TOTAL FEE JO EP C. RODHAN �• �,:: v;::: :_v;.::•;r «•:. x SUPERVISING ELECT ICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASHy PERMIT VALIDATION CK. M.O. CASH ,os45� /W17 2 D 6. N EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE C n ! 8AS88-CE80 ,D-Bre jp� cTICATI F®R EllCAL PERMIT LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING jn- BUILDING AND SAFETY DIVISION ADDRESS &4 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. 1 T E M NO. I EACH FEE OUTLETS: (FIRST 20) $20 $ OWNER LIGHTS RECEPT. SW. MAIL ' OUTLETS: (ADD'L UNITS)- f0 ADDRESS LIGHTS RECEPT. SW. LIGHTING FIXTURES: (FIRST 20) ,20 CITYS"llo TEL.NO. s LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIA RANGER • CLO.DRYERS WTR.HTRS. 1.00 ADDRES GARB.D1SP. STA.COOK (� p� CITY TEL.NO DISH.wwSH. AUTO.-WASH. STATE Z SPACE HTRS. STA.APP.(Va X.P.MAX.) .50 LICENSE NO. NEW MOTORS: OVER NOT OVER H.P. DISTRICT NO. OUP ZONE PES8ED Y O 1 1.00 —2 1 s 1.50 ;t; INSPECTION RECORD s 8 2.00 0 S is 2.50 w 15 50 3.00 O s0 100 5.00 o. NO.TRANS. + h SIGNS, 6 NO.LAMPS Z SERVICE O-SOOV-NOT OVER 200A 1.00 SERVICE O-SOOV-OVER 200 A. 2.00 SERVICE OVER Boot/ 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 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 R. CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .y: FIXTURES CALIFORNIA -OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER fSIGNATURE1 OF PERMITTEE W®^OF CO.NOTIFIED y, / FINAL ( / ! . ,/ VALIDA ART UZ C. VEIT I CK MO DSH SUPERVISING ELECTRICAL ENGINEER WORKERS'COMPENSATION DECLARATION 76-,810/87 APPUCATDON FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C) Policy No. Company FOR APPLICANT TO'FILL IN JOB 7� ❑ Certified copy is hereby furnished. EACH NO. FEE :ADDRESS p�t� `((/ New Residential Bldgs.&Pools y q 711,&2-Family,S Ft. $ — $ LOCALITY "' - r Certified copy is filed with the county building inspection de rtment. Multi-family Sq.Ft: — NEAREST ' o LiC. ^ CROSS Dat Applicant 8 Residential Swimming Pools O OWNER OR FIRM NAME C RTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec—Light—Sw,_ MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed If the work Involved by the First 20 permit Is for one hundred dollars($100)or less.) Total No. Additional CITY Tel.No. 1 certify that in the performance of the.work for which this permit PLAN CHECK ;APPLICANT 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 OF ADDRESS pp n� , Additional Total No. 'I CITY Tel.No; Date — Applicant Fixed Appliances Not Over 1 HP • NOTICE O APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation 'Range_ Heater D.W. _ APPLICANT provisions-of the Labor Code,you must forthwith comply with such Oven _ Dryer._ W.M.._ ADDRESS provisions or this permit shell bg deemed revoked. Top _ FAU W.H. _ CITY Tel.No, LICENSED CONTRACTORS DECLARATION. � Hood — Fan _ Other_ I hereby affirm that,l.am licensed under provisions of Chapter 9 Disp. Room Air Cond. _ LICENSE OR (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Q Cless.��p Professions Code,and my license Win full force and effect. Power Apparatus&.Large Appliances DISTRICT NO. p P ED BY 1 Size&Type HP,KW,KVA,or KVAR iQ 0 Q License Number �� 1 Lic.Class.i, 0 Up to 1 Incl. FINAL V. _r ( Over 1 to 10 Incl. DATE VALIDATION Ix ContractorDate L I Over 10 to•50 Incl. TINA ElI am exempt under Sec. Over 50 to 100 Inc. BY B,&P,C.for this reason I Over 100 U' Services, MCC•&Panelboards ® O i Z 200 A Date: � 0-200 Amp.Under'600 V Signature 201 - 1000 Amp.Under 600 V ,E] Exemption 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License L•aw _ _• .for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits y (E.k,, t� d " �•G36I,as owner of the property,will do the work and th® _i( Misc.Conduits&Conductors structure • '--+ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ !•j iii Pt :'_!,(i�• and Professions Code). 'v7 it-1 at 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(Sec.3097, PERMIT FEE (Sub Total) LIli 'I-e jj y }_ lCt ;Civ.C.). _ LAN CHECKING FEE -112'' °. ;M;(; 'Lender's Name CAAAnC PERMIT ISSUING FEE Lehder's Address R O r6 ` �• '` C I certify that I have read this application and state that the above rTAL FEE Q.Q 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 i Propeft for inspection purp es. SEE REVERSE FOR EXPLANATORY LANGUAGE I S�9naU re of Perml tee -• Date I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS i EL 0508 1310160005 EUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 TR: 6561 IT: 53 BL: .001 1 I 9656 LAS TUNAS DR 1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802139 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMELLIA 1 18587-021-016Al PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.90 1 ITENANT: I TOTAL FEES 66.70 (ISSUED ON: PROCESSED BY: PLAN BY: 1 IYOUNG'S OPTOMETRY1 110 /16/13 SR I (OWNER: TEL. NO: I IFINAL DATE FI BY CODE: I IYOUNG'S OPTOMETRY (626) 226-6128- [ 19656 LAS TUNAS DR ]TEMPLE CITY CA 91780 IDE�IRIPTION O WORK I I I [ONE SET INTERNAL ILLUMINATED CHANNEL LETTER WALL SIGN 1 I I 1ATTACHED TO RACEWAY I [APPLICANT: 7EL. NO: i IYU, ALLISON (626) 336-1616- 1 116354 VALLEY BLVD. 1 ISPECIAL CONDITIONS: 1LA PUNETE CA 91744 I [CONTRACTOR: TEL. NO: i 1APPROVALS DATE INSPECTOR SIGNATURE I IFIRST SIGN CO. (626) 336-1616- 1 ] 16354 VALLEY BLVD LIC. NO [ ITEMPORARY POWER POLE I I I ILA PUENTE CA 91744 605688 * I I 1 I 1 I JUNDERGROUND CONDUIT ] I ] 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND I I I LIC. NO: ]� IROUGH CONDUIT [ [ I II 1ROUGH'WIRING I [ IMAIN WATER LINE 1 1 1PLASTIC YIN METAL YIN I I I I (UTILITY COMPANY NOTIFIED( I I 1 I I I I I 1 1 1 I I I I I I I I ] 1 I I I I I I I I I I 1 I* ADDITIONAL DATA ON FILE 1 1REPORT ID: DPR265 ROUTE TO: BS0508 [ I ] [ [ I ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1305290010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 6561 LT: 53 BL: .001 [ [ 9654 LAS TUNAS DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802139 I [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18587-021-016 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI I IK1 SIGNS, OUTLINE LGT 1.00 SIG 38.90 1 I ITENANT: I TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY: 1 ICAL BUSINESS EQUIPMENT 1 105/29/13 SR OWNER: TEL. NO: [ (FINAL DATE FINAL BY: CODE: [ ICAL BUSINESS'EQUIPMENT (626) 286-1042- 1 1 I 19654 LAS TUNAS DR [ I I ITEMPLE CITY CA 91780 [ IDESCRIPTION OF WORK 1 I I IONE SET INTERNAL ILLUMINATED CHANNEL LETTER WALL SIGN [ -1APPLICANT: TEL. NO: 1 I IYU, ALLISON (626) 336-1616- 1 I 116354 VALLEY BLVD 1 [SPECIAL CONDITIONS: [ ILA PUENTE CA 91744 1 ICONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE [ IFIRST SIGN CO. (626) 336-1616- [ I 16354 VALLEY BLVD LIC. NO TEMPORARY POWER POLE ILA PUENTE, CA 91744 605688 * I I I I I I I [UNDERGROUND CONDUIT I [ I ARCHITECT OR ENGINEER: TEL. NO: [ IUFER GROUND I I [ LIC. NO: [ IROUGH CONDUIT 1 1 1 (ROUGH WIRING E E IMAIN:WATER LINE���� D ��PLASTIC YIN METAL YIN1 UTILITY COMPANY NOTIFIED[ I `5 1 I'* ADDITIONAL DATA ON FILE [ I I I (REPORT ID: DPR265 ROUTE TO: BS0508 I I I I ~�41 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1007010022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (62'6) 285-0488 EXT: [LEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 6561 IT: 53 BL: .001 I I9656 LAS TUNAS71DR 39 [ I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ CA 9 [ASSESSOR INFORMATION NUMBER: 1 INEAREST CROSS STREET: [ 18587-021-016 Al PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl [ G1 OUTLETS-LGT,SW,RECP 7.00 OUT 13.60 [ [ (TENANT: IG2 LIGHTING FIXTURES TOTAL17.00 FEES LGT 733.00 4.40 I07/UOEEDDION: PROCESSED BY: PLAN BY: TSR OWNER: TEL. NO: I 1F DATE FINAL BY: CODE: 11005CHIAO, STEVE C (626) 403-6868- [ �� !1/{J [ [1005 E. LAS TUNAS DR [ \ [ [SAN GABRIEL CA 91776 IDE CRIPTION OF WORK I [ [ I IFACADE IMPROVEMENT ELECTRICAL 7 OUTLETS & 17 LIGHT FIXTURES [ [APPLICANT: TEL. NO: III I [ ITAN, WILSON (626) 570-9989- 235 E. MAIN STREET II ISPECIAL CONDITIONS: [ ALHXMBRA, CA 91801 ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I ID T K CONSTRUCTION (323) 261-1388- I I 1 1855 MONTEREY PASS RD LIC. NO II ITEMPORARY POWER POLE I [ I IF-103 A C36 * 1' 1 ' [ 1 1 IMONTEREY PARK, CA 91754 I. (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: [ IUFER GROUND I I [ ILIC. NO: Ii IROUGHiCONDUIT T 1 1ROUGH,WIRING I IMAIN WATER LINE I I I 1 IPLASTIC.Y/N METAL Y/N I [ 1 [ [UTILITY COMPANY NOTIFIED[ I I I I I I I I I + I I I I I [ I* ADDITIONAL DATA ON FILE 1 [ I [ I (REPORT ID: DPR265 ROUTE TO: BS0508 I 1 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304250014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: 5 I G S : TR: 6561 LT: 53 BL: .001 9656 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802139 ASSESSOR 0 UMBER: NEAREST CROSS STREET: KAUFFMAN 8587-021-016 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 84.00 OUT 125.40 G2 LIGHTING FIXTURES 38.00 LGT 63.30S . 0 S EXPIRES ON: EMAX ESCROW IS N-RES WTR HTR LT 3HP 1.00 WTR 15.30 04/25/03JK 10/22/03 TOTAL FEES 231.75 OWNER: TEL. 0: FINAL DATE FINAL CODE: CHIEN (626) 574-1226- & Wq Jas 'C SAN GABRIEL 91778 D P 0 OF WORK ELECTRICAL FOR T.I. APPLICANT: TE O: ALEX CHANG (626) 287-1859- 8730 HUNTINGTON DR SPECIAL CONDITIONS: SAN GABRIEL CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HUNTINGTON DEVELOPMENT INC. (626) 705-6588- r;•' . � `�� `�; ; 17585 E. ROWLAND ST., b206 LIC. NO TEMPORARY POWER POLE INDUSTRY, CA 91748 809304 B ' �• ;� `� ': y UNDERGROUND CONDUIT ARCHITECT OR G 0• G 0 TSAI, WILLY (626) 281-5726= 236 S ATLANTIC BL LIC. N0: I I l - y ROUGH CONDUIT ALHAMBRA , CA 91801 NONE I. ROUGH-WIRING- MAIN _ _�� _ I �.. I I -•_ _ OUG W RINGMAIN WATER LINE PLASTIC Y/N METAL Y/N - ------ - - -- - ---- - - UTILITY C 0 FIED !rl•'7Ce AUL REPORT ID: OPR265 ROUTE TO: BS0508