HomeMy Public PortalAbout9657 LAS TUNAS DR_Electrical__ �7
76A663-CE806 8 63 APPLICATION FOR ELECTR L PERMIT ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS f
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /,.,^
RECEPT. TOTAL NO, EACH FEEL__ _
OUTLETS FIRST 20 $.20 $ OWNER
LIGHT -- MAIL
ADD'L .10 ADDRESS
SWITCH. OVER 20
LIGHTING --_--
TOTAL FIRST 20 .20 CITY TEL.NO.
FIXTURES ADD'L 10 ELECTRICIAN
OV DO
20
' r-
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS/ L � U elJ�/ /I/(J
GARB.DISP. STA.COOK �./
CITY =� ui1J/= TEL.NO. y
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. BTA.APP.(Vs H.P.MAX.) .aO
LICENSE NO. lJ
MOTORS: OVER NOT OVER H.P. DIST T N G UP ZONE PROLE D BY
o I 1.00 OG C
I s 1.50 INSPECTION RECORD
Of
s S 2.00
8 15 2.50 ,� L)
15 50 8.00 p•
O
50 too 5.00
SIGNS: NO.TRANS D.
NO.LAMPS In
Z
SERVICE 0.60OV-NOT OVER 200A IhA 1.00 UU
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTAgY PERMIT ISSUING FEE 1.00
TOTAL FEE _
U
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 0&
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LO ANGELES COLINTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM HE LEGAL O NER OF THE ABOVE y
DESCRIBED RESIDE NTI R Y. POWER ? !
SIGNATURE �� ✓ UTILITY CO.NOTIFIED
OF PERMITTEE v
FINAL
VALIDATION --�� ARTHUR C. VEIT
CK MO (:ASH SUPERVISING ELECTRICAL ENGINEER
�rc� J�.1i_ 2 6 2 0'.c U- 4
76AG63-CE80612-58 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES FAI
DEPARTMENT OF COUNTY ENGINEER BUILDING 5-7 -AS t&,*As
BUILDING AND SAFETY DIVISION ADDRESS y /✓
JOHN A.LAMBIE,COUNTY ENGINEER �y
CASSATT D.GRIFFIN,SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST.
PERMIT FEES CROSS ST
ITEM NUMBER EACH FEE OWNER Tic 8✓A-. r✓�
y
OUTLETS: $ g `� MAIL �I�'✓/
LIGHT RECEPT. W. .lO J ADDRESS A:5 Ali iorr
LIGHTING FIXTURES .10 �� CITY C 6 TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN L.$'�✓/t✓
WATER HEATERS .50 ADDRESS &Z U
ELEC.SPACE HTRS. DISHWASHERS ,p
CITY /\14 IcAuk7L.NO. Ar
�
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTIR�T NO. GROUP I ZONE I PROCESSED Y
0— 1/2 .25
01/ 2-
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS. —'
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ U _ APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _CCNDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR `
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _FIXTURESey%, `
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA ROPERTY. POWER
SIGNATURE –UTILITY CO.NOTIFIED
F PERMIT
OTEE ;i
FINAL J,' I i
5F LIDATION ARTHUR C. VEIT,
cK MO cnsH SUPERVISING ELECTRICAL ENGINEER
7
VV KERS'COMPENSATION DECLARATION 7�+W 10/8I APPLICATION FOR' ELECTRICAL PERMIT
I..here�y`' firm that I have a certificate of copse t to self CE-806G
insure, ora 1,,prtificate of Workers'Compensation Inlurance, COUNTY OF LOS ANGELES I BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lab. C.) 111333
PolPolicy No. Company I I2440-P' i FOR APPLICANT TO FILL IN JOB
/'� r-f,
Certified copy is hereby furnished. I, New Residential Bldgs. &Pools EACH NO. FEE ADDRESS — UA
Certified copy is filed with the cou buildin sp c 1 &2-Family, Sq. Ft. $ — $ LOCALITY u �L - �
ti2n dep riment. Multi-family Sq. Ft. — NEAREST
�, ^ �� Residential Swimming Pools CROSS ST. ( �
Date Applic Snt OWNER OR
CERTIFICATE OF EXEMPTION FROM W KER I FIRM NAME f
Outlets: Rec Light Sw._ MAIL /
COMPENSATION INSURAN I ADDRESS
FF First 20
(This section need not be completed if fhe ork ln�o d by Total No. Additional CITY (IR � C Tel. No.
the permit Is for one hundred dollars($100)or less.),
I certify that in the performance of the work for which this PLAN CHECK
permit is issued, I shall not employ any person in any m er APPLICANT
so as to become subject to the Worke ompens La s. Lighting Fixtures .First 20 ADDRESS
Additional
� r Total No. CITY Tel. No.
?
Date ' pplicant Fixed Appliances Not Over 1 HP }: PERMIT
NOTIC TO APPLICANT: if, after a m er ific a of +
Exemption, you should become subjec the orkerst Range_ Heater_D.W. - APPLICANT r"� �JZC_
Compensation provisions of the Labor Co , you must forth- Oven —Dryer _W.M. 4 ADDRESS 6 D
with comply with such provisions or this permit shall be Top _.FAU —W.H. —
deemed revoked. t Hood _ Fan _Other_ CITY ` Tel. No.
LICENSED CONTRACTORS DECLARATION
I Dis Room Air Cond. ?UCENSE OR
1 hereby affirm that I am licensed under provisions of Chapter 9 p' 'REG.NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCE ED Y
and Professions Code,and my License is in full force and effect. J�^ OL
OL
Size&Type HP, KW, KVA, or KVAR + .
License Num1 s v Lic. Class D�Up to 1 Incl. FINAL Q�
'��� Over 1 to 10 Incl. DATE VALI ATION
Contractor Date Z7 °� ;' Over 10 to 50 Incl. FINAL
❑ I am exenaunder Sec. Over 50 to 100 Inc. BY n
BAP.C. for this reason Over 100 Z.
Date: Services, Swbd., MCC&Panelboards
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
Over 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 3 9 3 A
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business arld # 0 0 0 0 0 'Z
Professions Code):
❑ 1 Misc. Conduits&Conductors
I, as owner of the property, will do the work and the ( ° 1 7.50
structure is not intended or offered for sale (Sectio' Other(See Complete Fee Schedule)_
7044, Business and Professions Code). 0 0 0 1 7.5 0 5
a:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency fo ; '' o 1,2 7-86
the performance of the work for which this permit is issued PERMIT FEE. (Sub-Total) t
(Sec. 3097, Civ. C.). j ;
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE.
Lender's Address
I certify th have read this application and state that thel TOTAL'
above i rmation is correct. I agree to comply with all County 1 y
Ah
es an ate laws regulating Electrical wiring, and
utho a epr s tatives ofthis County to enter uponIe- ped pro rty for inspection purpos s. SEE REVERSE FOR EXPLANATORY LANGUAGE of er ttee Dat +
I 1
WORKERS'COMPENSATION DECLARATION CE-806 l0iet APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-806G
insure, ora certificatT of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified-ccpy thereof (Sec. 3800, Lab. C.)
Policy No. Company 12(-'L f)X-1 FOR APPLICANT TO FILL IN JOB
Cel , + , ADDRESS ,F C ✓��� "
Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO FEE
Certified copy is filed with the co nn i buil¢rgg i ec- 1 &2-Family, Sq. Ft. $ — S LOCALITY 1 L G (!
tion department j Multi-family Sq. Ft. — NEAREST
CROSS ST.
�( Residential Swimming Pools
Date W Applicant FFIWNER OR
IRM NAME U —W 0914.0
CERTIFICATE OF EXEMPTION FRO OR ERS' Outlets: Rec V Light Sw._ MAIL L
COMPENSATION INSURA CE ^� ADDRESS First fJ
(This section nood not bo completed if the work Involved by First 20
No. Additional
Total NCITY Tel. No.
the permit is for ono hundred dollars($100)or less.) _
I certify that in the performance of the work for which this APPPLALICANT ?r)fL
permit is issued, I shall not employ any person in y m1ner
so as to become subje;Wo the Workers'Compe. ion Lows. Lighting Fixtures First 20 ADDRESS
It l/7 1 ) Total No. Additional
z ! CITY Tel. No.
Date Applicant– Fixed Appliances Not Over 1 HP PERMIT �' J
NOTICE TO APPLICANT: If, after making t is Ce tif' ate of APPLICANI1 – C GN
Exemption, you should become subje t to the–Workers' Range_ Heater_D.W.
Compensation provisions of the Labor Co e, 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
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other— f�jZ 7 LICENSE Tel. No.
Disp. _ Room Air Cond. �(� C
p �^ '2
I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER
Class.BER .�lJ � !J ),,,
(commencing with Section 7000)of Division 3 of the Business li
A
r
&L
age Appliances DISTRICT NO PROCESS BY IL
and Professions Code,and my license is in full force and effect. Power Apparatus5- A U
471 Size&Type HP, KW, KVA, or KVAR
License Number Lic. ClassLL'
Up to 1 Incl. FINAL
�/ RJ � �� J 1�+� p�� Over 1 to 10 Incl. DATE 's 0
ContracforlL' ' v Date �� ! p1 �� 6 V DATION
Over 10 to 50 Incl. FINAL LV
❑ I am exempt under Sec. Over 50 to 100 Inc. BY C-
B.BP.C. for this reason Over 100 ` r�"/t• z
Date: Services, Swbd., MCC&Ponelboards
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑
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
aw for the following reason (Section 7031.5, Business andAdditional Sign Branch Circuits
rofessions Code): "A o o c
I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale (Section o 0 Other(See Complete Fee Schedule)_ ( I
7044, Business and Professions Code). c o t� u
CONSTRUCTION LENDING AGENCY ) 1,2 7– Z:3;
reby affirm that there is a construction lending agency for
performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
3097, Civ. C.).
PLAN CHECKING FEE
ler's Name
PERMIT ISSUING FEE
iIs Address
that I have read this application and state that the TOTAL FEE
nformotitrn is correct. I agree to comply with all County
ces and State sregulating Electrical wiring, and
'
uthorize r qs t ' es of this County to enter upon
e-mentio property or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
fr 4ae5�
p ermit ee
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1108030006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
TR: 6561 LT: 136 I I 9657 LAS TUNAS DR I
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917802103 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
8587-020-019 IAI PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I IKl SIGNS, OUTLINE LGT 1.00 SIG 38.80 I I
(TENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I 108/03/11 SR I
(OWNER: TEL. NO: FINAL WE FI Y: CODE: 1
IWUSHU (626) 287-3100- I I I
19657 LAS TUNAS DR I I •1 I
ITEMP 917802103 1 IDESCRIPTION OF WORK
I I I (1) SET OF INTERNALLY-ILLUMINATED LED WALL-SIGN AND (1) SET [
[APPLICANT: TEL. NO: 1 I I
ILE, KEN (626) 571-9288-
18902 GARVEY AVE [
ROSEMEAD, CA 91770 1 [SPECTAT• CONDITIONS: 1
I I I
[CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I
[NEW SIGNS AND PRINTING (626) 571-9288- I 1 I
18902 GARVEY AVENUE LIC. NO I ITEMPORARY POWER POLE I I
IROSEMEAD, CA 91770 956512045 I I I I I
(UNDERGROUND CONDUIT 1 I
[ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I J I
I
1 LIC. NO: I IROUGH CONDUIT I I I
- IROUGH WIRING I I
[ I IMAIN WATER LINE [ I
[ I IPLASTIC YIN METAL YIN [ I I
I [ (UTILITY COMPANY NOTIFIED[ [ I
I I I I I I
I I I I I I
i
I IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I
I I