HomeMy Public PortalAbout9462 LEMON AVE_Electrical__ 76A66C CE#806 5-61
APPLICATION FOR ELECTRICAL PERMIT 9" le �
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING`'
BUILDING AND SAFETY DIVISION ADDRESS E. Lemon
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY T Prnpl P, Q i Q
NEAREST
FOR APPLICANT TO FILL IN cRoss ST
I I
PERMIT FEES OWNER Grunweld
5 I T E Ml NUM13FRI EACH FEE MAIL
ADDRESS
LIGHTS
OUTLET ECEPT. r SW 12 8 $10 $ -� O
I CITY TEL. NO.
LIGHTING FIXYURES 11 10 1 .10 '
ELEC. RANGES CLO. DRYERS ELECTRICIAN 01 co Elec. Corp e
WATER HEATERS .50 ADDRESS P•0, Box 221
ELEC SPACE HTRS DISHWASHERS CITY Covina- TEL NO. ED1495 0
GARBAGE DISPOSERS AUTO.- J•1 2� STATE 179983010 `
WASHERS • STA COOKING UNITS ,25 LICENSE NO.
MOTORS OVER INC H P. DISTRI N GRr ZQN.EP ESSEDBY
O— 1/2 25
'/2— 2 - .50 INSPECTION RECORD
2— 5 1.00 1.100
d
5— 15 150
15— 50 2.50
��.
50— 200 Boo u
X1 1 Z-1,/6 Z // 0' 0.44, �,�� 6L
SIGNS. NO TRANS. - - H
NO LAMPS ���+�
SERVICE 0.600V 1.00 �`�/67--
e//✓
SERVICE OVER 600V - Boo
MISC
O
WIRING PERMIT 100 1.00, -
FIXTURE PERMIT 100 .00
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ 1, el _
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 'DATE INSPECTOR'S SIGNATURE
"AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT _ 1 % -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING l`� 'i!9 `!d 7/1! f��' "f•/`
I HEREBY CERTIFY TH T I AM PROPERLY REGISTERED AND/OR � ..
LICENSED AS REQUIRE BY LOS ANGELES COUNTY AND STATE OF i FIXTURES S
CALIFORNIA OR THAT E LEGA OWNER OF THE ABOVE
DESCRIBED RESID TY POWER
SIGNATUR UTILITY CO,NOTIFIED
OF PERM EE FINAL
a- IDATION A H R C. VEIT
10011YcK Mo CASH S ERVISING ELECTRICAL ENGINEER
�
L..}•" ,8,1<t, - --EEB 9 2D 10.1 5 H7
76A663-CEBO610-61 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER C BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER �r
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY Te 'e t
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. 2
1 T E M NO EACH FEE
OUTLETS (FIRST 20) 20 $ OWNER CT
LIGHTS RECEPT. SW. MAIL
OUTLETS (ADD'L UNITS) 10 ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES- (FIRST 20) 20 ° CITY TEL NO. -
LIGHTING FIXTURES (ADDITIONAL) .10 ELECTRICIAN oleo Electric Corps
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS P-0 0 o. BOX 221
GARB DISP. STA COOK CITY Uovina TEL. NO.
1-4950
DISHWASH AUTO-WASH STATE 179983010
SPACE HTR9 STA.APP.(1/2 H P.MAX.) .50
LICENSE NO.
MOTORS- OVER NOT OVER HP. DISTRICT NOS. GROUP ZONE P ESSED BY
D 1 100 3 0
1 3 1.50 INSPEC ION RECOCIL
r
3 s 2.00 �ls4 moi' �f/ .S' O
8 15 2.50
15 50 300 W
50 100 500
SIGNS, NO.TRANS +H
NO LAMPS Z
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 200
SERVICE OVER 600V 5.00 ,
MISC.
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 l 0
TOTAL FEE $ 4,0
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION [FIXTURES
PPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I LEGAL O ER OF THE ABOVEDESCRIBED RESIDEN SIGNATURE CO.NOTIFIED
OF PERMI E 1 rn
FINAL• /
` 0LIDATION ARTfIUR C. VETT '
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
IFa 9 3 4 2 D 4.0 0 to
7 WORKERS' COMPENSATION DECLARATION ,76A663 10AI �' `
_�• I h6f!b, affirm that I have a certificate of consent to self' •.-CE-806G' APP'LICATI®N` EOR � E,LE&WtAL' PERlIIIITi � -
insure, or a certificate of Workers' Compensation Insurance, )
or a certified copy thereof (Sec 3800, Lab C ) �, COUNTY OF LOS ANGELES BUILDING AND SAFETY �J
.. a
,a
Policy No 3 17 0 0 2 Company STATE C MIP_ FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE
ADDRESS 9 4 6 2 Lemon St
��`Certified copy is filed with the county building inspec- I,'& 2-Family, Sq Ft _ $ — s LOCAL,IT)LONGDEN AND OAK ST.
tion department Multi-family Sq Ft — NEAREST
Residential Swimming Pools
CROSS STMAP #38 B—1 .
Date /I Applicant C;TRR� BIR ET.E I'. OWNER OR
FIRM NAME , 1
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec Light Sw' MAIL
COMPENSATION INSURANCE-, ADDRESS 9462 EAST LEMON ST.
First 20
(This iectlon need not be completed if the work involved by Total No Additional CITYTEMPLE CITY, CATel N(447-5994
the parmit'is for one hundred dollars ($100)or less.)
I certify that in,the performance of the work for which this PLAN CHECK
APPLICANT
permit is issued, I shall riot employ any person•in any manner
so as to become subject to the Workers'Compensation'Lows Lighting Fixtures First 20 ADDRESS
Total No Additional
CITY Tel No
Date 7 /87 Applicant r,Igq $RQ�S' 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, ydu must forth- Oven Dryer W M ADDRESS 1754 N MAIN ST.,
with comply with,such provisions or this permit shall be ' , Top _ FAU . —W H
deemed.revoked 3 . 5 0 3 10 . 5 CITY L.A. CA �Tel Not 2 5-,5 9 4 5
LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_
Disp _ Room Air Cond LICENSE OR Clas
I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBERI 6 9 3 2 4 -1�
(commencing with Secfion 7000) of Division 3 of the,Business DISTRICT NO PROCESSE BY, 0-
Power Apparatus& Large Appliances
and Professions Code,and my license is in full force and effect O
Size&Type HP, KW, KVA, or KVAR �G� V
License Number 169324 L,c Class C—L0 U to 1 Incl 0�
Up FINAL O
VA ATION
Contractor GIBBS BROS . Over 1 to 10 Incl DATE
ECTRIC 7/87 Over 10 to 50 Incl W
❑ FINAL
I am exempt under Sec Over 50 to 100 Inc BY N
100"
• B&P C for this reason Over Z.
Date Services, Swbd , MCC & Panelboards
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 Additional Sign Branch Circuits
Law for the following reason (Section 7031 5, Business and 6
Professions Code)
_'
I, as owner'of the property, will do the work and the AXisc Conduits& Conductors 21.
structure is not intended or offered for, sale (Section Other (See Complete Fee Schedule)_
7044, Business and Professions Code) 00
CONSTRUCTION_LENDING AGENCYo 0 0 2 1. 0 Q V
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) 10 . 5 Q 603� 87
(Sec 3097, Civ C )
PLAN CHECKING FEE
Lender's Name
Y PERMIT ISSUING FEE ] Q , Q
Lender's Address
I certify that I have read this application and state that the TOTAL FEE 21 . 00
above information is correct I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby authorize representat 'o County to enter upon
the e oned r i ection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Sign r of P e Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
'• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706200015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
I ON FILE I 1 9462 LEMON AV 1
IFEE DESCRIPTION: QUANTITY: UOM AMOUNT: ( TEMP CA 917801302 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I
15382-014-021 1A1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE- 596 GRID J1 LOCALITY. TEMPLE CITY, Cl
-
I IG2 LIGHTING FIXTURES 1 00 LGT 1 95 1 1
ITENANT I TOTAL FEES 29.70 (ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON I
106/20/07 SR 12/17/07 1
I I I I
(OWNER TEL NO: 1 I F AL��`DA(((T��-E F BY CODE I
1GRUNWALD FELIX (626) 447-5994- I 1 - y'�
19462 LEMON AV I I •pfd7�lt
ITEMP 917801302 1 ID CRIPTION CAF WORK 1
I I (INSTALL LIGHT FIXTURE 1
I I I I
(APPLICANT TEL. NO. I I I
ICHRIS QUIROGA (626) 939-0133- I I I
11760 W CAMERON AVE 1 ISPECIAL CONDITIONS: 1
IWEST COVINA 91790 1 I I
I I I I
I I I I
(CONTRACTOR- TEL NO. I (APPROVALS DATE INSPECTOR SIGNATURE 1
IKELLY CONSTRUCTION (626) 939-0133- 1 1 I
11760 W CAMERON AVE #101 LIC- NO I ITEMPORARY POWER POLE I I I
IWEST COVINA, CA 91790 835093E I I I I I
I I (UNDERGROUND CONDUIT I I 1
I I I I I I
(ARCHITECT OR ENGINEER- TEL NO I IUFER GROUND I I I
LIC NO 1 IROUGH CONDUIT I I I
I I IROUGH WIRING I I I
I I I I I I
I I IMAIN WATER LINE
1l \ )'" I I PLASTIC YIN METAL YIN
1
I �/ I (UTILITY COMPANY NOTIFIED( 1 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 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 I I I I
I I I I I I