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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