HomeMy Public PortalAbout9522 LEMON AVE_Electrical__ 7gA663 DBS SA 11-60 .r APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L CT IG 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN+ RECE`1VED BY READY FOR- -DATE ISSUED
ADDRESS .7 FIRST INSPECTION
CITY TEL.
NO
a� 8'e/bea"/
COUNTY LICENSE NO. �0 EXPIRES BUILDING
ADDRESS ad fes.
PERMIT FEES Jol
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS - Sc $ MAIL _
ELEC RANGES 25 ADDRESS
ELEC HEATERS - 25 CITY TEL. NO
FIXTURES 5� IHEREBY ACKNOWLEDGE THAT 1 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 HORSEPOWER ANGELES COUNTY LICENSE, OR I. AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PRO E TY DESCRIBED ABOVE.
NEW MVD. HP OVER I INC. EACH
&LESS $ .25 SIGNATURE OF
1/s 2 .50 PERMITTE
Er
2 5 1.00 INSPECTION RECORD
s1s 1.50
Is 50 2.50 ,
50 200 5 00
200 500 10 00 Q
500 1000 15 00 'Z
OVER 1000 20'00 V'
M G SET/FREQ. CHANGER-HP IY
WELDERS• AC-KVA I O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO' NO LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT I r /CONDUIT //
WIRING $1 00
WIRING
FIXTURES, $1 00
SUPPLEMENTARY s0 FIXTURES i VPd IM
�l POWER
TOTAL FEE $- T UTILITY CO. NOTIFIED A _ISI
Y I FINAL ' J( (✓(%Q VV� ,
O
- r
„iWOr��`ECOMPENSATION DECLARATION l 76A663 10/81 - APPLICATION FOR ELECTRICAL PERMIT
I heref5y that
affirm that I have a certificate of consent to self CE-8066
insure, or a certificate of Workers' Compensation Insurance, COUNTY OFAOS ANGELES BUILDING AND SAFETY
` or a certified copy thereof (Sec 3800, Lab C )
Policy No Company FOR APPLICANT,TO FILL IN, JOB
Certified co is hereby furnished 'EACH NO FEE ADDRESS
PY Y New Residential Bldgs & Pools 1
❑ 1 &2-Family, S Ft $ — $ LOCALITY
Certified copy is filed with the county building inspec- Y. 9
-
tion department Multi-family family Sq Ft CROSS ST j1�v )
Residential Swimming Pools OWNER OR ii .,�
Date Applicant- FIRM NAME _37^C ' rZ
` CERTIFICATE OF EXEMPTION FROM WORKERS' f y� MAIL
Outlets Rec fight Sw t–
COMPENSATION INSURANCEFirst
/ ADDRESS
(This section,need not be completed if the work involved by Total No Addit2ioncil CITY Tel No ..��
the permit is-for one hundred dollars'($100)or less.) t+' - PLAN CHECK
I certify that in the performahce of the work for which this ` '" APPLICANT
permit 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 ADDRESS
Total No Additional
CITY ,� Tel No
Date Applicant 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, you must forth- Oven Dryer W M — ADDRESS '
with comply with such provisions or this permit- shall be Top FAU- —W H —
deemed revoked Hood Fan _Other_ CITY Tel No
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under-provisions of Chapter 9 Disp _ Room Air Cond REG NUMBE Class
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO PRO E ED BY
and Professions Code,and m license is in full force and effect Power Apparatus 8 Large Appliances y_
Y . Size 8 Type HP, KW, KVA, or KVAR r V U
License Number Lic Class Up to'l Incl FINAL-
Contractor Date Over 1 to 10 Incl DATE ,r_�7cq VA I ATION O
Over 10 to 50 Incl FINAL l' V
❑ I am exempt under Sec' Over 50 to 100 Inc BY d
B 8P C for this reason Over 100
Date Services, Swbd , MCC 6 Panelboards ,
0 - 200 Amp Under 600 V 1 9 7.4 A
Signature 201 - 1000 Amp Under 600 V
❑ - Over 1000 Amp or Over 600 V #;o o,o o o 2
Exemption for Reg' Maint Elect � -
SINGLE FAMILY Temp Power Pole &Appurtenances (_ 0 0 4. 5 O O
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby offirn)that I am exempt from the Contractor's License o 0 0 (� Fj p Q�
Law-for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits .-
Professions Code)
o502-85
I, as owner of the property, will do the work and the Misc Conduits&Conductors
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) r- `
(Sec 3097, Civ C )
PLAN CHECKING FEE _
Lender's Name
PERMIT ISSUING FEE
Lender's Address - I L •
I certify that I have read this application and state that the TOTAL FEE
above information is correct I agree to comply with all County
ordinances and S to laws regulating Electrical-wiring, and
hereby authorize presentatrves of,this County to enter upon S
t Bove- io ed property for inspection purposes
-,SEE REVERSE FOR EXPLANATORY LANGUAGE
Signat a of Permittee Date
I •
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0606230018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9522 LEMON AV
FEE DESCRIPTION QUANTITY UOM: AMOUNT: TEMP CA 917801304
ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET: TEMPLE CITY
5382-022-048 - Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE. 596 GRID. J1 LOCALITY TEMPLE CITY, C
F1 120V, 15/20A BR CKTS 10 00 BR 172.50
TENANT G1 OUTLETS-LGT,SW,RECP 40 00 OUT 66.00 ISSUED ON. PROCESSED BY- PLAN BY EXPIRES ON
G2 LIGHTING FIXTURES 20 00 LGT 39.00 06/23/06 JK 12/20/06
H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95
OWNER- TEL NO. HS RES WASH MACH LT 3HP 1.00 WAS 10.95 FINAL DATE FINAL BY- CODE
YANI, LILENGYANTI (213) 382-2239- H7 RES EXHAUST FANS 1 00 EX 10.95 jL-7
9522 LEMON AV H9 RES APPL LT 3HP 1 00 RES 10.95 !
TEMP 917801304 LB 200 AMP PANELS, MCC 1 00 PAN 38.85 DESCRIPTION OF WORK
TOTAL FEES 387.90 ELECTRICAL_FOR ADDITION, REMODEL AND UPGRADE SERVICE 200
AMP
APPLICANT: TEL. NO:
CHARLIE TZENG AND ASSOC. (213) 382-2239-
3540 WILSHIRE BLVD SPECIAL CONDITIONS
LOS ANGELES CA 90010
CONTRACTOR- TEL NO: APPROVALS DATE INSPECTOR SIGNATURE
C T CONSTRUCTION (323) 382-2239-
3540 WILSHIRE BLVD., STE 603 LIC. NO TEMPORARY POWER POLE
LOS ANGELES, CA 90017 610724B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO
LIFER GROUND
TZENG, CHARLIE (213) 382-2239-
3540 WILSHIRE BLVD LIC. NO: ROUGH CONDUIT
#603 C34005
LOS ANGELES, CA ROUGH WIRING
MAIN .TATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO BS0508