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HomeMy Public PortalAbout9224 LONGDEN AVE_Electrical__ 7,fA66 ADB °"Z APPLICATION .FOR 'ELECTRICAL: PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB �y - .. BUILDING AND SAFETY DIVISION ADDRESS (�c LOCAU TY NEAREST' , s FOR_APPLICA.NT• TO'FILL .IN, CROSS S.T.• d !✓ OUTLETS NO. EACH I FEE OWNER OR' RECEPT. •'. MAIL. LIGHT TOTAL 'FIRST 2O' 25ADDRESS : �+. CITY g f O TEL. N0..�.+�6s'7� Ld" SWITCH _ OVER 20 .10. PLAN CHECK FIRST 20 25 APPLICANT- LIGHTING TO AL. FIXTURESf0 OVER 20 ADDRESS \ .RESIDENTIAL APPLIANCES CITY TEL.-NO.. RANGE .. .'DRYER'=WTR. HTR- PER •. � APPLICANT STA. 'COOK DISP. . F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH.. . bISHWASH. LICENSE OR •CLASS.' ' REG'. NUMBER FAN ._ OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I NAME RBAD THIS'AP.PLI.CATION' ' AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING v .WITH ALL' COUNTY.ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. 'ELECTRICAL WIRING. SIZE & TYPE OVER'' TO I HEREBY•CERTIFY'THAT'I AM PROPERLY REGISTERED 'AND/OR 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY'AND S'TAT'E OF CALIFORNIA OR THAI' I:AM THE .LEGAL OWNER OF THE A:BO,VE • 1. DESCRIRED' R.ESIDENTIA ROPE p„ V _ PERMITTEE = - 10 - to 5.00 SIGNATURE C O 50 _ 100 10.00 DISTFt:ICT NO.: PROCES BY ud • x 100 - 500 15.00®$, 'SIGN, GAS SIGN AND.ONE;CIRCU.IT 5:00 APPROVALS DATE INSPEcTORrs IGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS fA0 TEMP.: POWER POLE SERVICE NOT OVER GOO VOLTSOR200AMP &00 UNDERSLAB,WORK SERVICEOVEK 600 VOLTS OR.200AMP - 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING.. o.. TEMP LIGHT OR RECEPT. SYSTEM' 3.00 FIXTURES 'POW.E.R AUTHORIZED UTILITY CO.-NOTI;FIED e FINAL `fJ -7Y- f/ �aF+/ PERMIT FEE (SUB TOTAL)' 'NOTES.:. PLAN CHECK FEE d .PERMIT 4SSUING FEE - 3.00 - ✓7.0 TOTAL FE-E. 5 _ 5 PLAN CHECK VALIDATION 1 CK. M.O. CASH PERMIT VALIDAT_ N CK,, en.o. C H• SEE BACK OF APPLICATION.FOR COMPLETE SCHEDULE - •i -' ' DB 5-A 12-43 25M ' ���CATION FOR,ERM DEPARTMENT OF BUILDING' ANA SAFER' AMATION V lI'lTtl�iii - •COUNTY OF LOS ANGELES ELECTRICrte'= WM.,J. FOX CHIEF ENGINEER Z DISTRICT NO. GROUP E ZONP RMIT NO. • `_ NAME �� I. � �•�` 11:+ r � � U ADDRESS GiAA , ,p .vAl� All FIRST I COUN CERT. TEL.NO. i RECEIVED BY READY FOR DATE ISSUED CITY ell £,aPECwTION NO. i J_ ESPIRES /4" '•1 APPLICANT PILL IN HEAVILY OUTLINED PORTION ONLY h . /t DESCRIPTION OF WORK ADD _RESS 9 Je � ``6 L6A/e`l0�F'� NUMBER OF OUTL5TS ON CIRCUITS LOCALITY ���� �A:` P I X 7 LOCATION BY ROOMS g -LIGHT OUTLETS SW. PLUGS F&T CROSS yST_ CIRCUIT A 13 C D E F. G H tC NAMS' g' Id MAIL P ADDRESS . O Ys ;P Y CITY- ,� / TEL.NC. AM .THE LEG .. POSSESfklOR OF.,THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF,Qjmumcknom. ` ELECTRICIAN. ABi OA g TM.*XGA OWNER OF THE PROPFRTY DESCRIBED OWNER. CORRECTIONS , J • Z TOTAL• O P` NO. OF OUTLETS APPROVALS` NO. OF FIXTURES ffi If DATE IN8P,tECTOR•S NAME NO. OF MOTORS H.P. ffi CONDUIT / NO.,OFSIGNS TRANS.• ffi WIRING- I-'ID /;+Fryf�l•��' NO. OF RANGES OR HEATERS ffi FIXTURES MISCELLANEOUS $ ) p� POWER PERMIT FEE ffi ! 2-,7 UTILITY CO.NOTIFIED L TOTAL FEE I•�� FINAL r��%f��u Y. • x , y • 6"GAE-906(6/79) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB G �+ New Residential Bldgs.&Pools EACH_ NO.. FEE ADDRESS / oZ CZw 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY Multi-fornily Sq.Ft. .02 — NEAREST CROSS ST Residential Swimming Pools 25.00 OWNER OR FIRM NAME Outlets:Rec 3? Light--(a—Sw. MAIL First 20 .50-2-() ADDRESS Gam/ Total No- '_ Additional 30 CITY o Tel.No. PLAN CH EC APPLICAbff Lighting Fixtures First.20. •50 ` AD NA6 Additional .30 Total No. (11 Y Tel.No. Fixed Appliances Not Over 1 HP ERMIT Range_Heater_D.W.— APPLICANT Oven_Dryer_W.M. ADDRESS Top _FAU —W.H._ CITY Tel.No. Hood_Fan —Other LICENSE OR Disp.—Room Air C6nd. 2.50' REG.NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA• Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 2:50 REGULATING'ELECTRICAL WIRING. Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR V Over I to 10 Incl. 5.00 LICENSED AS REQUIRED.BY,LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl... 12.50 [ CALIFORNIA OR THAT I AM THE LEGAL OWNER.OF THE ABOVE O 25.00 DESCRIBED.RESIDENTIAL PROPERTY , 0 Over 50 to 100 Inc. PERMITEE Over 100 40.00 SIGNATOR Services DISTRICT NO. P SSEY 0-200 Amp.Under 600 V �l� 12.50 / Z �-� Q 201-1000 Amp.Under 600 25.00 ' Over 1000 Amp.or Over 600 V 50.00 Z O Temp.Power Pole&Appurtenances 10.00 a Sign with.One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > INFORMATION u Misc.Conduits&Conductors 10.00 ON REVERSE z Other(See.Complete Fee Schedule) - SIDE z. r IL o a n r PERMIT FEE ISub-Total) 2 o o l[ 2 7/ (; PLAN CHECKING FEE (One-Fourth Permit Feel O o 0 0 PERMIT ISSUING FEE $7.00 0 L,2 TOTAL FEE > INSPECTION FINALED W date: By ®s WORKERS'COMPENSATION DECLAR'joATION 76_663 APPLICATION FOR ' ELECTRICAL. PERMIT' I hereby affirm that I have a certificate of consent to self C COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or , a certified copy.thereof(Sec.3800,Lab.C.) FOR APPLICANT TO FILL IN JOB / Policy No. Company EACH NO. FEE ADDRESS 22 Le • - New Residential Bldgs.&Pools - a Certified copy-is Hereby furnished. r 1 &2-Family,Sq.Ft. $ — $ LOCALITYT, 'Multi-family Sq.,,Ft. — NEAREST - E Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR i FIRM NAME Date Applicant Outlets: ReciL-Light Sw. ! MAIL / First 20 ADDRESS Z. G A. de-1-11 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.04' !% AdditionalCITY C_ Tel No.2,r .,2x COMPENSATION INS URANCE PLAN CHECK d APPLICANT ('This section need not be completed if the work involved O by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS V Total No. Additional M I certify that.in the.performance•of the work for which this Fixed Appliances Not pppp��•1.HP r CITY Tel No. O permit is issued,.I.shall not employ any person in any manner / PERMIT V so as to become'subject to rkers' Compensation Laws: Range_Heater D.W.— APPLICANT K/ W Oven _ Dryer_W.M._ ADDRESS •` Date Applica Top _ F,AI,J�,,_W,H.._ Hood_ Fan• —Other.-- qp CITY Tel No. NOTICE TO APPLICANT: If, after'making this Certificate of Disp. _Room Air Cond. LICENSE OR ,Exemption, you should become subject to the Workers' REG.NUMBER Clas Compensation provisions of the Labor Code, you must-forth- Power Apparatus&Large Appliances DI$tRICT NQ. PROCESSED BY with comply with such provisions or this permit shall be ,• .. i4 Size&Type HP KW,KV ,or KVAR deemed revoked. !J ' Up to 1 Incl. FINAL r s LICENSED CONTRACTORS DECLARATION / Over 1 to 10 Incl, DATE VALIDATION ` Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100•Inc. FINAL 9 .(commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness and,Professions.Code, and my license is in full force and effect. Services rj c k ��yp��' , 0-200 Amp.Un r 600 V r License Number' Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances ' 5.0 9.$P I hereby affirm that 'I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits0 0 0 0 02 ness.and Professions'Code): Misc.Conduits&Conductors 2'° ° 5270 ❑ I, as owner of the property, will do the work.and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 0 0 0 0,7044,Business and Professions Code). ` CE CONSTRUCTION LENDING AGENCY 07.21 —F2 , I hereby affirm that. there is a construction lending agency for the performance of the work 'for'which this permit is PERMIT FEE (Sub-Total.) issued(Sec:3097,Civ.C.). Lender's Name- PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 State .laws regulating Electrical wiring, and hereby,authorize representatives of this County to•enter upon the above-mentioned,property for inspection purposes. i SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee. Date I M COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1411240029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9224 LONGDEN AV IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917801606 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15385-001-004 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI I IP2 PC RES PV<IOKW 153.90 (TENANT: 1P3 INVRTR RES PV<10KW 27.90 ISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 209.60 111/24/14 SR OWNER: TEL. NO: IF NAL DATE FIVAL Y: CODE: IIVERSON DAVID R;MITZI S TRS (626) 286-2230- I I 19224 LONGDEN AV II_7 �/ elly TEMP 917801606 I ESCR PTION OF WORK I2 55 KW PV SYSTEM (10) MODULES APPLICANT: TEL. NO: STEPHANIE MORA (310) 955-6576- I3055 CLARVIEW WAY ISPECIAL CONDITIONS: ISAN MATEO CA 94402 I I I CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ISOLARCITY CORPORATION (650) 963-5630- I I 13055 CLEARVIEW WAY LIC. NO ITEMPORARY POWER POLE I I ISAN MATEO CA 94402 888104 * I 1-1 I JUNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND LIC. NO: I (ROUGH CONDUIT 1 IRODGH WIRING I�vlr TALL GROUNDING AND BONDING OF THE PV SYSTEM SHALL COMPLY IMAIN WATER LINE 1 IWITH LOS ANGELES COUNTY REQUIREMENTS. NOTE: WEEB PLATESI IPLASTIC Y/N METAL Y/N I, WASHERS, AND SIMILAR DEVICES ARE NOT ACCEPTED. I I I (UTILITY COMPANY NOTIFIED( 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 1 I I I I I I I I* ADDITIONAL DATA ON FILE I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I