HomeMy Public PortalAbout10662 LORA ST_Electrical__ 76A663-CE606 12/75 --
APPLICATION FOR. gLECTRICAL PERMIT
COUNTY OF LOS ANGELES
IUE�ARTMENT OF COUNTY ENGINEER , JOB
,ADDRESS
BUILDING AND SAFETY DIVISION
FOR PP F LOCALITY
New Residential Bldgs& Pools EACH NO'.'I FEE NEAREST �l M n
1 & 2-Family,Sq. Ft. S .025 — g CROSS ST.OWNER OR . Aq I. q
Multi-family Sq. Ft. •02 — FIRM NAME )
U
Residential'Swimming Pools; 20.00 MAIL '
ADDRESS 2- L.Q
Outlets:-Light,Switch & Receptacle CITY 6A4jpj�e_4't Tel.No. yam.LIS 73
First 20" -�� PLAN CHECK
Additional .30 APPLICANT
ADDRESS
Lighting Fixtures- LO Q
First 20 13-1.0 CITYTel.No.
Additional .30 1 PERMIT• e 1
APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_HeaterD.W._ CITY TeI.No.
Oven_-;Dryer_W.M.._
Top— FAU _W.H'._ REG NUM OR
Class.
Hood_ Fan
DiSp�.A.C. 2,00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS•APPLICATION <
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH1 ALL COUNTY .ORDINANCES AND STATE' LAWS REGULATING
Power Apparatus•& Large Appliances ELECTRICAL WIRING. ,
Size&Type HP,KW,:KVA,or KVAR ` I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ,•�
LICENSED AS REQUIRED BY•LOS ANGELES-COUNTY AND STATE OF
Up to 1 'Incl. 2.00 CALIFORNIA OR THAI I AM THE EGAL WNER OF THE ABOVE
Over 1 to 10 Incl.
5.00 DESCRIBED R.ESIDE'NT PROPE
Over 10 to 50 Incl: 10.00 PERM.ITEE
Over 50 t0 100 I.nc_I. 20.00 SIGNATURE �
Over 100 30.00 DISTRICT NO. CES D BY 0
t1
Services �? ` 08
0- 200 Amp. Under 600 V 12.50 INSPECTORrS
201,1000 Amp.Under 600 V 25:00 APPROVALS D E SIGNATURE_ - z
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
Temp.Povirar Pole&Appurtenances 10.00 UNDERSLAB'WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2:00 WIRING S
(Other)
FIXTURES
L POWER AUTHORIZED
UTILITY CO.NOTIFIED'
FINAL
PERMIT FEE ` (Sub=Total) NOTES
PLAN CHECKING FEE (One-Fourth.Permit Fee)
PERMIT ISSUING FEE $6.0.0
TOTAL FEE UZO
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA TION c1c. MO. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
saeea.aeeasa.au APPLBCA tl I®N FOR ELECTRICAL PERMIT,
COUNTY OF OF LOS ANGELES s
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISIONADDRESS ' Ci
JOHNA.LAVdB1E.COUNTY ENGINEER .. .
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
I em
FOR APPLICANT TO F1LL IN NEAREST
CROSS ST'
PERMIT PEES -
OWNER Lou
Of a M NUMBER. EACH FE6 • �
MAIL �
OUTLETS:-
S $ ,./� ADDRESS
LIGHTS RECEPT. SW. .i0 - �
LIGHTING FIXTURES 3. .10 .CITY' dTE N YJ L
ELEC.RANGES 'CLO.DRYERS- ELECTRICIAN A• Z C
WATER HEATER'S .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY i TEL.NO
GARBAGE DISPOSERS AUTO.- STATE.
WASHERS. , STA.COOKING UNITS ,25 LICENSE NO.
MOTORS: -OVER INC. H.P. D1 IC .NO. GR Y P ZONE' P119CESSED B�
O — I/a .25 J'
'/a — z BO INSPECTION RECORD
z —
is L 0
5 — 181.80 .. V
is — So 2.60
.fes e.1tiP. IV* )e _�_.�� .._ O
Bo — 200 5.00 c --
_ W.
SIGNS: No TRANS. N
NO.LAMPS .. Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 8,00 -
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPECT�/OR'S SIGNATURE.
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT //
' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OFr•THE ABOVE.
DESCRIBED RESIDE IAL PR91! RV., J POWER _
SIGNATURE UTILITY CO.NOTIFIED I
OF PERM!TTE r ` C� // / ✓' �.
AX
ID ARTHUR C.V IT.
K. Mo CASHf' SUPERVISING ELECTRICAL ENGINEER
L :Co 7 �S 4 (S Ori :21. 2 0 3 .3 0
�p ®®®e ® TELI`YIIIC"LIE A til"Y ®p��p -
IAe98-cmae'lo-es. A P P�I CAT I®N' F®R ELEC V`�IC PERMIT �
COUNTY OF LOS ANGELES _
DEPARTMENT_OF COUNTY ENGINEER ButtDING
BUILDING AND SAFETY DIVISION ADDRESS
JAHN A. LAMBIE. COUNTY ENGINEER 1610 L -
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY 99
FOR APPLICANT TO FILL IN: NEAREST.
PERMIT FUS CROSS sT'.
I T B M NUMBER EACH FEE OWNER -
OUTLET . S MAIL
> LIGHTS c 0 ADDRESS
LIGHTING FIXTURES CITY TEL.N.O. /��' 10
ELEC.RANGES. . CLO.DRYERS ELECTRIC! _ /
WATER HEATERS .50 ADDRESS O
ELEC.SPACE HTRS. DISHWASHERS '
CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- ITATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. �9
MOTORS: OVER INC. H.P. DIST ICT O. I GRA ZONE ESS'ED BY
0— V2. .25
V2— 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 0-000V 1.00
SERVICE.OVER GOOV .5.00
MISC.
WIRING PERMIT 1.00 _
FIXTURE PERMIT 1.00 a
'•SUPPLEMENTARY PERMIT .50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE•READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. t WIRING
I HEREBY CERTIFY-THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER.OF THE ABOVE _ •A
DESCRIBED RESIDENTI P P.R7Y. POWER
SIGNATURE ~ ® UTILITYCO.NOTIFIED £R del. AI
OF PERMITTE
FINA S7 d �4
Jv VALID N ARTHUR C.VEIT,
CK MO CASH' UPERVISING ELECTRICAL ENGINEER '
TBAGss-ceaos I01sRl APPLICATION R ELE ILJ
CAL PERMIT
UNTY OF LOS ANGELES
• SEf0ARTCOMENT OF COUNTY ENGINEER D�Bigg
BUILDING AND SAFETY DIVISION 6•
LOCALITY �X
NROSSST �,/d�
FOR APPLICANT TO FILL IN CROSS ST. A�/T
p4l Le
OUTLETS o. EACHFs OWNER OR
FIRM NAME
RECEPT._ MAIL
.LIGHT TOTAL FIRST 20 2B ADDRESS
RA
SWITCH OVER 2010 CITY T C pry TEL. N0.
PLAN CHECK
LIGHTING TOTAL FIRST 20 ffi APPLICANT
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY1100, TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ' ADDRESS
SPACE HTR. AIR GOND. CITY V'jTEL. NO.
CLOTHES WASH. DISHWASH. LICF?RSE OR
R NUMBER CLASS.
Joe
FAN OTHER 100 1 MEREST ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND GTATE THAT THE ABOVE IG CORNRCT AND AGNEE TO COMPLY
MOTORS, TRANSFORMERS RATINGWITH ALL COUNTY ORDINANCES AND @TATE LAWN REGULATING
IND,
HEATERS. ETC. NP.KW.RYA. ELECTRICAL WIRING.
SI=E B TTPE OVER TO
1 HERESY CERTIFY THAT 1 AM PROPERLY REGI@TERlO AND/bll
0 - 1 ISO LICENSED AN REQUIR BY LO@ NGELES COUNTY AND ■TATE OF
CALIFORNIA OR TNA AM TH LE OWNE OF NE ANOVE
1 - 10 800 DE@CNIDED REBID PRO TY
10 - 50 gop PERMI7EE
SIGNATUR
60 - 100 ion DISTRICT NO. PROC SED
100 - 600 IBM
SIGN' GAS SIGN AND ONE CIRCUIT Bdo AFPROVALB DATE NNSUITURS
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS In TEMP. POWER POLE
SERVICENOTOVER600VOLTEOR20OAMP @.00 UNDERSLAB WORK Ap'
BERVICEOVER600 VOLTS OR 200AMP fon ROUGH CONDUIT
TEMP SERVICE,POLE.&APPURTENANCES L110 WIRING
TEMP LIGHT OR RECEPT. SYSTEM an FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED of 4
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE BAD U
TOTAL FEE
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION eR. M.O. CASH
6 9 UAIAM 12 2 u 42 5 sbd
SEE BAG! OF APPLICATION FOR COMPLETE■CNEDULE
I oRKERS'COMPENSATION DECLARATION, 76AM3 DPW 3/f)7 APPLICATION FOR ELECTRICAL PERMIT
i liereby affirm that I have a certificate of consent to self' a 1 ,
insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OP PUBLIC WORKS
ora certified copy thereof(Sec. 3800, Lab. C.)
-
Policy No. Company k FOR APPLICANT TO FILL IN JOB o6d l�orl.�
1:1 Certified copy is hereby furnished. New Resideritial Bldgs. &Pools EACH NO. FEE ADDRESS
LOCALITY emsCertified coPYis filed with the county 1 &2=Famil'Y, SqFt. &elEJ building ms ec- , . $tion department, Multi'-family Sq. Ft. — NEAREST I
CROSS ST. 1 sv
Date Applicant Residential Swimming Pools OWNER OR
���Q•• FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec$Light�Sw.� r ' ADDRESSAAA
COMPENSATION INSURANCE. r
(This section need not be completed if the work involved by �_ First 20 '� CITY Tel. NoAlq Qc7
the permit is for one hundred dollars($100)or less.) Total No. Additional
PLAN CHECK
I certify that in the performance of•the work for which this APPLICANT
permit is.issued, I shall not-employ any.person in any manner Lighting Fixtures First 20 ADDRESS
so as to become;subject to the Workers'Compensation Laws. g g
Additional
Total No. CITY Tel, No.
Date Applicant Fixed Appliances Not Over'1 HP PERMIT
NOTICE TO APPLICANT:'if; after making this Certificate of APPLICATION .&WJW,
Exemption, you should become subject to. the Workers' Rarige— 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.NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCE Y >-
and Professions Code,and my license is in full force and effect. 0-
Size
Size&Type HP, KW, KVA, or KVAR J,D O
License Number 'Lic. ClassUp to 1' incl. FINAL U
Over 1 to 10 Incl. DATE VALIDATION 0
Contractor Date Over.10 to 50 Incl. FINAL U
❑ I am exempt under Sec. Over 50 to 100 Inc. BY W
B.&P.C. for this reason Over 1'00
Date: Services, Swbd.,MCC&Panelboards ► Z
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 8 Appurtenances
HOME OWNER-BUILDER DECLARATION
Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's•License '-= =
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits _�„•� r:_
::;; i
Professions Code): - -
i.e;.a v.J.
I as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)—
Business and Professions Code). -
c,•�
CONSTRUCTION LENDING AGENCY •I- � :•"tai-��; ,'�z..,y
I hereby affirm that there is a construction lending agency for r•� ;NE
i=
the performance of the work for which this permit is issued PERMIT TEE (Sub-Total) `-'! yltt:'G +=l-
(Sec. 3097, Civ. C).
1 PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address -1
1 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 nd State laws regulating Electrical wiring 'and
hereby au rize represe atives of thi ounty to enter,upon
.the abov ntion pr ty fo in tion purpos
.SEE.REVERSE FOR EXPLANATORY LANGUAGE
Sig t re o ermittee to
J '
�. 4.WORKERS'COMPENSATION DECLARATION , CE-806G 10/81 APPLICATION FOR ELECTRICAL PERMIT
,,heieby affirm that I have a certificate of consent to sglf insure,
or a certificate of Workers' Compensation Insurance, ora certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy/thereof(Sec.3800,Lab.C.) t
Policy No.. Company FOR APPLICANT TO FILL IN . JOB
❑� Certified co is hereby furnished. EACH NO. FEE ADDRESS dE7v( gr{7
PY Y New Residential Bldgs.&Pools �
$ _ .$ LACALIT
❑ Certified copy is filed with the county building inspection i' 1 &2-Family,.Sq.Ft. le,_ NEAREST
department: Multi-family Sq.Ft. CROSS ST
. PCIIJ ' Maj
DateApplicant Residential Swimming Pools OWNER OR
l FIRM NAME -9,011414
Q/
'CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec�Light 3 Sw..� ` MAIL
COMPENSATION INSURANCE ADDRESS
(This section need not be completed It.the wYork involved by the / First 20
permit is for one hundred dollars($100.)or.less.) Total No. / Additional CITTel.No.
I certify that in the performance of the work for which this permit PLAN CHECK
P PLICANT
is issued, I shall not employ any person in any manner so as to
.become subject to the Workers'Comp sation Laws. Lighting Fixtures First 20 ADDRESS
Additional
Total No. : CITY Tel.No.
Date 'L J` -Applicantx. 47/ ' Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, 'after m ng this Certificate of
Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW _ APPLICANT
provisions of the Labor Code,you.must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS oil
provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. _ .
CITY Tel.No:
LICENSED CONTRACTORS DECLARATION 'Hood — Fan Other_
I hereby affirm that I am licensed under provisions.of Chapter 9 LICENSE OR
Disp. — Room Air Cond. REG.NUMBER Clasm
(commencing with.Section 7000)of Division 3 of the Business and
Professions Code,and my license is in full force and effect. DISTRICT NO. / PROCESS BY
Power Apparatus&.Large Appliances U
Size&Type HP,KW,KVA,or KVAR
License Number Llc:Class Up to 1 Incl. 8
FINS
Contractor Over 1 to 10 Incl. Z ! I V (DATION %
Over 10 to 50 Incl. FINAL -
❑ ; I am exempt,under Sec. I' Over 50 to 100 Inc. BYI a
B:&P.C. Over 100 for this reason I to
4 Services,Swbd.,MCC&Panelboards , Z
Date: 0-200 Amp.Under 600 V
Signature 201 - 1000"Amp,Urider 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 '
I hereby affiim that I am exempt from the Contredtors'License Law Additional Sign Branch Circuits 0`1 Q 0 A
for the following reason(Section 7031.5,Business and Professions
Code): $�
Misc.Conduits&Conductors `�o o L 4+ r
I,as owner of the property,will do the work anis the'structure is
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professions Code). , o o o 2 d,7 5 5
CONSTRUCTION LENDING AGENCY i" • 07,07.—.88
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sec.3097; ° PERMIT FEE (Sub Total)
Civ,C.).
PLAN CHECKING FEE ti
Lender's Name /1
PERMIT ISSUING FEE (J
Lender's Address fI
I certify that I have read this application and state that the above TOTAL FEE Jr i
Information is correct I agree to comply with all County ordinances '
• and State laws regulating Electrical wiring, and hereby authorize I
representatives of this County to Rnter upon the above-mentioned I
prop . for inspection urposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE
7v141 i
Signature f Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0512280019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12205 LT: 29 10662 LORA ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803429
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL
8585-030-034 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
HA PAU LESS 3HP 1.00 FAD 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 58.35 12/28/05 JX 06/26/06
OWNER: TEL. NO: 71NTEFINAL BY: CODE:
BAKE STEPHEN D;MARY E TRS HAKE TRUS (626) 443-0578-
10662 LORA ST
TEMP 917803429 DESCRIPTION OF WORK
ELECTRICAL FOR AIR CONDITIONING AND HEATING SYSTEM
APPLICANT: TEL. NO:
AIR TRO (626) 357-5311-
1630 MYRTLE SPECIAL CONDITIONS:
MONROVIA, CA 91016
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO INC. (626) 357-5311-
1630 S. MYRTLE AVENUE LIC. NO TEMPORARY POWER POLE
MONROVIA, CA 91016 25822SC36
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
I
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508