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HomeMy Public PortalAbout10708 LORA ST_Electrical__ w 16A.6Sp-CE808.10.86 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DMSION Department of County Engineer BUILDING/ '�J o t C �• D7 6/J r 1 County of Los Angeles ADDRESS ` y JOHN A. LA GRIFFIN. COUNTY ENGINEER TF~"pGF e �� CA88ATT D. GRIFFIN. 8UP'T OF BUILDING LOCALITY � i. FOR APPLICANT TO FILL IN cRosssT Jl/zi O PERNIIT FEES � /c-'o / . LIGHTS RECEPTACLES SWITCHES OWNER /.=0• /� O �lO ��/s NUMBER ITEM EACH FEE MAIL V 7V 1 ADDRESS l LO /Z,05? was 7- TOTAL OUTLETS $ .10 $ �® 7"A- bi,/�l� Cl EL.NO. LA It 0% ELEC. RANGES, WATER HEATERS, CITY ��✓/� CLOTHES DRYERS .SO ELEC. SPACE HEATERS, STAVY. COOK. ELECTRICIAN INO UNITS, OAR BAOE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25 at LIGHTING FIXTURES .10 � CITY TEL.NO. MOTORS STATE LICENSE NO. HORSEPOWER DISTRICT NO. GROUP ZONE READY FOR INSPECTION H.P. OVER INC. •/s&LESS .28 2 .50 INSPECTION RECORD 2 5 1.00 5 15 1.50 15 — 50 2.50 50 200 5.00 MISC. SIGNS I NO.TRANS NO.L•AMP8 SERVICE 0-800V 1.00 SERVICE OVER 800V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS TOTAL FEE DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS 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/ORFIXTURE8 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA PROPER I SIGNATURE .UTILITY CO.NOTIFIED OP PERMITTEE iOMATION ARTHUR VIT.:OUNTY]ENGINEER RCASH SUPERVISING]ELECTRICAL ENGI NER ' {�O r 7 ;.Un ,PJB 2 6 5.4 0 r COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Pepartment of County Engineer IC I DIVISION OF SVILDING & SAFETY ' WILLIAM J. FOX, County Engineer ELECTqjpm FOR APPLICANT TO F�IL IN. DISTRICT NO. GROUP ZONE. PERMIT NO. ELECTRICIAN ,:'�' ,sy /A/f.t_Zr t 7 ADDRESS a RECEIVEDY FIRST INSPECTION DY FOR DATE ISSUED CITY TEL.NO, �r; `3 A h COUNTY—LI CENSE NO. J / ) EXPIRES BUILDING i 6 Te G PERMIT FEES ADDRESS 4 7i 1 G ' _ NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROHB BT. RECEPTACLES J WALL SWITCHES ) .OWNER TOTAL OUTLETS 5O / MAIL ELEC. RANGES 80 -T- ADDRESS ELEC. HEATERS 25 / CITY TEL NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIN MISC. n APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS r� G, AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW I MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PR13PERTYY SCRIBED ABOVE. %z A LESS 6 .25 �1 SIGV2 a 950 PERMIRTTEE 2 5 1.00 INSPECTION RECORD 5 1B 1 1.50 15 50 2.50 50 2130 5.00 ZOO 500 10.00 J 5130 11300 15.00 Z OVER 1000 20.00 19 M.O. SET/FREq. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIB.) MOVED MOTORS (75% OF ORIG.) M ISC. _ SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECTORv8 NAME WIRING $1.00 6 C13NOUIT FIXTURES $1,00 O O WIRING Snz 3 ef v SUPPLEMENTARY .50 FIXTURES Icl P „Jr1WER TOTAL FEE ;01 UTILITY CO.NOTIFIED FINAL 46A663 DBS#5A 4-58 1 WORKERS'COMPENSATION DECLARATION CE-8M 10/81 APPLICATION 'FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-BObG t� insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY Iul or a certified copy thereof(Sec. 3800, Lob. C.) ` p Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS s ���5 ���A �T Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ❑ 1 8 2-Family, S Ft. $ — $ LOCALITY' C f f Certified copy is filed with the county building inspec- y. q•• 7'�NJPL �17�0 tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools ° CROSS ST. 07.,"CA/ Date Applicant OWNER OR j FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec� Light:�Sw.! 'MAIL �a5�� S� COMPENSATION INSURANCE .ADDRESS /t7 %a 8. / (This section need not be completed If the work involved by First 20 Total No. Additional CITY �Ml;t. 0 j r y Tel. No.S/Y'k-26YL the permit is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT eYlt✓ S 13ovd 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 Date a— ©`o'4pplicant CITY' , Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_ Heater_D.W. APPLICANT 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. Dis _ Room Air Cond. — Class.. I hereby affirm that I am.licensed under provisions of Chapter 9 p' REG. NUMBER ('commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY 0}. and Professions Code,and my license is in-full force and effect. O Size&Type HP, KW, KVA, or KVAR, s Q CJ Up to 1 Incl. FINAL Y O License Number Lic. Class DATE ,�LJ�//1 Over 1 to 10 Incl. VALIDATION AT Contractor Date Over 10 to 50 Incl.. FIN W ❑ I am exempt under.Sec. Over 50 to 100 Inc. BY n Cn B.&P.C. for this reason Over 100 —Date: Services,Swbd., MCC&Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000Anip. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. I a 4 1 b 9 A SINGLE FAMILY Temp. Power'Pole&.Appurtenances # o o,o,o 0 2 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 � ° ° 2�5 Law for the following reason (Section 7031.5, Business and Professions Code): 0 0 0 2 8r 5 0 9 2 I, as owner of the property, will do the work and the M.sc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See.Complete Fee Schedule)— , 0306-86 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 f (Sub-Total) (Sec. 3097,.Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q Lender's Address I certify that I.have read this application and state that the. I TOTAL FEE . above information is correct:'1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this Couhty to enter upon the above-mentioned property for inspection purposes. o SEE REVERSE FOR EXPLANATORY LANGUAGE ature of Permittee Date COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1102220016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 17867 LT: 17 I I 10708 LORA ST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803411 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18574-001-017Al PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl I ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 I I [TENANT: 1 TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: 1 I I 102/22/11 SR I 1OWNER: TEL. NO: [ 1FINAL DATE FINAL BY: CODE: 1 ]CHEN MARIE P (626) 286-0273- 1 1 I 110708 LORA ST [ I ITEMP 917803411 1 IDESC IPT ON OF WORK 1 I I (UPGRADE SERVICE PANEL TO 10 AMP [ 1APPLICANT: TEL. NO: I I I [AIR TRO INC. (626) 357-5311- 1 [ I 11630 S. MYRTLE AVE I ISPECIAL CONDITIONS: 1 IMONROVIA, CA I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 (AIR TRO INC. (626) 357-5311- 1 1 I 11630 S MYRTLE AVE LIC. NO 1 ITEMPORARY POWER POLE I I [ [MONROVIA, CA 91016 258228C20 * I I I I [ (UNDERGROUND CONDUIT I I I [ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND 1 I I LIC. NO: 1 IROUGH CONDUIT I I IROUGH WIRING I I I I I I I I [MAIN WATER LINE I I I I I 1PLASTIC Y/N METAL Y/N I I I I I (UTILITY COMPANY NOTIFIEI I I I I I I I I I I I I I 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 1* ADDITIONAL DATA ON FILE I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I I