HomeMy Public PortalAbout10727 LORA ST_Electrical__ 75A663-CEBOS 1/70 APPLICATION FOR ELECTRICAL PERMIT
�+ COLNTY OF LOS ANGELES
6EPARTMENT OF COUNTY ENGINEER BUILDING /O
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY r
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST !
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
$ $ OWNER
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 .20 ADDRESS
CITY TEL. N0.
SWITCH_ OVER 20 AD
PLAN CHEqV
FIRST 20 20 APPLICANT'
LIGHTING TOTAL
OVER 20 ADDRESS
FIXTURES •ip
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS D
SPACE HTR, AIR COND. CIT TEL.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.III�b
FAN OTHER 1.00I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
02. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TY E OVER TO
III IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REpU1RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
- 1O 3.00 RESIDE IN, THE ABOVE DESCR ED RESIDENTIAL P OPE TY.
}
SIGNATURE D'
10 - 50 5.001 OF PERMITTEE
5O - 100 10.00 IIIIIINIIIIIIIII DISTRICT NO CLASS GRO ZONE PRO Y
100 - 500 15.00
V
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: h
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600 VOLTS OR 200AMP 5.00 s
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (SO% PERMIT FEE) POWER AUTHORIZED
OD UTILITY CO. NOTIFIED �J
PERMIT ISSUING FEE
FINAL ?L
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
J09EPH C. ROO AN
TOTAL FEE SUPERVISING 7CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASHPERMIT VALIDATION M.O. CASH
4yAP .1,. 8 .2 79-IT..AUG 5 2 D 7.00N
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _
°n°M°°'°0 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERJ77
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM-- NUMBER I EACH FEE OWNER ,,
MAIL
OUTLETS:
RECEPT. SW. 2� $ .f0 $ ADDRESS o.
LIGHTING FIXTURES IO CITY
ELEC.RANGES CLO.DRYERS ELECTRICIA
WATER HEATERS .50 AD SS
ELEC.SPACE HTRS. DISHWASHERS
CI TEL.NO. w
GARBAGE DISPOSERS AUTO.- STATE
WASHERS .STA.COOKING UNITS .25 LICENSE NO. /7&Z 7 C-/C)MOTORS: OVER INC. H.P. 1315 RICT NO. OUP I ZONE PR ES D BY
0— 1/a :28 ��Q
- 2 / 5O v INSPECTION RECORD
.2— 5 1.00
a— 15 1.50
Is— BO 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I 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. WIRING
I HEREBY CERTI A 1 AM PROPERLY G FRED AND/OR
LICENSED AS RE RED LOS ANGEL C AND STATE OF FIXTURES
CALIFORNIA tORTHAT M THE LE N OF THE ABOVEDESCRIBED RENT . ROP RTY. POWER
SIGNATUREUTILITY CO.NOTIFIEDOFPERMITFINA6 l '--'. �5lt.•e, '
UpDARTHUR C.
CK MO ATION SU ERVISING ELECTRICAL TRICAL ENGINEER
!� X32271 AL 6 2 D 3.00
APPLIC=TIOFORrtCTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /d O�'
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY Jy�I� C.G: 7-
FOR APPLICANT TO FILL, IN NEAREST
r�+�la�i��
PER* MES - CROSS ST. E 7`I
ITEM NUMBER ,(/EACH FEE OWNER319 92 10 G
OUTLETS: MAIL
LIGHTS RECEPT. SW. $ .10 $ ADDRESS
LIGHTING FIXTURES .10 CITY TEL
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .$O ADD SS
ELEC.SPACE HTRS. DISHWASHERS CI / TEL.NO. d
GARBAGE DIBPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS ;2$ LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO, I GROUP ZONE P ESSED BY
0— I/a :25
I/a— 2 .50 INSPECTION RECORD
2— 8 1.00
hf �r y, e-0 94"4
5— ss 1.50 /
is— so 2.50
50-200 5.00 /f/.f
y y
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE O-SOOV 1.00 J
SERVICE OVER SOOV 5.00
MISC. �/ y
WIRING PERMIT 1.00 .0 �,�!•//A fes/ [•'b� 'J..., f� -
FIXTURE PERMIT 1.00 1
SUPPLEMENTARY PERMIT s0
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Y APPROVALS DATE INSPEC`IOR•S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO. COMPLY
WITH ALL COUNTY ORDINANCES AND STATE WS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING []
1
HEREBY alRED
H. AM PROP REG ERED AND/OR
LICENSED AOS AN OUN AND STATE OF
CALIFORNIA THE L WN OF THE ABOVE FIXTURES
DESCRIBED POWERSIGNATUREUTILITY CO.NOTIFIED �'OF PERMI
FINAL r/r'�li 242,12.L.,:
9r ( ARTHUR C.Tm
TION SU ERVISIN6 ELECTRICAL,ENGINEER
CASH
V1on 3 9 3 2 SO A lL 2 2 2 D 2.0 0
r?J -
76A663 DBE 6A 7-sl APPLICATION FOR PERMIT
• DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
t COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
-S� 6 � � / �
ELECTRICIAN 'ljo It°r
e V RECEIVED. By READY FOR DA ISS��E0O
ADDRESS FIRST INSPECTION
CITY TEL NO. 62 r . �+
^1
_/�
COUNTY LICENSE NO. EXPIRES AJ.I' ADDRE BUILDING
LD /�r ®" !icee, J�fI
PERMIT FEES
FEE LOCAL 7—
NUMBER EACH
LIGHT OUTLETS ® NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES ` OWNER me
TOTAL OUTLETS a SO III X 62 d MAIL
ELEC. RANGES 26 A -ADDRESS
ELEC. HEATERS 25 '�~ CITY TEL. NO.
FIXTURES V 5 ® - 1 HEREBY 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC- EACH OF THE RESIDENTIAL PR�OPERTY DESCRIBED ABOVE.
%z s.I E9a !s .26 SIGNATURE O7/
%2 2 .50 PERMITTEE
2 5 1.00: INSPECTION RECORD
_ 5 16 1.50
15 50 2.60
50 200 6.00
200 600 10.00 J
600 1000 15.00 Z
OVER 1000 20.0019
M.G. BET/FREQ. CHANGER-HP m
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or DRIB-)
MOVED MOTORS (75% OF ORIBJ
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMITS DATE INSPECTOR'S NAME
WIRING ZB1..00 6 CONDUIT y�
FIXTURES X1.00. O a WIRING/ -4 S& i I /ifi �l J
SUPPLEMENTARY 513 FIXTURE
r� POWER
TOTAL FEE �� �" UTILITY CO.NOTIFIED l/
FI NAL
. ..WORKERS'COMPENSATION DECLARATION E 8066 10 /81
.1 APPLICATION FOR ELECTRICAL PERMIT
her'eby affirm that I have a certificate of consent to self insure, C
or;t ti rtifica?b of Workers' Compeksatitin knYiranc'% dr a d6rtified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.C.) #
° TifT�/� FOR APPLICANT TO FILL IN JOB
Polio No. Company �� .0
❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
201" —
Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ $ LOCALITY
departme t. Multi-family Sq.Ft. — NEAREST
—!' Residential Swimming Pools ROSS ST.
,7 OWNER OR T
Date + Applicant FIRM NAME (J
CERTIFICATE OF EXEMPTION OM W Outlets:Recce LightSw. MAIL ``,DDRESS A0 S�
COMPENSATION INSURANCE V
(This section need not be completed if the work involved by the First 20 CITY Tel.No.
permit is for one hundred dollars($100)or less.) Total No. Additional
PLAN
I certify that in the performance of the work for which this permit APPLICANT CHECK
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 DDRESS
Additional
Total No. CITY Tel.No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT �
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT r' J!v
Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. _
provisions of the Labor Code,you must forthwith comply with such Oven Dryer_ W.M._ ADDRESS
provisions or this permit shall be deemed revoked. Top FAU W.H. _
CITYr �--Tel.No. 3
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ LA
I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR
(commencing with Section 7000)of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBS Class
Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. ESSED BY
Size&Type HP,KW,KVA,or KVAR Q
License NumberiC27�yaJ4 —Z Lic.Class Up to 1 Incl. FINAL �� V
Contractor. ��� - Date Over 1 to 50In. DATE /�f9T-�IVI�DAT�ION 0
❑ Over 10 to 50 Incl. FINAL 6 {{{�......'...
I am exempt under Sec. Over 50 to 100 Inc. BY W
Over 100 A 0-
B.&P.C.for this reason N
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&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuitr-� a
I hereby affirm that I am exempt from the Contractor's License Law FICO °L
for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits =y`' 79 I;i
Code): °
❑ Misc.Conduits&Conductors 1 ITEMS
I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule)
is not intended or offered for sale (Section 7044, Business ® TOTAL 79.00
and Professions Code).
CHECK '179.11 g° I
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the CHAN61 °110
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total)
Civ.C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE IZ25 I Am 1 i
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE (/
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
prop�tfnspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig (Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0205100013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 17867 LT: 11 10727 LORA ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803412
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON
8574-001-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60
TUAN`fr —`- G2 LIGHTING FIXTURES 2.00 LGT 3.90 1SSOED-ON: PROCESSED BY: PAN BY: EXPIRES ON:
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 05/10/02 JK 11/06/02
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 _
OWNER: TEL. NO: H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 FI ATE/- -- FIN BY: CODE:
GALLARDO JOE JR;PATRICIA M (626) 401-0110- H7 RES EXHAUST FANS 1.00 EX 10.95 ��O r'
10727 LORA ST TOTAL FEES 91.05
TEMP 917803412 CRIP 0 OFWORK'
ELeC7R CAL FOR ADDITION & REMODEL
APPLICANT: E . NO:
MARKING CONSTRUCTION (626) 331-2548-
438 E. TUDOR ST SPECIAL CONDITIONS:
COVINA 91722
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MARKING CONSTRUCTION (626) 331-2548-
438 E.TUDOR ST. LIC. NO TEMPORARY POWER OLE
COVINA, CA 91722 754088-8
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH R
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIE
REPORT ID: DPR265 ROUTE TO: BS05O8
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0511290018
HIIILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EBT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 17867 IT: 11 10727 LORA ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803412
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8574-001-011 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 31.65 11/29/05 JR 05/28/06
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
GALLARDO JOE JR;PATRICIA M (626) 331-2548-
10727 LORA ST
TEMP 917803412 DESCRIPTION OF WORK
1 OUTLET, 1 LIGHT FIXTURE
APPLICANT: TEL. NO:
REINALDO MORGADO (626) 331-2548-
438 E. TUDOR ST. SPECIAL CONDITIONS:
COVINA, CA 91722
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MARKING CONSTRUCTION (626) 331-2548-
438 E.TUDOR ST. LIC. NO TEMPORARY POWER POLE
COVINA, CA 91722 754088-B
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
REPORT ID: DPR265 ROUTE TO: BSOSOB