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HomeMy Public PortalAbout5035-5037 MCCLINTOCK AVE_Electrical__ r IAsas-CE606 4-66 APPLICATION FOR ELECT CAL PERMIT 'I . COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER ` BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER WILLIAM A.JENSEN.SUP•TOF BUILDING LOCALITY �•� FOR APPLICANT TO FILL IN NEAREST S '' PERMIT FEES OWNER42A"95. r Gids r ITEM NUMBER EACH FEE MAIJ - OUTLETS: $ S ADDRESS LIGHTS RECEPT. SW. .iO _ LIGHTING FIXTURES Z •1O CITY ' T NO 131.110.RANGES CLO.DRYERS ELECTRIC ANFf WATER HEATERS .50 ADDRESS 1 �s aRLEC.SPACE HTRS. DISHWASHERS - CITY TEL.NO.61- r GARBAGE'DISPOSERS AUTO.- j STATE J �/ - / LICENSE NO. WASHERS STA.COOKING UNITS •ES MOTORS: OVER INC. H.P. DISTRI T NO. GROUP NE PR CESSED BY 0— %a .25 Va — 2 50 INSPECTION RECORD 2 — s t.00 ! .p s ".. a is — so 2.50 '.� ���J L� S O SO — 200 5.00gJ1..-s. W NO TRANS. US D. SIGNS: NO.LAMPS / Z SERVICE O-GOOV 1.00 I J'� ' SERVICE.OVER GOOV 5.00 MISC. AV.. WIRING PERMIT 1.00 ' {'' FIXTURE PERMIT 1.00 I. - �� - Al-ft SUPPLEMENTARY PERMIT ,so v �A TOTAL FEE a3 fr. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AP(PROVALS DATE INSPBCTOR•8 SIGNATURE D ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING . ELECTRICAL WIRING. WIRING _ 3(i(� / —"'•'� IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR /// LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ll0 tr- u.!!e!:0'•�'�l+ CALIFORNIA OR THAT I AM THE LE L OWNER OF THE ABOVE DOWER' / �� r f DESCRIBED RESID PROS ' SIGNATURE UTILITY CO.NOTIFIED "'� +�Y _ 1 r;r OF PERMITTE auu, FINA IDATION ARTHUR C-VEIT. NO CASH SH ELECTRICAL ENGINEER � � ,2 .62-8 8315 2 -D 4.05 76A663-CE808 9-67 APPLICATION FOP ELECTRI L ,PERMIT • COUNTY OF LOS ANGELES DEPARTMENT OF C014NTY ENGINEER BUILDING - - w- B.JIILDLNG AND SAFETY DIVISION ADDRESS D G JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH RECEPT $ $ OWNER MAIL LIGHT TOTAL FIRST 20 .20 �� ADDRESS SWITCH_ OVER 20 .10 CITY TEL. NO. LIGHTING �TOTAL FIRST 20 .20 CONTRACTOR FIXTURES OVER 20 .101 ADDRESS a RANGE—DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK—DISP._F.A.U._ LICENSE NO. SPACE HTR. AIR COND. 1 HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN—OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Off LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR TH M THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, 0 D CRI IDENTIAL PROPERTY. SIZE & TYPE OVER To SIGNATU •r d � 0 - 1 1.00 OF PERMI p 1 — to 3.00 DISIT�C GR P ZO E P C ED BY V 10 - 50 5.00 �+ '� O 50 - 100 10.00 NOTES G W 100 - 500 15.00 SIGN,GASN TUBE, OR SIGN AND ONE CIRCUIT 3.00 MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT nth I a �0 'WIRING ISSUING FEE 2.00 FIXTURES SUPPLEMENTARY ISSUING FEE 11.001 POWER AUTHORIZED PERMIT 'FEE UTILITYCO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL I VI6 TOTAL FEE ®D JOSEPH C. ROOHAN _ SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0 CASH LCO.3 N12 2 o 3.00N tl EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATION DECLARATION 20.0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O I here affirm that I have a certificate of consent to self CE-806b r, inse*V! or a certificate of Workers'Compensation Insurance, i COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company ; FOR APPLICANT TO FILL IN JOB _ Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS i ❑Certified copy is filed with the county building ins ec- 11&2-Family, Sq. Ft. $ $ LOCALITY ?_zV 7 ;�7� tion department. Multi-family Sq. Ft. NEAREST CROSS T. Residential Swimming Pools OWNER SOR ~ Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' � MAIL �irst 20 COMPENSATION INSURANCE Outlets: Rec ?LUigh ADDRESS S j] Ic CL//l/ C K v� (This section need not be completed If the work Involved by Total No. Additional CITY G % SCC �' '%� Tel. No. the permit Is for one hundred dollars($100)or less.) I certifythat in the erformance of the work for which this PLAN CHECK performance 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. Additional Date Applicant Total No. CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Applin es Not Ove HP PERMIT Exemption, you should become subject to the Workers' Rang Heater D.W. — APPLICATION 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 J LICENSE OR Disp. _ Room Air Con;•+-- Class. I hereby affirm that I am licensed under provisions of Chapter 9 1 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Pow�r Apparatus&Large Appliances DISTRICT NO. PZO SSED BY d and Professions Code,and my license is in full force and effect. v Size&Type HP, KW, KVA, or KVAR O O License Number Lic.Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE .1�0-�� VALIDATION O0 Contractor Date Over 10 to 50 Incl. U FINAL ❑ I am exempt under Sec. i Over 50 to 100 Inc. BY W B.&P.C, for this reason I' Over 100 Services, Swb ., MC :Pc ell Z rds , G" z Date: 0-2 p r (� Signature 261 -1000 Amp. Under 600 V ❑ Over 1000 Amp, or Over 600 V - Exemption for Reg. Maint, Elect. i SINGLE FAMILY --.-•• Te HOME OWNER-BUILDER DECLARATION Tern Power Pole&Appurtenances i.•, _ Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License71, ,+j; Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Pro essions Code): s - I� Misc. Conduits&Conductors .,_a__a = c:, �:L. I, as owner of the property, will do the work and the structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— _ 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) (, (Sec. 3097, Civ. C.). - PLAN CHECKING FEE •x. Lender's Name '• a PERtOIT ISSUING FEE 1 Lender's Address 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 1kd property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of ermitt a Date COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0804280021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: I ITR: 13384 LT: 28 1 5035 MCCLINTOCK AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803555 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: [ 18574-004-014 JAI PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl I JB2 1 OR 2 FAMILY DWELL 2500.00 SQ 262.50 1 1 TENANT: TOTAL FEES 290.25 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 104/28/08 SR 10/25/08 I I 1 JOWNER: TEL. NO: I FINAlkDATE FINAL BY: CODE: 1 ]HANG, KIEN (818) 451-8003- 1 I 15035 MCCLINTOCK AVE. ] 1 1 [TEMPLE CITY CA 91780 1 [DESCRIPTION OF WORK 1 1 I IRE-WIRE ENTIRE HOUSE [ JAPPLICANT: TEL. NO: I I I ITRAN U S CONSTRUCTION (626) 215-3819- 1 1 1 12204 CHARLOTTE AVE. I ISPECIAL CONDITIONS: 1 IROSEMEAD, CA 91770 ] 1 I I I I ICONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE [ ITRAN U S CONSTRUCTION (626) 215-3919- 1 1 12204 CHARLOTTE AVENUE LIC. NO ] ITEMPORARY POWER POLE I I [ IROSEMEAD, CA 91770 661037 ] 1 1 1 1 [UNDERGROUND CONDUIT JARCHITECT OR ENGINEER: TEL. NO: [ JUFER GROUND I I I 1 LIC. NO: 1 IROUGH CONDUIT I [ [ 1 I IROUGH WIRING 1 I I [MAIN WATER LINE [ ] I IPLASTIC Y/N METAL Y/N I [ [ I [UTILITY COMPANY NOTIFI^"j I [ I I I I JI y 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 1 I I I IREPORT ID: DPR265 ROUTE TO: BS0508 [ [ I I I I I I I � P COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0804280023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: JTR: 13384 IT: 28 5035 MCCLINTOCK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803555 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 8574-004-014 jA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 ] (TENANT: JG2 LIGHTING FIXTURES 4.00 LGT 7.80 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 45.30 ]04/28/08 SR 10/25/08 OWNER: TEL. NO: F �AL At FINAL CODE: ]HANG, KIEN (818) 451-8003- 5035 MCCLINTOCK AVE. TEMPLE CITY CA 91780 IDESCRIPTION OF WORK 15 OUTLETS AND 4 LIGHT FIXTURES FOR DETACHED GARAGE APPLICANT: TEL. NO: ITRAN U S CONSTRUCTION (626) 215-3819- 12204 CHARLOTTE AVE. ISPECIAL CONDITIONS: ]ROSEMEAD, CA 91770 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ITRAN U S CONSTRUCTION (626) 215-3919- 1 1 2204 CHARLOTTE AVENUE LIC. NO TEMPORARY POWER POLE JROSEMEAD, CA 91770 661037 UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: - ] ]LIFER GROUND LIC. NO: ] ]ROUGH CONDUIT ] ] ] ROUGH WIRING ] MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED RT ID: D 0508 REPO PR265 ROUTE T0: H3 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I ELECTRICAL FERMI DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS C•-0508-980220001'0 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: -LEGA I _-FENS PPA I D U G DR SS. TR: 13384 LT: 28 5035 MCCLINTOCK-A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NIP CA 917803555 ASSESSOR INFORMATION NUM8 R: NEAREST CROSS STREET: FREER 8574-004-014 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 02/20/98 UT 02/20/99 OWNER: TEL. NO: FINAL DATE F INAL BY: CODE: HANG BOB (626) 448-0925- �^ ,� 428 DRAKE RD ARCD 910076252 _ CL _ 0 AEW ELECTRICAL PANEL UPGRAQE 200 AMP. APPLICANT: 0: CENTURY ELECTRICAL CONTRACTOR (818) 567-1999- 1155 ELM AVE.#7 -- - SPECIAL CONDITIONS: GLENDALE, CA CONTRACTOR: TEL. N0: ° '' ?�" �X3w;; APPROVALS DATE INSPECTOR SIGNATURE CENTURY ELECTRICAL CONTRACTOR (818) 567-1999- ;,;• ��_, 1155 ELM AVENUE, # 7 LIC. NO ;':'• TEMPORARY ER POLE GLENDALE, CA 91201 522157/C10 .� •y , , • `� UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. O: UFER GROUND LIC. NO: - ROUGH CONDUIT ROUGH WIRI G MAIN WATER LINE PLASTIC Y/N METAL Y/N UTI L I T Y COMPANY NO I ED REPORT ID: DPR265 ROUTE TO: SS0508