HomeMy Public PortalAbout10406 MILOANN ST_Electrical__ DEPARTMENT OF RUIIAING AND SAFL"ff
COUNTY OF LOS ANGELES ELECTRIC
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HIEFIENG EER
NAMI�vIel.4y DISTRICT N0. GRjOUP I ZONE PERMIT/N0.
CITY �� . E- ? ( TEL.NO ±-=5 �C ® READY FOR DATE ISSUED
D FIRST INSPECTION
CERT.NO. 'f EXPIRES •
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB 5DESCRIPTION OF WORK ! ADDRESS _ �1
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION 13Y ROOMS I NEAREST t $�
LIGHT OUTLETS SW. PLUGS F� C 06 ST 7l--4e � -
CIRCUIT A B C D E F G H I IC NAME —5
n\ MAIL .�Y 4-el —,
HCl) ADDRE / �! (� p
r TEL.NO.&i
i AM TNB OR O TH6 VE LOS
ANGIP CS COU CERT I? TB O�AQUALIFeC"BA V
j6 LECTRICUN.
A N THE LEGAL OWNmt OF THE PROPURTY DESCRIBED
OWNER.
' CORRECFIONS
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TOTAL
NO. OF OUTLETS Ise
�. APPROVAL`SNO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. i CONDUIT
NO. OF SIGNS TRANS. WIRING
NO. OF RANGES OR HEATERSFIXTURES
MISCELLANEOUS POWER
PERMIT FEE UTILITY CO.NOTIFIEDTOTAL FE62 FINA f
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76ASS3 DBS 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIST RIC iNO. GRO ZONE PERMIT NO.
®� Z� C &°
ELECTRICIAN (/ l R IVED BY READY FOR DATE ISSUED
ADDRESS J�'4,4' s/ (�, "'7'd ! FIRST INSPECTION
CITY TEL. NO. tl2mml
3
I
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES7777 ADDRESS
NUMBER EACH FEE �I LOCALITYP_ -2
LIGHT OUTLETS _ INEARE
ST
CROSS 9T. P� IMJ P
RECEPTACLES
WALL SWITCHES OWNER �/!j/ � /� � ep el,A
TOTAL OUTLETS 5c $ � MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS B 25 CITY ] C / EL. NO.
FIXTURES / 5
1HEREWACKNOWLEDGE THAT I HAVE READ THIS
MISC. 0i IOlPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS IAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS qND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I I CERTIFY THAT 1 POSSESS THE- ABOVE VALID LOS
NUMBER HORSEPOWERFEE 1%ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. :EACH OF THE RESIDENTIAL P OPER DE 0RIBED ABOVE.
%2 A LESS $ .25 �IGNATURE OF -
I/ 2 .50 i PERMITTEE
2 5 1.00 i INSPECTI N RECORD l/
_ 5 15 1.50
15 50 2.50
50 200 5.00
_ 200 _ 500 10.00
500 1000 15.00 Q
Z
OVER 113130 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS'AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% [IF ORIG.)
MOVED MOTORS (75% OF ORIS.) _ I
MISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT' DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00
WIRING
SUPPLEMENTARY .50 FIXTURES
i
POWER
TOTAL FEE ��/ I UTILITY CO.NOTIFIED r
FINAL L"t
WORKERS'COMPENSATION DECLARATION 78-810/81 APPLICATION FOR ELtCTRICAL PERMIT
,•I•hereb�affirm that I have a certificate of consent to self insure, 1 CE-806G
or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.C.) `fl
Policy No. Company FOR APPLICANT TO FILL IN JOB /G
❑ Certified copy is herebyfurnished. EACH NO. FEE
ADDRESS
New Residential Bldgs.&Pools
❑ 1 &2-Family,Sq.Ft. $ — $ LOCALITY �v
Certified copy is filed With the county building inspection _
1
department. Multi-family Sq.Ft. NEARESTCROSS ST.
Date Applicant Residential Swimming Pools OWNER OR ��qq
FIRM NAME VRA II-
(a
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Ree—Light_Sw.— MAIL l.. �a
COMPENSATION INSURANCE ADDRESS U OC(� I ut,r J
(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 i
PLAN
I certify that in the performance of the work for which this permit APPLICANT K
P L
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
/ Additional
�y///1/�1� �#p, Total No. CITY Tel. o
Date 3 Applicant �. 'v /!t[J ' l� Fixed Appliances Not Over 1 HP
NTO APPLICANT. If, after making this Certificate of PERMIT
OTICE
Exemption,you should become subject to the Workers'Compensation i Range_ Heater D.W. _ APPLICANT
provisions of the Labor Code,you must forthwith comply with such I Oven _ Dryer_ W.M._ ADDRESS
provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CITY k.ATel No.
LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_
I hereby affirm that I am licensed under provisions of Chapter 9 I Disp. — Room Air Cond. _ LICENSE OR
REG.NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business and
Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO ��J/// B
1�'� PROCESSED
Size&Type HP,KW,KVA,or KVAR J (J
License Number Lie.Class I Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE
Contractor Date CCCJJJ VALI ION
❑ Over 10 to 50 incl. FI {.-.
I am exempt under Sec. Over 50 to 100 Inc. 15
olez�llz!�: I n-
B.&P.C.for this reason Over 100
Services,Swbd.,MCC&Pi�n� rds /� Z
Date: 0-200 Amp.US 80 1490 S� v
0928, l A
Signature 201 - 1.000 Amp.Under 600 V 0 0 0 0 0 2
❑ Over 1000 Amp.or Over 600 V
Exemption for Reg..Maint.Elect. l o o 2 5,5 G
SINGLE FAMILY Temp.Power Pole.&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 0 0 0 2 S C 0 u
1 hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits
for the following reason(Section 7031.5,Business and Professions _5
Code): Q.
I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ pop.
Professions Code).
CONSTRUCTION LENDING AGENCY
1 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
Lender's Name
PERMIT ISSUING FEE (J J
Lender's Address.
I certify that I.have read this application and state that the above I TOTAL FEE
c
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
propert.or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
-
:gAA0g--
gigmatur&of Permi t e Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309230036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 14053 LT: 3 10406 MILOANN ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803471
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HALIFAX 1
18585-018-003 IAl PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
ITENANT. ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 I I
TOTAL FEES 66.70 ISSUED ON: PROCESSED BY: PLAN BY:
109/23/13 SR 1
(OWNER: TEL. NO: I ]FITE FI AL Y: CODE: 1
IBLAIR, ART (626) 485-5830- NAL I I I
110406 MILOANN ST I I I
ITEMP 917803471 I ]DESCRIPTION OF WORK 1
I I IMAIN ELECT PANEL UPGRADE TO 125 AMP I
(APPLICANT: TEL. NO: 1 I I
ISANTUCCI, PETER A (714) 722-7948-
12009 ALABAMA ST #1 I ISPECIAL CONDITIONS:
1HUNTINGTON BEACH I I
I
I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE
ISANTUCCI ELECTRIC (714) 722-7948- 1
2009 ALABAMA ST #1 LIC. NO TEMPQRARY POWER POLE I I
1HUNTINGTON BEACH CA 92648 964843 -
I I
] 1UNDE GROUND CONDUIT I I ]
1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
1 LIC. NO: IROUGH CONDUIT 1 1
I 1 1 I
TROUGH WIRING
1 IMAIN WATER LINE
I IPLASTIC Y/N METAL Y/N I I I
1 1 1UTILITY COMPANY NOTIFIEDI4 1
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1 I I I I
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1 1 I I I I
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1 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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