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HomeMy Public PortalAbout10432 MILOANN ST_Electrical__ DBS-5A ta:sa APPLICATION FOR ELECTRIC PERMIT DBS-5A DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING /04 3 WM.J. FOX, COUNTY ENGINEER J_ ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES NEAREST f CROSS ST. AL JZ:A X NUMBER --� EACH FEE NL n LIGHT OUTLETS OWNER �� L �YC RECEPTACLES _ MAIL /V1 WALL SWITCHES _J� ADDRESS TOTAL OUTLETS 5, $ CITY � Jc TEL. NO. ELEC. RANGES 25 ELECTRICIAN C — LC IC SHOP ELEC.HEATERS •25 L ADDRESSRci:-70 D KW EA •CITY 7'm TEL. FIXTURES 5 -LICENSE NO. �J NUMBER OF LIGHT CIRCUITS NUMBER OF RECEPTACLE CIRCUITS DISTRICT NO. GROUP 7,QNE READY FOR INSPECTION . 3 MOTORS L!!r I J+ NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH _ I/Z&LESS $ .25 2 .50 2 5 1.00 5 15 1.50 _ 15 50 2.50 50 200 5.00 0 1, MISC. i NO.SIGNS NO.TRANS. NO.SIGNS NO. LAMPS FOR EACH PERMIT: WIRING $1.00 00 FIXTURES $1.00Q'� SUPPLEMENTARY .50 APPROVALS TOTAL FEE �s DATE INSPECTORS SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT n AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING WIRING r •,^� �h i ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR (FIXTURES G? LICENSED AS REOUIRED'BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT i AM THE LEGAL OWNER O THE ABOVE -POWER DESCRIBED RESIDENTIA ROPERTY. UTILITY CO.NOTIFIED SIGNATURE PERMIT'1'E ' FINAL W r WILLIAM J. FOX,COUNTY ENGINEER VALIDATION i j:j . 039233 FEB 9 2 . 3.0 5 By - � 'DEPUTY, ® v /vJ ✓✓ OOURTY OF LOs ARalLli APP=&=N FOB PAZ Deparbmwl of DMS BMMING MING&�SAFS+1'Y WILLIAM L FOX, Onsty K6slEur ELECTRIC 1 FOR APPLICANT TO FILL IN DIOTRlCT No. RROUPON� PER O. ELECTRICIAN M REDEIVED MY READY FDR DATE IMSA® ADDREW If FIR■T INSPECTION CITY TEL.No. I B ' o_ r� �L.IOEN E No. EXPIRES +-•? �.. io1LDINM �S ADDRESS NUMBER EACH FIE LOCALITY • • LIMHT OUTLETS NEARERT RECKPTABLEM CROW iT �IA A Ir WALL MWITOHEM OWNER & TOTAL OUTLETS MB MAIL ELEEL RANMli SB ADDTEW ELin. HEATERS W CITY TEL. No. FIXTURES i 1 HEREBY ACKNOWLEDSE THAT 1 HAVE READ THIN MISO. APPLICATION AND STATE THAT THE ABOVE IN CORRECT NUMBER of LIMHT 01RCU1Ti AND AMR= To COMPLY WITH ALL COUNTY ORDINANCES NUMBER of RECEPTACL! CIROU177 AND MTATE L.AWM REMULATINM ELECTRICAL WIRINM. MOTORM 1 CERTIFY THAT 1 POW THE ABOVE VALID LOU NUMBER HORSEPOWER FEE ANSELE■ OOUNTY LIUCHIM ON 1 AM THE LKMAL CWNER New MVS. HP DYER INS. EACH OF THE RESIDENTIAL PERTY DEBORIBED ABOVE. Va ATU �N 8 L®R .BO MIM MATURE CF -2 '..r i••'rI' ym IIIyam__• S B 1.0a Z rTVINPECMN EMBD s Is 1.60 s0. Tao s.ao w e, Eno soa 10.01 son low 11111.00 Z OVER I mn so.00 p Mo. myr/mcm. oNANSER-HP WELDERMI AO-KVA O MENCHATOW - KW TRANSFORMERM - EVA TEMP. MOTORS I7111of oRIRa MOVED MOTORS 17 of BRIMJ M ISO. slums No. No.TRANM. AWEMALS MEL N LAMPM FOR EACH PKRMITf T! INSPEOTOR9S NAME WIRINM 1,p1 /t+7 OCNDUIT FIXTURES I.00 WIRINM PP ! FIXTURES � �+ POWER TOTAL FEs M -�y.7+� UTILITYodNDTIFIED n•+ . FINAL �� • 76"02 SRR#RA R-N WORKERS'COMPENSATION DECLARATION' 78-883 1o/67 APPLICATION FOR ELECTRICAL PERMIT I f 'y aft+ that I have a certificate of. consent to self insure, ;CE-BoeG �1 ' or.a"certificate of Workers' Compensation Insurance, o�r7a.-/certified I COUNTY OF LOS ANGELES BUILDING AND SAFETY IUI copy thereof(Sec..3800,Lab: . Policy No. A C ariy FOR APPLICANT.TO FILL.IN JOB I ( { 59 Certifi d.c furnished. EACH NO.. FEE ADDRESS / (/�,$ �- I-I L jj0�ri{ rpZ - // New Residential Bldgs.&Pools I'7S $ — $ LOCALITY ? . 0 Certified copy is-.filed'with the county building inspection 1 &2-Family,Sq.Ft. e_p rtment Multi-family Sq.Ft.. NEAREST CROSS ST. Date Applicant M•Qr`� r bid Residential Swimming Pools OWNER OR �� CERTIFICATE OF EXEMPTION FROM WORKERS' / FIRM NAME MR ^r-/ L(/!1 t IL COMPENSATION INSURANCE Outlets:Ree--1—Light First 20 Q ADDRESS u . (This section need not be completed If the work involved by the •J CITY Tel,No. permit.is for one hundred dollars($100).or'I.ess.), Total No. Additional' I cern that in the performance of thelwork for..Which this emit PLAN CHECK certify P APPLICANTis 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 CITY Tel.No. ' Date Applicant NOTICE�TO APPLICANT: 'If, after making this Certificate of Fixed Appliances.Not Over 1 HP PERMIT ,,//)� ��y, � /' Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W APPLICANT (�K PJpV 'L ..provisions of the Labor Code,you must.forthwith comply with such Oven Dryer._ W.M._ ADDRESS Akoh V.ako , provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Top _� L W.H. _ CITY L� Te1.No Hood — Fan Other_ ` I. hereby affirm that I afn-.licensed under provisions•of Chapter 9 ` �C REG.NUMBER LICENSE OR (commencing with Section 7000)of Division 3 of the Business and Disp. Room Air Cond. ClassP.l PProfessions Code,and my license is in full force and effect. Power Apparatus&,Large Appliances.+ DISTRICT No. SSED By �y- ? j7 �_�,} Size&Type HP,KW,KVA,or KVAR _�6Lst.r�si�c� OO License Number-., �" ��Y Lic..Class 'V f 4 Up to 1 Incl. FINAL �i y�� 7 .. , Over 1 to 10 Incl. DATE �(�. q� fY • Contractor�rrl��i//►/ ��a Date '� N y .I VALIDATION Q &- Ap. 1000 50 Incl. FINAL (~) I am exempt under Sec. 50.to'100 Inc. BY a 100_ B.&P.C.for this reason - Z SeC'&Panelboards Date: QUnder 600 V Signature 1i Under 600 V ❑ Over 100.0 Amp.or Over 60.0 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION' Sign with One Branch Circuit 2 I hereby affirm that I am exempt from the Contractor's L'icensq Law IAdditional Sign Branch Circuits ►` s for the following reason(Section 7031.5,Business and Professions F).CCT Code): ` Misc.Conduits&Conductors330.3 • .99 40 I,as owner of the property,will do the work and the structure* is not intended or offered for sale (Section 7044,Business Other(See Complete Fee Schedule) _ ® ITEM' and-Professions Code). TO Xpq CONSTRUCTION LENDING.AGENCY CHECK 40 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) � O, CHANGE e00 Civ.C.). + PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE _ Q �j - OBJ! 7/j°f,95 Lender's Address ®TOTAL FEE 1, 98 1 AM 2(0 o 28 1 certify that I have read this application.and state that the above information is correct.I agree do comply with all County ordinances and State 11105. regulollIng Electrical wiring, and hereby authorize represents' s of t ' Courtly to enter upon the above-mentioned property r inspec :.purpose SEE REVERSE FOR EXPLANATORY LANGUAGE S gna of Perm i ee Date Y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304240020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1 ITR: 14053 IT: 8 I 1 10432 MILOANN ST ] IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803471 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HALIFAX 18585-018-008 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl I G1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 I I TENANT: G2 LIGHTING FIXTURES 1.00 LGT 2.00 ISSUED ON: PROCESSED BY: PLAN BY: I I I 1 TOTAL FEES 31.80 04/24/13 SR 1 (OWNER: TEL. NO: 1 IF DATE FI BY: CODE: 1 IKWOK, TONY (626) 628-5666- I I 110432 MILOANN ST I I ITEMP 917803471 I DESCRIPTION F WORK I GFCI OUTLET AND LIGHT FIXTURE (APPLICANT: TEL. NO: I I ISAME AS OWNER ISPECIAL CONDITIONS: ] I I I I I � (CONTRACTOR: TEL. NO: I ]APPROVALS LATE INSPECTOR SIGNATURE SAME AS OWNER - I - I LIC. NO 1 ]TEMPORARY POWER POLE I I I 1UNDERGROUND CONDUIT I I ARCHITECT OR ENGINEER: TEL. NO: _ i JUFER GROUND I I LIC. NO: 1 IROUGH CONDUIT I I ] ROUGH WIRING IMAIN WATER LINE 11 I IPLASTIC YIN METAL YIN I I I ] I (UTILITY COMPANY NOTIFIED] I I ] I I I I I I I I I I I I I I I I I I 1 1 ] I 1 I I I 1 I I (REPORT ID: DPR265 ROUTE TO: BS0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1011010001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: I 1 TR: 14053 IT: 8 10432 MILOANN ST 1 ASSESSOR INFORMATION NUMBER: [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803471 I I NEAREST CROSSSTREET: HALIFAX 18585-018-008 1A1 PERMIT ISSUANCE FEE 27.80 f THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl 1G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.50 I 1 (TENANT: G2 LIGHTING FIXTURES 6.00 LGT 11.60 [ISSUED ON: PROCESSED BY: PLAN BY: 1H2 RES GREG DISP IT 3HP 1.00 DIS 10.90 111/01/10 SR (OWNER. 1H4 RES RANGE HDS IT 3HP 1.00 H00 10.90 1 I TEL. NO: 1 TOTAL FEES 76.70 IFINAL DATE FINAL BY: CODE: 1XWOK, TONY (626) 628-5666- 1I 110432 MILOANN ST I I P�W 1 ITEMP 917803471 1 1 ESCRIPTION OF WORK I 1ELECTRICAL FOR KITCHEN REMODEL (APPLICANT: TEL. NO: I I I SAM AS OWNER 1 1SPECIAL CONDITIONS: 1 ICONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - 1 LIC. NO 1 1TEMPORARY POWER POLE I I I I I (UNDERGROUND CONDUIT 1 I I [ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND I I I I LIC. NO: IROUGH CONDUIT [ 1ROUGH WIRING v1 [ 1 IMAIN WATER LINE I I I 1 1PLASTIC Y/N METAL Y/N I I 1 I 1UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I 1 I 1 I I I I I 1 1 I I I 1 1 I I I I 1 I I I I 1 1 I I 1 I I 1 I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I