Loading...
HomeMy Public PortalAbout10720 MILOANN ST_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department F of County EngineerSF �������� DIVISION OF BUILDING & SAFETY WILLIAM J. FOX. County Engineer FOR APPLICANT O FILL IN DISTRICT O. GROUP ZONE PERMIT NO. ELECTRICIAN 1`(�.n•7� � i ■ ./ RECEIVED SY' READY FOR DATE ISSUED ADDREHS Q i1 �d FIRST INSPECTION CITY !f/ a � TE&AC ./ ■ �� COUNTY LICENSE NO. 0!l 7. EXPIRES' /,/%40BUILDINl3 y i PERMIT-FEES ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS BT. WALL SWITCHES a OWNER TOTAL OUTLETS5C ,>0 V MAIL ELEC. RANGES 25 -_ — ADDRESS _ ELEC. HEATERS 25 ITY TEL. NO. FIXTURES pj S _ I 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 v , J AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw Mvv. NP ovER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/a I/a a 2 S .25.50 81■PERMIE Or TTER ■ .•_ r -'�• _ H s 1.00 INSPECTION RECORD 5 15 1.5o .15 50 2.50 Bo 200 5.00 200 500 10.00 J Boo 1Doo 15.00 Z OVER 11300 20.00 Q M.G. SET/FREq. CHANGER-HP IZ WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIS.) MOVED MOTORS (75% OF CRIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT? DATE INSPECTOR98NAME WIRING $1.00 O a CONDUIT FIXTURES 51.00 OL WIRING BUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE !!�. 7,-UTILITY to.NOTIFIED r 75A603 DBS#5A 4-58 ✓ COUNTY OF I= ANNELEB APPLMTM FM PEOW DESIGN OF SU=ING & SAFETY WILLIAM J. FOX. Ceeeb EEeleew ELECTRIC FOR APPLICANT 3p FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN r C �4 ADDReSV9 RECEIVED MY FIRST DYPEOTION FEED ISRIJUD N �7 CITY EV - ' COUNTY LIOUNEE NO. z—3IrXPIREB OUILDINM /� PEB�TI' FEES ADDUCER ® 2A? D -- FEE s NUMMER EACH _ LODALITY LIMHT OLTILETE NEMEMT RECEPTACLES DRE R WALL SWITCHEM OWNER TOTAL OUTLETS an MAIL BLED. RAMMER ES ADDRR■N BLED. HEATERM NO, OITY TEL 1110. F111TURES E 1 HERE■Y AOKNOWLEDME THAT 1 HAVE READ THIS MIND. APPLICATION AND STATE THAT THE AMOVE IS OOROBOT HUMMER OF LIONT DIROUITE AND AMBER TO COMPLY WITH ALL COUNTY 0001 ANCEM NUMECR OF REOEPTACLB CIROUITE AND STATE LAW■ RBMULATINB ELECTRICAL WIRIMM. MOTORS 1 OBRTIFY THAT 1 POSES THE AMOVE VALID LOM NSHeeR HORSEPOWER FEB ANMELBE COUNTY LICENSE. OR 1 AM THE LEMAL OWNBM NEW MVO. HP ovm INo. EAON OF THE REMIDENTIAL PROPERTY D OMINED ABOVE. i LEee a .ES SIGNATURE OF i ,SO PERMIT." Adeom M • 7.00 TIP NPECTM REccm IS 1s 1.110 is MO 9680 _ SO ROD 5.130 Em SOD 10.00 J Sm 1000 1 S.m Z OVER 1Om MO.m O M.M. OCTIFRCIL CHAMBER-HP WELOEREI AC-KVA O NUMERATORS - KW TMANOFURMKRM - EVA TEMPL MOTORO ME% of oR10.1 MOVED MOTORS 178°5 or am a.l le SIGNS NIL NO.TRAM. APPROVALS NO. NO.LAMPS FOR CAOH PERMITI _ DATE IN■PEOTOR�M NAME WHIRR 01.00 CONDUIT F111TUREO 01.013 WIRINB E TARP .SD FOCTIIRBS /D POWER TOTAL FEE o f LITILITY OO.NOTIFIED FINAL -T "AGO DBE#iA 4-32 WORKER'S COMPENSATION DECLARATION 76A663 DPW(12-91) APPLICATION FOR,,tL.ECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OJ%PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ! p�A Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ADDRESS O �v� FtAALOCALITY 1 &2-Family,Sq.Ft. — $ $ T-e^ Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq.Ft. CROSS ST. 2!'C"LIKOA-k- Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNFIRM NAME plM4� COMPENSATION INSURANCE This section need not be completedFirst 20 MAIL ( If the work Involved b y the Total No. Additional ADDRESS LO-7 20 ION(O 4O.AN permit Is for one hundred dollars(5100)or less.) I certify that in the performance of the work for which this permit CITY Tcm e— !!t!l Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compe ation La s. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date S 7" Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, afte m Ing this Certificate of CITY Tel.No. Exemption,you should become subject t the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. � wJ provisions of the Labor Code,you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. � Power Apparatus&Large Appliances APPLICANT r"T�0(N- LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS ZZ Sri J SZ� I hereby affirm that 1 am licensed under provisions of Chapter 9 Over 3 to 10 Incl. f (commencing with Section 7000)of Division 3 of the Business and CITY -�oQ� Tel.No.��.�57$fe Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. >_ LICENSE OR f� Class �j{O Il Over 50 t0 100 InCI. REG.NUMBER 325�� License Number v LiC.Class Over 100 DISTRICT NO. PRO EBBED BY U Services,Swbd.,MCC A�Pa��nellbbq��rdr G �L� Contractor Date >S�L7�3 0-399 AR�f�i1 ntler 600 V� P DATE O 400-1000 Amp.Under 600 V "� VALIDATION U I am ex pt under Sec. Over 1000 Amp.or Over 600 V FINAL (Z B.&P.C.for this reasonBRANCH CIRCUIT FEES BY U)Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits Vii:.'L a LILA SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Z I TE -D I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTAL 61 m 65 Code): r.•E �, G El 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors ''�=L". 61.6., is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ' t'�� +y� a IJI1 and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the So,-i_DL 5f27 performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) 5 -� a Civ.C.) !3 1 AM 2-2011 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 6 Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE CA (per that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representative of this County to enter upon the above-mentioned property for inspectio urpose . 5'-27-93 SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURITOF PMITTEE DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1408250045 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ]LEGAL ID: I FEES PAID I BUILDING ADDRESS': I ITR: 17867 IT: 27 I 1 10720 MILOANN ST I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917803413 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18574-002-003 [Al PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI I JHA FAD LESS 3HP 1.00 FAD 11.00 1 I (TENANT: ]JB AC UNITS +3-10HP 1.00 AC 19.70 ISSUED ON: PROCESSED BY: PLAN BY: [ I TOTAL FEES 58.50 108/25/14 SR (OWNER: TEL. NO: 1 1FIW DATE FINAL Y: CODE: 1SHAM, DEBRA 10720 MILOANN ST ITEMP 917803413 1 DES IPTION OF WORK 1 1 I ELECTRICAL FOR A/C + FAD UNITS ] IAPPLICANT: TEL. NO: I I ] ILUONG, DEBRA (626) 890-7545- 1 1 ] 18755 SHEA PLACE I ISPECIAL CONDITIONS: 1 IROSEMEAD CA 91770 I I I I ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE [ [SUNSHINE AIR CONDITIONING, INC. (626) 890-7545- 1 1 I 18544 SHEA PLACE LIC. NO ITEMPORARY POWER POLE I I I IROSEMEAD, CA 91770 880274 I 1 1 1 I I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND I [ I LIC. NO: I ROUGH CONDUIT [ I I 1 ROUGH WIRING I I (MAIN WATER LINE I ] I I I IPLASTIC Y/N METAL Y/N I I 1UTILITY COMPANY NOTIFIED] 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 I IREPORT ID: DPR265 ROUTE TO: BS0508 I I 1 I