Loading...
HomeMy Public PortalAbout10727 MILOANN ST_Electrical__ CCUNTY OF LOS ANGELES APPLICATION FOR PERMIT z Department OF of CountBUILDING EngineerFELECTRIC DIVISION OF BUILDING 8c SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT O. GROUP I ZONE PERMIT NO. ELECTRICIAN / 17 J1 ..moi 71 e � RECEIVED BY READY FOR DATE 18BIJED ADDRESS p wLGSI/r FIRST INSPECTION �j7�� Z CITY r �%Gv"�• 9.( TIL. e+E " �/ COUNTY LICENSE NO. /© (3 EXPIRES p BUILDING nGyseT- h �J A6a A A �n ,n i p�p000, PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS J NEAREST CROSS ST. RECEPTACLES 0 WALL SWITCHES 7" OWNER Ir q�4 ! TOTAL OUTLETS SO $ J MAIL ELEC. RANGES 25ADDRESS ELEC. HEATERS. 25 CITY TEL NO. FIXTURES ! 5 70 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. 9q APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS K AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POBSEBB THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 A LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE- 2 — ERMITTEe 2 5 1.00 INSPECTION RECORD 5 — 15 1.50 15 50 2.50 50 200 5.00 200 500 10.00 J 500 1000 15.00 <- z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP Ir WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORi B.) MOVED MOTORS (75% OF ORIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 06 CONDUIT ,�oo FIXTURES $1.00 WIRING IC.: 4=12 i SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE sa UTILITY CO.NOTIFIED FINAL �P 78A333 DBS#k 5A 4-52 ' c 76&'N9-CESD _G4 - APPLICATION FOR ELIECTRIC L R IT ` COUNTY OF LOS ANGELES DEPARTMENT BUIL NG AND SAFETY DIVISION ADDR13 ESS 10 2 Miloann JOHN A. LAMBIE, COUNTY ENGINEER �1 COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN CROSS ST. Persimmons RECEPT. TOTAL NO. [EACH FEE OUTLETS FIRST ZO '1� 2O $ 2 Q OWNER MZ's US, Sailor LIGHT MAIL ADO'L •L ADDRESS Same SWITCH.2 OVER 20 .10 TOTAL CITY Saffie TEL.NO. LIGHTING FIRST 20 1} .20 Q FIXTURES 4 _ ADD'L 10 ELECTRICIAN Olin Electric OV9R 20 v Q RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS P.O. BOX ZS GARB.DISP. •STA.COOK CITY .NO.Gi-8128 DISHWASH. AUTO.-WASH. STATE /'1 '1 SPACE HTRB. BTA.APP.(Va N.P.MAX.) .50 LICENSE NO. 200 78AC-1O MOTORS: OVER Nor OVER H.P. DISTRICT Ng. GROUP ZQjNE PR99ESSED B O 1 1.00 1 r wnl 1 s 1.50 INSPECTION RECORD s S 2.00 IL s 18 z.so � IS 50 3.00 O SO 100 5.00 V W SIGNS: NO.TRANS. H NO.LAMPS Z SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE'0.600V•OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 2 Q SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 6 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL•COUNTY ORDINANCES.AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT i AM THE LEGAL OWNER OF, AND INTEND TO ' RESIDE IN,THE ABOVE DESCRIBE RESIDENTIAL PROal;b. POWER SIGNATURE E • UTILITY CO.NOTIFIED OF PERMITTEEFINAL LI O CAS JOSEPH C. G OHAN ELECTRICAL C MO CASH SUPERVISING ELECTRICAL ENGINEER NOV 12 2 D 5.6 O N WORKERS'COMPENSATION DECLARATION 'CE-806806G- + ;o/B,' APPLICATION FOR ELECTRICAL PERK41T C I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers' Compensation,Insurance.,.or a certified COUNTY OF LOS ANGELES I BUILDING AND SAFETY copy thereof(See,3800,Lab.C.) 7 • • Policy No:. Company FOR.APPLICANT TO FILL IN JOB w ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS (> /v/� 1 &2-Family,Sq.Ft.' $ — .$ LOCALITY E `d( , Certified copy is'filed with the county building inspection — NEAREST department: Multi-family Sq.Ft. CROSS S.T. 1 •:� Residential Swimming Pools, OwNER OR Date Applicant �i� ��� + y� 1 FIRM CERTIFICATE OF EXEMPTION FROM WORKERS' I MAIL COMPENSATION INSURANCE i Outlets:Rec Light Sw. . ADDRess , Cr First 20 L (This section need.not.be completed if the work Involved by the CITY '�Q " Tel.No. permit is for one hundred dollars•($100)or less.) Total No. Additional Ct I'certi. that in the erformance of the work for which this permit PLAN CHECK ' fY p p APPLICANT, ,is issued, I shall not.employ any person in any manner so as to become.subject to the Workers'Compensation Laws. Ltghtjng Fixtures First 20- �ADDRE$5 Addiitiorial Total No.. .'CITY Tel.No.. Date Applicant Fixed Appliances Not Over 1 HP' PERMIT NOTICE JO APPLICANT: If; :after•making this Certificate of APPLICANT 7& Ad C.-re-791`62 Exemption;you should become subject.to.the.Workers'Compensation . Range— 'Heater_ D.W. _ provi's'ions of the Labor Code,.you must forthwith comply with`such Oven Dryer W M'. iADDRESS: e' �, @Ip6Ld A ? eve: r provisions or this.permit shall be.deemed revoked, Top FAU _.W.H. ).'CITYr�- Tel..No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_. I hereby,affirm:that I am licensed under provjsions.of Chapter 9 LICENSE OR (commencing with Section 70.Q0).of Division 3 of the Business and Disp. — 'Room Air Cond'. — Class:C-10 .REG.NUMBER:.�•Z .�Z IL. Professions Code,and my license ie in full farce and effect: Power Apparatus.&Large Appliances. DISTRICT. �� � N ��•�� P OCES. D BY' • Size&Type HP,KIN;KVA,or KVAR \> License Number ���3 Z Lic.Class _ Up to.1 Incl. FINAL ¢ + Over 1 to 10 Indl; DATE: Contrac;6. rµ�0�e0 `11 Date 9" •S v VALIDATION O•: Over 10 to.50 Incl. FINAL ❑ I am exempt.under Sec. : Over 50 to 100 Inc. BY til NB.&P..C,for this reason Over 100 + 'C Services,Swbd.;MCC&,Panelboards' Z ;Date: 0,-200 Amp 'Under 600 V Signature ;cs�^^' 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 Circuit I Hereby.affirm that I am.exempt from the.Contractor's License Law j for the.following reason:(Section 703.1.5,Business and Professions: Additional Sign.Branch Circuits Code): + \ Miso.•Conduits&Conductors 0 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) and 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.3.097, '' PERMIT FEE (.Sub Total) Civ.C.). i PLAN CHECKING.FEE Lender's Name % ' PERMIT ISSUING.FEE b 'Lender's Address = i certify that[have read,this applicatior and state that the:,above• ' TOTAL FEE g<: information.It correct:.I agree`t'o comply with all County ordinances and State -laws regulating. Electrical wiring, and hereby authorize + r representati e s of.'this`County-to enter upon the,above-mentioned• + grope inspection purpose SEE REVERSE FOR' EXPLANATORY LANGUAGE ignature of Pe mutes Date COUNTY OF LOIS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1303200028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BIIILDING ADDRESS: ITR: 17867 IT: 23 10727 MILOANN ST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803414 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18574-001-023 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI IF1 120V, 15/20A BR CKTS 5.00 BR 86.50 I TENANT: IG2 LIGHTING FIXTURES 12.00 LGT 24.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 TOTAL FEES 138.30 103/20/13 SR 1 1OWNER: TEL. NO: FPML DATE FINAL BY: CODE: 1 IDEL REY URBAN 110727 MILOANN ST ITEMP 917803414 1 IDESCRIPTIO OF WORK I I 15 BRANCH CIRCUITS AND 12 LIGHT FIXTURES 1 (APPLICANT: TEL. NO: [ I I ISILVA, ISRAEL (323) 559-5319- 1 I I 110977 DUNCAN AVE 1 [SPECIAL CONDITIONS: [ 1LYNWOOD CA 90262 1 [ 1 (CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1 (ISRAEL SILVA ELECTRIC & PLUMBING (323) 559-5319- 1 I 110977 DUNCAN AV LIC. NO (TEMPORARY POWER POLE 1 I ILYNWOOD CA 90262 524577 * 1 I I I I 1IINDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1UFER GROUND 1 [ [ I LIC. NO: [ IROUGH CONDUIT I I I [ I 1ROUGH WIRING 1 I IMAIN WATER LINE [ 1 I I 1PLASTIC Y/N METAL Y/N I [ I I (UTILITY COMPANY NOTIFIED I I I I I I I I 1 1 1 1 [ I I I I I I I I I I I I 1 I I I I I I I I I 1 I 1 I I I I* ADDITIONAL DATA ON FILE 1 I I I 1REPORT ID: DPR265 ROUTE TO: BS0508 [ 1 [ [ I I I I 1 I