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HomeMy Public PortalAbout5948 MUSCATEL AVE_Electrical__ 'BA6H3 CE-HOB(B/7H) APPLIC.I�,T N/ R ELECTRICAL PEJIT COUNTY OF LOS ANGELES C BUILDING FOR APPLICANT TO FILL IN JOB NeW Residential Bldgs.&Pools EACH NO. FEE ADDRESS fes' M S . e., .e. 1 &2-Family,•Sq.Ft. $ ..025 — $ j LOCALITY g. Multi-family Sq.Ft. .02 — i NEAREST B Residential Swimming,Pools 25.00 / CROSS ST. �s OWNER OR ii FIRM NAME L ka e Y` Outlets:Rec Light Sw. I MAIL First 20 •50 B ' ADDRESS dW Total No. Additional 30. CITY I'swtii4�. �� a Tel.No. ' PLAN CHECK pp� ` � ,APPLICANT P V 4. 4t Y` 1 A k Lighting Fixtures First 20 .50 r ADDRESS ,043-4 in it Additional .30 Total No. CITY ( Tel.No o j�� Fixed Appliances Not Over 1 HP ` PERMIT Range_Heater—D.W._ i APPLICANT C.. Oven—Dryer—W.M.— , ADDRESS Top _FAU —W.H._ I CITY Tel.'No. Hood_Fan —Other 2.50 REGN LICENSE d31 gS'7 q 'Disp.._.Room Air Cond. � REG.NUMBER Class. 4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA. Power Apparatus&Large Applionces 1 TION AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type.HP,KW,KVA,or KVAR COMPLY.WITH ALL COUNTY ORDINANCES-AND STATE LAWS YP ( REGULATING ELECTRICAL WIRING. Up to 1 Incl. 2.50 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS AN LES CO TY AND STATE OF Over 10 to 50 Incl. 12.50 ' CALIFORNIA OR THAT I THE AL O R OF THE ABOVE I9 Over 50 to 100 Inc. 25.00' I DESCRIBED RESIDE AL PERTY Over 100 40.00 PERMITEE SIGNATU V ®, Services 12 50 DISTRICT NO.- PR�EY 0.200 Amp.Under 600 V v 201.1000 Amp. Under 600 V 25.00 Over'l000 Amp.or Over 600 V 50:00 Z O Temp.Power Pole&Appurtenances. 10..00 a Sign.with One Branch Circuit 10.00 Additional.Sign Branch Circuits 2.00 INSPECTION > INFORMATION Misc.Conduits&Conductors u 10.00 ON REVERSE s Other(See Complete Fee Schedule)- SIDE u -Q 0 6 1.9 A Z d # 000002 PERMIT FEE (Sub-Total) � 2 0. 0 1 3.00 PLAN CHECKING FEE .(One-Fourth.Permit Feel Z 0001300cz� O. _ PERMIT ISSUING FEE $7.00 c R04-78 TOTAL FEE 3� > INSPECTION FINALED t` ��/ � 1 es date: ,f��fA�� By 9116 I 76AG63C-CE60613 12/78 APPLICATION FOR ELECTRICAL PERMIT I BUILD AND S�FETY 1SION FOR APPLICANT TO FILL IN I JOB ADDRESS V p New Residential Bldgs.&Pools EACH NO. FEE ' 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. OWNER OR FIRM NAME " Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESS Additional ( CITY Tel. No. 1' Hyl PLAN CH CK Lighting Fixtures APPLICAIIqT First 20 I ADDRESS Additional CIT Tel.No. PERMIT Fixed Appliances Not Over 1 HP .APPLICANT Range_ Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. , Top _ FAU _ W.H. CITY Tel.No. Hood. Fan ; LICENSE OR REG. NUMBER Class. Disp. A.C. QD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COMPLY Q Power Apparatus& Large Appliances l WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HP, KW,KVA,or KVAR ELECTRICAL WIRING,II LAI Up to 1 Incl. 1 HERBST CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR y Z. Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE Over 10 to-5O'Incl. DESCRIBED S' L PROPER , Over 50 to 100 Incl. _ I PERMITEE Over 100 I SIGNATURE DISTRICT NO. OCES ED Services I • 0-200 Amp. Under 600 V 261 -1000 Amp. Under 600 V APPROVALS DATE IDR'S SIG Over 1000 Amp.or Over 600 V SI ATURE TEMP.POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit ROUGH CONDUIT Additional Sign Branch-Circuits (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) ( UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) II FINAL PERMIT ISSUING'FEE NOTES TOTAL,FEE Li`7�c2 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION IlLeCK. M.O. CASH pp I I WORKERS'COMPENSATION DECLARATION CE-106 tout APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE- osG or d certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) I fl Policy NO Company FOR APPLICANT TO FILL IN JOB ADD Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS (�- ❑ 1 &2-Family,Sq.Ft. $ _ $ LOCALITY Certified copy is filed with the county building inspection NEAREST department. Multi-family Sq.Ft. CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light —Sw. MAIL — COMPENSATION INSURANCE ADDRESS y� (This section need not be completed if the work involved by the First 20 S ..~f.L CITY permit is for one hundred dollars($100)or less.) Total No. Additional �� �� � � Tei.N22Kp CHECKPLAN I certify that in the performance of the work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as to j become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. I Top — FAU _ W.H. _ CITY Tel.No. LICENSED CONTRACTORS DECLARATION i Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR Class. (commencing with Section 7000)of Division 3 of the Business and I REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PROCES BY DATE �- � SiOY .5-4 Type HP,KW,KVA,or KVARO License Number Lic.Class Up to 1 Incl./--30 L U Over 1 to 10 Incl. VALIDATION d' Contractor Date Over 10 to 50 Incl. ❑ FINAL V I am exempt under Sec. I Over 50 to 100 Inc. BY W Over 100 B.&P.C.for this reason p. Services,Swbd.,MCC&Panelboards , N Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances L HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit y I hereby affirm that I am exempt from the Contractor's License Law ACCT■V for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits �� Code): 3307 ��■ Misc.Conduits&Conductors +' ❑ I,as owner of the property,will do the work and the structure b ITEM is not intended or offered for sale (Section 7044, Business ther(See Complete Fee Schedule) ► _ and Professions Code). I)-f �iL � 20.'K■i - a CONSTRUCTION LENDING AGENCY � t-:h}v-} �1�� �i. I hereby affirm that there is a construction lending agency for ther. ■ :; performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) ` HWE Civ.C.). PILAN CHECKING FEE q Lender's Name i rI _ !�1]L11—lIjCy .7!lsr5C PERMIT ISSUING FEE V 1760 � �r,�f o 40'.a Lender's Address I.certify that I have read this application and state that the above TOTAL FEE 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 property for inspe on purpos S. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0712170002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: [LEGAL ID: I FEES PAID I BUILDING ADDRESS: [ [TR: 5904 LT: 108 UN: .002 [ [ 5948 MUSCATEL AV N [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ SGAB CA 917752621 [ [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA 15386-011-042 JAI PERMIT ISSUANCE FEE 27.75 [ THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 [ [ TENANT: IG2 LIGHTING FIXTURES 3.00 LGT 5.85 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: [ LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 112/17/07 SR 06/14/08 I [ TOTAL FEES 91.95 1 [ [OWNER: TEL. NO: I IFINJkL DATI FINAL CODE: [ [NEW DAVID R (626) 374-3570- I I [ 15948 MUSCATEL AV [ I [ ISGAB 917752621 [ ID CRIPTION OF WORK [ [ [ELECTRICAL FOR GARAGE 10 OUTLETS, 3 LIGHT FIXTURES AND SUB- [ [ [ [PANEL 100 AMP [ [APPLICANT: TEL. NO: [ [ I [NEW (626) 374-3570- [ I I [5948 MUSCATEL AVE. [ ISPECIAL CONDITIONS: [ [SAN GABRIEL CA 91775 I I ' ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE [ (DAVID R. NEW (626) 374-3570- I I [ 15948 MUSCATEL AVE. LIC. NO I ITEMPORARY POWER POLE I I I SAN GABRIEL, CA 91775 NONE I I I [ A I (UNDERGROUND CONDUIT d-JI (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 I I [ LIC. NO: I IROUGH CONDUIT I I (ROUGH WIRING I I [ [ IMAIN WATER LINE I [ I [ IPLASTIC YIN METAL YIN I I I I I I 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 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 I I I I I I I