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
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I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I
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