HomeMy Public PortalAbout6031-6035 MUSCATEL AVE_Electrical__ 'ems, 51CO2 APPLICATION FOR ELECTRICAL PERMIT
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OF LOS
GELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS 6 3
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST c c
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO. EACH FEE--- OWNER OR J
FIRM NAME
RECEPT.:
$ $ MAIL
LIGHT L p
FIRST 20 25 IrQ ADDRESS C
� TO
OVER 20 CITY TEL. NO.
SWITCH .10 PLAR CHECK
% FIRST 20 APPLICANT
LIGHTING TOTAL .25 1
FIXTURES OVER 20 ADDRESS
•10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT F
RANGE DRYER_WTR. HTR. APPLICANT 0 C
STA. COOK DISP. F.A.U. ADDRESS a ` Ada
SPACE HTR. AIR COND. CITY a,f a TEL. NO
+ LICENSE OR '�
CLOTHES WASH. DISHWASH. REG. NUMBER p� Q CLASS. C/o
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND.SIZHEATERS, ETC. HP. KW. KVA. '� ELECTRICAL WIRING.
E & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY L 5 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM HE LEGAL OWNER OF T E ABOVE �..,
1 - 10 3.00 I DESCRIBED RE NT L OPERTY.` Cl_
PERM I'TEE c7
10 - 50 5.00 SIGNATUR F
50 - 100 10.00 I W
DISTRICT NO. PR C ED BY
100 - 500 15.00 Z
SIGN, GAS=Sr ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING G —141-7A/ SIA&I.�n-'.7,,,j
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
v
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 j
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH`
32OAJ 6 2 D5.25 .98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
� � Cio WORKERS'COMPENSATION DECLARATION CE-806G-8 10/87 APPLICATION FOR ELECTRICAL PERMIT
•P;t
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 BUILDING AND SAFETY
copy thereof(Sec.3800.Lab.C.) VIII
Policy No. Compan I FOR APPLICANT TO FILL IN JOB
❑ Certified copy is hereby furnished. I EACH NO. FEE ADDRES
New Residential Bldgs,&Pools ,mer
1 &2-Family,Sq.Ft. $ — $ LOCALITY r
/Certified copy is filed with the county building inspection — NEAREST
de artmer/ r,/ Multi-family Sq.Ft. CROSS ST.
Date ✓1 �daApplicant �Y Residential Swimming Pools OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' IOutlets:Rec—Light—Sw.
MAIL
'—
COMPENSATION INSURANCE � � ADDRESS
This section need not be completed if the work Involved
( b P Y the First 20 CITY Tel.No.
permit is for one hundred dollars($100)or less.) Total No. Additional
I certifythat in the performance of the work for which this permit PLAN CHECK
P P APPLICANT
is 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 Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT ,/�
Exemption,you should become subject to the Workers'Compensation Range— Heater D.W. —
provisions of the Labor Code,you must forthwith comply with such Oven — Dryer— W.M.— ADDRESS A
provisions or this permit shall be deemed revoked. Top — FAU — W.H. —
LICENSED CONTRACTORS DECLARATION Hood — Fan — Other— CITY 4_Z e Tel.N
/J
Air Cond. REG.NUMBER (2,7 J J Clas&.�_*
(commencing with Section 7000)of Division 3 of the Business and Disp. — Room
Professions Code,and my license is in full force and effect. DISTRICT NO. PROCEB BY
Power Apparatus&Large Appliances
t a,
J Size&Type HP,KW,KVA,or KVAR Q
License Number Lic.Class �r Up to 1 Incl. FINAL 8
yf
Over 1 to 10 Incl. DAT '�j/ —.may VALID ION
Contractor �/` Date C� Over 10 to 50 Incl. FINA (�V G� O
E] L
I am exempt under Sec. Over 50 to 100 Inc. BY n_
B.&P.C.for this reason Over 100
Cn
Services,Swbd.,MCC&Panelboards ;294 1.8 A Z
Date: 0-200 Amp.Under 600 V
Signature 201 - 1000 Amp.Under 600'V # 0 0 0 0 0 2
❑
Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V I o a 0 a 050
0000 (150=0:
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 04119-88
1 hereby affirm that I.am exempt from the Contractor's License Law Additional Sign Branch Circuits
for the following reason(Section 703.1.5,Business and Professions
Code):
❑ I,as owner of thero er will do the work and the structure Misc.Conduits&Conductors
P P Fee Schedule)
is not intended or offered for sale (Section 7044, Business Other(See Complete ) — ►
and Professions Code).
CONSTRUCTION LENDING AGENCY
I here ::F
by 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)
Civ.C.).
PLAN CHECKING FEE
Lender's Name __T61 PERMIT ISSUING FEE
Lender's Address
I certify th I have read this application and state that the above TOTAL FEE
informatio s correct.1 agree to comply with all County ordinances
and Stat laws regulati Elec ' al wiring, and hereby authorize
represe atives of t ' o nt enter upon the above-mentioned
prop inspe n p p s. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
l
WORKERS'COMPENSATION DECLARATION 76-663 ,DAB,
CE-BoeG APPLICATION FOR ELECTRICAL PERMIT
I hereBy affirm that I have a certificate of-,consent to self Insure,
.l or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF.LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800.Lab.C.)
Policy No.. Company FOR APPLICANT TO FILL IN JOB
❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS
Y New Residential Bldgs.&Pools
❑ 1 &2-Family,S Ft. $ _ $ LOCALITY ,
Certified copy is filed with the county building. inspection Y, q•
department. Multi-family Sq.Ft. NEAREST
CROSS ST..
Date. Applicant Residential Swimming Pools OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec�Light .rte Q Svq.� �L
COMPENSATION INSURANCE ADDRESS'
(This section need not be completed if the work Involved by the First 20
a
permit Is for one hundred dollrs($100)or less.) Total No. Additional CITY _S .16V Tel.'No.
I certify that in the performance of the work for which this permit ; PIAN CHECK
is issued, I shall not employ any person in any manner so as to /� APPLICANT
become sub"act to the Workers'Compensation Laws.. Lighting Fixture First 20 fJ ADDRESS 1
Additional ) )
Total No. CITY I
Date ApplicanP, 47
► ?
NOTICE TO APPLICANT: If,, ofkert'ificate ofFixed.Appliances Not Over•1 HP PERMIT
Exemption,you should become subjhs'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 permitshall be deemed revoked. Top _ FAU W.H. _ CITY Tel.No.
LICENSED CONTRACTORS DECLARATION Hood — Fan Other_
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. —. Room lr Cond. LICENSE OR Class
(commencing with Section 7000)of Division 3 of the Business and REG..NUMBER
Professions Code,and my Iicbnse is in full-force and effect. Power Apparatus&Large Appliances DISTRICT NO. /} PROCESSFD B
Size&Txpe HP,KW,KVA,or KVAR J C.� Q,
License Number LIG.Class Up to 1 Incl. FINAL `�+
Over'1 to 10 1601. DATE ALIDATION
Contractor Data Over 10'to 50 Inc[. FIN O�
❑ I am exempt.under Sec. Over 50 to 100 Inc. EW
BAP.C.for this reason Over 100 N
Services,Swbd.,MCC&Panelbbards ! 06 , Z
Date: 0-200 Amp.Under 600 V j�/4 +
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
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit A 7 9 4.8 A
I'hereby affirm that I am exempt from the Coritractor's License Law Additional Sign Branch Circuits
for the following reason(Section 7031.5,Business and Professions # 0-0 0 0.0-2
Code):
Misc.Conduits&Conductors 0 0 5 3 5 0
®. I,as owner.of the property;will do the work and the structure Other(See Complete Fee Schedule) _
is not intended:or offered for sale (Section 7044, Business pop..
,
and Professions Code). _ o 0 0 5 3,5 0 0
CONSTRUCTION.LENDING AGENCY 09.1 8-87
I 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)
Civ.C.).
PLAN CHECKING FEE
Lender's Name
` PERMIT ISSUING FEE '
Lender's Address.
' I certify that I,have read this application and state that the above TOTAL FEE
information is correct.(.'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, r inspection purpos SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig 'ture'of Per. i e Date.
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9808030015
'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID 'BUILDING ADDRESS:
TR: 5903 LT: 72 6031 MUSCATEL AV N
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ISGAB CA 917752656
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5386-008-049 Al PERMIT ISSUANCE FEE 27.75 !THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES
08/03198 UT 08/03/
OWNER: TEL. NO: FINALIDATE FINAL BY: CODE:
DAVIS;JOHN (626) 286-5740- /
6031 MUSCATEL AV to
SGAB 917752656 DESCRIPTION OF WORK
NEW METER UPGRADE 200 AMP SERVICE
i
APPLICANT: TEL. NO:
MODAY ELECTRICAL SERVICE, INC. (818) 500-7307-
1345 CHARLTON DR. SPECIAL CONDITIONS:
GLENDALE, CA
GELES CO
CONTRACTOR: N
MODAYELECTRICAL SERVICE, INC. (818) 500-7307- �.®y ��A� APPROVALS DATE INSPECTOR SIGNATURE
1345 CARLTON DR LIC. NO TEMPORART POWER POIE-
GLENDALE CA 91205 413155 C10 '
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: 1 ������� ROUGH CONDUIT
J OUG WIRING
rlL L � I�O�w S MAIN WATER LINE
v� PLASTIC Y/N METAL Y/N
PUB
D ILI' Y COMPANY NOTIF ' y+�
U ❑ ;
1 - ice Th
_ f -
,
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REPORT ID: DPR265 ROUTE TO: BS0508
I
• . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 > ELECTRICAL PERMIT ?'
' DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9808060053
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA -- ----- __ _
PHONE: (818) 285-0488 EXT:
_lEG L D: FEES PAID BUILDING ADDRESS:
TR: 5903 LT: 72 6031 MUSCATEL AV N
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752656
ASSESSOR INFORMATION MB R: NEAREST CROSS STREET: GARIBALDI
5386-008-049 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 1.00 BR 17.25
TENANT: F2 208, 277V LGT BR CKT 1.00 SR 27.30 ISSUED ON: PROCESSED BY: LAN Y: EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.80 08/06/98 UT 08/06/99
JB AC UNITS +3-10HP 1.00 AC 19.80
OWNER: TEL. NO: TOTAL FEES 102.90 FINAL DATE FINAL CODE:
WHITE DONALD M;NANCY - p
6035 MUSCATEL AV -
SGAB 917752656 ESCRIP IO OF WORK
INSTALL 2 CIRCUITS FOR HVAC ELE ICAL POWER SUPPLY
APPLICANT: TEL. 0:
A.L.R. HEATING & A/C -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: j}r �ti•� +* APPROVALS DATE INSPECTOR SIGNATURE
A.L.R. HEATING & A/C, 8185474327 (818) 547-4327-
1471 E. CHEVY CHASE DR. #B LIC. NO '.% '-' \' `; TEMPORARY POWER POLE
GLENDALE, CA 91206 667414C20 /
`'• "�' �_ \ " UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: i' �, - i< f�' t " '\ '�'.1 R GROUND
LIC. NO: ',-_-_ 1= r ! i I --- -'� ROUGH CONDUIT
- ROUGH W RI G
MAIN WATER LINE
A. PLASTIC PLASTIC Y/N METAL Y/N
TILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: SS0508