HomeMy Public PortalAbout5132 PAL MAL AVE_Electrical__ DOS S-A 2-46
DEPARTMENT-OF BUILDING AND SAFETY � APPLICATION FOR PERM
COUNTY OF LOS ANGEI&S ELECTRICa
WM. J. FOX..CHIEF ENGINEER
z DISTRICT NO, GROUP I ZONE PERMIT NO.
Q NAME
Ff
ADDRESS _
1- - RECEIVED Bdl READY FOR DATE ISSUED
W CITY __ "1 EL-.NO. FIRST INSPECTION
.1 COUNTY !! s
N CERT.NO. EXPI RES.
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
,�' S
DESCRIPTION OF WORK ADDRESS �� Ad AL-el _) -�f' ,17.•
NUMBER OF OUTLETS ON CIRCUITS LOCALITY !J-r�P t'1r'j�� ( elrl(i 1
LOCATION BY ROOMS
NEAREST � f �,/'
LIGHT OUTLETS SW. PLUGS F&T CROSS ST.
CIRCUIT A 13 C D E - F G H m NAME ss��
Z. MAIL.
1 1
ADDRESS _
CITYea3�3 l-'�i r. ' •A -TEL. J"` j
1 AM THE LEGAL:� POSSESSOR SOF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM'I=LWMA16 OWNER OF TH6 PROPF,EITY D77,me
BED
ABOVE
.O[AiNER
CORRECTIONS
— Q
Z
TOTAL 1
No. of OUTLETS
o�. $ f APPROVALS
k.N0. 0V
IXTURES $ DATE/ INSPECTOR'S NAME
OTORS H.P. $ CONDUIT
IGNS TRANS.. $ WIRING
ANGES OR HEATERS $ FIXTURESANEOUS $ s POWEREE $ a UTILITY CO.NOTIFIEEE � , � FINAL
6A%65-CESO610-62 APPLICATION FOR ELECTR.ICA .PERMIT
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY,-.EN•GINEER BUILDING 51 3:Z N
BUILDING AND SAFETY DIVISION ADDRESS ! L. F-
JOHN A. LAMBIE, COUNTY ENGINEER -
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY 'TEMPLE 'CITV, CAL ,
NEAREST. y ORA ST.
FOR APPLICANT TO FILL IN cRoss sr. ' L.. r�>r1 '
RECEPT. .' TOTAL NO. I EACH FEE .��
OUTLETS FIRST 20 8.20 $ ®® OWNER RALP
LIGHT - 20 MAIL
SWITCH. ADD'L ADDRESS 3'
OYER 20 .10
TOTAL CITY EL.NO.
LIGHTING FIRST 20 .2O
FIXTURES � ADD'L .10 ELECTRICIAN 14 a
OVER ZO
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK '
/ CITY TEL.NO.
DISHWASH. UTO.-WASH. STATE L
SPACE HTRS. ST .AP . ,:(g H.P.MAX.) .50 LICENSE NO.
MOTORS. OVER �'I�OTOVER H.P. DISTRICT hin. G!n ZONE PROCESS BY
O �, 1 1.00
t s 1.50 , INSPECTION RECORD
s _s 2.00 , /� , �! '�' ` •'• .5•, rt�;2 `'"t a
s 15 2.50 f '— O
1'5 50 5.00 - r r OZ
50 100 5.00 W
SIGNS: NO.TRANS.
NO.LAMPS -
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
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL .FEE 8
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI N APPROVALS DATE :INSPECTOR'S SIGNATURE.%
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
ELECTRICAL WIRING. WIRING..
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P PERTY. :POW.ER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITTE FINAL Q '
VALIDATI ARTHUR C. VEIT
cK• MO CASH SUPERVISING ELECTRICAL ENGINEER `.
L l,o 1 1 4 8\ OCT 8 2 D 8.7 0- Q
°E° °B APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT ER oEISSUNG AND SAFETY DIV DIVISION BUILDING5132 Pal Mal Ave.
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY Temple City
i
FOR APPLICANT TO FILL 1N NEAREST K est St.
PERMT FEES CROSS ST.
ITEM NUMBERI EACH FEE OWNER Ralph Welbaim
' OUTLETS: . $ $ MAIL 5132 Pal Mal Ave.
LIGHTS RECEPT. SW. .10 ADDRESS
LIGHTING FIXTURES 10 CITY Tem le MY TEL.NO. GI —3391
ELEC.RANGES CLO.DRYERS ELECTRICIAN CUStOm -�;1e0triC CO.
WATER HEATERS .50 ADDRESS 2903 Dashwood
ELEC.SPACE HTRS. DISHWASHERS CITY Lakewood TEL.NO. 119E 0-3293
GARBAGE DISPOSERS AUTO.- STATE 175742
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC H.P. 5 j DISTRICT NO. Gg; .QWP I ZONFy I PR C.ESSED BY
0— I/a :25 2 J J
V$— 2 .50 —— INSPECTION RECORD
2— is 1.00
5— Is 1.50
Is— SO 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 O v
SERVICE OVER 500V 5.00
MISC.
WIRING PERMIT 1.00 1,00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE S ' +
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE . INSPECTqSIGNATURF
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.1 HEREBY,CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRINGLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESID NTUU. PROPERTY. POWER L
SIGNATURE UTILITY CO.NOTIFIED
OF PERM I 'TEE FINAL -"lr' I'
9v ATION ARTHUR C.VEIT,
6K MQ CABH SUPERVISING ELECTRICAL ENGINEER
L - 8 5 4 7 Sow`1AR 3 0 2 A 2.2 5
76AG63-CE806 3-69
APPLICATION FOR ELECTRI AL PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7NEAREST
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER TCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING �FOR APPLICANT TO FILL IN NO, EACH FEE �$ $ -All �� l J�V AA
RECEIPT._ MAIL
LIGHT TOTAL
FIRST 20 ,20 ADDRESS
SWITCH OVER 20 10 CITY TEL.NO.
CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 •10 ADDRESS
RANGE DRYER_WTR. HTR. CITY TEL.NO.. •��
STA. COOK--tDISP._F.A.U. CONTRACTOR /
SPACE HTR. AIR COND. ADDRES
CLOTHES WASH._DISHWASH. Z CIT
FAN_OTHER �Ij 1.00 3 LICENSE NO. CLAS �Q
MOTORS,TRANSFORMERS RATING o� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O - 1 1.00 1 HEREBY CERTIFY THAT I AM VPO9D..
LY. REGISTERED AND/OR
LICENSED AS REQUIRED BY S COUNTY AND STATE OF
1 - 10 3.00 CALIFORNIA OR THAT I TH EROF, ANDINTEND TOdRESIDE IN, THE ABOV DESC TI AL PROPERTY. `'
10 - 50 15.00 �.
SIGNATURE
50 - 100 10DO OF PERMITTEE
H
100 - 500 15.00 DISTR+IN GROUP ZON PR CE D W
TURN,GAS OR SIGN AND ONE CIRCUIT 3.00 Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTESpr ,
SERVICE NOT OVER 600 VOLTS OR 200 AMP / 2.00 o'eci
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUBTOTAL) FIXTURES
PLAN CHECK FEE (50°L PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 U UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 1 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRI ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
A('t„1 6 9 30 SEP 4 2 0 7.0"O N
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
WORKERS'COMPENSATIONDECLARATION N� 76A66G (2s� APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING,AND'SAFETY
insure,or a certificate of Workers'Compensation Insurance.,or
a certified.copy thereof(Sec.3800,Lab.'C.) +
7(?V.
FOR APPLICANT TO EFI ACH N JOB � � �`
olicy. o. Com anv + ADDRESS
'New Residential Bldgs.&Pools EACH. NO.• FEE
Certified copy is hereby furnished. 1 &2-FamilySq.Ft. $ -"i $ LOCALITYp4,F V
Multi-family Sq. Ft. — NEAREST
Certified copy is filed with the county building inspection CROSS ST
dep rt nt. Residential Swimming Pools OWNER OR
�J l✓/ + FIRM NAME (, `
Dat Applicant rLC Outlets: Rec._Light Sw. MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' ' f9
COMPENSATION INSURANCE Total No. Additional CIT. y Tel No.
PLAN CHECK
APPLICANT d
(This section need not be completed if the work involved 'Li htin Fixtures First 20
by the permit is for one hundred dollars ($100) or less.) Total Fixtures
Additional A:DDRE�s 0
I .certify that in the performance of the wort for which this Fixed Appliances Not Over 1 HP CITY Tel No. Q
permit is Issued, I shall not employ any person in any manner PERMIT ��..A� tj
so as to become subject to the Workers'Compensation Laws. Range_Heater_D.W._ APPLICAN49�� � xd W
Oven — Dryer_W.M._ ADDRESS S���sj�y�K} W .
Date Applicant Top _ FAU _W.H.._
Hood Fan _Other CITY oA. or— Tel No���
NOTICE TO APPLICANT: If, after making this Certificate'of c Disp. Room Air Cond— LICENSE OR �-e— -,q
Exemption; you should become subject to the Workers' REG.NUMBER .. Yc� Class -Z
Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCES D BY r
with comply with such provisions or this permit shell be
deemed revoked.. S T p ,HP,KW,KVA,or KVAR a p�
np to 1 Incl. 00 6 .
FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE VALIDATION
Over 10 to 50 Incl. "�
I hereby affirm that I.am licensed under provisions of Chapter Over 50 to 100 Inc. F,INA
9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY1.411 '
ness and Professions.Code, and my license is in full force and {
effect. Services `�S
�sZs� G= j !�� 0-200 Amp.Under 600 V ��
License 'N��u+mbe I:ic.Class I 201-1000 Amp.Under 600 V
Contfe;•f6f�� � Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION (Temp.Power Pole&.Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):
I'Misc.Conduits&Conductors 7 78 4-A
I, as owner of the property, will do the work and the lOther(See Complete Fee Schedule)
structure is not intended or offered for sale .(Section o a'0 0 0 2
7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY ' o ,, l .450 .
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is % D o 0 0 �i 5
PERMIT FEE (Sub-Total.)
issued(Sec.3097,Civ.C.).
(Q +
Lender's Name +PLAN CHECKING FEE (One-Fourth Permit Fee). 1,22-82
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the. 'TOTAL FEE
above information is correct.I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby ize representatives of this County t enter upon
the o entioned property for inspection Pur oses.. SEE'REVERSE FOR EXPLANATORY LANGUAGE
gnature of Permittee prate
WORKERS'COMPENSATION DECLARATION `7&M6310 81 O
hereby affirm that I have a certificate of t°orlsent to self
ICE-806G : ..1 APPLICATI N FORELECTRICA'L .PERMIT
insure., or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or'6 certified copy.thereof:(Sec. 3800, Lci .
Policy'No. Company I FOR APPLICANT TO.FILL IN JOB
Certified co is hereb furnished.
EACH NO: FEE ADDRESS
cop y ;; 'New Residential:Bldgs. 8 Pools
1'se
,�Ce.rtified copy is filed with the county building.inspec- TA 2-Farnily, Sq. Ft.
g _ g LOCALITY � G�
tion a artment. CROSS_ST.
Multi-family Sq. Ft. — :•NEAREST
�
.r • AResidential Swimming Pools OWNER OR
Date Applicant: FIRM NAME VIM'
CERTIFICATE OF EXEMPTION.FROM WORKERS' MAR
COMPENSATION INSURANCE , O.utlets: Rec• Light. 5w._ ADDRESS
First 20
"This section need not be completed if,-the work.involved by Total No. Additional CITY ' Tel. No. _ Z
the;permif is for one hundred dollars{5100).or less.)
PLAN.C NT �j. A
I'certify that in the.performance of the
. Work for which this APPLICANT `s r '
permit is issued;•I.sholl not employ any person.in any manner
so as to become subject to the Workers'Compensation.Laws. S Lighting Fixtures First 20 ADDRESS
Additional
Total No. CITY TeL
No aa��
Date.- _.. . Applicant . Fixed Appliances Not Over 1 'F1P + V
�/nI
PERMIT � A r 1
NOTICE TO APPLICANT: If, after making this Certificate. of APPLICANT `Qtu� r�s1i/ V
Exemption; you should :become subject to the W.drkers' Range_ Heater'_D.W.
Compensation provisions of.the Labor.Code, you must.forth- Oven _Dryer —W.M. ADDRESS
AM 14 AkW
w(th comply with such provisions or this permit shall be Top _ FAU —W.H. —
deemed revoked. CITY.. Tel. Nob 3rdf 1rd '
• • ' Hood. _ Fan _Other_
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air•Coed. REG.NUMBER 23 7aS_ Class.
(commencing with.Se. 7000).of Division 3 of the Business
Power Apparatus&'Large Appliances DISTRICT IVO. PROCESSED BY
and Professions Code,-and my license is:in full force and effect. !�
Size&Type HP, KW, KVA, or KVAR'
r License Number9971Lit. Class_ FINAL.
Up to 1 Incl.) _ 0
Over 1 .to 10 cl, DATE VALIDATION
ContractorSIC-9 Date
U
Over 10.10 50 Incl. FIN
a: I am ..exempt under Sec. Over 50.16 1:0UA
0 In..c. �
B.&P.C. for this reason Over 100 z
D6te: Services, Swbd., MCC&Panelboards
0 -200 Amp. Under 600 V'
Signature .201 - 1000 Amp. Under 600,V
❑ Over.1000 Amp. or Over 600 V
Exemption for'Reg. 'Mani. Elect.
SINGLE FAMILY Temp. Power Polre 8 Appurtenances
HOME OWNER;BUILDER.DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, .Business and 7 0.5
Professions Code):
Mi
1,
Conduits&Conductors t"u o'o o�o 2
I, as•owner of the property, .will do the work and the
structure is not intended or offered for sane (Section' Other(See.Complete Fee Schedule)_
7044, Business and Professions'Code). ► z o o.1 ( E
CONSTRUCTION LENDING AGENCY' C r, 6 1 rj 0[T
i
I hereby affirm that there is a'construction lending agency for
the. performance of thework or which this permit is issued PERMIT FEE. (Sub-Total) 1 ,106-82
.(Sec..3097, Civ. C�).-
PLAN CHECKING FEE
,Lender's'Name
• PERMIT ISSUING FEE
Lender's Address
1 certify that I have read this application and state that the TOTAL FEE
above informationis correct. I agree.to comply with all County
ordinances.and State .laws regulating Electrical wiring, and
hereby authorize representatives of thi's.County to enter upon
the above-mGpro y for insp cII purposes..
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee 0batfir'
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 �- LE
ECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508-00011090018'--
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GAL ID: FEES PAID UI.LDLNG-ADDRESS:
TR: 12205 LT: 28 x5132 PAL-ML-AV- -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: L-T-EMP CA 917803433
ASSESSOR INFOR TION NUMBER: NEAREST CROSS STREET: LORA ST
8585-030-033 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 1.00 BR 17.25
TENANT: JS AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED Y: PLA BY: EXPIRES ON:
TOTAL FEES 64.65 06/09/00 UT 12/06/00
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HAKE 062�L STEPHENLORA ST & MARY (626) 443-0578- / �(��!)C/
TEMP 917803433 DESCRlP_T- ON-OF-WORK -_
CTR I CCAL.-FOR-HVAC .UN 17
APPLICANT: TEL. 0: ELE
COOL TEMP (800) 619-1717-
7150 ALVISO AVE c� SPECIAL CONDITIONS:
RIVERSIDE, CA -�
G 1 L
r n ��
CONTRACTOR: TEL. N0: �j®63 `J APPROVALS DATE INSPECTOR SIGNATURE
COOL TEMP (909) 860-8677-
7150 ALVISO AVE. LIC. NO �,`',' 1✓^ LTEMPORARY POWER POLE
RIVERSIDE, CA 95826 694836/C20 ;'!•' q r �@
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TE . NO: - ///�I FER GROUND
LIC. NO:� ROUGH CONDUIT
ROUGH WIRING
l 1� r� ', IF,;, r�� MAIN WATER LINE
PLASTIC Y/N METAL Y/N
--- - - --
UTILITY COMPANY OTIFIED
- --7 / u10,
Ll
,jerVice r
REPORT ID: DPR265 ROUTE TO: BS0508