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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