HomeMy Public PortalAbout5225 PAL MAL AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0506060017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12205 IT: 3 5225 PAL MAL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803436
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-022-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
JB AC UNITS +3-10HP 1.00 AC 19.65
TENANT: TOTAL FEES 47.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
06/06/05 JK 12/03/05
OWNER: TEL. NO: FINAYE U FINAL BY: CODE:
MUNOZ VICENTE M (626) 401-1977- /7 -
5225 PAL MAL AV 1/�
TEMP 917803436 DESCRIPTION OF WORK
ELECTRICAL FOR A/C UNIT
APPLICANT: TEL. NO:
GLENN HEATING & AIR (323) 726-2600-
1425 W. GERMAIN DR. SPECIAL CONDITIONS:
MONTEBELLO, CA 90640
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GLENN HEATING AND AIR (323) 726-2600-
1425 W. GERMAIN DRIVE LIC. NO TEMPORARY POWER POLE
MONTEBELLO, CA 90640 827367C20
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0504280031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12205 IT: 3 5225 PAL MAL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803436
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-022-004 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: HA FAU LESS 39P 1.00 FAU 10.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 44.55 04/28/05 JK 10/25/05
OWNER: TEL. NO: FINAL DATE FINAL B CODE:
MUNOZ VICENTE M (626) 401-1977-
5225 PAL MAL AV
TEMP 917803436 DESCRIPTION OF WORK
ELECTRICAL FOR HEATING SYSTEM
APPLICANT: TEL. NO:
GLENN HEATING E. AIR (323) 726-2600- ,
1425 W. GERMAIN DR. SPECIAL CONDITIONS:
MONTEBELLO, CA 90640
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GLENN HEATING AND AIR (323) 726-2600-
1425 W. GERMAIN DRIVE LIC. NO TEMPORARY POWER POLE
MONTEBELLO, CA 90640 827367C20
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND
LIC. NO: ROUG}: CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
-DB 5-A 12-43 25M ---APPLICATION FOR ---J•
D,EPARTMENT OF 'BUILDING AND SAFETY'`,
- OF LOS ANGELES = ELECTRIC -
M. J. FOX CHIEF ENGINEER.
NAME (. ,�p J�a �• „ DISTRIqLNO. *R01.1111 ZONE PERMIT N0.
. .ADDRESS ` vl/ .�►O I U / Q I
CITY '.UNTY ,rr 3a'_ TEL.NO. a�/4� RECEIVED BY ' FI�STJDSPECTIO DATEISSUED..
d CERT.NO. +5! � A— EXPIRES l f/41, 3
APPLICANT FILL ICK HEAVILY OUTLINED PORTION ONLY
1 08
DESCRIPTION OF WORK ADDRESS / DcL
NUMBER OF OUTLETS ON CIRCUITS LOCALITY �� i'E;'
LOCATION BY ROOMS r
:.NEAREST
LIGHT OUTLETS Ism PLUGS F&T CROSS ST. I C� �•
• CIRCUIT A B C D E F G H I tr NAME d �� -f CL
/ 3
ADDRESS —Sxx-��
O CITY TEL.NO.A4JD/I0 y
1 AM THE LEGAL POSSESSOR OFT ABOVE LOS
' :ANGELES COUNTY CERTI 1CAT6.OF Q FICATION..
r, !/ .a..
y p ELECTRICIAN.
MfiYv .• i AM Y=LEGAL OWNER OF TIER PROP$RTY DESCRIBED
ABOVE
px-n'`n Ron P OWNER.
Yyf 7 CORRECTIONS
-, .. Q
Z
m
i
[OTAL D O. OF OUTLETS t b? APPROVALSO. OF FIXTURESDATE INSPE TOR'S NAME
O. OF MOTORS H.P. S CONDUIT 1 I/ /I /
NO. OF 816N8 TRANS. ffi WIRING
NO. OF RANGES OR HEATERS :FIXTURES
MISCELLANEOUS ffi POWER
PERMIT FEE S 'iUTILITYCO.NOTIFIED
FE 3' G :FINAL �-
r.'
SAGGS-CESOS-B-B7 APPLICATION FOR ELECTRIC PERMIT 1.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r0
BUILDING AND SAFETY DIVISION ADDRESS < /IK /�yy�
k
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES
ITEM NUMB EACH FEE OWNER
$ $ MAIL
OUTLET$:
LIGHTS RECEPT.4 SW.7 to .10 ADDRESS
LIGHTING FIXTURES 10 CITY TELs.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN Imo+ 1r c-
WATER HEATERS .1 so R!PS �®�
ELEC.SPACE HTRS. DISHWASHERS ADDRE S .7
GARBAGE DISPOSERS AUTO.- CIT TEL. (/r7
fF
WASHERS STA.COOKING UNITS .25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
O— 1/2 25 DISTRICT NO. GRP.LLP ZONE_ READY FOR INSPECTION
1/2— 2 .50
L,�'i df-
2 — s 1.00 INSPECTION RECORD
_
� C
5 — 15 1.50
�. �� � r s•.
I5 — s0 2.50a
50— 200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-60OV 1.00
SERVICE OVER 60OV. 5.00
MISC.
WIRING PERMIT 1.00 do 0
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50'
TOTAL FEE 50 APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP KATION 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 I AN PROPERLY GIST D DAR, FIXTURES
LICENSED AS REQUIRED LOS ANGELES
TY:' E.OF
CALIFORNIA OR THAT 1 THE LEG W T ABOVE POWER
DESCRIBED RESIDENTIAL OPER'I1F
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
ALID TION ARTHUR C.VEIT.
CK CASH SUPERVISING ELECTRICAL ENGINEER '
L.RCo 2 6 0 6 APR 3 2 A 4.3 0 M
79AB52 DBS SA 11-90 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
r COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC3,DIO. GROUP ZONE PERMIT NO.
ELECTRICIAN _-
a RECEIVED BY READY FOR DATE 1�SUED
ADDRESS
FIRST INSPECTION �r j
b rr• /
CITY ^ TEL. NO. J l�. i
COUNTY LICEEXPIRESBUILDING °' m
PERMIT FEES ADDRESS �+
FEE
NUMBER EACH LOCALITY /�
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES �r OWNER ., • ® ,�f
TOTAL OUTLETS 5. $ MAIL
ELEC. RANGES 89 ADDRESS' did' G'/ S
ELEC. HEATERS 25 "CITY TEL. NO.
FIXTURES g S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING'ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE. OR I AM THE. LEG OWNER
FEE OF THE RESIDENTIAL�PRO RIB AS E. s i°
NEW MVD. HP OVER INC. EACH
/2 6 LE99 $ .25
SIGNATURE OF o ^'
1
1/2 2 .50 PERMITTE ° e ° Si'9ty
2 s 1.00 INSPECTION RECORD
5 i5 1.50
15 50 2.50
50 200 5.00---
Poo
o0Poo Boo 10.00 ,J
Soo 1000 15.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 (�-7 CONDUIT
FIXTURES $1.00 G(.; WIRING
SUPPLEMENTARY S0 FIXTURES
POWER
TOTAL FEE I $ UTILITY CO. NOTIFIED
® FINAL
a s
YSAG08-CESOB 12-5
8 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING f�
BUILDING AND SAFETY DIVISION ADDRESS.
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SuP'T OF RuILDING LOCALIj- v
TY
FOR APPLICANT TO FILL IN CROSS sT. 777 7
PERMIT FEES
1 T E M NUMBER EACH FEE OWNER24
OUTLET g g MAIL Q
LIGHTS ECEPT. SW. .10 (� ADDRESS
Le�C
LIGHTING FIXTURES .10 CITY TEL.NO. O
ELEC.RANGES CLO.DRYERS t1lELECTRI IAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS DISHWASHERS
CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS
WASHERS STA.COOKING UNITS I .25 tJ LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICJVO. GR P NE PR D Y
0— I/a 25 J/
1/a— 2 .50 INSPECTION RECORD
2— S 1.00
s— ss. 1.50 61p /y g? -C L c Lc-, 49 u Te:Lc TS
is— so 2.50 tl`4 -T v-J 1-7 P-f
50-200 5.00 f7�.Fie '
X�
SIGNS: NO.TRANS.NO.LAMPS / Y f4(—r,
SERVICE 0-600V 1.00 mc—f")- L b 0f2 ,
SERVICE OVER 600V 9.00 �d U !.C/Odc I L O'C.
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 / \�►
SUPPLEMENTARY PERMIT .SO /
TOTAL FEE g APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
H
WITALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 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 RESIDEWL PROPERTY.IGNATURE1�dpl �f/,, POWER /+
SOF PERMITTEE F '`��" +•�' �saCs{� UTILITY CO.NOTIFIED , 11 //��
FINAL 1 �, IfP -A60giFfA.1ggj
�P VALI SUPERVISING ELECTRICAL ENGINEER ,
'
CK MOo SH \
�a�Co 7 4 3 4 A 4-1 3 2 A 3 .8 5
WORKERS' JMPENSATION DECLARATION 78-8 10/81
CE-806G APPLICATION FOR ELECTRICAL PERMIT
I 1pooy'.af4m that F have a certificate of consent to self insure, o8
ora certificate of Workers'Compensation Insurance,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.C.)
Policy No.
1Company
004960 State Fund FOR APPLICANT TO FILL IN JOB
ADDRESS 5225 Pal Mal '
❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE •
® $ — $
Certified copy is�'filed with the county building inspection 1 &2-Family,Sq.Ft. LOCALITY Temple Cit
department, Multi-family Sq.Ft. — NEAREST
cCROSS Sr. Freer
Date 2/1y�$'9 Applicant�`�-"" `� Residential Swimming Pools l OWNER OR '
RRM NAME. Wetherb' Builders
CERTIFICATE OF EXEMPTION FROM WORKERS' $
Outlets:Rec—Light 5•• Sw._ MAIL
.COMPENSATION INSURANCE ADDRESS. 1419 S. Mayflower
First 20 97.5
(This section need not be completed If the work Involved by the Total No. Additional' l CITY Arcadia' Tel.No.447_677$
Arcadia-
permit Is for one-hundred dollars($100)or less.)
I certify that in the performance of the•work.for which this.permit PLANCANT K
APPLIis issued, I shall not.employ any person in any.manner so as to 37:5
become subject to the.Workers'Compensation Laws. Lighting Fixtures First 20 ' ADDRESS
Additional '
• Total No. 5' I CITY Tel.No:
Date Applicant Fixed Appliances Not Over 1 HP
RMIT
NOTICE TO APPLICANT: If,• after making. this Certificate of APPLICANT Wetherby Builders•
Exemption,you should becomesubject to the Workers'Compensation Range_ Heater_ D.W. _
provisions of the Labor Code;.you must forthwith comply With such Oven _ Dryer_ W.M._ ADDRESS 1419 S.' Mayflower'_
provisions or this permit shall be deemed revoked. Top FAU. _'W.H.
LICENSED CONTRACTORS DECLARATCITY Tel.No.ION Hood — Fan Other_ ' Arcadia. 4. 7-
'-I hereby affirm that I am licensed;under provisions of Chapter 9 I� REG.NU.OR '
Disp. — Room Air Cond. .— REG.NUMBER 45;7193 Class B
(commencing with Section 7000)of Division 3 of the Business and � ,
Professions Code,and my license is in full force and effect. I DISTRICT NO. PRO SED BY
Power Apparatus&Large Appliances A a-
Size&Type HP,KW,KVA,or KVAR
License Number 457193 Lic.Class B FINAL 8
Up to 1 Incl.
Contractor Wetherby RUE; Date 5131/90- Over.1 to 10 incl. DAT _ VALIDATION 0
Over 10 to 50 Incl. FIN
❑ I am exempt under Sec. Over 50 to:100 Inc. g ''r _W
B.BP C.for this reason Over 100 -".. ' = �•
Services,Swbd.,MCC&Panelboards Z, r
Date: 0-200 Amp.Under'600 V -
Signature 201 - 1000 Amp.,Under 600 V y p
Over'1000 Amp:or Over 600 V,
Exemption for Reg.Maint..Elect. �...�(
SINGLE FAMILY Temp.Power Pole&Appurtenances -=, ,•:� _.til
HOME OWNER-BUILDER DECLARATION Sign with One:Branch Circuit
I hereby,affirm that I am exempt from the Contractor's License Law,
for the following reason(Section 7031.5,Business and Professions Additional.Sign.Branch Circuits.-
Code):
❑ Misc.Conduits&Conductors
I,as owner of the property,will dothe work and the structure '
is not intended or offered for sale (Section 7044, Business Other(.See Complete Fee Schedule) _ polo.and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the workfor which this permit is issued(Sec.3087, PERMIT FEE (Sub-Total)
Civ.C.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE 1() 0Lender's Address.
I'certify that I have read this application and state.that the above TOTAL FEE 24.-'00
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 .=' +<pp
rty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of.Permittee Data