HomeMy Public PortalAbout5327 PARMERTON AVE_Electrical__ 7eAee3 CEeOe ID el APPLICATION FOR "ICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADORES.
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUPT OF BUILDING LOCALITY .�
FOR APPLICANT TO FILL IN I CROSS ST
I T ¢ M No I EACH IEE
OW
ourLET. IR3T zo) 6 . O NER
LIGHT R¢cerT Ew 20MAIL
OUTLETS (ADDL UNITS) ' ADDRESS
LIGHTS RECEPT Ew 10
LIGHTING FIXTURES (FIRST 20) 20 CITY TEL NO
LIGHTING FIXTURES (ADDITIONAL) 10 E L E CT RI CIA
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
OARS DISP STA COOK
CITY TEL NO
DISHwneH AUTO wneH .TATE
SPACE HTRE ETA APP (y HP ) D0 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT NO GROUP Z N P ESSEDY
J .V 0 1
1 3 150 INSPECTION RECORD
r
3 . 2 DO d
O
S 18 250 V
m
15 50 300 C)
60 100 500
d
SIGNS NO TRANS N
NO LAMPS Z
SERVICE O SOOV NOT OVER 200A too
SERVICE O SOOV OVER 200 A 2 D0
SERVICE OVER SOOV 500
MISC
_ 1
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 9SIGNATUsRE
D
ANSTATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING / h
2--
I
HEREBY CERTIFY THAT I AM PROPERLY RE.ISTERW AND/OR n/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CA LIPORNIA OR THAT 1 AM TH LEGAL OWNER OF THE ABOVE
DESCRIBED R¢91DEHTu P r POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL 7 Pl �'a.P ✓
IT
D CCK
�LI O CASH AS SURTHUR C ERVISING ELECTRICAL ENGINEER
1 ' _ LAC60;5 41% J021 2 0 3.60- 9
ION
WORKERS have
a certificate
of consent
to CE MO 10,91 APPLICATION FOR ELECTRICAL PERMIT {�
I hereby Nbrm that,l have a certificate of consent to sell Insure CE edea LJ
or a certibcdl of Workers COmpensatcn Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND-SAFETY
copy thereof(Sec 3800 Lab C) •,^� ^ ,,, .rn_1
Policy7No 'Company FOR APPLICANT TO FILL IN JOB
ADDRESS S3a'7 4 �t�r'lUL`_•,
LA Certified copy Is hereby furnished New Residential Bldgs 8 Fools EACH NO FEE
Certified copy p filed mtWthe county building Inspection 1 8 2-Family Sq Ft $ — $ LOCALITY
department Multi-family Sq Ft — NEAREST
Resldentlal'Swimming Pools CROSS ST ytf113�-�
Date 'Applicant GINNER OR
FIRM NAME cS SIJ
^ CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rao' Light Sw Mnt-
COMPENSATIONINSURANCE ADDRESS
(This section need rat be completed if the work uwolved by the First 20
permit Is for one hundred dollars ($100) or less)
Total NO Additional CITY Tel No
I certify that In the performance of the work for which this permit _ PLAN CHECK
is Issued I shall not employ any person In any manner so ss to 1 J� t. APPLICANT
become subject to the Workers Compensation Laws Lighting Futures First 20 - ADDRESS
Additional
Date Applcant Total No CITY Tel No
NOTICE TO APPLICANT If after making this Certificate of Fixed Appllences Not Over 1 HP PERMIT 1�Ao t 4
Exemption you should become subject to the Workers Compensation Range_ Heater_ DW _ APPLICANT
provisions of the Labor Code you must forthwith comdy with such Oven _ Dryer _ W M _ r ADDRESSl SP(Mpr 7
provisions or this permit shall be deemed revoked Top — FAU _ WH _ 122 -ST-
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ CITY IA, Tel No
I hereby affirm that I am licensed under provisions Of Chapter 9 Disp — Roan Air Cond LICENSE OR
(commencmg with Section 7000) Of DrvLsgn 3 Of,the Business and REG NUMBER 1'LSGr'f G Clays G—/o
Professroro Code and my (cense Is In full force and effect DISTRICT NO P ssED B
Pourer Apparatus 8 Large Appliances � Y
O Size 8 Type HP KW KVA or KVAR G
Lcen � g
se Number S � G LIC Class 1< Up to 1 Incl AL 4•
Over 1 to 10 Incl
Contrector�CCv'flC"f �GTC Date *'-S&gZ - DATE ygLIDATION Q
❑ Over 10 to 50 Incl F-
I
I am exempt under Sec Over 50 to 100 InI AL c F ) U
ILILI
BBPC for this reason Over 100
Date Services Swbd MCC 6 Panelboards , ' Z
0 200 Amp Under 600 V
Signature 201 1000 Amp Under,600 V -
❑ +
, Exemption for Rep Malnt Elect Over 1000 Amp or Over 600 V
SINGLE FAMILY Temp Power Pole 8 Appurtenances _ _ 2
HOME OWNER-BUILDER DECLARATION k Sign with Cne Branch,Clrowt ---- - i
I hereby affirm that I am exempt from the Corrector a License Law A.tltlRiorlal Sign Branch Qrolrts
Code)
ACCT..
forth following reason (Section 7031 5 Business and Professions _ 3307 31.01
- ---
as owner Moc Conduits 8 Conductors 1 ITEMS
of the property unit do the work and the structure Other (See Complete Fee Schedule)
is not intended or offered for sale (Section 7044 BusinessOther
J 1 _00
and Professions Cafe)
CONSTRUCTION LENDING AGENCY - •CMECK 31.00
1 hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is owed(Sec 3097 PERMIT FEE (Sub-Total)
Civ C)
PLAN CHECKING FEE -
Lenders Name 0000-0001 7/23/90
PERMIT ISSUING FEE _
Lenders Pdtlress 1974 11 AM 7:12
1 certify that I have mad this application and state that the above TOTAL FEE
information is correct I agree to comply with all Ccunty ordinances
and State laws regulating Electrical winng and hereby authonze _
representatives of this County to enter upon the above-mentioned
property for inspection purpoe s
7��•✓,C/ SEE REVERSE FOR EXPLANATORY LANGUAGE
-7 'L:3--9,0
Signa re
of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY p 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0209040026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 13613 LT 58 5327 PARMERTON AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803504
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET MCCLINTOCK
8573-006-012 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 13 00 OUT 25 35
TENANT G2 LIGHTING FIXTURES 4 00 LGT 7 80 ISSUED ON PROCESSEff'ffT PaN '1Y EXPIRES ON
H7 RES EXHAUST FANS 1 00 EX 10 95 09/04/02 JK 03/03/03
TOTAL FEES 71 85
OSZANY WNER NAL BY CODE
OPAL (626) 357-6024- /1 d I --
631 LAUREL LANE
MONROVIA y1' ON OF WURK
ELECTRICAL FOR ADDITION
APPLICANT TEL NO
WEAVER CONSTRUCTION -
SPECIAL CONDITIONS
CONTRACTOR TEL NOP�GELES CoAPPRov
JOHN P WEAVER (626) 401-0777- �5 /�/
ALS DATE INSPECTOR SIGNATURE
P 0 BOX 15 LIC NO V TYTEMPORARY POWER POLE
5940 N OAK AVE N 15 HIC
TEMPLE CITY CA 91780 //
ARCHITECT OR ENGINEER itL NU UFER GROUND
LIC NO�(I/ ROUGH CONDUIT
f 111111
ROUGH WIRING
(/\
GIU�O ��� �nn�nM PLASTIC Y/N METAL Y/N
u � vUx, 4wu�
46S)
Z/oSery�g That�0
' ADDITIONAL DATA ON FILE
REPORT ID OPR265 ROUTE TO BS0508