HomeMy Public PortalAbout5351 PARMERTON AVE_Electrical__ TEMPLE CITY
70A563 CC8O510 SI APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING gPROCE5SED
BUILDING AND SAFETY DIVISION ADDRESS / �✓JOHN A LAMBIE COUNTY ENGINEERWILLIAM A JENSEN SUPT of BUILINNG LOCALITYNEAREST
FO APPLICAN TO FILL IN CROSS ST1 T E M NO EACH PHOUTLETS (FIRST 20) S 20S OWNERLIGHTS RRCEPT Sw MAILOUTLETS (ADD L UNITS) ADDRESSLIGHTS RECEPT Sw 1OLIGHTING FIXTURES (FIRST 20) 20 CI / (�, TEL NOLIGHTING FIXTURES (ADDrc1DHAL) 10 ELECTRICIA RANGES CLO DRYERS WTR MPS 100 ADDRESSGARB DIYP CTA COOK �CITY G7/-c! TEL NOOIBXWASH AOTO WASH STATEf� �j �TSPACE HTRS STA APP I'AHP MAR 1 30 LICENSE NO /-✓ J ZU
MOTORS OVER NOT OVER HP DISTRICT NO GROUP ZONE o 1 foo O uJ— —
1 9 1 So INSPECTION RECORD
T
9 B 200 1
O
S 13 250 U
is 90 300 0 I Q
30 100 Boo
d
SIGNS No TRANS Ull
LAMPKIAPS
NO Lz
, _Z
SERVICE O 600V NOT OVER 200A / too 00
SERVICE O BOOV OVER 200 A 200
SERVICE OVER SOOV 500
MISC
PERMIT ISSUING FEE 2001 - U
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE I
I HERESY ACKNOWLEDGE THAT I HAVE READ THM APPLICATION APPROVALS DATE INSPECTOR C SIGNATURE
AND STATE THAT THE ABOVE IC CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
TR _
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
D C
-��
LICENSEAREQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ASOVS
DSSCRIBEO RESIOEI Ij(;� ROPERTY POWER n
61 GNATURE JR�� UTILITY CO NOTIFIED /
OF PERMITTEE ll
FINAL /
/V/�LIDATION ARTHUR C VEIT
(�C/�/,J MO CASH SUPERVISING ELECTRICAL ENGINEER
LAC61905f-- JM20 2 D 4.60-
,. � i�
WORKER I haveCOMPENSATION DECLARATION 76A%3 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a cerirticate of consent to self Insure
or a cerbfycate of Worker s Compensation Insurance or a certified I COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof(Sec r3800 Lab C)
I t
�
ty NO Company FOR APPLICANT TO FILL IN JOB
ADDRESS
Certified copy Is hereby furnishedNew Residential Bldgs 8 Pools NO EACH FEE LOCALITY
❑ Carl copy is filed wrth the county building Inspection- 1 &2 Family But Ft $ f
NEAREST
1 department , Muth lamely Sq Ft — CROSS sr
Residential Swimming Pods ASSESSOR
Date Applecant MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS 9�� OWNER OR P/ ./4- V/�/
Outlets R LightA-10— �/_ �p FIRM NAME /v
COMPENSATION INSURANCE ,b0 �/Y/
First io MAIL
(Thea section need not be completed the work Involved by the Total No Additional yD ADDRESS
permit Is for one hundred cotterss($100)
)or less)
I certify that In the performance of the work for which this permit _ CITY TO No
is issued I Shall not employ any person In any manner so as to PLAN CHECK
become subject to the Workers Compensation Laws Lighting Fixtures First 20 APPUCANT
Total No Additional
ADDRESS
Date ApplicantIAL APP ES NOT OVER 3 HP
NOTICE TO APPLICANT It alter making this Certificate of GO CITY TO No
Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP
provisions of the Labor Code you must forthwith comply with such PERMIT
provisions or this permit shall be deemed revoked Power Apparatus 8 Large Appliances APPLICANT
LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl(commencing with Section 7000) of Division 3 of the Business and CITY TO W
Professions Code and my license Is In full force and effect Over 10 to 50 Incl }
Over 5010 100 Incl REGNNU BER SEOR CIS CL
UCeneb Number LIC Class Over 100 DISTRICT NO SSED BV l
Sam y/�d 1J� P r p Q
Contractor Date A p n r V / �O OATS
❑ am exempt under Sec 400 1000 Amp Under BOO V VALIDATION W
Over 1000 Amp or Over 600 V FINAL O_
B LP C for this reasonRY W
BRANCH CIRCUIT FEES
Data 15A or 20A 120V Lighting or Rocept ?
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits41 Or More Branc -
uits
❑ Exemption for Reg Maim Elect 15A 20A 208V To 2T7V Lighting Br Crcuits
SINGLE FAMILY fTemp Power Pole 8 Appurtenances 2
HOME OWNER BUILDER DECLARATIONSlgn with One Branch Circuit ` ACCT.:
I Is
affirm that I am exempt from the Contractors License Law
for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 3303 255.'70
Code) �t-kt�.
❑ I as owner of the property will do the work and the structure Min Concurs d Conductors !1 w11 I 1�S
IS not Intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) , TOTAL 255 . 90
and Professions Code)
CHECK 21
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the p CWGE •W
performancemf the work for which this permit is Issued (Sec 3097 PERMIT FEE (Sub Total)
Civ C)
PLAN CHECKING FEE 000001 2/20/96
Lender s Name PERMIT ISSUING FEE n 4908 1 AM10:13
Lenders certifyJ p -
I ccertifythatat I have read this apphcabon and under penalty of Augury state TOTAL FEE ✓ /
that the above Information Is correct I agree to comply wrth all County
ordinances and State laws regulating Eleclacal wiring end herebyauthorize
representatives of this County to anter upon the above mentioned property
for Ins Ion X///,p�purposes,e /1 SEE REVERSE FOR EXPLANATORY LANGUAGE
agNAi11REOFnDATIF
PERM,ITEE �/l'd_" '9 '9
COUNTY OF LOS ANGELES TEMPLE CITY p 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0607260031
BUILDING AND SAFETY / LAND DEVELOPMENT T PLE CITY CA 91700 �
PHONE (626) 205-0488 EXT
LRr.AI ID , FEES PAID BUILDING ADDRESS
TR 13613 LT 62 5351 PARMERTON AV
FEE DESCRIPTION QUANTITY WM AMOUNT TEMP CA 917803504
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES
8573-005-023 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY C
G1 OUTLETS-LGT,SW RECP 17 00 OUT 33 15
TENANT G2 LIGHTING FIXTURES 10 00 LGT 19 50 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
RA FAU LESS 3HP 1 00 PAU 10 95 07/27/06 JK 01/23/07
JB AC UNITS ♦3-10HP 1 00 AC 19 65
OWNER TEL NO LB 200 AMP PANELS MCC 1 00 PAN 38 85 FINALDAT FInL BY CODE
LY DIANA V YIP PAUL (626) 443-0281- TOTAL FEES 149 85 Tf `!'
5351 PARMERTON AV
TEMP 917803504 ION OF WORK
ELECTRICAL FOR ADDITION AND UPGRADE SERVICE PANEL TO 200 AMP
APPLICANT TEL HO
LY (626) 443-0281-
5351 PARMERTON AVE SPECIAL CONDITIONS
TEMPLE CITY CA 91780 ,
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SATURN SYSTEMS INC (310) 329-2728-
15916 S FIGUEROA LIC NO TEMPORARY POWER POLE
GARDENA, CA 90248 683127 0
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO OPER GROUND
LIC NO ROUGH CONDUIT
OUCH WIRING ^
IN MAT SR LINE
PLASTIC YIN MESAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID DPR265 ROUTE TO BSO500
• COUNTY OF IAS ANGELES TEMPLE CITY k 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0710100023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
TR 13613 LT 62 1 1 5351 PARMERTON AV
IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803504
ASSESSOR INFORMATION NUMBER
NEAREST CROSS STREET DAINES
18573-005-023
Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY Cl
I IG1 OUTLETS-LGT SW RECP 2 00 OUT 3 90
ITENANT IG2 LIGHTING FIXTURES 1 00 LGT 1 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 33 60 110/10/07 SR 04/07/08
OWNER TEL NO F7\jr� DA FIN}L BY CODE
LY DIANA V, YIP PAUL (626) 443-0281- 3 (~(`
15351 PARMERTON AV
TEMP 917803504 IDESCRIPTION OF WORK 1
12 OUTLETS AND 1 LIGHT FIXTURE
1APPLICANT TEL NO I I
ILY (626) 443-0281-
15351 PARMERTON AVE 1 iSPECIAL CONDITIONS 1
TEMPLE CITY CA 91780
1 I �
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
SATURN SYSTEMS INC (310) 329-2728-
115916 S FIGUEROA LIC NO TEMPORARY POWER POLE
IGARDENA, CA 90248 683127 B
UNDERGROUND CONDUIT
I �
1ARCHITECT OR ENGINEER TEL NO OFER GROUND
I I
LIC NO 1ROUGH CONDUIT
TROUGH WIRING
MAIN WATER LINE Y
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
I I 1 I
I I I I I I
1 I I I
(REPORT ID DPR265 ROUTE TO BS0508
1 I I I I I