HomeMy Public PortalAbout5414 PARMERTON AVE_Electrical__ TEMPLE CUTY
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS f-y N PAR/VlL R:'O N 14VE;
JOHN A LAMBIEr COUNTY ENGINEER ��,
WILLIAMA JENSEN SUPTOFBUILDINO LOCALITY 7
FOR APPLICANT TO FILL IN MIT NIRICROSS5 R/N
PERFEES �\
ITEM NUMBER EACH FEE OWNER R, ALI NA
OUTLETS S f D ADDRESS OMAIL N O 11G r
LIGHTS RECEPf SW 10 + /'t
LIGHTING FIXTURES 10 CITY'1 • r C r TEL NO 6E -3llrT.-'
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS DO ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO
STATE
WASHERS STA COOKING urvITO 20 LICENSE NO
MOTORS OVER INC H PDIS P P ESSED BY
o— l/ 20
'/°— 2 GO INSPECTION RECORD
2— n 100
4— 15 150
15— 50 250
50-200 500
SIGNS NO TRANS
No "MPS
SERVICE 0.600V too
SERVICE OVER EOOV 1500
MISC
WIRINGPERMIT "Do
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT 80 r
TOTAL FEE IS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR a SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ` /�
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REOU)RED BY LOB ANGELES COUNTY AND STATE OF FIXTURES �lY rllr
CALIFORNIA OR THAT IAM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPERTY POWER
SIGNATUREUTI LITY /r
CO NOTIFIED
OFPERMITTE
N
OF No aRTHURC VETT
CK
CN No cwaN UPERVISINO ELECTRICAL ENGINEER
Q4 .7 8 5 :E 1,1!6 2 D 1 10 IR
r
DOS5A555 APPLICATION FOR ELECTRIC PERMIT Z
DIVISION OF BUILDING AND SAFETY
Dep. eat of County Engineer
J FO Of LOY fi ENB I ADDRESS S�/G 4I 4 HRRMBUILDING FRToi1/
WM J FO COUNTY ENGINEER �' '
CASSATTD GRIFFIN SUPTOFOUILDINa q I
LOCALITY l.•
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSSST / r✓ DR
NUMBER EACH FEE
OWNER
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS Sam c
WALL SW ITCHES
TOTAL OUTLETS 5d S Q CITY TEL NO
ELEC RANGES 25 ELECTRICIAN
_ELEC HEATERS 25 ADDRESS
KW EA CITY TEL NO
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS 5
DISTRICT NO I GROUP I ZONEJ READY FOR IM6PECi lON
NUMBER OF RECEPTACLE CIRCUITS ---fy— D/Fyl/�
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER I INC EACH
r $ 25
50
2 100 _
5 1 50
I
2 50
SO 5 00
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING SI 00
FIXTURES $100
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE S DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRINGt/lM
ELECTRICAL WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE EGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI OPERTY
SIGNATURE UTILITYCO NOTIFIED
OF PERM ITTEE �^� FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION A C VEIT,CHIEF ELECT INSPECTOR
MI 5 1 2—, JAN 5 2 1 .10 In
WORKER
mthatISaveaCOMPENSATION DECLARATION 2000,9 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT IJ
0A001
I hereby affirm That l have a certificate of consent to self insure
or a certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereo4(Sipc 3800 Lab C)
Policy No Company FOR APPLICANT TO FlLL IN JOB
ADDRESS ♦
' Cemhed copy is hereby furnished NO EACH FEE
New Residential Bldgs 8 Pools _ $ $
LOCALITP��� les r
❑1 a Carl copy is filed with the county building inspection 1 &2 Family Sq Ft _
_department Multi family Sq Ft — CaDss ST .�/j1 •Q- /f�
Pools
Date i Applicant Residential Swimming Pos gMAP BOOK PAGE PARCEL - +
+, CERTIFICATE OF EXEMPTION FROM WORKERS, Outlets Rec —Light_Sw FIRM NAOR
ME �r ,7
COMPENSATION INSURANCE y /•/2S+ OU.�
First 20 MAIL
(This section need not be completed if the work Involved by the Total No Additional MAILADDRESS, • �} ItL/L/V .c/
permit le for one hundred dollars(5100)or leen)• ; / �A
I certify that in the performance of the work for+which this permit _ CITY -DY
is issued I shell not employ a arson in any manner ea as to L
become subject to the Workers/�%1'o��D�Pe naation La a Lighting Fixtures First 20 A�uCANTCHECK
G•i ` 4 Total No Additional
ADDRESS
Date Appfi t t� RESIDENTIAL APPLIANCES NOT OVER 3 HP
NO ICE TO APPLICANT If a er making thio ertrlicate of CITY Tel No
Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP
e A
provisions of the Labor Code you must forthwith comply with such
provisions or this permit
Power Apparatus&Large Appliances APPUC PERMIT
t shall be deemed revoked A
` LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS u , 5
I hereby m that 1 em licensed under provisions of Chapter 9 Over 3 to 10 Incl q[
(commencingingwith Section 7000) of Division 3 of the easiness and CITV�a �• Tm K49 3 wLj j
Professions Code and my license is In full force and effect Over 10 to 50 Incl - LICENSE OR n�j r! }
/� Over 50 to 100 Ind REO NUMBER 3 a Z L'�2. Cleve C��,D d
License Number /' LIC Class�'{�' Over 1� DISTRICT NO p MPGSED BV 0
Seances MCC&Panelboards - QO Q
Contractor s a ✓1`r+�+✓ Deta 'Y Z • AB 0 399 mp UrMer 600 V DATE �
❑ I am exempt under Sec 000 Amp Under 600 V ✓I -- l VALIDATION W
Over 1000 Amp or Over 600 V FINAL d
B&P C for this reason BRANCH CIRCUIT FEES BY It Z
t 15A or 20A 120V Ughtmg or Recept 1
1 To 10 Branch Circuits
Signa 11 To 40 Branch Circuits -
41 Or More Branch Circuits
❑-'Exemphon for Reg Mamt Elect 15A.20A 208V To 277V Lighting Br Grants in
SINGLE FAMILY Temp Power Pole&Appurtenances +.
HOME OWNER BUILDER DECLARATION _ ACCT a
I hereby affirfollowing
that
re I em exempt from the ContrBusiness as License Law [
Sign With One Branch Circuit 't
/or the following reason (Section 7031 5 Business end Professions Additional Sign Branch Circuits 71h�
Code) _
❑ Msec Conduits&Conductors 1 1TEn3
I eb owner of the property Wi11 do the work entl the structure o
is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) ® 1 CITAL 63 e -45
and Professions Code) - -
CHECK 63.4
CONSTRUCTION LENDING AGENCY _
hereby afOrm ;het ere is a construction lending agency for the CHAHIT •ISI)
performance of the wothrk for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total)
Civ C) I -
PLAN CHECKING FEE 0060-0901
Lender s Name /
PERMIT ISSUING FEE �(p 7595 PM E%.S
Lenders Address
I earl that I have read this application and under penalty of purjury state TOTAL FEE
that the above information Is correct I agree to compty,with all County
dmances and Statelaws�eguL�ting Elecincal winng and hereby authorize
f representatives of thk County tom ter upon the above mentioned property -
for inspection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE
agNATURE OF I`TTEE L DATE '
I hereby'eifi mWORKERthat
Oe aPENSATION DECLAR IO self insure 70,0019 DPW D2 91) APPLICATION FOR ELECTRICAL PERMIT '
lJ
or a.certihcnle of,Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thtlreof,(Sec 3800 Leb C)
Policy No Company FOR APPLICANT TO PLL IN AD
...SS ' I
Certifiod co is hereb 'lurnished NO EACH FEE _
❑ i , I Y + New Residential Bldgs 8 Pools LOCALITY
' ❑+ Certified copy is filed with the county budding Inspection^ 1 8 2 Family Sq Ft $ $ NEAREST //����
A department Ci . Mulb family Sq Fl CROSS ST
EL,
[� ( CAI
Date !Applicant r ! Residenhaf Swimming Poole ASSESSOR
MAP BOOK PAOE _ PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS, n Outlets ReeLight Sw TRM NAME
COMPENSATION INSURANCE r First 20 MAIL
l T
(This section need not be completed If the work involved by the Total No 3 Additional Fip ADDRESS ,/•
permit is for'one hundred dollars($100)or leen) to I
I certify ihat'in tihe performance of the work for which this'permit _ CITY Tel 1 i-
Is issued I shall not employ any-person in any manner so as to,
becomersubfectrto the Workers Compensation Laws Lighting Fixtures JJ First 20 APPLICANTK - ^—• - - Tfi _ t�--1i
Total No _I— Additional ADDRESS 1s.1
Date 'r +'° Applicant
RESIDENTIAL APPLIANCES NOT OVER 3 HP
NOTICE,TO APPLICANT If after making,this Certificate Cf CITY
Exemption you should became,sub('ect to the"Workers Compensation OTHER APPLIANCES NOT OVER 3 HP 'i^� ,�I✓_I
provisions of the Labor Code you must forthwith comply with such HERMIT Mir r a
ni Marfa t
provisions-or this permit shell be deemed revoked Power'Apparatus 8 Large Appliances APPUCANr'
1 :! S LICENSED CONTRACTORS DECLARATION S+ze 8 Type HP KW KVA cur KVAR gpDRESS 54 I a aftiM i =75k
I hereby'alfirm that I am licensed under provisions+of Chapter 9 cc +�
(commencing with Section 7000)oOver 3 to 10 Ind f Division 3'of'the Business and CITY �aia lot 11=((
Professions Code and my license is In full force and effect Over 10 to 50Ind
Over 50 to 100 Incl REGNNUMBER Clens d
1
License Number Lm Class Over 100 - DISTRICT NO PROCES D BV 0
(Q�
Services Swed MCC 8 Panelboards �'0V - >
Contractor _ Date i 0 389 Amp Under 600V . FINAL / 0
❑ I am exempt under Sec 400 1000 Amp Under 600V 1
i_ / AIr—
LIDATION W
Over 1000 Amp or Over 800 V FINAL B 8P C /or this reason LL
BRANCH CIRCUIT FEES BY
Date 15A or 20A 120V Lighting Or Recept - - • Z
---- - - - -- 1 To 10 Branch Circuits 0
' Signature 11 To 40 Branch Circuits -
❑ —F�empbon'for RBB Meint Elect ' 1 _15A 20A 208V-To To 277V Lghbng Sr Cir41 0,MoFe Branch cuits
'
SINGLE FAMILY ` Temp Power Pale 8 Appurtenances
XE —
HOME OWNER BUILDER DECLARATION
I herebyafirm"that Ivin exempt from the Contractors Llcense,Lew Sign with One BranchCircuit 20
for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits tr-Code) �n.0 as owner of the property will do the work and the structure Misc Conduits 8 Conductors . _ iI A'4 ' e
is not intended`or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) `,�u-l`and Professions Coda) _ _CONSTRUCTION LENDING AGENCY1 hereby affirm that there isra construction lending agency far the
performance of the work for which this permit is Issued (Sec 309.7 PERMIT FEE (Sub Total) ,
C,v C)
PLAN CHECKING FEE
Lender s,Name LM `
PERMIT ISSUING FEE
Lender s Address - -
I certify that I have read this application and under penalty of purlury state TOTAL FEE _
that the above information is correct I agree to comply wNh all County' - '• '
ordinances and State laws regulating Elactncal wiring and hereby authonze `
rep ase'
vas of this County to enter upon the above-mentioned property - - - -
A for ins tI n purpos s SEE REVERSE FOR EXPLANATORY LANGUAGE '
SiONA/ EOFPERMITTE��� '—JE�/� 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 t ELECTRICAL PERMIT
f,�• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9907260017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID UILDING ADDRESS
TR 13613 LT 79 (5414 PARMERTON'AV
FEE DESCRIPTION QUANTITY UOM AMOUNT .TEMP CA 917803505
ASSESSOR INFORMATION NL14BER NEAREST CROSS STREET DAINES
8573-007-007 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
G1 OUTLETS-LGT,SN,RECP 35 00 OUT 59 25
TENANT LA 100 AMP PANELS, MCC 1 00 PAN 38 85 ISSUED ON PROCESSED BY PLAN BY txplRES ON
TOTAL FEES 125 85 07/26/99 UT 01/22/0
OWNER TEL NO FINAL DATE FINAL BY E
MOFFAT DANA SR CO TR MOFFAT TRUST (818) 444-0139- ,iJ_�1/�_/�
5414 PARMERTDN AV L L '(
TEMP 917803505 DL5L;HIPlIUN UF WORK
UPGRADE OF ELECTRICAL SERVICE PAN 100 AMP AND PLUGS
APPLICANT
GIL ELECTRICAL SERVICE (818) 831-8386-
11846 BALBOA BLVD SPECIAL MNDITIONS
GRANADA HILLS, CA
CONTRACTOR TEL- P,(.1GELES CO
GIL'S ELECTRICAL SERVICE (818) 831-8386- APPROVALS
11846 BALBOA BOVD LIC NO TEMPORARY POWER POLE
STE 204 B/L
GRANADA HILLS, CA 91344 / UNDERGROUND COWMIr
ARCHITECT OR ENGINEEF-- Iti. NU UFER GROUND
LIC N�t 111111 ,
ROUGH i WIRING
I�,'UBLEC WORKSMAIN WATER LIWF-
PLASTIC Y/N METAL Y/N
Ur=y COMPANY NOTIFIED
Q Q •� I
Service
r'
' ADDITIONAL DATA ON FILE
REPORT ID DPR265 , ROUTE TO BS0508,
p