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HomeMy Public PortalAbout4959 PERSIMMON AVE_Electrical__ 8A862-CE808 fOrBY APPLICATION FOR E:LECTRI'C- PERMIT. 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY.ENGINEER FDDRESS NG BUILDING AND SAFETY DIVISION S . JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING TY FOR APPLICANT TO FILL 1N NEAREST, PERMT-FEES' • CROSS ST. ? ITEM T 6 M NUMBER. EACH FEE OWNER MAIL OUTLETS: $ $ = ADDRESS LIGHTS: REC 'SW. _ .10 LIGHTING FIXTURES 10 CITY TEL.NO. . • ELEC.RANGES CLO.-DRYERS ELECTRICIAN i' WATER HEATERS ' .50 'ADDRESS Z 7 g ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO. ' 7i Q CSC GARBAGE DISPOSERS AUTO.- STATE M ,Tq WASHERS STA.COOKING UNITS :25 •LICENSE NO. V MOTORS: ovER INC. H.P. •DISTRICT NO. ZONE 'P :BY 0— �/i 25 V/2— 2 .50 INSPECTIO REVOlib 2— 5 e 1.00 '8— 15 1.¢O 18— '50 2.50 50 200 5:00 ' SIGNS: NO.TRANS. NO.LAMPS 5ERVICE.O-000V LOO SERVICE OVER GOOV. 5.00 MISC. WIRING•PERMIT� 1.00 ) FIXTURE PERMIT .1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ I HERESi-ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION APPROVALS DATE' INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE AND AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT. - ELECTRICAL WIRING. I HEREBY 'CERTIFY THAT I AM PROPERLY R$GISTERED AND/OR WIRING LICENSED. AS REQUIRED BY LOS-ANGELES.COUNTY AND.STATE-OF FIXTURE'S CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT PROPERTY. POWER SIGNATURE f UTILITY'CO.NOTIFIED' OF PERM4 Je. FINAL ARTHUR C.VEIT. _ CK Mo CASH SUPERVISING ELECTRICAL ENGINEER LAC T 5,1=11 .APR 2 -A 2.3 'aAm.`=088.119 APPLICATION FOR PEL E TRI � 1 C C PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING G BUILDING AND SAFETY DIVISION ADDRESS + JOHN A. LAMBIE, COUNTY ENGINEER - CASSATT D. GRIFFIN,SIIP'T OF BUILDING LOCALITY n FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. OWNER `: 'ITEM NUMBER EACH FEE MAIL ' r OUTLET RR ADDRESS LIGHTS RECEPT. SW. $ .10 $ V LIGHTING FIXTURES .10 CITY TEL. O. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE'HTRS. DISHWASHERS CITY TAt.NO U GARBAGE DISPOSERS / AUTO.- STATE of WASHERS VIA.COOKING UNITS .25 LICENSE NO. !/ MOTORS: OVER INC. H.P. D1STR1 T NO. I GROUP I ZONE P SED BY 0— 1/2 .25 — a soINSP TION RECORD 2— 5 1.00 $— 18 1.50 r is— s0 2.50 s0 200 5.00 SIGNS: NO.TRANS. NO..LAMPS SERVICE 0-800V 1:00 —� SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS _ DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES C LINTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM HE LEGAL NER F E OYE DESCRIBED RESIDENTIAL P POWER SIGNATURE UTILITY CO.NOTIFIED OF PERM17W L FINAL qq 4S f J* LR ls--- �pATIoIq URC. C.VELEGTRICAI.ENGINEER CK MO CASH bIC0 9 5 7 7 5 APR 2 0 2 A 6.6 5 WORKERS'COMP.ENSATIONDECLARATION ! CE-806G 06 G (2-80) APPLICATION FOR. ELECTRICAL PERMIT I. CE-806 I hereby affirm that i have a certificate of consent to self COUNTY OF LOS ANGEUS f _ BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or 7. a certified copy thereof(Sec.3800,Lab.'C.) P QJ(91'f'rQ•S'� /r��,Ufl£ FOR APPLICANT TO FILL IN JOB , o'[icy No. Company. - New Residential Bldgs.&Pools EACH NO.. FEE ADDRESS ❑ Certified-copy is hereby.furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. - NEA.REST ertified copy,is filed with the county building inspection CROSS ST department. Residential:Swimming Pools OWN NAMEFIRM Date Applicant +��JZd��J' /Jr/ LY Outlets: Rec.—Light Sw. . MAIL 1 First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' ' Total No. Additional CITY Tel No. COMPENSATION INSURANCE, ti - PLAN CHEC APPLICANT. (This section need not be completed if the work involved V Lighting Fixtures First 20 by the permit is for one hundred dollars ($10.0) or less.) ADDRESS Total No. Additional . O I certify that in the performance of.the work for which this, CITY Tel No. H Fixed Appliances Not Over 1 HP ;permit is issued, I shall not employ any person in.any manner PERMIT W so as to become subject to the Workers' Compensation Laws.° Range_Heater. D.W. _ APPLICANT O p_ Oven _ Dryer---:W.M._ _ ADDRESS to Date Applicant Top _ FAU _W.H.,_ Hood _ Fan _Other_ CITY - Tel No. NOTICE TO APPLICANT:.If, after making this Certificate ofLI CE NS OR. Exemption, y.otk .should become subject to the Workers' Disp.,_Room Air Condom REG.NUMBER Class Compensation of the Labor.Code,you:must forth- Power Apparatus&Large Appliances DISTRICT NO. 'P'ROCE ED BY with compl§ with such provisions or thiel permit shall be KVAR KVA HP &Type ,KW, ,or �— deemed revoked. Si (JjY Up to 1 Incl. FINAL Over 1`to 10 Incl. DATE ' /0� ��� VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. v Thereby affirm that I am licensed.under provisions.of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7004)of Division 3 of the.Busi- Over 100 BY ness and Professions.Code,and my license is in full force and' effect. Services 0-200 Amp.Under 600 V License Numbers= Z.L.lL Lic.Class-SC�7—� Q /�• 201-1000 Amp.Under 600 V Contractor ��Cs4&kl7ate " Over 1000 Amp.or Over 600.V U 0 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 -96528A ness and Professions Code): , Misc.Conduits&Conductors 0 0 0 0 0 2 ❑ 'I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is snot intended or offered for sale (Section- 7044, c o 5�. 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCYr- I hereby affirm that there is a construction lending agency 0'a a 1 1,O 0 0 for the performance of the work for which this permit is, i PERMIT FEE (Sub-Total) 09.29-82 issued(Sec.3097,.Civ.C.). Lender's Name PLAN CHECKING FEE' (One-Fourth Permit Fee) j Lender's Address PERMIT ISSUING FEE Is 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 authorize representatives of this County to enter upon the above-mentioned property-for inspection purposes. SEE'R.EVERSE FOR EXPLANATORY LANGUAGE S i-g—na 74re of Pe ee Date 9 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ' ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9709080020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL S G D TR: 4902 LT: 35 BL: F 4959 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804105 ASSESSOR IN0 U B : NEAREST CROSS STREET: 8574-025-038 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: HA FAU LESS 3HP 1.00 FAU 10.80 ISSUED 0 : PROCESSED B : PLAN 8Y: EXPIRES 0 : JB AC UNITS +3-10HP 1.00 AC 19.65 09/08/97 UT 09/08/98 TOTAL FEES 62.10 OWNER: TEL. NO: FINAL 'DATE FINAL B CODE: MCNIEL RICHARD A CO TR (818) 444-5256- 4959 PERSIMMON AV 0` TEMP 917804105 DESCRIPTION1,10-11 ELECTRICAL FOR NEW HEATING AND A19 COND. SYSTEM APPLICANT: TEL. O: JORDANAIR (626) 963-3313- SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: ==- ''( ;):+ APPROVALS DATE INSPECTOR SIGNATURE JORDANAIR (818) 963-3313- 129 S. HACIENDA AVENUE LIC. NOTEMPORARY POWER POLE GLENDORA, CA 91741 560429 B UNDERGROUND CONDUIT ARCHITECT0 G N R: TEL. 0: - /' _ _' '', FER GROUND LIC. N0: � , ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY OTIFI D * ADDITIONAL DATA ON FILE 1 REPORT ID: DPR265 ROUTE TO: BS0508 i I