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