HomeMy Public PortalAbout5014 PERSIMMON AVE_Electrical__ MUSTY OF LOS AMSELES APPLM&T= FOS PST
WILLIAM J. FOX. Owab Eapwlr
ELECTRIC
FOR APPLICANT TO FILL IN U011"ICT NO. ?0ROYP ZONE PERMIT NO.
0,VA m WHINLECTRICIAN s � _1 ADDRESS EL MO ED ■Y rIR■T NDYPKDTION DATE ISSUED
OITY TEL No. 00,�
DOYNTY LI NO. EXPIRE■ ■UI IN •� - ��� �'��!
PERIM Fm
rw
NUMBER EACH LOOALITY
LI■HT OUTLETS NEAREST
RKCEPTADLE■ jN
WALL■WITOHE■ OWNER
TOTAL CYTLLT■ So MAIL
KLEO. RA USE SS ADDRESS
ELEC. HKATKII■ SOTY TEL No.
FIXTURES S 1 HERK■Y AOKNOWUJmSE THAT 1 HAVE READ THIS
MIND. ARLIOATIOM AND STATE THAT THE A■UVK 10 UORRKOT
YMSER or LI■HT UIRUU1T■ AND AONKK TO OOMPLY WITH ALL OOUNTY UNDIMANCES
NUMSKR Or RKDEPTAOLE CIRCUIT■ AND STATE LA" RE■YLATIN■ ELEOTRIOAL WIRIM■.
MOTORM 1 OKRTIrV THAT 1 POSSESS THE A■OVE VALID LOS
Numm MUM SSE AN■ELES DOUMTY LIOKN■K. UN 1 AM THE LESAL OWNER
Naw MVI. HP own INN. aw•I Or THE RESIDENTIAL PROPKRTV DESORI■ED A■OVL
um 'SS SI■NAT uw Or
.SO PERMITTEL.
■ s 1.00 nISPEC7= RECORD
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in so ■.so
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Soo MOO T D.Do
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M.S. nwr/rarA6 OHANomHP �
WELDER■I AO-KVA O
SENERAT URE - KW ,
TRAN■rCRMKSS - KVA
TEMP. MOTORS t or cul■
MOVED MOTCM I75or colo
C.
MIONM ,
NC. NO.TRANL APPROVAA
No. KCL LAMM
FOR KAON PERMITI DA INSPKOTOR7 NAME
WIRIN■ Gl.UU
+ OONDUIT
rD mMill shoo WIRINS
my .50 rIXTIJRKS
POWER
TOTAL rEE S UTILITY an.NQTIr1ED
kINAL
NABS DHS*BA 4-1111
COUNTY OF LOS ANGELES APPLICATION FOS PERMIT , ,
Department of County Engineer .
DIVISION OF BUILDING & SAFETY ' � ��_�
WILLIAM J.FOX,.County Englneer
FOR APPLICANT TO FILL IN DISTRICT NO. .GROUP. ZONE PERMIT NO.
a
ELECTRICIAN 6 77 S
��J• RECEIVED BY READY FOR DATE IBBUED
ADDRESS /yC `3'� &i /G FIRST INSPECTION
CITY 4 NO. _"✓� 13— � 3
COUNTY. LICENSE NO. EXPIREB ZAdl BUILDING O `q� �
' ADDRESS d f Fi 4 Cr
PERMIT FEES - .
- FEE
NUMBER EACH ,' LOCALITY
-LIGHT OUTLETS
NEAREST _
RECEPTACLES �� CROBS ST.
WALL SWITCHES= OWNER
TOTAL OUTLETS •SO B V MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES B
MIBC. .f-i�!,� �f 1 -HEREBY ACKNOWLEDGE THAT 1 HAVE. READ THIS
'' 'APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER of LI3Hf CIRCUITS AND`AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS -AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS .1 CERTIFY THAT"I POSSESS THE Abo E VALID LOS
NUMBER HORSEPOWERFEE - ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw Mw. HP, .OVER IMG. EnCM OF THE :RESIDENTIAL.PROPERTY DESCRIBED ABOVE.
II2 S'LEBB .S .25ya
cBISNATURE OF
••172 9 .b0 - PERMITTEE— ..
2 b 1.430 INSPECTION RECORD
" 5 •iba�' 1.50 - ,
15 50 WS.0
50 200 5.011 '
•200 Soo 10.00 + J
Soo 1000 15.00 Z
OVER 1000 20.00 19
M.G. SET/FRE19. CHANGER-HP p'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIS.)
MOVED MOTORS (75% OF ORIS.)
Misc.
SIGNS
NO.' NO.TRANS. '
' APPROVALS
NO. NCL-LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING B1,0O CONDUIT
FIXTURES 1111.00- WIRING .
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE rA UTILITY•00.NGTIRIED r7+4--1r5 y -�-
_ FINAL
TOA663 DBS#'5A 4-52
771
76A66�?-CL60611/70 APPLICATION FOR ELECTRICAL ER.MIT
(f COUNTY OF LOS ANGELES
DE COUNTY
OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /�m /C L/`Av
NEAREST If
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE
5 5 OWNER
RECEPT._ MAILS S
LIGHT TOTAL FIRST 20 25
CITY TEL. NO.
SWITCH_ OVER 20 •10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT fi C
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICE SE NO.A3 CLASS. C/0
FAN OTHER 1.00 / 0 n 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
(/ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY L05 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO }
1 - 10 3.00 RESIDE IN, THE ABOVE DES RIBED RESIDENTIAL PROPERTY. 0
10 - 50 5.00 SIGNATURE A&Z IY
OF PERMITTEE
50 - 100 10.00 0
DICT NO. CLASS ZONE P OC ;EY
100 - 500 15.00 ,
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: C h
TUBE, OR ?
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 O�
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) 00 POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE v
FINAL
PERMIT ISSUING FEE 3.00
JOSEPH C. ROOHAN
TOTAL FEE 09,9 SUPERVISING ELEC CAL ENGINEER.
PLAN CHECK VALIDATION CK. M. . CASH PERMIT VALIDATION CK. M.O. CASH
.0QNS3 9 1 UUL 13 2 D 7.00-
SEE
EE BACK OF APPLICATION FOR COMPLETE SCHEDULE
;BARBS_ E CBI2_gB APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES _
DEBUILDING AND SAFETY DIVISIONRTMENT OF COUNTY ER ADDRBUILDING
ESS . ���1 4( lry S Y11 •a^
JOHN A.LAMBIE.COUNTY ENGINEER pp
CASSATT D.GRIFFIN.SUP'Y of BUILDING LOCALITY 1•C
FOR APPDJCANT TO FILL IN NEAREST �.
11
PERNIIT FEES
CROSSST. >1. .• �•
OWNER ,. $ +
1 T 8 M NUMBER EACH PEE
OUT
$ $ —/ MAIL ��^ p
LIGHTS RECEPT. SW. ,1p 7 O . ADDRESS 1 d L _C�. •�/1, h
LIGHTING FIXTURES .10 n CITY ]� (.LVA
1� TEL.NO'. i J
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS '� .50 ADDRESS '
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.NO.
GARBAGE DISPOSERS AUTO.-
STATE {
WASHERS STA.COOKING UNITS .25 LICENSE NO. '"'
MOTORS: OVER INC. H.P. ( r/
DISTRICT I ZONE I PROSSED BY
0— 1/a 1 1 .25 �1 0 4 L.
vz- 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50 l
15— 50 2.50
50-200 5.00 b
SIGNS: NO.TRANS. 6iJ� 1
NO.LAMPS �.,�?�"'� . Cit- 31
SERVICE O-BOOV 1.00SERVICE OVER OVER 600V 5.00
MISC. - -�..>I.� � a � 1• T
WIRING PERMIT 1.00 ` Q'
FIXTURE PERMIT 1.00 0 o 17 I S ilN vtot S L 6 09 4,epNOVf
N SUPPLEMENTARY PERMIT .50
TOTAL FEE $ '�S APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S S O ATURfi
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /i 'y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WI Gv/ j�s��"•� +
RING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR v - _
LICENSED AS REQUIRED BY LOS NGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL ROPE POWER
SIGNATURE 1
OF PERMITTE ` UTILITY CO.NOTIFIED
FINAL rt��y��itAb�!9 . 'b�i'Is✓Y�:./
DF VALIDA SUPERVISING
C.ELFR' ,
CK Mo caSH SUPERVI8ING ELECTRICAL ENGINEER
CICO 9 ,4 6 10:; JJL 14 2 A 2.55 r
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm`'that I have a certificate of consent to self'insure, 76A663
or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT,OF PUBLIC WORKS BUILDING AND SAFETY DIV.
w copy thereof(Sec.3800 Lab.C.)
Policy No. Company. FOR APPLICANT TO FILL IN ADDRESS
❑° Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE I LOCALITY
Ft
S
-Family,&2- ay, q.R. —
Certified copy is filed with the county building inspection 1 $ $
_ 'NEAREST
department. Multi-family Sq.Ft. CROSS ST. ardm
DAte Applicant Residential.Swimming Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' �Sw _� OWNER OR4.
Outlets:Rec._
COMPENSATION INSURANCE �Light : FIRM NAME L I h
First 20 ' & I IA MAIL
(This sectionneed not be completed if the work Involved by the / ADDRESS
permit is for'one hundred dollars.($100)'or less.) Total No. Additional
I certify that in the performance of the work foe which this permit CITY Tel.N
Is Issued, I.shall not employ any person in any manner so as to PUN CHECIf
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT_
Total No. 3 Additional ' •
'ADDRESS
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If,. after making this Certificate of CITY Tel.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&Large Appliances
LICENSED CONTRA&ORS DECLARATION Size&Type HP,KW,KVA,or KVAF1 y ADDRES
I hereby affirm that I ani licensed under provisions of Chapter 9 Over 3 to 10 Incl.
(commencing.with'Section 7000)of Division 3 of the Business and CITY Tel.No.
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.
LICENSEClass �•
' Over 50 t0 100.Incl. REG.NUMBB ER � d
Over 100 DISTRICT NO. USED BY
License Number Lim Class V
Services,Swbd.,MCC&.PanelboardsU G
Contractor Date 0-399 Amp.Under 600 V I ATE 0
❑ I am exempt under Sec: 400-1000 Amp.Under 600 V l _q
_7 U
Over 1000 Amp.or Over'600 V � VALIDATION W
BRANCH CIRCUIT FEES
B.&P.C.for this reason 6Y AL �-
Date:. 16A,or 20A,120V,Lighting.or Recept. Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch Circuits
F_xemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits y.
SINGLE FAMILY Temp..Power Pole&Appurtenances
HOME.OWNER-BUILDER.DECLARATION {� :^" _ •
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit
for the following reason(Section 7031.5,'Business and Professions Additional Sign Branch Circuits _s1 V 2
r't;
Code):
361.. o
❑ I,as owner of the property,will do the work and the structure' Misc.Conduits&Conductors
is not intended or offered for.sale(Section 7044., Business Other(See Complete.Fee Schedule) 1Poo. 64- 20
and Professions Code).
CONSTRUCTION LENDING AGENCY i•i is. -i: 64.2"
t
1:hereby affirm that there is a construction lending agency for•thei:-(;-:: (_ =130
performance of the work for which this permit Is Issued(Sec.309.7, PERMIT FEE (Sub-Total)
Civ.C.).
• Lender'sName PLAN CHECKING FEE � U-3 401 1*
_'rL1*1"0.0r 1 12' 3
f fi=r
PERMIT ISSUING FEE �lp 4 f
L 1.': 1 it.att=iL'
Lender's Address TOTAL FEE 1p
"I certify that I have read t0s application and under penalty of purjury state
that the above information is correct. .I agree to comply with all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
representatives s.County to enter upon the above-mentioned property i
for inspect! I� SEE REVERSE FOR EXPLANATORY LANGUAGE
2i 4-
SIGNATURE OF PgMITTWDATE
r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0210030005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALFEES PA DI G D S:
ON FILE 5014 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780
ASSESSOR N IO NUMBER: NEAREST CROSS STREET: GRAND
8574-004-042 Al PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 33.00 OUT 56.55
TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED Y: LAN B : EXPIRES
HA FAU LESS 3HP 1.00 FAU 10.95 10/03/02 JK 04/01/03 .
H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95
OWNER: TEL. NO: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 FINAL DATE FINAL BY: CODE:
HE•ZHONG & KUI LIANG (626) 442-8878- H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 l-f(�N
5014 PERSIMMON AV H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 GG C-4
TEMP 917803415 H7 RES EXHAUST FANS 1.00 EX 10.95 DESCRIPTION
JS AC UNITS +3-10HP 1.00 AC 19.65 ELECTRICAL FOR ADDITION/REMODEL
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
APPLICANT: TEL. NO: TOTAL FEES 216.30
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: ='••`iy� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO :•'',; �. TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: irI yUFER GROUND
KWOK, TERENCE (323) 728-4833:)
109 E. FLORAL DR. LIC. NO:.; - ROUGH CONDUIT
MONTEREY PARK, CA C-24796- !
� _-
' - -- - -- ROUGH WIRING J
I MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304140018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ADDRESS:LEGAL ID: RES PAID BUILDING
ON FILE 5014 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TENP CA 91780
ASSESSOR 1 0 NEAREST CROSS STREET: GRAND
8574-004-042 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TOTAL FEES 66.60 ISSUED 0 : S .
04/14/03 JK 10/11/03 .
OWNER: EL. 0: FINAL DTE FINAL BY, CODE:
HE•ZHONG (626) 442-8278-
5034 PERSIMMON AV
TEMP 917803415 DESCRIPTION OF WORK
UPGRADE ELECTRICAL PANEL TO 20O MP
APPLICANT: . NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. 0: APPR A S DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: U -GROUND
KWOK, TERENCE (323) 728-4833-
109 E. FLORAL DR. LIC. NO: ROUGH CONDUI
MONTEREY PARK, CA C-24796
I ROUGH G
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
COMPANYUTILITY 0 D J
I
REPORT ID: DPR265 ROUTE TO: BS0508