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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 s in 1.09 in so ■.so sD Soo LOD Soo MOO T D.Do SCI Toxo ISAKI Z CVKR ICoo ■CAO 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