HomeMy Public PortalAbout5120 PERSIMMON AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of CountBUILDING
EngineerF ��������
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
J
ELECTRICIAN 4937 1 • AI I
n ECEIVED BY READY FOR DATE ISSUED
ADDRESS EL MONTE, CAIIrgRjj,._ FIRST INSPECTION _
CITY TEL NO.
COUNTY LICENSE NO. ,/0,76EXPIRES BUILDING +Z�J�
PE FEES ADDRES /� f/�
FEE CJ
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS BY.
WALL SWITCHES OWNER
TOTAL OUTLETS 5C $ y MAIL
ELEC. RANGES 25ADDRESS
1
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NuMSER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER F IND. EACH 'OF THE RESIDENTIAL PROPERTY DEE16RIBED ABOVE.
%2 A LESS S .25 SIGNATURE OF•
•I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 l5 1.50
l5 50 2.50
50 200 5.00
200 BOO 10.00 J
500 •1000 15.00 Z
OVER 1 MO 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS"AC-KVA 13
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIB-)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO.. NO.TRANS.
NO. NO.LAMPS APPRO ALS
FOR EACH PERMIT" D TE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES X7.00 ''� WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE 0 7— P., UTILITY CO.NOTIFIED
( FINAL
46A663 DB8#5A 4-52
OOUNTY OR LOS ANGELES APPLMTM FOR PER=
Dqputm°F B = ELECTRIC i
DMSIOlQ OF SUILD�G & SAFSI'Y
WILLIAM L FOX. Ownt r Egl■Mr
FIMELF.=CMICIAN
OR APPLICANT TO FILL IN DIWMI13T NO■ GROUP ZONE PERMIT NO.
.�
MEOEIVED NY READY FOR DATZ 1lUED
rIRST INRPEOTION
OITYhe, TEL.NO.
ODUMTV LIOEN■E N0. EXPIRE■ ANDU puN1N0 3 a, p ■
PBRMT Pm !a(- 1 •m A" O/tv
MUMMER EACH FEE LOCALITY
LINMT OUTLETM NEARENT Ai r /O
RECEPTACLES DRUM / JJ
WALL SWITDHEM OWNER PO T o 1—
TOTAL
TOTAL OUTLET■ on MAIL
ELEO. RANNEM MM ADDRESS V V
ELEO. HEATERS MS OITY TEL. N0.
FIXTURES S 1 NERE■Y AONNOWLEDME THAT 1 HAVE READ THIS
MIND. APPLICATION AND STATE THAT THE ANOVE IN OORREOT
NUMMER Or LIMHT OIROUITM AND ANNEE TO OOMPLY WITH ALL COUNTY ORDINANCES
NUMBER or RECEPTACLE CIRCUITS AND NTATE LAWS REMULATIMS ELEOTRIOAL WIMINS.
MOTORS 1 OEMTIrY THAT I PCw THE ABOVE VALID LOS
NUNN= HORSEPOWER EAE ANMELEM ODUNTY LIOENME■ OR 1 AM THE LEMAL OWNER
Ntw Nva. HP oven INm "ON OF THE RESIDENTIAL PROPERTY DENORINED ANOVA,
VA r
i I.sin .2M ■10 HAS RE Or
M .MC
M ITTKE
M 7.00 IIfSPBGTIOI� RRD
M 1M 1.50 QO
is SO
NO NON 116130
SOD MOO 10.00 J
Mao 10010 1B.00 <
Z
OVER 1000 20.00
MA. mmlrnm& OHANMER-HP
WELDER■t AO-RVA O
GENERATORS - EW _
TRANmranmcm EVA
-
TEMP. MOTORS 9M Or OSIS
MOVED MOTORS ( or ORIS
1 0.
BIONS
N0. No.TRANS. �1PPSOVALB
No. N0.LAMM
Fan EACH PEMMITt TE IN
■PEOTOR7 NAME
WIRINM 1.00 ODNDUIT
r111TUREN 111.1013 WIRINM
MENTANY .MC
POWEN
TOTAL FEE B S uTILITYOC.NOVIr1ED
FINAL v '-
T&Aien 1011*iA nil
* WOthat I COMPENSATION DECLARATION ' 78A663 20-0019 DPW(12-97) APPLICATION FOR ELECTRICAL PERMIT LJ
I hereby affirm that have a certificate of consent to self Insure,
or a.certificate of Worker°s 1Com'pe)nsation Insurance,or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.
61Lab.
/� /
Policy No. C Company A FOR APPLICANT TO FILL IN ADDRESS
Certified copy is hereby furnished. f NO. EACH FEE Al O v
New Residential Bldgs.&.Pools , LOCALITY
❑ Ce ified opy is filed with the county building.inspection 1&2-Family,Sq.Ft.
art /int. Multi-family Sq.Ft. _ CROSS ST.
Date �' `1 Applicant Residential Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM W KE Outlets:Rec._Light Sw --f— OWNER OR
COMPENSATION INSURANCE B� p, 9RM NAME
First 20MAIL
permit Is for one hundred dollars($700)or less.) I j�
(This section need not be completed If the work Involved by the Total No. Additional ADDRESS a O fJ,/–Q
I certify that in the performance pfthe work:for which this permit CITY A,Il eT T.I.No.
is issued, I -shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
' Total No. Additional ADDRESS
Date Applicant RESIDENTIAL APPLIANCESNOT 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 j APPLICANT / /Z/j C �•
LICENSED CONTRACTORS DECLARATION Size&Type.HP',KW,KVA,or KVAR ADDRESS 11,2-;l S n �6N�
I hereby affirm that I am licensed under provisions of Chapter 9 �9
�_ Over 3 to 10.•Incl. '3/
(commencing with Section 7000)of Division 3 of the Business and CITY � T.I.No. 3 ��L
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. }
LICENSE OR Class.'
G(� (/3 Over 50 to 100 Incl. REG.NUMBER 11
License Number 30 / ,�s r Lio.Class �ID Over 100 DISTRICT NO.. SSED.BY U
Services,Swbd.,MCC&Panelboards
Contractor Qd Uo to.Q O Cz Date I 0-399 Amp.Under 600 V i FINAL
t i DATE
❑ 400-1000 Amp.Under 600 V
I am exempt under Sec. VALIDATION
Over 1000 Amp.or Over 600 V I. NAL
Fld
B.&P.C..for this reason BRANCH CIRCUIT FEES BY
Date: 1.5A,or 20A,120V,Lighting or Recept. Z'
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
41 Or More Branch Circuits
Exemption for Reg.Maint,Elect. 15A,20A,209V To 277V Lighting Br.Circuits
SINGLE FAMILY1, kmlr
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm.that I am exempt from the.Contractor's License Law Sign with Ohe Branch Circuit rrt� r1
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 1U.°10
Code): 1 ITEMS
FI; I,as owner of the.property,will do the work and the structure Misc.Conduits&Conductors TOTAL E.S��4GECK 10�°d
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ; ,
and Professions Code).
CONSTRUCTION LENDING AGENCY
HE °OV
I,hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Q
Civ.c.)
PLAN CHECKING FEE 0000-0001 8/28/95 ,
_
Lender's Name (J,����' 1 �� °001
PERMIT ISSUING FEE.
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE
that the 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 REVERSE FOR EXPLANATORY LANGUAGE
y ;
SIGNATURE
OF P.E � DATE
I,I
- ' s COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - EL 0508-000808000
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EG ID: FEES PAID UI;-D-I G A DRESS:
ON FILE 5120 PERSIMMON-AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA-91'7803416
ASSESSOR INFORMATION NUMB R: NEAREST CROSS STREET: FREER
8574-004-060 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
C2 SPAS, HOT TUBS, OTHR 2.00 SPA 108.90
TENANT: G1 OUTLETS-LGT,SW,RECP 88.00 OUT 130.80 SS ED ON: PROCESSED BY: PLAN EXPIRES ON:
G2 LIGHTING FIXTURES 52.00 LGT 82.20 08/08/00 UT 02/05/01
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 Z CODE:
CHING WINNIE K - H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 a���0
5120 PERSIMMON AV H4 RES RANGE HDS LT 3HP 1.00 H00 10.95 l
TEMP 917803416 H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 DESCRIPTION OF WORK
H7 RES EXHAUST FANS 2.00 EX 21.90 ELECTRICAL FOR ADDITION AND REMODELING
TOTAL FEES 426.30
PPLI TEL. O:
PARUNGAO (562) 634-5634-
13241 BARLINE SPECIAL CONDITIONS:
DOWNEY, CA
CONTRACTOR: TEL. NO: 5 p,N�E LE S coAPPROVALS DATE INSPECTOR SIGNATURE
DANILO R PARUNGAO (562) 634-5634-
DBA DRP CONSTRUCTION LIC. NO TEMPORARY POWER POLE
13241 BARLIN AVE. 575050 B
DOWNEY, CA 90242 ` UNDERGROUND CONDUIT
ARCHITECT OR ENG EER: TEL. NO: FE GROUND
LIC. NO / 1111111 ROUGH CONDUIT
L
ROUGH RING
U'E[F:3t)'
LCVAfMAIN WATER LINE
111111^111;11111 PLASTIC Y/N METAL Y/N
T LITY COMPANY 6 IFIED
�c Service That
REPORT ID: DPR265 ROUTE TO: BS0508