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HomeMy Public PortalAbout5355 PERSIMMON AVE_Electrical__ i �HABHH.�EB�B�.HH APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER t3UILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY I- FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. r d �/7 I T E M NUMBER EACH FEE OWNER �( I. OUTLETS: $ $ MAIL LIGHTS RECEPT. SW. SL' .1O L O ADDRESS Ste_-r .C� /.�C $� �•.�. LIGHTING FIXTURES .10 CITY TE SO ELEC. RANGES CLO. DRYERS ELECTRICIAN WATER HEATERS .50 I DDRESS _ ELEC.SPACE HTRS. DISHWASHERS LI GARBAGE DISPOSERS AUTO.- CITY TEL. NO. STATE ' WASHERS STA. COOKING UNITS .25 1 LICENSE NO. MOTORS: OVER INC. H.P. ;DISTRICT NO. I GROUP zC3NE PR D O— 1/2 .25 1/2— 2 .50 Xi 01 INSPE+MON RECORD 2— 5 1.00 I r 5— is 1.50 I kC Q. 15— 50 2.50 I �•- ♦�-=VAC ,L.1 e S5.!'� 50-200 5.00 i F'1 S= ! ` G9 t –� 5 r1 �, c NO. TRANS. I.•1 I'=1'" .'�•. r. e!1 l�. SIGNS: NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 800V 5.00 MISC. { YI WIRING PERMIT 1.00 C FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INS ECTOR•S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY iCONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING [� ELECTRICAL WIRING. ;WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF : :FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE IPOWER DESCRIBED RESIDENTIAL ER PERTYi SIGNATURE - '6� � `� 6• UTILITY CO.NOTIFIED OF PERMITTEE,�� FINAL VALIDATION ARTHUR C. V EIT, CK Mo CASH SUPERVISING ELECTRICAL ENGINEER ' 3 ! 6 I9l i-U%R to �.tillo 5 9 17 2 A 1.10 M J 78A66C•CE#808 5-81 APPLICATION FOR EXECTRICAL PERMI COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING Q BUILDING AND SAFETY DIVISION ;.ADDRESS Ik7tso JOHN A. LAMBIE. COUNTY ENGINEER tt1 t WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Temple City NEAREST FOR APPLICANT TO FILL IN, cRoss ST. PERMIT FEES OWNER Gus Ne s seth I T E M NUMBER EACH FEE MAIL OUTL $ $ ADDRESS LIGHTS RECEPT. SW. .10 !CITY TEL.NO. LIGHTING FIXTURES ELEC.RANGES CLO.DRYERS �© .1O 1 "o f ELECTRICIAN 0309 gleGtpia WATER HEATERS .50 0 ADDRESS- N V r ELEC.SPACE HTRS. DISHWASHERS (CITY Covina, TEL NO. ED 950 GARBAGE DISPOSERS AUTO.- 'STATE WASHERS STA.COOKING UNITS ,25 ,LICENSE NO. MOTORS: OVER INC. H.P. i; bISTRI7 NO. I GR r P ZONE Epie Fans o— Y. 25 O I/a— 2 ,50 INSPECTION k= 2— 5 1.0.0 ! r"� L�/f�' �!I� rG-'f Xif r; t7 l s r s I5 t:so` eAll. '34 AF is— SO 2.50 99 go— 2005.00 W / Kr' C�I a � NO TRANS. - IL SIGNS: NO.LAMPS j; / us �,/ p � Z 1.00 � SERVICE D-600V 1 : / ' 6�V 41 L �;; SERVICE OVER 600V •' I 5:00 e l � WIRING PERMIT 1.00il nn FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ b I. HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT //�� ` �/Jj� /✓ f :��� ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM P RC�REGI57 RED AND/OR ) / LICENSED AS REQUIRED BY LOS LES COUNTY AND STATE•OF !FIXTURES CALIFORNIA OR THAT 1 AM L - OWN 1 j6y THE ABOVE64F DESCRIBED RESIDENTIAL P R J• 'POWER SIGNATURE ;UTILITY CO.NOTIFIED / A OF PERMITTE ;FINAL OZ. ✓ !DATION HC.VEIT +a c MO ,' CASH SUPERVISING ING ELECTRICAL ENGINEER o DEC .4' 2 0 . 8.60 M y i r ' `\ArORKERS'COMPENSATIONDECLARATION S CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT CE-806 I herAby affirm that I have a. certificate of consent to self COUNTY OF LOS ANGELES /f I BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.). FOR APPLICANT TO FILL IN JOB �� o Policy No. Company EACH NO. FEE ADDRESS New Residential Bldgs.�e,Pools ME It E2 AN 0 Certified copy is hereby furnished. 1 &2-.Family,Sq. Ft. $ — $ LOCALITY Certified copy is filed with the count building Multi-family Sq. Ft. CROSSNEAREST e department. y g inspection OWNER SOR Residential Swimming Pools FIRM NAME 'Date - Applicant Outlets: Rec._Light' Sw. - MAIL First 20 ADDRESS. CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMPENSATION-INSURANCE i PLAN CHECK a} (This section need not be completed if the work involved APPLICANT by .the. permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS V Total No. Additional IM I certify that in the performance of the work for which thisCITY Tel o. O permit is issued, I shall not employ any person in any manner Fixed Appliances Not Over 1 HP PERMIT so as to become subject to the Workers'-Compensation Laws. Range_Heater D.W._ APPLICANT W t1 Oven _Dryer_W.M._ ADDRESS oo, CO) Date Applicant Top _ FAU _W.H.._ Z Hood_ Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation.provisions of the Labor Code,you must forth- Power Apparatus&-Large Appliances DISTRICT NO. PROC SE[?BY with' comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVi4R t Up to 1 Incl. Ove[1 to 10'Incl. FINAL. DATE LICENSED CONTRACTORS.DECLARATION. Over 10 to 50 Incl. / Z^3 CS VALI DATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Bus"- Over 100 BY ness and Professions.Code, and my license is in full force'and. effect. -Services 0-200 Amp.Under 600 V License Number Lic.Class 201-1000 Amp.,Under 600 V Contractor Date Over 1000 Amp.or Over 600 V 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 ness and Professions Code): Misc.Conduits&Conductors � I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— _ structure is not intended or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY o'0 0 0 o 2 I hereby affirm that there is a construction lending agency L__ for the performance of the work for which this permit is. PERMIT FEE (Sub-Total) Q 2 o o 29.50 issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) o 0 o 2 q,-E 0 Lender's Address - PERMIT ISSUING FEE 11. 1 9-80 I certify that I have read this application and state that the TOTALFEE ! above information is correct.I agree to comply with all County ordinancest and State laws regulating Electrical wiring, and i hereby authorize representatives of this County to enter upon t ve•mentioned pro' I spectionpurposes. I SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ) COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF'PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703140001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: JTR: 13613 LT: 41 1 1 5355 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802802 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 1 8573-003-016 JAI PERMIT ISSIIANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C� JG1 OUTLETS-LGT,SW,RECP 16.00 OUT 31.20 TENANT: JG2 LIGHTING FIXTURES 22.00 LGT 41.70 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 03/14/07 JK 09/10/07 TOTAL FEES 139.50 1 OWNER: TEL. IFINAL DATE FI BY: CODE: IBESERRA SALVADOR;IRENE TRS (626) 444-8056- .� 5355 PERSIMMON AV TEMP 917802802 IDES&RIPTION OP WORK ELECTRICAL FOR ADDITION AND UPGRADE PANEL TO 200 AMP APPLICANT: TEL. NO: IBESERRA (626) 444-8056- 15355 N. PERIMMON AVE SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE IBESERRA, SALVADOR (626) 444-8056- 15355 N. PERSIMMON AVENUE LIC. NO ITEMPORARY POWER POLE TEMPLE CITY, CA 91780 NONE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: I �UFER GROUND ARAGON, BOB (626) 444-4075- 112053 REDSTONE STREET LIC. NO: IROUGH CONDUIT JEL MONTE, CA NONE ROUGH WIRING MAIN WATER LINE Will PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED I Ail (REPORT ID: DPR265 ROUTE TO: BS0508