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HomeMy Public PortalAbout5416 PERSIMMON AVE_Electrical__ 76AS63 DBS 6A 1140 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC' ' 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. s mp6d ELECTRICIAN IF n RECEIVED BY READY FOR DATE ISSUED ADDRESS 2b LL FIRST INSPECTION CITYTEL. NO&E 162-19' ��' /Z Ph COUNTY LICE SE NO. EXPIRES O BUILDING / PERMIT FEES ADDRESS (p aAxp- FEE NUMBERIEACHI LOCALITY LIGHT OUTLETS NEAREST - ST RECEPTACLES CROSS . WALL SWITCHES OWNER TOTAL OUTLETS SC $ MAIL Y'b / ELEC. RANGES P5 �� ADDRESS ELEC. HE TERS 1 25 CITY TEL. NO. FIXTURES S 1 HEREBY ACKNOWLED THAT I HAVE READ THIS MISC. APPLICATION AND STATE T AT THE ABOVE IS CORRECT NUMBER OF LIGHT 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 ABOVE VALID LOS NUMBER HORSEPOWERFEE I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVO. HP OVER INC. EACH OF.THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2 a LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITTE z s 1.00INSPECnON RECORD s 1s 1.50 1s so 2.50 50E 200 B.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 a M. G. SET/FREQ. CHANGER-HP lz WELDERS:AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OFORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 b d CONDUIT FIXTURES $1.00 WIRING J ei- wU'tillr -s SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ / .S UTILITY CO. NOTIFIED jf6-�4� ® L FINAL J® ".. .-A O . ArrLICA iur FUR YLl mll'A.1 DEPARTMENT-OF BUILDING AND 'SA m COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER z ppppyy��qq��pp p TFf�a DISTRICT NO. GROUP ZONE PERMIT NO. z NAME RI191114-L �1EC 1 PIC ATY DDRESQ ��� ,�� X' 141 R�C�CI- �Jj/ ��?7 CITY i l��,,W ✓r�' �) TEL.NO.rj_l:Li Y !•S �C� FIRST INSPECTION I �UE COUN W CERT.NO.A'`7� 11 EXPIRES r APPLICANT FILL IN HEAVILY OUTLINED PORTON O,NL`YJOB ��f DESCRIPTION OF !YORK ADDRESS /-i,' � .Aj f ZT NUMBER OF OUTLETS ON CIRCUITS LOCALITY' LOCATION BY ROOMS NEAREST ' LIGHT OUTLETS lsw. PLUGS FIIiT CROSS ST. ®tlp.f ! Y CIRCUIT AI a B C D E I F IG H EZ MAIL NAME (7. H . '' ' MAIL 3 ADDRESS O CITY TEL.NO.Of��i/j J/ks 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGe,rQ N IFICATE OF QU UJE CATIONA 7 • ELECTRICIAN. II AN T=LWAL OWNER OF T=4146PENTY DESCRIBED ABOVE -'F3✓ -y/��"'�u iA-- _ OWNER. I CORRECTIONS ' J Q R 0 TOTAL NO. OF OUTLETS .��ESIAr APPROVALS NO. OF FIXTURES � DATEINSP.EgTOR'S NAME NO. OF MOTORS H.P. CONDUITNO. OF SIGNS TRANS. WIRINGNO. OF RANGES OR HEATERS FIXTURES MISCELLANEOUS POWER /�PERMIT FEE UTILITY CO.NOTIFIED f y� /fy AZ4TOTAL FEE FINAL WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT Q "afficm 7M60that I have a certificate of consent to self CE-806Gora certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS certified copy thereof(Sec. 3800, Lab. C.) •,PoItcy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. LOCALITY$ _ $ � C - tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Recv_Light�Sw..� MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work Involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars(:100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. i Total No. Additional CITY Tel. No. Date &--?- Applicant J•�, �� r,��' Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION J. -1 Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS '� Sj/1!f ©� with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY L!2 rl el. No _ LICENSED CONTRACTORS DECLARATION Dis — Room Air Cond. LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 p• REG. NUMBER 36 Class.L'–� (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCES11BY and Professions Code,and my license is in full force and effect. OO. / Size&Type HP, KW, KVA, or KVAR O License Number J!VdIPV� Lic. Class�0 ,p� Up to 1 Incl. FINAL U Contractor��-La 1RrOL Date cc - 0` /"Over 1 to 10 Incl. DATE VALIDATION Over 10 to 50 Incl. FINAL U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W B.BP.C. for this reason Over 100 d Date: Services,`Swbd.,MCC&Panelboards Z Z 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. i Pi:' SINGLE FAMILY 33D7ry(= HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit 1 I TEt IS Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits TOTAL 21D o Professions Code): ❑ 25 I, as owner of the property, will do the work and the Misc. Conduits&Conductors CHECK ='I'°2:9 structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— , CHANGE e Oct Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 1,;0000-03,0101 i1! 3129 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 6563 1 AM 11 2151 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the I TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby outhori epresentatives his County to enter upon the a _mf boned property f spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of Permittee Date ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0603280021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13613 LT: 19 5416 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802803 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8573-005-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 30.00 OUT 52.50 TENANT: G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 03/28/06 JK 09/24/06 H2 RES GREG DISP IT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: HS RES WASH MACH LT 3HP 1.00 WAS 10.95 FIPL DATE FINAL BY: CODE: LAM, ROOT (626) 780-5088- JB AC UNITS +3-10HP 1.00 AC 19.65 L 5416 PERSIMMON AV LB 200 AMP PANELS, MCC 1.00 PAN 38.85 b TEMP 917802803 TOTAL FEES 191.10 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE TO 200 AMP APPLICANT: TEL. NO: LAM (626) 780-5088- 5416 PERSIMMON AVE SPECIAL CONDITIONS: TEMP 917802803 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LAM, HOUT (626) 780-5088- 5416 PERSIMMON AVE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 NONE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BSO508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1408190057 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 13613 IT: 132 1 5514 PERSIMMON AV I (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917802805 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: DAINES I 18573-009-012 1A1 PERMIT ISSUANCE FEE 0.00 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 0.00 1 I (TENANT: IG2 LIGHTING FIXTURES 2.00 LGT 0.00 (ISSUED ON: PROCESSED BY: PLAN BY: I I TOTAL FEES 0.00 108/19/14 SR OWNER: TEL. NO: I IFI DATE FINAL Y: CODE: IMARTIN, ELVA (626) 422-3865- 15514 PERSIMMON AV I I lV ITEMP 917802805 I JD-ES-CEftPTfON OF WORK uI I I (OUTLET, SWITCH AND TWO LIGHT FIXTURES (APPLICANT: TEL. NO: I I SAME AS OWNER i ISPECIAL CONDITIONS: I (CONTRACTOR: TEL. NO: I I(APPROVALS DATE INSPECTOR SIGNATURE I 1 SAME AS OWNER - LIC. NO I ITEMPORARY POWER POLE I I I I (UNDERGROUND CONDUIT I I I I (ARCHITECT OR ENGINEER. TEL. NO: I JUFER GROUND I I I LIC. NO: I IROUGH CONDUIT I I I [ROUGH WIRING I IMAIN WATER LINE I I I I I IPLASTIC Y/N METAL Y/N I I I I I (UTILITY COMPANY NOTIFIED I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I (REPORT ID: DPR265 ROUTE TO: BS0508 1 I I I 1 I I I I i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0311140025 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRES -. TR: 13613 LT: 132 5514 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917802805 ASSESSOR INFORMATION NUMBER: i NEAREST CROSS STREET: DANBURY 8573-009-012 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED Y: PAN BY: EXPIRES 0 : 11/14/03 JK 05/12/04 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: BONTTY ELVA N (626) 548-5000- d4 J /' J 5514 PERSIMMON AVE z / WORK TEMPLE CITY 91780 DE RIPTIONOF WO K UPGRADE ELECTRICAL PANEL TO 200AMP APPLICANT: TEL. NO: � Vs SAME AS OWNER - v SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND - i LIC. NO: ROUGH CONDUIT ROUG� WIRING MAIN'WATER LINE PLASTIC Y/N METAL Y/N 1 UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: 950508