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HomeMy Public PortalAbout5538 PERSIMMON AVE_Electrical__ 7GAeBS-CESOG 12-118 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS 3 OeP AJ, oci JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SuP`T O8 BUILDING LOCALITY 7/1--ol FOR APPLICANT TO FICC IN NEAREST CROSS ST. t p PERMIT FEES ITEM NUMBER EACH FEE OWNER OUTLETS: 8.10 s MAIL LIGHTS RECEPT. SW. ADDRESS LIGHTING FIXTURES .IO CITY C TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN 17A I WATER HEATERS .50 ADDRESSG e- ELEC.SPACE HTRS. DISHWASHERS CITY C TEL.NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE•NO. MOTORS: OVER INC. H.P. DISTRICT NO. G_OUP N P SSED BY O— 1/2 / 1 .25 1/2— 2 .50 INSPECTION RECORD 2— 5 1.00 5— Is 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. - NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 -� SUPPLEMENTARY PERMIT 50 TOTAL FEEg ,, APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INS ECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT _ ELECTRICAL WIRING. WIRING �--� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR G ` LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -� � r --r— CALIFORNIA OR THAT 1 AM THE LEGAL OVi4ER F HE ABOVE DESCRIBED RESIDENTIAL PROP POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE ATION ARTHUR C. VEIT. cK• Mo CASH SUPERVISING ELECTRICAL ENGINEER Z3 83an" nEiG , 8 2 A 255 7/AGE3-CESOO 5-/4 APPLICATION FOR ELECTRICAt PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. - RECEPT. TOTALNO. EACH FEE ' OUTLETS FIRST 20 S.20 S OWNER' LIGHT MAIL . ADD'L f0 ADDRESS ��'.•—�. SWITCH. OVER 20 LIGHTING TOTAL CITY TEL.NO. i FIRST 20 .20 FIXTURES 1 AGD'L ,10 ELECTRICIAN JOLO.We, P '��st :�te OvIER 20 NGEB CLO.DRYERS. WTR.HTRS. 1.00 ®" ADDRESS p'l�� ��4 r�oA , ,/.y gi.�d"�rG_tz GARB.DISP. -BTA.COOK CITY. i-^j / '✓'66' TEL;71V0:!/ A DISHWASH. AUTO.-WASH. STATE ,y�?/� SPACE NITRO. STA.APP.(Vs X.P.MAX.) .SO LICENSE NO- Q (J MOTORS, OVER NOT OVER H.P. DISTRICT N TP ZONE .PR B O f 1.00 f 5 1.50 INSPECTION RFC 1? s 8 .2.00O V S 1s 2.50 1 Imo/ o S C l-A M P O0 �j O 15 BO 5.00 1'o C) C I - SO 100 5.00 N SIGNS. NO.TRANS- Z NO.LAMPS SERVICE O-GOOV-NOT OVER 200A m 1.00 SERVICE O-SOOV-OVER 200 A. 2.00 SERVICE OVER GOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 6j • SUPPLEMENTAPY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITS, ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. - i 1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANd STATE OF FIXTURES V CALIFORNIA OR THAT 1 THE AL OWNER OF THE ABOVE DESCRIBED RESIDE_NTI a POWER r SIGNATURE / UTILITY CO.NOTIFIED sIl- J OF PERMITTEE iFINAL -io- it ./i % �IDATION ARTHUR C. VETT (�MO CASH SUPERVISING Eur ICAL ENGINEER LA 'o1233 my 5 2 D 5.00~ d IBAG63-CESOO18.58 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT BUILDING B.UIL NG AND SAFETY DIVISION ADDRESS n��alMmOr✓ JOHN A.LAMBIE,COUNTY ENGINEER �El,,l P Z 1, r r%r CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FFOR APPLICANT TO FILL IN NEAREST cc c PERMIT FEES CROSS ST. C ITEM NUMBER EACH FEE OWNER rz I - 0— : $ S MAIL ADDRESS -3 1/1 PER S 1 n► r- 0 PJ LIGHTSRECEPT. SW: .10 G FIXTURES .10 'CITY 11110k Q 1 T TEL.NO. Cs -3 7 GES CLO.DRYERS ELECTRICIAN U-J N E TER HEATERS .50 ADDRESS CE HTRS. DISHWASHERS CITY TEL.NO. ISPOSERS AUTO.. STATE STA.COOKING UNITS ,25 LICENSE NO. OVER INC. H.P. I DISTRICT IVB. GROUP ZONE CESS Y 0— 1/2 .25 1/a— 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 0 c SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE S APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE T INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 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 I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA PROPERTY. POWER SIGNATURE r UTILITY CO.NOTIFIED r OF PERMI E ` �^���CCC FI.NPA�L De VALIDA� SUPERVISING ELECTRICAL ENGINEER CK MO CASH 5 2'7`',-, AUG 21 2 A 2.0 a OR RS' OMPENSATION DECLARATION 70AW 10/81 1 ��" " CE-806G APPLICATION FOR ELECTRICAL PERMIT I hereby.j r n that I have a certificate of .consent to self la,sSre; qr b certificate of Workers'Compensation Insurance, .l (, COUNTY OF LOS ANGELES t BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) ` I PolNew Residential Bldgs. 8 Pools icy i4a. Company ' FOR.APPLICANT TO FILL IN JOB i j Certified copy is hereby furnished. ,' EACH NO. FEE ADDRESS / I y� q• Ft. 1 &2-Family, S $.. — $ LOCALITY Certified copy is filed with the county building inspec- ❑ _ NEAREST tion department. Multifamily Sq. Ft. CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME 0 PAR CERTIFICATE OF EXEMPTION FROM WORKERS' r MAIL' COMPENSATION INSURANCE Outlets: RecLight Sw. ADDRESS This section need not be completed if the work involved b First ti 20 mw ( R 11 ' �' Total'No. Additional the permit Is for one hundred dollars($100)or less.) ( PLAN CHECK AF 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 ' so as to become subject to the W4OrKersi'Co ensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Dale —' pplieant Fixed Appliances Not.Over 1 HP PERMIT NOT TO APPLICANT: If, afteg this ertificate ofAPPLICANTExemption, you should becomct to the Workers' Range_ Heater—D.W. _ PIZ. 104 Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ` ADDRESSss with comply with such provisions or this'permit shall be Top _ FAU —W.H. — 4/ r� deemed revoked. CITY �v LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ Disp. —:Room Air Cond. LICENSE OR Class. � 1 hereby affirm that lam licensed under prov.isions.ofChapter9 REG.NUMBER (commencing with Section 7000)of Division 3 of the Business DISTRICT N PROC Y p: and Professions Code,and my license is in full forceond effect. Power Apparatus&Large Appliances �s�` /� eO Size&Type HP, KW, KVA, or WAR, 5c U () License Number ® Lic. Class. Up'to'1 Incl. FINAL. LIC t ., Over 1 to 10 Incl. DATE d _ � VALID I N H Contractor. Date 1, FIN Over 1.0 to 50 Incl. W ❑ 7��A,4 Iam exempt under Sec. Over 50 to 900.Irrc:; BYQvB.&P.C. for this reason Over 100Z Date: 'Services, Swbd., MCC&Panelboards ► 0 -200 Amp. Under 600 V Signature 201 - 1.000 Amp. Under 600 V ;2 5 Q a l A Over 1000 Amp. or Over 600 V ' Exemption for•Re .Maint, Elect. # 0 0 0 0 0 2 SINGLE FAMILY Temp. Power Pole&Appurtenances „) o 033,00 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's License Additional Sign.Branch Circuits I o . 0 -33.00, Law for the following reason (Section 7031.5, Business and Professions Code): 0 7 18-86 F-1I, as owner of the ro er will do the work and the Misc. Conduits&Conductors ; p. 'Other(See Complete Fee Schedule)_ structure is not intended d or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY i II hereby affirm that there is a construction lending agency for I the performance of the work for which this permit is issued PERMIT.FEE , (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE ; Lender's Address I certify that I have read this application and state that the TOTAL FEE a o0 above information is correct. I.agree to comply with all County t ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-me' coned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si atu of Per ittee Date 1 COUNTY OF LOS ANGELES i TEMPLE CITY # 0508 I ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS I 9701 LAS TUNAS I EL 0508 0311250008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL I D: FEES PAID I BUILDING R TR: 13613 LT: 25 5338 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802801 ASSESSOR INFORMATION BER: ; NEAREST CROSS STREET: FREER 8573-005-013 Al PERMIT ISSUANCE E 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,REC - 14.00 OUT 27.30 EN G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED : PLAN BY: EXPIRES ON: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 11/ 5/03 JK 05/23/04 I TOTAL FEES 101.70 OWNER: TEL. N0: i F"' FINAL BY: CODE: HUDSON;STEPHANIE (626) 446-0953- -;�7-70 5338 PERSIMMON AV TEMP 917802801 DES'RIPTION OF WOR UNDE ELECTRICAL PANEL; REWIRE SOME LIGHTS, OUTLETS & SWITTCHES PPLICANT: TEL. 0: i SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - . -(tI0 TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: - I UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING I MAIN WATER LINE PLISTIC Y/N METAL Y/N I UTI LITY COMPANY NOTIFIED- REPORT OTI EDREPORT ID: DPR265 ROUTE TO: BS0508 1 r ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308210032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES D BUrLVING ADDRESS: TR: 13613 LT: 25 5338 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802801 ASSESSOR INFORMATION NEAREST CROSS STREET: FREER 8573-005-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.80 TENANT: JB AC UNITS +3-10HP 1.00 AC 10.80 S : PROCESSED B BY: E P E . TOTAL FEES 49.35 08/21/03 JK 02/17/04 . OWNER: TEL. NO: FINAL DA FINAL BY: CODE: HUDSON;STEPHANIE (626) 446-0953- _ 5338 PERSIMMON AV TEMP 917802801 DESCFPTplf OF WORK NEW VA SYSTEM APPLICANT: TE . 0: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: U ER GROUND LIC. NO: ROUGH CONDUIT ROUGH G IN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508