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