Loading...
HomeMy Public PortalAbout5734 PRIMROSE AVE_Electrical__ 76p,663-CE806 10172 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 0 �Qn LOCALITY 72iw fee ell NEAREST �U FOR APPL'IC'ANT TO FILL IN CROSS ST. Agm OUTLETS. NO. EACHIII FEE OWNER OR Q $ S FI RM,NAME_ RECEPT. 1. MAJLADDRESS LIGHT �7 TOTAL FIRST 20 .25 �� CITY e j TEL. NO. SWITCH OVER 20 ,10 PLAN CHECK LIGHTINGFIRST 20 25 APPLICANT TOTAL g� OVER 20 ,0 ADDRESS FIXTURES RESIDENTIAL APPLIANCES CITY Z� �J TEL. N0, � � PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.'A.U. ADDRESS SPACE HTR. AIR GOND.. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND.. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE A TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0.- 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI1. AM THE LEGAL OWNER OF THE ABOVE 1 - 10 3.00 OESCRmED RESIDENTIAL PROPERTY. V PERMITEE 10 - 50 5.00 SIGNATURE I= O 50 - 100• 10.00 DISTRICT NO. PROCES V D BY v W 100' - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE" INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE. SERVICE NOT OVER 600VOLTS-OR200AMP 3..00 U.NDERSLAB WORK SERVICEOVER600VOLTSOR200AMP 10.00 ROUGH CONDUIT TEMPSERVI.CE,POLE,'&APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED, UTILITY CO. NOTIFIED FINAL 7-//,--7 q PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE. s-0C2� PLAN CHECK VALIDATION CK. m.0. CASH 1 RUlt VALIDATION cK, M.0. CASH O 3 `NAR 12U 2 © 6.00A98 SEE BACK OF APPLICATION:FOR COMPLETE SCHEDULE " u 76%6"-CEa06 10,72 APPLICATION OR ELEC RICAL PERMIT. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB I r BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST, r J/ OUTLETS NO. EACH FEE$ $ FIRM NAME r OWNER RECEPT._ MAILS r LIGHT TOTAL FIRST 20 •25 OVER 20 CITY TEL. N0. — ,34 SWITCH 10 PLAN CHFCKV LIGHTINGTOTALHFIRST 20 25 APPLICANT VER 20 ADDRESS FIXTURES •10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NO. NSE OR CLOTHES WASH. DISHWASH. REG.LICENUMBER CLASS. FAN OTHER 1.00 U 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE 14 TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI 1 AM THE LEGAL OWNER OF THE ABOVE • 1 - 10 3.00 DESCRIDED RESIDENTIAL PROPERTY. O PERMITEE V 10 — 50 5.00 SIGNATURE O 50 — 100 10A0 DISTRICT NO. PROC SSED BY W 100 — 500 15.00 �. O l y Z 46 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CE NOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVICE OVER 600VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 7 -IP-7IV TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 300 TOTAL FEE lepooll a O PLAN CHECK VALIDATION CK. M.0. CASH PER T ALIDATION CK. M.0. CASH 3 3 6raPR 2 2 4.00 ♦98 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE lSA559 DBS•9A 8.59 APPLICATION FOR ELECTRIC R RIC Y ERYV.I ■ 1 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of LOS Angeles / BUILDING 1 `�Gam' ADDRESS WM:J.FOX,COUNTY ENGINEER � CASSATT D.GRIFFIN.SUPT OF BUILDING '44' LOCALITY FOR APPLICANT TO FILL IN NEAREST `' PEBMT FEES CROSS ST. NUMBER EACHLFEE OWNER LIGHT OUTLETS n MAIL RECEPTACLES ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ CITY TEL. O. ELEC.RANGES 25 .� ELECTRICIAN ELEC. HEATERS 25 ADDRESS KW EA CITY FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP ZO E READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS . �m,'+r X00 MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER I INC. EACH lh.B LESS $ .25 %4 2 .50 2 5 .1.00 5 15 1.50 I5 50 2.50 50' 200 5.00 - M ISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE S DATE INSPECTORS SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING O 'C` ELECTRICAL WIRING. :-I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL- NER OF THE ABOVE POWER DESCRIBED RESIDENT PRO TY L SIGNATURE UTILITY CO.NOTIFIED O C S OF PERMITTE FINAL r WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR SCO 9 0 9 7 1 GCT 17 2 1 .2 5 In u y�WORKERS'.COMPENSATIONDECLARATION 76A663 l0/81 APPLICATION FOR ELECTRICAL PERMIT ,1101. here&5 ;affirm thc%-I;have a'certificate of consent to self CE-8066 insu ora 2brtificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C,) Policy No. Company FOR APPLICANT TO FILL IN JOB i i A/ ,s Certified co is hereby furnished. EACH NO. FEE ADDR `/� „ X PY Y New Residential Bldgs. &Pools �LTL_J Certified copy is filed with the county building inspec- 1 &2-Family,8q. Ft. $ = $ LOCALITY �f Gtr do d ment. Multi-family Sq. Ft. CROSS'NEAREST. Date'S� � rSarZAi'Zn Residential Swimmin Pools Applican Y/�yL OWNER OR FIRM NAME. CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed If the work Involved b .First 20 ( P y Total No. Additional CITY ( Tel. Not —4� 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 so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date- Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_.Heater_D.W. _ v Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS 3 with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. CITYQ Tel. IVo. �� Hood _ Fan Other_ 3z/3 _ LICENSED CONTRACTORS DECLARATION LICENSE OR ry I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER. A. vl�� Class.e5 (commencing with Section 7000)-of Division 3 of-the Business Power ApparatusA Large Appliances DISTRICT NO. PROCESSID BY and.Professions Code,and my license is in full force and effect. I �( /1 Size&Type HP, KW, KVA, or KVAR' V License Number. Lic. Class Up to 1 Incl. FINAL %P Over 1 to 10 Incl. DATE ��>� X06 VALTION Contractn Date (� r 10 t Over o 50 Incl. � ❑ FINAL I am exempt under Sec. . Over 50 to 100 Inc. BY / B.&P.C. for this reason Over 100 Q `�— N Date: Services, Swbd., MCC&Panelboardspop. &2 1 Q 0 A 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V # o o o o o 2 ❑ Over 1000 Amp, or Over 600 V Exemption for Reg. Maint: Elect: I o o 4 Q 5 0 SINGLE FAMILY Temp. Power Pole&Appurtenances 'o 0 0 4 Q 5 0 c=i HOME OWNER-BUILDER DECLARATION Sign with.One Branch Circuit I hereby affirm that I am.exempt from the Contractor's License Additional Sign Branch Circuits oIL 2 3 —85 Law for the following reason (Section 7031.5, Business and Professions Code): ❑ ],'as owner of the property, will do the work and the Misc. Conduits&Conductors , structure is not intended or offefed for sale (Section Other(See Complete Fee Schedule)_ ► 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 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 ap tion and state that the TOTAL FEE �1OJ above information is correct. I ee to comply with all County ordinances and tote law gulating Electrical wiring, and hereby u o e repres tatives of this Coun y to nter upon the a n.e .roperty for inspecti ses. SEE REVERSE FOR EXPLANATORY-LANGUAGE I Signature of Permittee Date WORKER S'COMPENSATION DECLARATION Nr CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT y f I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES 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 B Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 5Ip,� Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ $ LOCALITY `C NEAREST Certified copy is filed with the county building inspection Multi-family Sq. Ft. CROSS ST Z Residential Swimming Pools / ,� department. OWNER OR FIRM NAME dJ/�GL�/ O LLG Date Applicant Outlets: Rec. fight 2'First 0 SU S ADDRESS ,-113 sE First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. hl Additional CITY Tel No. y COMPENSATION INSURANCE } PLAN CHECK p„ APPLICANT p (This section need not be completed if the work involved Lighting Fixtures First 20 ADDRESS U by the permit is for one hundred dollars ($100) or less.) Total No. Additional I=I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel O permit is issued, I shall not employ any person in any manner PERMIT (~j so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT W Oven _ Dryer_W.M._ ADDRESSWZ N Date Applicant Top _ FAU _W.H.._ 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.NUMBE Class Compensation provisions of the Labor Code,you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE SED BY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR r deemed revoked. Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE / / �/^ LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I(/10' ( VALIDATION 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 Busi- Over 100 BY r• ness and Professions Code,and my license is in full force and effect. . Services License Number Lic.Class 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION 1 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 f, O 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY i' o o (1 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) I n 20-80 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE / 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-mentio ed prope f r inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE . 1-6Signature of Permittee ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0501250036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGA D: F55S PAID BUILDING ADDRESS: TR: 6561 LT: 653 5734 PRIMROSE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802507 ASSESSOR OR 0 ER: NEAREST CROSS STREET: LAS TUNAS 8587-016-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C HA FAU LESS 3HP 1.00 FAU 10.95 TEN T: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: P 0 E SED BY: PLAN BY: EXPIRES ON: TOTAL FEES 58.35 01/25/05 JK 07/24/05 OWNER: TEL. NO: F IML,'DATE F Y: CODE: TAILIN, MARCELLA (626) 230-9663- 5734 PRIMROSE AV �-- TEMP 917802507 FE-SCRIPTION OF WORK ELECTRICAL FOR FAU, AND AC UNIT. APPLICAN EL. NO: GLENN HEATING & AIR (626) 445-4150- 119 LA PORTE ST. #A SPECIAL CONDITIONS: ARCADIA, CA 91006 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE GLENN HEATING & AIR (626) 445-4150- 119 LA PORTE STREET #A LIC. NO TEMPORARY POWER POLE ARCADIA, CA 91006 827367C20 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TE . N0: UFER GROUND LIC. NO: ROUGH CONDUIT iROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY OTIFIED REPORT ID: DPR265 ROUTE TO: BS0508