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HomeMy Public PortalAbout6028 PRIMROSE AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0203060011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL - FEES PAID BUILDING S : TR: 6561 LT: 259 6028 PRIMROSE AV FEE DESCRIPTION: QUANTITY: UOM AMOUNT: TEMP CA 917802033 ASSESSOR N 0 U B R: NEAREST"CROSS STREET: GARIBACM-1 -- 5385-013-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 62 1 OR 2 FAMILY DWELL 1744.00 SQ 183.12 TOTAL FEES 210.87 ISSUED : PROCESSED -PLANB EXPIRES O : 03/06/02 JK 09/02/02 OWNER: TEL. N0: FINAL DATE FINAL CODE: KONG, SHERMIN (616) 287-8003- 6028 PRIMROSE TEMPLE CITY CS 91780 ESC N 0 WOR ELECTRICAL FOR NEW SFR APL O: SAME AS OWNER - SPECIAL CONDITIONS: ANGELES �� CONTRACTOR- TEL. N0: �� ��/,. APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - V LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. 0: UFER GROUND ,� / ZHANG, DAVID (626) 289-6300- ,C V 301 N. ROSEMONT BLVD LIC. NO: ���� ROUGH CONDUIT SAN GABRIEL CA 91775 46379 OUG—H-W-rR-f NG 71Z 02, F U D U0 VA O K S MAIN WATER LINE w PLASTIC Y/N METAL Y/N TILT CO PA NO IF ED a 2 � D ❑ }�'O 46,E ❑ � o� c Service REPORT ID: DPR265 ROUTE TO: BS0508 TPENFLE CITY A683=CEaDa 10_61 APPLICATIOWFOR ELECTRICAL PERMIT �•�f ~� 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 At A Ae e4 NEAREST FOR APPLICANT.TO FILL IN CROSS ST. ITEM NO. I EACH FEE OUTLETS: (FIRST 20) $20 $ OWNER , t LIGHTS RECEPT. aw:_ MAIL % „y,a OUTLETS: (ADD'L UNITS) .10 ADD12E8 �w uGHTS RECEPT. ow.- LIGHTING FIXTURES: (FIRST 20) ,20 0 CI TEL.NO: Jv LIGHTING'FIXTURES: (ADDITIONAL) .10 ELECTRICIAN RANjSES CLO.DRYERS WTR.HTR8: 1.00 AD6RES8 GARB.DISP. STA.COOK ' CITY DISHWASH. AUTO.-WASH. 1 STATE SPACE HTRa. STA.APP.(I/s H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICTG P ZONE P O D BY O 1 1.00 1 s 1.50 INSPECTION CORD s a 2.00 :�,'�✓/�a O U 8 15 2.50 Cid Jr `i% /L:!/ .sr.+ ;--�. �s r/� ✓ �y" 15 50 5.00e-, 50 '' ' :ter ' '• \ /:'�t�t * S 50 1.00 5.00 C SIGNS: NO.TRANS. -_ - / •,Q•� ////-''' _ •�_ Z NO.LAMPS -' �•-?ill _�::�- ' -�ii Ji - SERVICE O.600V•NOT OVER 200A1.00 151, SERVICE O.600V•OVER 200 A. 2.00 �; / / SERVICE OVER GOOV 5.00 MISC. 1-7 Ko PERMIT ISSUING FEE 2.00 A/Be �,v:+ SUPPLEMENTARY 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 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING n ELECTRICAL WIRING. WIRING .iA, pLr{?�•a,� I HEREBY CERTIFY THAT I AM PROP Y REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANG COUNTY AND STATE OF FIXTURES' CALIFORNIA OR THAT I AM THE LFAAL O R OF THE ABOVE DESCRIBEDRESIDE POWER zu SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE f, �__/ FINAL +.<9/�:.3r: VALIDATI ARTHUR C. VEIT CK MO r� SUPERVISING.E'LECTRICAL ENGINEER . CAS • IV LEO 4 7 49 X120 2 0 2.8 0- °EB°°20 -59 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE.COUNTY ENGINEER 1 WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PER= "XS CROSS ST. OWNER V Vim, ITEM NUMBER I EACH FEE OUT $ S MAIL LIGHTS HECK". SW. .10 ADDRESS j 1 LIGHTING FIXTURES 10 - CITY TEL.NO ELEC.RANGES CCO.DRYERS 3 ELECTRICI . WATER HEATERS .50 ADDRESS ELEC.SPACE HTRB. DISHWASHERS CITY TEL.NO. GARBAGE DISPOSERS AUTO:- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. •DISTjilC;TNq GR'�O—U—P+ �Z•ONE P SSE S. 0— 1/2 .28 e�Y, !l . 11/2— 2 .50 INSPECTION RECORD 2— 5 1.00 x a— 18 1.50' 18— SO 2.50 / 0, �y 50-200 5.00 Q / NO.TRANS. SIGNS: NO.LAMPS SERVICE 0-600V 1.00 f. fN/��O'.f ' SERVICE OVER 600V 5.00 misc. /j�•: D 7' 1'T�/�'T - ll) YF T WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 1A/?�'li �rr1.:::�.:•7.�t'�y�=? SUPPLEMENTARY PERMIT .50 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LI ON APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH .ALL COUNTY ORDINANCES AND STATE LAWS. REGULATING CONDUIT ELECTRICAL WIRING. / - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES r,I�`i 'r%.J �—��¢. �.'—��s✓'r CALIFORNIA OR THAT 1 AM THE LE WN OF THE ABOVE DESCRIBED RESIDEN L ROPER POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTIT �r11AATION ARTHUR C.VETT, J CK NO CASH SUPERVISING ELECTRICAL ENGINEER LVLQ 9 4 2 6 DECQ 420 b 1 w L A. WORKER'S COMPENSATION DECLARATION.to l 77BA663 DPW(12.9.1) APPLICATION FOR ELECTRICAL PERMIT I heret>S•affirlfi.t#Iat y have a certiticatrl'of cln.sgnt to self insure, ' ora ce7tifloats of Worker's Compensation Insurance, or a certified COUNTY OF LOS GELE$ DEPT.OF PUBLIC WORKS BUILDING,AND SAFETY DIV. copyYflereofl(Sgc.3800 Lab.C.) , ! Poll cy�No- Company FOR APPLICANT TO FILL IN 13 ' ADDRESS - O .v Certified copy is.hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE . _ $ $ LOCALITY —�^m L C 17 ❑ Certified copy is filed.with the county building inspection. 1&.2-Family,Sq.Ft. _ NEAREST department. Multi-family Sq.Ft. CROSS•ST. Date: Applicant Residential Swimming Pools ASSESSOR _. "• MAP BOOK '� PAGE�� PARCEL D,/' . CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. LI ht OWNER OR COMPENSATION INSURANCE �� /fj FIRM NAME (This section.need not be completed if the work Involved by the First 20 o MAIL permit is for one hundred dollars(S100)or less.) Total No. Additional ADDRESS I certify that in the performance of the work for which this.permit CITYIWE — Tel.No& 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 APPLIICANTK Total-No.: Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY T.A.No. .Exemption,you!should become:.subject to the Workers',Compensation OTHER APPLIANCES.NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such APP(CANT provisions or this.permit shall be deemed revoked.. Power Apparatus.&Large Appliances _ .LICENSED.CONTRACTORS DECLARATION' ! Size:&Type.HP„KW,:KVA,or KVAR ADDRESS 1 .h.debby affirm that.I am.lice.nsed.under provisions of Chapter 9 Over 3 to 70 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel..No. Professions Code,and.my license.is in full force and effect. Over 10 to 50 Incl•. ' .Over 50 t0 100 Incl. LICENSEOR Class. '.- _ REG.NUMBER. Over 100 DISTRICT NO. PqPSESSSD.BY License Number Lic.Class. Servicesl'Swbd:;MCC&Panelboards • CDntrflCtdr 0 399.Amp:'Under 600 V FINAL Date DATE' 400-1000 Amp.Under 600 V VALIDATION. V ❑ I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL d BAP.C..for this,reason BRANCH CIRCUIT FEES BY co, Date: 15A,or 20A,120V,Lighting.or Recept. Z. 1To 10 Branch Circuits Signature 11 To 40.Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br..Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances. ACCT o a HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 333, 51.,.3[ I hereby affirm that I am..ezempt.from the Contractor's,'L'icense Law for the following reason(Section 7031.5,.Business.and Professions Additional Sign:Branch Circuits. Code):. . 1 ITEMS 1=1 11 as owner of the property,will do the work and the structure Misc.Conduits'&Conductors TOTAL 51 0 is not intended or offered for sale(Section 7044; Business Other(See Complete Fee Schedule) CHECK 51°30 and Professions Code).. HE a V CONSTRUCTION LENDING AGENCY CHANGE I hereby affirm that there is a.construction lending agency•for'the performance of'the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) CIV.C.) 0000-0001. 5/28/196 PLAN-CHECKING FEE' yQ 1 AM11�1? Lender's Name.. PERMIT ISSUING FEE LendereAddressTOTAL FEE I certify that I have read'this application arid'Under penalty of p ry state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical-Wiring,and hereby authorize representativesof this County to enter upon the above=mentioned.property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ' -z g-Q� SIGNATURE OF PERMIT. E DATE ' i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9902180035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL I0: FEES P I IBUILDING ADDRESS: TR: 6561 LT: 259 6028 PRIMROSE AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802033 ASSESSORTNFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF 5385-013-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY LA 100 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: - TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: P A B PIRES ON: 02/18/99 UT 02/18/00 OWNER: TEL. 0: FINAL DATE FINAL BY: KONG, FRED (626) 309-9922- 2-lg „/,_l I 3728 IVAR AVE. vV ROSEMEAD, CA ESCR PTION 0 WOR NEW ELECTRICAL SERVICE PANEL UPGRADE - 100 AMP SERVICE APPLICANT: TEL. SAME AS OWNER - SPECIAL CONDITIONS: ANGELES CO CONTRACTOR: TEL. NO: 05 ��r APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE f UNDERGROUND CONDUIT ARCHITECT 0 GI R: TE 0: /r R'GRO D LIC. NOROUGH CONDUIT JJfL , ROUGH IRI G MAIN WA 'DU ES' L C W©FORKS) PLASTIC TYIN LIMETAL YIN 00 TILITY COMPANY-NOTIFIED C7 ❑ � �00 v 0 48��c El Service Thai I REPORT ID: DPR265 ROUTE TO: BS0508 I i