The URL can be used to link to this page

Home My Public Portal About9065 RANCHO REAL RD_Electrical_1964-03-25 SA663-CE80610-61 APPLICATION FOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION AD-DRESS 4 ✓� f�` �/ JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY__ _ [NEAREST FOR APPLICANT TO FILL IN CROSS ST. 1 T E M NO. I EACH _ _ FEE OUTLETS: (FIRST 20) $.20 $ Q OWNER LIGHTS RECEPT. SW. MAIL OUTLETS: (ADD'L UNITS .10 ADDRESS LIGHTS RECEPT. SW. LIGHTING,F'IXTURES: (FIRST 20) .20 CITY 72 M111 TEL. NO. LIGHTING FIXTURES: (ADDITIONAL) 10 ELECTRICIAN+ p CG RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY9014____ _ TEL.NO. (! DISHWASH. AUTO.-WASH. STATE ^ SPACE HTRS. STA.APP.(+/a H.P.MAX.) .50 LICENSE N O. 9 / v MOTORS: OVER NOT OVER H.P. DISTICTN GROUP ZONE P OC ED BY O 1 1.00 1 8 1.50 , INSPECTION RE&fRn r s 8 2.00 w''` `o, ' t O .r 8 15 2.50 to r? 15 50 8.00 A",.. `} , w O 50 100 5.00 U W D_ SIGNS: NO.TRANS. Z NO.LAMPS _ SERVICE 0-60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTAEIY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 U HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATRE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY]WIRING CONDUIT ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ' LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.:' POWER SIGNATURE �/� UTILITY CO.NOTIFIED OF PERMITTEE - FINAL IDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH �/ S WORKERS'COMPENSATION DECLARATION `fjd l0/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-8o6 I CE-BpbG Insure, ora certificate of Workers'Compensation Insurance., I COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sg�!d800, Lab. C.) o cy No. ovpB + ' Com7pa`fny Ele-om�� FOR APPLICANT TO FILL IN 'JOB Certified.co is hereby furnished. EACH NO. FEE ADDRESS iYY�� PY New Residential Bldgs. &Pools ❑ —Certified copy is filed with the county building inspec- 1 &2-Family,S q• Ft. $ $ LOCALITY NEAREST tion department. Multi-family Sq. Ft. dResidential Swimming Pools CROSS ST. /CdaS /✓ Date Applicant r OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' _� FMIRAM NAME DA�/J�G� Outlets: Rec�Light Sw. - , COMPENSATION INSURANCE i ADDRESS (This section.neleted if the work involved b P Y Additionaldditional CITY Tel. No.ed not be iom Total No. First 20 �� . the permit is for one hundred dollars($100)or less.) ' I certify that in the performance of the work for which this PLAN CHECK permit is issued, I shall not employ any person in any manner ' APPLICANT so as to become subject to the Workers'Compensation Laws. I Lighting Fixtures First 20 ADDRESS J' Total No. Additional Applicant CITY d[/0 &JWjV Tel. No. Date- /l� "�� n -NOTICE TO APPLICANT- If, after making this C rfi a of { Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range_.Heater._D.W. _ APPLICANT -Compensation provisions of the Labof Code; you must forth- Oven —Dryer _W.M.— ADDRESS with comply with such provisions or this permit shall be I Top _ FAU —W.H. — deemed revoked. Hood ._ Fan _Other_ CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG.NUMBER 7-'50 2-.. Class. .(commencing with.Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCES and Professions Code,and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR- License Number 75—OPI,_Ll' c. Class Up to 1 Incl. FINAL og ,/� Over 1 to 10 Incl. DATE VALIDATION 09 Contractors` Date- d� Over 10 to 50 Incl. FINAL � ❑ I am exempt under Sec. ' Over 50 to 100 Inc. BY. Lau B.&P.C. for this reason Over 100 via Services, Swbd., MCC&Panelboards Z Date 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. SINGLE FAMILY Temp. Power Pole&Appurtenances 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 2 7 0 Q 3 A Law for the following reason (Section 7031..5, Business and Professions Code): Po o 0 o o 2 ❑ I, aMisc. Conduits&Conductors s owner of the property, will do the work and the , 2 o 0 17.50 structure is not intended or offered for sale. (Section Ot1her(See Complete Fee Schedule)_ 7044, Business and Professions Code). 001 ,75:00 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for .10,20-82 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). I 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 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-mentioned pro rty for I ction purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signafu e of Permittee Date , , :76A663 NOR�ERS'C(IMPENSATION DECLARATION ICE-806C. (2-80) APPLICATION FOR ELECTRICAL PERMIT I here0gh affirm that I have a certificate of consent to self, COUNTY OF LOS ANGELES BUILDING AND SAFETY •insure lgr a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.`3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company EACH NO. FEE ADDRESS o�5 New Residential Bldgs.&Pools , Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. $ — $ LOCALITY ❑ Multi-family Sq.Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Rec.—Light Sw: MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. COMMNSATION INSURANCE PLAN CHECK d APPLICANT (This section need not be completed if the work involved' C) 2 Fixtures i htng xtures First 0 by the permit is for one hundred dollars ($100) or less:) LigADDRESS Total No. Additional at O I certify that in the performance of the work for which this CITY Tel No. 0 permit is Issued, I shall not employ any person in any manner Fixed Appliances Not Over 1 HP PERMIT LJJ so as to become subject to th�orkers'Compensation Laws. Range-_Heater D.W._ APPLICANT a Oven _ Dryer_W.M.•— ADDRESSN Date Applicant Top ,— FAU —W.H. Hood _ Fan _Other_ CITY1. ADANA Tel No: NOTICE TO APPLICANT: If, after making this.Certificate of Disp, _Room Air Cond` LICENSEOR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of'the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY with comply with such provisions or this permit_shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl, FINAL Over 1 to 10 Incl: DATE LICEr1SED CONTRACTORS DECLARATION Over 10.to 50 Incl. VALIDATION^ i I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 1.7 9 (commencing with Section 7000)of Division 3 of the Busi- BY ness and Professions.Code,and my license is in full force aOver 100nd Over 1 effect. Servicesmp.Und r 600 V License Num0-20ber Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V `HOME OWNER-BUILDER DECLARATION 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): 2.4 1 1.0 A Misc.Conduits&Conductors I, as owner of the property, will do.the work and the Other(See Complete Fee Schedule)— o;0 0 0 0 2 structure is not intended .or offered for sale (Section 7044,Business and Professions Code), CONSTRUCTION LENDING AGENCY% 2 °-023.50 I hereby affirm that there is a construction lending agency o - 2350.50 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 1 issued(Sec.3097,civ.C.). 05.25-82. Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 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-mentioned property for inspection purposes. SEE-REVERSE FOR EXPLANATORY LANGUAGE ' I PANAMRN ! Signature 09per flee Date WORKERS'COMP:ENSATIONDECLARATION ICE-806 APPLICATION FOR ELECTRICAL PERMIT CE-806 (2.80) I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES j 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 JOB Policy No. Company EACH NO. FEE ADDRESS New Residential Bldgs.&Pools Certified copy is hereby furnished. " 1 &2-Family,Sq. Ft. $ — $ LOCALITKI 0 Certified co is filed with the count building p Multi-family wi mi _ NEAREST copy y gins inspection 'Residential Swimming Pools CROSS ST department. OWNER OR FIRM NAME Date Applicant Outlets: Rec.^Light Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. — f >, COMPENSATION INSURANCE QONJ 010 PLAN CHECKa (This section need not be completed if the work involved APPLICANT U Lighting Fixtures First 20 'by the permit is for one hundred dollars ($100) or less.) ADDRESS Total No. Additional O I certify that in the performance of the work for which this CITY Tel No. permit,is issued I shall not em Fixed Appliances Not Over"! HP p employ any person in any manner PERM so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT tAWh U1 W Oven _ Dryer_W.M._ ADDR•ESSU) Date Applicant Top _FAU _W.H.._ e 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.NUMBER Class Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. RR ES D BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to 1 Incl. . FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDAT N 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. ness and Professions.Code,and my license is in full force and p �s effect. Services Z694 i10WR License Number. tic.Class 0=200 Amp.Under 600 V Over 000 Amp. or Over 0 0 , Contractor Date Over 1000 Amp.or Over 600 V 00el HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances ` �051.6P, I91, eby, affirm that I am exempt from'the Contractor's Sign with One Branch Circuit _ se Law for the following reason (Section 7031.5, B'usi- Additional Sign Branch.Circuits # 0,0 0 0 0. Z nd Professions Code): 2 ° ° 1 9.50 Misc.Conduits&Conductors 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 o 0 0 1 9 5 0 03: 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 07,27-81. . I hereby affirm that there is a construction lending agencyt 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 Permif Fee) 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 I - hereby authorize representatives of this County to enter upon, the above-mentioned pro erty for Inspection purposes. I SEE'REVERSE FOR EXPLANATORY LANGUAGE 1 •r � ignatureP ittee at ' • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0110020010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES MUD BUILDIVG ADDRESS: TR: 11218 LT: 21 BL: .001 9065 RANCHO REAL RD 'FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803031 ASSESSOR INOR 0 ER: NEAREST CROSS STREET: ROSEMEAD 5388-002-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY :G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 G2 LIGHTING FIXTURES 2.00 LGT 3.90 T SSEDON: PROCESSEDEXPIRES ON: H7 RES EXHAUST FANS 1.00 EX 10.95 10/02/01 JK 03/31/02 TOTAL FEES 52.35 OWNER: TEL. NO: FINAL DATE -FINAL BY: CODE: SUNG 9065 RANCHO REAL RD / "( TEMP 917803031 DESCRIPTION UF WORK CONVERT EXISTING BEDROOM CLOSET TO BATH APPLICANT: E O: ZI YI LI (626) 233-8148- 4152 LINCOLN SPECIAL CONDITIONS: EL MONTE _ S CO CONTRACTOR: -T-Er.- 0: 0 L �/�/ APPROVALS DATE INSPECTOR SIGNATURE ZI YI LI (626) 487-9163- 1`l 4152 LINCOLN AVENUE LIC. NO TEMPORARY POWER POLE EL MONTE CA 91731 766875,6 � UNDE RGROUND CONDUIT ARCHITECTOR ENGINEER: L. 0: r'' GROUND PETRA CONSTRUCTION MANAGE. (626) 233-8148 898 S. GARFIELD AVE. LIC. NOe / I �-�i �� ROUGHCONDUIT ; MONTEREY PARK, CA 91754 761300 81 L _ — 111 ROUGH WIRING '0 3 l � n, MAI j WATER LINE IL11 PLASTIC Y/N METAL Y/N U o L C �n�OU UTILITYCOMPANY NO I D Z-7 /' ❑ i F ILS Servic 'Je ThaY�S REPORT ID: DPR265 ROUTE TO: BS0508