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HomeMy Public PortalAbout6002 RENO AVE_Electrical__ LC r ar j` L d'Y--j/-x_L C-L 7 76AG63-CEG0610/74 APPLICATION FOR ELECTRICAL P &MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �DDRESS &002, BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST MIJ, OUTLETS NO. EACH FEE OWNER RECEPT, $ $ MAIL LIGHT TOTAL FIRST 20 D ADDRESS QQ jee puej Ati<{J OVER 20 CITY TEL. NO. SWITCH PLAN CHECK LIGHTINGTOTAL FIRST 20 APPLICANT FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. - F.A.U. ADDRESS IO SPACE HTR, AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE OR REG. NUMBER CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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 & 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 THAT I AM THE LEGAL OWNER OF THE ABOVE d i - 1O 9.00 DESCRIBED RESID TIAL PROPERTY. p V 10 - 50 600 PERMITEE SIGNATURE ��( + O 50 - 100 10.00 yVj DISTRICT NO. PROC SED BY C+_ N 100 - 500 15.00 & y....� Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE LINOTOVER600VOLTS OR200AMP _8.00 U UNDERSLAB WORK VER600VOLTS OR200AMP 10.00 ROUGH CONDUIT VICE,POLE,&APPURTENANCES 5.00 WIRING HT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL Z EE (SUB TOTAL) NOTES: CK FEESUING FEE 3.00EEO PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C . M.O. CASH 908Ell TANT 48 D SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE11 ,j/�J,�L. 0 "u/'1 WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12.91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a_ce�tificate of consent to self insure, 76A663 or a certificate of Worker's 6Cri pensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab,C.) Policy No. Company FOR APPLICANT TO FILL IN JOB D DZ ❑ ADDRESS Certified copy'is hereby furnished. NO. EACH FEE New Residential Bldgs.&Pools / Z11-? ❑ _ $ $ LOCALITY L Certified copy is filed with the county building Inspection 1&2-Family,Sq.Ft, r n department. Multi-family Sq.Ft. CROSSSST. /1jjE /nQS�7 Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' f OWNER OR Outlets:RBC._Light SW. FIRM NAME �CQ c FAi2rl.9r� COMPENSATION INSURANCE First 20 ` Z,Yd (This section need not be completed If the work Involved by the MAIL permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS �pl� dil0 I certify that in the performance of the work for which this permit CITY C%• Tel.No OO//�3d is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures / First 20 APPLICANT Total No.�_ AdditioJHP. ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER NOTICE TO APPLICANT: If, after making this Certificate ofCITY TeI.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 provisions of the Labor Code,you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT �y LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY f/ Tel.No. -- Professions Code,and my license is in full force and effect. Over 10 to 50 incl. >„ LICENSE OR Class. Over 50 t0 100 Incl. REG.NUMBER �!� ' CIL License Number Lic.Class Over 100 DISTRICT NO. ( P SED�BY� _ ® V Services,Swbd.,MCC&Panelboards . �O �GG�a—c��-v Q Contractor Date 0-399 Amp.Under 600 V DATE O 400-1000 Amp.Under 600 V -� VALIDATION W I am exam under Sec. Over 1000 Amp.or Over 600 V FINAL (L B.&P.C.for this reason BRANCH CIRCUIT FEES BY C/) Date: 15A,or 20A,120V,Lighting or Recept. Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits ^} y SINGLE FAMILY Temp.Power Pole&Appurtenances a HOME OWNER-BUILDER DECLARATION ACC i r ith Ci B with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Sign w �•r. for the following reason(Section 7031.5, Business and Professions. Additional Sign Branch Circuits 70 ,, 69 n_I-' 7ITC, C JI,as owner of the property,will do the work and the structure Misc.Conduits&Conductors . 11—Ma is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , ;i-IT(:1 X - 00 and Professions Code). -C - CHEV, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the I '•HF}I`IGIIE n�-1=' performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE '�4 Lender's Name '� PERMIT ISSUING FEE .SAM Q:41 Lender's Address � / /� I certify that I have read this application and under penalty of purJury state 'TOTAL FEE (®�/ that the 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 ply poses. SEE REVERSE FOR EXPLANATORY LANGUAGE SIONAT OF PERMI E 24(_ WORKERS'COMPENSATION DECLARATION 76A669DPW3'87 APPLICATION FOR ELECTRICAL PERMIT ' I hereby Affirm that I ha+I­ a cerfif�t,v,fe of consent to self CE 806G I ` insure, or a ct�titicate oW;*,,drkers"C6mpensat'on Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS L, or a certified copy thereof (Sec. 3800, Lab. C.) 113-)l acy No. Company FOR APPLICANT TO FILL IN JOB /! ❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO FEE ADDRESS 6 eo.Z Ae,,zv �iGt�• LOCALITY y ❑CDrtified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ /���� Z1,/ tion department. Multi-family Sq. Ft. NEAREST Date Applicant Residential Swimming Pools CROSSOWNEST ����G�� FIRM NAME R,0 e A 1054 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: ReclLight� g:: ...� SwMAIL COMPENSATION INSURANCE ADDRESS & First 20 a5- tri a Aoc .(This section need not be completed if the work Involved by Total No. Additional CITY C�/f Tel. N ,Fi'� �JS QS the permit is for one hundred dollars($100)or less.) PIAN CHECK I certify that in the performance of the work for which this APPLICANT ���r C D- F.4%rC�Ji�IN� permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. ��pql If Additional Date Applicant Total No. CITY A Tel. No_ NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Rangel— Heater—D.W. APPLICATION ow C �f�/r �f� 7!r Compensation provisions of the Labor Code, you must forth- Oven L Dryer —W.M. ADDRESS c with comply with such provisions or this permit shall be Top FAU W.H. — deemed revoked. Hood Fan Other— CITY /f Tel. No. •®- LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. Room Air Cond. REG NUMBER /�0.0" Ir Class. I hereby affirm that I am licensed under provisions of Chapter 9 CdKi.�1� (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PRO ED >_ and Professions Code,and my license is in full force and effect, Size 8 Type HP, KW, KVA, or KVAR I-- D- O ` Q License Number Lic. Classi U Up to 1 Incl. FINAL Contractor Date Over 1 to 10 Incl. DATE �j VALIDATION 0 Over 10 to 50 Incl. ❑ I am exempt under Sec. Over 50 to 100 Inc. BY AL W B.&P.C. for this reason Over 100 a- Services, Date: OVI ®Services, Swbd., MCC& Panelboards Z 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 ,. I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ��€� a Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits A Professions Code): -- +-+ I. I, as owner of the property, will do the work and the Misc. Conduits&Conductors Fee Schedule Complete See Itri_ Oe structure is not intended or offered for sale(Section 7044, Other( P )— Business and Professions Code). ® TOTAL 121 .30 CONSTRUCTION LENDING AGENCY r+��!�,+}/S.► t-I LL`•K -1.7 �- Ihereby affirm that there is a construction lending agency for 4}_r 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 OJ `j_ii PERMIT ISSUING FEE h/ I/F.,yN{ILender's Address TOTAL FEES I certify that I have read this application and state that the 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 al2ove- a boned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE lu b1bnature 8f Permittee D fe n's s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1501120016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: I ITR: 5904 LT: 66 I I 6202 RENO AV ]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801534 [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15384-004-002, IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 8.00 I I (TENANT: H2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 (ISSUED ON: PROCESSED BY: PLAN BY: I ] IH4 RES RANGE HDS IT 3HP 1.00 HOO 11.00 101/12/15 SR [ ] [ TOTAL FEES 57.80 1 [ [OWNER: TEL. NO: i IFINAL DATE � FINAL BY- CODE: IYE, BAO YI (626) 560-7299- I I 16202 RENO AV �l j 1TEMP 917801534 [ IDD2S RRiPTION OF WORK ] I [ 14 OUTLETS, GARBAGE DISPOSAL AND RANGE HOOD FOR KITCHEN AND ] I 1BATHROOM REMODEL ] [APPLICANT: TEL. NO: I I I IWANG, LE WEI (626) 281-6984- ] I ] 11006 S YNEZ AVE I ISPECIAL CONDITIONS: IALHAMBRA CA 91802 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE IWANG'S CONSTRUCTION (626) 281-6984- 1 1 IPO BOX 263 LIC. NO 1 [TEMPORARY POWER POLE IALHAMBRA CA 91802 909578 I (UNDERGROUND CONDUIT I I I I ] I (ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND I I ] LIC. NO: I IROUGH CONDUIT I I ] I (ROUGH WIRING I I I ] I IMAIN WATER LINE ] I (PLASTIC Y/N METAL Y/N I I [ I I [UTILITY COMPANY NOTIFIED[ I I I I I I I I I I ] I I [ I I I ] I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I ] [ I ] I I I I