HomeMy Public PortalAbout6149 RENO AVE_Electrical__ - u
75A663-C.ES0610/72 APPLICATION FOR -ECTRICAL P IT
,COUNTY OF LOS ANGELES
'DEPARTMENT OFCOUNTY ENGINEER nooREss 6149 no
BUILDING AND SAFETY DIVISION
7 LOCALITY
NEAREST p
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR v e11.�
//�� FIRM-NAME rb0 Oils e�
RECEPT.6- $ $ MAIL enO
LIGHT- TOTAL FIRST 20 ADDRESS y �+ ` e
CITY yem ie C:Lt TEL. NO. 28 7 9460
SWITCH OVER 20 ,10.
PLAR CHECK
FIRST 20 APPLICANT.
LIGHTING TOTAL 25
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERIT
RANGE DRYER_WTR. HTR. APPLICANT Ra Or Electric Com
STA. COOK DISP. F.A.U. ADDRESS 3l5 Soo San Gabriel Blvd
SPACE HTR. A[R COND. CITY San Gabriel TEL. N0.
287 0477-
CLOTHES WASH. DISHWASH• REG NNUMBER 1 .206 CLASS. G®lO
FAN. OTHER 1:00 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND. S•7'hTE 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
1 HEREBY CERTIFY' THAT I AM PROPERLY REGISTERED AND/OR,
U - I 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI' I AM THE LEGAL. OW R OF THE ABOVE_ y
1 - 10 3:00 DESCRIBED RESID NTIAL PROPERTY.
PERMITEE e,
10 - 50 5.00 SIGNATURECD
�=
t350 - 100 t0A0 DISTRICT NO. CESS BY yVj
1 ,6100 - 500 15.00 �� Z
SIGN A
SIGN, GAS AND ONE CIRCUIT &OD APPROVALS DATE INSPECTOY4 SIGNATURE
TUBE, OR.
MARQUEE ADDITIONAL CIRCUITS IAO TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK
SERVICEO.VER600VOLTS OR200AM.P 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.
PERMIT FEE (SUB TOTAL) N .ES: 3
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 C7
TOTAL FEE
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
'„ 2 4 S 1'3 JUL 2 7 2 D 8.7 5 A UY
SEE BACK OF APPLICATION FOR'COMPLETE SCHEDULE -
KE, 'COMPENSATION,pECLAi;ATI;N PE-806q,(2.80) APPLICaATIC_ N" 'FOR ELECTRICAL PERMIT,
I hereby affirm.h t I have a certificateofconsent to self' 1 'i COUNTY OF LOO ANGELES BUILDING AND SAFETY
insure,or a certificatg of Workers'-!Compensation Insurance;or
a certified co y thereof(Sec.3890,.Lab.C.)
Orrn� t FOR APPLICANT TO FILL IN JOB
Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ "' $ LOCALITY
R�Certified copy is filed with the county building p Multi-family Sq. Ft. — NEAREST j
inspection e,?
department. Residential)Swimming Pools OWCROSS ST QNER OR '
-07
Date '.Applicant Outlets: ReY Light__��c-_SW 2Z4102
MAIM NAME is d 6
CERTIFICATE OF EXEMPTION FROM WORKERS' First 20 b�S U� ADDRESS S /J2
COMPENSATION INSURANCE Total No. Additional S CITY Tel No. }
• PLAN CHECK
(This section need notbe completed if theAPPLICANT V
. work involved. Lighting Fixtures First 20 � -
by the penhit is for one hundred dollars ($100) or less.) ADDRESS
l Additional
Total No._71 J 0
I certify that in the performance.of the work fo'r which this CITY Tel No.
permit is issued I shall not em Fixed Appliances Not Over 1 HP
p employ any person in any manner PERMIT nf2) ,p,�
so 8s to become subject.t'o the Workers'Compensation Laws. Range_Heater._D.W._ APPLICANT �// 6'�
Oven — Dryer—' W.M. �. ADDRESSCO
e Z'
Date Applicant Top _FAU _W.H.._
r�r ,
CITYS � 92-75—
Hood _Other2Raf
NOTICE TO APPLICANT:'If, after making this Certificate of' Disp. _Room Air Cond.__ 0 LICENSE OR r^r rc-
Exemption, you should become subject to the Workers' REG.NUMBER J.�J a Cless
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NA, PROCESS Y
with comply with such provisions or this permit shall be �+
deemed revoked. Size&Type HP,KW,KVA,or KVAR 1.,�s -
Up to 1 Incl. 0
FINAL.
LICENSED CONTRACTORS DECLARATION Over-10 tOver 1 t 10 Incl. DATE pp ,` VALI DA ION
o 50-Incl... 7' ��"."�
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
effect. Services
License Number Lic.Class 0-200 Amp.Under 600 V '
0 0
�/� � / �� 201-1000 Amp.Under 600 V
Contracto>���tr�J�!/��oi/ Date Over 1000 Amp,or Over 600 V 73251
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances 0204-- 86
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
7044,Business and Professions Code):
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency
'for the pdrformance 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)
Lender's Address PERMIT ISSUING FEE /VW01
I certify that I have.read this application and state that the TOTAL FEE 3
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,ab a-menti roperty for inspection purposes.
/� SEE'REVERSE.FO.R EXPLANATORY LANGUAGE
Signature of Permit ee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0604180032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 IT: 49 UN: .002
6149 RENO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801533
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD
5384-002-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
LA 200 AMP PANELS, MCC 1.00 PAN 38.85 04/18/06 JK 10/15/06
TOTAL FEES 97.20
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
GARCIA, ROBERT (626) 826-1446- �/�/
6149 RENO AV L
TEMP 917801533 DESCRIPTION OF WORK
ELECTRICAL FOR RVAC SYSTEM 6 UPGRADE SERVICE-L00 AMP
APPLICANT: TEL. NO:
HALLAM •(909) 305-9933-
133 E. BENITA AVE SPECIAL CONDITIONS:
SAN DIMAS, 91773
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GARCIA, ROBERT (626) 309-9776-
6149 RENO AVE LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 NONE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
WESTWOOD DESIGN (909) 305-9933-
133 EAST BONITA AVE STS. 202 LIC. NO: ROUGH CONDUIT
SAN DIMAS CA 91773 NONE
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306040029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID .
TR: 5904 LT: 49 UN: .002 6149 RENO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801533
ASSESSOR INFOR0 NEAREST CROSS STREET: LONGDEN
5384-002-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
TENANT: TOTAL FEES 29.70 T-SSUED S XP S .
06/04/03 VG 12/01/03 .
OWNER: TEL. 0: FINAL DATE FINAL BY: CODE:
EGGLERSTON ENO AVLLIAM;LYNNE A (818) 287-0083- �/
TEMP 917801533 S OFWORK 'l
REPLACE 1 PLUG- &msrgpo-c,)L,-
APPLICANT: TEL.
N0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS -DATE- INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER-POLE
UNDERGROUND CONDUIT
ARCHITECTR ENGINEER: TEL. O: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WI R rG
I ER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY 0 D
REPORT ID: DPR265 ROUTE TO: BS0508
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC..WORKS 9701 LAS TUNAS EL 0508 0601250004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID., FEES PAID BUILDING ADDRESS:
TR: 5904 IT: 49 UN: .002 6149 RENO AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801533
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD
5384-002-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: 112 LOCALITY: TEMPLE CITY, C
F1 120V, 15/20A BE, CKTS 2.00 BR 34.50
TENANT: F2 208, 277V LGT BR CRT 1.00 BE. 27.30 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
G1 OUTLETS-LGT,SW,RECP 16.00 OUT 31.20 01/25/06 JK 07/24/06
G2 LIGHTING FIXTURES 5.00 LGT 9.75
OWNER: TEL. NO: HS RES WASH MACH IT 3HP 1.00 WAS 10.95 FIXAL DATE FINAL BY: CODE:
GARCIA, ROBERT (626) 526-1446- TOTAL FEES 141.45
6149 RENO AV
TEMP 917801533 DESCRIPTION OF WORK
ELECTRICAL FOR ADDITION
APPLICANT: TEL. NO:
HALLAM (909) 305-9933-
133 E. BENITA AVE SPECIAL CONDITIONS:
SAN DIMAS, 91773
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GARCIA, ROBERT (626) 309-9776-
6149 RENO AVE LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 NONE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
WESTWOOD DESIGN (909) 305-9933-
133 EAST BONITA AVE STE. 202 LIC. NO: ROUGH CONDUIT
SAN DIMAS CA 91773 NONE
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BSO508