HomeMy Public PortalAbout6157 RENO AVE_Electrical__ 78A683-Ct_,�`f/70 , APPLICATION FOR ELEC4k9CAL FERMI
' f1' CO iNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
f JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING L
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER '
RECEPT/ $ MAIL
FIRST 20 ADDRESSi
LIGHT TOTAL ,r+ f�
p OVER 20 CITY .G,el� TEL. N0.
SWITCH +� PLAR CHECK
LIGHTING FIRST 20 ?+ " APPLICANT
L
TOT
FIXTURES 140C .10
OVER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERI-WTR. HTR. APPLICANT
q -
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH.—/—DISHWASH.- LICENSE NO. CLASS.
FANOTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
✓ v 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 1 AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 8.00 RESIDE IN, THE A" DESCRIBED RESIDENTIAL PROPERTY. '
Z
SIGNATURE � O
10 — 50 5.00 OF PERM ITTE V
• 50 — 100 toAo OU I
DISTRICTNO. CLASS GRZON P OCESS Y
100 — 500 15.00 1 -
SIGN, GAS D ONE CIRCUIT 3.00 NOTES: N
=SIGN
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 z
SERVI CENOT OVER 600 VOLTS OR 200 AMP .00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR200AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT 44
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 0
FINAL
v .v '
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
O P C. ROOHAN
TOTAL FEE 0 SUPERVISING ELECTR.I.FAL ENGINEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. •\\i M.O. CASH
Ar_ 1 7 4 0 jUl 7 0 2 D 1 6.7 5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKERS'COMPENSATION DECLARATION 76:A663
;,CE-906G (2-80) APPLICATION FOR ELECTRICAL •PE�MIT
I hereby affirm that'I. have a certificate of consent to.self COUNTY OF LOS ANGE CQ NG AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(5ec.-.38.0.0,.Lab.,C,) '
FOR APP•L:ICANT TO FILL IN JOB• a I`
Company. EACM
Policy No..
New Residential Bldgs:&Pools FEE
Certified copy is hereby furnished. $ $ LOCALITY
P 1 &2-Family,Sq. Ft. D
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 10; dtI46M
Outlets:Re Ligh3_Sw n�(� ADDRESS
First Al
-CERTIFICATE OF EXEMPTION.FROM WORKERS' Total No.. � Additiorial C.ITY� 1� Tel No.
COMPENSATION'INSURANCE PLAN CH EC a
AP..PLIC'ANT'
(This section. need not be completed if.the work involved ��' V
'by the. Lighting Fixtures First 20
y permit is for•one hundred dollars ($100) or less.) Ad itio al ADDRESS
Total.N.o. d ^ O
I certify'that in the performance of'the work for which this CITY Tel No.
CITY'
Appliances Not Over,1 HP
permii is issued, I shall.not employ any person In.any mariner. ' PE'RMiT ,
so as to become.subject to the Workers'Compensation Laws. Range_Heater D.W..— APPLICANT s (' p_
' .Oven -_ Dryer_W.M._ / � � a7 - Z
t, � ADDRESS. CO
Date Appl•'cant i Top _ FAU _W.H.,, " No
CI:TI Tel, f
Hood _ Fan _Other— _ l'G'vrt. �2''L,4.�'
NOTICE TO APPLICANT: If, after making this.Certificate of• Disp. _Room Air Cond. LICENSE OR.
Exemption, you. should become subject.'to 'the Workers' i' REG:.NUMBER Class
Compensation provisions of the:Labor Code,you must forth- Power Apparatus&Large.Appliances DISTRICT NO. 'PR S BY.
with comply with. such provisions or this permit shall .be +'
deemed revoked. Size&Type HP,KW,KVA,or KVAR,
Up to 1 Incl,
a T' FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 incl: DATE r3 I —I�fl
• �• 'Over 10 to 50 Incl, - - VALIDATJO
hereby affirm that I ani licensed under provisions of Chapter Over 50 to 100 Inc. FINAL.
.9 (commehcing with Section 7060),of Division.3,of the Bus'-• ', Over 100 BY PIN
ness and Professions.,Code,'and my license 3s in full force and v `
effect „' Services .
License.Number.; Lic.Class ' .0-20.6 Amp.Under 600 V
201.-1000 Amp.Under 600.V t
Contractor Date Over 1000.Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp:lower Pole&Appurtenances X '
I hereby affirm that 'I 'am exempt from the 'Contractor's Sign with One.Branch Circuit r
License Law for the following.reason (Section 7031.5, Busi- Additional Sign Branch Circuits.
Hess:and Professions Co'd'e): � ,:, '� 'L(:0,5V
i + Misc.Conduit&&Conductors
I, as owner of'the property., will do the work and the Other(See:Complete Feb Schedule)— ';;; o''o o''o o 6. _
structure is not intended' or offered for sale (Section
7044,Business and Professions Code). % o 0 1 6. C C
CONSTRUCTIONLENDING AGENCY
I hereby affirm that,there is a,construction lending agency a'o 0 _j(!C _j -
for the: performance of .the work for which this 'permit. is
( ) PERMIT FEE, (Sub-Total) p 2 r r
issued Sec.3087,Civ.:C.• •
Lender's Name PLAN:CHECKING fEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE
I certify that 1 liavb 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 .j
thea ve-mentioned proper'y for inspectio purpos s.
I SEE'REVERSE FOR EXPLANATORY LANGUAGEdc
' a
Signature'of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0212200037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PWID BUILDING ADDRESS:
TR: 5904 LT: 50 UN: .002 6157 RENO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801533
ASSESSOR0 NEAREST CROSS STREET: LONGDEN
5384-002-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 5.00 BR 86.25
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40 S S
G2 LIGHTING FIXTURES 1.00 LGT 1.95 12/20/02 JK 06/18/03 .
LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85
OWNER: TEL. NO: TOTAL FEES 178.20 Tf WAT FINAL BY' C005:
BAUMAN WILLARD E - i SOL � (7
6157 RENO AV
TEMP 917801533 05SCRIPTION
REMODEL KITCHEN
APPLICANT:
FLAATEN (626) 447-7549-
2523 GARDI SPECTAU CONDITIONS:
DUARTE 91010
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNAT RE
FLAATEN, MICHAEL (626) 447-7549-
2523 GARDI STREET LIC. NO TEMPORARY POWER POLE
DUARTE, CA 91010 670444 C10
UNDERGROUND CONDUI
CH L. 0: UFER GROUND
LIC. NO: ROUGH CONDUI
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY N-OTIF190
REPORT ID: DPR265 ROUTE TO: BS0508