HomeMy Public PortalAbout4802 RIO HONDO AVE_Electrical__ 7'eA4fe3 DSS SA 11-30 APPLICATION FOR PERMT
DEPARTMENT OF BUZLDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT]RCT NO. GROUP ZONE PERMIT NO.�+�
ELECTRICIAN Ro F. Walton 1-793-L1`3
- r
R EIVED BY READY FOR DATE ISSUED
ADDRESS 5134 N A ao i a Ste FIRST INSPECTION
CITY San Gab, TEL. NO. AT 68583 - /,7 J�J
COUNTY LICENSE NO. 1104 EXPIRES BUILDING 4802 Rio Hondo Ave.
PERMIT FEES
NUMBER EACHI
FEE LOCALITY Temple City
LIGHT OUTLETS 10 NEAREST
RECEPTACLES 18 CROSS ST.
WALL SWITCHES 18 OWNER Turner Homes
TOTAL OUTLETS 46 Sc $ 2130 MAIL
ELEC. RANGES E5 ADDRESS
ELEC.. HEATERS 25 CITY TEL. NO.
FIXTURES 5
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROP ESCRIBED ABOVE.
op
1/2 a LESS' S .25 25 SIGNATURE OF
1/2 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 1s 1.50
Is s0 2.50
50 200 5.00
200 Soo 10.00 ,J
Soo 1000 15.00 Z
OVER 1000 20.00 3
M. G. SET/FREQ. CHANGER-HP IC
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OFORIG.)
M ISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
CONDUIT
WIRING $1.00
FIXTURES51.00 WIRING ._ dJ
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ 5 05 UTILITY CO. NOTIFIED
® FINAL
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BA663-CEBOQ I0-59 APPLICATION FOR ELECTRIC PERMIT .1
COUNTY OF LOS ANGELES
DIEPARTMENT OF COUNTY ENGINEER BUILDING 1
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARS srO /N�
PERNIIT FEES CROSS .
OWNER
ITEM NUMBER EACH FEE
OUTLETS: $ $ MAIL
ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 r CITY TEL.NO. / Zx+
ELEC.RANGES CLO.DRYERS ELECTRICI' N
WATER H EATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO.
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DI�STRICT_24 OL) Z NE P EQ Y
0— 1/2 .25
1/2- 2 .50 j INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE g /
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE BOVE
DESCRIBED RESIDE TIAL PROPERTY. POWER
SIGNATURE
OF PERMITTEUTILITYCO.NOTIFIED
E _
FINAL
�F VALIDATI ARTHUR C.VEIT,
CK MO cash SUPERVISING ELECTRICAL ENGINEER
o'COMPENSATION DECLARATION 7&A663 APPLICATION
3/87 APPLICATION FOR ELECTRICAL PERMIT O
that I have a certificate of consent to self CES-so6G i
:ertificaie of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
�r a certifldc���e9 (Sec. 3800,A�aw
L,�F_ �iM. JCCompany5 FOR APPLICANT TO FILL IN JOB
ADDRESS 7d��
Certified copy is hereby furnished. FNewesidential Bldgs. & Pools EACH NO. FEE
LOCALITY
Certified copy is filed with the county buil ing inspec- 2-Family, Sq. Ff. -- $ion departmentWNER 0
i-family Sq. Ft. NEAREST
Residential Swimming Pools CROSS ST. i[
Date Alplicant QQ�� qq FFIIRM NAM �S
CERTIFICATE OF EXEMPTION FR RKERS' Outlets: Rec_(L_Light�^Sw.� MAIL
COMPENSATION INSU CE ADDRESS
This section need not be completed if the work involved b First 20 p �/�
( P Y Total No. Additional CITY Tel. No.3o e!
the permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this PLAN CHECK
-APPLICANT
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.
Additional 3
Date Applicant Total No. CITY Tel. No.
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT /__
Exe i ption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION 1_a
Co pensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS 5.2 Awith comply with such provisions or this permit shall be Top — FAU —W.H. —
dee1ned revoked. CITY R Tel. No.�s
/ At
LICENSED CONTRACTORS DECLARATION Hood — Fan —Other—
Dis — Room Air Cond. — LICENSE OR i/�
I hereby affirm that I am licensed under provisions of Chapter 9 p• REG. NUMBER _4 Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROCE§S BY
and Professions Code,and my license is in full force and effect. S `o�( d
Q Size&Type HP, KW, KVA, or KVAR (J Q
License Number75' Lic. Class y / Up to 1 Incl. FINAL V
�U SRC Over 1 to 10 Incl. DATE
y Contractor Date Over 10 to 50 Incl. I �LI ATION_ O
❑ FINAL U
I am exerrander Sec. Over 50 to 100 Inc, BY I W
B.&P.C. for this reason Over 100
Services, Swbd., MCC&Ponelboards U)
Date: ` , 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 Sign with One Branch Circuit Additional Si Branch Circuits 9 9 7 A
I hereby affirm that I am exempt from the Contractor's License n
Law for the following reason (Section 7031.5, Business and g # 0 0 0 0 o A
Professions Code):
❑ 1, as owner of the property, will do the work and the Misc. Conduits&Conductors ' o o47.50
structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_
Business and Professions Code). ® o o o 47.5 Q
CONSTRUCTION LENDING AGENCY o6,20-88 O 8
I hereby affirm that there is a construction lending agency for
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
PERMIT ISSUING FEE U
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 abo : property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
nature of
ry ittee Date '
®:
ti
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1007140001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 16475 LT: 51 I I 4802 RIO HONDO AV 1
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803738 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA I
18590-025-017 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
I IGl OUTLETS-LGT,SW,RECP 16.00 OUT 31.00 I I
ITENANT: IG2 LIGHTING FIXTURES 30.00 LGT 52.40 [ISSUED ON: PROCESSED BY: PLAN BY: I
I 1 TOTAL FEES 111.20 107/14/10 SR
10WNER: TEL. NO: I IFI LATE FIB Y: CODE: 1
ICHIU, RINGO H (626) 286-6014- PAL
14802 RIO HONDO AV I 1
ITEMP 917803738 1 IDESCR PTION OF WORK 01
IELECTRICAL FOR REMODEL 16 OUTLETS AND 30 LIGHT FIXTURES
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS:
I I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
SAME AS OWNER - I I I
LIC. NO 1 ITEMPORARY POWER POLE II I
I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 I I
] LIC• NO: I ]ROUGH CONDUIT
IROUGH WIRING
I I
IMAIN WATER LINE I I I
I I (PLASTIC Y/N METAL Y/N I I I
UTILITY COMPANY NOTIFIE51 I I
I I I I I I
I I I I I i
I I I I I
I I I 1 I I
I
I REPORT ID: DPR265 ROUTE TO: BS0508 ] ] I I
I I ] I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0702230003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 16475 IT: 51 I I 4802 RIO HONDO AV I
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803738
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA I
18590-025-017 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 I I
ITENANT: I TOTAL FEES 35.55 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
102/23/07 JK 08/22/07 1
(OWNER: TEL. NO: I IFI F Y: CODE: I
ICHIU, RINGO (626) 286-6014- I 1 I
14802 RIO HONDO AV I I 111 !!1
ITEMP 917803738 I IDESCRIPTION OF WORK 1
(ADD 4 OUTLETS I
1TEL. NO.
SAME AS OWNER
I ISPECIAL CONDITIONS:
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I 1
I LIC. NO I ITEMPORARY POWER POLE 1 I
I
I I (UNDERGROUND CONDUIT I 1
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
LIC. NO: I IROUGH CONDUIT I I I
I I I I
TROUGH WIRING , I
(MAIN WATER LINE1 1
IPLASTIC YIN METAL Y/N I I 1
(UTILITY COMPANY NOTIFIEDI I 1
I I I I I
I I I I I I
1 I I I I I
I I I I I
I I I I I I
I I 1 I I I
I I I I I I
I I I I I I
iI I I I
I I I I I
I I I I I
(REPORT ID: DPR265 ROUTE TO: BS0508
I I I I I I