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HomeMy Public PortalAbout4922 RIO HONDO AVE_Electrical__ 78A88S.CE806-11.87IAPPLICATION FOR ELECTRIC PERMIT 1' COUNTY OF LOS KMEI.ES DEPARTMENT OF COUNTY ENGIN= BUILDING �J� BUILDING AND SAFETY DIVISION ADDRESS !� 2ol G CASSA�°1P D:GrBIIFIIR of LOCALITY FOR APPLICANTTO FILL IN NR ss s. PERNIIT FEES ITEM NUMBE EACH FEE OWNER OUTLET $ MAIL uGHrI3 RECEPT. SW. 10 ADDRESS LIGHTI FIXTURES L .10 L 'U CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN �C/t-'✓'"• �L � WATER HEATERS •50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS , v GARBAGE DISPOSERS AUTO.- CITY TEL.NO_"5 - WASHERS STA.COOKING UNITS 1 ,25 1 STATE D �� L CENSE NO. MOTORS: OVER INC. H.P. O— t/2 2S DIS RIC O. 1GROUP1 Z. READ FOR IN8P8CTtON I/2 — 2 .50 2 — s 1.00 INSPECTION RECORD a — is 1.50 .` L. • F 15 — so 2.50 ��'' •�-�3i✓r7• a� f`� -n�a r` —J' SO 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 Q I/ SUPPLEMENTARY PERMIT .50 TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY_ THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED 'BY LO ANGELES COUNTY AND STATE OF FIXTURES Z n. CALIFORNIA OR THAT I AM E LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROP TY. SIGNATURE j r. UTILITY CO.NOTIFIED .! OF PERMITTE '�1/l.-. FINAL V LIDATION ART UR C.VEIT. MO CASH SUPERVISINIG LECTRICAL IN86R 4765N SEP 12 2 g 3.70 ` C 'Z.. .t. GA668-CE80610-62 APPLICATION FOR ELECTkICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING r BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE .� OUTLETS FIRST 20 $2O $ OWNER LIGHT MAIL SWITCH. ADD'L ADDRESS 12 OVER 20 .10 TOTAL i1 CITY TEL.NO. 4 AD LIGHTING F 20 .20 (� FIXTURES D'L OVER 20 .to ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK '(,���/'� CITY EL.NO. DISHWASH. AUTO.-WASH. L�Ff�r(�/��� STATE Q SPACE HTRS. STA.APP.(%H.P.MAX.) .50 LICENSE NO. V '� MOTORS: OVER NOT OVER H.P. DIST R T O. GOUP• Z NE PR SE BY O ' 1 1.00 I 3 1.50 INSPECTION RECORD ' 3 S 2.00 �, s is 2.50 a. is so 3.00 so 100 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE O-SOOV-NoT OVER 200A 1.00 SERVICE 0-SOOV-OVER 200 A.. MOO SERVICE OVER GOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 4� SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA ION APPROVALS DATE INBPWTOIR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDEIA- P PERTY. POWER SIGNATURE - UTILITY CO.NOTIFIED : OF PERMITTEE FINAL LIDATION ARTHUR C. VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER V�L0A.1 0 0S JAN 6 2 D 7.50- D138 SA 11-50 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN R, V, WFLI toTi `_r 2- RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N Acacia S't FIRST INSPECTION / CITY San Gab, TEL. No. AT 68583 / ! COUNTY LICENSE NO. 1104 EXPIRES BUILDING PERMIT FEES ADDRESS 4922 Rio Hondo Aveo NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS 10 NEAREST RECEPTACLES 19 CROSS ST. WALL SWITCHES 18 1 OWNER Turner Homes TOTAL OUTLETS 47 Sc S 2135 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES lo 5 1 HEREBY ACKNOWLEDGE THAT 1 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2&LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD s 15 1.50 is so 2.50 so 200 5.00 200 Boo 10.00 J Boo 1000 15.00 Z OVER 1000 20.00 is M. G.SET/FREQ. CHANGER-HP 19 WELDERS:AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%oFORIc.) MO ) MISC. SIGNS NO. No.TRANS. I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT- WIRING $1.00 CONDUIT FIXTURES $1.00 00 WIRINGS �' /.O b a.• �'�' G v SUPPLEMENTARY .BO FIXTURES POWER TOTAL FEE $ 5 10 UTILITY CO. NOTIFIED A ai ® FINAL .< �J 78.0883-CE8083-89 APPLICATION FOR ELECTRIC L P�MA IT !II, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERTLOCALITY 2 � O BUILDING AND SAFETY DIVISION JOHN A. LAMSIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDI FOR APPLICANT TO FILL IN . NO. EACH FEE IV$RECEIPT. $ OWNER_ MAIL FIRST 20 ,20 ADDRESS O 6 LIGHT TOTAL CITY � �v' EL.N0. SWITCH OVER 20 .10 PLAN CHE K LIGHTING TOTAL FIRST 20 ,20 APPLICANT FIXTURES } OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NO. STA. COOK_DISP._F.A.U. CONTRACTOR 0 SPACE HTR. AIR COND. ADDRESS V 2 CLOTHES WASH._DISHWASH. CITY /16, SLr' VIA TEL.NO. FAN_OTHER 1.00 LICENSE NO.!Z 3 Yy3 CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O — 1 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTE D AND/OR LICENSED A9 REQUIRED BY LOS NGELES COUNTY ST TE O 1 — 10 t 3.00 CALIFORNIA Op THAT 1 A TH EGAL OWNER OF, IN ND RESIDE IN, THE ABOVE ""!2, CR D RESIDENTIAL P R 10 — 50 5.00 c SIGNATURE 50 — 100 10.00 OF PERMITTEE 100 — 500 15.00 DISTRICT NO.kj GROUP ZOW L �J SIGN GAS SIGN AND ONE CIRCUIT 3.00 1 TUBEd OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 500 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL s 3 TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONcK. M.O. GASH [Rr„5 5 6 69 JIM26 2 D ,.00N SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATIONDECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or' a,certifie co thereof(Sec.3.800,Lab.C. AJOB Policy No.� ,� Company__LFOR APPLICANT TO FILL IN EACH NO. ADDRESS FEE �(� Q New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITY T ' 1 ; Multi-family Sq. Ft. — NEART Certified copy is filed with the county building inspection ROSS SEST �- departmeht. Residential Swimming Pools OWNER OR FIRM NAME Date A` Applica -Outlet : Rec._Light• Sw. MAIL q First 20 ADDRESS f 1_ Q.-I-6 CERTIFICATE.QF EXEMPTION FROM WORKERS'' Total No. Additional CITY � � Tel No. COMPENSATION INSURANCE PLAN CHECK o APPLICANT (This section need not be completed If the work involved U i Lighting Fixtures First 20 by the permit is for one hundred dollars ($100) or less.) Additional ADDRESS 8806•EAST LAS TUNAS DRIVE cc I certif that in the b Total No. r I �1RNIA 91776 0 y performance of the work for which this, , CITY �e11�8. i, permit is issued, I shall not employ any person in any manner[ Fixed.•Appliances Not Over 1 HP PERMIT e. W so as to become subject to the Workers'Compensation Laws. Rance_Heater D.W._ � APPLICAN ACL� d Oven _ Dryer_W.M._ ADDRESS 8806 EAST LAS TUNAS DRIVE.o W Date Applicant Top _ FAU _W.H.._ CITY o a±A �irf�l Hood _ Fan _Other— NOTICE TO APPLICANT: If,after making this Certificate of..' Disp. _Room Air Cond._ LICENSE OR ^S Exemption, you should become subject to the Workers' REG.NUMBER QZ 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 revolted. Size&Type HP,KW,KVA,or KVAR ®, �Y �� I ' Uptal Incl. FINAL (J LICENSED W�NTRACTORS DECLARATION Over 1 to 10 Incl. DATE VALIDATION Over 10 to 50 Incl. [O 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 +Q License Number 1 1161QZ Lic.Class 6--sra ; 0-200 Amp.Under 600 V A 201-1000 Amp.Under 600 V Contractr-Adm-ml-5 Date' �Ca 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 - -63.9 A License Law for the following reason (Section 703.1.5, Busi- Additional Sign Branch Circuits # 2 ness and Professions Code):" - Mist.Conduits&Conductors 0,0 a 0 0 I, as owner of the property,.will do the woiek and the Other(See Complete Fee Schedule)— 2 -- 3 a 5 0 structure is not intended, or offered for sale (Section - 3 8 5.0= 7044,Busigess and Professions Code). o .o•o 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 4 1 '6.—8 2 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 Permit Fee) Lender's Address--. PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE I J:� G_ above information is correct.I agree to comply with all County ordinances and State laws reating Electrical wiring, and hereby a thorize re re ati s of this 10 County to enter upon , the ab -mention r for inspection pure s s. SEE•REVERSE FOR EXPLANATORY LANGUAGE SigWUre tee D