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
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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