HomeMy Public PortalAbout5008 RIO HONDO AVE_Electrical__ 76AGGS 086 SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND `SAFETY
COUNTY OF LOS ANGELES
IV. WILLIAM J. FOX, CHIEF ENGINEER ELECF"RIC 1
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
- /
ELECTRICIAN F, waltan
RECEIVED BY READY FOR DATE ISSUED
ADDRESS No Acacia St n FIRST INSPECTION
CITY Ban Gabe TEL. NoAT 68583
COUNTY LICENSE O 2-
BUILDING 5008 Rio Hondo Avee
N1104 — ADDRESS
PERMIT FEES FEE
NUMBER EACH LOCALITY Temple C:!tY
LIGHT OUTLETS 10 NEAREST
RECEPTACLES 18.
GROSS
$
T. Turner Homes
WALL SWITCHES 18 OWNER
TOTAL OUTLETS 46 Sc S 2 30 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 2S CITY TEL. NO.
FIXTURES 10 S 50 I HERESY ACKNOWLEDGE THAT I HAVE RE" 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
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NUMBER HORSEPOWER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MYD. HIS 0vwlt INC. EACH
I 1A 1/2&1.Ess $ .25 1 25 SIGNATURE OF
Y-M 1/2 2 .50 PERMITTER
2 5 LOO INSPECTION RECORD
S Is 1.50
is so 2*50
—1 150 200 5.00
200 Soo 10.00 J
Soo Iwo 13.00 z
OVER 1000 20.00 3
M. G.SET/FRMO. CHANGER-HP rc 0
WELDERS.- AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (750/bailclUe.)
MOVED MOTORS (7S%OF CRIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
O. NO. LAMPS DATE INSPECTOR'S NAME
FOR EACH PERMIT: ou CONDUIT
WIRING ffi1.00
-
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 IXTZRE�����
5' og— POWER
TOTAL FEE UTILITY CO. NOTIFIED
FINAL- /A /0
DBS-NA 11.88 APPLICATION FOR ELECTRIC PERMIT 1
.BA
DMSION OF BUILDING AND SAMY,
Depmtnent of County Emsineer BUILDING
County of LOB Angeles ADDRESS 0Y
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY167
FOR APPLICANT TO FILL IN NEAREST
PERM FUS CROSS ST:
NUMBER OWNER ��!
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.N
TOTAL OUTLETS 5¢ S d
ELECTRIC[A •
ELEC.RANGES 25
ADDR S
ELEC.HEATERS 25
KW EA CI O •�
STA E
FIXTURES S LICENSE NO. O /
MOTORS DISTRIC NO. GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FSE -/
NEW MVD. HP OVER INC. EACH \SP�ilON EUMED
f ]l2&LESS S .29 MI iliilY
�2 2 .s0
2 s 1.00
S IS 1.50
IS SO 2.50
so 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00 Ud '
FIXTURES $1.00 JO
SUPPLEMENTARY .50
APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING n
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH T I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENALP
SIGNATURE UTILITY CO.NOTIFIED
OF PER FINAL
IOHN A.LAMBIE.COUNTY ENGINEER ATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
• MO CASH ..
I 1 5 5Ln UUa 9 2 2:4'0 r
4 ER )MPE, 'ATION DECLARATION 200019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT G
70.001
I hereby affir hat I e a certificate of consent to self insure,
or certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF POSLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab.C.) �$
Policy No. Company FOR APPLICANT TO FILL IN JOB
ADDRESS '�
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY
❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. — $ $
department. Multi-family Sq.R. — NEAREST
CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR
PAG PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR
Outlets:Rec._Light SW. s FIRM NAME
COMPENSATION INSURANCE First 20 �� ,
(This section need not be completed if the work involved by the ADDRESS I1Of
permit Is for one hundred dollars($100)or less.) Total No. Additional
I certify that in the performance of the work for which this permit Cllf�e C Tel.No.*,�70
is issued, I shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
l Total No. Additional ADDRESS
Date Appli .cant RESIDENTIAL APPLIANCES NOT OVER 3 HP
NOT T APP ANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. G
provisions of the Labor Code,you must forthwith comply with such PERMIT
p y p y his permit shall be deemed revoked6 Power Apparatus&Large Appliances APPLICANT
provisions or LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. Q b
(commencing with Section 7000)of Division 3 of the Business and CITY 4 o 3
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.
LICENSE OR Clese /�i }
/� Over 50 t0 100 Incl. REG.NUMBER (�
License Number c—/L! Over 100 DISTRICT NO: P SED By Q
Lia Class , Az a 0
Services,Swbd.,MCC&Panelboards a:
Contractor Date
0-399 Amp.Under 600 V FINAL / p
DATE p
F1400-1000 Amp.Under 600 V Z_'Z 0—7i� VALIDATION V
I am exempt under Sec. Over 1000 Amp.or Over 600 Vd
FINAL
B.&P.C.for this reason BRANCH CIRCUIT FEES BY
Date: 15A,or 20A,120V,Lighting or Recept. Z_
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑
410 More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 7
i
SINGLE FAMILY Temp.Power Pole&Appurtenances pv
HOME OWNER-BUILDER DECLARATION ACCT.
'[Lr
hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits' 49°30
Code):
1 ITEMS
❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOTAL .4
—�
9_30
and Professions Code). polo CASH 49,30
CONSTRUCTION LENDING AGENCY CHANE ,00
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sec..3097, PERMIT FEE (Sub-Total)
Civ.C.)
PLAN CHECKING FEE 0000'(3001 12/15/95
Lender's Name 3809 1 PH 3000
PERMIT ISSUING FEE
Lender's Address �D
I certify that I have read this application and under penalty of purjury state TOTAL FEE
57
that the 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 above-mentioned property
for insp=io SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGN R,WrTEE UDATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0110040025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S PAID 131"L SS:
TR: 16475 LT: 68 5008 RIO HONDO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803742
ASSESSOR INFORMATION NUMB R: NEAREST CROSS STREET: LA ROSA
8590-026-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED 0 PROCESSED P S .
H7 RES EXHAUST FANS 1.00 EX 10.95 10/04/01 JK 04/02/02 .
TOTAL FEES 60.15
OWNER: TEL. 0: FINAL DATE FINAL Y: CODE:
CHARNG;TOM AND NANCY (626) 303-0719-
P.O.BOX 293
TEMP 917800293 DESCRIPTION Of WORK
ADD MASTER BATH AND LAUNDRY ROOM
A C 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
E L 7ESIE;
G CONTRACTOR: TEL-. -NO: � ��` APPROVALS DATE INSPECTOR SIGNATURE
�
SAME AS OWNER - �Q ���A,\�
LIC. NOTEMPORARY-POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: O: �f r l r Lj = `\ R GROUND
LIC. N �( -- I i I �-`-i, I �1- ROUGH CONDUIT
ROUGH WIRINGi
MAIN
ER
NE
�? I I L� I � 1' 013F.",
I;,\�` PLASTICTY/NLIMETAL Y/N
uuu UTILITYCOMPANY NOTIFIED
J .iZ
REPORT ID: DPR265 ROUTE TO: BS0508