HomeMy Public PortalAbout5040 RIO HONDO AVE_Electrical__ M� I ` ZD0PL -CETY
76AS63-CES06 8.62' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES Fir
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS $'04/0 RhO #,PAP" �4✓�•
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY zzew p4 �' C/rY
FOR APPLICANT TO FILL IN cRoss ST. L /2vs.* o e ,
RECEPT. TOTAL NO. EACH FEE
4 OUTLETS FIRST 20 �0 $20 $ x Q� OWNER (i 1414.) ® 0E1,vljCOLT
LIGHT �j tJ
1 ADD'L 10 ADDRESS 50,1{(0 IG/O ?ON�O -4da•
SWITCH. • OVER 20 t
LIGHTING TOT FIRST 20 .20 CITY re PL '4f C i rTEL.NO./TT 74e 4A(40
FIXTURES ADD'L .10 ELECTRICIAN
OV R 20 r
RANGES CLO.DRYERS WTI.HTRB.. LOO ADDRESS
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH.. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va H.P.MAX.) .50 LICENSE NO.
MOTORS, OVER• NOT OVER H.P. DISTRICT Nf�/ G ZON7 PR
O 1 S" ep
1.00 0 e
1. ' S 1.50 INSPECTION RE ORD
8 6 2.00 fJ6 y? j(&� A&A-041
'Y{
s 1 s 2.50 •'e4-�
.. rpi
18^ 50 5.00 ,Jr'
50 1'00 5.00 �� , •! ` V
NO.TRANS.
D�
LSERVICEO.Soov-Ncyr
NO.LAMPS
OVER 200A 1.00 P_ L,1-600V-OVER 200 A. 2.00 46
VER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE D
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE
�� INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /(,E'') d• l�'�,q
WITH ALL-COUNTY ORDINANCES.AND STATE LAWS REGULATING �• x�,
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AN01OR
LICENSED AS REQUIRED BY LOB ANGELES COUNTY ND STATE OP FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL. OWNE 7HE ABOVE
DESCRIBE IAL PROPERTY. POWER• ,
SIGNATURE r UTILITY CO.NOTIFIED .7 ® ):�I/o'�7v` i' •?'r
OF PERMITTE FINAL .,,�`119*i fog r'
O(DATION ARTHUR C. VEIT
KMO CASH SUPERVISING ELECTRICAL ENGINEER
:L
8 3 6 6t%rZ' FEB 8 2 D 7•g Q Ntv
76A663-CE806+9-64 APPLICATION FOR ELECTRIC
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING L,
BUILDING AND SAFETY DIVISION ADDRESS. DTD ICS �D //o�tJ.�
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENRINS, SUPT. OF BUILDING LOCALITY
NEAREST /►
FOR APPLICANT TO FILL IN CROSS ST. L./¢ �GtS/�-��•
RECEPT. . TOTAL NO. EACH FEE AA n
/_ OUTLETS FIRST 20 5.20 $
OWNER V/
W / MAIL r RIO
O WJE n 0
LIGHT � ADD'L f0 ADDRESS V D� K /�Tl/C,�el�(/
SWITCH. OVER 20
TOTAL O CITY T�MP44F �+-'7~l TEL.NO. AT 79.2J.A
LIGHTINGI�� f F1RST20 .20
FIXTURES `�/ ADD'L -10 ELECTRICIANen
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY T
DISHWASH. STATE
SPACE HTRS.d
.So LICENSE NO.
MOTORS: OVER NOT OVER H.P. DI,cjTRILr'T NO GR
OUP ZON P EO Y
0 1 1.00 d(�j
1 s 1.50 INSPECTION RECORD
s a 2.00
8 1s 2.so. U
1s so 3.00
O
so foo 5.00 V
W
SIGNS: NO.TRANS. h
NO.LAMPS a
SERVICE 0-600V-Nor OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 LI
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPCATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND ACRE&TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES'AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
vy _
1 HEREBY.CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED' AS REQUIRED BY LOS ANGELES COUNTY D STATE OF
CALIFORNIA THAT 1 AM THE LEGAL OWNER F. INTEND TO
RESIDE IN,TH DESCRIBED RESIDENTIAL PR TAY. POWER /
SIGNATURE UTILITY CO.NOTIFIED �,ls
OF PERMITTEE FINAL ✓� `iv g4[
LIDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
�,04626v rUG13 2 D 8.10^'
76A669 088 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUMDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. .FOX, CHIEF ENGINEER ELECTRIC 1
FOR APPLICANT TO FILL IN DISTRICT NO. - GROUP'' ZONE PERMIT NO.
%�
ELECTRICIAN .�
sf'-•//• -t�,tr �r�� RE EIV:ED.By : READY FOR DATE'ISSUED
ADDRESS ''1•- � F. / l.'J`";fl 1Y.. FIRST INSPECTION'
CITY t�%_� _,,� TEL. No.
COUNTY LICENSE NO. EXPIRES BU ADDRESS r �
PERMIT FEES '
r
NUMBER EACH FEE LOCALITY w� ��i,_ ' ?}'r'•. ( .� .•'v�.'f
NEAREST
LIGHT OUTLETS Z�y CRO89 ST,
RECEPTACLESfr ,
WALL SWITCHES .7 OWNER !��~`.L•ti.:'��rr C:'��� / �~ 5-:i_-
TorAL OUTLETS 6c sa MAIL'
ELEC..RANGEB a5 ADDRESS
ELEC. HEATERS 25 CITY r / t TEL. NO.
FIXTURES F,7 V,a ., S v /
1' HEREBY ACKNOWLEDGE- THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORD.INANCEB
NUMBER OF RECEPTACLE CIRCUITS - AND STATE LAWS REGULATING ELECTRICAL WIRING.
-MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NuNBER HORSEPOWERANGELES 'COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY.DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH � r
1
Y2 6 LESS $ .aS SIGNATURE DF � ; :., 1!, � �� A:,.
a .50. PERMITTEW1 r
a 5 _ 1.00 INSPECTION RECORD -
�Bt
is —1.50-
SO:'
.50SO:' 2.511 '
2013
2& 600 10.00 J_
Sao: 1000 15.00 Z
OVER 1000 213.1313
M.G. BET/FREQ.. CHANGER-HP.
WELDERS.'-AC-KVA''... O
GENERATORS - KW
TRANSFORMERS - KVA '
TEMP. MOTORS (78% OF CRIB-)
MOVED MOTORS (75% CF CRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS- '
NO. NO.LAMPS
FOR•EACH PERMIT- DAT INSPECTOR'B NAME
WIRING 101.00. / CONDUIT
FIXTURES WIRING . rtl _ r.L�i✓ ls}� s�
SUPPLEMENTARY. '' ' - •.50 FIXTURES . II
_ POWER ` r
TOTAL-FEEa� UTILITY 00.NOTIFIED
'FINAL ' �/N a�pa. ./3 /z f Z
7SAV69 089 SA 11-60 APPLICATION FOR PERMIT
. DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 -
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NQ. GROUP I ZONE PERMIT NO.
ELECTRICIAN R. F. Walton
07M®/
FOR
ADDRESS 5134 N. Acacia St. RECEIVED BY FIRST READY INSPECTION DATE
/188UED
CITY San Gab. TEL. NO. 2-/ISSUED
COUNTY LICENSE NO. 1104 EXPIRES BUILDING 5040 Rio Hondo Age.
PERMIT FRES ADDRESS
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS 10 NEAREST
RECEPTACLES 19
CROSS ST.
WALL SWITCHES 18 OWNER Turner Homes
TOTAL OUTLETS 47 sc 5 2 55 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 10 S so I 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC.
EACH OF THE RESIDENTIAL PRO TY DESCRIBED ABOVE.
NEw MV;d HP OVER INC.
1/2 a LE96 5 .25 25 SIGNATURE OF
1/2 2 .SO PERMITTE
2 5 1.00 INSPECTION RECORD
5 1s 1.50
1s so 2.50
so 200 5.00
200 Boo 10.00 „J
Boo 1000 - 15.00 Z
OVER 1000 20.00 a
M. G. SET/FREQ. CHANGER-HP cc
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS C790%OF OR16.)
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00 Y
FIXTURES $1.00 WIRING l/
SUPPLEMENTARY .50 FIXTURES
5 10 POWER
TOTAL FEE S I UTILITY.CO. NOTIFIED
r
® FINAL 1-2 S',s'a
WORKERS'COMPENSATION DECLARATION 78188906G 3 10/81
CE- APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that'I have a certificate of consent to self-Insure, �
or a certificate of Workers'Compensation Insurance,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
Q60y thered�(Sec.3800,Lab.C.)
Policy No._ O j3 Company ,�eFOR APPLICANT TO FILL IN -JOB �^, C
EACH NO. FEE ADDRESS 0 O NF O ..
Certified copy is hereby furnished. New Residential Bldgs.&Pools &$ _ $ LOCALITY G
Certified copy.is filed with the county building inspection 1 &2-Family,Sq.Ft.
department. ; Multi-family Sq.Ft. NEAREST
" $ — CROSS.ST, cy S
Date Applicant Residential Swimming Pools OWNER OR '
FIRM NAME
CERTIFICATE OF EXEMPTION FRO WOR ERS' Outlets:Rec—Light—Sw.— MAIL
COMPENSATION INSURANCE ADDRESS
(This section need not be completed if the work involved by the First 20
permit is for one hundred dollars($100)or less.) Total No. Additional. CITY' Tel.No.
I certify that in the performance of the work for which this permit PLAN CHECK.
is issued, I shall not employ any person.in,any manner so as to APPLICANT
become subject to the Workers'Compensatiog Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional CITY Tel.No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE ,TO APPLICANT: If, after making this Certificate Of
Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT'
provisions of the Labor Code, .you must forthwith comply with such Oven Dryer_ W.M._ ADDRESS > �
'provisions or this permit shall be deemed revoked. Top FAU W.H.
CITYTel.No.
LICENSED CONTRACTORS DECLARATION Hood— Fan Other_ �
I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR p
Disp. — Room Air Cond. 6 Class.C: Q
(commencing with Section 7000)of Division 3 of the Business and, . REG.NUMBER.
Professions Code,and my license is in full force and effectDISTRICT NO. PROCESSED BY
4. Power Apparatus&.Large Appliances
i d Size&Type.HP,KW,KVA,or KVAR O V
License Number
Lic.Class���• i Up to 1 Incl.. FINAL
Over 1 to 10 Incl. / a DATE VALIDATION O '
Contractor to FINA r V
' I Over 10;to 50-Incl.
❑ I am axf. pi under-Sec. I Over 50 to. t00 Inc. BY W
BAP.C. his reason Over 100 V
f Z
I Services;Swbd.,MCC&Panelboards
Data. I ► '� 6 [/ /
i 0-200 Amp.Under 600 V �(., ,•, ,
Signature i 201 - 1000 Amp.Under 600 V
Over 1000 Amp:.or Over 600 V
Exemption for Reg.Maint.Elect.
l - ,
SINGLE FAMILY Temp..Power Pole&Appurtenances
1 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law I a
for the following reason(Section 7031.5,Business•and Professions Additional Sign Branch Circuits ACCT o 4
Code): "`"' .17.50
I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 43Q71 ITEM
riot intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule).
and Professions Code). ► TOTAL 2.7 o PEJ
CONSTRUCTION LENDING AGENCY 1 I iCK 17-50I hereby affirm that there is a construction lending agency for the �y�•{
Performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total)•
Civ.C.)'. '
PLAN CHECKING FEE
Lender's Name O MM-0001 7/2480
' PERMIT ISSUING FEE pq •�
I=ender's Address `tom , 1 PAHO 13
lycertifythat:l have read this application and state that the above TOTAL FEE
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
Proper for'ns ction.p es. SEE REVERSE FOR EXPLANATORY LANGUAGE
-7:
YO
71gnatur6f Permittee Date