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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