Loading...
HomeMy Public PortalAbout5710 RIO HONDO AVE_Electrical__ 76A663-CE806 8/63 APPLICATION FOR UECTRICA IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING l D QQ BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER -� WILLIAM A.JENSEN,SUPT OR BUILDING LOCALITY FOR APPLICANT TO FILL:IN NEAREST 7REEPT. TOTAL NO. EACH FEE.OUTLETS• FIRST20 S2OS OWNERHT MAIL , ADD'L ,10 ADDRESS . >SWITCH. OVER 2O - - J TOTAL CITY TEL.N v']` LIGHTING' F1Rsr,�. 0 .20 FIXTURES } AD L ,10 ELECTRICIAN OW 7 5 ECT oY 20 RANGES w cLO.DRYERS. WTR.HTRS. 1.00 _ Q�J ADDRESSIO;2 5 S (J !Y QTS GARB.D18P. 'BTA..COOK �7// CITY I� i✓ 1. / EL.NO /L9 Io D18HWA8H. AUTO.-WASH.. STATE SPACE MTRB. BTA.APP.(ys M.P.MAX..) LICENSE NO. ,SO - MOTORS, oven NOT OVER H.P. DISTRIX N GO WP ZONE I PR E ixg BY 0 1 y.00 1 s �_ •- INSPECTION RECORD 9 8 2.00 V. d s IS 2.50 f O to ' so 3.00 oz so . too 15.00, w SIGNS: NO. TRANS 10. NO.LAMPS .3� N Z SERVICE 0.80OV-Nor ovER,200A 1.00 19,01 SERVICE.O-SOOV-OVER 200 A. 2.00 SERVICE OVER 800V 8.00 MISC. PERMIT ISSUING FEE. 2.00 ®Q SUPPLEMENTARY PERMITISSUING FEE 1:00 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE ..INSPECTOR'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 ft I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED!AS REQUIRED BY LOS ANG S UNTY NO STATE OF FIXTURES. CALIFORNIA OR THAT I AM THE GA HEPF THE ABOVE DESCRIBED RESIDENTIAL PROPE POWER /p SIGNATURE UTILITY CO.NOTIFIED L1�"r OF PERMITTEE Gr r FINAL 7 LIDATION ART C. VE ` CK MO 'CASH SUPERVISING ELECTRICAL.ENGINEER L;-W5572% N0V 4 2 'D 4.00N WORKERS'COMPENSATION DECLARATION 76-883 10/81. APPLICATION FOR �Eg EbTRIC A p PERMIT I hereby affirm that I have a.certificate of consent to self insure, CE-806G APPLICATION L. fl /1L. PERMIT or a certificktardf`Wolters' Compensation Insurance,or a certified I COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) i Policy No. Company ; FOR APPLICANT TO FILL IN JOB S p ADDRESS EACH NO. FEE LO Certified copy is hereby furnished. New Residential Bldgs.&Pools t 1 &2-Family,Sq.Ft. $ — $ LOCALITY' ❑ Certified copy is filed with the county building inspection — department. I Multi-family Sq.Ft. NEAREST / �Q O Residential Swimming Pools CROss sT. t� Date Applicant OWNER OR ` !•'^ i FIRM NAME Ll. CERTIFICATE OF EXEMPTION FROM WORKERS' iMAIL Outlets:Rec—Light—Sw..--. COMPENSATION INSURANCE I First 20 a ADDRESS S Z t a I lAve (This section need not be completed if the work Involved by the Total No. Additional CITY� Q eL Tel.No. permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit PLAN CHECK is issued, I shall not employ any person in arty manner so as to APPLICANT become subject to the Workers'Compensation Laws. iLighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Date Applicant ,Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If;. after making. this Certificate of PERMIT Exemption,you should become subject(o the Workers'Compensation Range_ Heater D.W. _ APPLICANT U�t provisions of the Labor Code,you must fortliwith comply with such Oven _ Dryer_ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU _ W.H. LICENSED.CONTRACTORS DECLARATION Hood — Fan — Other_ CITY '14 Tel.No.2%7c{ •1 hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. LICENSE OR (commencing with Section 7000)of Division 3.of the Business and REG..NUMBER Class. Professions Code,and my license is in full force and effect. Power Apparatus&Large.Appliances DISTRICT NO. 0 g/ PROCESS Y r Size&Type HP,KW,KVA,or KVAR CY7 0 License Number Lie.Class i Up to 1 Incl. FINAL V Over 1 to 10 Incl. DATEi / r VALIDATION �O Contractor Date I I Over 10 to 50 Incl. t3 FINAL. ❑ Lam exempt under Sec. Over 50 to 100 Inc. BY OW.. B.&P.C.for this reason Over 100 N (Services,Swbd.,MCC&Panelboards ® C 1-�j!Q Z Date: 0-200 Amp.Under 600 V Signature 201 -1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V ❑ Exemption for Reg.Maint.Elect: SINGLE FAMILY 'Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION !Sign with One Branch Circuit i I hereby affirm that I am exempt from the Contractor's License Law I '�sae for the following reason(Section 7031.5,Business and Professions (Additional Sign Branch Circuits Code): 337 39.80 ❑ Lisc.Conduits&Conductors 1 1 ITEMS I,as'owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business' (Other(See Complete Fee Schedule) and Professions Code). TOTAL 39 -30 451 / 4 CONSTRUCTION LENDING AGENCY I CHECK 39.811 I hereby affirm that there is a construction lending agency for the a performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) I _. CHANGE 000, Civ.C.). PLAN CHECKING FEE 1 Lender's Name [((I —[I�}fJ 1 7/20/9,1 PERMIT ISSUING FEE ' Lender's Address / 1950 1 AIS U a 36 1 certify that I have read this application and state that the.above TOTAL FEE information is.correct.1 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 Zty r in ection rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE i Signatur of Permittee Date yc COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS E 0508 00071209 BUILbING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 00- - PHONE: (626) 285-0488 EXT: l— LEGAL ID: FEES PAID BUILDING ADDRESS.:- TR: 6561 LT: 756 ;5710 RIO HONDO AV- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA.917802432 ASSESSOR INFORMATION MBER. �EAREST CROSS STREET: LIVE OAK 8587-004-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY F1 120V, 15/20A SR CKTS 3.00 SR 51.75 TENANT: G1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 114.60 07/13/00 UT 01/10/01 OWNER: TEL. NO: FINAL DATE FINAL BY• CODE: HELMER;JANICE M - 5710 RIO HONDO AV TEMP 917802432 DESCRIPTION OF WORK ELECTRICAL WORK - GARAGE TO CODE, GFCI KITCHEN,BATH,EXTERIOR SEPARATE CIRCUITS FOR LAUNDRY, MICROWAVE, REFRIGERATOR APPLICANT: TEL. NO: NICK TINKO (626) 442-7985- 9941 HOWLAND SPECIAL CONDITIONS: TEMPLE CITY,CA GELES CO CONTRACTOR: TEL. NO: Cj � APPROVALS DATE INSPECTOR SIGNATURE NICK'S REMODELING (626) 442-7985- V� A� 9941 HOWLAND DRIVE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 409663 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: - FER GROUND LIC. NOgs / 1111111 ROUGH CONDUIT �I IL ROUGH WIRING MAIN C pL CW O K PLASTICTER Y/NLINE METAL Y/N IJ SUTILITY COMPA OT I F I ED 6f ❑ O ❑ r ❑ U 0 © . - 46 , o< Service Tha�� REPORT ID: DPR265 ROUTE TO: BS0508