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HomeMy Public PortalAbout5741 RIO HONDO AVE_Electrical__ C;V"7/ /-t- I g;�ZAZ _ 6i1 � . 76AS63-CES06 8-62 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST G �r �I ,t� BUILDING AND SAFETY DIVISION . T� / �/ /1®A4 JOHN A. LAMBIE, COUNTY ENGINEER „ WILLIAM A.JENSEN,SUPT OF BUILDING Y C�f� FOR APPLICANT TO FILL IN T. RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $.20 $ OWNER LIGHT MAIL Aon'L f0 ADDRESS SWITCH. OVER 20 TOTAL CITY TEL.NO. LIGHTING F1Rsr 20 f .20 FIXTURES ADO'L 10 ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /�e rA GARB.DISP. STA.COOK CITY. A/' TEL.NO. DISHWASH. AUTO.-WASH. STATE g SPACE HTRS.. STA.APP.(y$H.P.MAX.) .50 LICENSE NO. tr/Q 9`-I : 17 MOTORS, OVER NOT OVER H.P. i DISTR NO. GRZ N 2_1_��CESSED BY O f 1.00 ' 001 � 1 a 1.50 INSPECTION RECORD . S a 2.00 8 is 2.50 1s so 5.00 }a 50 100 moo 0 SIGNBt NO.TRANS. p� NO.LAMPS 0 SERVICE 0.60OV-Nor OVER 200A 1.00 W SERVICE 0-600V-OVER 200 A. 2.00 N SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DA_TE INBPEC! R'B BIGNATUR AND STATE THAT THE:ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL-COUNTY ORDINANCES'AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ® `p- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF THE ABOVE - • +�. DESCRIBED RESIDENTIAL P E POWER SIGNATURE � .d UTILITY CO.NOTIFIED .SS+d `i) , � ' 1 s' . A r OF PERMITTEE a Lr 7„ Atf, FINAL /= "rY^'i +J>•c;..l VALIDAT ART14UR C. VEIT CK MO CASFI SUPERVISING ELECTRICAL ENGINEER L iuo 3 1 6 0 Q DEC 5 2 D. 4.8 0~ a WORKERS'COMPENSATION DECLARATION M-0019 DPW 3/87 Hereby a firmKthat 1 have a'certificate of consent to self � APPLICATION FOR ELECTRICAL PERMIT C insure„or a certificate 6f Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS o?a certifiod copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Cectified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY (�{ tion department. Multi-family Sq. Ft. –'– NEARESTCROSS !L Date Applicant �` Residential Swimming Pools OWNER OR LA%�4 A �g FIRM NAME e�l�F CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec3 Light i� Sw.L, 10� MAIL COMPENSATION INSURANCE ADDRESS 1�-t� 1 O P�C7�QL� �V� ����•,, First 20 (This section need not be completed if the work Involved by Total No. Additional CITY r( _ Tel. the permit Is for one hundred dollars($100)or loss.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Date Applicant Total No. CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Applionc s Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR REG. NUMBER I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — _Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P SED BY / a and Professions Code,and my license is in full force and effect. Size&Type HP, KW, KVA, or KVAR o O License Number Lic.Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE/�"3—(�� VALIDATION Er Contractor Date Over 10 to 50 Incl. 0 ❑ FINAL ,% I am exempt under Sec. Over 50 to 100 Inc. BY °�j ` B.&P.C. for this reason Over 100 ✓ d Z Services,,Swbd., MCC&Panelboords Z DOS' 0-200 Amp. Under 600 V 111110, — Signature 201 - 1000 Amp. Under 600 V I 1 0 7 2 3 A ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V # 0 0 0 0 0 2 SINGLE FAMILY Temp. Power Pole&Appurtenances I o o53. 50 HOME OWNER-BUILDER DECLARATION o 0 0 r, c.•x I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit „3 t, Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits G C" `G g 8 Professions Code): I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— Business chedule)Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address , I certify that I have read this application and state that the TOTAL FEE 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 inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ®i t CE-806G CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT 'fl 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 certified copy,thereof(Sec.38010,Lab.C.) 8 I� ([�� Policy N'o. Company FOR APPLICANT TO FILL IN JOB ADDRESS 674t M,� AQWWjk%j- New Residential Bldgs.&Pools EACH IND. FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCACIT ❑ Multi-family Sq.Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming P ols OWNER OR FIRM NAME Date Applicant Outlets: Rec._Light Sw. MAIL AA ,, r•� First 20 ADDRESS-6-14k l J. —10 V"JVQ M1 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY _ 't-JATel No. ]- } COMPENSATION INSURANCE. PLAN CHECK d O APPLICANT •V (This section need not be completed if the work involved Fixtures First 20 ADDRESS by,the permit is for one hundred dollars ($100) or less.) Total Lighting Fixtures Additional I certify that in the performFixed Appliances Not Over 1 HP performance of the work for which this CITY Tel o t permit-is issued, I shall not employ any person in any manner PERMIT so as to become'subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT a N Oven _Dryer_W.M._ ADDRESS Z Date.Applicant Top _FAU =W.H.. Hood _ Far( _Other_ CITY Tel No. NOTICE TO,APPLICANT: If, after making this Certificate of Disp, _Room Air Cond L LICENSE OR Exemption, you should become subject' to 'the. Workers' REG.NUMBER Class. Compensation provisions of the Labor Code, you must forth- Power Apparatus&,Large Appliances DISTRICT NO. PROCES ED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR Up to V Incl. 0 FINAL: . LICENSED,CONTRACTORS DECLARATIONOver 1 to 10Incl.- DATE ' VALIDATION 'Over 10 to 50 Incl. 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 License.Number Lic.Class 0-200 Amp.Under 600 V 201-1.000.Amp.Under 600 V. Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILD.E.R DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that. .I ant exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors 2-3 84.3 A , as owner of the property, will do the work and the Other(See Complete Fee Schedule) — Altructure is not. intended or offered for sale (Section 704 # oo0 4,Business and Professions Code). - •- 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2o - 43-50 for,the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). ° ' ° [;3505 Lender's Name -PLAN CHECKING FEE (One-Fourth Permit Fee) 1) 4.30=82 Lender's Address ` !PERMIT ISSUING FEE S I certify that .I haveread this application and state that the TOTAL FEE �f above 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 property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE. Signature of Permittee Date WORKERS'COMPENSATIONDECLARATION APPLICATION FOR ELECTRICAL PERMIT CE-1306 I hereby CE -906G (2.80)affirm that I have a certificate of consent to s OUNTY OF LOS ANGELES BUILDING AND SAFETY �finsure .Or a certificate of Workers'Compensation Insurance V l (/AO(�d�po r! ompa )Y y FOR APPLICANT TO FILL IN JOB Policy o. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS a Certified copy is hereby furnished.�f�/�� ,r 1 &2-Family,Sq. Ft. $ — $ LOCALITY-77C, Certified co ! / Multi-family Sq. Ft. — NEAREC OSSST Cepa ted c py is filed with the county building inspection Residential Swimming Pools OWNEROR /�f� /° 30 FIRM NAME &I//� Date(' f lApplicAnr Outlets:Rec.._Light. Sw. MAIL• First 20 ADDRESS 's7�/ CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY AGVdeeC— j�4'W Tel No. 23 7-7 Ss� COMPENSATION INSURANCE PLAN CHECK d APPLICANT 0 (This section need not be completed if the work involved U by the permit is for one hundred. dolhus Lighting Fixtures First 20($100) or less.) ADDRESS Total No. Additional O I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. permit is Issued, I'shall not employ any person in any manner ;PERMIT /s so as to become subject to the Workers'Compensation Laws. Range_Heater D.W.�_ APPLICANT el— Oven _ Dryer_W.M._ ADDRESS. Act U) fol Z Date Applicant Top _ FAU _W.H.,_ • Hood — Fan _Other_ CITY NOTICE TO APPLICANT: If,after making this.Certificate of D'isp. Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER 2 lass `�© Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PRO S BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVAR e Up to 1 Incl. FINAL Over 1 to 1A Incl. DATE / s LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. L b � �� VALIDATION 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 mess and Professions.Code,and my license is in full force and effect. //,,++�� Servic v l License Number. 2 Lic.Class �`•i V 200 A Under 600 V (p/ 20.1-1000 Amp.Under 600 V .� Contracto ateVJn- I Over 1000 Amp.or Over 600 V ' 2006 HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances A I hereby affirm- that I am exempt from the Contractor's Sign with One Branch Circuit # o o a o. o 2 License Law for the following reason (Section 7031.5, Busi- ' Additional Sign Branch Circuits ness and Professions Code): 2 0 o 2 a,5 0 Misc.Conduits&Conductors I, as owner of-the property, will do-the work and the Other'(See Complete Fee Schedule)— o•o 0 2((.5 Q 61, structure is not intended or 16ffered for sale (Section 7044,Business and Professions Code). 0"624-8 1 CONSTRUCTION LENDING AGENCY I hereby affirm that there is. a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec.3090,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•appli..cation and state that the TOTAL FEE above information is:correct,1.agree to comply with all County ordinances and State. laws regulating Electrical wiring, and hereby authorize represeatati• h' ounty to enter upon 4W -mentioned pr pert for 1 i purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of permitte Date i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0507220015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 IT: 1 5741 RIO HONDO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802433 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN 8587-003-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C F1 120V, 15/20A BR CKTS 6.00 BR 103.50 TENANT: G1 OUTLETS-LGT,SW,RECP 34.00 OUT 57.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H2 RES GRBG DISP IT 3HP 1.00 DIS 10.95 07/22/05 JK 01/18/06 H3 RES DISHWASHR IT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H7 RES EXHAUST FANS 1.00 EX 10.95 FINAL DATE FINAL BY: CODE: GIMA MICHAEL L;RITA L (626) 287-2556- LG 1."4 AMP PANELS, MCC 1.00 PAN 5741 RIO HONDO AV /aQ TOTAL FEES 298.05 TEMP 917802433 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION, REMODEL, SUB PANEL 40 AMP SERVICE APPLICANT: TEL. NO: PAUL L. SCHWARTZ ELECTRICIAN (626) 355-7060- 135 LORALYN DRIVE SPECIAL CONDITIONS: ARCADIA, CA 91006 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE PAUL L. SCHWARTZ ELECTRICIAN, INC. (626) 355-7060- 135 LORALYN DRIVE LIC. NO TEMPORARY POWER POLE ARCADIA, CA 91006-1631 449112 CIO UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING a�y MAIN WATER LINE z PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BSOSOS