HomeMy Public PortalAbout5434 ROBINHOOD AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER HU1LDING
BUILDING AND SAFETY DIVISION ADDRESS r
JOHN A- LAMBIE, COUNTY ENGINI[R
CAAKATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL W NEARE6T
PEgMU FSS
1 T I Y mubtBxRl EACH FEE OWNER
L R MAI L
LIGHT/ REC% �r- svhl. .10 ADDRMW Lee
LIGHTING FIXTURES .10 CITY TM- NO.
M XC. RANGES CLO. Dkficrts ELECTRI
W A T K R H I A T K R .50 ADDRa68
ICLEC../PACK HTRI. DI/HWAKHK"
t CITY T NO
GAJOAGK DIfTO1Qt// Auro.- STATE
WAWHIRS SrA. COOKING UNrr/ .217 LICENSE NO.
MoroRsl ovER Inc. H. DI I NO. GROUP z PRO ED 13Y
0— 'V, .25
i IA- 2 •50 INSPE=ON RECORD
2— 11 1.00
5— 15 1.50
115— 50 2.50
150-200 5.00
NO. TRANS.
HIONSI
No. LAYM
SERVICE 0-500V 1.00
S[RVIGE OVER SOOV 5.00
MISC-
WIRING PERMIT 1.00
FIXTURE PERMIT .. 1.co
SUPPLEMENTARY PERMIT .50
TOTAL FEE fVC-O
AMOVAIS
1 HIRI/Y ACKNOWLICDGK THAT I HAVE READ THII KDAT[ INSPIM OR'/■IGNATU RI
AND STATIC THAT THK A19OVK I/ CORRECT AND AGR" T9 COWITH ALL COUNTY ORDINANCES AND /TATE LAW■ REGUL[I rC1l21CAL wIRINa.IHEMISY CLPM FY THAT I AY FRO Y hlal A L I CIN QED Al REOUIREII Y LO/ ANG CO /TATAT O THE ADENCRI/ICD RESIDE M
SIGNATURE UTILITY CO.NOTIFI®
YAT]7�,ATION ARTHUR C. YEfi,
C��]--- UP6RVI8ING FIAGTRICAL EN61N)QR
No CASH
1 3 2 GIR -DEC 24. 2 A 1 l.l 0
1O'°R"EPS CO'E SX1710N°E`T'ON � °'B1 APPLICATION FOR ELECTRICAL PERMIT
I &,.by affirm ttt d I have a c.ttke. of consent to aetf neuro,
or a certffiia d Workers' Gampwvatbn Insurance, or a certlfled COUNTY OF LOS ANGELES BUILDING AND SAFETY
sea e0o >r)
ry FOR APt�chc.Ar+t•ToFLL IN,
.�
ADCIRESS'.
❑ GerdW oopy is h ruby fumished. 'New lmidential Bog&d P981s EACH '. NO. FEE
1 d 29 ,$p Ft
$ � S lACr�lTfYt
Certffled'oopy b' flied�WtthNntyoubudiilrlg arrry,
- _� .• MA-famQy 3q.Ft CROSS ST.
1 rt Reeidentlel Swt mN Pool 0W1Eq OR.
F W NAME
CER-PFIC,/1WOW-ERS'E OF MPTION,FTtOM WOW-ERS' 009t=Roo Light �,Sw:
•COMPENSASION INSURANCE - F1rat 20'
(Thrfa...ction r►a4Ld not be compiitid If the work txdr•d by the Trial No.�_ Addnbnel CNY Tet
,p!rmft M for one hundred dollars($100)or h+a,) .
I'certffy that In.the performance'of the work "which tole pwmft CHECK
Is baled, I ahia-not ertrpioy,any.person in any.pwrW eo as to
beocirm ajb)ec�to the^rkers'CompQrrsston Laws. Lighting Fbtlee. First 20 ADDRE,
Total No.__ CITY Tet No. ,
DateApptfcantA.
NOTIC& ,TO, AP?L1CANf: ff.:arw. making this certtftoete, of Fbaed/lppdar�oee Not Over 1 HP APPUC
Exemptim,you aherjd pe—'suble to the Workero'CAm ansafbn
�pdr— }(eater_ D.W. APPLJG�Ni
.provl*oa.of,the Lebon fio.you moat ford-4th oomphy,with euch.' ' Oven Dryer W.M. ADDRESS
provisions fprstela permit. �alI be deemed*-kgd. •. .TopFAL) � .WA
� �.
CITY i'ef.t3o
L1Ce4SED OONTTtACTOR$PECLARNTON. Food Fan Other_
I.JxX9by affirm that.1 arri kermad raider� provlebne.of Chapter 9 Dlep_ Room Al Cond, LYC�l19r aP
REQ(oorrvneod.np with 7Qdd
00� .Dtvlelon:3, tip,f�eea and ,
NUABER
Proleaaione Code,and my Iicenee b In fuO force and effect. Power Appy d Large AW!artoee•- Dp>wT"a p �'-
S&a d Type HP,KW,K114,or KWR
Lloerrae Number Lb Clean lip to•1'k# FINAL
O%w 1.tq•10k)d._. DATE24.Iq b 0
(aver 10 to 661ricl r
1-7 ' FINAL
❑ J,sm exemdt.urder sec _ rr i Over 60 to 1-00 tndBY
B P.a for this reason. Over.100 - 0.
services,Swbd,MCC d Par"boards , Z
Dabs: 0-200 Arrp.Under 600 V .'
Ar
- 2Q1 - 1000 Amp.Under 800 V Over 1000 Amp.or Over 800 V
❑ .Fxenrotion for Req.MalrrL Eiec*. -
SMLE FAMILY Temp.Power Pole d Appur6enarx)w, .
HONE OWNER-BUILDER IDECLARADON '
I hereby affhm that I am exempt from the Contractors:Lkwm Law 'with oris Branch Ctrattt At CT.i
for the folbwnq reaaon(Section 7031.6, Bustneea.and Profesaione,' Addb nal Sign Bmrph Ctr-tta
C069): 3307 29.70
❑' las owner of the pmperty,will do the work and-t.he strwttirp' r` : Misa Condufta d cai;dudora 1 ITEMS.
Is not Interded or offered for Bale (Section 7044, Business - Other(See Corripfew Fee Schedule)
and Professions Code).-
TOTAL . : 29 . 70
C.ONSTRUCTION LENDM AGEIW Y v' 29■i�l `
I hereby affirm that there Is a constuctlion {ending ageray for the O .
performance d the work for whldi this permit b band(Seo.3097, PERMFr FEE (sub-Total)
PLk+CHEOKINOFEE Qu J Qr f�11
LerKWh Nome
PERMQ k9SUM FEE Qty Ar p
Larders Addr-em .9018V iV 1 I71 7:32
I owWy that I have read this application and state that the above TOTAL FEE q
nformation Is oorreot I agree to oonpfy with all Ccurty ortinances
and laws regulating ElpCtrloel wiring, and hereby authorize.
this Govaty to; enter upon the
/ E REVEA$E FOR EXPLAH1iJORY LANCiUAOE
sulfitfre Of f�fJ
u
`^0R "CI have a c'°" D��ns - ' - x '°'81 ' APPLICATION FOR ELECTRICAL PERMIT
r. I hereby affirm that I have d certificate of consent to teff
Insure, or a certificate of Workers' Compensation 9nsurancer COUNTY OF LOS ANGELES f BUILDING AND SAFETY
or a cbrtlfled copy thereof (Sec 3800, Lab. C.)
Policy No. Company APPILFUNfT m AA tN JOB
❑ Certlfled ropy Is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE Al>i>R1 5
6V3-AloP 17 101117al 14
_ ; LCX:41
❑ Certified copy Is filed with the county building Inspec- 1 8 2-Famlly, Sq. Ft. ; _ LocAiT
ffY
Hon department. Multi-family Sq. Ft. CROSST r
Date Applicant Residential Swimming Pools OWNER OW
FIRM NAME Z
CERTIFICATE OF EXEMPTIONN FROM WORKERS' Outlets: Rea�Light � L
COMPENSATION INSURANCE ADDRESS
y First 20 'x�
(This section need not be completed If the work Imrohmd by Total No r CITY " TPI. No. l� d
the permit Is for one hundred dollars ($100)'or less.) Additional
I certify that In the performance of the work for which this ,AN CHr
permit Is Issued, I shall not employ any Person In any manner
so as to become subject to the Workers Compenaatton Laws. Ughting Fixtures Flat 20 ADDRESS
Additional.
cal No.
�J p �— CITY Tel. No.
Date% ��—UpNcgnt Fixed Appllancet Not Over 1 HP PERMR
NOTICE TO APPLICANT: If, after making this Certificate of AFPUGANT
Exemption, you should become subject to the Workers' . Range_, Heater—D.W.
Compensation provisions of the Labor Code, you must forth- Oven — Dryer _K'_W.M.T ADDRESS
with comply with such provisions or this permit shall be Top FAU _—WH. _&Lf_ CITY Tel. No.
deemed revoked. Hood Fan _Other—
} LICA CONTRACTORS DECLARATION E_Disp. Room Air Cond. _&_1 -LKIEN�SE OR
REG. CCdw.
I hereby affirm that I am licensed under provisions of Chapter 9
NUMBER
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. BY
ce
and Professions Code, and my license Is In full forand effect. Power ApparatusLarge Appliances
Size b Type HP, KW, KVA, or KVAR' [ Q!3 .74e
(V7
License Number I Ic Class Up to 1 Incl, FINAL
Over 1 to 10 Inc]. DATE O VALIDATION O
Contractor 'Date
50 Inc].10 CJver to❑ FI CL
I am exempt under Sec. Over 50 to 100 Inc. BYtla�
W
fL
B.BP.0 for this reason Over 100 %*
Services, Swbd., MCC b Panelboards —
Date: 0 -200 Amp. Under 600 V
Slgnatur __ lL =co+c+,L� i—��� 20.1 - 1000 Amp. Under 600 V
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Malnt. Elect.
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 2 6 9.7 A
I hereby affirm that I am exempt from the Contractoq�aUcense Additional Sign$ranc}rClrcults # o o•o 0 0 2
Law for the following reason (Section 7031.5,•Buslness and ' ' '
Professions Code): 12.-F- 42_59
❑ I, as owner of the property, will do the wgrk and the Misr— Conduits 8 C;onducton .0 0 0
structure Ii not Intended or offered for sale (Section Other (See Complete Fee Schedule)_ , 42
,5 0 2i
7044, Business and Professions Code).
- 07, 13-84
CONSTRUCTION LENDING AGENCY
I hereby affirm th¢t there Is a construction lending agency for
the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total)
(Sec. 3OW, Clv-C_).
PLAN CHECKING FEE
Lenders Name
PERMIT ISSUING FEE D
Lenders Address
I certify that I have read this application and state that the TOTAL FEE
above InfoFinatlon 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 abovementloned property for lnspettlo�n purposes ,! SEE REVERSE FOR EXPLANATORY LANGUAGE
/r_/ � ' �7
Signature of Pwmlttee Date
WORl5Rs'COMPFNSAFUN DECLAWON 7Me83 loie't ARP��CA1lON FORE ELECT
PERi��IT.
I hereby affhm that I hdve a certNloaLe d convent to &W frrsure, CE-B . 1
or.a certlFbabe of Worlaem' Comperreation [rmrance,.or a cefifW COUNTY OF LOS ANGELES BUILDING AND SAFETY
�;tt,ereof cs4o ,L�-c.� - . ..
PoncjJ ,$.Corr,p�r;y
FOR Atr wice
0 Ce�tW copy Is hereby fbrrMhed. New ReeidenW Bldpe-a Poole NO• '
1,OCiWiY ,
Cerf3fled oopy Is tffed with ttia county buhdlrp I aMptlon 8 2 Fehil}Y,SQ Ft �
WhA-famN S4.Ft
Posidantlel Sw+rrming PoNla c3rr-�?,2"�.. WNEP�oAFIRM .
'... . waF
CE .,-rlH OF EXZMPTIbN FROM WORKERS'
�A�ENSd¢ION IN,SURANGE Reo —_ L1pFrt— Sw.
tmis -tion.rmW RAb'b*cm*ed tf the wprk tnvoYwd,by the F1rat 20! 5;
perj�Ft Is hx dM hundnd:c}ol,kgn(*100)of 1!�F} Trial No.�� Additbnel•�4 C GIfY '` Tet
I-oeR*'theft in itV pe(forrriarloe.cf#oh Work for.Milch tole permtt ; CHECK,
�v 1ee<bd, I,ehall.not ehiWy_any p9reon to " manner so Qa to '.:�. ♦ '
Wornesub}eft.to,theWoogw's'.Com imbtiogLay,& LUhtingFxtuheb'. Flfet20. ♦ +y 'ADDRESS
j Addfflo*
Total Na T CfFY TeL Na.
Datp t
NOi1C8 ,T0'-APPLiCA1 T: H, sfW rr-maidrig thla G&IMfoete d Fbced Appfiencee Not Over 1 Hp PEFUT
ANT
ExempHgn,ypu#mo become w*&to the Workefe:Compwmdion Renpe— Heater— QW, APPUC
provj�df the Labor Code, you nxst i &wkh pomPlY.w1th-euoh. OVer} D SIx W.M.� ^1:• ADDRESS
p{ovlafQrTe or th{e permft ahalltie deemed reeked Top- — FAU ,-WJ-L
LJCENSFD CDNTRP 3•DFC-AF{ATtbN Hood_ F Qtfier—
Crry
1 heoepy afftrrm•theb I am Ibeneed 1e. �
'Pc���� D1ep- � Room Alr Cord oia
oor
{ hrrienotrg with Sep{im 700d 0) �Yvlefon d Bueli6ee 3 #i6 �d FEa .'
Prdeselor�e Cod6,.aM my Ilce'me//fa'In,♦u and effect." Pmyer Apwa}uv& Lsrge.AWlfancee- NO BYSize S Type HP;KW,K10k or KVAR
Ll.,r Number JJJJJJ to 1 Incl. - RNAL• -
Up
Over i to'7 0 Ind. �i r
DATE
'-CtltYtrector C%aLa� - •' ne-mu
Ove{_10 tp 60 hid. ANAL
Elem exempt urxoer Sec �� Over'6ff$o 100 Inc BY ,
f3dP.0 for thio reason__ Over J00 ' -
S�rSwbd�MCC pa'- nolboar* ' ' to
v)cQ4
Date"� 0-200 Arte.LJnd6r 600V
Svwmre 201 - 1000 ArrrP.'Under.69Q-V .
bVer 1000 Amp.or Over 600 V
❑ ExemF.lnon for PK.iI,t.. .
- -SINGLE FAMILY Temp.Poykr Pole S Appurtenance&
HOME OWNER-BUILDER DECLAFATION .'. dliw Yvtffi one Branch Clrcuti T
I hereby.4fjilm.ttxi I am exempt from the Cofrtrr}cW6 Ucerree Law �r
for the iglloW�p meow (Section 7031.6;Blieln6es aftd.Profeeeions Addit3onai sign Sr¢rxh Clyduks ( ~L', •i .'
code): 7 19.Ki,
MFac-Cor�rtta d Corldrlctore '` -
❑ 1,aa owner of the property,wfll do tl a work a0d fhe atrtr we 1 TTErE
18 nbt Yrtended-or pffQred for Bale ( 70-44 ens -Other(See Complete fee.Sotrsdule) —
am Pmfeeeiorle bode). seat cx,, TOTAL ''39 - 70 .
G0NSTR9GMN LENDING Aa JGY - C�ECY, 39.70
f Aeby afflrm that there b a coma rotlar lending agency for t16
performance d the Work for why thke permft Is iee (Sac 3097, PERMrr FEr (SR%b-Totgl} _ I
CIV,c.). .
PLAN CHEDgNOZEE
L'erldere Na. G 0040—OW 1 9/23/91
FERMrr_I$$l.([tJO FSP / , Q1fiv 1.
Lender eAM
I:Cardfyhave feed th}s apo k)abm.and state that the above iO17vl.FEE
borract. 1 agree to with all County ordklaricee
are rewLab p• wiring, and hereby au&"tze
d thio on the above-mentioned
,
Won , r
t}EE R��FOR EXPL.AlLtTORY LJrlrlOUAOE ..
Date
COUNTY OF LOS ANGELES TEMPLE CITY f 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0205080012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING �`-
TR: 21704 LT: 8 5434 ROBINHOOD AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802729
ASSESSOR ER: NEAREST CROSS STREET: BALDWIN
8586-024001 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGTSY RECD 5.00 OUT 9.75
G2 LIGHTING FliTaES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 41.40 05/08/02 JK 11/04/OZ
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
MORANARCO NICK TR MORAMARCO FAMILY - Q lJL
5434 ROB I N HOOD AV
TEMP 917802729 DESCRIPTION
ELECTRICAL FOR ADDITION
APPLICANT: TEL. NO:
JOSE ANTONIO SANCHEZ (626) 798-7484-
1833 EL SERENO =. SPECIAL CONDITIONS:
PASADENAMNTRACTOR: TEL. NO:
APPROVALS INSPECTOR SIGNATURE
�'-
"•,'C) ,
BUILDERS LICENSED CONSTRUCTION (626) 798-7484-
1833 EL SERENO LIC. NO << .' ,r yTEMPORARY POWER POLE
PASADENA CA 91104 734735 B
ARCHITECT OR ENGINEER: TEL. NO:
UFER GROUNDANSANO ARCHITECTS (626) 482 �F1
180 E. CYPRESS ST. LIC. 1 11111ROUGH CONDUIT
COVINA, CA 91722 023040 -I-- — - _
� ROUGH WIRING
' - -- -- ----- --- - - - - - _ GL
MAIN WATER LINEPLASTIC Y/M NETAL Y/N
ra`' -�\ - -- — ,;; .I_I •---�r IST,\ ,/! —+'�+
- '�J I" }r\�-�''!' 'i�-rel.�f ••.�;
_�_._ _ __.. .�.. '-fir �.�_"1 _1 _ ��" � `•
`�: =tom{ +J i 1',•. e fit^'- :_
REPORT ID: DPR265 ROUTE TO: B90508