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HomeMy Public PortalAbout5526 ROBINHOOD AVE_Electrical__ 7SA663 IDBS 5A 3-50 APPLICATION FOR PERMIT \�//13? DEPARTMENT OF BUILDIIeTG AND SAFETY I a ����� ��1�to\P( COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE IBBUED ADDRESS/ ' i C�` FIRST INSPECTION CITY - -.t,.�,�"]R,f�•. TEL. NO. L COUNTY LICENSE NO. - EXPIRES BUILDING � f ti.✓ �" PERMIT FEES ADDRESS / / NUMBER EACH FEE LOCALI -� LIGHT OUTLETS NEAREST ' CROSS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS 5. $ I MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 t- CITY TEL. NO. FIXTURES 5 1 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 I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. '/2 & LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTEE z s 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 60 200 5.00 200 500 10.00 J 500 1 000 15.00 Q Z OVER 1000 20.00 M M.G. SET/FREQ. CHANGER-HP m WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or ORIO.) MOVED MOTORS (75% OF ORID.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INBPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL L.� 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES / DEBUILDING PARTMENT AND SAFETY DIVISION ADDRESS j s�f� to oe /Y//00/7 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. O UE RECEPT. TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 2O ffi 20 $ OWNERMAIL // JA�/, SWITCH. ADD'L .10 ADDRESS ��1Q //Or bOD OVER 20 ,C r LIGHTING TOTAL FIRST 20 .20 CITY K d// TEL. NO. FIXTURES I I ADO'L 10 ELECTRICIAN �G OVER 2 O // a �--+ RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �QV of-E //✓J lI 57, GARB.DISP. STA.COOK - CITY E� <F c�T TEL. NO. / DISHWASH. AUTO.-WASH. STAT± y SPACE HTRS. STA.APP.0/a H.P.MAX.) .50 LICENSE NO. L MOTORS: OVER NOT OVER H.P. DISTRICT O. G_rUP Z NE� PR ES BY O 1 1.00 AIN 1 3 1.50 INSPECTION RECORD 3 8 2.00 8 15 2.50 15 50 3.00 a 50 100 5.00 0 SIGNS: NO.TRANS Ix NO.LAMPS 0 O I'- SERVICE 0-600V-Nor OVER 200A 1.00 'Q W CL SERVICE 0-60OV-OVER 200 A. 2.00 0 SERVICE OVER 600V 5.00 ? MISC. PERMIT ISSUING FEE 2.00 2 LIQ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 AM TOTAL FEE LANDSTATE BY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYCONDUIT LL COUNTY ORDINANCES AND STATE LAWS REGULATINGCAL WIRING. WIRING EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR D ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES NIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ED RESIDENTIArLPERTY. POWER URE UTILITY CO.NOTIFIED MITTEE Q''►''"� ALIDATION ARTHUR C. VEIT CK\, MO CASH SUPERVISING ELECTRICAL ENGINEER I �ieratTlrm that I hawA COMPENSATION DofEaonaent4 Bell Insure, 71e DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT or aoertlncats of Worker's Cbmpenaatlon Insursnoe, or a oertlfled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sac:-3800 l.ab'. C.) Policy No. Company POR APPLIOC MT To M L IN Be zk go ❑ C*rttffed copy Is hereby fumished. New Reelderttlel Bldgs.S Poole NO. EACH FEE LOCALITY � 1 8 2❑ family,Sq.Ft — $ $ Certified copy 1:8 Mod with the county bullding Inspection NEAREST department MuftMamlfyy Sq.Ft CFr088 ST. Date Raakl6a tial Swimming Pools ASSE89Ct( PAGE O 19 PAFM Or CEFMRCATE OF EXEMPTION FROM WORT ER& O, RJJL Light �y � a// FFW COMPENSATION INSLIAANCE F1 rat 20LWL (This siotlop need not be oomplated H the work Involved by the permit la for ong hundred dollars($100)or less.) Total No. Additional I certify that In the petformancs of the work for which this permit C17Y TOL N° Is Issued, I shall not employ any person In any manner so as to PLyr q�C!< become subject to the Workers'Compensatlon laws. FlxturM First 20 APPUGANT otal No. el ADDRESS Date "kart NOT 3 HP. D NOTICE TO. APPLICANT: If, after m-aking this Certlticat CITY Tol.Na Exemption,you should become subject to the WorkQrs'Compenadtlon OTHER APPLIANCE$NOT CVER 3 HP. Pl3MU'T ` provisions of'the Labor Code, you must lorthwlth comply with such Powerua&Large Appliances APPLICANT. provisions or lhls permit shall be dd*med revoked. LICENSLD CONTkIACTOFfS DECLARATION Stze S Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Ind. (commencing with Section 7000) of Dlvislon 3 of the Business and CITY TOL N0 Professions Code, and my license Is In full force and effect. Over 10 to 80 Ind. Over 80 to 100 Ind. �� a� d Over 100 DtBTRJGT No. BY License Number Lb.Ctaaa services,swbd.,MCC a Panelboards Od (- Contractor Dade 0-3199 Amp.Under 800 V DA O El I run exempt under Sec. 400 laoo Amp.under 1900 V VAUDAWN V Over 1000 Amp.or Over BW V Nti W B.tiP.C.for this reasonIL BRANCH CIRCUIT FEES A` (n Date: 16&or 20A,12oV,Lighting or ReospL 1`+ Z 1 To 10 Branch C4rcuits re 11 To 40 Branch Draft More Branch Clircults El Exemption for Reg."Malnt-Elect. 16.E 20&20BV To 2m� w� SINGLE FAMILY Temp.Power Pole 8 Appurtenarese ACCT•T HOME OWNER--BUILDER DECLARATION S with One Branch Clmu t +� ir�7 I hereby affirm that I am exempt from the Contractor's License Law 33rJ] 1.U!■T, for the following reason (Sactlon 7031.5, Business and Professions Additional Sign Branch Ctroults ` C,cde): w11 ITEM LMI, as owner oT the property,will do fie work and the structure Mme•Cmd"ns a mom TOTAL 107- 2c Is not Intended or offered for Bale (Section 7044, Business Other(see C1+f1 omplete Fee Schedule) , /+�Jtl 107.E � and Profseslons Code). CONSTRUCTION LENDING AGENCY CIMISE ■130 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is ledued{Soo. 3097, PERMff FEE (bub-T CIV. C.) O C1—QDOi 1/10/94 PLAN CHECKING FEE Landers Name 7389 1 AM 10:4` PERMfr ISSUING FEE vl V d Lenders Address TOTAL FEE �d I certify that I hays read tib applloetfon and under panafty of purjury state fiat the abo+w Infomal on la oortecL I &gree to comply with all County ord7iances end State laws regulating Electrical whing,and hereby airthortre rgpresentaf}ves d this County to errter upon the above-rnarttloned property for Inep-d-Purposes' SEE FEVERBE FOR EXPLANATQRY LANGUAGE i✓ 1-IO- 863NATUFE OF PB'&UTTEE LUTE COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC 40RKS 9701 LAS TUMAS EL 0508 0406290032 { BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUIEDING ADDRESS: TR: 16957 LT: 83 5526 ROBINHOOD AV ASSESSOR INFORMATION NUKBER: FEE DESCRIPTION: QUANTITY: UQM: AMOUNT: TEMP CA 917802718 NEAREST CROSS-STREET: BALDWIN 8586-018-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: e3 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 14.00 OUf 27.30 G2 LIGHTING FIXTURES 3.DO LGT 5.85 . TOTAL FEES 60.90 06/29/04 JK 12/26/04 OWWER: -TEL. NO: FINAL DATE—- FINAl BY: CODE: CHFM SIV H (626) 357-6017- 1)43-4 5526 ROBINHOOD AV TEMP 917802718 DESCRIPTION OF WORK ELECTRICAL FOR NEW ADDITION HUANG (626) 452-9190- SPECIAL CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIG)tATURE HUANG, TENG-TSAN (626) 452-9190- 5423 HALIFAX RD LIC. NO TEMPLE CITY, G 110NE LJ14DERGROLIND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH DUIT ROUGH WIRING KAIN WATER LINE PLASTIC Y/N METAL Y/N REPORT ID: DPR265 ROUTE TO: BS0508 COUITY OF LOS AKRE$ TEiPLE CITY # 0508 ELECTRICAL PERMIT DEPARTKENT OF PUOLIC WORKS 9701 LA$ TUNAS EL 0508 D41213D BUILDING AMD SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 PHONE: (626) 285-0488 b(T: LEGAL ID,, Pfts PAID BUILDING ADDREW: TR: 16957 LT: 83526 ROBINHOOD AV INFSWTIO@( NUMBER: FEE DESCRIPTION: QUANTITY: UOM:. .AMQUIT: _.. TEW G 917802718 _ BW-018-OD5 Al PERMIT I$SUANCE FEE. _ 27.75 T I If C ASTP 2 E� 597 GRID: I 3 CO'ULITI': TEMPLE CITT, C CB 200 AMP PANELS, MCC 1.00 PAN 38.85 TOOT? TOTAL REFS 66.60 PLAN BY: EXPIRES fW- 12/13/04 X 06/11/65 mm GGHHOR•SIV HFINAL DATE FI CDDE:, {626) 357-6017- 55Z6 ROBPHQOD AV L3 y - TEMP 9177$$002271OESCR4PTION OF WORK UPGRADE SERVICE TO 200 AMPS. APPLICANT: TEL. WO: HLMMG (626) 452-9190= SPECIAL COOITIQNS: HUANG TENG-TSAN ( ) 452-9190- 5423 AALIFAX RD LIC. MO TEMPLE CITY, G NONE _ ARCHITECT TEL. W LIC_ NO: ROUGH CON1)UIT MAIN WATER LINE PLASTIC Y/N METAL Y/N _ MIL.ITY WWANY NOTIFIED2 REPORT ID: DPR265 ROUTE TO: BSD508