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