Loading...
HomeMy Public PortalAbout5018-5026 ROSEMEAD BLVD_Electrical__ 75Asr3 DB9 SA 17-SO APPLICATIONT FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP I ZONE PERMIT N.O. FOR APPLICANT TO FILL IN A ELECTRICIAN e7!1�S� J o n r.. RECEIVED BY READY FOR DATE ISSUED ADDRESS /�++ pp�� (�h/J � FIRS INSPECTION CITY RO 5rr- �eCY`' 9 TEL. NO_/Tp [9tt,0`L-�y,b s� COUNTY LICENSE NO. � EXPIRES (,' �d�9Jl BUILDING (� H /t dO PERMIT FEES ADDRESS J �d �tf NUMBER EACH FEE LOCALITY ( A LIGHT OUTLETS NEAREST CROPd,13T. RECEPTACLES ,yamO y WALL SWITCHES J� ❑ R TOTAL OUTLETS70 Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 T 1 HEREBY ACKNOWLEDGE THAT I 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. _ I/2 & LESS $ .25 SIGNATURE OF _ I/2 2 .50 PERMITTEE ��_ - - -s,.ra z 5 1.00 INSPECTI6 RECORD __5 15 1.50 _ 15 50 2.50 a �g so 200 5.00 200 500 10.00 500 1000 15.00 OVER 1000 20.00 LoQ M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% Or ORIG.) MOVED MOTORS (75% OF ORiGa MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT /y FIXTURES $1.00Pj, (� WIRING SUPPLEMENTARY .SO FIXTURES POWER TOTAL FEE >s3 UTILITY CO.NOTIFIED FINAL T� 76A663 D995A-11-49- - .- APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER ' FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I 13N �PERMIT N�� ELECTRICIAN/ 16-rPX,k _G'il //sf e .. !'o acO RE 4 Ej VE•D`BY READY FOR DATE ISSUED ADDRESS-` j �,g� / /!/" -e �. Id I FIRST INSPECTION CITY a°'f,,,,,, •' � f'�G r�ifs-ell_T E L. N O. - 1/�/9n,yyA`�� COUNTY LICENSE NO. EXPIRES BUILDING ADDRESS S • PERMIT- FEES ' /�J ,G FEE ! N,�✓✓U�1..MBERI OUTLETS EACH LOCALITY .T�I-)_ -�"'_' LIGHT 5C $ a NEAREST CROSS ST. RECEPTACLES 5 ,y 1 fU/ S FIXTURES - OWNER .. ., //�6� � f 4 ` � •WALL SWITCHES 5 10MAIL ADDRESS 0/ltj S�`...�aii//"}S:i-�alr•?J' ELEC. RANGES 25 v " ELEC. -HEATERS 25 CITY „J!pa r� „-r 1f`4TEL. NO. - MISC. - 1 HERESY`ACKNOWLEDGE THAT I HAVE READTHIS 15 NUMBER OF CIRCUITS INSTALLED: / TOTAL APPLICATION AND STATE THAT THE ABOVE CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS _ 'AND STATE LAWS REGULATING°ELECTRICAL WIRING. NUMBER HORSEPOWERI CERTIFY THAT I, POSSESS THE ABOVE VALID, LOS FEE NEE MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. - V2 G LESS: $ .25 • ' I/2 2 SO SIGNATURE OF�'`% f f PERMITTEE / 144.///i��'/ � J. ✓ �.,'% �tl:•' -�4Y-a 'G� 2 5 1.00 - (;• +'I- - s 1s 1.s0INSPECTION' RECORD is so 2.50 - so 200. `5.00 200 500 10.00 Soo 1000 15.00 J OVER 1000 20.00. - Z M.G..SET/FREQ. CHANGER-HP (7 ,WELDERS:AC-KVA O. GENERATORS - KW TRANSFORMERS - KVA - TEMP..MOTORS (75% OF DRi G.) - MOVED MOTORS (75% OF-ORIG.) , MISC. SIGNS TYPE: NO.TRANS. _ TY.PE: . NO:LAMPS APPROVALS - FOR EACH PERMIT: _ DA/TE INSPECTOR IS NAME WIR{NG $1.00' - _ CONDUIT`.. .. //'• . /, /• - FIXTURES $1.00 / 870 WIRING ,9 � SUPPLEMENTARY .50 _ FIXTURES - POWER TOTAL FEE J,J,Z{LITY CO.NOTIFIED y fii" FINAL / y DSS S-A 6-46 "PLICATION FOR PERMIT DEPART COU OFF LOS BUILDING ANDANGELES SAFETY ELECTRIC 1 - C®� ®F L®� ANGELEs - WM. J. FOX CHIEF ENGINEER Q NAME U DISTRICT NO. GROUP /ZONE PERMIT NO. ADDRESS YJ �� 1.2 A 1 RECEIVED BY READY FOR DATE ISSUED U CITY TEL..NO: FIRST INSPECTIONCOUNTY W CERT.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS � 'E / LAI NUMBER OF OUTLETS ON CIRCUITS LOCALITY J /; ¢ LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FoiT CROSS ST. G L[! CIRCUIT A B C D E F G H IW NAME _.9C e - Al 7-,,,e/ Z MAIL . ADDRESS / /w J e' G O, CITY R G A O/.A TEL.O.B U-- n 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE ,r4 OWNER. I C®RII.ECTI®NS l J Q _Z M O TOTAL Cti CJ NO. OF OUTLETS $ s- APPROVALS NO. OF FIXTURES AF $ Q DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT l� ° NO. OF SIGNS TRANS. $ WIRING / �J� v a NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS . r!P'Z!' 1'"e�'-le C/ $ POWER �J PERMITFEE -A UTILITY CO.NOTIFIED ���!' TOTAL FEE /"J FINAL WORKERS' COMPENSATION DECLARATION 76-663 10/81 CE-806G APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, .fir a certificate'of Workers'.Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof,(Sec.38 ab.C.) ��'� � �'�@p�i 'PJOB olicy No. .i -i �� Ompany �l 41�t FOR APPLICANT TO FILL IN ADDRESS. �3 �- a 1- V y ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE J ❑ 1 & 2-Family,Sq.Ft $ _ $ LOCALITY Certified copy is ., filed with the county building inspection [ � �,.-,•_, dep rtment. Multi-family Sq.Ft.—l—;? a'0' NEARESTGROSS ST. f j� �� Residential Swimming Pools Ow ER ORSi �iV` M, Date tl Applicant p �� FIRM NAME .)s L +� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light Sw. MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less.) Total No. Additional CITY Tel.No. PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT 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 Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. CITY - Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR Disp. Room Air Cond. REG.NUMBER Class. (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTIRIIIC No. x/ PROC D BY Size& Type HP,KW,KVA,or KVAR C . V Q License Number Lic.Class �`'� Up to 1 Incl. FINAL (� 0 U U% Over 1 to 10 Incl. DATE q� ` l� V 1 IIJ VALIDATION ❑ Contractorb ! E�z- C �`t,- Date�z—� 1� 1 Over 10 to 50 Incl. FINAL ~ I am exempt under Sec. Over 50 to 100 Inc. gy ) W' BAP.C.for this reason Over 100 N Services,.Swbd.,�MCC& Panelboards , Lv Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V El ;=< Over 1000 Amp. or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances �+ M ' HOME OWNER-BUILDER DECLARATION' Sign with One Branch Circuit ACCTA I hereby affirm that I am exempt from the Contractor's License Law t4 for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits .3307..- -- 49LT Code): 1 ITEMS El 1, Conduits& Conductors I,as owner of the property,will do the work and the structure ® ryrpf 493 50 is not intended or offered for sale (Section 7044, Business Other(,See Complete Fee Schedule) TOTAL • V and Professions Code). ' 49p 3.5l3 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the 4ftY1i7 "' r I performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). r L L-L- \ i� \ l` PLAN CHECKING FEE Q-tZ 1 -11/9�2/8 Lender's Name PERMIT ISSUING FEE 6525 1 An10:17 Lender's Address I certify that I have read this application and state that the above TOTAL FEE 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 proper for insp • n purposes. � � SEE REVERSE FOR EXPLANATORY LANGUAGE Signat r of Perrhittee Date WORKERS'COMPENSATION DECLARATION 78-666 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof c. 3 00,Lab.C.) S'vlk-Som 6 /zest". -oa Policy No. � Company � FOR APPLICANT TO FILL IN JOB 0 Certified co is hereby furnished. ADDRESS PY Y New Residential Bldgs.'& EACH NO. FEE � , �( 1 & 2-Family, Sq.Ft. $ _ $ LOCALITY L� Certified copy is filed with the c u ty building inspection iltl dep'rtm nt. Multi-family Sq.Ft. NEAREST n CROSS ST. P Date ?i Applicant �"Z Residential Swimming Pools OWNER OR 7. L,L� �v L FIRM NAME 60 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light Sw. — MAIL COMPENSATION INSURANCE This section need not be completed if the work involved b the First 20 ADDRESS I ( Vhl3l P ( y Total No. Additional CITY S'�r)� Tel.No.'7(Y-�25� permit is for one hundred dollars($100) or less.) I certifythat in the performance of the work for which this permit PLAN CHECK S _p , p APPLICANT o� 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 17`71 (/f'p, Additional � D 1 � 7 jq-�2 ' Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Ran _ APPLICANT Range— HeaterD.W. OCi© Exemption,you should become subject to the Workers'Compensation g —. provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit.shall be deemed revoked. Top — FAU _ W.H. CITYvv 7— Tel.No.'Z(;� -5�-(p LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ Q I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR r Cond. REG.NUMBER Z S Class. 'Q AiC° J (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Professions Code,and my license,is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO./ PROCESS eY y Size& Type HP,KW,KVA,or KVAR , 0 License Number J Lic.Class Up to 1 Incl. FINAL /� V /� Date CU u Over 1 to 10 Incl. DATE / Z VALIDATION Contractor ❑ Over 10 to 50 Incl. FINAL/ V I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C.for this reason Over 100 Services,Swbd.,MCC& Panelboards Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp:or Over 600 V i Exemption for Reg.Maint.Elect. ; ri SINGLE FAMILY Temp.Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit p t+ tS I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits PtilrT°cr for the following reason (Section 7031.5, Business and Professions � Code): 6-307 7n 5O ❑ Misc.Conduits & Conductors I,as owner of the property,will do the work and the structure E dTO is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ; and Professions Code)., TOTAL 25., CONSTRUCTION LENDING AGENCY CHECK �o�l I hereby affirm that there is a construction lending agency for the NAKE performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) ° Civ. C.). , t,�v� PLAN CHECKING FEE (MOD-0001 6/12/8"Lender's Name 61 PERMIT ISSUING FEE 3pd q 1 AN119 d7 Lender's Address , bb d I certify that I have read this application and state that the above TOTAL FEE 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 r i spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date - - -. -' -- CE-EOeG AVVL11.H1 1UN f-Uh CLC%.o I M1`..HL I-IMMV11 1 I he(eby effirm that I have a certificate of consent to self insure, pr a certVicate"of Workers:Compensation Insurance, or a certifi9d COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800. a^.C.) 1I eEE 'r'olicy No. \ ompany " _ FOR APPLICANT TO FILL IN JOB 4, - — ADDRESS �� -� W ElCertified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. 'FEE c h-❑ -Certified copy is, filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — S LOCALITY �` _de rtment. - i� Multi-family Sq.Ft. � Dfl 1 _ NEAREST Date Applicant-T -A 1 1, �l�L , Residential Swimming Pools - CROSS OWNER OR T -L L = �s ' - FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets:Rec COMPENSATION INSURANCE — Light gw.—_ ADDRESS (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars ($100)or less.) Total No. Additional CITY Tel.No. I certify that in the performance of the work for which this permit PLAN PLANCHET CHECK 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 t Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT n NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT provisions of the Labor Code, you must forthwith 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 - - Tel-No. 1 hereby'affirm that I'am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. LICENSE OR Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. DISTRICT NO. l PROC D BY� Power Apparatus& Large Appliances I Size& Type HP,KW,KVA,or KVAR ` License Number Lic.Class S! -Up to 1 incl. FINAL bic r l' �t6 DATE \ )?1 VALIDATION 0 nl���t-t-�I� ��Date I � ," Over 1 to 10 Incl. ` V Contractor�� Over 10 to 50 Incl. 1— FINAL k U. i, ❑ I am exempt Under Sec. Over 50 to 100 Inc. gY d B.&P.C.for this reason Over 100 l Services.Swbd.,MCC&Panelboards ► / 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 ---- MT HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCTA A hereby affirm that l am exempt from the Contractor's License Law t for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits ? _ .•- _ _ #TJe�( Code): ❑ Misc.Conduits& Conductors _ ITfJ1S I 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) ► TOTAL AL 493a 0 and Professions Code). - 493.50 r �r►LM 7.7 CONSTRUCTION LENDING AGENCY �y I hereby affirm that there is a construction lending agency for theDONE • performance of the work for which this permit is issued(Sec.3097, pERMIT.EEE Civ.C.). - - �� PLAN CHECKING FEE OOOQ Lender's Name -3,1 �y PERMIT ISSUING FEE OJ25 1 • f1�110a 17 f Lender's Address I certify that I have read this application and state that the above TOTAL FEE �J1 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 - - }= proper for insp n prurposeS./// SEE REVERSE FOR EXPLANATORY LANGUAGE f Signat r of Perrhittee Date (