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HomeMy Public PortalAbout5430 ROSEMEAD BLVD_Electrical__ 7GA663-CE806 3-69 APPLICATION FOR "ELECTRICAL PERMI • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS /�rJ � JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE RECEIPT. $ $ OWNER MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS _ - ti ' SWITCH OVER 20 ,10 CITY /0LL Cil TE.L.NO. PLAN CHECK ` LIGHTING TOTAL FIRST 20 •20 APPLICANT FIXTURES } OVER 20 •10 ADDRESS i RANGE_DRYER_WTR. HTR. CITY � CTEL..�NO. /'j STA. COOK_DISP. F.A.U. CONTRACTOR {� J �/A/el& SPACE HTR AIR COND. ADDRESS / (J [a/Z)A/ S-- CLOTHES CLOTHES WASH._DISHWASH. CITY . -//,.E--/ ,tet/✓ L_' EL.N 0 S7, C9 �•62 J FAN OTHER 1.00 LICENSE NO,2-2 C9 CLASS © MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF I - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE ��� RESIDENFFAL P PERTY. 10 - 50 5.00 SIGNATURE 50 - 100 IOAO OF PERMITTEE H- 100 - 500 15.00 DISTRICT NO. GROUP (Z/ON_E P SSED By V TUBE, OR SIGN AND ONE CIRCUIT 3.00 O Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES , POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 z UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 V FINAL �3 TOTAL FEE Q� JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONK. M.O. CAS r fir:.s z s O� JAN 6 2 D 4.0 O N SEE BACK OF APPLICATION FOR COMPLETE FEE GCHEOIILF_ 7GA663 DSS SA 7-51 - APPLICATION FOR PERMIT DEPARTMENT OF-BUILDING AND SAFETY lam COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP i ZONE PERMITNO. ELECTRICIAN Cres1WO,�"3ia-t0 )Ir—ctf 04. ' t t i" . ' " RECEIVED BY READY FOR D_A^T2E ISSUED SSUED ADDRESS FIRSTINSPECTION CITY 4d,5t-rrr-?d�.,� TEL- 5Ga. J— e/ ., COUNTY LICENSE NO. .2,002? EXPIRES ,a-^63^S.J;� BUILDING PERMIT FEES ADDRESS FCE NUMBER EACH LOCALITY .ti`-'."T7,?" !•`•; f ! �'°� LIGHT OUTLETS / NEAREST RECEPTACLES CRO . ST. WALL SWITCHES 'n' OWNER TOTAL OUTLETS 5c $ WMAIL ELEC. RANGES t 25 ADDRESS 7124 .19 ,CrJIV Y ELEC. HEATERSf 2g C ITY,/-,(J ef` j ,�!`�; '"'-tii TEL. NO. 7Ir'`-®�.. " FIXTURES - / ,5 Q J, � i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. �� APPLICATION AND STATE THAT THE ABOVEtS 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 1 POSSESS THE ABOVE VALID LOS NUMBER FEE HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVC. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DES RIBED ABOVE. %2 A LESS $ .25 .v--� SIGNATURE OF , '/2 2 .50 PERMITTEE ° 2 s 1.00„ INSPECTION RECORD 5 19 1.50 15 so 2.50 50 200 5.00 200 Sao 10.00 J l/ 5013 1 DOO 1 5.00 Q _ Z OVER 1000 20.130 - M.G. SET/FREQ. CHANGER-HP _ (Y WELDERS:AC-KVA - 0 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRIB.) MOVED MOTORS (75% OF CRIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DAT - INSPECTOR'S NAME WIRING - $1.00 f (j•� CONDUIT FIXTURES $,1,00 �.� WIRING ✓��� _�.,_,efl.A.R/"J"I i SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED �~ FINAL 76q 663,CE806 10/72 APPLICATION FOR ELECTRICAL PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB ADDRESS L7 BUILDING AND SAFETY DIVISION LOCAL IT17=- NEAREST _NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACHI FEE OWNER OR 5 $ FIRM NAME !� r OE RECEPT._ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS CITY TEL. N0. SWITCH OVER 20 .10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES �10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT / RANGE DRYER WTR. HTR. APPLICANT l STA. COOK DISP. F.A.U. ADDRESS © ✓ (� SPACE HTR. AIR COND. CITY/—fl x TEL. NO CLOTHES WASH. DISHWASH. LICENSE OR p� CLASS.6�. REG. NUMBER FAN OTHER 1.00 / �© 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO t- I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE >- - 10 3.00 DESCRIBED RESIDENTIAL op�OR O PERM ITE U 10 — 50 5.00 SIGNATOR 0 50 — 100 10.00 DISTRICT NO. PROCESS)ED BY LLJJ 100 — 500 15.00 Z J SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSP TOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED y� FINAL PERMIT FEE (SUB TOTAL) NOTES: h PLAN CHECK FEE PERMIT ISSUING FEE 3.0000 TOTAL FEE Qp PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAI-ARA TION CK. M.O. CASH fern o 0 ? 2�3 �FR 115-'42o 7.0 Q,,, SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7 6A663-CE806 1 1/70 APPLICATION FOR ELECTRIAL PERMIT •' V COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION I ADDRESS O COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL'IN CROSS ST. OUTLETS NO. EACH FEE - OWNER lr � IAIL RECEPTZ® $ $ ADDRESS Q_ FIRST 20 ,25. LIGHT TOTAL CITY TEL. N0. SWITCH. Z OVER 20 .10 PLAN CHECK LIGHTING 1TOTAL FIRST 20 � .25. s APPLICANT FIXTURES �10 )} OVER 20 ADDRESS APPLIANCES CITY TEL. N0. PERMIT J RANGE DRYER_WTR. HTR. APPLICANT ` STA. COOK DISP. F.A.U. ADDRESS �� Qi SPACE HTR. CITY � TEL. N0,!� 40 CLOTHES WASH.' DISHWASH. LICENSE NO. ��+g� CLASS. Q FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND I NO TO 1- 1 - 10 3.00 RESIDE IN, THE AB 0 SCRIBED Sr, OPE Y. 0_ SIGNATURE U 10 - 50 5.00 OF PERMITTE 50 - 100 10.00 0 DISTRI NO./, CLASS ZONE PRSS ED BY 100 - 500 15.00 �' CL r ! ; to SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600 VOLTS OR 200AMP 3.00 '�Q1 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 - ROUGH CONDIUT WIRING, FIXTURES POWER AUTHORI;ED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED � PLAN CHECK FEE - FIN4 PERMIT ISSUING FEE � 3.00� JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O: CASH ERMIT VALIDATION CK. M.O. CASH ulo 0 5 :322 2 D 1 4.G0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE DE S-A'12143 TSM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER NAMB p,�y J/,� r� c� DISTRICT NO. GROUP I ZONE PERMIT NO. FU-a ADDRESS �'Y �O -y-' � p�Q v �Z Z �i�C WCITY QTEL.NO. / �� ��$ �j RECEIVED BY READY FOR DATE ISSUED J COUNTY G� FIRST INSPECTION /��3— W CERT.NO. EXPIRES r ' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB IDESCRIPTION OF WORK ADDRESS `yd ale Cf Q/f;",% NUMBER OF OUTLETS ON CIRCUITS LOCALITY / � �✓'� i ��/ I� LOCATION BY ROOMS 6 NEAREST LIGHT OUTLETS JSW. PLUGS FIZT CROSS ST. e? CIRCUIT A B C D E F G H rC NAME f �J, Z MAIL c 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL ASSESSOR OF THE ABOVE LOS ANGgLES COUNTY C TIFICATE OF,QUALIFICATION.. r 1 ' ELECTRICIAN. a I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOV6 91E /0 Q ® OWNER. CORRECTIONS 8' A :� Q Z O' TOTAL I bV NO. OF OUTLETS Z 4Z $ .7 /0 APPROVALS NO. OF FIXTURES s 4-C DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ / POWER .�`� J�~ PERMIT FEE $ / UTILITY"CO.NOTIFIED ._ TOTAL FEE FINAL yo^ 'fi'J b d"��.u, 76A663-GE806 4.65 APPLICATION FOR ELECTRICAL $ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS _ G� JOHN A. LAMBIE,.COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY ' NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPTACLE TOTAL NO. EACH FEE LIGHT OUTLETS FIRST 20 x".20 $ _OWN ER �. ! [. n �D/C/�.- MAIL SWITCH ADD'L 10 ADDRESS OVER 20 1 TOTAL FIRST 20 .20 CITY ) TEL. NO. Q LIGHTING l FIXTURES FIXTURES )( ADD'L 10 CONTRACTOR OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS-11 GARB.DISP. STA.COOK CITY TEL. N0. 3 7 O DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.('/x H.P.MAX.) .50 LICENSE N' MOTORS: OVER NOT OVER H.P. DIrs CT�IlD. GROUP ZONEPROCESSED BY O 1 1.00 S (��( 1 3 1.5o INSPECTION RECORD 3 B 2.00 8 15 2.50 t 15 50 3.00 O 50 100 5.00 im SIGNS: NO.TRANS o pO 1 NO.LAMPS 90 y V Lu SERVICE 0.60OV-NoT OVER 200A 1.00 a U7 SERVICE 0.60OV-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 Q� SUPPLEMENTAFIY PERMIT ISSUING FEE 1.00 TOTAL FEE $ �`GI APPROVALS DATE INSPECTOR'S SIGNATURE IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGIS ER€O AND/OR FIXTURES LICENSED AS REQUIRE LOS ANGELES COU AN STATE OF CALIFORNIA OR THAT !� THE LEG OWNER AND INTEND TO POWER RESIDE IN,THE ABO S R B' SyDENT1AL PE SIGNATURE C � UTILITY CO.NOTIFIED OF PERMITTEE --=FINAL �l (CAc IDATION J .SEPH C. ROOHAN KMO CASH SUPERVISING ELECTRICAL ENGINEER LI°3lrO 3 8 3 ) AUG 1 2 D 5,G 0 N `? WORKERS' COMPENSATION DECLARATION CE-806 10ie1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUN Y OF LOS ANGELES- BUILDING D SAFETY or a cert'fie copy thereof (Sec. 38001. Wb. C.) Policy No. Company FOR APPLICANT TO FILL IN JOBIF - 2 mPoid 131 Certified copy is hereby furnished. New Residential Bldgs. & Pools . ADDRESS >5 3o G, J EACH NOEE 1 & 2-Family, q. $ _ $ LOCALITY 1 �J Certified copy is filed with the county building inspec- y, S Ft. � co tion d part nt. Multi-family Sq. Ft. 'NEAREST CROSS ST. ✓ Residential Swimming Pools Date Applica WNER OR FFIIRM NAME ) C RTIF CATE OF EXEMPTION 40M WORD ERS' Outlets: Rec Li ht SMAIL COMPENSATION INSURANCE g w._ ADDRESS S 3 m end ' This section need not be completed if the work involved First 20 ( eeeb p Y Total No. Additional CITY C I. No. 3 ` the permit is for one hundred dollars ($100)or less.) 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 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 Q Mor Ole C_4-r'i c Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M.— ADDRESS 3/�7& S(r yl GQ b inl e ) with comply with such provisions or this permit shall be Top _ FAU —W.H. p deemed revoked. Hood _ Fan �t7ae+:-! CITY Tel. No. a��-D 77 LICENSED CONTRACTORS DECLARATION LICENSE OR ,e� I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER a V Class (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCES D BY and Professions Code,and my license is in full force and effect. 06. Power Apparatus& Large Appliances �^— _ Size &Type HP, KW, KVA, or KVAR' i.-) 'vii v License Numb r �' O(0 Lic. Class C-1 O Up to 1 Incl. FINAL i _ _Ra Over 1 to 10 Incl. DATE } "" - VALIDATION Contractor 09 to ,) Over 10 to 50 Incl. ❑ FINAL I am exempt un er Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 Date: Services, Swbd., MCC & Panelboards 7�3,r 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 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Low for the following reason (Section 7031.5, Business and Professions Code): I, as owner of the property, will do the work and the Misc. Conduits &Conductors z:7 7 7 A F-1 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— , . * ' o ° ° o ° 2 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ,2 ° o 1 1.5 0 1 hereby affirm that there is a construction lending agency for °V° ° 1 ,1.Jr c�� the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) • (Sec. 3097, Civ. C.). PLAN CHECKING FEE 11,22-82 Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE t 5� 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 �' M Cn II - 18-Sa �ifinature of Permittee Date