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HomeMy Public PortalAbout5526 ROSEMEAD BLVD_Electrical__ J rDESCREMON OF WORKA. - ..w--=M NUMBER OF OUTLWM ON CIRCUfflS LOCATION BY ROOMS = VT nmounix 0� EL%ta■.Ci■■.■... . -- w 'I I . r DESCREMON OF WORK ra■■■■■���■■■ • Ww--mu■�■■E7ON r NM K7A ■■000Nmpp-W - MOMMEMKIMMEN r _ o■■■■■■■■■ ■iii■■■■■■■■■■ MMI■■■■■■■■■■■■ MIN ME ■■■■■■■■■■■■i ■■■■■■■■■■■�■ MMIN �■ ■■■■ ■ ■■■■ �■■■■■■■■■ MEMMIN MMI ■■■■■■■■■■■■ MMlM■■■■■■■■■■■ MENS■■■■■■■■■■■ 0MM�■■■■■■■■■■■ MM0�■■■■■■■■■■■ MIN ■■■■■■■■■■■■■ MMIN MMIM■■■■■■■■■■■ plMEM■■■■MIM■■■■ rol"VA9 1EMME !■IM r1 I 1 • APPUCANT 1 I HFAVIULY OUTLEffD PORTION ONLY DFSCJREMON OF WORK UUMBER OF OUTLIETS ON CIRCUITS LOCATION 13Y ROOMS �Fll Oo©ti - - -■■■■■■■■■■ �■■m■■■■.■. _ �■■ ■■■■■■■ �■■■■■.■■■■ �■■■■■.■■■■ �■■■■■.■■■■ -■■■■■■■..■ r 1 �■■■■■■■■■■ �■■■■■■■■■■■ �■■■■■■■■■.■ �■■.■■■■■■ ■ �■■■■■■■■■ ■ �■■■■■■■■■ ■ �■■■■■■■■m ■ �■■■■■■■■■.. �■■■■■■■■■.■ !�■ 1 X11 Fm ��_ >aAeea•eEeoe a-ea APPLICATION FOR ELECTRIC IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS r JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO PILL IN NEAREST CROSS ST NO C1CH ICE S $ OWNER 1 RECEIPT MAIL LIGHT_ TOTAL FIRST 20 1 20 ADDRESS SWITCH_ OVER 20 10 CITY TEL NO PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FI%TURES OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U CONTRACTOR SPACE HTR _AIR COND ADDRESS � CLOTHES WASH _DISHWASH CITY v rfel TEL NO -Z FAN LOTNER 1 00 t C 2) LICENSE NO _7f 3CLASS MOTORS TRANSFORMERS RATING I HERE aY ACKNOWLEDGE THAT I HAVE Rua THIS APPLICATION IND HEATERS, ETC HP KW KVA AND STATE THAT THE ASOVI IS CORRECT AND Aa REE To COMPLY SIZE a TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WINING 0 — 1 1 DD 1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED MID/CR JCENa EO AS NEWIRED SY Loa ANGELEa COUNTY AND ITATEOF 1 — 10 300 cAL1 FO RNu oR THAT AM THE LEGAL OWNER OF AND INTEND TO 1 RESIDE IN THE AEOVE O nCRUED P.. PROPERTY O 10 - 50 500 U SIGNATURE K 50 - 100 10DO OF PERMITTE 10- 100 - 500 1500 OI.T;57. GRo zo c O eY h- w SIGN,GAS SIGN AND ONE CIRCUIT 3 00 D ti TUBE, IR Z MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 ANP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 1 TEMP SFAV ICE, POLE 6 APPURTENANCES 3 00 APPROVALS DATE ccTORb UGNATwQ TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED SUPPLEMENTARY PER ISSUING FEE 100 FINAL TOTAL FEE .j JO E H C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M o CASH iAp, 34441F2 dAN22 2 D 3.60- s SEE SACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /// // WORKERS COMPENSATION DECLARATION Boa 10,91 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm that I haveave aa certificate'of abnsent td sett Insure CE�epeG LJ or a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sac 3600 Lab C) Policy NO Cp pany FOR APPLICANT TO FILL IN JOB ADDRESS 515124 � ❑ Certified copy s hereby furnished New Residential Burps 8 Pools EACH NO FEE ,J ❑ Certified copy Is filed wnth the county budding Inspection 1 8 2-Fore1. Sq Ft $ — $ LOCALITY 'TPM-k1 QC.G C department Multi-family Sq Ft — NEAREST CROSS ST P/iz /"W Date Applicant Resdentol Swim 1 Kruse FtAd v- ao"O:!► CERTIFICATE OF EXEMPTION FROM WORKERS EY MNL COMPENSATION INSURANCE Outlets Rec� ht "77"-- SW ADDRESS (Thie section need not be completed d the work imolved by the S First 20 �} permit Is for one hundred dollars ($100)or less) Total No Additional CITY p(,F C ace Tel No q42,643(_ I certify that in the performance of the work for which this garret APPLICANTK Jae ►.(A MSP rs Issued I stall not employ any person in any, manner so as to became subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS R Ib y gilliLV tgr.,J W i Total No AdditionsCITY Date Applcanl Fixed Appliance Not Over t HP PERMITgp A� ��-OR�GV Tel No Z.Q�-(r�b� NOTICE TO APPLICANT If after making this Certdicate of AppljOANT j0&_ fAFrP p. P Exemptm you shoed become subtect to the Abns rkers Compensation Range— Heater— DW — provisions of the Labor Code you must forthwith comply oath such Oven _ Dryer — W M — ADDRESS q /02_ Nri l-vte,.J Ar4 provisoms or this permit shall be deemed revoked Top — FAU — WH — LICENSED CONTRACTORS DECLARATION Hood — Fan — Other_ CITY !;AJJ 6AGC IM.L Tel No 2 I hereby affirm that I am licensed under provisons of Chapter 9 Disp — Roan Air Cord LICENSE OR Clms (canmenci g with Section 7000) of DNisiw 3 of the Business and REG NUMBER Professions Code and my license is in full force and effectD DICT NO ED Power Apparatus 8 Large Appliances Sae E Type HP KW KVA or KVAR License Number Lo Class Up to 1 Incl FINAL Over 1 to 10 hcl �� R/ VALIDATION Contractor—Date Over 10 to 50 Ind FINAL 0 I am exempt under Sec Over 50 to 100 Inc BY y.l BSPC for this reason Over 100 p. Services Swbd MCC 8 Partaboerds ► N Z Date 0- 200 Amp Under 600 V ^ Signature 201 - 1000 Amp Under 600 V ❑ ExemptOver 1000 Amp or Over 600 V Exemption for Rep Maim Elect SINGLE FAMILY Temp Power Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch CiroudAv I hereby affirm that I em exempt from the Contractors License Lew ACCT.T for the folknwirg reason(Section 7031 5 Business and Protessiors Additiorsl Sign Branch Circuits J 3307 3rf.080 Cede) JJv � El as ownerty win miter of the propdo the work and the Structure Mac Conduds 8 Conductors I ITEMS is not intended or offered for sale (Section 7044 Business Other (See Complete Fee Schedule) ► TOTAL 32.80 o and Piofessns Code) � 32.80 CONSTRUCTION LENDING AGENCY CHECK W 1 hereby affirm that there Is a construction lending agency, for the •Ori performance of the work for which this permit s issued(Sec 3097 PERMIT FEE (Sub-70126 , CW C) PLAN CHECKING FEE OSI 5/ E/90 Lender a Name �p PERMIT ISSUING FEE13 05" I Ali 708 Lenders Address I certify, that I have mad this application and state that the above TOTAL FEE infumehon is correct I agree to comply with all County ordinances and State laws regulabng Electrral wnmg and hereby auttxuae representatives of this County to enter upon the above-mentioned property f r Patton purposes SEE REVERSE FOR EXPLANATORY LANGUAGE S a SI t to _ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC PARKS 9701 LAS TUNAS EL 0508 1207240040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID T BUILDING ADDRESS I ON FILE 1 5526 ROSEMEAD BL IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917801845 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BROADWAY 5387-027-021 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY Cl IJA HEAT PUMPS «3-10HP 1 00 HT 19 70 I TENANT JB AC UNITS «3-10HP 1 00 AC 19 70 (ISSUED ON PROCESSED BY PLAN BY AVALON PAWN 6 JEWELRY TOTAL FEES 67 20 107/24/12 SR 11RENx TEL NO I =N>i. FINAI�BY CODE IREN BENUNI (818) 636-9933- 1150 S SAN FERNANDO •`/K/)�04 1, IBURBANK CA 91502 DESCRIPTION OF WORK IA/C UNIT AND HEAT PUMP 1APPLICANT TEL NO 1 I 1 VIGEN NAZAVIAN (310) 406-6000- 1 SPECIAL CONDITIONS (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE AMERICAN CLEAN AIR AND HEATING (818) 406-6000- 1349 N COLOMEUS AVE #4 LIC NO TEMPORARY POWER POLE GLENDALE CA 91202 951542-C20 I I UNDERGROUND CONDUIT I I ARCHITECT OR ENGINEER TEL NO IUFER GROUND I I LIC NO IROUGH CONDUIT I ROUGH WIRING I 1 IMAIN WATER LING PLASTIC Y/N METAL Y/N 1 1 1DTILITY COMPANY NOTIFIED( 1 1 I I I I I I I I I I I I I I I 1 I I I 1 I I REPORT ID DPR265 ROUTE TO BS0508