HomeMy Public PortalAbout6142 ROSEMEAD BLVD_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Departmentof En �T I C
DIVISION OFFBUILDING & SAFETY
WILLIAM J. FOX, County Engloeee
FORA PLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN '77
ADDRESS 2 R IVED�tlY READY FOR DAT I9B l7
FIRST INSPECTION `7C
CITY TEL
COUNTY LICENSE NO. EXPIRES BUILDING
v
PERMIT FEES ADDRESS v
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREBTST
.
RECEPTACLES CRIME
WALL SWITCHES1
OWNER
TOTAL OUTLETS 5C wMAIL
ELEC. RANGES 2S ADDRESS AML
EI,EC. HEATERS 2B CITY TEL. NO.
FIXTURES 5
1 HEREBY vA"lKN0wvwDlW THAT I HAVE READ THIS
IBC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMIPER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER
NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 R LEBB S .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5
110 1.50
TS 50 2.50
50 200 5.00
2130, 500 10.00 ,J
500 1000 1 15.00 Z
OVER 1000 20.00 0
—MOVED.-MOTORS (73aF DRIB.) M
M.G. BET FRER. CHANGER-HP O
WELDERS-AC-KVA
GENERATORS - KW
TRANSFORMERS KVA
MISC.
SIGNS
NO. NO.TRANIL APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING 101.00 y-o CONDUIT .-e j/,r )J 'Ii79
6FIXTURES4I1.00 WIRING ` �I
10UPPLEMENTARY .50 FIXTURES
c POWER ?�
TOTAL FEE ry' S S UTILITY CO.NOTIFIED
FINAL
7BA663 DBS#BA Gib 12-53 -
76A663 DBS 5A 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. .GROUP ZONE PERMIT NO.
-r .7- ;e-/ e,w 3 F2
ELECTRICIAN Walton Electric Co. R EIVED BY READY FOR DATE ISSUED
ADDRESS 2454 N. Rosemead Blvd., FIRST INSPEC ON
CITY El Monte TEL.No.FO 85679 Ala u D—x
COUNTY LICENSE NO. 1104 EXPIRES BUILDIADDRENG
6142 No Rosemead
PERMIT FEES
NUMBER EACH FEF LOCALITY Temple Cit
LIGHT OUTLETS 8 NEAREST
CROSS ST.
RECEPTACLES 11
WALL SWITCHES 9 OWNER Celeste Const Co. 1
TOTAL OUTLETS 28 5c $ 1 40 MAIL
ELEC. RANGES aj ADDRESS
ELEC. HEATERS a5 CITY TEL. NO.
FIXTURES 8 5 I 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH `OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
& LESS $ .25. SIGNATURE OF
Y2 2 -50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15:00 Z
OVER 1000 20.00
M.Q. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% CF DRIB.)
MOVED MOTORS (75% or. DRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTORPB NAME
r�
WIRING $1.00 1 00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
3 80 POWER
TOTAL FEE $ UTILITY CO.NOTIFIED .�
FINAL V
78"668 095 SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM'J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED•
ADDRESS / 1p/J _ FIRST INSPECTION q
CITY TEL. NO obi 0
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS • //
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS 9 5C S MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
I 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL, PRqZkRTY DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
1/2&LESS S .25 SIGNATURE OF
1/2 2
PERMITTEE
SO
2 5 1.00 INSPECTION RECORD
s is 1 1.50
is so 2.50
50 200 5.00---
2 0
.00200 Soo 10.00
5 i000 15.00 t, •.
OVER 1000 20.00 (�
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIC.)
MISC.
SIGNS
N . NO.TRANS. I APPROVALS,
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PEWIT:
WIRING 51.00 CONDUIT / ` �ii+ Pi- l
WIRING (, Y•ip +
FIXTURES $1.00 �
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE UTILITY CO. NOTIFIED
y
® FINAL 9 C. 1•.�
r
j WORKERS'COMPENSATION DECLARATION CBE:°-8o8G 1081 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self insure, I
or a certificate of Workers' Corgpensation,lnsurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY.3.07—`i��F
copy thereof(Sec.3800,Lab.C.)
fl,
Policy No. • Company FOR APPLICANT TO FILL IN JOB
❑
Certified copy is hereby furnished. .- New Residential Bldgs.&Pools EACH NO. FEE ADDRESS P$ _ $ LOCALITY /�- OZ
❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ o«
department. Multi-family Sq.Ft. ,�` c SXi NEAREST ,,�``'' ? 7
CROSS S7.�O Ze IJ�
Date Applicant Residential Swimming Pools OWNER OR
FIRM NAME AA J ME 2 O
CERTIFICATE OF EXEMPTION FROM(WORKERS' Outlets:Rec—Light—.Sw.— ` ADDR
COMPENSATION INSURANCE ADDRESS6T !r/ b,r,
'rf'
i (This section need not be completed the work involved.by the Fust 20
permit is for one hundred dollars($100)or less.) Total No. Additional CITY — Tel.No� fs7�
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
Additional
, Total No. CITY o Tel.No.
Date Applicant u
NOTICE TO APPLICANT: If, a r maki this Certificate of Fixed Appliances Not Over 1 HP I PERMIT
Exemption,you should.become subject to the.Workers'Compensation Range_ Heater_ D.W. _ APPLICANT �Q CTD
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.N
Cl�
I hereby affirm that I am licensed under provisions. of Chapter 9 Disp. — Room Air Cond. LICENSE OR
(commencing with.Section 7000)of Division 3 of the Business and REG.NUMBER.-#4199� Class.tfr p
Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NQ D� PRO ED BY
nn Size&Type HP,KW,KVA,or KVAR
License NumberS/•��O Lic.Class C%o Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE / -/.7 VALIDATION 0:Contracto ate �� Over 10 to 50 Incl. O
FINAL /� ts
❑ I am exempt under Sec. Over 50 to 100 Inc. BY fi/Y j�yZs� W
B.&P.C.for this reason Over 100 N
Services,Swbd.,MCC&Panelboards ► Z
Date: 0-200 Amp.Under 600 V
Signature I 201 - 1000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V
El
Exemption for Reg:Maint.Elect.
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION7
Sign with One Branch Circuit _
1 hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits (� T,g
for the following reason(Section 7031.5,Business and Professions
Code):
Misc:Conduits&Conductors 3307 244.60
El 1;as owner of the property,will do the work and the structure Other(See.Complete Fee Schedule) _ 1 ITEMS
is not intended or offered for sale (Section 7044, Business
and Professions Code). , TOTAL 244. 60
CONSTRUCTION LENDING AGENCY CHECK 244.60
1 hereby affirm.that there is a construction lending agency for the
performance of the wbrk.for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total). CHANGE .00
Civ.C.).
PLAN CHECKING FEE ,
�T�.e.AL �4V k Q�i�Q—OW1 7/17/90
Lender's Name
PERMIT ISSUING FEE
Lender's Address Z -1350 1 AM10=M
I certify that I have read this application and state that the above AL 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 for mapec�tlonpurosis. I SEE REVERSE FOR EXPLANATORY LANGUAGE I
/'9 Z
ignatu Permittee Date
r '
WORKERS'COMPENSATION DECLARATION 76-803 10/87 CE-808G APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a ceAficate'orconsent to self insure, a ,y,
or a certificate of Workers' Compensaft Insurance, or a certified COUNTY OF LdS ANGELES BUILDING AND SAFETY
copy thereoi;.(.Pec.3800,Lab.C.) I _
Poli's-No.—Company FOR APPLICANT 70 FILL IN IJOB
❑ Certified copy is hereby.furnished. EACH NO. FEE ADDRESS
i New Residential Bldgs.&Pools
❑ I 1 &2-Family,Sq.Ft. $ _ $ LOCALITY
Certified copy is filed with the county building inspection 'NEAREST
department. I Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' i Outlets:Rec—Light—Sw.— MAIL
COMPENSATION INSURANCE ADDRESS
(This section need not be completed iktie work involved by the I Total NoAdditional
tlitit 20
ona
permit is for one hundred dollars($100)or less.) . dl CITY Tel.No,
I ' PLAN CHECK -
I certify that in the performance of the work for which this permit i APPLICANT
I$ 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
f� I Total No. CITY Tel.No.
Datey Applicant 1 Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, aft r mai tis Certificate of / .
APPLICANT
Exemption,you should become ject to th. rkers'Compensation Range_ Heater D.W.
sub
provisions of the Labor Code,you must forthwith comply with such 1 Over! _ Dryer_ W.M._ ADDRESS ,S N•
provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ 1
LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_
; CITY �� Tel.No: y
I hereby affirm that:I am. licensed under provisions of Chapter 9 I Disp. — Room Air Cond. LICEN E ORv 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. ' power Apparatus.&Large Appliances DISTRICT NO PRO SEDSize&Type HP,KW,KVA,or KVAR �gl
01
License Numbar37W m Lic.Class C ~e'-ti Up to 1 Incl. FINAL V
Over 1.to 1.0.Incl.. DATE VALIDATION
Contractor .. Date' I Over'10 to 50 Incl. FINAL V
❑ I am exempt under Sec. } Over 50 to 100 Inc. BY WCO-
B.&P.C.for this reason Over 100 � � CO)
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 1Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION I Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law #
for the following reason(Section 7031.5,Business and Professions Additional Sign Branch.Circuits r)L•G .g
Code): i i 330 33.0
Misc.Conduits&Conductors
❑ I,as owner of the property,will do the work and the structure ,; 'f ITEMS
Is not intended or offered for sale (Section 7044, Business I Other(See Complete Fee Schedule)
and Professions Code). i ® TOTAL
O I AL 33® 00
CONSTRUCTION LENDING.AGENCY I CHECK 33.00
1 hereby affirm that then; is a.construction lending agency for the
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) CHANGE .00
Civ.C.).
PLAN CHECKING FEE
Lender's Name ISSUING.FEE 0000-000.1 v/ 21190
PERMIT
Lender's Address 2189 1 AM10:13
I'certify that I have read this application and.state that the above I TOTAL FEE
information is correct.I agree to comply with.all County ordinances
and State laws regulating Electrical wiring, and hereby authorize i
representatives of. this Coonty to enter upon the above-mentioned
pro arty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE /
f r2P
Sidnat
vO of Perrriitta Date