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HomeMy Public PortalAbout6324 ROSEMEAD BLVD_Electrical__ 76A663-CE8067-SB APPLICATION! FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING Q BUILDING AND SAFETY DIVISION ADDRESS 6 11 'C'; :TE JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY C FOR APPLICANT TO FILL IN NEARESOSS ST.PERNIIT FEES I T E M NUMBER EACH FEE OWNER L VG ('C 'b1 a c.l` TOUTLETS: $ $ MAIL LIGHTS RECEPT. SW. .10 ADDRESS 3 Z -. "�++ ��i LIGHTING FIXTURES .10 CITY •H..., I yNO.ELEC. RANGES CLO. DRYERS ELECTRICeI�AN .�(y d,9 (CL!-5WATER H EATERS .50 ADDRESS /O ZELEC.SPACE HTRS. DISHWASHERSO�CITY (7V 14C?UI NO. L GARBAGE DISPOSERS AUTO.- STATE WASHERS STA. COOKING UNITS .25 LICENSE NO. I a I L4 MOTORS: OVER INC. H.P. DISTRI ,T NO. G OUP ZONE PROCESSED BY 0— +/i 25 '.C� 1/2 2 .50 INSPE TION RECORD 2— 5 1.00 5— i5 1.50 15— 50 2.50 50-200 5.00 C✓' / /�,f a'7 �� 11/ //f�L SIGNS: N0. TRANS. SAL. NO. LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 misc. WIRING PERMIT 1.00 FIXTURE PERMIT 1_00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ L= — . APPROVALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 A'M THE,LEGAL OWNER OF-THE ABOVE DESCRIBED RESIDENTIAL IT POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE pq- FINAL �c3� LIDATION ARTHUR C. VEIT, %cK Mo CASH SUPERVISING ELECTRICAL ENGINEER L: ,o4 2 2 4C' 0:3 0 2 A 2.00 I i 76A663•CE606- 10-56 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer FNEA ING / n 41, County of Los Angeles ESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING ITYEST r� FOR APPLICANT TO FILL IN CROSS ST. i/ A --- PERM FEES LIGHTS f RECEPTACLES j SWITCHES NUMBER I T E M EACH FEE MAIL - ADDRESS TOTAL OUTLETS $ .f0 $ (1 l ELEC. RANGES, WATER HEATERS, CITY TEL. NO' CLOTHES DRYERS .50 ELECTRICIAN ELEC. SPACE HEATERS, STAT'Y. COOK- IUGARBAGE DISPOSERS, -� ADDRESS o.�'G Z /i✓`//L/ !� AUTUT WASHERS,WASHERS, DISHWASHER .25 '' G'- = LIG / TEL. NO.HTING FIXTURES •1O /-�.. CITY 4 .jj/./ c`_'iT�.f Gill. STATE / MOTORS LICENSE NO. /- HORSEPOWER H.P. OVER INC. DISTRICT NO. GROUP ZONEREADY FOR INSPECTION I/2 &LESS .25 Z_ 1/2 2 .50 INSPECTION RECORD 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 /. MISC. ! - I ! SIGNS NO.TRANS NO.LAMPS - SERVICE O-600V �., 1.00 1z ' SERVICE OVER 600V 5.00 �! WIRING PERMIT 1.00 -• �. - - FIXTURE PERMIT 1.00 C SU PERMIT 50 SUPPLEMENTARY T APPROVALS TOTAL FEE S iy h DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT :! WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES - L ILSCRIBED S REQUIRED BY LOS,ANGELES COUNTY AND STATE OF OR THAT I AM T E LEGAL OWNER OF THE ABOVE POWER RESIDENTIAL OP RTY. E . �E / UTILITY CO. NOTIFIED , ITTEE l/ FINAL JOHN A. LAMBIE, LIDATION ARTHUR C.VETT, COUNTY ENGINEER - SUPERVISING ELECTRICAL ENGINEER CK MO CASH 1_;004 6 1 6 r_>i 7 2 A 5.45 76A663--.CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT�' COUNTY OF LOS ANGELES Z DEPARTMENT OF COUNTY ENGINEER BUILDING c> BUILDING AND SAFETY DIVISION ADDRESS a� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTCROSS ST. NO. EACH FEE $ RECEPT. S OWNER MAIL LIGHT TOTAL FIRST 20 .20 ADD SS SWITCH OVER 20 .10 CIEL. NO. LIGHTING �TCTAL FIRST 20 .2o CONTRA TORFIXTURES OVER 20 .10 ADDRESS I/ RANGE—DRYER—WTR.HTR._ CITYJL/C�TEL. NO.� G STA,COOK—DISP. F.A.U._ LICENSE NO. c�� _S / �� SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISHWAS H.� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN—OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE VE DESCR ED RESIDE TIAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE 0 - 1 1.00 -.OF PERMITT 4 0 1 - 10 3.00DIS.T,RI T NO. GROUP PNE P O ES -D BY .U 10 - 50 5.00 1- = (fes�✓ ;�•L >Y _. - �O 50 - 100 10.00 NOTES: W 100 - 500 15.00 O' SIGN,GAS SIGN AND ONE CIRCUIT ` 3.00 �µ z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 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 j'p,- WIRING ISSUING FEE 2.00 `'(J FIXTURES SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE UTILITYCO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELEC AL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATION DECLARATION 76-663 to/St APPLICATION FOR ELECTRICAL PERMIT I hereby affil►r 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 UILDING AND SA ETY copyfl .thereof(Sec.3800,Lab.C.) 4��X ®rt P +fL Policy No. Company ��� FOR APPLICANT TO FILL IN JOB IEKCertified co is hereby furnished. EACH NO. FEE ADDRESS S �iot PY Y New Residential Bldgs.& Pools ❑ LOCALITY Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. S — $ `K Ca d CROSS ST. artment. r Multi-family Sq. Ft. — NEAREST p Date A licant �5/r, ✓5 Residential Swimming Pools Ow ER OR PP FIRM NAME �G�// I., ��� �"`P-'✓'� CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets:Rec Light _ Sw. — COMPENSATION INSURANCE ADDRESS /4 (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 CIT v It,,,,or-, Tel.No. SJJ I certify that in the performance of the work for which this permit PLAN CHECK is issued, I shall not employ any person in any manner so as to APPLICANT C r r.c- become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Date Applicant YZFi �� W NOTICE TO APPLICANT: If, after .making this Certificate of Fixed Appliances Not Over 1 HP PERMIT 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 DECLARATIONCITY Tel.No. Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR , (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER / (/ Cla . Professions Code,and my license is in full force and effect. DISTRICT NO. PROCES D B Power Apparatus& Large Appliances /�_ Size & Type HP,KW,KVA,or KVAR <o Q License Number U Lic.Class Up to 1 Incl. FINAL V �/QNt' �- Date 2-3`;d Over 1 to 10 Incl. DATE Contracto VALIDATION O ❑ Over 10 to 50 Incl. 41FINAL ~ I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 2 N Services,Swbd.,MCC& Panelboards ACCT o a Z Date: 0- 200 Amp.Under 600 V �., - '1 Signature 201 - 1000 Amp.Under 600 V " a3.0i ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V 1 ITEMS SINGLE FAMILY Temp.Power Pole& Appurtenances TOTAL 33 ® 00 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit CHECK 33.011 1 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 CHANGE .013Code): G ❑ I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ® �/ i and Professions Code). CtOCJi-[� 1 2' F CONSTRUCTION LENDING AGENCY 030 1 AMID-_2 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 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 property for inspection pprposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Ig ature'b Pp�r �ee � Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0009050026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6324 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801544 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY K1 SIGNS, OUTLINE LGT 1.00 SIG 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/05/00 UT 03/05/01 OWNER: TEL. NO: FINAL DATE FI L BY: CODE: VANNIER WILTON E CO TR VANNIER TRUS (818) 355-1239- 10'f2.t©' 209 OAK MEADOW RD SIER 910242611 DESCRIPTION OF WORK ELECTRICAL FOR CHANNEL LETTER SIGN APPLICANT: TEL. NO: SIGN ART CO. (626) 287-2512- 423 S. CALIFORNIA ST SPECIAL CONDITIONS: SAB GABRIEL CA Q�I-ES co CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SIGN ART CO. (626) 287-2512- 423 S CALIFORNIA LIC. NO TEMPORARY POWER POLE SAN GABRIEL CA 91776 491427 C45 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: - UFER GROUND LIC. N0: / 1111111 ROUGH CONDUIT L ROUGH WIRING J)U'L-qc)) (� �� � GFU`DMAIN WATER LINE �ttt111 JILIA ILLlhll<lll� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED O 0 19 ❑ �. El 0 �a �e� ice V1��" REPORT ID: DPR265 ROUTE TO: BS0508