HomeMy Public PortalAbout5736 ROWLAND AVE_Electrical__ '8"888
D139-BA 11.89 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUII.DING AND SAFETY IN
Deportment of County Engineer BUILDING
County of LOB Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY P
FOR APPLICANT TO FILL IN Coss s
NUMBER T. /p SJ
PES= FEES ��
OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS @ so $ If 47 ELECTRICIAN
ELEC.RANGES 25 ADDRESS O
ELEC.HEATERS 28 +
KW EA
CITY sf TEL.NO a^
STATE
FIXTURES B LICENSE NO.
MOTORS DISTRICT NO. I GROUP I ZONEQ I READY FOR INSPECTION
NUMBER HORSEPOWER FEE o
NEW MVD. HP OVER INC. EACH B=BD
yl a LESS $ .25 INSPECTION RECOBD
16 2 .90
2 9 1.00
B 19 i.BO
i9 BO 2.90
90 200 B.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING
h FIXTURES $1.00
SUPPLEMENTARY .90
TOTAL FEE $ ®�' APPROVALS
DATE INSPECTOR'S SIGNATURE
C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
F WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
i ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
t LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL OP TY, /
8I E
�•�- UTILITY CO.NOTIFIED a.Co
OFF P9RMPERMITTEE FINAL 1�4
JOHN A.LAMBIE.COUNTY ENGINEER VALID ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO H
MA _ 0 ��2' APPLICATION FOR 'ELECTRICAL PERMIT,
-a". COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS -S p �.
JOHN A•. LAMBIE, COUNTY ENGINEER z
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY L E
NEAREST /
FOR APPLICANT TO FILL.IN CROSS sT. /I/
RECEPT. TOTAL NO. EACH FEE _
OUTLETS FIRST 206 2O s OWNER E j
LIGHT 6 MAIL r1
ADD'L .1.0 ADDRESS / rp V�
S*ITCH. 9 OVER 20
LIGHTING TOTAL FIRST 2'0 .20 OD`. CITY L direTEL.NO.
FIXTURES '}�� ADD' O
L 1,0 * ELECTRICIAN — ~
OV. R 2
RANGES CLO.DRYERS NRR.HTRS. 1.00 ADDRESS
GARB.DISP., STA.-COOK
CITY TEL.NO.
DISHWASH. •'AUTO.-WASH. ; STATE
SPACE HTRS. ' STA.APP'.(V$H.P.MAX.) 'T'r:50 r•
LICENSE NO.
MOTORS. OVER NOT OVER H.P. DIST IGT O. G P I 70NE 9SSED BY
O'• 1 •• 1.00
1 s 1.s0j INSPECTION RECORD t-� _
S S 2.00 / 7 l �p ?/qt j i 6
��
8 15 2.50 B87.'��
15. so s.00 2 If a
`s0 Soo 500 + O
V
SIGNSt NO.TRANS. 1
NO.LAMPS O
SERVICE 0.60OV-NOT OVER 200A 1.00
lu
SERVICE0=600V-OVER 200,A. 2.00 - d
N
SERVICE OVER 600V 5.00: ?
MISC. '
PERMIT ISSUING FEE a 2.00 O0
SUPPLEMENTAgY PERMIT ISSUING FEE 1.1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE:THAT.I HAVE READ THIS APPLICATION '^ APPROVALS DATE INSPECTORS'S SIGNATURE
AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT t `tl
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING' j tAND/OltELECTRICAL.WIRING. 'WIRING. - F:V/• n� / I 1
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Olt
1 1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES , ' e
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE•ABOVE _
DESCRIBED RESIDENTIAL OPERTY. POWER Al- 1 t 1J /
"{ yfl I r
SIGNATURE UTILITY CO.NOTIFIED 1 .. i It 1,1 l .o
OF PERMITTEE FINAL D ' 9/ll�/iP./�
(e/vlLID ION ARTI' UR`C/VEITJ
C MO CASH SUPERVISING EILBCTRICAL ENGINEER
Li la 1 0 1 7`'0 FEB 1 5 2 D 8.30- u
f �WORKERS'COMPENSATION DECLARATIONI 76AW DPW 3/W APPLICATION FOR ELECTRICAL PERMIT
I Mereb� affirm that I have a certificate of consent to se f CEG Q
insure, or a certificate of Workers'Compensaion Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certified copy thereof (Sec. 3800, Lab. C.;
Policy No. Company I FOR APPLICANT TO FILL IN JOB 'RQ
1 N
0 Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS
_
Certified copy is filed with the county building inspec $ 5 LOCALITY 0
4 1 &2-Family, Sq. Ft. . .— /
tion department. I Multi-familySq. Ft. —REAREST
Residential Swimming Pools CROSS
,��
Date Applicant CFIRM NAME 1�
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
Outlets: Rec Light Sw._ ADDRESS
COMPENSATION INSURANCE 3 L(J F4 n
First 20
(This section need not be completed if the work involved bTotal No. Additional I CIT 1c C Tel. No.
the permit is for one hundred dollars($100)or less.) 7
I certifythat in the performance of the work for which this PLAN CHECK
P APPLICANT
permit is issued, I shall not employ any person in any mannel
so as to become subject to the Workers'Compensation Laws: Lighting Fixtures First ADDRESS
r �� Total No. Additional CITY Tel. No.
r Date a �Applicari '�� �� �� 'Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: if, after making this Certificate of APPLICATION ~�
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 LU
with comply with such provisions or this permit shall be. Top — FAU —W.H. —
deemed revoked. Hood — Fan —Other— CITY Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
Disp. — Room Air Cond. — REG.NUMBER Class.
I hereby affirm that I am licensed under provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business- Power Apparatus&Large Appliances DISTRICT NO. PROCE BY O}
and Professions Code,and my license is in full force and effect.'
Size&Type HP, KW, KVA, or KVAR 6 o 0
License Number Lic. Class Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE - VA ION Er
Contractor Date Over 10 to 50 Incl. F-
❑ FI�N.W<L I am exempt under Sec. Over 50 to 100 Inc. FI LLlB.&P.C. for this reason Over 100 N
Date: Services, Swbd., MCC&Ponelboards Z
0-200 Amp. Under 600 V e G�O
Signature 201 - 1000 Amp. Under 600 V
Over 1000 Amp. or Over 600 V -.r'0 6 1.2 A
Exemption for Reg. Maint. Elect.
SINGLE FAMILY Temp. Power Pole&Appurtenances # o 0 0 0 0 2
HOME OWNER-BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ( o o G
Law for the following reason (Section 7031.5, Business and : Additional Sign Branch Circuits o 0 - 25505
Professions o
0 Misc. Conduits&Conductors 7.-$$
I, as owner of the property, will do the work and the ® a 9 V
structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)—
Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for I I
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, 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 ' TOTAL FEE W I�
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 abo -mentioned property for inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE
Si nature of Permittee Date
I — .
,r
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL b508 1105110057
BIIILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: I
ITR: 6561 LT: 397 I 1 5736 ROWLAND AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802616
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LAS TUNAS
I
18587-034-017 Al PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
IF1 120V, 15/20A BR CKTS 1.00 BR 17.30 I I
(TENANT: IG1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.50 ISSUED ON: PROCESSED BY: PLAN BY:
IG2 LIGHTING FIXTURES 4.00 LGT 7.80 I05/11/11 SR
TOTAL FEES 68.40 1 I
OWNER: TEL. NO: IF DATE FINAL Y: CODE:
CURRAN STEPHEN MORRIS;KATHLEEN FRAN (626) 818-5493-
15736 ROWLAND AV 1
I
ITEMP 917802616 I IDESI
16N OF WORK
[ADDCONE TCIRCIIT FOUR LIGHTS AND TWO PLUGS 1
1APPLICANT: TEL. NO: 1
IP S CONSTRUCTION (818) 370-2901- [
15415 PERSIMMON I I I
[TEMPLE CITY I iSPECIAL CONDITIONS: I
I I
I
(CONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE [
IP S CONSTRUCTION* (818) 370-2901- I I
I
15415 PERSIMMON AVE LIC. NO [ (TEMPORARY POWER POLE [ I I
ITEMPLE CITY CA 91780 431044 I
1 i (UNDERGROUND CONDUIT I I
I I I
[ARCHITECT OR ENGINEER: TEL. NO: I JUFER GROUND I I I
I -
LIC. NO: I ROUGH CONDUIT I! I
(ROUGH WIRING
IMAIN WATER LINE I I I
IPLASTIC Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIED( I [
I I I
I
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I I I 1 j I
I I I I
I I I I I I
I I I I I I
I II I i I I
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[ IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1005100003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 6561 LT: 397 I 1 5736 ROWLAND AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917802616 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS I
18587-034-017 JAI PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 I I
ITENANT: IG2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: I
I I TOTAL FEES 39.45 105/10/10 SR I
(OWNER: TEL. NO: 1 I FIWL ATE FINAL BY: CODE: 1
�57CURRANO STTEEPPHEN (626) 287-0354- i 1
ITEMP 917802616 I IDEatRIPTIOIt OF WORK I
I I IELECTRICAL FOR BATHROOM REMOD L 1
(APPLICANT: TEL. NO: I I I
[TORRES, JESSE (626) 827-3532- I I 1
425 E. ARROW HWY 1 ISPECIAL CONDITIONS: 1
GLENDORA, CA 91740
I I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ITORRES, JESSE (626) 827-3532- 1 1 I
1425 E. ARROW HWY. #126 LIC. NOI ITEMPORARY POWER POLE I I I
IGLENDORA, CA 91740 NONE 1 1-1 I
I 1UNDERGROUND CONDUIT I I
I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
1 LIC. NO: I IROUGH CONDUIT I I 1
1 I TROUGH WIRINGS y
IMAIN WATER LINE I I
I 1 IPLASTIC Y/N METAL Y/N I I I
I I (UTILITY COMPANY NOTIFIED( 1 I
I I I I I
I I I I I I
I I I I I I
I I I I 1 I
I I I I I I
I I
I I I I I I
IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
I I I I I I