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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 I I I 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 I I I I [ IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I 1 I I I I • 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