HomeMy Public PortalAbout5926 ROWLAND AVE_Electrical__ 78AS68-CE606 1E-BB APPLICATION FOR ELECTRIC PERMIT
COUNTY OF-LOS ANGELES
I DEPARTMENT OF COUNTY ENGINEER BUILDINGGe / D ��.Jl/
BUILDING AND SAFETY DIVISION ADDRESS !7 C� / �Y`7
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SurT of BuiLDsms LOCALITY Cv
FOR APPDJCANT TO FILL.1N NEAREST
PEMT FEES CROSS ST. OF, 6Lr /Y r
1 T E M NUMER ,EACH FE OWNER L� O /PO
OUTLET $ $ MAIL
LIGHTS RECEPT. BW. .10 ADDRESS cJ e
n t
LIGHT( G FIXTURES .10 CITYM;MDJPC TEL.
ELEC.RANGES CLOS ETB ELECTRIC( N
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.NO.
GARBAGE DISPOSERS AUTO.-
STATE
WASHERS STA.COOKING UNITS .25 LICENSE N .
MOTORS: OVER INC. H.P. DISTRICT NO. ROUP Z O ESSED J3Y
O— 1/2 .25
V2- 2 .50 INSPECTION REC.
2- 5 1.00
5— 1S 1.80
15— SO 2.50 J- ' D/
50-200 5.00 l7 iL
SIGNS: NO.TRANS.
NO.LAMPS l/
r SERVICE O-000V 1.00 ;i �Z /iR� (I : tY.°�� Imo::•
i'
SERVICE OVER SOOV 5.00
MISC.
i
WIRING PERMIT 1.00 �.+
FIXTURE PERMIT 1.00 .s•
SUPPLEMENTARY PERMIT 80
TOTAL FEE S APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP (CATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. I t It L-f-- '
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURE$
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE ' UTILITY CO.NOTIFIED '-
OFPERMITTE FINA is' G"S t/ j.4�Hf��f /f�/f
�F VALIDA ARTHUR C. VE1T.
CK .MO CASH SUPERVISING ELECTRICAL ENGINEER
5 3 9 7 n APR 21 2A 4 e10
�GA88S-CEBOS 12-88 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS g—
JOHN T D.GRIFFIN,
COUNTY ENGINEER 0 $�'P� /y i
CAl38ATT D.GRIFFIN,SUP'i OF BUILDING LOCALITY (
FOR APPLICANT TO FILL. IN NEAREST
. PERMIT FEES CROSS sT. d
ITEM NUMBER EACH FEE OWNER 4 • D
OUTLETS: 8 g a MAIL 0
LIGHTS RECEPT. SW. ,tp o ADDRESS O /
LIGHTING FIXTURES .10 CITY • EL.NO. G S
ELEC.RANGES CLO.DRYERS ELECTRICIA
WATER HEATERS .50ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY VII'llTEL.NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSENO.
MOTORS: OVER INC. H.P. DISTRICT NO.
[��JRNE P ESSED BY
O— va .25
+�$— 2 so ICORD
2— s t.00 '
5— t5 1.50
15— SO 2.50
50-900 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT SO
TOTAL FEE s APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND 'STATE LAWS REGULATING CONDUIT.
ELECTRICAL WIRING. '.WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PR ERTY. _ ^ POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
®P VALI SU ERVISING ELETHUR C. ICT
CK �MORICAL ENGINEER
CASH
ro'6 0 8 4 L MAY 4 2 A 1 .a O M
owd
"/MP,C/C
76A563-CE806 9-67 APPLICATION 1`01MECTRICAU PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 912 46 c✓L�¢�t/!�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST ff
CROSS ST. Gr ?i..g 7-4/iLr
NO. EACH FEE
$ $ OWNER jcp + C
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 .20 �ADDRESS -e- � � (,,,(f���j
SWITCH T' OVER 20 .10 CITY TEL. NO. �p(�^2-zlo l?
LIGHTING �,TOTAL FIRST 20 .20 J CONTRACTOR
FIXTURES. 7 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY 94"– / L. NO.
a
STA.COOK_DISP.—F.A.U._ LICENSE NO. .6/
SPACE 'HTR. AIR COND. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN—OTHER 1.001 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS 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 ABOVE DESCRIED ESIDENTIAL PRO PERTW.'
SIZE IN TYPE OVER TO SIGNATURE ✓_(-G.�j„fJ//
0 - 1 1.00 OF PERMITTE
O
1 — 10 3.00 DISTRICT NO. GROUP I ZONE ROCESSED BY U
10 — so S.00 � Am
O
50 - 100 10.00 NOTES: G
W
100 - 500 15.00 iL
N
SIGN,GAS SIGN AND ONE CIRCUIT 3.00
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 /A
WIRING
ISSUING FEE 2.00
FIXTURES v��
SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE 6 6,91 %-Qkl-k C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION JCK!J M.O. CASH
(;o4 6 3 4'%IQ' VAnY10 . 2 D 6.60M
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
� �
@. -•---L .(
+'affirmEth COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-806G
insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 5 26 NNt'C
Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY W(W I o
pis
tion department. Multi-family Sq. Ft. — NEAREST �- y
Residential Swimming Pools CROSS.ST. 1 vN�
Date Applicant OWNER OR
GG FIRM NAME �r M's L�Yom•
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec 4 Light�Sw._ MAIL
COMPENSATION INSURANCE ADDRESS PNS.
his section need not be completed IF the work involved b First 20
th P y Total No. Additional CITY Ie— G Tel. No. 2197Ty(1/'
the permit is For one hundred dollars($100)or less.)
I certify that in the performance of the work for which this PLANCC,gHE K
permit is issued, I shall not emp*sulect
in any manner
so as to b cam subject to theNT
pensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. I Additional
` �/ pplicanCITY Tel. No.
ate Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO PPLICANT: If; afts Certificate of APPLICANT
Exemption, you should becothe Workers' Range_ Heater_D.W. —
Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS
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
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business power Apparatus&Large Appliances DISTRICT NO. r! PROC SS BY
and Professions Code,and my license is in full force and effect. SI
Oy
Size&Type HP, KW, KVA, or KVAR
License Number Lic. Class Up to 1 Incl. FINAL V
Over 1 to 10 Incl. DATE
Contractor Date VALI TION
❑ Over 10 to 50 Incl. FINA
I am exempt under Sec. Over 50 to 100 Inc. BY
BAP.C. for this reason Over 100 #A
Date Services, Swbd., MCC&Panelboards
0 -200 Amp. Under 600 V
Signature 201 -1000 Amp. Under 600 V ;@2026A
E] Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect. # o o o o o 2
SINGLE FAMILY Temp. Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION
Sign with One Branch Circuit o - 2050
1 hereby affirm that I am exempt from the Contractor's License additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and g o o 0 2(1 5 0 1-'
Pro ssions Code): 0514-85
I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ,
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
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 0
above information is correct: I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
*bve-
a representatives of this County to enter upon
tioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
ermittee ate
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNICS EL 0508 0706280011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
]LEGAL ID: FEES PAID BUILDING ADDRESS:
JTR: 6561 IT: 18 5926 ROWLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802240
JAS3ESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18587-032-010 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
I --IG1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 [
(TENANT: JG2 LIGHTING FIXTURES 5.00 LGT 9.75 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I JHA FAU LESS 3HP 1.00 FAU 10.95 106/28/07 SR 12/25/07
IJB AC UNITS +3-10HP 1.00 AC 19.65 1 1
IOWNER: TEL. NO: ILA 100 AMP PANELS, MCC 1.00 PAN 38.85 FINAL A FIN BY: CODE:
ITRINH, TRAM (626) 286-6189- 1 TOTAL FEES 142.05 [ [
15926 ROWLAND AVE 1 1
ITEMP 917802201 I IDESCRIPTI N OF WORK 1
JELECTRICAL FOR ADDITION, Fol HVAC SYSTEM AND UPGRADE SERVICEI
[ 1100 AMP [
JAPPLICANT: TEL. NO: 1 I J
INGUYEN 626743014
11139 GLENVIEW RD. i ISPECIAL CONDITIONS: 1
W. COVINA CA 91791 [ 1
I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IH D CONSTRUCTION (626) 695-0444- 1 1 1
14418 FANDON AVENUE LIC. NO 1 ITEMPORARY POWER POLE [ [
JEL MONTE, CA 91732 636105 B * [ I
1UNDERGROUND CONDUIT J I [
JARCHITECT OR ENGINEER: TEL. NO: 1 IIIFER GROUND I I
ITAGUDAR, FRED (626) 674-3014- I 11 J
11139 GLENVIEW RD. LIC. NO: 1 1ROIIGH CONDUIT
IWEST COVINA, CA 91790 C33612 [ I
1 IROUGH WIRING
1 i IMAIN WATER LINE J
[ IPLASTIC YIN METAL YIN 1 I 1
1 1 [UTILITY COMPANY NOTIFIED[�I J
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[ [* ADDITIONAL DATA ON FILE I I I [
[ [REPORT ID: DPR265 ROUTE TO: BS0508
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