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HomeMy Public PortalAbout6130 ROWLAND AVE_Electrical__ 613 12,75 APPLICATION FOR ELECTRICAL PERMIT n BUILDING AND SAFETY DIVISION .FOR APPLICANT TO FILL IN SOB ADDRESS (A.(/ � � �te�� EACH NO. FEE New Residential Bldgs.&Pools . 1 &2 Finaily Sq. Ft. $ — $ LOCALITY l p y Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST.OWNER OR FIRM NAME Outlets: Light,Switch&Receptacle MAI L �S� �Z First 20 ADDRES Additibnal CITY /�v/T1�.� Tel. ND. ,-, PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. PERMIT Fixed.Appliances Not Over 1 HP APPLICANT Range_ Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. Top _ FAU _ W.H. CITY Tel. No. Hood Fan LICENSE OR o REG. NUMBER Class. v Disp. A.C. _ . 0Z 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LU C3 Size&Type HP,KW,KVA,or KVAR ELECTRICAL WIRING. H U to 1 Incl. P 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTE O AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY STATE OP CALIFORNIA OR THAT 1 AM TIFIE LEGAL O ER O HE A O Dver 10 t(1 50 InCI. DESCRIBED RE91DE ROPE Y. Over 50 to 100 Incl. PERMITE Over 100 SIGNATURE DISTRICT NO. P D BY w Services OX n 0-200 Amp. Under 600 V GCJ� 201 -1000 Amp.Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V �6 SIG TURE c— TEMP.POWER POLE -1r 7(� Temp..Power Pole&Appurtenances UNDERSLAB WORK ` Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE /J O PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH. 76A669 CE 606R.10/77 .APPLICATION FOR ELECTRICAL PERMIT .o COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS 1 BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Po I ) $ 025 NO. 7VE NEAREST EACH —1 &2-Famil S Ft. (0 CROSS ST.- Y' q' OWNER OR Multi-family Sq.Ft. •02 — FIRM NAM Residential Swimming Pools 25.00 ADDRESS r Outlets:Rec Light—.Sw. CITY First 20 •50 PLAN CHECK Total No. - Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional .30 PERMIT Total No. APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W.— CITY Tel.No. Oven—Dryer—W.M. LICENSE OR, Top —FAU —W.H._ REG.NUMBER �Q� Class. Hood—Fan _Other— + I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. —Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN• ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. , Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFO OR TH T I Up t0 1 Ind. �'50 .THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P .P RTY. CD 5.00 Over 1 to 10 Incl. ]"'-TEMP. ERMITTEE. m Over 10 to 50 Incl. 12.50CD Over 50 to 100 Inc. 25:00 IGNATURE Over 100 40.00 . DISTRICT NO: PROCESSED BY ti • Z Services 0-200 Amp.Under 600 V 12.50 INSPECTOR'S 201-1000 Amp,Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 POWER POLE VFRE AB WORK Temp.Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ONDUIT Additional Sign Branch Circuits 2'00 Misc.Conduits&Conductors 10.00 Other(See Complete Fee Schedule) UTHORIZEDO.NOTIFIED PERMIT FEE (Sub-Total) PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 T91,kL FEE SATION CASH PERMIT VALIDATION CK. M.O. CASH "OUCY HOLDER: I�EJ"ftht8LTION FOR COMPLETE SCHEDULE �.� �J,) 7.r L�-.-), J-7 9 .3 3 NAPR 17 -2 D ,►'9>3 WORKERS'COMPENSATION DECLARATION 7 CEeA806G 10/87 -906APPLICATION FOR ELECTRICAL PERMIT {� s ' LI I hereby'affirm that I have 11'certificate of consent to self insure, or a certificate.of Workers' Compensation Insurance, or a certified I COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) i I Policy No. Company FOR APPLICANT TO FILL IN JOB TJ� �,sf tri e ElCertified NO. FEE ADDRESS Certified copy is hereby furnished. New'Residential Bldgs.&Pools ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ _ $ LOCALITY � / depa ment. c Multi-family Sq.Ft. CROSS ST. Date Applicant ' ,9 Residential Swimming Pools OWNER OR ,�y �j CERTIFICATE OF EXEMPTION FROM WORKERS' p FIRM NAME /vX�/) Outlets:Rec Light Sw.— �0 O MAIL a �O /ZMrad Li, – COMPENSATION INSURANCE /l ADDRESS (This section need not be completed it the work involved by the I First 20 permit Is for one hundred dollars($100)or less.) otal No. Additional '` Q CITY. - Tel.No.�'I�/Z�6 3Q3 I certify that in the performance of the work for which this permit I PLAN CHECK is issued, I shall not employ any person in any manner so as to APPLICANT become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of 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. i Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood Fan OtherCITY Tel.No. _ I hereby affirm that I am licensed under provisions of Chapter 9Disp. — Room Air Cond. LICENSE OR 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. PROCESSED BY Ske&Type HP,KW,KVA,or KVAR O License Number Lic.Class Up to 1 Incl. FINAL '\ Q Contractor Date i Over 1 to 10 Incl. DATE 1 / 15 VALIDATION 0 Over 10 to 50 Incl. FINAL (� UU ❑ I am exempt under Sec. Over 50 to 100 Inc. BY 14"61 a Over 100 B.&P.C.for this reason i Z Services,Swbd.,MCC&Panelboards Date: :0-200 Amp.Under 600 V Signature i 201 - 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V ❑ Exemption for Reg.Maint.Elect. A CTov SINGLE FAMILY Temp.Power Pole&Appurtenances 3307 22040, HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law f ITEMIS for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): TOTAL 22 a 90 �,y. M sc.Conduits&Conductors +}- LJ I,as owner of the property,will do the work and the structure CHECK 22 a 910 is not intended or offered for sale (Section 7044, Business O herl(See Complete Fee Schedule) _ ® __ and Professions Code). i CHANGE 400 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the I;IIjI]-Ijf i� 9/14/913 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) o Civ.C.). PLAN CHECKING FEE 7379 1 -AM 8:42' Lender's Name I I PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE inVormation is correct.I agree to comply with all County ordinances O? �0 and State laws regulating Electrical wiring, and hereby authorize representatives of this County to en po the above-mentioned i Prof rty or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatureof Permittee Date I • A COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0110010003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: TR: 32644 LT: 4 6130 ROWLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801722 ASSESSOR 0 0 B : NEAREST CROSS STREET: GARIBALDI 5385-024-045 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 TOTAL FEES 35.55 ISSUED ON: PROCESSED 8 LA B P R S ON: 10/01/01 JK 03/30/02 OWNER: TEL. NO: FINAL©T�/ I CODE: HOPING KEUNG (626) 374-7526- 1 610 ROWLAND AV TEMP 917801722 DESCRIPTIO C/O ELECTRICAL FIXTURE -3 BAT OOMS AND KITCHEN APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: �Cj CC)�/��\* APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - / O LIC. NO TEMPORARY PO R VOTE \ UNDERGROUND CONDUIT ARCHITECT R ENGINEER: EL. 0: - \ �-ti ER GROUND 0 G LIC. NO. � 1 RO GH; CONDUIT I ►�- - IRING MAIN PLASTICTER Y/NLINE METAL Y/N UTILITY COMPAgT-9O-TrFIYD- %lervice Th�� REPORT ID: DPR265 ROUTE TO: BS0508