HomeMy Public PortalAbout6333 SALTER AVE_Electrical__ •.16A665 DBS 5A 11-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC' 1
WILLIAM J�J�OX, CHIEF ENGINEER Z�-o
FOR �yLICANT?0aFL6 I NDISTRICT NO. GROUP ZONE PERMIT NO.
.ofELECTRICIAN eADDRESS � RECEIVED BY READY FIRST N PE RI•N DATE ISSUED
CITY i , pe{� TEL. No.a.
✓
COUNTY LICENSE NO. L)Y►1 EXPIRES `r�lAld� BUILDING 3
PERMIT FiMS ADDRESS r9
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHESI iLl OWNER
TOTAL OUTLETS '/ 5e 8 d MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES g /I� c
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGU A TING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT �POSS 8 THE ABOVE VALID LOS
NuMBER HORSEPOWER ANGELPES COUNTY ICENSE, OR�I AM THE LEGAL WNER
EwcM OF THE RE3IDEN !A PR
OPE TY DESCRIBED ABOVE
NEw Mvn. HP OVER INC. �.jya
i/2 9 LESS $ .25 SIGNATURE O -
1/2 2 .50 PERMII V
z 5 1.00 INSPECTI6N RECORD
5 1S 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 a
OVER 1000 20.00 / caC,�
M. G. SET/FREQ. CHANG%R-HP 1 F" `n-il / c
WELDERS:AC-KVA
l 7 ,STs fur °
'GENERATORS-KW I �`° 17
TRANSFORMERS-KVA 6�+-r•/ -r- Q ;3 ,le ,
TEMP. MOTORS (7g°/d0FORIG.) n
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
I DATE INSPECTOR'S NAME
FOR EACH PERMIT:
/ CONDUIT - mil I C-4
�L1
WIRING $1.00
FIXTURES $1.00 WIRING
SUPPLEMENTARY :so / FIXTURES
?POWER f
TOTAL FEE �� UTILITY CO.NOTIFIED fit''-0-1% -0161,11A
® ! FINAL cl
P
P
IGA66 C C9806B 12,.75 APPLICATION FOR ELE.CTRIQAL PERMIT
BUILDING D SAFETY DIVISION
FOR APPLICANT TO FILL IN JQB -
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS
1 &2 Finally Sq. Ft. $ — $ LbCALITY
Multi-family Sq. Ft. — NEAREST
CFIOSS ST.
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle D ADDRESS (p� Q
.First 20 �j 3
Additibnal -5 CITY O
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 6 ADDRESS
Additional S
t CITY Tel..No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W.
Over? Dryer W.M. ADDRESS
Top FAU W.H. CITY Tel. No. �-
Hood Fan LICENSE
EG NNUMBER Class. CJ1
I Disp. A.C. '�� . =
1 FCEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances • WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CLI
Size&Type HP,KW,KVA,or'KVAR ELECTRICAL WIRING, N
Up to 1 Incl. S6 1.HEREBY CERTIFY TWAT 1 AM PROPERLY REGISTERED AND/OR z
Over 1 to 10 Incl. -57 LICENSES) AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Incl. ° PERMITEE
° Over 100 SIGNATUREA5aj-'2%-1 lmL�l^4
u
Servii es
DIST R-ICT NO.� O SED B
,� g r
0-200 Amp. Urider 600 V D
• 201 -1000 Amp. Under 600 V o APPROVALS DATE INS SIGNATURE
Over 1000 Amp.or Over 600 V
11 TEMP'.POWER POLE 1
Temp.Power Pole&Appurtenances UNDE.RSLAB WORK
Sign with One Branch Circuit
Additional Sign Brch Circuits ROUGH CONDUIT
Bruch
(Other) 'WIRING
FIXTURES
PO WER'rAUTHORIZED r
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN-CHECKING FEE (One-Fourth Permit Fee) FINAL -77
PERMIT ISSUING FEE NOTES' S* -
TOTAL FEE
PLAN CHECK VALIDATION CK. o M.O. CASH PERMIT VALIDATION CK. M.O. ASH
9 0 31`JUL 29 .;2D 6.0 0 AW
• cam'
78ABfiC- C6808H 12/78 QC-- APPLICATION FOR ELECTRICAL PERMIT
C
BUILDING D SAFETY DIVI ON
FOR APPLICANT TO FILL IN ,JOB
EACH NO. FEE ADDRESS
7ResidentialBldgs.&Pools 'q. Ft. $ — $ LOCALITY q. Ft. CROSS ST.
T.
Residential Swimming Pools OWNER OR �^^
FIRM NAME lit
Outlets: Light,Switch&Receptacle ADDRESS �o J7
First 20 T' /1 1�
Additibnal CITY / e Tel. No.
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 f W.M.
Top FAU W.H. CITY Tel.No.
Hood Fan - LICENSE OR a
REG. NUMBER Class: p
Dist. A.C. v
1 HEREBY ACKNOWLEDGE THAT 1 HAVE-READ THIS APPLICATIO
Apparatus&Large N
Power A pp AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
e A liances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O
ELECTRICAL WIRING..
Size&Type HP,KW,KVA,or KVAR w
c..
Up to 1 Incl. en
I HEREBY C-E RTi THAT I AM.PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AFW SQUIRE BY LOS ANGELES - O STATE OF
CA'LIFORNIr'OR THAT A HE LEGAL WNE OR THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENT L P P TY.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
Services DISTRICT O.� C SSED
0-200 Amp. Under 600 V
201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S
Over 1000 Amp.or Over 600 V
SIGNATURE
TEMP.POWER POLE
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) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL ��¢
PERMIT ISSUING FEE
TOTAL FEE NOTES `
b�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. . M.O. CASH
958-WIG 3 2' D 9.00A9d
. I
OCOMPENSATION DECLARATION 76-663 ID,B, APPLICATION FOR ELECTRICAL PERMIT
�I hereby affirmrm that I have a certificate of consent to self CE-t106G
insure, or a certificate of WN,rkers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy Nereof(Sec. 3800, Lob. C.)
Policy No. Company FOR APPLICANT TO FILL IN j JOB
❑ Certified copy is hereby furnished. I New Residential Bidgs. &Pools EACH NO. FEE I ADDRESS
❑ 1 &2-Family, $ — $ j LOCALITY
Certified copy is filed with the county building inspec- j y, Sq. Ft. rf
tion department. Multi-family Sq. Ft. — NEARESTT.
/
CROSS SA
Date Applicant Residential Swimming Pools OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rgc Light Sw._
COMPENSATION INSURANCE I ADDRESS
(This section need not be completed If the work involved by First 20
Total No. Additional CITY Tel. No.
the permit is for one hundred dollars($100)or less.) PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I subjshect to the Wkall not employ any person in any manner i
so as to become o ers' pensation La Lighting Fixtures First 20 ADDRESS
Total No. Additional
CITY Tel. No.
Date m` pplicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, aft making this Certificate of APPLICANT L
Exemption, you should beco subject to the 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..— I
deemed revoked. CITY �' r Tel. No
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_
Disp. _ Room Air Cond. LICENSE OR v Class.e4_10
(commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROC ED BY
and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances y `r� ( O
y� I Size 8 Type HP, KW, KVA, or KVAR r v V
License Number, / 1//7 Lic. Class Up to 1 Incl. FINAL 0'2
f _ � Air Over 1 to 10 Incl. DATE r v y / AT ON FOS,
ContractorS�• Date
❑ Over 10 to 50 Incl. FIN W
I am exempt under Sec. Over 50 to 100 Inc. BY N
B.&P.C. for this reason Over 100 ' /7
3 Date: Sei=vices, Swbd., MCC&Ponelboards
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V '
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect.
SINGLE FAMILY Temp. Power Pole&Appurtenances t
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 51 9 3 A-
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits #,o•o o o,o 2
Professions Code):
❑ I, as owner of-the property, will do the work and the Misc. Conduits&Conductors j -'a 17.5 0
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_
7044, Business and Professions Code). ® o.o 0 17.505
CONSTRUCTION LENDING AGENCYo6- $6
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 //–7,
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and `
hereby author' representatives of this County to enter upon I `
4the ove- nti ned property for pection purposes./ SEE REVERSE FOR EXPLANATORY LANGUAGE
SIture of Permittee Date
c �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PiECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 0508 0408190005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: F SPA D ouG 6333SALTERAV S.
• ON FILE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801429
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5383-020-026 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40
TENANT: G2 LIGHTING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESS BY: P EXPIRES OR:
H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95 08/19/04 JK 02/15/05
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 FINAL DATE FINAL BY: CODE:
LEE HUNG PAK (626) 683-3938- H5 RES WASH MACH LT 3HP 1.00 WAS 10.95
633'3 SALTER AVE JE WATER HEATER +3-10HP 1.00 WTR 19.65 7
TEMPLE CITY JG COOKING EQIP +3-10HP 1.00 COO 19.65 DESCRIPTION OF WORD.
TOTAL FEES 145.95 ELECTRICAL FOR NEW ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
E. MELK CO. DESIGNER (626) 202-6548-
2427 W. MAIN ST. #3 LIQ.. NO: ROUGH CONDUIT
IALHAMBRA, CA 91801 NOME _
RO a RING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPA O I� FIED
REPORT ID: DPR265 ROUTE TO: BS0508