HomeMy Public PortalAbout6339 SALTER AVE_Electrical__ 76Afi63 DBSSA „-sn APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ������
COUNTY.OFF LOS LOS ANGELES f•
WILLIAM J. ,FOXY CHIEF ENGINEER
FORSPLICANT DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISBUED
ADDRESS y FIRST INSPECTIO
CITY • TEL-'NO. / 7��
COUNTY LICENSE N0. EXPIRES BUILDING
DDRESS
PERMIT FES A
14 1
NUMBER EACH FEE LOCALITY /
LIGHT OUTLETS -Z' ,.NEAREST �
r CROSS ST. &t-t V
RECEPTACLES
WALL SWITCHES / OWNER
TOTAL OUTLETS So I MAIL
ELEC..-.RANGES 25 ADDRESS
ELEC. HEATERS 25gfJ-�j/�y CITY TEL. NO.
FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READTHIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGU TING ELECTRICAL WIRING.
9J MOTORS I CERTIFY THAT OBSESS THE ABOVE VALID LOS
W ' NUMBER HORSEPOWER FEE ANGELES COUNTY LI. NSE. OR M THE LEGAL O ER
�Z
'NEW MVD. HP OVER INC.
EACH OF THE RE5IDENTI ROPERTY DE CRIBED ABOVE:
Qj�• V2 & LESS 9 .25/ SIGNATURE OF
4 %2 2 .50 PERMITTEE
i
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
_ 5O 200 5.00
200 500 10.00 .J
500 1000 15.00 �-} Z
OVER 11300 20.00 !- -t ! / NMI
M.O. SET/FREQ. CHANGER-NP �
WELDERS:AC-KVA i /��C y / �/) O
GENERATORS - KW` J
TRANSFORMERS - KVA
TEMP. MOTORS'(75% OF ORIm.)
MOVED MOTORS (75% of oRlm.)
MISC.
SIGNS
NO. N O.TRAN S
APPROVALS
NO. NO.LAMPS I
DATE INKS/P([ECTOR!S NAME
FOR EACH PERMIT:
WIRING
CONDUIT
$1.OD - ` r
FIXTURES $1.00 /* WIRING 1 �� �� I �Y•n1L�
SUPPLEMENTARY .50 FIXTURES - v ,T
f T 1.;
POWER
TOTAL FEE UTILITY CO.NOTIFIED 1+'�.v'
�•1,
FINAL �� I rwY
WORKERS'COMPENSATION'DECLARATION APPLICATION FOR ELECTRICAL PERMIT
.. E-806
4 CE-806G (2-80)
I hereby affirm that I have a certicate of consent to self . COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure,or a certificate of Workers'C06.W
a cettified copy thereof(Sec.380FOR APPLICANT TO FILL IN JOB
Policy No.. Compan EACH NO. FEE ADDRESSNew Residential Bldgs.&PoolsCertified copy is Iiereby furnishe1 &2-Family,Sq. Ft. $ — $ LOCALITY
Certified co Multi-family Sq. Ft. — NEAREST
copy is filed with th ount building' spection CROSS ST
department. Residential Swimming Pools OWNER OR
FIRM NAME
Dat Applicant Outlets: Rec.—Light—Sw. MAIL
First 20 ADORES N/
CERTIFICATE OF EXEMPTION FROM ORKERS' Total No. Additional CITY Tel N
-COMPENSATION INSURANCE PLAN cK a
(This section need not .be completed if the work involvedAPPLICANT 0,04V
by the permit is for one hundred dollars ($100) or less.) I Lighting Fixtures First 20 ADDRESS '
Total No. _ Additional O
I certify that-in.the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. b
permit is issued,,I shall not.employ any person in any manner PERMIT' � �
so as to become subject to the Workers' Compensation Laws. Range_Heater D.W._ APPLICANT W
Oven _ Dryer_,W.M._ ADDRESS UJ
Date Applicant Top _ FAU —W.H.•—
Hood _ Fan _Other_ CITY Tel No.
NOTICE TO APPLICANT: If, after making this Certificate of Disp. —Room Air Cond._ LICENSE OR
Exemption, you should become subject to the Workers' REG.NUMBER te
Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT O. BY
with comply with. such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR
deemed revoked.
' Up to 1 Incl.
FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE ,��� VALIDATION
Over 10 to 50 Incl. !(p
I hereby affirm that I am licensed iunder provisions of Chapter Over 50 to 100 Inc. FINAL
rl
9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY
ness and Professions.Code, and my.license is in full force and
effect. �q Sery-%as ft
��� f
License Nu b Lic.Class C� ✓ 0-2 A P.Under 600 V
4
201-1000 Amp.Under 600 V
Contract Date Over 1000 Amp.or Over 600•V
HOME OWN R-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that 'I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
•ness and Professions Code): ' . f 2.8& 1 A
Misc.Conduits&Conductors •
I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— ' # o,0 0 0 o 2
structure is not intended or offered for sale (Section
7044,Business and Professions Code). 2 0'0 5 3.5 0
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency 0'0 o 5 3 5 06
for the performagce of the work for which this permit is PERMIT GEE (Sub-Total)
issued(Sec.3097,Civ.C.).. 02,04-82
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address, PERMIT ISSUING FEE
(W
I certify that I have read th' ppli tion and state that the TOTAL FEE
above.information is rec gree c mply with all County
ordinances a St 1 regul n lectrical wiring, and ;
hereby, aut ze atives t s County to enter upon
the ab(
v ti operty fo r pection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
nature -P mittee Date
r . �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309190004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
I ON FILE 1 6339 SALTER AV
FEE DESCRIPTION: QUANTITY. UOM: AMOUNT:[ TEMP CA 917801429
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15383-020-027 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI
I IHA FAU LESS 3HP 1.00 FAD 11.00 1 I
ITENANT: IJB AC UNITS +3-10HP 1.00 AC 19.70 (ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 58.50 109/19/13 SR I
(OWNER: TEL. NO: 1 1FINAL DATE FI AL BY: CODE: 1
1TRAN, EMILY Y (626) 695-1951-
16339 SALTER AVENUE
ITEMPLE CITY CA 91780 1 IVESCRIPTIC OF WORK I
ISLECTRICAL FOR FAD AND A/C UNITS 1
1APPLICANT: TEL. NO: 1 I I
1BIAN JUN JIN (626) 216-2635- I I 1
11005 E LAS TUNAS DR I ISPECIAL CONDITIONS: I
SAN GABRIEL CA 91776 [
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
[ALLIANCE PROFESSIONAL HVAC, INC. (626) 216-2635- 1 1 I
11005 E LAS TUNAS DRIVE #323 LIC. NO I ITEMPORARY POWER POLE [ 1 [
ISAN GABRIEL CA 91776 979889 * 1 1- 1 1 I
I 1UNDERGROUND CONDUIT I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 I
I LIC. NO: I IROUGH CONDUIT I I I
I IROUGH WIRING I
I I
I I I
I I 1MAIN WATER LINE I I I
I I (PLASTIC YIN METAL YIN I I I
I I (UTILITY COMPANY NOTIFIED[ I I
I I f 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 I I
I I I I I
i* ADDITIONAL DATA ON FILE
IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS .9701 LAS TUNAS EL 0508 1307220036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: i FEES PAID
ON FILE I BUILDING ADDRESS: I
1 6339 SALTER AV I
(ASSESSOR INFORMATION NUMBER: IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801429 I
5383-020-027 I NEAREST CROSS STREET:
1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY CAI
ITENANT. IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 20.00
IG2 LIGHTING FIXTURES 8.00 LGT 16.00 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 63.80 107/22/13 SR
OWNER: TEL. NO: IFINAL DATE FIN CODE: 1
ITRAN, EMILY (626) 695-1951-
16339 SALTER AVENUE
ITEMPLE CITY CA 91780 I D99CRIPTION OF WORK
110 OUTLETS AND 8 LIGHT FIXTLAS FOR NEW ADDITION
(APPLICANT: TEL. NO:
1ZHANG, SHEN W (626) 823-8059-
1608 E VALLEY BLVD i ]SPECIAL-CONDITIONS: 1
SAN GABRIEL CA 91776
I I I
I
I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IZ S CONSTRUCTION, INC. (626) 315-2709- I I f
1608 E VALLEY BLVD #D274 LIC. NO I ITEMPORARY-POWER POLE
I I I
SAN GAHRIEL CA 91776 912278
I (UNDERGROUND CONDUIT I I I
I
1ARCHITECT OR ENGINEER: TEL. NO: - i IUFER GROUND I I I
LIC. NO: i (ROUGH CONDUIT I I I
IROUGH WIRING
1 I IMAIN WATER LINE
1PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIEDI
I 1
I 1 I I I
1 1 I I I
I 1
I I I I I I
I I I I 1 I
I
(REPORT ID: DPR265 ROUTE TO: HS0508 I 1 I I
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0705090004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAZD BUILDING ADDRESS:
ON FILE 6339 SALTER AV
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801429
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
15383-020-027 [A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
JG1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75 1 I
TENANT: JG2 LIGHTING FIXTURES 1.00 LGT 1.95 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I [H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95 105/09/07 VG 11/05/07
JHS RES WASH MACH IT 3HP 1.00 WAS 10.95
(OWNER: TEL. NO: JH7 RES EXHAUST FANS 1.00 EX 10.95 �F2�17
FI Y: CODE:
[DUONG, SEAN (626) 840-4944- [H9 RES APPL LT 3HP 1.00 RES 10.95
16339 SALTER AVE. TOTAL FEES 83.25
TEMPLE CITY 91780 [D SCRIPTION OF WORK
ELECTRICAL FOR KITCHEN AND BATH REMODEL
APPLICANT: TEL. NO:
(SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - I
LIC. NO iTEMPORARY POWER POLE I I
IUNDERGROUND CONDUIT I I I
ARCHITECT OR ENGINEER: TEL. NO: - i JUFER GROUND I I I
LIC. NO: I IROUGH CONDUIT I I I
(ROUGH WIRING ( I
(MAIN WATER LINE
IPLASTIC Y/N METAL Y/N I I I
JUT LITY COMPANY NOTIFIEDI I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I
I I I I I I
I i I I I I
I I I I I I
I [REPORT ID: DPR265 ROUTE TO: BS0508 I I I I
I I I I I I