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HomeMy Public PortalAbout5013 SANTA ANITA AVE_Electrical__ B S-A 12-43 25M DDEPAR=ENT OF BUILDING AND SAFETY APPLICATION FOR PER= COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER NAME DISTRICT NO. GROUP ZONE PERMIT NO, U ADDRESS f-r C(��I 0G/ 1 7 DATE` ED CITY /TEL.NO. f / BY FIRST INSPECTIONCOUNTY SSU CERT.NO. \EXPIRES APPLICANT FILL IN HEAVILY Q TLINEDP"ORTION ONLY DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS ,�✓ F 1 NEAREST V /{f �,�r ^ / / y LIGHT OUTLETS SW. PLUGS MiT CROSS ST. -ell i .A a 1 14". CIRCUIT A 113 C I D I E F G H IN NAMEMAIL / i'G..►.1 .f ./�F`�.J A!�.�` . 1 ` _1 Z ADDRESS 7 i 7 O CITY V f ;,f 1 ) i'� TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANG91 COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF,�TAB PROP(F,/It7�Y�DESCRIBED ABOY6 1�f/f .7. �T.1 i�� I,L OWNER. CORRECnoms / -- J _Z l7 tY O TOTAL NO. OF OUTLETS /..7 APPROVALS NO. OF FIXTURES 46 DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ffi CONDUIT pp 7 Q NO. OF SIGNS TRANS. ffi WIRING NO. OF RANGES OR HEATERS ffi FIXTURES MISCELLANEOUS ffi POWER PERMIT FEE ffi >_S� UTILITYCO.NOTIFIED TOTAL FE '�: ���� �`�+ 7 FINAL 1-04e SA 8-49 ® APPLICATION FOR PERMIT DEPARTb= OF BUILDING AND SAFETY COUNTY'OF LOS ANGELES ELECTRIC1 WILLIAM J. FOX. CHIEF ENGINEER ' FO PLICp►NT TO FI LIN DISTRICT NO. GROUP ZONE PERMIT NO. [ADDR RICIAN Y RECEIVED BY READY FOR DATE ISSUED SS PSI A - FI INSPECTION JD TEL. NO. MJVfO� ` Y LICENSE NO. 59 EXPIRES �� BUILDING ® / ® Amj� �� PERMIT FEES ADDRESS f ER OUTLETS EACH FEE LOCALITY LIGHTS Sc NEAREST i CROSS ST. RECEPTACLES5 FIXTURES' 5 OWNER ®kEsC�3 F ALL SWITCHES S MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 2S CITY — _ TEL. NO. - - MISC. NUMBER OF CIRCIJITB 7N8TALLED: 1 HEREBY ACKNOWLEDGE THAT I HAVE READ -THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY W.ITH.ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL'WIRING.' NUMBER HORSEPOWER. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS FEE NEW MVD. HP. OVER C. EACH ANGELES COUNTY LICENSE. OR-1 AM THE LEGAL OWNER IN - OF THE RESIDEN' AL P OPERTY DEOMIEED ABOVE. a LESS $ .25 0 2 .50 SIGNATURE-OF n!�� PERMITTE 2 5 1.00 5 15 I.So �SPECTIO RECORD IS SO 2.50' 50 200 5.100 200 500 10.00 Soo f000. 15.00 JQ OVER 1000 20.00 Z M.G. SET/FREQ.-CHANGER-HP OWELDERS• AC-KVA GENERATORS = KW' - ' - - -- - - - - - _ - TRANSFORMERS - KVA TEMP. MOTORS (75% of oR:G. MOVE MOTORS (75% of oRtG.) SIGNS TYPE: NO. TRANS. TYPE: NO. LAMPS APPROVALS. CATS INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT FIXTURES $1..00 WIRING SUPPLEMENTARY 50 FIXTURES POWER - TOTAL FEE S ® ® UTILITY CO. NOTIFIED Y v'-v FINAL 76AS63 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT N.O. GROUP ZONE PERMIT NO. 6 -� / 7 ELECTRICIAN XQ 4,14 Y, �d/ y 'R CEIVED BY READY FOR DATE ISSUED ADDRESS v `? A 4Q �J/+11 t � FIRST INSPECTION CITY .r .,/` ?W417 TEL'NO.iir: .K{�' COUNTY LICENSE O. v v -�d EXPIRES UILDI ADDRESS PERMIT FEES NUMBER EACH FEE LOCALITY /r A .f/I R CAt7ri.br LIGHT OUTLETS 'S� NEAREST / A� /j� � Uld CROSS ST. �p I_i' rlf r. fA J � RECEPTACLES WALL'SWITCHES OWNER ::jY IJA � �lf s1✓ TOTAL OUTLETS sC S MAIL it 3 1� jr J �� A p" r J /.n 5 ELEC. RANGES 2S !w-.+..lr,s/ P d f/— ELEC. HEATERS 2S CITY FIXTURESg r // P U` 1 HEREBY AC104 WLEDGE�7'HAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITB AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS 7? AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER FEE NEW HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. MVD. z a LESS S .25 SIGNATURE OF ' I ` r 2 1/2 2 .50 PERMITTEE :•h� �� /y4 2 s 1.00 INSPECTION RECORD s t.so 1s C _ _ 15 15 2.50 M:1p1� d s� v G s0 200 S 007- 200 soo 10.00 ,J soo 1000 15.00 Z OVER 1000 20.00 (; M. G. SET/FREQ. CHANGER-HP IC -WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. • NO.TRANS. I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 I CONDUIT FIXTURES $1.00 WIRING AO ` `+�N►�' SUPPLEMENTARY S0 FIXTURES POWER _ TOTAL FEE $ UTILITY CO. NOTIFIED ® �� FINAL 75A663-CES05 1/70 APPLICl ION FOR ELECTRICAL PERMIT ,;., &COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS �� JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER //�� RECEPT._ $ $ ADDRESS(JC�� /S� /1//✓/� AI L LIGHT TOTAL FIRST 20 .20 CITY�f ,D` TEL. N0. SWITCH OVER 20 ,10' PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 .10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS �f SPACE HTR. AIR COND. CITY TEL. N0.9 Q CLOTHES WASH. DISHWASH. / LICENSE NO. CLASS.r FANOTHER 1.00I lk) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT i AM THE LEGAL OWNER OF, INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE CRIBED SIDEN A PROPERTY. d SIGNATURE O 10 - 50 5.00 OF PERMITTEE � 1 V 50 - 100 10.00 DISTRICT NO. ICLASS GROUP PROC SED BY O DO - 500 15.00 -. i 'o-6 - _ 19 . G SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: - W TUBE, OR D_ N MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00 0 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE,INAPPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE © FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 n JOSEPHIC4 ROOHAN TOTAL FEE SUPERVIS NG ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATII2N SCK. M.O. CASH 11005agg ,, a'tiY10' , 2 D f 9.00ro SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATIONDECLARATION tCE-BO3 /APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES 7 . BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) I Policy No. CompanFOR APPLICANT TO FILL IN �JOB y i New Residential Bldgs.&Pools EACH, NO. FEE ADDRESS Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. ( $ — $ LOCALITY El Multi-family Sq:Ft. NEAREST Certified copy is filed with the county building inspection• CROSS S '•. department. Residential Swimming Pools r .• } OWNER OR. < Date Applicant l ' FIRM NAM -+ •� /,a`1^+ d Outlets: Rec._ _Light First 20 Sw. , r✓ C �- bDDRESS U CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.___�__ Additional CITY�r',v Tel No•its J_ COMPENSATION INSURANCE PLAN CHEC t LL {This section need not be completed if the work involved �, APPLICANT�'r f JY"� } by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures Total No. t1�-1irst20 ADDRESS Q Additional� R � I certify that in the performance of the work for which this CIT -Tel No.c:.' permit is issued, I shall not employ any person'in any manner Fixed Appliances Not Over 1 HP , , p tl so as to become subject to the Workers'Compensation Laws. Range_Heater PERMIT D.W._ .APPLICANT Oven _ Dryer_W.M._ ADDRESS W� Dat "3 `�4�/APPlicargt+ e `.e� 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 g Exemption, ,you should become subject to the Workers' REG.NUMBER 3 �, (.+� Class -> / Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSEDdBY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA•or KVAR l deemed revoked. Up to 1 Incl. Over 1 to 10 Incl'. FINAL LICENSED,CONTRAC.TORS DECLARATION Over 10 to 50 Incl. DATE, v'/ VALIDATION I hereby affirm that I am licensed under provisions of-Chapter Over 50 to 100 Inc. FINAL ,fD 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. Services r, 0-200 Amp.Under 600 V License Number_ Lic.Class 201-1000 Amp:Under 600 V , Contractor Date Over 1000 Amp.or Over 600 V + HOME OWNER-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): Misc.Conduits&Conductors, �0�)•Irl + , E] 1, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY (o ff y I hereby affirm that there is a. construction lending agency +• • ,,., � /for the performance of the work for which this permit is kPERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) (•Lender's Address PERMIT ISSUING FEE I.certify that I have read this application and state that the TOTAL FEE above information is correct.I agree to comply with all County ordinances and State laws regulting Electrical wiring, and hereby authorize representati 'this County to enter upon theiabove-mentioned propertyor inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permitte •Date ' i + i WORKER'S COMPENSATION DECLARATION 7206AA663 DPW(12'91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure, F! or a certificate of worker'$,Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy,thereof(Seg.3800 Lab.C.) Policy No. Company �i A(/1l ane.-7a FOR APPLICANT TO FILL IN JOB ADDRESS 13 u+IX, F1d c�L Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE _ $ $ LOCALITY ' Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft.. NEAREST 7 department. Multi-family Sq.Ft. CROSS ST. 67 d, 4ve- Date Applicant 9� Residential Swimming Pools ASSESSOR Q 11 MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.��/ Light !� Sw. i OWNER OR COMPENSATION INSURANCE First 20 1,7o e FIRM NAME MAIL � '%� (j � (This section need not be completed If the work Involved by the Total No. Additional ADDRES r0l.? ta. /�/J/� permit Is for one hundred dollars($100)or less.) I I certify that in the performance of the work foi which this permit CITY P TelNo. L__ is issued, I shall not employ any person in any manner so as toPLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 0 APPLICANT cla.-Py Total No. Additional ADDRESS Date ApplicantRESIDENTIAL APPLIANCES NOT OVER 3 HP. '� 1 NOTICE TO APPLICANT: If, after making this Certificate of CITY rel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP: provisions of the Labor Code, you must forthwith comply with such PERMIT, P Y P Y APPLICANT Cj aSliJI provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS,19;W I hereby affirm that I am licensed under provisions of Chapter 9 1''�/2P �d�� CITYer 3 to 10 Incl. el. (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR `J17 >_Over 50 to 100 Incl. REG.NUMBER % Class. 0. Over 100 DISTRICT NO. PR SED BY O License Number Lic.Class r A p C � 01 Services,Swbd.,MCC&Panelboards v O Contractor v Date 2 0-399 Amp.Under 600 V DATE 0 F1 I am exempt under Sec. 400-1000 Amp.Under 600 V Z^z3-�Z� VALIDATION w Over 1000 Amp.or Over 600 V FINAL ' B.&P.C.for this reason BRANCH CIRCUIT FEES BY CO) Date: 15A,or 20A,120V,Lighting or Recept. Z_ 1 To 10 Branch Circuits f ' Signature 11 To 40 Branch Circuits i ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits _, SINGLE FAMILY Temp.Power Pole&.Appurtenances Jr 1� e•J� HOME OWNER-BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 1 !TEMS for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits i V I AL X84.52 Code): ❑ 184.52I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors(-' Is not yltended•or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® CHANGE 00 and Professions Code). CONSTRUCTION LENDING AGENCY ' I hereby affir�",that there is a construction lending agency for the a��itij—aC.01 1ill 11/9`7 ',performance of�the work for which this permit Is issued (Sec. 3097, PERMIT FEE (Sub-Total) 6431 1 �� 011 Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE d that the 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 above-mentioned property forIns action pu poses. SEE REVERSE FOR EXPLANATORY LANGUAGE SI URE OF PERMiTTEE DATE VL ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0012190011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAI BUILDING ADDR SS: TR: 13363 LT: 18 15013 SANTA ANITA AV DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803618 ASSESSOR NFOR ATION U ER: NEAREST CROSS STREET: GRAND 8574-009-019 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY [AlHA FAU LESS 3HP 1.00 FAU 10.95 TENANT: TOTAL FEES 38.70 ISS E , 0 ROCE S D : PLA BY: EXPIRES ON: 12/19/00 UT 06/18/01 OWNER: TEL. NO: FINAL DATE F L BY: CODE: MOYERS LYNN D;SCHILDT DAVID R - 5013 SANTA ANITA AV TEMP 917803618 D SCR ON OF WOR ELECTRICAL FOR FORCED AIR WALL UNIT APPLICANT: TEL. NO: AIR-TRO HEATING AND AIR COND. (626) 357-5311- 1630 S. MYRTLE AVE. SPECIAL CONDITIONS: MONROVIA, CA 91016 CONTRACTOR: TEL. N0: % `�;v;` , APPROVALS DATE INSPECTOR SIGNATURE AIR-TRO INC. (626) 357-5311- •.Fiw.� ' `� ' 1630 S. MYRTLE AVE. LIC. NO j;!� , "' �. '+ TEMPORY OWER POLE MONROVIA, CA 91016 258228 C20 ,y : ` !�•' J �� f, ''' !^ �� ", UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: ,� �!! ' , �� ER GROUND I LIC. NO': I I �r I --�1d, ROUGH CONDUIT ROUGH WIRING -�-----I;-- --;-I,.: '.: _ !� MAIN WATER LINE ��r i!=�1 lit II ,ri1 r ;jlr •� I'� _=) PLASTIC Y/N METAL Y/N UTILITY COMPANY 0 I F I D !REPORT ID: DPR265 ROUTE TO: BS0508