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HomeMy Public PortalAbout5019 SANTA ANITA AVE_Electrical__ COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1012220005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 13363 LT: 17 I I 5019 SANTA ANITA AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803618 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18574-009-018 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl 1G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.30 1 I ITENANT: 1G2 LIGHTING FIXTURES 7.00 LGT 13.60 ISSUED ON: PROCESSED BY: PLAN BY: I I 1 TOTAL FEES 64.70 112/22/10 SR 1 (OWNER: TEL. NO: I IFONALDAE� FI Y: CODE: 1 IYU, ELVIS (626) 945-7818- 1 I I 15019 SANTA ANITA AV 1 I I ITEMP 917803618 1 ID SCR PTION OF WORK I I I (ELECTRICAL FOR NEW BEDROOM, BATHROOM AND CLOSET 1 1APPLICANT: TEL. NO: I I I 1ALVAREZ, JOSEPH (323) 273-8896- I I I ISPECIAL CONDITIONS: 1 I I I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I ILIN, DAVID (626) 926-4876- 1 1 1 15917 PMB 372 LIC. NO 1 ITEMPORARY POWER POLE I 1 ITEMPLE CITY, CA 91780 NONE I I I I I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I IALVAREZ, JOSEPH (323) 273-8896- 11 I I I 1628 N . 21ST ST. LIC. NO: 1 IROUGH CONDUIT 1 I I MONTEBELLO, CA 90640 NONE 1 1 ROUGH WIRING [ 1 IMAIN WATER LINE I 1PLASTIC Y/N METAL Y/N I I I I 1UTILITY COMPANY NOTIFIED[ I I I I [ I [ 1 I I 1 [ 1 I I I y I I I I I I I I I I [ I I I I I 1 I I I I I I I I [ I •� �j I [ i IREPORT ID: DPR265 ROUTE TO: BS0508 [ [ I I I I 7GA663 DB5 BA 1I=50 APPLICATION FOR PERMIT �1 DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC , WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. S' / 2- ELECTRICIAN 9707764' � �i [, / .•3-.2 RECEIVED BY READY FOR DATE ISSUED ADDRESS /CS ©7 eS 5!k g/3 S r� FIRST INSPECTION ? CITY bw Apt— TEL. NO. ' •T I /J--Jrl/ COUNTY LICENSE NO. J oFil EXPIRES �0 ISI BUILDING PERMIT FEES ADDRESSL4,4 W FEE /I/& LIGHT NUMBER EACH LOCALITY � e". LIGHT OUTLETS CNEAREST RECEPTACLES ROSS ST. y WALL SWITCHES VD OWNER TOTAL OUTLETS 3 'Sc S �C� MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 29 CITY TEL. NO. FIXTURES s �} 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 REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS Num HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPS TY DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH I/2 a LE55 S .25SIGNATURE OF 1/2 2 s0 - PERMITTEE 2 s 1.00 INSPECTION RECORD s is 1.50 is so 2.50 So 200 5.00 200 500 10.00 „I SOO l000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (7S%OF011I0.) MISC. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURESffi1.00 WIRING SUPPLEMENTARY .80 r FIXTURES �/ �p POWER TOTAL FEE S 7r Q A UTILITY CO. NOTIFIED ® FINAL �� �� 76A663 Id-606R 9/76 APPLICATION ELECTRICAL PERMIT P, COUNTY OF LOS ANGELES /►'p DEPARTMENT OF COUNTY ENGINEER ADDRESS / /T!/ BUILDING AND SAFETY DIVISION FOR APPLICANTTO FILL IN LOCALITY j 17-4 t�J New Residential Bldgs.&Pools EACH NO. FEE CNEAREST NEARES ROSS T. �y 1 &2-Family,Sq.Ft. $ .025 — $ Multi-family Sq.Ft. 02 — OFIRM NAME Residential Swimming Pools 20.00 MAIL• ADDR S Outlets:Rec Light_Sw. CITY Tel.N 4 _2z;. First 20 .50 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY -Tel.No. Total No. Additional '30 RW APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W._ CITY U VV Tel.No. Oven_Dryer_W.M._ LICENSE OR Top —FAU —W.H._ REG.NUMBER Class. Hood_Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. Room Air Cond. .- 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 2.00 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up t0 1 Ind. 2.00 LEGAL OWNER OF THE AB VE DES ED RESIDENTIAL PROP Y. Over 1 to 10 Incl. 5.00 P Over 10 to 50 Incl. 10.00 PERMITTEE Over 50 to 100 Inc. 20.00 SIGIVATU ` Over]00 30.00 DISTRIC P CESSBY A _ Services a 0.200 Amp.Under 600 V 25.00 APPROVALS DATE ISIGNATOURE Z 201.1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE Temp.Power Pole&Appurtenances enances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 15.00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fee). PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 9 6 4 nuc 4 9 0 10.5.0 nom% SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ® ®s kERS'COMPENSATION DECLARATION 20-0014 DPW 3/87 O Wnsure,+d (mthat I have awcertificath of consent to self ce-806G APPUCAU�ON FOR ELECTRICAL PERMIT r-a tertificaterof Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS )r o certified copy thereof(Sec. 3800, Lab. C.) Polity No. Company FOR APPLICANT TO FILL IN JOB d ❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ❑Certified copy is filed with the county building inspec-• 1 &2-Family, Sq. Ft. LOCALITY cli NEAR� — $ �•+ rn tion department. Multi-family Sq. Ft. CROSS 8T. Date Applicant Residential Swimming Pools OWNER ORQ FIRM NAME r J CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec2_Ltght_S__Sw.B_ MAIL COMPENSATION INSURANCE ADDRESS 01 (This section need not be completed if the work involved by 3/ First 20 CIT7 Tel. No.LJ the permit is for one hundred dollars($100)or less.) Total No. Additional L G �� PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compensation Laws. ' I Additional Date Applicant Total No. CITY T I. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION 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 Disp. _ Room Air Cond. — REG. NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PR ED BY >_ and Professions Code,and my license is in full force and effect. IL Size&Type HP, KW, KVA, or KVAR Q O License Number Lic. Class Up to 1 Incl. FINAL 1 Over 1 to 10 Incl. DATE Ll 3 VALIDATION cO Contractor Date Over 10 to 50 Incl. FINAL H ❑ 1 am exempt under Sec. i Over 50 to 100 Inc. gY U B.&P.C. for this reason 1 Over 100 d Services, Swbd., MCC& Ponelboards ® to Date: 0-200 Amp. Under 600 V Z Signature I 201 - 1000 Amp. Under 600 V fd a a ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Mainf. Elect. 5 0,5 � SINGLE FAMILY , HOME OWNER-BUILDER DECLARATION o 0 o Q Temp. Power Pole&Appurtenances „ I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit 09,22-89 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): ryles W 1, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— 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) 1 (Sec. 3097, Civ. C.). i PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE d Lender's Address I certify that I have read this application and state that the a TOTAL FEE 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 ab ve-mentionV pr rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r al YA lgnature f Permi a ate ®'