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HomeMy Public PortalAbout5027 SANTA ANITA AVE_Electrical__ 76.0663-CEB0611/7: APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ^, BUILDING AND SAFETY DIVISION A13DRESS 'Q d COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST ol FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER RECEPT. MAIL LIGHT TO L FIRST 20 25 /' ADDRESS OVER 20 CITY TEL. NO. SWITCH .10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT TO AL OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESSgz C' SPACE HTR. AIR COND. CITY TEL. N0 CLOTHES WASH. DISHWASH. LICENSE NO. CLASS FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 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 A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO } .001 7 1 — 10 3.00 _ RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O SIGNATURE re!! U 10 — 50 5.001 OF PERMITTEE w 50 — 100 10.00 O DIS� 0IC NO CLASS 20N P SE Y F- 100 — S00 15.00 , SIGN, GASN TUBE, OR SIGN AND ONE CIRCUIT 5.00 NOTES: cL Z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 LRRERECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURq POWER AUTHORIZED (SUB TOTAL) UTILITY CO. NOTIFIED _^ FINAL FEE 3.00 �f JOSEP ROOHAN 7, SUPERVI INGELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA ON cK M.0. CASH i�� a 6 6 1 N FEB29 2 D "/,�0 Iq LI�Lo � SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A6fy,3`CE806 - -APPLI TIOISI FO� ELECCy.TRIl AL PERMIT COUNTY OF LOS ANGELES + D'EPARTMENT;,OF COUNTY ENGINEER FBUILDING BUILDING AND SAFETY DIVISION S uP JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGTYT FOR APPLICANT TO FILL IN T. P .� NO. EACH FEE RECEPT. $ $ OWNER ,{' MAIL LIGHT v TOTAL FIRST 20 .20 ADDRESS SWITCH OVER 20 .16 CITY TEL. NO. PLAN CHECK LIGHTING J.TOTAL FIRST 20 .20 APPLICANT-_ FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER_WTR.HTR._ CITY TEL. NO. STA.COOK_DISP._F.A.U._ COTJTRAC'TOR SPACE HTR. AIR CONDJ(— ADDRESS ,CLOTHES WASH.X—DISHWASH._ CITY TEL. NO, FAN—OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 1.00 ELECTRICAL WIRING. — 1 I HEREBY CERTIFY THAT I AM PROPERLY .REGISTERED AND/OR 1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 — 50 5.00 RESIDE N, THE ABOVE DESCRIBED RESIDEN AL PROPERTY. 50 — 100 10.00 SIGNATURE / OF PERMITTEE � 100 — 500 15.00 SIGN,GAS DI111,R'ICT NO. GR UP NE CESSED BY c TUBE, OR SIGN AND ONE CIRCUIT 3.00 J�Q .— l U MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: C7 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 Z SERVICE OVER 600 VOLTS OR 200 AMP 5.00 'TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING/ FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 JFINAL UTILITYCO.NOTIFIED oc SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER a PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONcK. M.O. CASH 5 0 o- 0-r3.1 - 2. 0 9.90 rJ :E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE , ~�%' G /Y2'•""y . h "56e.`e8064m APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING J BUILDING AND SAFETY DIVISION ADDRESS / JOHN A.LAMBIE,COUNTY ENGINEER WILLIAM A.JENSEN,SUP'TOF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CRoss sT PERMIT FEES OWNER ~ ITEM NUMBER EACH FEE MAIL OUTLSET : .1 ) S S ADDRESS SLY LIGHTS RECEFl. W. .10 O LIGHTING FIXTURES .10 D CITY r EL.NO ELEC.RANGES CLO.DRYERS ELECTRICIA WATER HEATERS .130 ADDRESS ELEC.SPACE HTRB. DISHWASHERS CITY _ TEL.NO. GARBAGE DISPOSERS 'AUTO.- STATE ASHE STA.COOKING UNITS ,23 LICENSE NO. MOTORS: .OVER INC. H.P. DISTRIC NO. GR�,UP Z TF- OCESSED BY O— I/2 .25 1/s — 2 .50 INSPECTION RECORD 2 — 5 1.00 L/ (aJ 1.. pn, 19 — 11i 1.50 �.F�.I.,-.�� u 1B gDco z.go .O so — 200 5.Oo _ W SIGNS: No TRANS. N NO.LAMPS Z SERVICE 0.60oV 1.00. SERVICE OVER 600V 9.00 ' MISC. WIRING PERMIT 1.00 1 00 FIXTURE PERMIT f.00 `. SUPPLEMENTARY PERMIT gp TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTO/R+,SIGNATURE �p AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 1� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / BLECY'RICAL WIRING. WIRING /�A I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE - DESCRIBED RESIDENTIAL PROPERTY. r POWER ,s SIGNATURE e , UTILITY CO.NOTIFIED / OF PERMITTE FINAL, 12 %fly Jrl` I/}AA-- =-,s I'VA (DATION AR HUR C.VEIT. " MO CASH SUPERYI8ING ELECTRICAL ENGINEER �` � u-2 3 1 2 FEB 9 2 D 3 .15 ;° ,BB-5A APPLICATION FOR ELECTRIC PERMIT 1 DBS.BA 11:$B , MiSION OF BUIMING AND SAFETY a4" Depcmbuent of County Engineer BUILDING Tom' p, County of Los Angeles ADDRESS-f O O� Y h JOHN A.LAMBIE.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY j—17 fli FOR APPLICANT TO FILL IN NEAREST PE UCT FEES CROSS ST. FiUMBER OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEE CITY .NO. TOTAL OUTLETS @ Be S �� ELECTRICIAN ELEC.RANGES 28 '• ELEC.HEATERS 28 IOF ADDRESS 1C1N EA CITY TEL.NO. STATE FIXTURES 8 LICENSE NO. MOTORS DISTRICT NO. GROUP O READY FOR INSPECTION NUMBER HORSEPOWER FEE S I ' NEW MVD. HP OVER INC. EACH g LESS S .2s INSPECTION RECORD Ya 2 .80 r s is 1.50 IS 80 2.80 80 200 8.00 misc.. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY •80 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH*ALL COUNTY ELECTRICAL WIRING.ORDINANCES AND STATE LAWS REGULATING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE UTILITY CO.NOTIFIED 7'' P/Lvr.t✓C-� . OF P.LERMITTEE FINAL IOHN A.LAMSIE.COUNTY ENGINEER VA=ATIoN' ARTHUR C.VEIT.CHIEF El,ECT.INSPECTOR CK MO CASH IC05 C..4 2� APRT 2 3.5 5 �• w; w WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) 76°663 (� �Vt APPL�ICATO®N FOR ELECTRICAL PERMIT `+ I hefebaff- ftfi m tt I have a certificate of consent to self insure., (f "or a certificate of Worker's Compensation Insurance, or a.certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy,thereof(Sea.•38D0 Lab.C.)" iP❑olicy No.. Company FOR APPLICANT TO FILL.IN JOB � ADDRESS S �7 0Q ( S4`�° 0 MA 14 n" AV6 Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH. FE_E LOCALITY Certified copy is filed with the county building inspection 1 &2=Family,Sq.Ft. NEAREST department. Multifamily Sq.R. — CROSS ST. OPke-c-p- DateResidential Swimming Pools ASSESSOR MAP BOOK S' PAGE O O'11 1 PARCEL©I•7 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR Outlets:Rea. Light Sw.. FIRM NAME JZ6, m COMPENSATION INSURANCE ��d First 20 MAIL (Ttiis sedtlon need not be completed If the work Involved by the Total No. Additional 17 ADDRESS 9-0 7$r9 R A-NM eF Lr permit'is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY�� is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation.Laws. Lighting Fixtures First 20 APPLICANT Total No.. Additional ADDRESS Date Applicant RESIDENTIAL,APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT:.If, after making this Certificate of CITY Tel.No. Exemption,,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. piovisions of.the Labor Code,you,must forthwith comply with such. PERMIT I_` ' provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION - Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am libensed under provisions,of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 1O.tc 50 Incl. Over 50 to 100 Ind. REGNNUMBER Class' d Over 100 DISTRICT NO. P CESSED BY O License Number Lic.Class jp/ V Services,Swbd.,MCC&Panelboards Q Contractor Date 0-399 Amp.-Under 600 V DATE O F1m400-1000 Amp:Under 600 V V I aexempt under Sec.. VALIDATION W Over 1000 Amp.or Over 600 V FINAL d B,&P..C.for this reasonBY' V) BRANCH CIRCUIT FEES • Date: 15A,or 20A,120V,Lighting or Recept. ? 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits - -� Exemption for Reg:Ma'int.Elect. 1.SA,20A,208V To 277V Lighting Br.Circuits ,ti7 Af SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION vv�t 3+-+ I hereby affirm that.l am exempt from the Contractor's License Law Sign with One Branch Circuit .2. for the following reason (Section 7031,5, Business and Professions Additional Sign Branch Circuits v 't Code): - I BIG I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors TF.j I AL I is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) CHEC L7.2 and Professions Code). r3 1 ( L } CONSTRUCTION LENDING AGENCY 41 � � a 010 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) ;t n .; Civ.C.) r j)ii�Il a- I j `LJ"I ff7 PLAN CHECKING FEE " ' Lender's Name =�f 1. 4 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE t.J /s 1,9 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 for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATUF170F PERMITTEE DATE f, . ~ COUNTY OF LOS ANGELES TEMPLE CITY # 0508ELECTRICAL PERM'I-T-i ` DEPARTMENT OF•PUBLIC WORKS 9071 LAS TUNAS �EL 0508 9801050070 BUILDING ANd SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEA ID: FEES PAID BUILDING ADDRESS: TR: 13363 LT: 16 �-5fl2.7-S7INTli— FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: `TEMP—CA9i17803618 ASSESSOR INFORMATION N MBE : NEAREST CROSS STREET: 8574-009-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 23.00 OUT 43.05 TENANT: G2 LIGHTING FIXTURES 15.00 LGT 29.25 ISSUED ON: PROCESSED B BY: EXPIRES ON: H7 RES EXHAUST FANS 2.00 EX 21.60 01/14/98 UT 01/14/99 TOTAL FEES 121.65 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: MARTINEZ RAYMOND A;RAFAELA (818) 442-6645- 5027 SANTA ANITA AV TEMP 917803618 DESCRIPTION OF WORK C-Et-EPTRI-CAt-FO IAN APPLICANT: TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: SAME AS OWNER APPROVALS DATE INSPECTOR SIGNATURE - S'., ��• .,: � '.�; LIC. NO ', ��-' ` �, TEMPORARY POWERPOLE UNDERGROUND CONDUIT ARCHITECT OR GINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH G MAIN WATER LINE „ PLASTIC Y/N METAL Y/N - UTILITY COMPANY 0 < _ , ! 46 REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0210150017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL' ID: FEES PAIDG ADDRESS: TR: 13363 LT: 16 5027 SANTA ANITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803618 ASSESSOR N ORMA IO NUMBER: NEAREST CROSS STREET: FREER 8574-009-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C LB 200 AMP PANELS MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 SD'0 PROCESSED BY: PLAN BY: EXPIRES 0 : 10/15/02 VG 04/13/03 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: MARTINEZ RAYMOND A;RAFAELA (626) 442-6645- Z 7j 5027 SANTA ANITA AV TEMP 917803618 i DESCRIPTION OF WORK UPGRADE ELECTRICAL SERVICE TO 200 AMP APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: I CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER 0 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: 1�,, FER GROUND LIC. NO:. ROUGH CONDUIT ROUGH IR G MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY D Z� , YJ ,'A� tib;� �,J`�•.+'n'N•4� �4,� I i REPORT ID: DPR265 ROUTE TO: BS0508 i J