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HomeMy Public PortalAbout5203 SANTA ANITA AVE_Electrical__ 781889 11,11A11,11AA9 APPLICATION ■ ®R ELECTRIC PERMIT I ■ �. 8.8$' ..$VISION OF BUILDING AND SAFETY _ ,a Deplatnent of. County Engineer County of Los Angeles BUILDING WM.J.FOX.COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PENT FEES CROSS ST. ' NUMBER EACI4. FEE OWNER �. ��•�P�A b LIGHT OUTLETS RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ a CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN a r/� +_ELEC. HEATERS 25 ADDRESS eAge 011'- KW EA CITY / O / TEL.NO t - FIXTURES 5 LICENSE NO.MENEM cTat NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I X MOTORS dQ� NUMBER HORSEPOWER FEE INSPECTION BE :ORD NEW MVD. HP OVER INC. EACH s �2&LESS $ .25 13 1/z 2 :5o 2 5 1.00 r 5 15. 1.50 ... 15 .50 2.50. 50 200 5.00 MISC. f NO.SIGNS NO.TRANS. NO.SIGNS NO..LAMPS FOR EACH PERMIT: WIRING $1:00 D FIXTURES $1.00 9999 SUPPLEMENTARY .50 APPROVALS TOTAL FEE S V DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ 71115 APPLICATION CONDUIT AND:STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY . WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. 1 'HEREBY CERTIFY THAT 1 AM PROPERLY 'REGISTERED ANDIOR FIXTURES LICENSED AS.REQUIRED BY LOS ANGELES COUNTY AND STATE OF' '. "l? CALIFORNIA UR THAT I AM THE LEGAL .OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PR ERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL, / WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR } ,0 Z7 1_rnMV23 2 3.90 0 l rmthat WORKERS" Ihave COMPENSATION DECLARATION F76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT ' I hereby affirm that I have a. certificate of consent to self 'CE-t1U6G. insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES fes' BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) + Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS8,� + 1 8 2-Family, Sq.'Ft. $ — $ LOCALITfT Certified copy is filed•with the county building inspec- y' tion NEARESTCROSS ST. department. Multi-family Sq. Ft. — ' Date Applicant Residential Swimming Pools OWNER OR ( FIRM.NAME ' CERTIFICATE OF EXEMPTION FROM WORKERSvViA ' +I Outlets: Rec �Light Sw._ MAIL e7fADDR ESSCOMPENSATION INSURANCE First 20 I (This section need not be completed if the,work Involved by Total No. — Additional CITY Tel. No. �. the permit.is for one hundred dollars($100)or less.) ECK i certifythat in the performance of the work for which this APPLIPLACANT C NT p 'APPLICANT permit is issued, I shall not employ any erson in any manner so as to become subject to the Workenir Compensation Laws. Lighting Fixtures First 20ADDRESS ! e Total No. ® Additional DcteS — PPLican, �h 1CITY Tel.'No. Fixed Appliances Not Over 1 HP PERMIT. NOTICE TO APPLICANT: if, after making this Certificate of MN Exemption,. you should become subject. to the -Workers' Range Heater APPLICANT + Compensation provisions,of the Labor Code, you must forth- Oven ._Dryer W.M.— ADDRESS —Zot.r S with-comply with such,provisions or this permit shall be. Top _ FAU —W.H. — + deemed revoked. CITY. TeI...N6. I, Hood .Fan _Other— e LICENSED CONTRACTORS DECLARATIONS LICEN. OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. Class. REG. NUMBER :S G (commencing with Section 700 0)of Division 3 of the Business` DISTRICT NO. PROCES D BY and Professions Code,and my license is.in full force and effect. Power Apparatus 8 Large Appliances Size 8 Type HP,KW, KVA; or KVAR' License Number Lic. Class C — Up to 1 Incl. FINAL. J ^' c/ 09 Over 1 to 10.Incl. DATE F � VALIDATION Contractor �C Date — f+b Over 10.to 50 Incl. ❑ FINAL I am exempt under Sec.' Over 50 to 100 Inc. BY •r,, �� � iaiD B.BP.C. for this reason Over 100 � Services, Swbd., MCC 8 Ponelboards o-2 e 0 -200 Amp. Under 600'V 1� Signature 201 -'1000 Amp. Under 600 V 1 Over 1000 Amp. or Over 600 V i Exemption for Reg. Maint. Elect. SINGLE FAMILY � Temp. Power Pole 8.Appurtenances .0 f;7. 1 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ?r o 0 0. o 0 2 I hereby affirm that I am exempt from the Contractor's License + Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and v+! vU'p Professions Code): 2' O I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors o „ L1 C C 3, structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 3 7044, Business and Professions Code). ® G' C —E 4 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) .,r. i (Sec. 8097,Civ:C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q { Lender's Address D�,I 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 regulating Electrical wiring, and hereby authorize epresen'tatNes of this County to enter upon the above-m.e + ed party for inspection purposes. I' , S r SEE'REVERSE FOR EXPLANATORY LANGUAGE _ Ar— autt fPeignto --7- re Date j WORKERS'COMPENSATION DECLARATION 20.0019 DPW 3/87 I hereby affirm that I'�have a certificate of consent to`self .' .CE XE-806G A.PPL�•G�►T.0 FOR E.L ,C CAL PERMIT O insure, or:a certificate of Workers'Compensation;Insurance, ' \, COUNTY bF LOS ANGELES DEPT. OF PUBLIC.WORKS oro certified copy thereof(Sec. 3800, Lab. C. + I' Policy No.' Company FOR APPLICANT TO FILL IN a' JOB Certified co , is hereb furnished. EACH NO. FEE 'ADDRESS py y ` New Residential Bldgs. &Pools. Certified co is filed with the county building ' $ Py ty ,. g inspec- 1 8 2-Family, Sq...Ft. LOCALITY j NEAREST tion department. 1 Multi-family Sq. Ft; CROSS ST. .../1E Residential Swimming Pools OWNER.OR Date ; Applicant FIRM NAME / 1 Ai CERTIFICATE.OF.EXEMPTION FROM WORKERS' Outlets: Rec 1 1.ight�Sw.ZZ 0 MAIL COMPENSATION INSURANCE :ADDRESS D� First 20 (This section need not be eompleted.if the work involved byTotal No._L4� Additional CITY Tel, No. a- the Permit Is for one hundred dollars($100)or less.) .•� +PLAN CHECK•., I certify that in the performance of the:work'for which this ] APPLICANT permit is issued, I shall not emplpy any person in-any manner so as to become subject to the Workerse Com p nsation Laws. j Lighting Fixtures' First 20 I ADDRESS Additional- AZO Date ,'� �G?-a + (+ Total No. CITY Tel. No. �� RPlican G I: NOTICE TO APPLICANT: If,,after king this Certif'i of Fixed Not Over 1 HP PERMIT Exemption', you should becom subject to the rliers' I Range— Heater..—D.W. — (APPLICATION Compensation provisions df the Labor Code;you must forth- Oven'!— Dryer —W.M._ !ADDRESS with comply with such provisions or this permit shall be, j, Top , — FAU —W.H. — w+ deemed revoked., (CITY ' Tel:s'No. Hood —.Fan —Other— • LICENSED CONTRACTORS DECLARATION ILICENSE OR 1 Disp. ;_ Room'Air Cond. _ REG.NUMBER ' •Class. I hereby affirm that I•am licensed under provisions of Chapter 9 (commencing with Section 7000.)of Division 3 of-the Business II Power Apparatus.&Large Appliances (DISTRICT NO. P S$ED BY i. d. and Professions Code,and my license is in full force and effect. •' I. Size&Type HP, KIN, KVA, or KVAR, % O U License Number. Lic. Class, Up to 1 Incl. FINAL „ DATE Over 1'to.1'0 Incl. , VALIDATION Contractor• Date ❑ :• Over 10 to 50 Incl. FINAL r ~ I am exempt under Sec. Over 50 to,100 Inc. BY, W B.&P.C. for this reason' I' Over 100 I' d Date I Services, Swbd:., MCC&Pakelboards Z 0-200 Amp.•Under-606 V Signature 201 -1000 Amp. Under 600 V 4, b r Over 1000 Amp. or Over 600 V ❑ Exemption for'Reg. Maint. Elect. i SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION, t +r• -I,hereby offirm'ihat I am exempt from the Contractor's License Sign with One Branch Circuit s_kl7 Law for the following reason (Section 7031.5, Business and 4 Additional Sign Branch Circuits. Professions Code): ❑ I, as owner of the property, will do the work and the �i Misc. Conduits'&'Conductors �; 3-1� ! _sus 5 structure isnot intended or offered for•saleSection.7044, I Other(See Complete Fee Schedule)_, Ti t _ -+"'' 7�. Business and Professions Code). ( tiJ+�'' i=r CONSTRUCTION LENDING AGENCY n�r,a I hereby,affirm that there is a construction lending agency for p •.+�,a+ • the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). i' 1.''. !•_l--+)£_I`_!i al a/7 PLAN CHECKING FEE h t+ Lender's Name PERMIT ISSUING FEE � Lender's Address TOTAL FEE � I certify that I have read this application and state that the above information is correct. I agree to comply with all County `1 ordinances and State laws regulating Electrical wiring, and d , hereby authorize representatives of this County to enter upon + the above-mentioned property for inspection purposes. ! SEE REVERSE FOR EXPLANATORY LANGUAGE ADSSignature of Permittee Date , I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9909300004 .BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: TR: 13363 LT: 7 5203 SANTA ANITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803622 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8574-009-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 SS ED 0 PR C SS BY: PLAN BY: EXPIR ON: TOTAL FEES 60.90 09/30/99 VG 03/28/00 OWNER: TEL. NO: FINIL D TE AL BY: CODE: HUYNH CUONG;TRAN HUONG (626) 575-0361- AA 5203 SANTA ANITA AV 1T J2_600 TEMP 917803622 DESCRIPTION 0 ELECTRICAL FOR ADDI ION APPLICANT: . N0: SAME AS OWNER - SPECIAL CONDITIONS: GE LE S C CONTRACTOR: TEL. N0: ®�� APPROVALS DATE INSPECTOR SIGNATURE - SAME SAME AS OWNER LIC. NO TEMPORARY POWER-POLE UNDERGROUND CONDUIT ARCHITECT OR NGINEER: TE 0: - UFER GROUND LIC. NO• ROUGH CONDUIT I) 1111111 I�f � ROUGH ING GUS L n n nOKS MAIN ATER LINE \1V/111V// ILJ _LCI PLASTIC Y/N METAL Y/N UTILITY COMPANY 0 D C 6 a ,^ O ❑ � ���� ElEl c Service Thai REPORT ID: DPR265 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELE-7RICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0:10220023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY C:. 51780 PHONE: (626) '---U48b EXT: LECA ID: FEES PAID BUILDI G ADDRC��: ZR: 13363 LT: 7 5203 SANTA ANITA AV FEE DESCRIPTION: QUANTITY: UOM: A140UN1. TEMP CA 91780367, ASSESSOR INFORMATION NUffB—Eff--- NEAREST CROSS STREET: FREER 8574-009-007 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C F1 120V, 15/20A BR CKTS 4.00 BR 69. SUE 00 _ TE APTT: F2 208 277V LGT BR CKT 1.00 BR i.7.30 SD ON: P OCESSc: Sy' N BY: E RES G;i. G1 OUTLETS-LGT,SW,RECP 36.00 OUT 60.60 10/22/04 JK 04/20/05 G2 LIGHTING FIXTURES 12.00 LGT 23.40 UP,'!ER: TEL. NO: H5 RES WASH MACH LT 3HP 1.00 WAS ^.4�5 FIN L DA !r AL LAY: CODE: HUYNH CUONG;TP.AN HUONG (213) 367-4671- TOTAL FEES 2 ,� '1 .�'L' I eE :S233 SANTA ANITA AV �7E!?P 917803622 DESCRIPTI� OF WORK EL[CTRICAOLNFOR THE ADDITION APPLICANT: TE 0: =ME AS CI:NER �iECIAL CONDITIONS: i CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LIC. NO TEMPORARY POWER POLE UNDERGROUND—CONDUIT ARCHITECT OR UN1 R: TEL. 0: LF ZTGROUND LIC. N0: �iOU-H CONDUIT — 1 i I jROJGi1 k .ING frlAIN ATER LINE — PLASTIC Y/N METAL Y/H UTILITY CONPA Y NO I IE9 1 REPORT ID: DPR265 ROUTE TO: 9S0508 e, s COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 f-ECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS i+E 0508 0410220003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGA ID: FEES AID B IL^IR:G PDDR SS: TR: 13363 LT: 7 5203 SANTA ANITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917R03622 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8574-009-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 i;.,,:'•;Y; TEMPLE CITY, C 02 COMPRSR < 100 KBTU 1.00 COM 27.00 TENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: ROCESS D BY: PLA BY: _XPIRES 0N : 41 VENTILATION FAN 1.00 FAN 15.75 10/22/04 JK 01/20/05 TOTAL FEES 97.50 OWNER: TEL. NO: FINA DA E FINAL BY: 1. DE: HUYNH CUONG;TRAN HUONG (213) 367-4671- 5203 SANTA ANITA AV d� TEMP 917803622 DESCRIPTION OF WOR HVAC FOR ADDITION APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CURD-1 16NS: CONTRACTOR: TEL. NO: APPROVALS DATE 1,50ECTOR SIGNATURE SAME AS OWNER - LIC. NO FA WALL FLANCE COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: EL. 90: DUCT OR 1.I C. NO: AC/COMPRESSOR THERMOSTAT r FIRE DAMPERS ---'-+ SMOKE DET EC7I p Jlr, S COMMERCIAL HOOD - REPORT ID: DPR264 ROUTE TO: 850508