HomeMy Public PortalAbout5547-5547 1/2 SANTA ANITA AVE_Electrical__ e Gfi3 DBB SA a-50 APPLICATION FOR PERMIT
DEPARTMENT OF SUMDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT ND.
ELECTRICIAN
ADDRESS
RECEIVED BY FIRST INSr FOR PECTION DATE ISSUED
ry� ^ I
CITY 1h\ I. 1i A EL.NO. AT •' 41 ! 'V `
COUNTY LICENSE NO. EXPIRES lt=3 0—5 BUILDING L)f
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY \bk@A.PIAJh 7
LIGHT OUTLETS NCROBB ST.
EAREST
RECEPTACLES � ,
WALL SWITCHES OWNER mA-D A O sadN,AO
TOTAL OUTLETS 5O 9 MAIL
ELEC. RANGES 85 ADDREBB
ELEC: HE/ATERH 25 \�
, CITY 41, �\_� TEL. NO.
FIXTURES 5t 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
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 JAND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. I OVER INC. EAOH
I/ a LESS 9 .25 SIGNATURE OE
%a 2 .6O PERMITTE
z s 1.Do INSPECTION RECORD
5 15 1.50
15 60 2.50
50 200 5.00.
200 600 10.00 Q
SGO 1000 15.00 Z
OVER 1000 20.00 _M
M.G. BET/FREq. CHANGER-HP R�
WELDERS:AC-KVA , O
GENERATORH - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRID•)
MOVED MOTORS (75% OF DRID.)
MIBC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPE13TORPO NAME
WIRING 91.00 a CONDUIT
FIXTURES 91.00 6 0 WIRING -
fiUPPLEMENTARY .50 FIXTURES
POWER !i
TOTAL FEE 9 UTILITY CO.NOTIFIED n A.✓% /
FINAL
7SASG3 DOB SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR;7 NO. GROUP I ZONE PERMIT NO.
ca 9
ELECTRICIAN 1 0 h ti _ ).
ADDRESS : l l ,1 RECEIVED BY FIRST INSPECTION DY FOR DATE IBBIJED
CITYtIAI_.`'.�Y1.^, S[1TEL.NO.
COUNTY LICENSE+ NO. EXPIRES BUILDING
PERMITFEES
ADDRESS
NUMBER EACH FEE LOCALITY \J�� 13A t Q
LIGHT OUTLETS NEAREST
CROSB BT.
RECEPTACLES
WALL SWITCHES n ^ ..n
TOTAL OUTLETS so $ MAIL v { 1
ELEC. RANGER 85 ADDRESS . �R 1 CL -1 A . ]
ELEC. HEATERS Be, IT
CY rti AA fl TEL. NO.
FIXTURES 5 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 ORDJ'NANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. [AGN OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
A LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE r-
2 5 1.00 INSPECTION RECORD
5 15 1.50
is 50 2.50
513 200 5.00
2013 Bao 10.00 Q
Sao 1000 15.00 Z
OVER 1000 213.00 Q
M.G. SET/FREQ. CHANGER-HP E
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERB - KVA
TEMP. MOTORS (75% of CRI:-)
MovEp MOTORS (73% OF CRIS.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
DATE INSPEOTOR'B NAME
FOR EACH PERMIT:
WIRING $1.90 (�j� CONDUIT
FIXTURES $1.00 Y— WIRING ! ~Vd L r
SUPPLEMENTARY .50 FIXTURES
� OWER
TOTAL FEE N UTILITY CO.NOTIFIED
FINAL J
}WORKERS'COMPENSATION DECLARATION 76A60CE-806 10/81 NAPPUCAVION FOR ELECTRICAL PERMIT
I hereby affirm tliat I,have a certificate of consent to self CE-8066 t
insure, or:a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
dr a certified copy,lhereof (Sec. 3800, Lab. C.)
WC647173 Homeland ins., FOR APPLICANT TO FILL IN JOB,
Policy No. ompany 1 Santa .A
Certified copy Is-hereby furnished. New Residential BldgsEACH NO. FEE
ADDRESS 5547
Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft.. o $ _ $ 56.68 LOCALITY Temple City
tion department. Multi-family Sq. Ft. NEAREST
CROSS ST.
Date
04/01/86 p� c Residential Swimming Pools OWNER OR
p FIRM NAME San Gabriel Properties
CERTIFICATE OF PTION FROM WORKERS' MAIL
Outlets: Rec Light Sw._ 217 W. las Tuans G
COMPENSATION INSURANCE ADDRESS '
First 20
(This section need not be completed If the work involved by Total No. +'''+'�• '\� _GLTY San Gabriel Tel. No.
the permit Is for one hundred dollars($100)or less.) Additional• ,+ "' - -------
Lti,,q � \ �''` 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
so as to-become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional
CITY Tel. No.
Date Applicant
Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT: If, after making this Certificate of PERMIT
C
Exemption, you should become subject to the Workers' Range Heater_D.W. _ APPLICANT Cobine Electric CO
Compensation provisions of the Labor Code, you'must forth- Oven Dryer W.M.— ADDRESS 1607 Rhakssk Chestnut St.
with comply with such provisions 'or this permit shall be Top FAU W.H. —
deemed revoked. yt ITY Alhambra Tel. No.282-0315
LICENSED CONTRACTORS DECLARATION Hood Fan _Other_
Disp. --Y-Room Air Cond. 1 7.5 LICENSE 229847 Class.
I hereby affirm that I am licensed under provisions of Chapter 9 REG:NUMBER C10
(commencing with Section 7000)of Division 3 of the Business .DISTRICT NOP SED BY
Power Apparatus&Large Appliances }
o and Professions Code,and my license is in full force and effect. � �� , �
229847 Size&Type HP, KW, KVA, or KVAR' O
License Number Lic. Class C 1 Up to 1 Incl. FINAL E.f
111�.1/30/87 — Over 1 to 10 Incl. 1 DATE 09 VALIDATION
Ce>tract °e Over 10 to 50 Incl. / I=
FINAL
I am exempt under Sec. Over 50 to'100 Inc. BY
B.&P.C. for this reason Over 100
Services,Swbd., MCC&Panelboards 1 1 5 0
Date: 0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY Temp. Power Pole&Appurtenances
'HOME OWNER`BUILDER DECLARATION Sign with One Branch Circuit
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
Professions Code): •
E] 1, as owner of the property, will do the work•and the Misc. Conduits&Conductors 2 5 5 7.3 A
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_
7044, Business and Professions Code). # 0 0 0 0,o 2
'CONSTRUCTION LENDING AGENCY 1 0 o67. 1 8
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) 0 0 o67. 1 8 V
(Sec. 3097, Civ..C.).
PLAN CHECKING FEE 0 1,06-86
Lender's Name Tokai Bank of Cal i fnrni a
534 W6th St. LA PERMIT ISSUING FEE 10 . 0
W.
6th Address +
I certify that I have read this application and state that the TOTAL FEE +e-6-{$
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and 1 8
hereby authorize representatives of this County to enter upon
the above-mentioned orooerty for inspection purposes.
J � SEE REVERSE FOR EXPLANATORY LANGUAGE
10/03/86
Signature of.Permittee Date
• . WORKERS:;.COMPENSATIONicate RATION CI-806 10/81 b,il_"LO Alrlr ON FOR
O ELECTRICAL
LE TRIC®L PERMIT
I hereby affirm that I have a certificate of consent to self, CE-8066 6= n" �b LT uu B1
insure, or d'certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or'a certified copy thereof(Sec. 3800, Lab. C.)
Policy cy No. °("�C647173�3ampany Homeland Ins. FOR APPLICANT TO FILL IN JOB 5547 Santa Anita.
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS
Pq Certified copy`is filed with the coin building inspec- 1 A 2-Family, Sq. Ft.,1�13 $ — 64. 52 LOCALITY Temple City
tion department. ✓ Multi-family Sq. Ft. — 'NEAREST
r ARE9
CROSS ST.
Date 04/01/87 A lic K `i
---R�jidential Swimming Pools OWNER OR
pp �/ FIRM NAME San Gabriel Properties'
CERTIFICATE OF EXE16tPTION FROM WORKERS' Outlets: Rec Light. Sw._ ADDIL
RESS 217 IIII• Las Tuans Dr. , G
COMPENSATION INSURANCE First 20 ^ "
(This section need not be completed if the work involved by Total No. Additional * CITY San Gabriel Tei. No. -------
the permit is for one hundred dollars($100)or less.) y 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
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional CITY Tei. No.
Date Applicant Fixed Appliances Not Over'1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Cobine Electric Co. Inc.
Exemption, you should become subject to the Workers' Range_ Heater_D.W.
Compensation provisions of the Labor Code, you must forth- Oven --Y-Dryer W.M.— ADDRESS 1607 Chestnut St.
with comply with such provisions or this permit shall be Top FAU W.H. — CITY Alhambra Tel. No- 282-0315
deemed revoked. Hood x Fan _Other_
LICENSED CONTRACTORS DECLARATION7�. 5 17 . 0 LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. REG. NUMBER 229847 Class. C 1
(commencing with Section 7000) of Division 3 of the Businessaratus 8 Power AppLarge Appliances DISTRICT NO. P CED BY
r-.
and Professions Code.,and my license is in full force and effect. 4/., ` O p0 IL
229847 Size&Type HP, KW, KVA, or KVAR' `J
License Number _ Lic. Class C10 Up to 1 Incl. FINAL V
f- %- 11/30/87V a
Over 1 to 10 Incl. 7 .p p DATE ,r VALIDATION
Contractor f - - ,"Date 1.-
Over 10 to 50 Incl. FINA tJ
I LU
am exempt under Sec. Over 50 to 100 Inc.. BY
B.&P.C. for this reason Over 100 H
Date: Services, Swbd., MCC&Panelboards 1 1 5 .00
0--200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
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
Professions Code):
❑ 1, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale (Se°tion Other(See Complete Fee Schedule)_ z9-.5 5 7 2 A
7044, Business and Professions Code.). D
CONSTRUCTION LENDING AGENCY # a o 0.0 0 2
1 hereby affirm that there is a construction lending agency for I ° o ,7 5 O 2
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total.)
(Sec. 3097, Civ. C.).
Tokai Bank of California PLAN CHECKING FEE 61-1 '° ° ° 7 5 05O 2
Lender's Name 10 .50 0 1.06-86
PERMIT ISSUING FEE
Lender's Address 534 W Ath St- I A
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 "A" (:'-
hereby authorize representatives of this County to enter upon
the abo�- ntriio�npraperty r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
1 /03/86
gig—nature o errriitee Date