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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