HomeMy Public PortalAbout5516 SARA MAR LN_Electrical__ DAB 5A1155 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUU DING AND SAFETY
DSpmmtent
of county Rogiu YT [MAIL
UILDING
�'pyy�� oDRESB 16 Sara Mar Lane
JOHNA LAN16IE.CCo�N eNGINCHR Temple City, Calif*
CASSATT D GRIFFIN BDP•T OF BUILDINO LOCALITY
FOR APPLICANT TO FILL,IN EAREST
PERWr FM u sr
NUMBER WNER
LIGHT OUTLETS
RECEPTACLES -ADDRESSI
1 C4 WALL SWITCHES FEE CITYL NO
TOTAL OUTLETS a 5 ELECTRICIApNG. E. CORBIN ELEC . CO.
ELEC RANGES 25 ADDRESS 1800 SO, Curtis_ Ave.
ELEC HEATERS 25 0
cm Alhambra, Cali . TEL No tz3
HW EA STATE ],�3 1
FIXTURES 5 LICENSE NO
44
MOTORS DISTRICT NO GROUP ONE RUDT PDR IUPRCTIDM
NUMB" HORSEPOWER FEE I +l
NRW MVO HP OVG INC EACH .Y !7'
A LGS 23 INSPECTION R=RD
2 50
2 5 100
5 15 1 50
15 50 250
50 200 5 00
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 111100 0
FIXTURES $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE • 65 DATE INSPECTOR 5 SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROP AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS AN COON D'STATE OF
CALIFORNIA OR THAT 1 AM TUM
WHEN JHE ABOYE POWER
DESCRIBED RESIDENTIAL PEOPASK
UTILITY CO NOTIFIED,
SIGNATURE S
OF PERMITTEE IN FINAL V
JOHN A.LAMBIE.Coutm G1NUM MMA77ON ARTHUR C.VErr.cH1EF ELECT. INSPEOTOR
CK MO CAR"
M8474L Ry 23 2 7.65 n
m
009 DA It EB APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Dppothawl at C.O®17 mgh1di FADDRESS
DING
o! Lor ARgld" 6 Sara Mar Lane
JOHN A LA SIE• COUNTY ENGINEER Temple City
CAGSATT D GRIFFIN purr or SuI1.O1No ALITY
FOR APPLICANT TO FILL IN RPERM FEES STNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FH6 CIN TEL NO
TOTAL OUTLETS S 0 ELECTRICIApNG: E. CORBIN ELEC. CO.-
ELEC RANGES 25 ADDRESS 1800 SO. Curtis Ave.
eLEc HEATERS zp em Alam
hhra Calif. TEL NO(;UJ
ICW EA 1132 C
STATS
FIXTURES p LICENSE NO
10
MOTORS DISTRICT NO I GR U I ZONE I [BAPT Fo[1[[rimm
�
nurb[R HORSEPOWER
FEE
NBW MVD HP OV911 INC [ACE
e L[sR t zp INSPECTION AECOBD
2 so
Y p f 00
0 1p 1 50
IS QO 250
SO 200 p 00
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 100
FIXTURES floo 1
BUPPLHM ENTARY
.Sol I ifi�irMOVAM
TOTAL FEE I Is 11 1 DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
IICHEREBY CERTIFY THAT 1 AM PROPER STERED R R FIXTURES
LENSED AS REQUIRED BY LOS ANG AND A OF
CALIFORNIA OR THAT I AM TH F TRH OVE POWER _
DESCRIBED RESIDENTIAL PR
SIGNATURE UTILTTYCO NOTTFI®
OF PERM ITTIKE FINAL J4S
JOHN A.LAMBIE.COUNTY ENGIN ATION ARTHUR ET
VT.cmar . mwmaTGR
ro wx
L&8 6 4 6E, HAY 2 8 2 1 .1 D in
m
r
• - - -- - -- - - C-IT of -'T�rt<<� --ci r� -
76P663(F-B06 Ili/7B) � • -r -'----
__APIO CATION_ F_ OR_E_LECTRI_CAL PERMIT_ _
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB /
EACH NO- -"FEE - ADDRESS SS b--_ E-- .LM - —
Nevv Residential Bldgs &Pools-- LOCALITY
1 &2 Family Sq Ft $ 025 - b (-(� (`',�
Multi family_q Ft- 02 - - NEAREST
T
Uj
Residential Swimming Pools - 2500 WNER OR-
FIRM NAME (�
Outlets Rec_Light_Sw _ _ _ __ _ _ MAIL
First 20 50 ADDRESS ' Mqk
.-Total No - Additional 30 CITY--Fr-MRLC•- e1 -Tel,No 2k6-) S - -,-
PLAN CHECK -
APPLICANT___
Lighting Fixtures First 20 50 ADDRESS.
Total No y CITY Tel No r�
Fixed Apphances Not Over 1 HP - - - - APPLICANT 1-IC-F C -_ - .�rR llc./ca- -J
Range_Heater_D W _ ADDRESS
Oven -_WM=.,' ._ _ IO o (3 •z'Ic/L '
Top` _FAU —W H _ _ CITY ` a -Tel No -
Hood_Fan _Other_ + LICENSE OR /� p `J
Drsp _RamaAv Cond _ 250 - _ REG NUMBER 'd C Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA '
Power Apparatus E Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO _
Size 8 i
COMPLY-WITH ALL-COUNTY'ORDINANCES AND-STATE-LAWS16
ype HP KW KVA'or KVAR 2 50 REGULATING ELECTRICAL WIRING O
-Up to 1_Ind -I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED'AND7OR --(J
Over 1 to 10 Ind 5 00 1LICENSED AS REQUIRED BY LOS A LES COUNTY OSTA d
Over-10 to 501ncl- 12 50 _ _ CALIFORNIA OR THAT I_A L WE
O2500 DESCRIBEDRESIDENTIAL PERiV
Over 5010 100 Inc Over 100•^ -4000-ServicesDISTRICT NO " ' PROCESS B`0 200Amp Under600V 1250201 ,1000 Amp Under 600 V - 2500 ---
Over 1000 Amp or Over 600 V 5000 =
'+' 2
Temp Power Poled Appurtenances - 1000-
Sign
000-Sign with One Branch Circuit 10 00 4t
Additional Sign Branch Circuits, ' 2 DO INSPECTION _
Misc Conduits d Conductors .r _ 1000 INFORMATION _� r
Other(See Complete Fee Schedule)_ ON
SIDE i83Q5A
# . . . . . 2
I 1
PERMIT FEE + Isud Total) - 2,• • • 9 5 0 1
PLAN CHECKING FEE (One Fourth'Permit Feel _ _ -,- 9505
t
PERMIT ISSUING FEE _ _ 157 I Z 1 9-7 9 -
TOTAL FEE 5 >
INSPECTION FINALED
date /1 94sBY '
d(J ms
JI�R'SaSATN DECLARATION 7�0°naB3APPLICATION FOR ELECTRICAL PERMIT 20-[1019 DPW B/®
I hereby affirm that I haveve a a certificate of consent to eels Insure e
or a certificate of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV '
copy thereof(See 3800 Lab C) _ U I I - -
Policy No Company FOR APPLICAM TO RLL III- -Joe
57 ,
❑ Certified copy is hereby furnished I New Residential Bldgs 8 Poole EACH NO FEE
CA�ECertified copy Is filed with the county budding impaction 1 8 2-Family Sq Ft $ — 6 �LE�O,AV7 M 1
El , depenmem Mulb family Sq Ft CRpgyT W DQE) lUL ST'
_ ST
Date VApplicant Rixdentlal Swimming Pods ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORI�RS Outlets Rec Ught Sw _ O 20MER OR
COMPENSATION INSURANCE -
(This section need not be completed N the work Involved by the FirstMAIL
permit Is for one hundred dollars(111100)or lase)
Total No Additional
I certify that in the performance of the work for which this permit CITY TO Ne
is Issued I shell not 9rtiploy any person in any manner so as to I + . r
CHECK
become subject to the Workers Compensation Le" Lighting Fixtures Find 20 AP
TOIBI No Additional %3Date Applicant -+ ADDRESS
NOTICE TO APPLICANT If after making this Certificate of = 15 OR 264 120V BRANCH CIRCUITS - - Cmr{ Tat W��-
Exemption you should become wbPict to the Workers Compensation 1 TO 10 INCLUSIVE EACH
prowsmne of the Labor Code you must forthwith comply with such 11 TO 40 INCLUSIVE EACH - PERKIF
provisions or this pennrt shell be deemed revoked 41 OR MORE BRANCH CIRCUITS EACH APPLICANT
LICENSED CONTRACTORS DECLARATION - ADDRESS }
I hereby affirm that I'am licensed under provisions of Chapter B 15 OR 20A 200V TO 27TV UGFTING EACH d
(commencing with Section 7000) of Division 3 of the Business and _ _ CITY Tel W _ _ 0
Professions Code and my license Is In full force and effect RESIDENTIAL APPLIANCES UP TO 3HP LICEl'im OR Cleve ([
PMW Apparatus&Large Appliances - _ _ REO NUMBER O
License Number Lx Claes Sae&Type HP KW KVA or KVAR OISTAICT NO PROCESSED/BY
Up to 31ric1 '- S. O ♦m UJ
a
Con�� Date Over 3 d 10 Ind M y
El Over 10 to 50 Incl Z
1 am exempt under Sec Over 50 to 100 Incl 'L VALIDAnoN
S&P C for it"reason Over 100 BY Af C T e s
• Services Swbd MCC&Penemoerde .I _
Da1a 0-200 Amp Under 600 V SP_A --1w T.
00
Signature 201 1000 Amp Under 600 V
❑ 7 Over 1000 Amp or Over 600 V - -. I�ITAL 59 a cc
Exempiron for Reg Mamt Elect
'SINGLE FAMILY 7 CHItr. ri'K
HOME OWNER BUILDER DECLARATION Temp Power Pob&Appunenencee_
I hereby affirm that I em exempt from the Contractors License Lew Sign with One Branch Cecilll (HA4GE ,t.11
_
for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits
Code)
raI as owner of the property will do the work and the structure Misc Conduits&Conductors - -[t r_I-i 1+�1 f C1/,t9:9,_
is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schetlule) . T
and Professions Code) - - - --- - IQ�i
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 (Sec 3087 .PERMIT FEE - - - (Sub-Total). 39 r 80
Civ C)
PLAN CHECKING FEE
Lenders Name
PERMIT ISSUING FEE .
Lender a Address TOTAL FEE
I certify that I have read this application and state that the above
Information ra tort I agree to comply with all County ordinances
end a few r let ctricel wiring and hereby authorize
is
e t o1 Ie unt to enter upon the above mentioned
pr e 1 in on rp a SEE REVERSE FOR EXPLANATORY LANGUAGE '
5^ \�-Oi�L I I
�Tl`b�owmilT DATE