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HomeMy Public PortalAbout10606 SPARKLETT ST_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0103080035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285.0488 EXT LEGAL ID: FEES PAID BUILDING ADDRESS TR 19189 LT 94 10606 SPARKLETT ST FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917804134 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET PAL MAL 8585-D25-007 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE. 597 GRID C4 LOCALITY TEMPEL CITY HA FAU LESS 3HP 1.00 FAU 10.95 JB AC LIMITS d-10HP 1.00 AC 19 65 ISSUED ON PROCEssED BY PLAN BY offrUg-or— TOTAL FEES 58 35 03/08/01 LS 09/04/01 OWNER F FINAk-qY CODE. KOYA)1ATSU, HENRY (626) 445-3323- 2 10606 SPARKLETT ST TEMP 917804134 MERTMON OF WORK HVAC APPLICANT: TEL NO CONNOR A/C HTG AND REFRIG (626) 286-3157- 4931 N ENCINITA AV SPECIAL CONDITIONS TEMPLE CITY CA 91780 CONTRACTOR APPROVALS DATE INSPECTUFTMUME— CONNOR AIR CONDITIONING (626) 286-3157- 4931 ENCINITA AVE LIC. NO TEMPORARY POWER PULE TEMPLE CITY, CA 91780 403735 C20 UNDERGROUND CONDUIT ARCHITECT OR ENCTMnT-- TEL No UFER GROUND LIC NO ROUGH CONDUIT RUUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIE15 REPORT ID DPR265 ROUTE TO BS0508 COUNTY OF LOB ANGELES APPLICATION FOR PERMIT Department OF 0f cD,sN EngineerSAFELECTRIC 1 DIVISION OF BUILDING 8c SAFETY WILLIAM J FOX, Ooa[b EeElnN1 FOR !��I�COT TW54IN 018 ICT NO. GROUP ZONE PERMIT NO. ELECTRICIA _ 1 G 3 sv- REG[IV NY READY ►OR DAT[ ISSUED ADDR FIRST INSPECTION �/ _S_ CITY T MO COUNTY LIC[ S[ NEL O(PIRES BUILDING PERMIT FEES w00RCGe AW 4 rc[ NUMBER EACH LOCALITY LIGHT OUTLETS MEANEST RECEPTACLES CROHS WALL SWITCHES OWNER t TOTAL OUTLETS _ as 40 MAIL ELEM. RANGES 76 -ADD EM/ [LED HEATERS 78 CI TEL NO FIXTURES s 1 HEREBY ACKNOWLEDGE TXAT 1 HAVE READ THIS M�BQ APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINAMO[O NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING, 'ar MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMOERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AN THE LEGAL OWNER N Mw HP ov[R iHo r...H Or THE REBIDENTIAi PROP[ DCH IS SOV[ A LKee 75 sIGNATUp[ OF^G I 7 aQ PERMITT[ 7 a 100 INSPECTION RECORD B is 150 is SO 2 S _ BO 700 Soo 2m a00 1000 J 500 1000 ism Z OVER 1000 2000 0 M B SCT FRE CHANGER-HP WELDERS AC-KVA O OCN[RATORS - KW TRANS►ORM[Rs - KVA TEMP MOTORS (75Or DRIB) MOVED MOTORS (75or GRIa MIND SIGNS NONO TRANS No, O N0 LA APPROVALS rOR EACH PERMITt DATE INSPECTOR'S NAM[ WIRING *Ica CONDUIT rU(TUREN 61 OO WIRING 13UPPLEMCKTARY FIXTURES POWER TOTAL FEE o UTILITY CO NOTIFIED FINAL TeAeea 0W#sw a•ea 2 IGA963-`KBGG EG'TK APPLICATION FOR ELECTRICAL PERMIT y j COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JpB / .�_ BUILDING AND SAFETY DIVISION ADDRESS �(� O CO E LOCALITY 'r L NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS IL OWNER OR $ FIRM NAME 1 RECEPT MAIL LIGHT TOTAL FIRST 20 V ADDRESS � SWITCH 2 10 OVER 20 CITY TEL NO PLAN CHECK LIOHTING 1 FIRST 20 �y APPLICANT )} TOTAL OVER 20 ADDRESS FI%TURES 10 RESIDENTIAL APPLIANCES CITY TEL NO RANGE_ORYER_WTR HTR_ APPLICANT K4L�S /' Q JLJ STA COOK_DISP _F A U _ AODRE96 ( ID 9. SPACE HTR AIR COND CITY NS e (� ( TEL NO (� f CLOTHES WASH _DISHWABH _ bEG NUMB R 2 CLASS C� FAN OTHER 100 / s HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AMD STAT[ THAT THE ASOVE 19 CORRECT AND AOR[[ TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY 0ROI NANC[/ AND STAT[ LAWS A[GULATINI IND HEATERS, [TC XP KW RVA ELECTRICAL WIq IMG !IL[ E TYPE OVER TO 1 KCRESY C[SQUIR THAT 1 AM PROPERLY REGISTERED ANO/OR O - 1 100 CALIFORNIA AS NlTHAI I BY LOS ANGELES COUNTY AND STATE OF CASCPIrEA OR THAI 1 AM THE LEGAL OWNER 01 THE ABOVE 1 - 10 !00 Olf CPIlCD RfE10[KTIA ROP[RTY p PERMITEE O Ci 10 - 80 500 SIGNATURE Q��l 80 - 100 1000 DISTRICT NO CE D ON Ia.l 100 - 800 1000 SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS V D 01lzcT sSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 140 TEMP POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP !00 V UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMPSERVICE,POLE, 6 APPURTENANCES 500 WIRING � i TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED, FINAL D PERMIT FEE (SUB TOTAL) I V Q NOTES —12--76 G PLAN CHECK FEE PERMIT ISSUING FEE !00 r(f TOTAL FEE U PLAN CHECK VALIDATION CK M D CAIN PERMIT VALIDATION eK M 0 CASK 1 9 6�,jij! 2 2 D 1 5.3 0 A`•N E[[ DAM Of APPLICATION FOR COMPLETE SCHEDULE `/ /� )UDYKERS COMPENSATION DECLARATION •, 76AO63 10/83v 1 hereby affirm that I have a certificate pf consent to'self CIB66G APPLICATION FOR ELECTRICAL PERMIT, msure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) Policy No Company FOR APPLICANT TO FILL IN l08 /1 D/� Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS (�� ❑ Certified copy is filed with the county budding inspec- 1 d 2 Family Sq Ft 3 — f LOCALITY tion department Multi-family Sq Ft —I I NEAREST Residential Swimming Pools CROSS ST Dote Appli<aM OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS FIRM NAME COMPENSATION INSURANCE Outlets ReclightSw CESS O/ (This section need not be completed N the work involved byFirst 20 1(� the perrrn ilt is for ono hundred dollon($I00)or loss ) Total No�-?L Additional CI Tel No ,C I certify that in the performance of the work for which this PIAN CFIE� permit is issued, I shall not employ any person in any manner APPLICANT so os to become subject to the Work Compel hon Lo Lighting Fixtures First 20 ADDRESS r Total No 15 Additional CITY Tel No Dote pIf aft Fixed Appliances Not Over I HP PERMIT NOTICE TO APPLICANT If after making this Cerhhcate of APPLICANT Exemption you should became subject to the Worke Range_ Heater_D W _ Compensation provisions of the Labor Code, you must forth Oven _ Dryer _W M — ADDRESS with comply with such provisions or this permit shall be Top _ FAU y_WH _ X deemed revoked Hood _ Fan Other_ CITY Tel No LICENSED CONTRACTORS DECLARATION Disp _ Room Au Cond LICENSE Class I hereby affirm that I am licensed under provisiom of Chapter 9 REG N (commenting s Co Section y tic of Division 3 of the d effect Power Apparatus 8 Large Appliances DISTRICT NO PROLE BY and Professions Code and my license is in full force and effect Q � d Size 8 Type HP KW KVA, or KVAR License Number Lic Class Up to 1 Incl tDATE V Over 1 to 10 Incl VALIDATION Controcto _ Date Over 10 to 50 Incl ❑ I am exempt under Sec Over 50 to 100 Inc B 8P C for this reason Over 100 Z Dote $ervi 8 Panelboords Amp Unde Signature 201 - 1000 Amp n er , . 2 r A ❑ Exemption for Reg MaOver 1000 Amp or Over 600 V ml Elect SINGLE FAMILY Temp Power Pole 8 HOME OWNER BUILDER DECLARATION Appurtenances i e o 4 a Sign with One Branch Circuit ` I hereby affirm that j exempt from the Contractor s nee Additional Sign Branch Circuits o o j @ 2 5 t Law for the followingg r reason (Section 7031 S Business and Professions Code) r _ 4 El1, as owner of the property, will do the work and the Misc Conduits 8 Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ► 70" Business and Professions Code) 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) `Ij3 y (Sec 3097 Civ C ) Lender s Name PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEE 7j yf obove information is cortect I agree to comply with all County ordinances and State jaws regulating Electrical wiring and hereb uthonze repr tat as of this County to enter upon the a -mentioned sseeyyll Berry for/inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS COMPENSATION DECLARATION 7 tD�Bt , • APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I hovq a certificate of consent tdfelf 6P ODV, insure or a certificate of Workers Compensation Insurance COUNTY Ok LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lob C ) Policy No Company FOR A"UCANT TO RU IN ADDRESS Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE Certified copy is filed with the county building inspec- 18 2-Famdy Sq Ft S — f I LOCALITY '16 XA ni j0 tion department Mull, family Sq Ft — NEAREST Residential Swimming Pools CROSS ST OWNER OR Date Applicant , FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outleh Rec MAIL COMPENSATION INSURANCE L�ght_Sw First20 ddADDRESS (This section need not be rnmplefod If the work Involved by Total No Additional CITY Tel No is- the permit Is for one hundred dollars($100)or leu) I candy that in the performance of the work far which this PLAN CHECK is issued 1 shall not employ any person in any manner sa as to become subleci to the Wor em Compensal,on Laws Lighting Fixtures First 20 ADDRESS C r Additional Total No CITY Dote ppbwnt Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making the ertificate of APPLICANT Exemption, you should become subject to-the Workers Range_ Heater_D W Compensation provisions of the Labor Code you must forth Oven _ Dryer _W M _ ADDRESS with comply with such provisions or this permit shall be Top _ FAU _WH _ deemed revoked 1Hood Fan _ Other— CITY Tel No _ LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby ofhrm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class (commencing with Section 7000)of Division 3 of the Busmen Power Apparatus 8 Large Appliances DISTRICT NO PROCE BY Y and Professions Code and my hcens ,is m full force and effect d Size 8 Type HP KW KVA, or KVAR I Q License Number Lrc Class Up to 1 Incl FINAL !/ Over 1 to 10 Incl DATE Contractor pate VAU TN)N FQ OOver 10 to 50 Incl FINAL G I am exempt under Sec Over 50 to 100 Inc BY 8 8P C for this reason Over 100 Dote Services Swbd MCC 8 Ponelboords — 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Exemption for Reg MoOver 1000 Amp a Over 600 V Mont Elect SINGLE FAMILY Tam Power Pole 8 3 21 9,9 A Temp Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # e e 9 e e 2 I hereby affirm that exempt from the Contractors License Additional Sign Branch Circuits ( • • 1 2 5 Low for the followingg r reason (Section 7031 5 Business and Prof ions Code) or see 1 a 2 5i I as owner of the roe ix Conduits 8 Conductors property,rtwill do the work and the M structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)_ 7044 Busmess and Professions Code) , 0 605-85 CONSTRUCTION LENDING AGENCY I hereby affirm that there iso construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEE above information is correct I ogres to comply with all County ordinances and State lows regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the a o -mtentio�ned prop for insurposes ���/ SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ature of Permittee to