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