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HomeMy Public PortalAbout4303 TEMPLE CITY BLVD_Electrical__ 7BA663-CEBOO filo APPLICATION FOR EL RI L PER �J 06UN71OF LOS ANGELES DEPARTMEN7�OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY EN3IN[LR LOCALITY COLEMAN W. JENKINS P INT N N GI NEAREST FOR APPLICANT TO FILL ITE"m CROSS ST OUTLETS NO EACH FOWNER RECEPT_ S S MAIL LIGHT_ TOTAL FIRST 20 EB AGGRESS —Sd OVER 20 CITY TEL NO SWITCH_ IO PLAN CHECK LIGHTING FIRST 20 20 FIXTURES f0 APPLICANT TOTAL OVER 20 ADDRESS APPLIANCES CITY TEL NO PERMIT RANGE_DRYER_WTR HTR_ APPLICANT A STA COOK DISP _F A U _ ADDRESS J�. SPACE HTR AIR CON CITY TEL NO p CLOTHES WASH DISHWASH _ LICENSE NO Cj CLASS —{6 FAN_OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMER! RATING WITH ALL COUNTY ORDINANCE! AND STATE LAWS REGULATING IND HEATERS ETC Hr KW KVA ELECTRICAL WIRING SRI A TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LiCEH9E0A8 REOUIR iO 0Y L09 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO du 300 RES10E IN THE ABOVE OESCRIPED RESIDENTIAL PROPERTY SIGNATURE 10 — 50 BOD OF PERMITTEE 0 50 - 100 1000 OC 018 TRICT N LASS GROUP 20Nf ESSED 0Y O 100 - 500 1600 s SIGN GAS SIGN AND ONE CIRCUIT 3D NOTES y TUBE OR MARQUEE ADDITIONAL CIRCUITS IGO Z SERVI CENOT OVER 600 VOLTS OR 200 AMP 200 S ERVI CE OVER 600 VOLTS OR 200 AM P 500 APPROVALS DATE ul9rfcT01Pe SIGNATURE TEMP POWER POLE TEMPSERVICE POLE &APPURTENANCES 300 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES - POWER AUTHORIZED PLAN CHECK FEE (50%, PERMIT FEE) UTILITY CO NOTIFIED PERMIT ISSUING FEE 200 O FINAL SUPPLEMENTARY PERMIT ISSUING FEE IDO G JOS PH C ROOHAN TOTAL FEE ba SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION 4C25 M a CASH 9 7 0 8ti AFR15 Z 0 8.00- o SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TGABB9-CEROB 8-e9 11 APPLICATION FOR ELECTRI AL PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS41 JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY P TO PILL IN NEAREST 1 FOR APPLICANT CROSS ST NO EACH I[L RECEIPT S $ OWNER LIGHT TOTAL FIRST 20 20 ADRE55 dJ-O'1C T CITY TEL NO SWITCHOVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FI%TURES OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U CONTRACTOR / ` SPACE HTR AIR CORD ADDRESS / p CLOTHES WASH _DISHWASH CITY t/ TEL NO FAN OTHER 1 00 LICENSE NOj;SQCLASS MOTORS TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT NAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA ANO STATE THAT THE AwV[ IS CORRECT AND AGREE TO COMPLY SIZE Q TYPE OVER TO WIT N ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING D — I 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED MID/On -IC[NOED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF �. I 1D 3 GD CALIFORNIA OR THAT I AM THE LEGAL OWRER OF AND INTEND TO D_ RESIDE IN THE ABOVE DESCRIED RESIDENTIAL PROPERTY 10 — 50 S 00 u SIGNATURE DE 50 — 100 1000 OF PERMITTEE 10- 100 — S00 ISDO DISTRI T o cnouP z Pno E cD W F SIGN SIGN AND ONE CIRCUIT 3 00 Z MARQUEE App1T ZONAL CIRCUITS 1 00 NOTES Z J Q ( �( (� SERVICE NOT OVER SOO VOLTS OR 200 AAP 2 00 yuSERVICE OVER 600 VOLTS OR 200 AMP 500 / TEMP SERVICE, POLE, B APPURTENANCES 300 APPROVAL. OAT4 INSPECTOR% SIo1ATUN. JROUGH MP POWER POLE DERSLAS WORK CONDUIT RING PERMIT FEE (SUB TOTAL) %TURES WER AUTHORIZED PLI1N CHECK FEE (500 PERMIT FEE)PERMIT ISSUING FEE 2 00 ILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL J r/ TOTAL FEE JOSEPH C ROOHAN _ SUPERVISING ELEC L ENGINEER PLAN CHECK VALIDATION CK M o CABIDATION CK. PERMIT VALM D CASH 7-8 6 2P- DEC 33 2 DD 5.40- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / I�` >a.Aeea-cEeoa a•aB -74-111 0--P APPLICATION FOR ELECTRICAL PERMIT A COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS M. C JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY a /AiQ FOR APPLICANT TO FILL IN NEAREST CROSS ST No ¢AEN vee ! S N RECEIPT OWNERMAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCHCITY TEL NO OVER 20 10 PLANCHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U CONTRACTOR SPACE HTR _AIR COND ADDRESS S7 4/ CLOTHES WASH _DISHWASH CITYLQUGLJG�n TEL NO �w p FAN OTHER 1 00 LICENSE NO Q { 4/ CLASS MOTORS TRANSFORMERS RATING 1 HERESY ACKNOWLEDGE THAT t HAVE pup THIS APPLICATION IND HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE ID CORRECT AND AGR[E TO COMPLY SIZE h TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING [l[CTRI CAL WIRING 0 - I 1 OD DO HERESY CERTI IY TNAT1 AM PROPERLY COUNTY [REO ANDIOR ATEOF -ICiNS[p AS RE THAT BY LOS ANOE L[S COUNTY ANO STATEOF I — ID 3 OD S RESIDE IN OR THAT 1 AM THE LEGAL OWNER 01 AND INTEND TO 1 RESIDE IM THE ABOVE D[S RI pEO RESIDENTIAL PROPERTY O 10 - 50 5 00 V SIGNATURE 50 - 100 10D0 OF PERMITTEE t rO 100 - 500 1500 1 DISTRICT NO GROUPzolN E' ep fY G SI ,GAS SIGN AND ONE CIRCUIT 3 00 • Q F Z-1 ,w Z E, OR Z MARQUEE ADDITIONAL CIRCUITS 1 00 NOTE — SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 I SERVICE OVER 600 VOLTS OR 2GO AMP 5 DO - TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS 1 DATE weP[cTolre�lKaMTLwE TEMP POWER POLE UNDERSLAB WORK ' ROUGH CONDUIT - WIRING PERMIT FEE (SUB TOTAL) FIXTURES ` PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 QD UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE ®a JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M D CASH 41 9iZ JU21 2 D 2 7.00 I SCE BACK OF APPLICATION FOR COMPLETE ICE SCHEDULE >eweea-ceeoe a-eo T•����e Cary APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST i FOR APPLICANT TO FILL IN CROSS ST NO EACH FCC e $ OWNER RECEIPT MAIL LIGHT TOTAL FIRST 20 20 2_0 ADDRESS SWITCH OVER 20 10 CITY TEL NO PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES } OVER 20 10 ADDRESS RANGE__ORYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U CONTRACTOR L C�Ci SPACE HTR —AIR COND ADDRESS G /4-� S CLOTHES WASH _DISHWASH CITY �� TEL NO �' &// Gj� F yr FAN_OTHER 1 00 LICENSE NO J CLASS MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY SIZE 6 TYPE OVER TO I WITH ALL COUNTY ORDINANCE! AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 1 I HERE[Y CERTIFY THAT I AM PROPERLY REGISTERED MO/OR I- 16a .IC EN AS RCOVIAEG BY LOS ANGELES COUNTY AND STATEOF VA 4na 1 - 1D 3 DD CALF IORNIA OR THAT 1 AM THE LCGAI OWNER OF AND INTEND TO RESIDE IN THE ANOVE DC! ISCD RESIDENTIAL PROPERTY O 10 — 50 5 00 V SIGNATURE 50 — 100 10D0 OF PERMITTEE IO 100 — SOO 1500 015TRICTT NIONE PR aa[ v L) SIGN,GAS SIGN AND ONE CIRCUIT 3 00 ly�"Si TUBE, OR — Z MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES Y / SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 ` SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE, Be APPURTENANCES 3 00 APPROVALS DATE INSPs. GNRIATAR. TEMP POWER POLE PUNDERSLABWORKORK UIT PERMIT FEE (SUB TOTAL) ORIZEDPLAN CHELK FEE (50% PERMIT FEE) V 71 PERMITISSUING FEE 2 00 NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00AL FEEJOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION _ M D CASH 1 PERMIT VALIDATION sN M o CASH 9.1 OR MAY 13 , 2 D 7 5.20v a SCE SACK OF APPLICATION FOR COMPLFTF FEE SCHFVULF TRASRS CESGE G-S. APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SUILOIHa BUILDING AND SAFETY DIVISION ADDRESS d JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OE BUILDING LOCALITY NEAREST SFO APPLICANT T IL IN caoee ST GO RECEPT TOTAL No SACH PQ LIGHT OUTLETS FIRST 20 S 20 d UQ OWNER MAIL SWITCH AOD'L 10 ADDRESS OV OVER 20 TOTAL I CITY TEL NO LIGHTING 1 I F1ReT 20 20 ` FIXTURES �= ADD'L to ELECTRICIAN ov , 20 RANGES CLO DETERS N'1'R NT" 100 AGGRESS DANS DIRP -A COOK CITY TEL NO DIMIWASN AUTO WASH 8TA7 /1 SPACE MITRE RA APP I%NP MAX) SO LICENSE NO (/ b MOTORS, DYER NOT OVER HP D15T CT NO GROUP T�IfC PROCE88ED BY E72 — 1 100 .U /�'y 1 — s ISO INSPECTION RECORD s — B 200 - J�pG( E O S O u e to 250 41 =p/� 3 IS no 300 _ no 100 Soo SIGNS, NO TRANS Z No LANPE SERVICED SOOV NOT OVER 200A 100 SERV ICC O SOOV Ovq 200 A 200 SERVICE OVER SOOV 500 P ISSUING FEE 200 O/ SUPPLEMENTARY PERMIT ISSUING FEE 1001 1 TOTAL FEE 1 NEII[CT ACKNOWLEDO[ THAT [ READT I NAV[ READ THIS APPLICATIONAPPROVALSGATE �mw AMD RAT[ THAT THEE DOVE IE CORKER TID AND AGREE TO COMPLY CONDUIT WITH ALL COuI ORDINANCES AND EEATE LAWS REGULATING EucTRICu' WIRING WIRING / NHREET CERTVT THAT I AM PROPERLY REGISTERED AND/OR FIXTURE uc HNSeD AS REQUIRED ET LOS AND HLES COUNTY AND STATE Or CAL IORNIA ON THAT I AM THE LEGAL OENER OP AND INTEND TO RESIOY IN THE ABOVE DH RIMED RH IDENTIAL PROPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL LIDATION JOSEPH C ROOHAN CIL MO CASH SUPERVISING ELECTRICAL ENGINEER LRLo 4 6 9 4 SEP 13 2 D 7-20— o 76AEetcEEo"J " APPLICATION FOR LELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ro 1LDI3 3 BUILDING AND SAFETY DIVISION DRES6JOHN A LAMBIE. COUNTY ENGINEER WIWAM A JENGEN Sur T Or Bu1LDIMo CALITY T—etAoQn NR SST /C o e� ��V S.p /-• OR PFLIC FI CROSSSBT I� FRE TOTAL MD SACH OUTLETS FIRST 20 •E0 • OWNERMAIL 10 ADDRESS [c 2ONG TOTAL FIRST 20 GO � CRY TEL No RES _LAoo'L1O ELECTRICIANov R 2P DLG DRY[M WTR HTIIS tOD ADDRESS RA COOK CITY TEL NO AUTO WSTATE S STA AR (W N F MA1 I 60 LICENSE NO /� 3. ova NOT ov[R HP DIS CT,Iyo GROUP ZONE IS Jp/(�L�ggL 0 — t foo _ 5. L) }S - Z t 6 too p INSPECTION RS R a e 200 p .2 11 /� .H e*v TO v G in ESO v 'A" x 0' 1E so 600 /LH ted. 'T+YTfi��Yijj.rrr Eo too goo a No TRANS / BIONS. NO LAMP[ SERVICE O 600V NOT Ova 200A too SERVICE O SOOV OVER EGO A 200 .� f SERVICE OVER 600V 000 J MISC R ti PERMIT 16BUING FEE 200 2 00 SUPPLEMENTARY PERMIT ISSUING FEE too TOTAL FEE 6 I HERESY ACKNOWL[DG[ THAT I HAV[ READ THIS APIUG wNPFOWER GATE IMSPE ■Irsimmmm AND STAT[ THAT TN[ ASOY[ IS CORRECT AND AOI TO COMPLY WITH ALL COUNTY OROINANC[S AND RAY[ LAWS REOULATING KUWYRIu WIRING 1 NSRYY =RTIFY TMAT 1 AM PIIOPUILY REGIS71Rm AND/OR _ LICSNS[O AS R[OUIRED RY LOS ANO[W COUNTY AND RATE OF CAUFORNIA OR THAT 1 AM TME LEGAL OWNER [ AGOY[ O[RCIIRIED R[SID[HTI ROPEIRY 61GNATU RE PI OP PERM/ PIN VA DATION ARTHUR C. VETT CX MO CASH SUPERVISING ELECTRICAL ENGINEER VL7 1 4 2 Z DEC 29 2 D 2 9.30^' WORKER S COMPENSATION DECLARATION 383 DPW(t2 91) APPLICATION FOR ELECTRICAL PERMIT 78A96 I hereby affirm that I have a certificate of consent to sell insure 76Ae 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(Sec 3800 Lab,C) Policy No Company FON APPlICAN`TO 111.1.IN PDSS Certified copy Is hareb furnished NO EACH FEE O G Y New Reertlantlal Bltlge 8 Poole ❑ Cendietl copy is tiled with the county bwlMng inspection 1 8 2 Family SF Ft t = LOCALITY �L'r t dBpaRnleni Muni family Sq Ft NEAREST- e Data Applicant Residential Swimming Pools A SSOR t MPP SOON PAGE l;A CERTIFICATE OF EXEMPTION FROM WORKERS Owlets Rec —Light Sw RAM�E ' COMPENSATION INSURANCE L - Q Firm (Thle,bectlon Total No ddlneed not be completed If the work Involved by the Addi 20twnal - T M,NL EB.9 - permit In for one hundred dollars(3100)or lees) It ADDR I Lellify that in the performance of the work for which this permit - C Tb No is Issued I shell not employ any persovq any manner so as to beeolns subject to the Workers Compen a ' ) Lighting Fixtures First 20 APLAN CHECK /�� O C Total No Additional ADDRESS +lC ' Date- S= 4 3 Applicant NOTICE,TO APPLICANT If after makmg t s Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CRY�`D Q G �� Tel No Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT pro4lmons or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Sae E Type HP KW KVA or KVAR ADDRESS O 4 v LL i 1 hereby affirm that I em licensed under provisions of Chapter 9 Over 3 to 10 Ind (commencing with Section 7000)of Division 3 Of the Business and CITU - O TN _ Professions Code and my license is in full force and effect Over 10 to 50 Incl } LICENSE OR C D Over 50 to 100 Incl REO NUMBER L L' [a License Number 4L Class �- { D Over 100o19TR1CT No 'Y �•• t.J _ Services Swbd MCC 8 Panelboards 1 T V 1�'' Comrac o.s k k O Q CL cr=rat. Date__ �) T3 0 399 Amp Under 600 V - - 9 ❑ 400 1000 Amp Under 800 V Q n L1Cy 170 DATE 1 am exempt under Sac _ Over 1000 Amp or Over 600 V RNAL (j(�IILL B 8P C for this reason - BRANCH CIRCUIT FEES BY 7�r Date ISA or 20A 120V Lighting aRecept _ -' - ACCT.i Z S+pnature 1 To 10 Branch Circuits 11 To 40 French Grab tlHFltl-LIVU 21 1d ❑ 41 Or More Branch Orcuns - -07M1 ITEIpS AM 7_h, -Exempwn for Reg Mamt Elect ISA 20A 208V To 27ry Lighting Br Circuit - - — ---`--- - - SINGLE FAMILY Temp Power Pole&AppurtenaTOTAL 14r$ 70 Appurtenances TOTAL HOME OWNER BUILDER DECLARATION Spn with One Branch Circuit CHECK iT9.7u I hereby affirm that I em exempt from the Contractors License Lew for the following reason (Section 7031 5 Business and Professions Addcbonel Sign Branch Circuits rOO Code) ❑ Mrac Conduits a Conductors I m owner o/the property will do the work end ilia structure ��.����Ir-�r�����rs;�, Is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ ► GOOD" DWI 7/16/9,7 and Professions Cede) __ —0759- 1 Aft 8:03 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 3097 PERMIT FEE (Sub Total) Q Civ C) PLAN CHECKING FEE Lenders Name 6 J PERMIT ISSUING FEE a� - Lander t Addat I hes ry p 0 ry TOTAL FEE 70 I certify that I here reed the application and under mel of u u state t' hat the above information is correct I agree to comply with all County +tortlinen tlState laws if lectrx:al raring end hereby auNanze repr I thu upm the al=we meniwned Property - �In SEE REVERSE FOR EXPLANATORY LANGUAGE FERN TE ' ! n