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