HomeMy Public PortalAbout5537 TEMPLE CITY BLVD_Electrical__ 76AG63-CES06 11.71 - APPLICATION FOR ICAL R&IT
COUNTY OF LOS ANGELES
A DEPARTMENT OF COUNTY ENGINEER AOIIDL'I T Ci Blvd
BUILDING AND SAFETY DIVISION
LOCALITY Temple City
NEAREST I��f)��
FOR APPLICANT TO FILL IN CROSS ST UTre Oak
OUTLETS FE OWNER (UCIS �M MIMM
FRECEPT 2 SSMAILL���� �I�aw�le .lisFIRST 20 2b 1 CDADDRES emple C `L1Blvd
T Z T TAY' CITY IB Ci Cel TEL NO ZCH 1 ^ OVER 20 10 PLAN CHECKTING FIRST 20 23 APPLICANT �7JG1�p11��3��w���n�yyB���� CiDnB�rTllCtij.DII
TOTAL r ADDRESS7831 LMSnnes ad St
FIXTURES I OVER 20 10 25 c
RESIDENTIAL APPLIANCES CITWD SOn ft EL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT saw as above
STA COOK_DISP _F A U _ ADDRESS
SPACE HTR AIR CORD CITY TEL NO
CLOTHES WASH DISNWASH_ LICENSE NO 245587 CLASS 13-1
FAN—OTHER 100 I HEREBY ACKNOWLEDO! THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS R[OULATINO
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE • TYPE OVER TO
I HEREBY CERTIIY THAT I AM PROPERLY REOIST[R[0 AMDPoR
O — I 100 LICENSED AS RE OU Ifl[0 By LOS ANGELES COUNTY AND STATE OF 1
CALIFORNIA OR THAT I AM THA LEGAL OWNER OF AND INTEND TO O
I — 10 300 RESIDE IN, TME p0V[ GRIBED 11Ea1 TIAL PROPERTY V
fFIXTURES
TURE // Y
10 - $0 000 RMITTE [[HSS/// O
$0 - 100 tom G
No LA[S Roc[ ED SY ITui
100 - $00 1500 — d
N
SIGN GAS SIGN AND ONE CIRCUIT 500STUBE ORMARQUEE ADDITIONAL CIRCUITS IGO
SERVICENOTOVER 600 VOLTS OR 200AMP 1 300 3 APPROVALS DAT[ U@ICIOR'S SHIMATUS
SERVICEOVER 600 VOLTS OR 200AMP 10 POWER POLETEMP SERVICE POLE,Q APPURTENANCES 500
SLAB WORKTEMP LIGHT OR RECEPT SYSTEM 300
CONDI UTG RESR AUTHORIZEDPERMIT FEE (SUB TOTAL)
TY CO NOTIFIED
PLAN CHECK PEE PERMIT ISSUING FEE 300
TOTAL FEE K
PLAN CHECK VALIDATION CK M 0 CASs PERMIT VALID40 (oM o uex
u11Ro 9 0 5 f);l U91 2 2 D 725- U
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ' R�
COUNTY OF LOB ANGELES APPLICATION FOR PERMIT
Department of County Engineer ��®�����
DIVISION OF BIIII.DING & SAFETY
WILLIAM J PDX, CountyEaaloSwr EJ
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE I PERMIT NO.
ELECTRICIAN [IV60 By READY FOR DATE ISSUED
h �
ADDRESS !,J S J �a FIRST INSPECTION
CITY TZ" N J er Y —
OOUNTY LICENG[ NO EXPIRES —FEES BW LDING 1
PERMIT ADDR¢BS7AI
FEES
NUMBER EACH F[[ LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROGG BT �/
WALL SWITCHES OWNER A; U /7
TOTAL OUTLETS BCMAIL
ELEO RANGES 16 ADDRESS
[LEO HEATERB IIB CITY T[L. NO
FIXTURES 6
1 HCR[SV ACKNOWLEDGE THAT 1 HAVE READ THIS
MISO APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER Or RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRIN0.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
Nuwe[R JORBEPOWER FE[ ANG[L[S COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEN Mw NP DV[R Iwo- EACH OF THE R[SID WTI OP[ RIB[D ASOVL
yz • L[ae 15 SIGNATURE KRMIT OF
9 60 P[RMITT[
S 1 G INSPECTION RECOR
5 is 1 6o _
is W 150
50 100 Sao
100 am tom ,J
Sm 1 11300 15 m Q
Z
OVER Imo 2000 p
M O SET FR CHAMBER
WELDERS:AO-KVA O
GENERATORS - KW
TRANSFORMERS - EVA
TEMP MOTORS (76 Cr ante)
MOVED MOTORG (75 OF Io)
MIND O
SIGNS
N0. NO TRANS. APPROVALS
NO N0. LAMPS
FOR EACH PERMITS DATE INGPECTOR'G NAM[
WIRING 41.00 CONDUIT
FIXTURES 61.00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE • / /Q UTILITY CD NOTIFIED
FINAL
7awua Daa#5A a-eo
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Enginoer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, CeaaH E001e111 ELECTRIC 1
FOR APPLICANT TO F L IN DISTRICT NO. GROUP ZONE PERMIT NO.
At, �J — 2 — 2161- k
ELECTRICIAN
RECEIVED BY READY FOR DAT[ ISSUED
ADORCSe FIRST INSPECTION
CITY erd . TEL. N /�� �y
COUNTY LI E B[ NO EKPI1 BWLDING
PERMIT FEES ADDR[e8
NUMBER EACH R[ LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROS
N ITT
WALL BWITCHEB OWNER
TOTAL OUTLETS d Be MAIL
ELEO RANGES S6 ADDRESS
[LEC HEATERS Se CITY TEL. NO
FIXTURES 6 _'#. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS ANO ACRE[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSBESS THE ABOVE VALID LOB
Nur+eaROYES IHE HORSEPOWER FEE ANGELES COUNTY LIC[NB[. OR 1 AM THE LEGAL OWNER
NLw Mw HP EACH DF THE RESIDENT P RIBED ABOVE.
• L[se ae SIGNATURE OF
S 6D P[RMITT[
Is 6 1 Do
Is to 1 eD JSPECTION RE RD
le so It so ec/ a
L C
60 200 6 DD �o -T eT
B® 500 lam0
'U 1
or A
600 1 OO 1 B 00OZ
VER 1000 gam 0
M G scT/rRXQ CHANGER-HP 1 G.'
WELDERBI AC-KVA \ D
T-
GENERATORS • KW
TRANBFORMERB - KVA
TEMP MOTORS 7e or EPIG 1
MOVED MGTORS (75or ERIS
MIB
BIONS
NIL NO TRANS.
NO M APPROVALS
FOR EACH PERMITI DAT[ INSPECTOR'SNAM[
WIRING 6I.00 0 CONDUIT _
FIXTURES 01.00 1,6 go WIRING
SIUPPLIEMKNTA SD FIXTlJR[B 2 /I C✓ Ac_�i
I POWER
TOTAL FEE S/ 9� UTILITY QO NOTI FI[D = /O
FINAL —��
Fe�aaa oeetC eA a-sa
T°"aBA I2 Bt�
DDA APPLICATION FOR ELECTRIC 'PERMIT
DIVISION OF WELDING AND SAFETY
Daplalment of Connty Engineer
' County of los Angeles BUILDING
WM J FOX, COUNTY ENGINEER ADDRESS `7
CASSATTD GRIFFIN SUP T OF BUILDINo
LOCALITY
FOR fAePPLICANT TO FILL IN
PERMIT FRES NEAREST
CROSS ST
PEE
NUMBER EACH �"
LIGHT OUTLETS OWNER pr
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES ij TOTAL OUTLETS D! S 'O CITY T[ NO ELEC RANGES 1 2D ELECTRICIAN Ci ~ELEC HEATERS 2DADDRSS �4A5T A }iEA CITY L(iC rt] lei TEL NO FIXTURES D LICENSE NO NUMBER OP LIGHT CIRCUITS DIST 1 NO G OUP N RRAD
NUMB OFCIRCUITS � i
MOTORS ���.../// Y
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER INC GCM
V16LESS 5 25 _
---__Y 2 DO I
2 5 100 `Til
a 'f a 150 /
_ ID DO 250 --_
50 200 500 —
� 1
MISC
NO SIGNS NO TRANS ~((�
NO SIGNS NO LAMPS: A
FOR EACH PERMIT,
�
WIRING $1 00 �w
FIXTURES $100 P
SUPPLEMENTARY DO
APPROVALS
TOTAL FEE I S DATE INSPECTOR S SIGNATURE n�I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING a 1 S
ELECTRICAL WIRING 1
I HEREBY CERTIFY THAT I AY PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER i
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P OPERTY
610NATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL ,,, � L'
WILLIAM J FOX.COUNTY ENG1NMM VALM&MV 1 5� ft'18 24 2.55
T
♦ �I A DEPUTY
m TTTIII ,`
2D-0319
WORKER I haveCOMPENSATION of consent to 70A683 DPW(12 e„ APPLICATIOIJ FOR ELECTRICAL PERMIT
I he eby alhrFn that I have a certificate Of consent to Bell insure 79A8B3
or a certificate of Worker s Compensation Inwirance.or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
Copy lhereot,(Sec 3800 Lab C)
Policy No Company FOR APPUGAf1T TO RLL IN MD-IsS M
Certified copy is hereby furnished New Residential Bldgs 8 Poole NO EACH FEE LOCALITY copy is filed with the county building mspechDri 1 8 2 Family Sq Ft — S $
department Muth family Sq Fl — CRRpgS ST g
Dale Applicant Residential Swimming Prole ASSESSOR
01 MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS SN, OWNER OR
COMPENSATION INSURANCE First 20 d/ �� FlRM NAME fe C
(This motion need not be completed If the work Involved by the Total No �Q FirstAddi2 nal �� ADDRESS - L ' �' Bl-V40
permll Is for one hundred dollars($100)or lees)
I certify that in the performance of the work for which this permit CITYG r Tel No 8
is Issued I shall not employ any pe SD m any manner so as to PLAN CHECK
become subject to the Workers Compo Ion Laws Lghbng Future, First 20 Appui:ANT
Dates`- 7.9G ApplicantTotal No Additional ADDRESS
NOTICE TO APPLICANT If eft making ie Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY Tel No
Exemption you should become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP
AdeD!/JAL ,�LF_G
provisions of the Labor Code you must forthwith comply with such Power Apparatus d Large Appliances PERMIT
PEPRUMIT C
provisions or this perms shell be deemed revoked
LICENSED CONTRACTORS DECLARATION Sua$Type HP KW KVA or KVAR ADDRESS
I hereby affirm that I em licensed under provisions of Chapter B
(commencing with Section 7000) of Division 3 of the Business and Over 3 to fO IDCI CIT' �$t OLS' Tel
-36 ,
P O a
Professions Code and my license is in full force and effect Over 10 to 50 Ind }
Over SO IO 100 Incl gICENSE OREG NUMBER 51UA4
me
Cl
�+p / V d
License Number �7 O &d Lic Class fi r 1� DISTRICT NO p P i59ED BY O
/1 �l Semces Swbd MCC A Panelboards �Op k:;(i(•� (,
CamraMar(/7���l��L E[.EcT�1B 0 389 Amp Under 600 V DFINAL O
[J F-
❑ I em exempt under Sec 400 1DO0 Amp Under 600 V �j" -( VALIDATION V
Over 1000 Amp or Over 600 V Dw.L W
B 8P C for this reasonBRANCH CIRCUIT FEES 9Y d
r z
Date 15A or 20A 120V Lighhng or Recept Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 41 Or More Branch CircuitsExemption for Reg Meinl Elect 15A 20A 200V To 277V & Cs
SINGLE FAMILY2
Temp Paver Pole A Appurtenances
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit ACCT.a
I hereby el/Tint that I am exempt from the Contractor s License Lew
for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits
Code) 333 r1n7 �e to E] I as owner of the property will do the work and the structure Misc Conduits 8 Conductors 1 ITG�I�+M1
is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule)_ 011.
TOTAL. 68- 1Q
and Professions Code) - _ CCK 68.10
CONSTRUCTION LENDING AGENCY CNAHGE .00
I hereby affirm that there is a construction lending agency for the D
performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total) d�
Civ C)
PLAN CHECKING FEE 000 —OW 1 5/ 7/96
Lender a Name � '
PERMIT ISSUING FEE a 0 6251 1 AM 8:07
Lander a Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE X. /
that the above information is correct I agree to comply with all County,
ordinances and State laws regulating Electrical wining andherabyauthonae
repreeentatrvae of this County to enter upon the above mentioned property
for mope a purposes n SEE REVERSE FOR EXPLANATORY LANGUAGE
9ro F M11mr DATE
COUNTY OF LOS ANGELES TEMPLE CITY A 0508 'ECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL=0508=9811250006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (818) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS:
ON FILE 5537 TEMPLEiCITYABL
FEE DESCRIPTION QUANTITY LION' AMOUNT �EMP4CAK917802530—
ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET LIVE OAK
8588-005-029 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID: A3 LOCALITY TEMPLE CITY
K1 SIGNS, OUTLINE LGT 1 DO SIG 38 85
TENANT TOTAL FEES 66 60
issuFu ON- PROCESSED BY PLAN BY EXPIRES aNl-
11/25/98 LITT 11/25/OWNER TEL NO FINAL DAT� FINAL BY CODE
99
GRACE BAPTIST CHURCH TEMPLE Cl (818) 286-6342- 120 jO
5537 TEMPLE CITY BL (�
TEMP 917802530 DESCRIPTION OF WORK
@ ELECTRICAL CIRCUITIFORVSIGN�1
APPLICANT TEL. NO
CARDINAL ELECTRIC (626) 309-1422-
9705 BROADWAY SPECIAL CONDITIONS:
TEMPLE CITY
PNGELES CoCONTRACTOR: TEL NOCiU
APPROVALS DATE I NsnTT5FTr6Q7ME—
CARDINAL ELECTRIC (818) 3D9-1422- V� �Ty
9705 BROADWAY LIC NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 586262C-10
ARCHITECT OR ENGINEER TEL NO- UFER GROUND
LIC NO 111 X111ROUGH CMDUIT
ROUGH WIRING ugg
PUBLIC WORKSMAIN WATER LIVE
PLASTIC Y/N METAL Y/N
UTILITY EOMPANYTUMM
>Ir��tli_
A ®L ='®5
vb/�c Service ThaIL
REPORT ID DPR265 ROUTE TO SS0508
I
COUNTY OF LOS ANOELPS TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC MORXS 9701 LAS TUNAS EL 0508 0703270036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
• PHONE (626) 285-0488 EXT
LEGAL IDFEES PAID BUILDING ADDRESS
ON FILE 1 5537 TEMPLE CITY BL /
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802530
ASSESSOR INFORMATION NUMBER 11 1 NEAREST CROSS STREET LAS TUNAS
18588-005-029 IA1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY C
LB 200 AMP PANELS MCC 1 00 PAN 38 85
TENANT i TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
103/27/07- — JX — - _ - 09/23/07 - - -
I
OWNER TEL NO IPT/v/n�. TB PI CODE
GRACE EPCHURCH TEMPLE CI (626) 286-6342-
15537 TEMPLE
LE C CITY BL
(TEMP 917802530 DESCRIPTION OF WORK
1 \ MAIN METER PANEL UPGRADE TO 200 AMP
APPLICANT TEL NO
(GEORGIAN ELECTRIC. INC
• SPECIAL CONDITIONS
(CONTRACTOR TELMA APPROVALS DATE INSPECTOR SIGNATURE
(GEORGIAN ELECTRIC INC (626) 445-9945- I ` '—P
836 MONTE VERDE DR LIC NO TEMPORARY POWER POLE
1ARCADIA CA 91007 670034 C10 I UMID�(UtDUND CONDUIT
I 1
ARCHITECT OR ENGINEER TEL SIC NO I UFET AROUND
(ROUGH CONDUIT
IROU 3H WIRING
I 1 I
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIED
I
I � 1
- 1 I
I I I
i
1
I 1
I I i
I
REPORT ID DPR265 ROOTS TO BS0508 1 I
I I I