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HomeMy Public PortalAbout6201 A & B TEMPLE CITY BLVD_Electrical__ 7eAGeS-CEBOS-11-8y APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING Z l BUWING AND SAFETY DMSION y PrORN A.LAMBIE.C011at� es d CASSATY D. GHI1M,1 t of Btl wiw LOCALITY re� NEAREST FOR APPLPERICIAT TIES ILL IN CROSS ST. C IV ITEM NUM131ERI EACH FEE OWNER i OUTL ? $LIGHTS � �2. ADDRESS LIGHTING FIXTURES .10 O N CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN 6e-c S4,;-V, Co. WATER HEATERS •so ADDRESS / ®� ELEC.SPACE HTRS. DISHWASHERS PP J GARBAGE DISPOSERS AUTO.-. +� r CITY `'PO Oo Q. TEL.NO. a d 7 X WASHERS STA.COOKING UNITS .25 a �7 STATE LICENSE NO. !J L MOTORS- OVER INC. H.P. 0— 1/2 .25 rDIITR,IITGROUP READY FOR INSPECTION I/2— 2 .50 2— s r.00 INSPECTION CORD s — is 1.501s — so 2.50s0— 200 5.00Y dl "- 1r.!-LL- ;l 2' NO.TRANS. .,/ .mss`r rJ i 1 r IN .: SIGNS: NO.LAMPS �. SERVICEO-OOOV 1.00 !a• d �� SERVICE OVER GOOV 5.00 MISC. i WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 a Q SUPPLEMENTARY PERMIT .SO• TOTAL FEE APPROVAIS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT �_'' '.L;15(�(J' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Olt LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE. OF FIXTURES r CTTJJcc CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIALPR RTY. SIGNATURE TILITY CO.NOTIFIED 9•,� P� J OF PERMITTE FINAL LI-!2 P IV VwIDATIO ARTHUR C.VEIT. MCASH SUPERVISING FEL GYRICALEN61NR L 2493M JUL 2 .2 A 12.45 � 3AGGS-CE809-8_97 APPLICATION F®R ELECTRIC PERMIT � COUNTY OF LOS ANGELES -r�- DEPARTMENT OF COUNTY ENGINEER BUILDING /.�©� , GA�I flL� �`jT„/ 8LyD BUILDING AND SAFETY DIVISION t' ADDRESS 6 l� 1 JOHN A.LxuillAMBIE,COUNTY ENGINEER ..�. CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY 'I-ZI.A; NEAREST FOR APPLICANT TO FILL IN CROSS ST. PFJWT FEES , ell _ ITEM NUMBER EACH FEE OWNER OUTLETS: $ $ MAIL LIGHTS RECEIPT. SW. -„[.. .10 1�DDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES 'CLO.DRYERS C C0 6. b.{J ��J WATER HEATERS .50 ADDRESS 1J l�j ELEC.SPACE HTRS. DISHWASHERS t g Jl��J -p GARBAGE DISPOSERS i AUTO.- CITY� LEOV 1 TEL.NO. FD S/ 4 STATE Q`7 WASHERS STA.COOKING UNITS .25 LICENSE NO. L•+ f 4 MOTORS: OVER INC. H.P. pqRPM- O— 1/2 .25 DISTRIC IVO. IGROUPI ZO E READY FOR M.I.CTION 1/2— 2 .50 _•l/j' INSPECTION RECORD 2 — 5 1.00 s — is 1.50 is — so 2.50 I' SCI— 200 5.00 1 NO..TRANS. SIGNS: 1 ww i 1 NO.LAMPS SERVICE O-GoOV 1.00 J� SERVICE OVER SOOV 5.00 1 MISC. L vv 06 WIRING PERMIT' 1.00 FIXTURE PERMIT 1.00 v I SUPPLEMENTARY PERMIT SO' TOTAL FEE $ � � APPROVALS _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY CONDUIT t-ol A.I,I+�. E.,r�'o •/' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS. REQUIRED -BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL ROP TY. SIGNATUREC UTILITY CO.NOTIFIED .e- OFPERM171E ' ;r.rviY�/`i4s Ott FINAL YUM ATION ARTHUR C.VEIT. CK MO !CASH SUPERVISING ELECTRICAL ENGINEER 2.20 � 0701 ►�AY 8 A 76A663-CEB06 468 APPLICATION FOR ELECTRICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY .E.N.GINEER BUILDINGS .- B.UIL.DING AND SAFETY DIVISION ADDRESSC��..�/ JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS; SUPERINTENDENT OF BUILDING LOCALITY. NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACHFEE. RECE.PT._ $ S OWNER N �s � MAIL LIGHT . TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING JTOTAL FIRST 20 .:kol APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR.— CITY'. TEL. NO. STA.COOK_DIS P.—F.A.U._ ,•� CONTRACTOR C,�, SPACE HTR. AIR COND. ADDRESS r.- T(►r►� GoT *� CLOTHES WAH._.SH._DISHWASCITY<—::;; . Yuti_ TEL. FAN—OTHER 1.00J LICENSE NO+�� C.LASS.6 Z.tf MOTORS ,TRANSFORMER$ RATING IND. HEATERS, ETC. HP. KW. KVA. _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPPLICATION SIZE & TYPE OVER TO AND STATE. THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 — 1 1:00 ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT I AM PROPERLYREGISTERED AND/OR 1 — 10 3.00 LICENSED: AS REQUIRED. BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT: I AM THE LEGAL OWNER OF, AND INTEND TO 10 — 50 5.00 RESIDE IN, THE ABOVE DESCRIBED RE I'DENTIAL PROPERTY. SIGNATUR 50 - 100 10.00 OF PERMIT O V 100 - 500 115..Oo � SIGN,GAS DIST-R IC O. G P ZO PR ESSED BY p TUBE, OR SIGN AND ONE CIRCUIT 3.00 5�O I— C.7 MARQUEE ADDITIONAL.CIRCUITS 1.00 NOTES: Col) SERVICE NOT OVER 600'VOLTS OR 200 AMP 2.Ooj 2 Z SERVICE OVER 600 VOLTS OR 200 AMP 5.0.0 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB'WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING . - . . FIXTURES PLAN CHECK FEE (50% PERMIT FEE) - ROWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO..NOTIFIED SUPPLEMENTARY PERMIT ISSUING FE.E 1.00 FINAL TOTAL FEE UU JOSEPH C. ROOHAN' SUPERVISING ELECTRICAL ENG.I'NEER PLAN CHECK VALIDATION CK. M.O. 'CASH PERMIT'VALIDATIONCK.. M.O. CASH 0" 04.0- - W . . � :E 13ACK OF APPLICATION-FOR COMPLETE FEE SCHEDULE t{ +.,W9gR8$`iCOMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I 11Ei4by affirm•that I have a certificate of consent to self 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY ' insure,otAa ceffificate of Workers'Compensation Insurance,or ' f/ a.ce t fie cop pythereof-(Sec.3800,Lab.C.) ) 4p �� vyC/ �j ��. /1 FOR APPLICANT TO FILL.IN JOB a Piilicy No. Company �G/ ADDRESS New Residential Bldgs.&Pools EACH NO. FEE ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq.Ft. NEAREST PCCertified copy is filed with the county building inspection CROSS ST department. ���s•,.. ` Residential Swimming Pools OWNER OR Date_;3 Applicant ! � J FIRM NAME Outlets: Rec:^Light Sw.. MAIL ' First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. FirstAdditional0CITY Tel No. O COMPENSATION INSURANCE PLAN CHECK 0 by t Lighting Fixtures First 20 APPLICANT section need not be completed if the work involved ' by the permit .is for one hundred dollars ($100) or less.) ADDRESS W Total No. Additional = I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. to permit is issued, I shall not employ any person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT Oven ._ Dryer_W.M._ ADDRESS Date Applicant Top _'FAU _W.H..— Hood-_ Fan _Other— CITY Tel No.. .r NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond.— LICENSE O �� �/� Exemption,. you should become subject to the Workers REG.NUMBE' Class Compensation provisions ok the Labor Code,you must forth- power Apparatus&Large Appliances DISTRICT NO. PROC SED�BY with comply with such provisions or :this permit shall be deemed revoked. Size&Type HP,KW,KVA,or ICVAR. JT�d Up to 1 Incl. FINAL j Over 1 .to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 incl. t VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over60 to 100 Iric. FINAL I9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 - BY U ness and Professions.Code,and my license is in full force and effect. Services !� ,O_s® 0-200 Amp.Under 600 V � • License Number Lic.Class- 201-10011 Amp.Under 600 V S 3 3 tJ Contractor DateOver 1000.Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole.&Appurtenances I hereby affirm that 1 am exempt from the Contractor's Sign.with One Branch Circuit License Law for the following reason (Section. 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors OI, as'owner of the-property, will do the work and the Other(See Complete Fee Schedule)— structure•is not intended or-offered for sale (Sectidn o !' 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY o a ° o o C I hereby affirm that there,is a construction lending agency for the performance of the work for,which this permit is PERMIT FEE (Sub-Total) issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE I certify that .1 have read this application and state that the TOTAL FEE !� 100 above information is correct.I agree to comply with all County ordinances. and State laws regulating Electrical wiring, and hereby authorize representatives of this County to'enter upon the abovmentioned grope ty for' act purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE � � 5 - • Signat of Permittee,-' 5ate A