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HomeMy Public PortalAbout6244 TEMPLE CITY BLVD_Electrical__ 76A863-CED 06 I 1/7o 1 APPLICATION FOR ELECTRICAL 'PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEHBUILDING TC/r1 ! /'BUILDING AND SAFETY DIVISIOADDRESS C.COLEMAN W JENKINS IN NLOCALITYNEARESTFOR APPLICANT TO FILL INCR0955TOUTLETS OWNERRECEPT L - MAIL LIGHT_ TOTALFIRST 20 ADDRESS _ SWITCH OVER 20 10 CITY TEL NO PLAN CHECK HTING TOTAL LFIRST 20 n APPLICANT FIXTURES ID IGi I OVER 20 ADDRESS APPLIANCES CITY TEL No PERMIT / T "16 // RANGE_ORY ER_WTR HTR_ APPLICANT L C+ STA COOK_DISP_F A U _ ADDRESS12 c SPACE HTR AIR GOND CITY 17R—ew*�t TEL NO -2 CLOTHES WASH DISHWASH _ LICENSE NO , CLASS 1Q FAN-OTHER 100 1HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AOR[[ TO COMPLY MOTORS TRANSFORMERS "TING WITH ALL COUNTY ORDINANCE! AND STATE LAWS REGULATING IND HEATER! ETC XP KW KVA ELECTRICAL WIRING DIZ[ 6 TYPE OVER TO 1 HERESY CERTIFY THAT I AN PROPERLY REGISTERED ANO/OR O - 1 100 CALFLICE�NSED AS REHATI DT LOS ANGELES COUNTY ADD !TATE TOF O CESIDE MIA OR THAT AM THE L L OWNER DP AND INTEND TO Y 1 - 10 300 RESIDE IM THE ABOVE DE DED R DE MTIAL PROPERTY 0 10 - 50 5 D OF PERMRITTE 50 - 100 1000 DISTRICT NO LASS ZONE PR Cf SSf Y O 100 - 500 13 oO V 1(L) d SIGN GAS SIGN AND ONE CIRCUIT 5 D NOTES N Z TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICE NOT OVER 600 VOLTS OR 200AMP 300 APPROVAL$ DAT[ ' DISPECTOIYS SMKATIRf S ERVI CE OVER 600 VOLTS OR 200 AM P 1000 TEMP POWER POLE TEMPSERVICE POLE 6 APPURTENANCES SOO UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CONDIUT ' WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 300 n /-- 1 )qltPH C ROOHA TOTAL FEE A �{J SUPERVISING ,nAL FFN GINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cx CASH X26229 U61 13 2 0 325- SEE DAM OF APPLICATION FOR COMPLETE SCHEDULE TEMPLE CITY 76AS63-CES06 a-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rIO:DREQS G BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEERWILLIAM A JENSEN BUR T OF SUILDING Y NEAREST \FO PLI N FILL CROSS ST RECEPT I TOTAL No DCII IQ 1111{ OUTLETS FIRST 20 S 10 • OWNER LIGHT MAIL !WITCH ADD'L ADDRESS OVLR 20 +0 LIGHTING TOTAL FIRST 20 10 CITY TEL NO FIXTURES ADD'L to ELECTRICIAN or R 20 RANG" CLO MnXII WTR HT" 100 ADDRESS Mlm DISP RA COOK CITY 0 NO DIMWAM AVIO WASH STATE YALE HTRS STA ARR ISS H P xAX 1 SO LICENSE NO MOTORS, OVER Naravu H♦ DIS RICT GROUP NE PROCESSED BY O I 100 I + — a 150 INSPECTION RECORD g — S 200 S -- is 260 IS -- 50 goo } a so too goo O V NO TRANS BIONS no uxF[ � O SERVICE D SOOV NOT Gr U+200A 0 WJ SERVICE O SOOV OVSD 200 A 200 D. WI SERVICE OVER SOOV 000 Z MISC PERMIT ISSUING FEE 100 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE V d I N[ReFY AO NOWT[DO¢ THAT 1 HAT[ R[AD THIS APPuCATION APPROVALSDAn fwl►[ ci a GIFU ATumw ANI "An THAT TH[ AEOV[ IS CCRR[CT AND AGRR TO COMPLY CONDUIT WITH ALL COUNTY oMtHANw AND STATS uwa MOULATING KLICOTAXAL WIRING WIRING 1 H[RYY CERTIFY THAT 1 AN FROP[RLY MG111nRID ANG/OR LIC[H® All M UIR[D SY LO[ ANO[L6S COONTY AND RATE OF FIXTURES CAU MIA O 1 AM TH[ L[GAL OWN" OF THE ABOVE D[SCRIS[D RU I RTY POWER SIGNATURE UTILITYCO NOTIFIED OF PERMITTR IV PINAL � DATION ARTHUR C VETT CE GASH SUPERVISING ELECTRICAL ENGINEER p�_ 1 0 5 2-� ,.'UL22 2 D 4.0 0" ►1 1A 1 ' g: WRR APPLICANT FHJ IN .1 I OUTIEWD PORTION ONLY DFSCRIPTION OF WORK - 1 1 NUMBER OF OUTLrm ON CIRCU V -�'■■■. : ��.r� MWES■■ ■■■■■■■ MMMS...■.■..■. MMMS■■■■■■■■■■ MOM�■■■■■■■■■■. MEN MEMN■■■■■■■■.■. MEN MMMI■.■.■...■ . MEN MEMO■■■■■■.■■ ■ �■■■■■■.■ MOMMINIM �.■■■■■■.■C ■ MEN..l■■■■■■■■■ �■ ■..■■..■■ MEN.■■■■■■■■■■■ MOM.■■■■■■■■.■. MEN MEN MOM.■■■■■■.■■.. MEN RENEE IN WERE SIN ►�MMl NOMINEES �■.� ✓/,4tilWj&ra6TN- 7a.� RBB a. APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY COUNTY ELECTRIC COIINTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DIBTRICT�LF GROUP ZONE PERMIT NO. Jr S� ELECTRICIAN RECEIVED BY BY READY FOR DATE 1 ED ADO EMS FIRST INSPECTION CITYTEL NO COUNTY LICENSE NO EXPIRES BUILDING""// (� sljl PERMIT FEES ADDRESS / NUMBER EACH FEE LOCALITY 00 LIGHT OUTLETS NEAREST CROSS BT. RECEPTACLES WALL SWITCHEB DWNE TOTAL OUTLETS Sc S MAIL / ELEC RANGES 25 ADDRESS ELEC HEATERS 23 ITy TEL. NO R T- FIKTURES S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORB 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NummE HORBEPOW[R ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FCE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE N[W Mw NP HOR Ino [AVN Ike �eee S 29 SIGNATURE OF 8 60 PERMITTEE 2 S 1 DD INSPECTION RECORD S 16 1 So 16 BO 250 _ SO 200 Sao 200 SOO 1000 SOO 1000 1500 Q = OVER 10130 1 20 DO 020�i l/ Y/ M G SET/FREq CHANGER-HP � WELDERS AO-KVA Tnm A,f vD GENERATORS - KW r� r TRANSFORMERS - KVA TEMP MOTORS (76 of vaiu) MOVED MOTORS (76 of RRIo) MI00 SIONB NO NO TRANS. NC NO LAMPS APPROVALS FOR EACH PERMIT- DATE INSPECTORIB NAME WIRING Bloc CONDUIT -�—'� FIXTURES Bl 00 In WIRING _ SUPPLEMENTARY SO FIXTURES POWER TOTAL FEE B f,/(/ UTILITYCO NOTIFIED FINAL 76ASB3-CESOB 10.83 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING r BUILDING AND SAFETY DIVISION ADDRESS S` JOHN A. LAMBIE, COUNTY ENGINEER '�, WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY + 46' le NEAREST FOR APPLICANT TO FILL IN a CROSS ST. RECUT. TOTAL No. EACH PEE I OUTLETS nRST 20 S2of OWNER ��/ LIGHT MAIL SWITCH. AESS DD' .10 ADD1 1 GA..' ER ZO LIGHTING 1 TOTAL FIRST 20 .20 CITY TEL.NO. FIXTURES J{ ADD•L fO ELECTRICIAN O OVER 20 J J PANGEs CLO.DRYERS WTR.Mb. 1.00 ADDRES6 + ✓ 1 –e G GARB.Dior. RA.COOK CITY L L- + .(,/� -, TEL. NO. DISHWASH. AUTO.-WASM. STATE SPACE MTM. RA.APP.(K X.P.MA14) .50 LICENSE NO. i MOTORS, OVER NOT OVER H.P. C/ DLSy1jiICTN P zr PROgE$5D a 1 a 1.Bo INSPECTION RECORD O a a 2.00 w 5 15 2.50 LL t5 Bo 3.00 Bo 100 5.00 O SIGNS, NO.TRANS. d NO.LAMPS W SERVICE O-600V.NOT OVER 200A f.00 SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER BOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 '71 - SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INIP[ROR'BSIGNATURE I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FOCTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE IIF DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE— FINAL VALIDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH 78A oBEaA O-Eo I APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY FO LOS ANGELES ELECTRIC , 1 WILLIAM J FOX CHIEF ENGINEER ' FOR APPLICANT TO FILL IN DISTRICT NO Gppup Z NE PERMIT NO �- C. R ��/ ELECTRICIAN 7A � 7 ' REC D HY READY POR DAT[ISSUED ADDRESS / t FIRST INSPECTION _ ,Y i CITY (^ fIATSARY TEL N '"�^Y JJ7 COUNTY LICENSE BUILDING ./ PERM PEES AD.R 162 e NUMNUM13SR EACHI "itLOCALITY C E LIGHT OUTLETS NEAREST _ CROSS BTomr REC¢PTACL[H WALL SWITCHES OWNER TOTAL OUTLET v Sc f MAIL ^1 / ELEC RANGES IIS ADDRESS ELEC HEATERS IIS T¢ FIXTURES 6 /V 1 N[REBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VAUD LDS ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NUYEER HORHEPOWER F[[ OF THE RSHIDENTIAL PROP DlSppgglB[/D/ABOVE. NEw Mvo HP OYER INC EACH � (/ I/�'? 1 e LEp ¢a SIGNATURE OF J i[/ 1 Y a0 PERMITTEE II a 1 00 INSPECTION RECORD a /a too Ia ao II So O 20Q S 00 IIoo Soo 1000 ,I Soo 1000 1a DO Q Z OVER 1000 1000 5 M G SET/FREQ CHANGER-HP fY WELDERS AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP MOTORS TS orORla MOVED MOTORS TB° or ORIG SC SIGNS No No TRANS APPROVALS NO LAM DATE INSPECTOR B NAME FOR EACH PERMIT WIRING 1 00 CONDUIT FIXTURES 1 00 0 V WIRING �I SUPPLEMENTARY SO FIXTURES — POWER TOTAL FEE aA� GD UTIUTYCO NOTIFIED J L Q FINAL Z WORKERS'COMPENSATION DECLARATION 806 ID,B, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm m that I have a certificate of consent to self CE 806r, insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY + or a certified copy thereof (Sec 3800 Lab C ) r } Policy Na Company FOR AFPUCANT TO RLL IN ADDRESS / Ir�''%Y / A• �� 't Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE i LOCALITY ❑ Certified copy is filed with the county building mspec- 1 8 2-Family Sq Ft S — S f non department Muth family Sal Ft NEAREST Residential Swimming Pools OWNER OR Date Applicant FIRM NAME �1i1 r r i.+lt/". •r! .• CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_Light_Sw_ MAIL COMPENSATION INSURANCE ADDRESS J Fi;L r+ /fi< . •t (This section need not be completed If the work Involved by First 20 CITY.~ Tel No , r the permit is for one hundred dollars ($100)or Ins ) Total No Additional I,, o•V. certify that in the performance of the work for which this PIAN CHECKAPPLICANT permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation L wit Lighting Fixtures First 20 ADDRESS Additional 1 J_ - A Total No CITY Tel No Date?t a.. ePPhcant 'x !- -w Fixed Appliances Not Over 1 HP PERMIT r NOTICE TO APPLICANT If, after making t Certificate of APPLICANT 7,J .,�f � 1' .G •✓ 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 deemed revoked Hoped _ Fan _Other_ I CITY, ,�.r Tel No LICENSED CONTRACTORS DECLARATION LICENSEI hereby affirm that I am licensed under provisions of Chapter 9 Disp Room Air Cond Oft REG NUMBER lft( ri l : Class �7 (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROCESSED BY Power t8 Large Appliances d and Professors Code and my license is m &Type H full force and effect `•-- O Size 8 Type HP, KW KVA, or KVAR / _ /'�..• U License Number. 7 r Lic Class 4f r Up to I Incl FINALW DATE Contractor r � '�.f �. v r !' pore •�•y+ Over I to 10 Incl < ( VALIDATION ❑ Over 10 to 50 Incl FINAL i Im I am exempt under Sec Over 50 to 100 Inc BY Q B 8P C for this reason Over 100 K O Dote Services Swbd PMCC 8 Panelboards ► d 1 - W 0 -200 Am Under 600 V r, u Signature - 201 - 1000 Amp Under 600 V F ❑ Exemption for Reg MOver 1000 Amp or Over 600 V mnr Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits for the following reason (Section 7031 5, Business and Professions Code) _ ❑ j, as owner of the property, will do the work and the Mnc Conduits&Conductor structure is not intended or offered for sole (Section Other (See Complete Fee Schedule)— r t� r• 7044, Business and Professions Code) Poo j (e e,N t h CONSTRUCTION LENDING AGENCY 1 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) tel`w st �f (Sec 3097 Civ C ) PLAN CHECKING FEE i l Q 0 n h 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 agree to comply with all County ordinances and State laws regulating Elecmcol wiring, and hereb r uif) representatives of this County to enter upon the a-me Honed prop for inspection purposes , F SEE REVERSE FOR EXPLANATORY LANGUAGE nature of P rr6Htee Date ,