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HomeMy Public PortalAbout6408 TEMPLE CITY BLVD_Electrical__ L 7a•u+ Dee aA a-® APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ELECTRIC i COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CNIEr ENBINEER FOR APPLICANT TO FILL IN DISTR)W NO. CROUP ZONE PERMIT NO. 32-q? ELECTRICIAN ADDRESS L RECEIVED BY READY FOR DAT[ ISSUED FiRS'r IMSP[CTION CITY TEL NO L_ 1 COUNTY LICEtIot No. !?& -A--Fxplpms BUILDING PERMIT FEES ADORE® 74- NUMBER EACH FQ LOCALITY O LIGHT OUTLETS N[AY[BT o� RECEPTACLm ORD®BT, WALL SWITCHES DINNERal TOTAL OUTLETS on MAIL ELEC RANGES 76 ADDRESS ^ CLEC HEATER. 79 CITY TEL NO \ " FIKTIIRES S IBC 1 HEREH HERESY ACKNOWLEOCE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT d NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY CROINANCES NUMBER Or RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSS[BS THE ABOVE VALID LOS NU,Iern H VD ORSEPOWER /[[ ANGELES COUNTY UCENSE, OR I AM THE LEGAL OWNER NEw MHP OVER IND EMN OF THE RESIDENTIALPROP DEB RIBED ABOVE. 2t5• �[ d 810HATL O/ ' S .SO P[RMITTrE V / - 7 B 1DO INSPECTION RECORD B 16 1 Bo i5 So 7 SO SO 700 S DO 700 am 10.00 J 6ODIOOD loco Z OVER ID® 70AO 0 M 0 SET/rREQ. CHAN139WHP W[LOERBI AC-KVA O GENERATORS - KW TRANSFORMERS - "A TEMP MOTORS 76 Or DRIR MOV[ MOTORS (76 or oRiO) MIB BIONS NO NO TRANS. APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INBP[CTOR`B NAM[ WIRIND B7 CIO 0 0 1 CONDUIT FIXTURES 1111100 r U b WIRING PP Z TARP so FIXTUREA Z'2' POWER TOTAL FEE Oaf' �s UTILITY CO NOTIFIED FINAL 7`"E" B1"" 11µE APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC i WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. CROUP ZONE PERMIT NO. zl / ELECTRICIAN 30// READY FOR ADDRass 2.- R IV[D BY rIRST INSPECTION DAT[ ISSUED CITY TEL NO / - '1 COUNTY LICENSE NO O E%PIRGs BUILDING /�. PERMIT FEES ADDRESS NUMBER OUTLETS EACH F[6 LOCALITY C-0 / LIGHT 6e1-70 NEAREST CROBB ST RECEPTACLES S / rl%TURES B OWNER axlUmlok WALL SWITCHES B MAIL tv CLEO RANGES 25 ADOR[SB ELEC HEATERS 25 CITY TEL NO MBD NUMBER OF CIRCUITS INBTALI[D L 1 HEREBY ACKNOWEDOE THAT 1 HAVE READ THIS TAPPLICATION AND STAT[ THAT THE ABOVE IB CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STAT[ LAWS REGULATING ELECTRICAL WIRING NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB Him I MVP HP DYER I HD EAB" ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER B "" s 20 OF THE R[BIDENTIA PROP5RTY DESCRIBED ABOVE 9 60 BIGNATURE O 1 Z 6 I CO PERMITTEE s /s 150 INSPECTION RECORD 16 so 250 SG 200 500 TOO SOO 11300 BOO 1000 1500 J OVER 1000 20 00 Z M O SET/FREQ CHANGER-HP 0 WELDERS AO-KVA Ir GENERATORS - KW D TRANBFORMERB - "A TEMP MOTORS (76 Or BRIG) MOVED MOTORS (76 or BRIG) mlem BIONS TYPE NO.TRANS. [ NO uM APPROVALS FOR EACH PERMIT DAT[ INSPECTOR'S NAM[ WIRING no CONDUIT rIXT11REs SI OO (7 WIRING SUPPLEMENTARY s0 FIXTURES POWER TOTAL FEE S fS/l UTILITY CO NOTIFIED FINAL 7A DeeeA 11-W APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ELECTRIC COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX. CHIEF ENDINEER FOR APPLICANT TO FILL IN DISTRICT NO. OROIIP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY TEL NO .S Sd COUNTY LICENSE NO "PIPES BUILDING PERMIT FEES ADDRESS 1p NUMBER EACH FEE LOCALITY I LIGHT OUTLETS NEAREST RECEPTACLES CROBB ST. J WALL SWITCHES OWNER I TOTAL OUTLETS MAIL ELEC RANGES as ADDR[SS ELEO HEATERS ZSr___ .� CITY L TENO I FIXTURES S 1 HEREBY ACK OWLEDO THAT I HAVE READ THIS M19C 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 MOTORS I CERTIFY THAT I POSBEBR THE ABOVE VALID LOS NuwecR HORSEPOWER rEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER N[w Mvo HP avER I �e... SSSS OF 7HE REBID) TIAL PROPERTYED ABOVL SIGNATURE OF ^\Ylu) I11V.ly 7 SO PERNITTEr VeO 7 B 100 INSPECTION RECORD B iS 1 SO IS So Z SO _ 6D 200 SOD _ YOO SOC 10 DD J SOD 10013 1500 Q Z OVER IOOO 20 00 0 M 0 SET/rREM CHANGER-HP WELDERS AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75or GRID) MOVEP MOTORS (76 or oRlo) MIBC BIONS NO NO TRANS. APPROVALS NO NO LAMP FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING 11111313 CONDUIT _ FIXTURES $I OO WIRING 10- SUPPLEMENTARY SO FIXTURES POWER TOTAL FEE B�ZD ur1uTYCo NOTIFIED FINAL /D'?�{` M. i WORKERS COMPENSATION DECLARATION 7E.A663 ,O,BI APPLICATION FOR ELECTRICAL PERMIT hneraby affirm that I have a certificate of consent to self �� insure or a certificate pf Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lob C ) r y Pat c No -yG3I Cof(�m FR R►Y�el.s FOR APPLICAM TO RRr LL TOB ( Certified copy is herebyf urnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS 7elt'1 h� Il— $ = S LOCALITY 'MM e. 1( l tion Ib_J Certified copy is fled with the county building inspec- 1 g ti Family Sq depp ortment Multi-fomdy Sq Ft NEAREST -7_I t_i K�'�h— �R�y Residential Swimming Pools OWNER TOR Date---F—�7—= pplicant DA- CERTIFICATE OF EXEMPTION FROM WORKERS �'y/ EMAIL IPMNAME COMPENSATION INSURANCE Outlets Rec_0SLLight�Sw J� ADM �/./ �f 'C+� L� CI 7' This section need not be completed If the work Involtred b First 20 ( P T Total No�� Additional CITU /e 7. Tel No the permit b for one hundred dollars($100)or los ) PLAN CHECK 1 comfy that in the performance of the work for which this APPLICANT permit is issued I shall not employ any person in any manner aMm 1&61; so as to become subject to the Wor ompensahon Laws Lighting Fixtures Fust 20 ADDRESS �iTR U Additional-// Total No CITY V IkA Tel Na 6 43// Date APPhca Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of gPR1CAM S ADO V 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 Tap _ FAU _WH _ deemed WH — deemed revokedCITY Tel No LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ I here affirm that l am licensed under Dap _ Room Air Cond REG NUMBER 141 Z� Class by provisions of Chapter 9 } (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROLE D BY 0- and and Professions Code and my license is in full force and effect .�'' �( �y Size 8 Type HP KW KVA, or KVAR J F U License Number /x �/Z� Lic Class, s Up to I Incl FINAL 0 rr q Over 1 to 10 Incl DATE —1"a' ' 15 Contractor tl�.r,[�TOvI1 (7(s'e_ / — Ip VA ATION OOver 10 to 50 Incl FIN W I am exempt under Sec Over 50 to 100 Inc BY a N B 8P C for this reason Over 100 Z Date Services Swbd MCC 8 Ponelboards 0 -200 Amp Under 600 V Signature 201 1000 Amp Under 600V i Over 1000 Amp or Over 600 V Exemption for Reg Mont Elect SINGLE FAMILY Temp Power Pole 8 Appurtenances f 5 0 1.2 A HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit # e e e e e 2 1 hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits w for the following reason (Section 7031 5, Business and rofessions Code) l - 3200 Mxsc Conduits &Conductors - 32005 I as owner of the property off do the work and the Other(See Complete Fee Schedule)_ ► e e structure is not intended Professions or offered for sole (Section 0 7 1 1 �8 6 7044 Business and Professiom Code) CONSTRUCTION LENDING AGENCY I h reby affum that there is a construction lending agency for the)performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE V Lender s Address I certify that I have read this application and state that the TOTAL FEE obove information is correct I agree to comply with all County ordinances and State jaws regulating Electrical wring and hereby authorize representatives of this County to enter upon Iblis.Qbove mentioned property for inspection purposes �\`J� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Fermiaee Dote COUNTY OF LAS ANGELES TEMPLE CITY 8 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0808050030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 6408 TEMPLE CITY BL FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801434 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET VAL 5383-014-001 �A1 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY Cl �LB 200 AMP PANELS MCC 1 00 PAN 38 85 (TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 08/05/06 SR 02/01/09 TOWNER TEL NO IMC CUL.LUM CARL T (626) 821-9128- �F DATE FINAii\BY CODE 6406 TEMPLE CITY BL (--7TEMP 917801434 DESCRIPTION OF WORK (CHANGE CIRCUIT BREAK FROM 100 TO 200 AMP APPLICANT TEL NO SAME AS OWNER (SPECIAL CONDITIONS CONTRACTOR TEL TSL NO DATE INSPECTOR SIGNATURE SAME AS OWNER _ iAPPROVALS LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER TEL NO - iUPER GROUND LIC NO IROUGH CONDUIT TROUGH WIRING 114AIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED IREIORT ID DPR265 ROVl'H TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0303100026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID: FEES PAID OUILDING ADDRESS ON FILE 6408 TEMPLE CITY BL FEE DESCRIPTION GU4NT I TY LION AMOUNT. TEMP CA 917801434 ASSESSDR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 5383-014-001 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE. 596 GRID J1 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35 TENANT G2 LIGHTING FIXTURES 8 00 LGT 15 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON HA FAU LESS 3HP 1 00 FAU 10 95 03/10/03 JK 09/06/03 H1 RES ELEC OVEN LT 3HP 1 00 OVE 10 95 JB AC UNITS +3-10HP 1 00 AC 19 65 FINAL DATE FINAL BY CODE HMS KEN - TOTAL FEES 110 25 6408 TEMPLE CITY BL & ,c1-U3 TEMP 917801434 DFSLKIPTION OF WORK ADD LIGHTS IL OUTLETS, INSTALL ELECTRIC OVEN, ELECTRICAL FOR HVAC SYSTEM APPLICANT TEL NO GENERAL TRADE CONSTRUCTION (626) 798-8950- 666 S ARROYO PKWY#15 SPECIAL CONDITIONS PASADENA 91105CONTRACTOR. APPROVALS DATE INSPECTOR SIGNATURE _ GENERAL TRADE CONSTRUCTION (626) 798-8950- 686 S ARROYO PKWY #15 LIC NO �% , TEMPORARY POWER POLE - PASADENA CA 91105 539968 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER I / TUFER GROUND LIC NOROUGH CONDUIT � 1in ` RUUGH WIRING I PLASTIC Y/N METAL Y/N UTILITY COMPANY kOTIT M REPORT ID M265 ROUTE TO BS0508