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