Loading...
HomeMy Public PortalAbout6358 TRELAWNEY AVE_Electrical__ r - 7B OBB[A 11-M APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ®�®��� COUNTY OFF LOS LOS ANGELES ELECTRIC WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICy NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DAT[ ISSUED ADDRESS FIRBTINBPECTION — ^� CITY T[L NO COUNTY –LICENL.Bn[�N�rO..n n E%PIRES BUILDING PERMIT FEEp ADDRESS NUMBER EACH FEE LOCALI J LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS So B MAIL ELEC RANGES 45 ADDRESS CLEC HEATERS 45 CITY TEL. NO FIXTURES B ' HEREBY 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 OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMOEB �' HORBEPOWER FEE ANGELES COUNTY LICENBE. OR I A GAL OWNER N[w Mw HP o n 1No EACH OF THE REBIDENTI PROPERTY RIBED A E. A LE80 0 45 SIGNATURE OF yx 4 SO PERMITT a B loo INSPECTION RECORD S 15 150 is 50 250 So 900 S 00 400 Boo lam -2 Soo 1000 IBM = OVER IOOO 4000 T Rrr.0 P 7017 FT - Al _ O N G BET FRED CHANGER-HP / (C WELDERSI AC-KVA C'! r, IE/ Y O GENERATORS - KW TRANSFORMERS - EVA TEMP MOTORS (75% or GR1B) MOVED MOTORS (76 or onto) Misc SIGNS NO NO TRANS. APPROVALS NO NO LAMPS Fq— FOR EACH PERMITI DAT[ INSPECTOR•B NAME WIRING B/ DO CONDUIT FIXTURES S1 OD WIRING - / BUPPL[ EITARY BO FIXTURES L POWER TOTAL PEE •� I uTILITYco NOTIFIED FINAL WORKER S COMPENSATION DECLARATION y/„ 76A663DP29„ APPLICATION FOR ELECTRICAL PERMIT lJ I affirm that 1 have a certificate of consent to self insure 7fAe� or certlficatte of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy the4eof(Sec 3800 Lab C I Policy No Company FOR APPLICANT TO RLL IN JDB ADDRESS ElCertified copy is hereby furnished Nen Residential Bk1gs &Pools NO EACH FEE ❑ department copy is fried with the county building mspectwn 1 ut 2 Family SF Ft It s OCALI department Mulb feLnity Sot Ft — CM Si Date Applicant Residential Swimming Poria ASSESSOR , MAP BOON PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outbts Rec 7—Light Sw / pr MAP BOOR COMPENSATION INSURANCE First 20 (This section need not be completed If the work Involved by the Total No Additional permit is for one hundred dollars($100)or less) I certify that in the performance of the work for which this permit CITY Tel W is issued I shall not employ any person in any manner so as to PLAN CHECK became subject to the Workers Compensation Laws Lghung Fxturee� First 20 APPLC !J Total No Additional ADDRESS Data �`� r-`� Applicant NOTICE TO APPLICANT II of r eking this Certificate of RESIDENTIAL APPLIANCES NOT OVER HP CRY Tei No Exemption you should become subjlt2to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP RMR provisions of the Labor Code you must forthwith comply with such Power Apparatus&��AppliancesPUCANr provisions or this permit shall be deemed revoked LICENSED CONTRACTORS DECLARATION Sae&Type HP KW KVA or KVAR ADDRESF 0g,3 L I hereby affirm that I am licensed under provisions of Chapter aOren 3 to 10 Incl(commencing with Section 7000) of Division 3 of the Business and CITY LeTSI No Professions Code and my_licceensse is in full force and effect Over 10 to 50 Incl a32 ice\ OYeOver'6010 100 IncluceNBE OR REG NUMBER Dbe� a License Number LIC Class, DvBr 100 DISTRICT NO P ED BF� Q . � �►�— Se wces Swbd P�anelype ds in Contract �-L Date 3'8 �{� 0 353'rmp U=r v / �6 Fl� O ❑ 1 am exempt under Sec 400 1000 Amp Undor 800 V IS VALIDATION V Over IDDO Amp or Over 600 V RNA W B&P C for the reesoriBRANCH CIRCUIT FEES By CD Date ISA or 20A 120V Lighung or Recept Z 1 To 10 Branch Circum Signature 11 To 40 Branch Circuits; r-141 Or More Branch Cimurts Exemptxm for Reg Mamt Elect 15A 2M 208V To 277V Lighting Pr Gmurts BINDLE FAMILY Temp Power Pole 8 Appurtenances A.ICT.Ir HOME OWNER BUILDER DECLARATION Si n with One Branch Circuit pp I hereby affirm that I am exempt from the Contractor s License Law g il.]l17 98.K,for the following reason (Section 7031 5 Business and Professions Addawnal Sign Branch Circuits 3307 ITEM Code) A�1 1 C11�J7s ❑ I ar owner of the property will do the work and the structure Misc Conduits&CorMuctors TOTAL 8. 35 is not intended or �.offered li+C red for sale (Section 7044 Business Other(See Complete Fee Schedule) ' LI"'Cl f1 and Professions Code CONSTRUCTION LENDING AGENCY .OD I hereby affirm that there is a construction lending agency for the - performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE a� rO1L1OO-O�]S 3! 4/93 Lerxfere Name OJOV 1 A1110:53, PERMIT ISSUING FEE 5 Lenders Address 1 certify that 1 have read this application arid under penahy of purtury state TOTAL FEE that the above mformauon is correct I agree to comply with all County ordinances and Slate laws regulating Electncal wining and hereby authonze representatives of thm County to enter upon the above menboned property for inspection purposes 2 SEE REVERSE FOR EXPLANATORY LANGUAGE 3 e'93 TURE PF PERmiT DATE COUNTY'OF LOS ANGELES TEMPLE CITY # 0508 (ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9901110020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT: LEGAL ID FEES PAID BUILDING ADDRESS-, TR: 14263 LT 7 x6358 TRELAWNEY AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801311 NEAREST CROSS STREET LEMON 5382-022-035 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY B2 1 OR 2 FAMILY DWELL 435 DO SQ 45 68 TENANT TOTAL FEES 73 43 ISSUED ON PROCESSED BY PLAN BY EXRRlE§7M_. 01/13/99 UT 01/13/00 OWNER TEL -0 - FINAL DATE CODE HUANG DONG Q (626) 285-5033- �Ul�cj 6358 TRELAWNEY AV _ [ TBUP 917801311 ELECTRICAL FOR-NEW GUEST HC -if E APPLICANT TEL NO SAME AS OWNERSPECIAL )NDITIDNS CONTRACTOR. TEL. NO - S PNGELES Co APPROVALS DATE INsFn76ff79rfflUT9ffF-- SAME AS OWNER ,0 NTJ- LIC NO TE14PORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL NO UFFR GROUND LIC Mlll�R LINE ., 1111111 PUBLIC WORKS PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED q Pg Service Tha4L REPORT ID. DPR265 ROUTE TO BS0508