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HomeMy Public PortalAbout6361 TRELAWNEY AVE_Electrical__ 75A669.CEB06 ,.BB APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / BUILDING AND SAFETY DIVISION ADDRESS !O L e JOHN A LAMBIE COYNTY ENGINEER COLEMAN W :JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST NO RECEPT S S OWNER MAIL ' LIGHT TOpTALEF12 ill20 ADDRESS —ZoWN SWITCH-4-1 _..1L 10 CITY TEL NO PLAN CHECK LIGHTING TSO?TAL 20 APPLfCANT FIXTURES �SL— 10 ADDRESS RANGE—DRYER—WTR HTR — CITY TEL NO STA COOK_DIIS/P' F A U _ CONTRAC rOR SPACE HTR AIR COND ADDRESS e x CLOT�H/E�WASH _DISH WASH CITY /yS'NIg"EL FAN—OTHER IDo V>� LICENSE IND l G1A58 r r O MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SIZE 6 TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 00 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR I - 10 3 00 LICENSEDA9 REQUIRED BY L03 ANGELES COUNTY AND STATE OF CALIFORNIACALIFORNOR THAT 1 AM THE LEG DUNE OF AND INTEND TO 10 50 S 00 RESIDE IN THE AB 9CR RE ENTIAL PROPERTY O 50 - 100 10 00 SIGNATURE U jr ED BY IlL) TUBE SION A SIGN AND ONE CIRCUIT 3 00 O �f�! d MARQUEE ADDITIONAL CIRCUITS 1 00 •— NOTES SERVICE NOT OVER S00 VOLTS OR 200 AMP 2 00 SERVICE OVER SOO VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE S APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE LIN LAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (SO% PERMIT FEE) ll�� POWER AUTHORIZED PERMIT ISSUING FEE 200 Vv U7IL IT, CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL - .I{ TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELEC CAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M Q CASH _ � C. 6 7 7 1e DC7 9 2 D 6.20- ,EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORK COMPENSATION DECLARATION 7e�Aeea'B DPW(12 e1) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm thatt I havehave a cavil/Icnte of consent to Bell insure or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) PobCy No Company FOR APPLICANT TO FILL IN 40B ADDRESS ❑ Carl copy le hereby furnished New Residential Bldgs a P0013 N10 EACH FEE ❑ e copy le bled with the county building inspection 8 2 Family SQ Ft — i $ LOCALITY dtlpl NEAREST department MUnn family Sq F! CROSS ST aa Date Applicant Residential Swmmlrlg Poole ASSESSOR AIAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec _Light_Sw OWNER DR COMPENSATION INSURANCE FIRM NAME Fret io MAIL. (Thio section need not d completed($1 0 the work Involved by the Total No Atltlltlonel � � permit u for one hundred dollars(3100)or leu) (ITNA4 4-M I certify that In the performance of the work for which this permit CITY C Tel W Ulf Is Issued I shall not employ any person In any manner so as to PLAN CHECK J become subject to the Workers Compensation Lam Lighting Fixtures First 20 APPLICANT Date l 11 Z 4Applkent D Total No Additional A.�� ADDRESS NOTICE TO APPLICANT It alter making this Certl lncata 1 RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY Tet No Exemption you should become subject to the Workers Compensell n OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such provisions or this permit Mall be deemed revoked Power Apparatus 3 Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size 6 Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Aver 3 to 10 Incl ry (commencing with Section 7000)of Division 3 of the Business and CITY I W Professions Code and my license Is In full force and effect Over 10 to 501ncl } LICENSE Cleo d ,a AM Over 50 IO 10D Inc] REO NUMBER 41 C License Number (& 7 G '�S3 Lm Class `_ 1 Over 100 DISTRICT NO SSED By 0 M 8Pa0boards Contractor I Date µ li "� `^" P 6Wd 800 V FINAL L� 0 ❑ I nm exempt under Sec 4� 1000 Amp Untler 800 V DATE 1 Z ��� VALIDATION W Over 1000 Amp or Over 800 V FINAL (L B AP C forms, By (n BRANCH CIRCUIT FEES Dale 15A or 20A, 12DV Lighting or Receipt z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits ❑ Exempbon for Reg Mamt Elect 15A 20A 209V To 277V Lighting Br Cogga 2 SINGLE FAMILY Temp Power Pole A Appurtenances ACCT,: HOME OWNER BUILDER DECLARATION Sign wI[h Ohne Branch Clrart ^� (¢ ��nIy I hereby affirm that I am exempt from the Contractors License Law 33W W�OV for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) 1 ITEMS ❑ I as Owner of the property will do the work and the structure Mlso Conduits d Conductors TOTAL 65 .65.60�6Q Is not intended or offered for sale(Section 7044 Business Other(Sae Complete Fee Schedule) , Lry and Professions Code) MCW K W OFO0 CONSTRUCTION LENDING AGENCY (+W45E •00 I hereby affirm that there Ia a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097 PERMIT FEE (Sub Total) 0000—Ml 4/23/96 Civ C) PLAN CHECKING FEE Lander a Name 6017 1 AM 9�17 PERMIT ISSUING FEE cii, Lender a Address I candy that I have reed th s application and under Penalty ofpurlury state TOTAL FEE that the above Information Is correct I agree to comply with all County ordinances and Stale laws regulating Electrical wining and hereby,authorize representatives of this County to enter upon the above-mentioned property for inspection purpgaee SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PEPMnTEE Dj S ,- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9912290008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 14263 LT 9 6361 TRELAWNEY AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801312 ASSESSOR INFORMATION NUMULK NEAREST CROSS STREET LEMON 5382-020-058 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2 00 OUT 3 90 TENANT G2 LIGHTING FIXTURES 1 00 LGT 1 95 ISSUED ON PROCESSED BY PLAN BY TOTAL FEES 33 60 12/29/99 UT 0 26/00 OWNER TEL NO FINAL DATE FINAL by 99 LUOL DING LUNGSENG,CHI SHENG S (818) 291-2080- 6361 TRELAWNEY AV TEMP 917801312DESCRIPTION OF WORK ELECTRICAL FOR STORAGE SHED APPLILA TEL NO SAME AS OWNER - SPECIAL CONDITIONS CONTRACTOR TEL SGS PNGELES Co ,, APPROVALS um n97rcT6w-§rffw9roffr-- SAME AS OWNER - LIC NO UNDERGROUND CONDUIT ARCHITECT OR ENGnTnIF— TEL NO UftR LiKUUNU �� LIC NO//( 1111111ROUGH CONDUIT ROUGH WIRING 0 �I I O � AiO 1Il\ \1 PLASTIC Y/N METAL Y/N IIOJJ `�J �V� � JJJ 11 u NJ 11 ServOe Tha*L REPORT ID DPR265 ROUTE TO BS0508 I ! COUNTY OF LOS ANGELES TEMPLE CITY R 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0310090046 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE (626) 285-0488 EXT LEGAL ID: --7nT-PAID BUILDING ADDRESS TR 14263 LT 9 6361 TRELANNEY AV FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917801312 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LEMON 5382-020-058 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY: TEMPLE CITY TENANT G1 OUTLETS-LGT,SN,RECP 23 00 OUT 43 05 G2 LIGHTING FIXTURES 6 00 LGT 11 70 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON HA FAU LESS 3HP 1 00 FAU 10 95 10/09/03 JK 04/06/04 JB AC UNITS +3-10HP 1 00 AC 19 65 OWNER FINAL DATE FINAL BY EMT- CHI-SHENG S DING (626) 287-3746- TOTAL FEES 113 10 6361 TRELAUNEY AV ��_K /15� TEMP 917801312 DMipiiu� OF WORK ELECTRICAL FOR GUESTHOUSE APPLi SAME AS OWDIER TEL NO - SPECIAL CONDITIONS PNGELES CO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �0CONTRAC TEL NO �NTr LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER 1� UFER GROUND LIC MO/ ROUGH WIRING t7/ ROUGH CONDUIT �// 1 X1111,11 9UW-MER LINE 4�- 1 n �7 J : II J C p V O RD- K ) PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIEU D 0 '? 1' I / J ❑ I�9 fib/ r t R: ServWce Tha REPORT ID DPR265 ROUTE TO BS0508