HomeMy Public PortalAbout6402 TRELAWNEY AVE_Electrical__ TEA°°E Cl G IO SO APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF IAS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
6402 Trelaune
JOHN A LAMBIE. COUNTY EN°IREeR
WILLIAM A JENSEN SUP T OF BUILDING [LOCALITY Temple City
FOR APPLICANT TO FILL IN
CROS; ST Lemon
PERMIT FEES OWNERClaude
I T C H NUMBER EACH PQ MAIL 6402 r lawn
OUT s f ADDRESS
LIGHTS RECEPT OW to CITY Temple Cit TEL No $i 6062
LIGHTING FIXTURES 1 10 10
Lea Flectrin
SLID RANGES CLO ORYEIIB EhECTRICIAN
WATER HEATERS DO ADDRESS
6GG SPACE HTRY DISHWASIRINI
CT EL NO At 14
GARBAGE DImoSERS Avro- STATE
WASHERS STA COOKING UNITS Ha LICA NO
45595
MOTORS OYER INC HP DI O UP EBBED B
0— VE PS
VE— z 4 1 aO 0 INS ECTION R ORD '
y >~
'2— 5 too /U to 61 3 IVJ Al O
D— f0 100 I/O1 I}�-e V
Y
fa— so z eoa�Li O
DO— 200 500 7[Gj1io / �, ��
SIGNS
NO TRANS A,/Y
NO LAMPS
SERVICE O-DOOV 100 1 100 1
SERVICE OVER SOOV Boo
MISC
WIRING PERMIT 100 1 00
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT so
TOTAL FEE s 90 �1
I
HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLE TION APPROVALS D TE I IHSP OR s I*NATURE
AMD STATE THAT THE ASOVE IS CORKER AND AGREE TO COMPLY /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED MY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCIIICED RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITYCO NOTIFIED
OF PERMrrrEF
FINAL
^UDATION ARTHUR C VEIT
CK No CASH SUPERVISING ELECTRICAL ENGINEER
3275 �- SEP '--t 2 D 390
�0�
r�-' TEMPLE CITY .A �4
76A663•CES06 0.62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING y,
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T or SYILOING LOCALITY /
NEAREST
FO APPLI ANY TO FIL CROSS ST
REtEPT 1 TOTAL No SA I
II
OUTLETS rlalT 20
*20s OWNER
LIGHT MAIL
SWITCH 3 AOO'L ADDRESS
OVER 20 10
TOTAL CITY TEL NO
LIGHTING FIRST 20 IID
OV a-L
FIXTURES a A00'L 20 10 ELECTRICIAN
"NOSS cL0 mySms R 100 Q ADDRESS
gR
GATS DISP STA COOK
CITY
DISNWASH AUTO•WASH STATA TE
ACLH WA AFP (I.HP AS 50 LICENSE NO
MOTORS, OVER HDT OVIR HF DISJJtIC O GR ZONE CESSE BY
O 1 f 00
I — 3 ISO INSP ION RECORD
2 B 2 00 e —
i
10 SO 300
SO 100 600 // u
SIONBI NO TMNe ! DI
NO LAMPS GQ
I W
SERVICE O SOOV NOT OVot 200A 100
SERVICED SOOVOVES200A 200 AW
N
SERVICE OVER SOOV 500 Z
MISC _
PERMIT ISSUING FEE II 00
BUPPLEMHNTABY PERMIT ISSUING FEE 100 I
TOTAL FEE
I N[RERY ACKNOWLSOOK THAT I HAYS RIA. THIS AILI SP
TION PR VAL DAR N D
AND STATI THAT THS AODM IS MARKT AND ACRES TD COMPLY CONDUIT
wrrH ALL CDU ORDJN =l AND STATL LAWS RLOULATING
ILLCTRICAL WIRING WIRING
1 HK=Sy C IFY THAT 1 AM PROPRLY SLOIRIIIIO AND/OR
UCI•ISRD AS REOUIRSM BY LM ANORI/R COUNTY AND RAIL OF FIXTURES
GUFORMIA ORTHA 1 AM LLOAL to OF TIIL ASOYL
DuaIS[D RglDd r POWER r
SIGNATURE UTILITY CO P40YIPIRD J OF PERMITTE
PINAL 1 � :L
VALMO ARTHUR C VETT
MO
CIC CASH BUPRRVIBING ELECTRICAL ENGINEER
4758 OCT 13 2 D 7.60~ a
.+ murau +io0® •dp Y p
nA666.CESO6 6-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS O Z—
JOHN A LAMBIE. COUNTY ENGINEER -�
WILLIAM A JENSEN Bur T or Bu1LDINO LOCALITY
N.AREBT
1FOR PPLIC FIL a
IN CROs ST
RECEPT 1 TOTAL NO ua FIDE11 OUTLETS FIRST 20 •2O • OWNER
LIGHT MAIL
SWITCH AOD'L fG ADDRESS
OVER 20
GHTING
LTOTAL FIRST 20 IIO CITY TEL NO
I
FIXTURES ADD•yy 10 ELECTRICIA
DV R 20
RANGES CLO DRVCIE WTR HTRS Too ADDRESS IJ �GI/r'iLL�G
GRD DIO STA COON CITY �/O T Q
DISHWASH AUTO WASH STAT[
SPACE HTISI STA.A IV.HP MAE 1 5o LICENSE NO
MOTORS' ova Hor ova Nr DIST T G UP N P BY
o f 1100
f a f vo INSPECTION RECORD
a e zoo //
B — f5 230 /
is — 50 Soo >
6
so — foo 500 O
V
BIONS. No TRANSLAMPS, K
Mo 0
SERVICE a00V NOT ova 200A too
SERVICE O 000V Ova 200 A 200 N
SERVICE OVER 000V Soo Z
MISC
PERMIT ISSUING FEE 200
SUPPL[MENTABY PERMIT ISSUING FEE 100
TOTAL FEE
1 HRRESY ACRNOWLsoDI[ TIMT 1 HwV[ READ THIS APPLICATIONj
DATE IM OR SS
AMO STATS THAT TN[ ABOVE IS CORRECT AND AGRa TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATINGWIRING 1 H[RaV CERTIFY THAT 1 AM PROPaLY REGIST� ANO/ORLICENSED AS REQUIRED SY'LOS MQSLw COUNTY ANO STAT[ Or CALIFORNIA OR THAT 1 AM THE L[ML WMa W TH[ ASOVEDgCI1ISa REST IAL r SIGNATURE OFP[RMITT[ Ti
VALIDAT� ARTHUR VER
CK MO GBN SUPERVISING ELECTRICAL ENGINEER
UAC0 5 5 5 1- NOV 4 2 0 3.0 0IN
-
WORKER have a certificate
DECORATION 20-01),19 DPW e,08 APPLICATION FOR ELECTRICAL PERMIT
I herelYs'aHvm that I have a certthcele of consent to sell Insure 7eAAa9
Of a ceri fkele of Worker a Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof(Sec 3800 Lab C) y,
policy No Company _ f FOR APPLICANT TO Fal M - 6fo-L TV-4 Ave,la Wive 4
Certified copy is hereby tumuMed _ New Residential Bldgs 8 Pooh EACH NO + FEE LOCALITY
❑ Certified copy Is hied with the county bulldtrp Inspection 1 8 2 Family Sq Ft $ — $
r department Muhl family Sq Fl — NEARgT Le rAw
Dale Applicant Residen0all�Swimming PodFs 'I ASSmuti,ESSOR OZ Z d.Z-7
Dom
CERTIFICATE OF EXEMPTION FROM WORKS
Outlets Lit �, BOE 1 t
I COMPENSATION INSURANCE � p TFlirst 20 --" O t.-t'r L_ k..fie./
(This section need not be completed If the work Involved by the TOW No �L-� Additional - URE88 kbOV�.
permit Is far one hundred dollen($100)or less)
I certify that In the performance of the work for which this permit - — -- CITY N Td No
is Issued I shell not employ any person In any manner so as to R
become subject to the Workers Compensation Laws Ughhng Flxtures Rat 20 - A�PNI%JC�VHECK C{+L#, TLVv ut IJ
Total No Additional
ADDRESS
Date Applicant 15 OR 20A 120V BRANCH CIRCUITS
NOTICE TO APPLICANT If eller making this Certificate of CT' Tel W
Exemption you should become subject to the Workers Compensation 1 TO 10 INCLUSIVE EACH
provisions o1 the Labor Code you,must forthwith comply with such 11 TO 40 INCLUSIVE EACH - - — SCANT
provisions or this permit shall be deemed revoked It OR MORE BRANCH CIRCUITS EACH }
LICENSED CONTRACTORS DECUBATION - ADDRESS
75 OR 20A 20BV TO 27N LIGHTING EACH d
I hereby affirm that I em licensed under provisions of Chapter S 0
(commencing with Section 7000)of Division 3 of the Business and _ CITY To No 0
Professions Code and my license is in lull force and effect RESIDENTIAL APPLIANCES UP TO SHP LICENSE OR Clara Q
Power Appardlq 6 Large Appliances REO NUMBER 0
License Number Uc Class Size a Type HP KW KVA or KVAR DiSTwcT NO pD By 1--
�Up to 3lncl - _ nO M44*-e-.4r/ a
Over 3 to 10 Incl FINAL TA
Date - - Over 10 to 50 1x1 DATE NAL ( ,41—Z` 7 Z
El I am exempt under Sec _ Over 50 to 100 Ind VALIDATION
B dP C for this reason Over 100 BY
Date
Services,Swbd MCC A Panelboerds
Dela 0 200 Amp Under 800 V
Signature 201 1000 Amp Under 800 V
❑ Exemption for Reg Maim Elect I Over 1 DOO Amp or Over 900 V 2
SINGLE FAMILY HOME OWNER BUILDER DECLARATION Temp Power Pab 8 AppurtenancesACCT.Q
I hereby affirm that I am exempt from the Contractor a License Law Sign with One Branch Cacult ce
for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits 3W7 55.35
Code) 1 ITEMS
® I as owner of the property will do the work and the Structure Mm Conduits 6 conductor, — TOTAL 55 . 35
Is not Intended or offered for Sale(Section 70" Business Other(See Complete Fee ScheduN)_ ► �vL1�y.0 ec
and Professions Gods) - - - - — VT¢4n .L,er,F��ff��I
CONSTRUCTION LENDING AGENCY _ - CHAD .UV
I hereby affirm that there IS a construction lending agency for the - r339U77t�LL
performance of the work for which this permit Is Issued (Sec 3097 PERMIT FEE (Sub-Total) _
CIV C)
PLAN CHECKING FEE_ _ 1 8/19/92
Lender a Name PERMIT ISSUING FEE o? `095 1 AM 2:22
Lender a Address
I certify that I have read this application and State that the above TOTAL FEE
Information is correct I agree to comply with all County ordinances
and State laws regulating Electrical wiring and hereby authorize
representatives of this County to enter upon the above mentioned -
property for insspe�tion pu SEE REVERSE FOR EXPLANATORY LANGUAGE
ex+a Tu 1G�F�i � Te �