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Home My Public Portal About5355 WELLAND AVE_Electrical__ 76A663C- CHASM 12/7,15 APPLI6400ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION LLLJJJ FOR APPLICANT TO FILL IN JOB ADDRESS New Residential Bldgs.&Pools EACH NO. FEE - 1 &2 Finally Sq. Ft. $ — $ LOCAL.I Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST.OWNER OR �. FIRM NAME Outlets: Light,Switch&Receptacle MAI L First 20 ADDRESS Additional CITY Tel. No. PLAN CHECK Lighting.Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel.No. Fixed Appliances Not Over 1 'HP APPLICANT VAJI Range_ Heater_ D.-W. — ADDRESS --�y�rp��^�/� ¢ Oven Dryer �. W.M. Tel. No.GOJ�C7p,�j � Top FAU _ W.H. _ CITY /�P(�'. CKY y Hood Fan REG NNUMBERL$$ � Class.C� C� v Disp. A.C. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .0 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY � Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LU Size&Type HP;KW,•KVA,or KVAR ELECTRICAL WIRING.. a- rA U to 1 Incl. Z .� 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Ver 1 to 10 Incl. LICENSED AS REQUIRE S ANGEL OUNTY AND STATE OF CALIFORNIA OR 'TH 1 AM HE AL O .NER OF THE ABOVE Over 10 to 50 Incl. DESCRIBED REBID r•a Over 50 to 100 Incl. PERMITEE Over 100 SIGNATUR Services DISTRICT NO. ROC SED BY 0-200 Amp. Under 600 V •201 -1000 Amp. Under 600 V FFINTURES PROVALS DATE I ECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE WER POE Temp.Power Pole&Appurtenances LAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits CONDUIT (Other) UTHORIZED PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINALEk��`/7 PERMIT ISSUING FEE NOTES TOTAL FEE 600 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONM.-O. CASH 5 0.4,10 m 5 G . - ca a-A 10.41 1•Ew APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND ELECTRIC _ COUNTY OF LOS ANGELES M. J.ZOX, CHIEF ENGINEER NAME - DISTRICT NO. GROUP I ZONE PERMIT NO. U ADDRESS U , CITY �` TEL.NO. RECEIVED 13Y READY FOR DATE ISSUED , J COUNTY /� t `(� FIRST INSPECTION W CERT.NO. EXPIRES 0. `t }-` a— �— III�, APPLICANT FILL IIN HEAVILY OUTLINED PORTIONS,O/NLYJOB p, DESCRIPTION OF ®PORK ADDRESS 3303 q YV �'_L L� N 4 J NUMBER OF OUTLETS ON CIRCUITS LOCALITY L \G k,,` E LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW.I PLUGS FncT CROSS ST. 7— CIRCUIT A B C I D I E IF G H W NAME o r �y E MAIL ADDRESS 0• CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS AN6.y. q pouxTY. I=RT1FlCATE OF QUALIFICATION.. 81=rRICIAN. 1 AM THE LE13AL OWN OF ,.PROPEESCRIBED ABOVE E L^�� dile 'P� r OWNER. CORRECTIONS 'TOTAL NO. OF OUTLETS �y E D APPROVALS NO. OF FIXTURES E =C' DATE INSPECTOR'S NAME NO. OF MOTORS H.P. CONDUIT NO. OF SIGNS TRANS. E WIRING NO. OF RANGES OR HEATERS E FIXTURES. / MISCELLANEOUS E POWER PERMIT FEE o t ffiy�am. ' Z UTILITYCO.NOTIFIED TOTAL FEE 2- 4;, 0' I 1 FINAL 8 SA 25M PERMT OBDEPAR 81��Y+1G1pV�9.,7r�gOF B Ur�IIi�LYi gDlG S 2-47 �A7Tn MID SAF tsl�=%j1 A. ��$j�®1V �� WM J. FOX CHIEF ENGINEER ELECTRIC e NAME "DISTRICT NO. GROUP I ZONE PERMIT NO. ADDRESS RECEIVED 13Y READY FOR DATE ISSUED CITY TEL..NO. l-'l71 FIRST INSPECTION J COUNTY- p W CERT.NO. '-�EXPIRES 1PPLIC+A T MY lK MAVaY OUTLEWD PORTION®N51 JOB DESCRIMON OF WORK ADDRESS Q w l NUMBER OF OUTLETS ON.CIRCUITS LOCALITY LOCATION BY.ROOMS NEAREST LIGHT OUTLETS SW. PLUGS IF,OOT CROSS ST. _ CIRCUIT A B CID E F IG IH m NAME Z , MAIL 3 ADDRESS O CITY TEL.NO. 1 AM THE LEGAL P0813ESSOR OF THE ABOVE LOS ANGELES'COUNTY�CTM- 11JACrRICIAN. 6LJAL�FICATION. . I AN THE LXMAL OWNER OF THE PH WAR'Y DESCRIBED A13OVIC OWNER. CoRmcnoris J a Z n -o TOTAL NO. OF OUTLETS "PROVALS 1 NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. S WIRING NO. OF RANGES S S FIXTURES f MISCELLANEOUS $ / POWER PERMIT FEE S. 4 .. 00 UTILITYCO..NOTIFIED dy' / WORKERS'COMPENSATION DECLARATION 120-00197 DPW 3/f77 APPLICATION FOR AECIMCAL PERMIT I hereby affirm that I have a certificate of consent to self cE-eoeG O insure,.or a certificate of Workers'Compensation Insurance, I COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof(Sec. 3800, Lab. C.) :_, _ ___ ___FOR APPLICANT-TO FILL-IN - Policy No. . . _-_- Company __ JOB_ Cert'if'ied copy is hereby furnished. New Residential.Bldgs. &Pools EACH NO. FEE ADDRESS C3 57i;' N/ 01t Wo AJb- Certified copy is filed with.the county building inspec- I 1 &2-Family, Sq. Ft. $ = $ LOCALITY tion department. Multi-family Sq. Ft. I NEAREST CROSS ST. Date Applicant Residential Swimming Pools j OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL 'NAME n/ �NgAI COMPENSATION INSURANCE Outlets: Recce—Light Z Sw._?G 7 DDRESSSaIS� hl�u/tl�ls A (This section need not be completed if the work involved by First 20 CITY � Tel. N1Z_ O- the permit is for one hundred dollars($100)or less.) Total No. Additional TQM �� PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ-any person in any manner so as to become subject to-the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel. No. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- I Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR Disp. — Room Air Cond. REG.NUMBER Class. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P SED BY d and Professions Code,and my license is in full force and effect, Size&Type HP, KW, KVA, or KVARO License Number Lic. Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE �C' VALIDATION �O Contractor Date❑ Over 10 to 50 Incl. f— ; FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY -B.&P.C. for this reason Over 100 I N Services, Swbd.., MCC&Panelboards ® Z Date:- 0-200 Amp. Under 600 V — Signature I 201 - 1000 Amp. Under 600 V j Over 1000 Amp, or Over 600 V µ Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances ,.s • HOME OWNER-BUILDER DECLARATION i I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit Low for the following reason (Section 7031.5, Business and I Additional Sign Branch Circuits Professions ® I, as owner of the property, will do the work and the Misc. Conduits&Conductors ,! 3F_:5 structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ 4•'•5 L. -jTr'-. Business and Professions Code). ••s�_�-t _•"•t;;t;.., CONSTRUCTION LENDING AGENCY I hereby affirm 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 +-<;a ar s•1; �I; PERMIT ISSUING FEE Lender's Address % I certify that I have read this application and state that the+l TOTAL FEE ,,3 above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and { !ot .representatives of this County to enter uponned property for inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date I ®s WORKER S'COMPENSATION DECLARATION 3 ,CE-SO6G (2.80) APPLICATION„ FOR ELECTRICAL PERMIT ,CE-SO BG hereby affirm that I have a certificate of consent to self ,. COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a"certified copy thereof(Sec.3800,Lob.C.) FOR APPLICANT TO FILL-.IN J.O.B �� Policy No. Company EACH NO. FEE ADDRESS New Residential Bldgs.&Pools " LUD Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALIT Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER - I &1��•l S aPvld� Date FIRM NAME Applicant Outlets: Rec.._Light Sw. MAIL First 20 ADDRESSt CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY ^ �� Tel NoS } COMPENSATION INSURANCE - PLAN CHECK a APPLICANT 0 (This section need not be completed if the work involved 'Lighting Fixtures First 20 � by the permit is for one hundred dollars ($100) or less,) g g Additional cc ADDRESS 0 I certify that in the performance of the work for which this Total No.Fixed Appliances Not Over 1 HP CITY Tel No. 0 permit is issued, I shall not employ any person in any manner PERMIT ,��``��►�� W so as to become subject to the Workers'Compensation Laws. Range Heater D.W. _ \ APPLICANT d Oven _ Dryer_W.M.— S p,,a k L �� (. CO) • ADDRESS t�1n Date Applicant Top _ FAU _W.H. r Hood _ Fan _Other_ CITY L Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Condom LICENSE O Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code.,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCES D BY With comply with such provisions or this permit shall be deemed revoked.' Size&Type HP,KW,K.VA,or KVAR Up to 1 Incl. = Over 1 to 10 Incl. DATEL A2? v�� 'a LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. r' w ��, VALI DATI I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000)of Division 3 of the Bust- Over 100 " ness and Professions.Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp.Under 600 V 201=1000.Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances Iffl, as irm that I am exempt from the Contractor's Sign with One Branch Circuit for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits - essions Code): Misc.Conduits&Conductors ner of the property, will do the work and the Other(See Complete Fee Schedulel— R= 1 CJ Q.Q A structure is not intended or offered for,sale (Section 7044,Business and Professions Code). o o n o 0 7 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 0 - 1 9.50 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) ` z issued(Sec.3097,Civ.C.). o 0 0 1 9 5 n ca Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE' 7-- 090.1 —81 'I certify that I have read this application and state that the TOTAL FEE above information is correct.I agree to comply with all County oiedinances and State laws re ulating Electrical wiring, and by authorize represent. es o is oVty to enter upon he bove-mentioned pr ty for ins a lo p rposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE • l //CF Signature of Permittee Date WORKERS'COMPENSATIONDECLARATION :CE-803 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that-'I have a certificate of consent to self COUNTY OF LOS ANGELESUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800-,,Lab.C.) tt�� -// yy�� FOR APPLICANT TO FILL IN JOB gDDRESS�3V-Al - &—LL /JU Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE _ _ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY' ,i ❑ Multi-family Sq. Ft. — NEAREST Certified copy is filed-With the county building inspection CROSS ST department. Residential Swimming Pools OWNER O•R �pp '�1y FIRM NAME Date Applicant Outlets: Reclught�Sw. 1 � MAIL 20 CERTIFICATE OF EXEMPTION FROM WORKERS' I(� First io g ADDRESS S ,,— Total No. {Jd�— Additional 6'7S� � COMPENSATION INSURANCE CITY Tel No. d PLAN CHECK O (This section need not bb completed if the work involved APPLICANT U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtu s First 20 ADDRESS Total No. Additional •j W I certify that in the performance of the work for which this CITY Tel No. Fixed Appliances Not Over 1 HP permit is issued, I,shall dot employ any person in any manner PERMIT W so as to become subject to the Workers'Compensation Laws. Range_Heater��D.W: APPLICANT p_ Oven _ Dryer_W.M._ ADDRESSN Date Applicant Top _ FAU _.W'H..._ Hood _ Fan • _Other— CITY el No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond.— 9VJ (CENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT N PR S BY with comply with such provisions or this permit shall be deemed revoked. i Size&Type HP,KW,KVA,or KVAR Up to V Incl. •' FINAL Over 1 to 10 Incl. DATE GQ 7-8Z. VALIDATION LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY 1 ness-and Professioris.Code,and my license is in full force and, i �J effect. Services 0-200 Amp:Under 600 V License Number Lic.Class 201-1000 Amp.Under 600 V Contractor Date I Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that .I am exempt from the Contractor's Sign with One Branch Circuit License Law.,for the following reason (Section 7031.5; Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors ":' l 8 6.9 R I, as owner of the property, will do the work.and the Other(See Complete Fee Schedule)— structure is not 'intended or offered for sale (Section 0 0 o a o 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 2 0 0 21.50 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 60 PERMIT FEE (Sub-Total) e a 0 21..`_ ! issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 11,Ob-31 , Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the. TOTAL FEE above information is correct.I agree to comply with all County C-di Of ordinances and State laws regulating Electrical wiring, and ' hereby authorize resentatives of this County to enter upon thove-men 'oned ro rty for inspection purposes. SEE•REVERSE FOR EXPLANATORY LANGUAGE A7. A;V I S/� tgnature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0503 ELECTRICAL PERMIT t DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406100014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID B LD NG D WrSS: TR: 10260 LT: 27 5355 WELLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803508 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8573-016-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 52.00 OUT 82.20 TENANT: G2 LIGHTING FIXTURES 20.00 LGT 39.00 ISSUED ON: PROCESSED Y: PLAN Y: EXPIRES ON: HA FAU LESS 3HP 1.00 FAU 10.95 06/10/04 VG 12/0(/04 H7 RES EXHAUST FANS 2.00 EX 21.90 OWNER: TEL. NO: JS AC UNITS +3-10HP 1.00 AC 19.65 FINAL D T FI BY: CODE: CHAN, ALAN (626) 442-2450- LB 200 AMP PANELS, MCC 2.00 PAN 77.70 p 5355 WELLAND AV "� TOTAL FEES 279.15 TEMP 917803508 DESCRIP ION OF WORK ELECTRICAL FOR ADDITION APPLICANT: TEL. 0: WONG (626) 731-0973- _ 2023 A S. 8TH ST. SPECIAL CONDITIONS: ALHAMBRA, CA 91803 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CHAN, ALAN (626) 442-2450- 5355 WELLAND AVE. LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91730 NONE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. 0: UFER GROUND - WONG, DENNIS (626) 731-0973- 2023 A S. STH ST. LIC. NO: ROUGH CONDUIT ALHAMBRA, CA 9180380 NONE ROUGH WIRING MAIN WATER LINE d PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: SS0508 O S-A 12-43 2SM DDEPARTMENT OF BiMILDING AND SAFI'ff APPLICATION FOR PERl�'1' COUNTY OF LOS ANGELES _ ELECTRIC• WM. J. FOX CHIEF ENGINEER NAME cS /i/'� �s� DISTRICT NO. GROUP ZONE PERMIT NO. C ADDRESS ®� �. ' CITY 9+ �P TEL.NQ. �fU Va.l RECEIVED BY READY FOR DATE ISSUED �( / FIR9(7 ST�INnS'PE;77/9 TION . .CERUN T.NO. ��_ EXPIRE®GJ�"3h fli ' ' �� /I' �. � A� �� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY DESCRIPTION OF WORK ADDRESS ® � E'� G� NUMBER OF OUTLETS ON CIRCUITS LOCALITY C� LOCATION BY ROOMS NEAREST e e 7p LIGHT OUTLETS. SW. PLUGS F17LT CROSS ST. CIRCUIT A B CID E F G H- IC NAME G C Q r! .,P ® Z MAIL 3 ADDRESS %74r 0 CITY TEL.NO. 1 AM THE LEGAL POSE SORL�O�� - AN6�LE8 COUNTY CERT F 7 F IFICATI :.�^ ELR=RICIAN. -I AM TFI6 LEGAL OWNER OR PROPERTY DESCRIBED AMMS - 7�7 OWNER. oRRECTIONS - J Z L7 O TOTAL i No. OF OUTLETS f ffi f �! 'APPROVALS LNO. F FIXTURES J ffi s, ' DATE INSPECTOR'S NAME F MOTORS H.P. ffi CONDUITF SIGNS TRANS. ffi WIRINGF RANGES OR HEATERS ffi FIXTURESLLANEOUS ffi POWER ��T FEE ��`� I V f ffi UTILITYCO.NOTIFIED .i. 1 h ,�}11 �\N hlF V �� /� 9 e-') FINAL