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HomeMy Public PortalAbout5530-5538 WELLAND AVE_Electrical__ 76AG63-CES0611/70 APPLICATION FOR ELECT _CAL PERMIT 'fl COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 25 ADDRESS ) °r OVER 20 TEL. SWITCH_ .10 PLAN CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT • ' FIXTURES OVER 20 •10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. -F.A.U. ADDRESS SPACE H AIR COND. CITY fo } TELg CLOTHES WASH. DISHWASH. LICENSE N0. CLASS�r' FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPE Y REGISTERED AND/OR 0 - 1.00 LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL R OF, AND INTEND TO >. 7 - 10 3,00 RESIDE IN, THE ABOVE DESCRI 6 IDENT L PROPE Y. C O SIGNATURE U 10 - 50 5.00 OF PERMITT 50 - 100 10.000 r'; NO. CLASS ZO PRO SSED BY 100 - 500 15.00 g aw SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: N TUBE, OR ? MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FI XTU R PERMIT FEE (SUB TOTAL) POWER AUTHORI7ED UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHAN . TOTAL FEESUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. fm.0. CASH PERMIT VALIDATION CK. M.0. CASH 5.Gi�� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76.0563-CE805 1/70 APPLICATION FOR EL &RI66ER910 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5 Q /�� cz JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING '� NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS d 77.E r✓� OVER.20 CITY .Ga�� TEL. NO. - SWITCH .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 20 APPLICANT OVER 20 ADDRESS FIXTURES .f0 APPLIANCES CITY TEL. NO. PERMIT - / RANGE ®&J DRYER_WTR. HTR. APPLICANT C?_V STA. COOK DISP. F.A.U. ADDRESS C7 SPACE HTR. AIR COND. CITY )�G �i TEL. NO �S CLOTHES WASH. DISHWASH. LICENSE NOG - CLASS. IF FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE 10 - 50 5.00 OF PERMITTEE 0 V 50 — 100 10.00 DISTRICT NO. CLASS GROUP � ESSED BY O 100 - 500 15.00 o y V SIGN, GASSIGN AND ONE CIRCUIT 3.00 NOTES: -� �� W TUBE, OR ft /t) MARQUEE ADDITIONAL CIRCUITS 1.00 ? SERVICE NOTOVER 600 VOLTS OR 200 AMP 2.00 SERVICEOVER 600 VOLTS OR 200 AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 ©Q AB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH C ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 12-6171 7/ FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JO PH'C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK. M.O. CASH 4 P.. 0 5 1 2 ti •,All 2 6 2 D 5.o 0, ol SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CEB0611/70 APPLICATION FOR ELECTRICAL PERMIT U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 3' COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. �s 7EPT— r TS NO. EACH FEE OWNER $ $ MAIL FIRST 20 25 ADDRESS 0 TOTAL OVER 20 SWITCH_ 10 CITY TEL. NOPLAN CHECK LIGHTINGFIRST 20 25 APPLICANT FIXTURES TOTAL .10 OVER 20 ADDRESS APPLIANCES CITY TEL. NO. IT PERM RANGE DRYER_WTR. HTR. APPLIPERM STA. COOK DISP. F.A.U., ADDRESS /f SPACE HTR. AIR COND. CITY TEL. NO CLOTHES WASH. DISHWASH. l LICENSE NO. CLAS FAN-7-OTHER 1.00 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY O'ROINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Op 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO } 1 - 10 •• D yy RESIDE IN, T ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 — 50 5.00 V SIGNATURE OF PEITTEE 00 z or 50 — 10010.00 O DISTRICT NO. CLASS P CESSE B V 100 — 500 15.00 �0 ZO E— - SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: h TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAS WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTUR PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIED PLAN CHECK FEE Ire- F Z PERMIT ISSUING FEE 3FINAL .00 J SEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH' PERMIT VALIDATION Fi. M.0. CASH Lito 3 8 5 7 4 jAw c uA g.n n_ y SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ' 76A663-CE80611/70 APPLICATION FOR ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES r DEPARTMENT OF COUNTY ENGINEER ADDRESS �, jf� � BUILDING AND SAFETY DIVISION A ST COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY CROSS ST. �✓ EREST FOR APPLICANT TO FILL IN 6 OUTLETS NO. EACH FEE �p ,e OWNER Ni7t..yy RECEPT._ S $ ADDRESS LIGHT TOTAL FIRST 20 .25 OVER 20 Cl TY TEL. N1�'L,6 J SWITCH_ I0, d6PLAN CHECK LIGHTINGTOTAL .f0FIRST 20 .25 APPLICANT FIXTURES OVER 20 ADDRESS APPLIANCES CITY TEL. NO. PERMIT �� r7 RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U.,7- ADDRESS 18V l I jtlfj OW SPACE HTR. AIR COND. CITY TELd(I1&&16.1 CLOTHES WASH. DISHWASH. LICENSE NO. ,, CLASS. &-" FAN 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 71 aV AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE IN TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE L AL OWNER OF, AND INTEND TO >- �y 1 - 10 RESIDE IN, THE ABOVE DES ED RESIDENTIAL,,a�s�,�,PROPERTY. 0 CL ,�. SIGNATURE .r �T/�✓%:N IJ 10 - 50 5.00 OF PERMITTEE I= 50 - 100 10.00 0 DISTRICTNO. CLASS ZON CESS F- 100 - 500 15.00r n IGN, GAS=SIGN ONE CIRCUIT 5.00 NOTES: N Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1..00 SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS GATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURO POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHAN TOTAL FEE0 SUPERVISING E AL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK� M.O. CASH uit,o s AN 5 2 D 4 2,00- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1 76A663-CE60611/70 APPLICATION FOR ELECTRICAL PERMIT I__I COUNTY OF.LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER BUILDING >„ BUILDING AND SAFETY DIVISION ADDRESS (R✓ COLEMAN W. JENKINS. SUPERINTENDENT OF BUIL INC LOCALITY FOR APPLICANT TO FILL IN CROSS NEARENEAR ST. fig ✓•✓Y� OUTLETS NO. EACH FEE OWNER 0�� ' �. r RECEPT._ $ s MAIL LIGHT TOTAL FIRST 20 25 ADDRESS �/ •�.SY�iYc�aW OVER 20 CITYi G TE SWITCH_ f0 PLAN CHECK LIGHTING TOTAL F .10 FIRST 20 25 APPLICANT FIXTURES OVER 20 ADDRESS APPLIANCES CITY /TELL.. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT �� / /7 STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. �C�I CLOTHES WASH. DISHWASH. LICENSE NO. CLASS —,J FAN OTHER 1.00 �1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CCC {! AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY MOTOR9, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO e 1 — 10 �h RESIDE IN, THE ABOVE DE RIBED RESIDENTIAL PROPERTY. O ` W SIGNATURE 10 - 50 5.00 OF PERMITTEE VVVfff 50 - 100 10.00 DISTRICTNO. CLASS ZO P ESSE V 00 - 500 15.00 ij:04 3 a SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: h Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP / 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURE1S POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL / Z PERMIT ISSUING FEE 3.001 JOSrEPH C. ROOHAN TOTAL FEE4 SUPERVISING EMR ENGINEER, PLAN CHECK VALIDATION CK. •M.0 CASH PERMIT VALIDATION CK. M.O. CASH :LAW 1 8 5 5.N JAN 5 .2 p 22,00- SEE 2,00NSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Wr 76AG63-CES0611/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION BUILDING 5,3 ADDRESS COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY 1 NEAREST , FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH FEE OWNER � RECEPT._ $ $ MAIL FIRST 2025 ADDRM LIGHT TOTAL —w J,/� OVER 20 CITY TEL. NO �j� SWITCH_ 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .10 ADDRESS • • APPLIANCES CITY TEL. N0, PERMIT ''l RANGE DRYER�WTR. HTR._ APPLICAn4: STA. COOK DISP. F.A.U. ADDRESS ,34i Jlr SPACE HTR. AIR COND. CITY TEL. NO CLOTHES WASH._z_DISHWASH. LICENSE NO., CLASI&LAP FAN_j&OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORM ER9 RATJNG WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW% KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS XNGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM TH LEGAL OWNER OF, AND INTEND TO �. �•- 1 - 10 �' RESIDE IN, THE ABOVE CRISED RESIDENTIAL PROPERTY. a {-J 10 — 50 5.00 SIGNATURE Uu EE OF PERMITT OC 50 — 100 10.00 0 DISTRICT NO. CLASS ZOR P ESSE BY 100 - 500 15.00 �(,d �-3 a SON, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: N TUBE, OR ? MARQUEE ADDITIONAL CIRCUITS IAO SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING FIXTURES POWER AUTHORIKED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 of JO EPH C. ROOHAN . TOTAL FEE SUPERVISING EL CAL ENGINEER, PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH U it,0 8 5 4.-t4 J m 5 2 D 22.00- SEE 2.0ONSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Uzttl 76.0663-CE80611/70 APPLICATION FOR ELECTRICAL E M LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRE 42 LOCALITY COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE $ $ OWNER RECEPT._ AI L ADDRESS LIGHT TOTAL FIRST 20 25 OVER 20 CITYZ TEL. N SWITCH_ •10. PLAN CHECK FIRST 20 •25 APPLICANT, LIGHTING TOTAL FIXTURES .10 OVER 20 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS f _ SPACE•HAIR COND.— CITY.. ,I 'TEL. NOt CLOTHES WASH.' DISHWASH. LICENSE NO. CLASS FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY OIIiDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES qapVIrrY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OW.MZIR OF, AND INTEND TO }' 1 — 10 3.00 RESIDE IN, THE ABOVE 0E5CRI0 RIMIDENTIAL PROPERTY. O SIGNA 10 — 50 5.00 OF PERMRITTE V Cd 50 — 100 10.000 DISTRICTNO. CLASS Z SED BY I­ 100 100 - 500 15.00 . 3' Ul SIGN, GASSIGN A TUBE, OR NO ONE CIRCUIT 5.00 NOTES: N Z MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 SERVICE OV ER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVI CE,POLE,&APPURTENAN CES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTUR PERMIT FEE (SUB TOTAL) POWER AUTHORI7ED , UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHA TOTAL FEE SUPERVISING EOL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ( ' 1 7 18z_' _oL '3f 2 0 7.0 0' r. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76063-Ct:606 11/70 APPLICATION FOR LCT ICAL PERAIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRES� o J. COLEMAN W. JENKINS, SUPERINTENDENT OF BUIL ING LOCALITY NEAREST FOR APPLICANT TO FILL 114 CROSS ST. OUTLETS NO. EACH FEE OWNER RECEPT._ $ $ MAIL LIGHT TOTAL FIRST 20 .25 ADDRES ! s OVER 20 CI ) TEL. N0. _ SWITCH_ 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS 7 SPACE HTR ok 2 AIR COND. CITY CLOTHES WASH. DISHWASH. LICENSE NO. CLASS FAN OTHER 1.00 T& 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY EGIS TERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OW OF, AND INTEND TO >_ 1 - 1O 3.00 RESIDE IN, THE ABOVE DESCRIBE R ENT L PROPERTY. O SIGNATURE U 10 — 50 5.00 OF PERMITTEE — Cd 50 — 100 10.00 DISTRICTNO. CLASS ZONE °' O SSED BY 0 100 - 500 15.00 5D� SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: z Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER600VOLTS OR200AMP 3.00 S ERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMRSERVI CE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING 7 FIXTUREIS POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 S. JOSEPH C. ET IW- TOTAL FEE � SUPERVISING EAL ENGINEER PLAN CHECK VALIDATION CK. ivt.o. CASH PERMIT VALIDATIONM.O. CASH .I j rl 4--'-' 2 D 10.00- SEE V.eV~SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7GAG88-CEG061%70 APPLICATION FOR ELECTRICAL PERMIT . B COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 5�.3aJ-313Gv°Opp . f49I BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY Td Y.m Lf- dd•6' COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN .CROSS ST. ONT TS 0. EACH FEE OWNER , D RECEPT. $ $ MAIL aa�� � � � •�� v ' 9 LIGHT TOT//AL FIRST 2025. "� ADDRESS G uS�® V SWITCH D(t�. OVER 20 D CITY �� TEL. NO 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 0,0 I APPLICANT FIXTURESam OVER 20 AD a ADDRESS APPLIAN ESCITY TEL. N0. PERMIT RANGEZ0DRYER;WWTR. HTR20 APPLICANT j R NT A-S r V IM4 C:e STA. COOK DISP2-0—F.A.U. ADDRESS 3 k/ i% IL,dLJf_, t? Gam, pp/ SPACE HTR.—Al R COND. 20 CITY TEL. N0. I10 CLOTHES WASH.20 DISHWASH.� LICENSE NO. CLASS. D FAN THER 1.00 �'J� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. 'HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO ' 'I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE DES RIBED RESIDENTIAL PROPERTY. SIGNATURE /L_//Ry/] � ���� �� 10 - 50 5.00 OF PERMITTEE V 5O - 100 10.00 DISTRICTNO. CLASS GROUP ZONE PROCESSED BY Im 100 - 500 15.00j ,� 3 SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: h TUBE,.OR MARQUEE ADDITIONAL CIRCUITS 1.00 Z SERVICE NOT OVER 600 VOLTS OR 200 AMP SERVICE OVER 600 VOLTS OR 200 AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING PERMIT EEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE(50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE List AO SUPPLEMENTARY PERMIT ISSUING FEE 1 FINAL JOSr8PH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION.. cK. - M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE L/3 0 AL) n I ,,. A 31.1-00 /.1.O0 ' 76,A563,CE60611/70 APPLICATION FOR ELECTRICAL P RMI ' U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING may-.. BUILDING AND SAFETY DIVISION ADDRES 7e COLEMAN W. JENKINS. SUPERINTENDENT OF BUIL I G4 LOCALITY oe NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH I FEE $ $ OWNER J RECEPT._ MAIL LIGHT TOTAL FIRST 20 25 ADDR S "_ e- OVER 20 Ci� TEL. SWITCH_ 10 PLAN CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 •10 ADDRESS " APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR.• APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR.X_�?—AIR COND. CITY •TEL. N CLOTHES WASH.' DISHWASH. LICENSE NO. CLASS FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO.COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS,.ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I OP HEREBY CERTIFY THAT I AM PRY REGISTERED AND/Op 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF CALIFORNIA OR THAT I AMTHE LEGA R OF, AND INTEND TO } 1 — 10 3.00 RESIDE IN, THE ABOVE DESCR E ESIDENTIAL PROPERTY. 0 SIGNATURE U 10 — 50 5.00 OF PERMITTEE 50 — 100 10.00 DISTRICT NCO/ CLASS Z -FRO SS ED BY Q 100 - 500 15.00 `b d/041L. SIGN, GAS =SIGN ONE CIRCUIT 5.00 NOTES: h Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTSOR200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.60 ROUGH CONDI UT WIRING ,s 7 FIXTURE$ PERMIT FEE (SUB TOTAL) POWER AUTHORI7ED UTILITY CO. NOTIFIED PLAN CHECK FEE FI NAL PERMIT ISSUING FEE 3.001. J SEISH C. ROOHAN , TOTAL FEE SUPERVISING ELEC ICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE .. WORKERS' COMPENSATION DECLARATION 76A663 10/81 I hereby affirm that I have a certificate of consent to self insure, CE-8066 APPLICATION FOR ELECTRICAL PERMIT {J or a certificate of Workers Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY u copy thereof(Sec. 3800,Lab. C.) / Policy N .o.E�' (6 19*20 Company?6-C X�iC cutup FOR APPLICANT TO FILL IN JOB �-\, ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS 5`G30 WB-LLIA*-ih ASV New Residential Bldgs.& Pools 1 & 2-Family,Sq.Ft. $ — $ LOCALITY L� Certified copy is filed with the county building inspection department. Multi-family Sq. Ft. — NEAREST y CROSS ST. A Date 1 �(J Applicant Ay�k;�a ��K TaL5_ mr, _ Residential Swimming Pools OWNER OR FIRM NAME Wlt,' , CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec— Light Sw. ADDRESS. ? L1)lL { ' COMPENSATION INSURANCE (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less.) Total No. Additional CITY j - Tel.No. PLAN CHEC I certify that in the performance of the work for which this permit APPLICANT K is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY Tel.No. Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT r provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M. _ ADDRESS-1•1, provisions or this permit shall be deemed revoked. Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATIONCITY Tel.Noris-3 . Hood Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class. f�wl Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. ESS -Y } t� C Size& Type HP,KW,KVA,or KVAR V a License Number 2YA"Ob p L, Lic.Class IL—10 3 M•?,Up to 1 Incl '"1 FINAL O Over 1 to 10 Incl. DATE ContractorA"i-Tn-i y , Date L��� � c -/�' C' VALIDATION 0 ❑ Over 10 to 50 Incl. FIN I am exempt under Sec. Over 50 to 100 Inc. LLJ 0 BAP.C.for this reason Over 100 N Date: Services, Swbd.,MCC & Panelboards , Z_ 0-200 Amp.Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): ❑ Misc.Conduits& Conductors I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other (See Complete Fee Schedule) , and Professions Code). 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(Sec.3097, PERMIT FEE (Sub-Total) Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE 501 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 inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signat e of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0911040019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ]TR: 29825 UN: 1 5538 WELLAND AV 1 [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:j TEMP CA 917802931 ]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WILDFLOWER 18573-019-027 JAI PERMIT ISSUANCE FEE 27.75 ] THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl I IJA HEAT PUMPS +3-10HP 1.00 HT 19.65 1 ] ITENANT: [ TOTAL FEES 47.40 ]ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: ] [ 111/04/09 SR 11/04/10 OWNER: TEL. NO: ] IFINAP DATE F}NA,L/�Y: CODE: 1 IFRANXEL, JAKE (626) 836-5424- i 1 5538 WELLAND AV Irl V \ TEMP 917802931 1 JDE9CftIPtION OF WORK Q1 I I [ELECT TO CONNECT REPLACEMENT HEAT PUMP 1 [APPLICANT: TEL. NO: I I I [GLOVER (951) 279-0604- [ [ ] 15030 VICEROY AVE. I ISPECIAL CONDITIONS: 1 INORCO, CA 92860 1 I [ ]CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE ] [AIR TRO INC. (626) 357-5311- 1 1 1630 S. MYRTLE LIC. NO I ITEMPORARY POWER POLE I I MONROVIA, CA 91016 258228 C10 *I [UNDERGROUND CONDUIT [ [ [ [ARCHITECT OR ENGINEER: TEL. NO: 1 JUFER GROUND I I I I LIC. NO: I IROUGH CONDUIT [ [ [ [ IROUGH WIRING I I [ [ IMAIN WATER LINE I [ [ I I IPLASTIC Y/N METAL Y/N I I [UTILITY COMPANY NOTIFIED I I I I I [ I [ I I [ I [ [ [ I I [ I [ I [* ADDITIONAL DATA ON FILE I I I [ IREPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103090013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 29825 UN: 16 I I 5530 WELLAND AV 16 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802931 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 8573-019-042 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl IJA HEAT PUMPS +3-10HP 1.00 HT 19.70 ITENANT: I TOTAL FEES 47.50 JISSUED ON: PROCESSED BY: PLAN BY: I 103/09/11 SR OWNER: TEL. NO: IFINAL DATE FI CODE: [STEWART, JOHN (626) 450-0784- 1 15530 WELLAND AV 1 1 ITEMP 917802931 1 IDESCRIPTION OF WORK 1 1 I IC/0 FEAT PUMP 1APPLICANT: TEL. NO: I I (AIR TRO (626) 357-5311- 1 1 1 11630 S. MYRTLE AVE. I ISPECIAL CONDITIONS: I (MONROVIA, CA 91016 I C(�( - (CONTRACTOR: TEL. NO: IAPPR ALS U DATE INSPECTOR SIGNATURE 1 (AIR TRO INC. (626) 357-5311- 1 I 11630 S MYRTLE AVE LIC. NO ITEMPORARY POWER POLE I I I IMONROVIA, CA 91016 258228C20 * I I- I I UNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: I JUFER GROUND LIC. NO: I (ROUGH CONDUIT 1 1 1 I I � ROUGH WIRING 1 I IMAIN WATER LINE I I 1 IPLASTIC YIN METAL YIN I 1 1 I (UTILITY COMPANY NOTIFIED( I 1 I* ADDITIONAL DATA ON FILE I I I 1 REPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I