HomeMy Public PortalAbout10938 WILDFLOWER RD_Electrical__ •T
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.GA 68.CESDG_G.R, APPLICATI®N F R ELECTRIC PERMIT �1
'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAM BIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT of BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PFJWT FEES
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM EACH FEE MAIL
ADDRESS
TOTAL OUTLETS $ .10 $
4. 14Z
ELEC. RANGES. WATER HEATERS, CITY TEL.NO.
CLOTHES DRYERS .50
ELEC.SPACE HEATERS. STAT-Y. COOK- yy E DRESS,CIAIaI
ING UNITS. GARBAGE.DISPOSERS, lri/•'C/JI ADDRESS, I Y/Al 410�plel
AUTO WASHERS, DISHWASHER .25'
LIGHTING FIXTURES .10 CITY L.N
STATE 'J f
MOTORS LICENSE NO. v
HORSEPOWER D STRICT•NO. GRO P ON' READY FOR INSPECTION
H.P: OVER INC.
Be LESS .28 .
2 .50 1 INSPECTION RECORD
2 S 1.00
5 15 1.5C
15 50 2.50
50 200 5.00
MISC.
SIGNSI NO.TRANS
NO.LAMPS g
SERVICE O-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
.::±.
SUPPLEMENTARY PERMIT .50
TOTAL FEE g APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
DATE INSPECTOR'S SIGNI
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1
ELECTRICAL WIRING. WIRING
Ir HEREBY CERTIFY THAT I AM PRO E. REGISTERED AND/OR r'1
LICENSED AS REQUIRED BY LOS ANG ES CO TY STATE OF FIXTURES 1l2r e-.rnw:f••CALIFORNIA OR THAT AM THE AL 0 ER HE ABOVE POWER
DESCRIBED RESIDENT RTY.SIGNATURE UTILITY CO.NOTIFIED OF PERMTTTEil
FINAL — 4L
JOHN A.LAMBIE. ARTHUR C.VEIT. a
:OUNTY ENGINEER VALIDATION SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
LQ 41. 0 2�; Nov 7 2 1 0.10 M
WORKER'S COMPENSATION DECLARATION X663 DPW 9/89 p�������'®pA ®® ELECTRICAL ®�®f�AIT
I ly affl�that I have a certificate of consent to self insure, APPLICATION I7 r-ERMIT
at Icate 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.) —�pJ� q�/�
Policy NO. Companys 1R e FIA00 FOR APPLICANT TO FILL IN JOB
ADDRESS
Certified copy is hereby furnished. New Residential Bldgs.&Pools 1&2-Family,Sq.Ft. $ _EACH NO. $ FEE LOCALITY
t
Certified copy is filed with the county building inspection NEAREST
apartment. Multi-family Sq.Ft. CROSS ST.
Det Applicant Residential Swimming Pools �, ASBESSOR //��l
MAP BOOK PAGtV PARCEcnq
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.&_Light�G Sw. / b FIRM N OR
COMPENSATION INSURANCE f�'1® FIRM NAME ja�!
First 20 MAIL
(This section need not be completed If the work involved by the Total No..116 Additional ADDRESS I� t J
permit is for one hundred dollars($100)or less,)
I certify that in the performance of the work for which this.permit CITY ` Tel.No.
Is issued, I shall not employ any person In any manner so as to PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT
Total No. Additional
ADDRESS
Date Applicant 15 OR 20A,120V BRANCH CIRCUITS
J�
NOTICE TO APPLICANT:•If, after making this Certificate of ��� /� CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH
provisions of the Labor Code,you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT_ APPLICANT
provisions•or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH
LICENSED CONTRACTORS DECLARATION ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 2DA,208V TO 277V LIGHTING EACH 7440
O
(commencing with Section 7000)of Division 3 of the Business and CITY---V, G, Tel.No. 7 'ZV
Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR
Power Apparatus&Large Appliances REG.NUMBER :��22
O
License Number Lic.Class`P � Size&Type HP,KW,KVA,or KVAR DISTRICT NO. �y (� PROCCE ED BY U
Up to 3 Incl. D(/ ri•GI�G� �
J, Over 3 to 10 Incl. FINAL
CMeol
Contractor Date "l! Over 10 to 50 Incl. DATE W
I am exempt under Sec. Over 50 to 100 Incl.
[�i 4Ti VALIDATION
Over 100 FINAL
B.&P.C.for this reason BY
Services,Swbd.,MCC&Panelboards
Date' 0-200 Amp.Under 600 V
Signature 201-1000 Amp.Under 600 V
❑ Over 1000 Amp.or Over 600 V
Exemption for Reg.Maim.Elect.
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit
for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits t -
Code): M _ -
❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule)
-^._•
and Professions Code). -
CONSTRUCTION LENDING AGENCY _`ib'"=� „j_j.
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) r��
Civ.C.) rn
ZZ
PLAN CHECKING FEE
;-
Lender's Name _ .�� i
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and state that the aboke 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 I
pro eHffspecti urpo SEE REVERSE FOR EXPLANATORY LANGUAGE
SI NATURE OF APPLICANT OR ENT - DATE
WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I helbby affirm shpt I have a certificate of consent to self CE-806G
� inlurea—or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
ona cerflRed 2bpy thereof Sec. 3800, Lab. C.)
Pollicy N� o pony F_1V O#J-k— FOR APPLICANT TO FILL IN JOB11
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS ► �l Vta
1 &2-Family,.Sq. Ft. 3 e—
Certified copy is filed with the county building inspec- $ — $ LOCALITY
tion department. Multi-family Sq. Ft. NEARESTCROSS ST.
Date�1 Residential Swimming Pools �vin ��cdh
2�`��pplica li n i`.��� OWNER OR '
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
Outlets:Rec 2- Light Sw._
COMPENSATION INSURANCE First 20 ADDRESS PilY�-C.
(This section need not be completed If the work Involved by Total No. Additional CITY Tel. No. _ ws
the permit is for one hundred dollars($1100)or less.) 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
Total No: Additional
CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of
Exemption, you should become subject to the Workers' Range_ Heater—D.W. _ APPLICANTiiQJtQort �L..
Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS Lop I C&)-
with comply with such provisions or this permit shall be Top _ FAU —W.H. —
deemed revoked. CITY - Tel. No.& _f5 0
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_
Disp. Room Air Cond. LICENSE OR �+ Class.
I hereby affirm that I am licensed under provisions of Chapter 91 REG.NUMBER p ��
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PROC D BY
and Professions Code,and m license is in full force and effect.
y S
/ Size&Type HP, KW, KVA, or KVAR' 916
License Number ,`L Lic.Class._ �_ Up to 1 Incl. d FINAL .� %99
;Contracto�nV i"'�LM'EA&l�Ao Date ' �� Over 1 to 10 Incl. DATE �-z Z:� VALI TION
Over 10 to 50 Incl. FINAL. u
❑ I am exempt under Sec. Over 50 to 100 Inc. BY "La
BAP.C. for this reason Over 100 22 g
"140V
Date: Services; Swbd., MCC&Panelboards ®j
0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V V 6 Q 7 A
# o o o 0 0 2
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME.OWNER-BUILDER DECLARATION Sign with One Branch.Circuit o 0 0 0.
I hereby affirm that I am exempt from the Contractor's License o'o o T
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits U
0228-99
Professions Code):
❑ I, as owner of the property, will do the work and the M;sc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule,)_
7044, Business 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 PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE
Lender's Name " T
PERMIT ISSUING FEE (f
Lender's Address .
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
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
he above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o Permittee Date
n COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0103160018
BUILDING AND-SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL I ES PAID TDILDING ADDRESS:
TR: 23949 LT: 9 10938 WILDFLOWER RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803511
ASSESSOR IORMA 0 N M8 R: NEAREST CROSS STREET: WELLAND
8573-034-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
TENANT: H7 RES EXHAUST FANS 1.00 EX 10.95 ISSUED ON: PROCESSED B N EXPIRES N:
TOTAL FEES 40.65 03/16/01 JK 09/12/01
OWNER: TEL. NO: FINAL DATE E Y: CODE:
THOMAS JAMES W JR;JOYCE K XP-
10938 WILDFLOWER RD �RNF
TEMP 917803511 IDESCRIP T 0 OF W R
REMODEL EXISTING BATHROOM
APPLICANT: TEL. NO:
TOM OLEARY (626) 287-0927-
5823 AGNES SPECIAL CONDITIONS:
TEMPLE CITY, CA -
CONTRACTOR: TEL. NO: -� " +`~ "•
TOM ONLEARY CONSTRUCTION (626) 287-0927- !'/��%%- r APPROVALS DATE INSPECTOR SIGNATURE
5823 AGNES AVENUE LIC. NO �'.. TEMPORARY OWER P
TEMPLE CITY, CA 91780 489354 B-1 ;
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TRE-0:U0: UFER GROUND
LIC. NO: ' ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- UTILITY COMPANY NOTIFIED
1.7
REPORT ID: DPR265 ROUTE TO: BS0508
e '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELE PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS1-0508r-9711U500F48
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL-ID: FEESPAIDg•
TR: 23949 LT: 9 (393"1.04-LOWERD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803511
ASSESSOR INFOR14ATION NUMBER: NEAREST CROSS STREET:
8573-034-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED 0 PROCESSED EXPIRE
11/05/97 UT 11/ 8 .
OWNER: TEL. N0: FINAL DATE FINAL BY: CODE:
THOMAS JAMES W JR;JOYCE K - I�.�
10938 WILDFLOWER RD
TEMP 917803511 SCRIPT 0 R
C L S EL AD
APPLICANT: TE NO:
CALIF. CUSTOM SUNROOM (626) 401-2756-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: ' ® APPROVALS DATE INSPECTOR SIGNATURE
CALIFORNIA CUSTOM SUNROOMS (818) 401-2786-
11675 RANCHITO LIC. NO TEMPORARY POWER POLE
EL MONTE, CA. 91732 638623 B
�¢'�, UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: 0: - `. r/ '$' ti _„ � UFER GROUND
LIC. N0: �I �` I '�� ROUGH CONDUIT
-'1 ROUGH WIRING
I�7 � 'I MAIN WATER LINE
A� y�J i' i`*a J j PLASTIC Y/N METAL Y/N
l IT PA OTI ED
REPORT ID: DPR265 ROUTE TO: BS0508