HomeMy Public PortalAbout4850 WILLMONTE AVE_Electrical__ 76A668.CESOS 12-56 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PFJWT FEES CROSS ST. F
ITEM NUMBER EACH FEE OWNER
OAIL
UTL S ADDRESS
LIGHT RECEPT 6W J .10 .
LIGHTING FIXTURES .10 �� CITY TFJd NO.
ELEC.RANGES CLU.DRYfiRS ELECTRICIAN
^ i
WATER HEATERS .50 ADDRESS 6
ELEC CE HTRS. DISHWASHERS
/ TEL.
GARBAGE DISPOSERS AUTO.- CITY NO.STATE
ASHERS TA.COOKING UNITS .25D LICENSE NO.
O OVER INC. H.P. DISI
T NO. 1GROUP Z. NE P ESSED BY
0— 1/2 1/L .25 ��o
1/=— 2 so INSPECTION RECORD
2— 5 1.00
5— 15 1.50 / m
17�"wc �r lei, Rt,c
is— 50 2.50
50-200 5.00
SIGNS:
NO.'TRANS.
NO.LAMPS
SERVICED-600V 1.00 &-o
SERVICE OVER 600V 5.00 C •1s/�;� -.71,0,09 Af
MISC.
•`' d{7,f do o .,�i 7'fi 19 7 i cel
WIRING PERMIT 1.00 '4
FIXTURE PERMIT 1.00 a )� p G�'r Oro ��y n/AC'1D
SUPPLEMENTARY PERMIT50 �"" 7p �.
TOTAL FEE $ ,� APPROVAL r
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION DATE IGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND 'STATE LAWS REGULATING L_
ELECTRICAL WIRING. WIRING Z)_p-.j
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PR ERTY POWER
SIGNATURE ° UTILITY CO.NOTIFIED
OF PERM ITTEP FINAL I !/
VALIDATION ARTHUR C. VEIT.
NO CASH SUPERVISING ELECTRICAL ENGINEER
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ISASSB-CESOS,:BB APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS i� ✓
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT 0.GRIFFIN,SUPT OF BUILDING.. LOCALITY �
FOR. APPLICANT TO FILL IN NEAREST.
PEMWr FM cRosB sT.
1 T E M 14UMBERI EACH FEE OWNER
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .10 ADDRESS
LIGHTING FIXTURES .1.0 'CITY i TEL. NO.
ELEC. RANGES CLO. _ELECTRICIAN
WATER HEATERS •50 ADDRESSCITY TL .-PO.i
ELEC.SPACE HTRS. DISHWASHER$
. 1 EN
GARBAGE DISPOSERS AUTO.- STATE �Z. 5
WASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRI T NO. GROUP ZONE �SED
O— V2 .25
y2— 2 .50 M==0rj M==0RECORD
2— 81.00
S— t5 1.80
18— SO 2.80 ��-
SO—200 8.00
SIGNS: NO. TRANS.
NO. LAMPS
SERVICE 0-600V 1.00
SERVICE OVER GOOV 5.00
M ISC.
WIRING PERMIT- 1.00
oq
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 ,j Q
TOTAL FEE S APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE ' INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS AN ,LES LINTY AND ST TE OF `FIXTURES
CALIFORNIA OR THAT I HE EG WNER OF ABOVE
DESCRIBED RESIDENTIA E ': PO?JVER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FI NAL
LIDATION ARTHUR C. VEIT,
SUPERVISING ELEQTRICAL ENGINEER
NO . CASH
8 5 9 7 DE 2 A ,Q 0 n
FUGIM-cee0e s-es APPLICATION F®R ELECTRIC-PER-MIT 1 .
COUNTY OF LOS ANGELES ll.
DEPARTMENT OF COUNTY ENGINEER qq
BUILDING AND SAFETY DIVISION ADDRESS e✓ _� ��✓ ,e�"
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING _ ��
LOCALITY
FOR APPLICANT TO FILL IN . NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER EACH FEE OWNER. :�*:1- • i
7RECEPIT.
$ MAIL
SW. 10 ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
" ELEC.RANGES CLO.DRYERS ELECTRICIAN 9
WATER -HEATERS .190 ADDRESS - Mi
ELEC.SPACE HTR& DISHWASHERS CITY ! /TEL.NO.
GARBAGE DISPOSERS tao.- STATE
WASHERS STA.COOKING UNITS .23 LICENSE NO.
MOTORS: OVER INC. H.P. 'DISTRI T NO. G$O_IP Z NE I P ESSED B
0— V2 / .25
�> — 2 -50MS,?E=ON CORD
2— s 1.00
5-- is 1.50
Is— so 2.50
50-200 15.00 J.
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR " WIRING
LICENSED AS REQUIRED .BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL"OPARTY. POWER
SIGNATURE '� � UTILITY CO.NOTIFIED
OF PERMITTE Tl �
FINAL
�a DATARTHUR C.
cg .0 CASK ION SUPERVISING ELEGTRiCAi.ENGINEER
'�O 3i 7 3 v; OCT 6 2 A1.0 0 K
c�
-7BA66��280812-58 APPLICATION FOR ELECTRIC PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS � ,
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF 3IIILOIN6 LOCALITY
FOR APPLICANT TO FILLS IN NEAREST
PERMIT FEES ceoss ST.
ITEM NUMBER EACH FEE OWNER 0
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .1O ADDRESS Q 1.L 90/19 L
LIGHTING FIXTURES l' .10 CITY 7' Z17.14 TEL.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 Ap SSI'1 0
ELEC.SPACE HTRS. DISHWASHERS
C TEL NO.vt/.
GARBAGE DISPOSERS AUTO.- STATE /�
WASHERS STA.COOKING UNITS .25 LICENSE NO.I (W/ iffrQ
MOTORS; OVER INC. H.P. DISTRICT NO. 0 ZONE CESSED B
O— yz .25 �
Ma— 2 .50 �� , INSPECT10"t-t-InTi
2— 5 1.00P_ 1 d . d
5— 18 1.50. � 1 a .. 1
15— 50 2.50 - !}✓Rr � I
50-200 5.00 2L6 o �- `
14 r�Rl- cre�1
SIGNS: NO.TRANS. - - ..
NO.LAMPS
SERVICE 0-500V 1.00
SERVICE OVER GOOV 5.00
MISC.
WIRING PERMIT 1.00 "+
FIXTURE PERMIT 1.00 ...r
SUPPLEMENTARY PERMIT .50
TOTAL FEE APPROVALS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY T T 1 AM PROPER Y R STERED AND/OR t
LICENSED AS R I E BY LOS AN6ELE COU C STATE OF FIXTURES
CALIFORNIA O TH AM THE LE 0ekRhl
THE ABOVE
DESCRIBED R SIDE 1 PRO EPOWER
SOF PERM/ UTILITY CO.NOTIFIED 4 Y I� r
FINAL
ATION ARTHUR C. VEIT.
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
,_
WORKERS'CClMPENSAfION 4ECLARA$ON C 806G 10/81 A[PTLECATOON FOR ELECTRICAL PERMIT
1 Sigreb`y f rm �ipt I have a certificate of consent to self
insure3 certi Icate of Workers'Compensation Insurance, (COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lob. C.)
PQolicy,Nb. , Company FOR APPLICANT TO FILL IN JOB
FEE ADDRESS d U
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO, LOCALITY
Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $
tion department. Multi-family Sq. Ft. NEAREST
CROSS ST.
Residential Swimming Pools OR
Q
Date Applicant FARM NAME S. e
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw.y_ MAIL
COMPENSATION INSURANCE First 20 ADDRESS
(This section need not be completed if the work Involved by Total No. Additional CITY Tel. No.
the permit Is for one hundred dollars($100)or less.) PLAN CHECK
It fir
I certify that in the performancZanyany
which this APPLICANT
permit is issued, I shall not emplmannerso as to become su ject to the ' n Laws. Lighting Fixtures First 20 ADDRESSTotal No. Additional CITY eDate pplicant �1
NOTICE O PLICANT: If, after rKinking t Certificate of Fixed Appliances Not Over 1 HP APPLICANT
Exempion, you should become subje the Workers' Range_ Heater—D.W. —
Compensation provisions of the Labor e, you must forth- Oven _Dryer W.M.— ADDRESS
with comply with such provisions o this permit shall be Top — FAU W.H. — CITY Tel. No.
deemed revoked. Hood _ Fan _Other—
LICENSED CONTRACTORS DECLARATIONLICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class.
(commencin'g with Section 7000)of Division 3 of the Business DISTRICT NO. PROCES BY
and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances \ 'r /
Size&'Type HP, KW, KVA, or KVAR• c U O
License Number Lic. Class FINAL
Up to 1 Incl. +�J
Over 1 to 10 Incl. DATE 1. v V
V 1 ATION 09
Contractor Date Over 10 to 50 Incl. �
❑ FINA"Y U)
I am exempt under Sec. Over 50 to 100 Inc. BY In
B.&P.C. for this reason Over 100
Date: Services, Swbd., MCC&PonelboardsLIT�t% >/ V
0 -200 Amp. Under 600 V v
Signature 201 - 1000 Amp. Under 600 V ;2 71 7.9 A
Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect. t # 0 0 0 0 0 2
SINGLE FAMILY Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 - - 29.00
1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits o 0 - 29.00'u
Law for the following reason (Section 7031.5, Business and
Professions Code):
IZ , as owner of the property, will'do the work and the Other
Conduits&Conductors0604-87
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. 30971 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 TOTAL FEE f
above information is cor�ct, Wgree to comply with all County
ordMPerml
egulating Electrical wiring, and
heratives of this County to enter upon
thes for ins ection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
10
Da
WORKEI.S'CI hfavo -dbrti DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT'
I hEtrebSi• ` Phat.l havrr y�_�rtificate of consent to self CE-806G
insure,-•ora �;Y4icate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certifi�e�Jcop�py''thereof(Sec. 3800, Lamb. Cj.), t
Policy No`�'i-� C1;7`Company5 �T su Py)uo FOR APPLICANT TO FILL IN JOB
ll�}] Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 4
❑ Certified copy is filed with the county building inspec- I &2-Family, Sq. Ft. $ — $ LOCALITY u
tion department. Multi-family Sq. Ft. — NEAREST �A
3 - - '� 2e� A..)Cr Residential Swimming Pools CROSS ST, Lou-, PE, �?2 a 44
Date pplicant �� OWNER OR
CERTIFICATE OF EXEMPTION FROM WORKERS' FIRM NAME (6f C
Outlets: Rec ! Li ht � Sw / FIA
COMPENSATION INSURANCE ADDRw"��
/ vImUC y5
(This section need not be completed if the work involved by First 20 / GAJ
the permit is for one hundred dollars($100)or less.) Total No. Additional CITY f(�f�r�f�(.(i C� Tel. No��2 ¢ 'Z'
I certify that in the performance of the work for which this PLAN CHECK � .}
F e
permit is issued,I shall not employ any person in any manner p
so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADPLICAtVT
L}� t✓'V
DRESS 1 �jr Q1,L JCCx'fM
Additional !�
Total No. CITY &I Tel. No. 7 P
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. ` APPLICANT ,pC�
Compensation provisions of the Labor Code, you must forth- Oven — Dryer W.M. ADDRESS
with comply with such provisions or this permit shall be Top FAU —W.H:—
deemed revoked. Hood Fan Other_ Y CIT �'� Tel. No. zrq L761.7�
LICENSED CONTRACT6RS DECLARATION _
LICENSE OR
Disp. Room Air Cond. Z Class.
I hereby affirm that
(commencing with Section.7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. PROCESSED BY
and Professions Code,and my license is in full force and effect. Type IC N q 02! �'70 Size&T e HP, KW, KVA, or KVAR- �,7 (f
License Number ! Lic. Class Up to 1 Incl. FINAL124Zee V 7 Over 1 to 10 Incl. DATE
Contractor �` 6 Date �G7 VALIDATION L)Over 10 to 50 Incl. FIN W
❑ I am exempt under Sec. Over 50 to 100 Inc. BY Il.'
B.BP.C. for this reason Over 100 If1. Z
Date: Services, Swbd., MCC&Ponelboards
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
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 Additional Sign Branch Circuits g 6 7 (15 A
Law for the following reason (Section 7031.5, Business and
Professions Code): # o 0-.0,0,0 2
❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee.Schedule),_ ° -A 1.7 5
7044, Business and Professions Code).
41.75
CONSTRUCTION LENDING AGENCY
°
I hereby affirm that there is a construction lending agency for 03,20-87
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
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 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
the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1409290028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 9648 LT: 18 UN: .003 I 1 4850 WILLMONTE AV 1
I (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917804042 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18589-025-013 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI
1G1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 I I
[TENANT-1 IG2 LIGHTING FIXTURES 1.00 LGT 2.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 TOTAL FEES 31.80 109/29/14 SR
I 1 10WNER: TEL. NO: 1 1FINAL DATE FI BY: CODE:
ISURMENIAN ARA;LISE (626) 941-6191-
14850 WILLMONTE AV I I
1TEMP 917804042 I I SCRIPTION OF WORK m1
I
[ 1 11 EXISTING EXT LAMP TO BE REPLACE 1
APPLICANT: TEL. NO: 1 1 1
ICORREA, MANUEL (626) 786-2347-
12509 EUCLID CRESCENT I [SPECIAL CONDITIONS: 1
1UPLAND CA 91784 1
I 1 1 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IB X D CONSTRUCTION (626) 786-2347- 1 1
12509 EUCLID CRESCENT E LIC. NO I ITEMPORARY POWER POLE I I I
(UPLAND CA 91784 627142 I
1 1 (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 UFER GROUND
1 _ 1 I I I
LIC. NO: i 1ROUGH CONDUIT I I
1ROUGH WIRING 1
I 1
1 I 1MAIN WATER LINE I I I
1 1 [PLASTIC YIN METAL YIN I I I
I (UTILITY COMPANY NOTIFIEDI I I
1 1 i I I I
1 1 I I I I
1 1 I I I I
1 1 1 I I I
1 1 I I I I
I I I I
1 I I I I I
1 I I I I I
1 1 I I I I
1 �
1 I I
1 1 ► i ; I
I I I I I I
1 1REPORT ID: DPR265 ROUTE TO: BS0508
I 1 I I