HomeMy Public PortalAbout4927 WILLMONTE AVE_Electrical__ 70AB68•CESOB I2-BB APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BviLDIN -
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
CASBATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL, IN CROSSNEAREST
PERM FEES CROSS sr. tPiv
ITEM NUMBER EACH FEE OWNER
OUTLETS: / 10 $ MAIL
LIGHTS RECEPT. BW. ADDRESS
LIGHTING FIXTURES 10 CITY A hEd2fa2A TEL NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATE-R HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS "
CITY i4wTEL.NO.
GARBAGE DISPOSERS AUTO..
STATE
WASHERS STA.COOKING UNITS .25 LICENSE N&
MOTORS: OVER INC. H.P. DISTRICT NO. I GF�O.UP nNNE P OCESSE BY f
0— I/r .25 C�' ..��� f
V2— 2 .50 INSPECTION RECORD
2— 5 1.:00
5— Is 1.50
15— 50 2.50
30-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 4.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ APPROVALS
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 4;' �� ..1 r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUITL
ELECTRICAL WIRING. I} rq
i ��
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING 7 1�%
t LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 'FIXTURES
LLATUR
IA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
D RESIDENTIAL P/gE7PERTY. lid POWER
E l y UTILITY'CO.NOTIFIED
MITTE
�P VALID QN A " FiIJR C. VEIT.
CK M CASH SUPERVISING ELECTRICAL ENGINEER
LAGo 7 7 3 2 EAA AN .9 2 A 3.4 0 M
" r
7GA663-CES06 3-64 APPLICATION FOR ELE.CTRIAPERMIT
d�COUiNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER y�
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Lep
RECEPT. TOTAL NO. I EACH .FEE
OUTLETS FIRST 20 S.20 S OWNER ' IPQ
LIGHT MAIL
ADD'L .10 ADDRE88 �v
SWITCH. OVER 20
TOTAL CITY � Is T TEL.NO.
LIGHTING FIRST 20 .20
FIXTURES ADD'L .10 ELECTRICIAN
OV R 20
A_ MMES CLO.DRYERS NRR:HTRS. 1.00 _&V ADDRESS
GARB.DISP. BTA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.CVa H.P.MAX.) .50 LICENSE NO.
MOTORSi OVER NOT OVER H.P. DIST RI T GR ZONE PR 88ED.BY
O 1 1.00 jig '
I 3 1.50 INSPECTION RECORD
s s 2.00 .5— I V
8 — Is 2.50
is 50 3.00
s0 100 5.00
_ s �Il y
SIGN8I Z
NO.u e
SERVICE 0.60OV-Nor OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00 -! �s vY A
SERVICE OVER 600V 5.00 �yt �/�
MISC. f, _:J�6 fl,gP l — 941,64 '
3 v
4-411-Iffv
PERMIT ISSUING FEE 2.00
A
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI&ATION APPROVALS DATE I INSPECTOR'S SIGNATURE•
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL•COUNTY ORDINANCES.AND STATE LAWS REGULATING p
ELECTRICAL WIRING. I WIRING W
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR f �y
LICENSED AB REQUIRED BY LOS ANGELES COUNTY ANIS STATE OF FIXTURES .A
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL-PROPERTY. POWER p I ./!
SIGNATURE UTILITY bO.NOTIFIED !�7 a�0 116
OF PERMITTEE FINAL 6!
�vf !
VALIDAT A
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LhLo 5 4 4 9 SEP 10 2 D 4,0 0 N
JF. Www
4SAGGS-CES06.11-11%APPLIC.ATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ]ME=
DITUTNJENT OF COUNTY ENG21M BUILDING
BUrnDING AND SAF�EnnT�Ypp DIMON ADDRESS
CAsA1T D.GHIIrFIIiC�6np't ad
LocALITY
FOR APPLICANT TO FILL IN CROSSE S.
PERMIT FEES
ITEM NUMBER EACH FEE OWNER
OUTLETS:I MAIL
LIGHTS I REcEPT. sw. 10 ADDRESS /
LIGHTING FIXTURES .f0 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS
ELECTRI AN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS 1 .25 'STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
0— .25'
DISTRICT ,O. GROUP N READY FOR INSPECTION
1/a Ir
1/2 — 2 .SO
2— 5 1.00
INSPECTION RECORD
a — 1S 1.80
Is — SO 2.80
SO— 200 5.00
' SIGNS: NO.TRANS.
NO.LAMPS -
SERVICE 0-000V 1.00
SERVICE OVER 600V 5.00
MISC:
WIRING PERMIT 1.00 ✓
FIXTURE PERMIT 1.00 'r
SUPPLEMENTARY PERMIT .S.O'
TOTAL FEE I$ APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS 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 FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDE TIAL P OPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE /
FINAL LIXr-
VALIDAT D� ARTHUR C. /EF
cK Mo s SUPERVISINGECTRICAL ENGINEER
3 8 0 7 MR AUG 1
3 2 A 2.5 0 i .
44K3-C,E8.610,72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
BUILDING AND SAFETY DIVISION YTFOR APPLICANT TO FILL IN T.
NO.. EACH FEEOWNER OR
,/
OUTLETS FIRM N ME 0 ,4
RECEPT._ $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
OVER 20 CITY TEL. NO.
SWITCH IO PLAN CHECK
LIGHTINGTOTAL
.10
FIRST 20 25 APPLICANT
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOKDIP. F.A.U. ADDRESS
SPACE HTR, y/ AIR COND. CITY TEL. NO.
CLOTHES WASH. DISH:WASH. LICENSE OR CLASS.
REG. NUMBER
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 IN TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI' I A. THE LEGAL OWNER OF THE ABOVE
1 — 10 9.00 DESCR"'ED RESIDENTIAL PROPERTY. 92.C
PERMITEE
10 - 50 5.00 SIGNATURE -.tm ��J_l;
1--
50 - 100 10.00 v
DISTRICT NO. PROCESSED BY �
100 - 500 15.00
SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
S ERVI CE NOT OV ER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT IQ A
TEM PSERVICE,POLE,&A.PPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL ��`� �
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 a()
TOTAL FEE p
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT V L ATION CK. M.a. CASH!
0 4 2tiOCT 25 4.0Q ASC
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY ELECTRIC I
WILLIAM J. FOX, CountY E119111861'
DISTRICT NO. GROUP PERMIT 1`413.
FOR APPLIC�NT TO FILL IN
ELECTRICIAN 2Zq w ZVet 3 S73`67e-z', RECEIVED BY READY FOR DATE leguep
ADDRESS �?Iig e,.e"Ed FIRST INSPECTION
CITYTEL.NO.M201g.
COUNTY LICENSE NO. 4"" EXPIRES BUILDING
PEILIM FEES ADDRESS e,
NUMBER EACH FEE LOCALITY. j799
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER vCff,?2-x
TOTAL OUTLETS so SMAIL
ELEC. RANGES as ADDRESS
ELEC. HEATERS as CITY TEL- NO-
FIXTURES S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. --- APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS 75 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSES8 THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I
Y2 A LESS 6 - .25 SIGNATURE or
2 .50 PER r
2 9 1.00 INSPECTION RECORD
15 is 1.50
Ts so 2.50 ds Am so
50 200 5.013 AW7 dt -0 x4,&&
213 Sao 113.013 J
t!p 7 G?I- 'R..e A'mo x D A <
500 1000 15.00 E
OVER I ODO 20.00 m
_MOVEDMOTORS (75% OF CRIG.) AJ Ij!rt
M.G. SET/FREQ. CHAMBER-HP
--
WELDERS/AC-KVA
GENERATORS - IM
TRAmorcomeme = KvA
##
SIGNS
NO.TRANS, APPROVALS
NO. NO.LAMPS DATE INSPECTOR'S NAME
FOR EACH PERMIT/ CONDUIT
WIRING S1.00. WIRING I
dr=URED -0-0
ISUPPLEMENTARY so.- w FIXTURES W.-ZT
I POWER
TOTAL FEE a UTILITY CO.NOTIFIED
FINAL
76"63 DII8#SA Cd b 12-53
7�A�53-CE8Q610/72 APPLICATION FOR ELECTRICAL PERMIT
CGUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION .27
LOCALITY
.NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Z 7
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPT. 7 $ $ MAIL
FIRST 20 2S ADDRESS pZ-
LIGHT_.�' TOTAL
OVER 20 CITY TEL. N0.
SWITCH .10 PLAN CHECK
LIGHTING TOTAL
FIRST 20 .25 APPLICANT
OVER 20 ADDRESS
FIXTURES - .f0
RESIDENTIAL APPLIANCES CITY TEL..NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DI SHWAS H. LICENSE OR CLASS.
REG. NUMBER
FAN-1—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. ELECTR ICAL WIRING.
SIZE & TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REGISTEREDAND/Op
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY.AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE at
1 - tO 3.00 DESCRIBED RESIDENTIAL PROPERTY.
RROPERR/T'Y�.///}Jy�,. � CD
PERMITEECK
10 — 50 5.00 SIGNATURET • 10
SO — 100 1oAD W
DISTRICT NO. PROCESSED BY Cl-
100
L100 — S00 15.00 h %e ° Cn
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS V DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAS WORK
SERVI CE-OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 4
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 A a
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA -GA ION cK. M.O. CASH
^ 346373 GO 5 fED 9.25
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKER'S COMPENSATION DECLARATION � DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
I hereby aff4 that I ha§e if certificate of consent to self insure,
or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS' BUILDING AND SAFETY DIV.
copy thereof(See.5800 Lab.C.).
Policy.No. Company l FOR APPLICANT TO FILL IN ADDRESS
Certified copy is hereby furnished. / New Residential Bldgs.&Pools NO. EACH FEE LOCALITY
$ $
Ft
S
il
Certified copy is filed with the county buildiny, q. . _g inspection 1 &2-Family, NEAREST
deparpent. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR
MAP BOOK PARCEL T
CERTIFICATE OF EXEJ40TION FROM WORKERS' � ' OWNER OR
Outlets:Rec Light SW .�� /1D B� FIRM NAME
COMPEN ION INSURANCE i
First 20 MAIL
(This section need not be completed If the work Involved by the Total No. Additional ADDRESS Q�7
permit is for one hundred dollars($1.00)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 Ot7 � APPLICANT
` Total No. 4 Additional
ADDRESS
Date Applicant' RESIDENTIAL APPLIANCES NOT OVER 3 HP. 0 49/1 40
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code,you must forthwith comply with such PERMIT
provisions or this permit shall'be deemed revoked. Power Apparatus&Large Appliances APPLICANT
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or'KVAR ADDRESS
1 hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl.
(commencing with Section 7000)of Division 3 of the Business and CITY �j,J�1�L[��C� Tel.No.
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.
LICENSEG Class. a
Over 50 to 100 Incl. REQ.NUMBER
®/ �/0 Lic.Class. Over 100 DISTRICT NO. RO SSED BY V
L'icense.Numbe[ 9 '
Services,Swb�d, MCC Pane ards O alp
0398 Amp. n0 V �a FINAL Q
Contractor Date, DATE
❑ I am exempt under Sec. 400-1000 Amp.Under 600 V
VALIDATION V
Over 1000 Amp.or Over 600 Vd
B.&P.C.for this reason BY
BRANCH CIRCUIT FEES (n
Date: y or 20A,120V,.Lighting or Recept. / Q Z
Signature 1 To 10 Branch Circuits
11 To 40 Branch Circuits dr
❑ 41 Or More Branch Circuits '
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY Temp.Power Pole&Appurtenances WnT4
2HOME OWNER-BUILDER DECLARATIONh CiqsIhereby affirm that I am exemptfSign with One Brancrcuitrom the Contractor's License Law 1 ITEMS 182 M
for thefollowing reason(Section'7031..5, Business and Professions Additional Sign Branch Circuits
Code):
❑. 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 I Other(See Complete Fee Schedule) CHANGE o(��
and Professions Code). ,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the rl�f _ f ty�� ��i—�
Civf
performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE tSub-Total) Q q X7;411 °e 5
d i'i
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE Q
Lender's Address
I certify that I have read this application and.under penalty. TOTAL FEE of purjury state �Os
that.the 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 ins ion Aur SEE REVERSE FOR EXPLANATORY LANGUAGE
95�/6
31GN E OPE F ITTEE ATE
T T
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MAI—PERM3T
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS Et-8588-974 242AD22
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FYfff P9D BUILDING-ADDRESS:
TR: 9848 LT: 5 �WILTMONTE�rg,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ``I MP-CA-9T7804045
ASSESSOR INFORMATION NUMBNEAREST CROSS STREET:
8589-023-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75
TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED L 0 :
TOTAL FEES 41.40 12/12/97 UT 12/12/
OWNER: TEL. NO: FINAL DA E FINAL BY• CODE:
DALTON DONALD L;BETTY A (626) 444-6498- 2"ls -
4927 WILLMONTE AV
TEMP 917804045 ES o 0
ELECTRICAL FOR GARAGE AND STOR E
APPLICANT: E O:
WILDE'S CONSTRUCTION (626) 448-2175-
SPECIAL-CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
WILDE'S CONSTRUCTION (818) 448-2175-
4905 BALDWIN AVE LIC. NO TEMPORARY POWER POLE
TEMPLE CITY CA 91780 401407 B
UNDERGROUND CONDUIT
ARCHITECT O G EER: TEL. NO: UFER GROUND
LIC. N0: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY
i
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508