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HomeMy Public PortalAbout5232 WILLMONTE AVE_Electrical__ I T APPLICATION FOR ELECTRIC PERM DIVISION OF Wffb= MW SAFETY I - . - . Depcmbnent of Countr Engimor BUILDING do, County of Los Angeles ADDRESS 12- JOHN A.LAMBIR.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY loop SA FOR APPLICANT TO FILL IN o PEm LOCsr ALITY Ess NUMBER OWN] LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FEI,--. CITY TEL. S TOTAL OUTLETS 0 of ELECTRICIAN ELEC.RANGES 215 ADDRESS ELEC.HKATEPS 215 CITY x jr- KW FA STATE 89 NO. -P* FIXTURES Is LICENSE ZONE RSADY FOR INSPECTION NUMBER HORSEPOWER FEZ R-001 I -- I xzw MVO. HP OVER INC. EACH INSMTMN "=ED &LESS 9 .25 c f:t-crNl9N .90 2 2 9 1.00 CCNUL\ tom— "Qt- 15 1.50 5 AAA. 115 so 2,So- so voo 15.00 MISC. --- NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .90 APPROVALS TOTAL FEEDATE _ IN.SPECTOR's SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/Olt FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWNER OF TRj? ABOVE POWER DESCRIBED RESIDENTIAL t*MT%e UTILITY CO._NOTIFIED SIGNATUR. OPPERMITTE 2 mlg- -oFINAL HOT.INSPECTOR ARTHUR ifwrr CHIEF POHN A.LAMBIE.COU. Acaj No C"H ' "IC0 6 9 0 9 Jut]13 2 2-.65 D.B.S.SA 2SM SETS 10-47 A41ItMUTION FOR PER= �, WARTMWM OF BiJMMG AM SAS$ ���� �� COUNTY OF LOS ANGELES WM. --�-- ENGINEER a NAME DISTRICT NO. GROUP ZONE PERMIT NO. -1 :5 d ADDRESS �� �J� CITY TEL.NO R=, VE FIRST INSPECTION Y FOATE ISSUED m COUNTY CERT.NO. EXPIIms AjV, D �yp�LI FILL IN OEAVMY O LINE®POIITION ONLY JOB DESCIiH moi O ADDRESS NUMBER OF TL CIRCUITS LOCALITY LOCA S -NEAREST LIGHT SMI. PLUGS FDIT CROSS ST. CIRCUIT D E F G H W NAME Zr MAIL 3 ADDRESS;5 �' CITY p'~d%✓��v TEL.NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS _ ANGELES COUNTY CERTIFICATQ OF QUALIFICATION.. LECiRICIAN. II OA M THM LWAL OW�T�� PR ERTY DESCRIBED AB MM, OWNER. CHONS n Co J Q _Z I7 R O [7AL �- A OUTLETS d $ VAIE���®�AL.�FIXTURESDATE INSPECTOR'S NAME MOTORS H.P. $ CONDUPP NO. OF SIGNS TRANS. WIRING NO. F RANGES OR HEATERS FIXTURES MISC LANEOUS S POWER PERMIT FEE =10vo UTILITY CO.NOTIFIED TOTAL EE FINAL DBS S ZSM SETS 1-48 IDlPAAMNT OF MD SA Y ��'H®1� FOR �� COUNff OF LOS ANGELES ELECTRIC WMA J CHIEF RNGINEER z NAME DISTRICT NO. GROUP ZONE PERMIT NO. ADDRESS, s RECEIVED BY READY R DATE 1SS6GD p CITY TEL.NO. FIRST INSPECTION J CO AMUCAW FUL IN EOUVMY OUTLgNED Pd}MON ONLY JOB DESCRftyflON OF WORK ADDRESS �— NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEARESTIV LIGHT OUTLETS SW. PLUGS F&T CIRCUIT A B C D E F IG JH 0! NAME Id o CITY TEL. ` I AM TM LEGAL POSSESSOR OF THE ABOVE LOS ANSOLES COUNTY CERTIFICAT$ OF QUALIFICATION.. E RICIAN. �1 OAN'IIIR LFntiAL OWOF 3E1R PROP DIBED ��7'++������}}�� 77��77 Vmc OWNER. 6.�4YLq.BII moria r. J a z o 0 LPERM111T TLETS ffi D APPROVALS 0 TURBS DATE INSPECTOR'S NAME TORS H.P. ffi CONDUIT NS TRANS. ffi WIRING (- / — T �O w /Nr NGES� $ FIXTURES US POWER E UTILITY CO.NOTIFIED PEEr. Z.51FI COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1110310020 BUIrMING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 f PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: JTR: 12268 IT: 10 15232 WILLMONTE AV 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803240 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MILOANN 18589-006-019 jA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.80 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: [ i TOTAL FEES 37.50 110/31/11 SR 1 OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE: IKEMB5232 W JOHN TE AV STINE F (626) 827-1677- I 5232 WILLMONTE AV � TEMP 917803240 IDESCRIPTION OF WORK ELECTRICAL FOR 2 BATHROOMS REMODEL APPLICANT: TEL. NO: IKEMBLE, JOHN (626) 827-1677- 15232 WILLMONTE AVE. ISPECTnr• CONDITIONS: 1 TEMPLE CITY CA 91780 I CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE IR A C SERVICES (626) 482-7117- 114608 BINNEY ST. LIC. NO TEMPORARY POWER POLE HACIENDA HTS, CA 91745 861687 B [ I 1UNDERGROUND CONDUIT 1 [ [ ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND I - [ LIC. NO: 1 1ROUGH CONDUIT [ [ ROUGH WIRING MAIN WATER LINE 1 1PLASTIC Y/N METAL Y/N [ [UTILITY COMPANY NOTIFIEDI 1 1 1 1REPORT ID: DPR265 ROUTE TO: BS0508 WORKER'S COMPENSATION DECLARATION "663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT ll I hereby affir�rl that I have a 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(Sec.3800 Lab.C.) ©Cy No. Company FOR APPLICANT TO FILL IN ADDRESS g;'p?&A,02 Certified copy Whereby furnished. New Residential Bldgs.&Pools NO. EACH FEE _ $ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft.�— _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK PAGE B PARCEL O CERTIFICATE OF EXEMPTION FROM WORKERS' O ER OR Outlets:Rec.. Light. Sw, M NAME COMPENSATION INSURANCE 0 V First 20 V 1, (This section need not be completed If the'work Involved by the Total No. � Additional 0 ADDRESS �� 7c� kJ i �,1 Vh0 ftf'�� permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY'T/,jd0(r_ C•it l– Tel.No.f ly gOI.JIa7 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 Applicant Date RESIDENTIAL APPLIANCES NOT 0 H3 P. 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. ^r– provisions of the Labor Code, you must forthwith comply with such PERMCANT V C7I�AI ./(� provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances R LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS S� 3A Lqr L th 04Afl JC I 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�IFfylfjfVr,, C o� TeI.No.�l��yr�l.an) Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. } LICENSE OR Over 50 to 100 Incl. Class. REG.NUMBER a Over 100 DISTRICT NO. P120rSEDBY License Number Lic.Class Services,Swbd., &roman oar s• Contractor Date 0-39 mp. nder 600 V DNA r_1 I am exempt under Sec. 400-1000 Amp.Under 600 V () vV VALIDATION V Over 1000 Amp.or Over 600 V FINAL d B.&P.C.for this reason BRANCH CIRCUIT FEES B CL Date: 15A,or 20A,120V,Lighting or Recept. d Z_ Signature — 1 To 10 Branch Circuits _ 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,2DA,208V To 277V Lighting Br.Circuits f SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION ACC 'a' 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 M07 •111°1 230 Code): I' ITEMS 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) To I AL i l-Ia 30 and Professions Code). -� CHECK 111e30 CONSTRUCTION LENDING AGENCY CHANGE 00 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 _ )�I? —l� 01 5/14/9 Lender's Name PERMIT ISSUING FEE 971 • I Ar 18.8 `Lender's Address I certify that I have read this application and under penalty of puriury state TOTAL FEE Jul that the above information Is correct. i agree to comply with all County •`otdinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property �Mctlon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE NATURE OF PERMITTEE DATE