The URL can be used to link to this page

Home My Public Portal About6116 AVON AVE_Electrical__ 1 OBS SA 9 SS APPLICATION FOR ELECTRIC PERMIT ,8 DBS 3A DIVISION OF BUILDING AND SAFETY Depcn-tment of County Engineer County of Los Angeles BUILDING / WM J FOX COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING V LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER EACH FEE tT� � LIGHT OUTLETS OWNER RECEPTACLES MAIL ADDRESS WA TOTAL CHL OUTLETS 50 S j.,•,Y TEL NO TOTAL OUTLETS 5¢ $ CITY ELEC RANGES 25 ELECTRICIAN i _ELEC HEATERS 25 ADDRESS ®Y-PLAAA J KW EA CITY TEL NO FIXTURES 1 5 142 LICENSE NO NUMBER OF LIGHT CIRCUITS DISTRICT NO I GROUP I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER I HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH 12&LESS $ 25 1/z 2 50 2 5 100 5 15 150 IS 50 250 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $1 00 FIXTURES $1 00 SUPPLEMENTARY 50 EIV APPROVALS TOTAL FEE is 14 r DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND Am LY WITH ALL COUNTY ORDINANCES AND STATE LNG WIRING Of ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REOR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNOF CALIFORNIA OR THAT I AM THE LEGAL OWN VE POWER DESCRIBED RESIDENT NL PROPER Y SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL ��-'�� ENM2rAffi2di1ff9W it WILLIAM J FOX COUNTY ENGINEER V�WDATION A C VEIT CHIEF ELECT INSPECTOR ACc)8 2 5 7 111 SEP 2? 2 7 5 � DES5A 9 55 APPLICATION(CATION F®R ELECTRIC PERMIT 1 BS SA DIVISION OF BUILDING AND SAFETY Department of County Engmeer County of Los Angeles ADDREISS /� // ( ��/ }�(�L✓f�(J� WM J FOX COUNTY ENGINEER _ CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY 15A FOR APPLICANT TO FILL IN NEAREST PERM( FEES CROSS ST .iIJ—�L,sC NUMBER EACH FEE y� LIGHT OUTLETS OWNER RECEPTACLES MAIL ADDRESS��yy�� WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY�W��4 -OJEL NO _ _ ELEC RANGES 25 ELECTRICIAN ELEC HEATERS 25 ADDRESS KW EA CITY TEL NO FIXTURES l` 5 LICENSE NO NUMBER OF LIGHT CIRCUITS DISTRICT NO GROUP ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS �7 NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP I OVER I INC EACH ov L —G 1/2&LESS $ 25 A& 1/z 2 50 J 2 5 1 00 5 15 1 50 15 50 2 50 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING S100 FIXTURES S100 (J` SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ DATE INSPECTOR S SIGNATURE 1 CONDUIT HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION :21 21 z-� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY i T WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING / ELECTRICAL WIRING IHEREBY CERTIFY THAT 1 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 RESIDENTIAL PROPERTY SIGNATURE T /> f isUTILITY CO NOTIFIED / OFPERM ITTEEn .f////A {iiKGfff0 6®11au,61 FINAL WILLIAM J FOX COUNTY ENGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR IC0596412 JUL 26 2 245 � WORKERS COMPENSATION DECLARATION 76AB63 —,f, , CE 806G (2 80) APPLICATION FOR ELECTRICAL PERMIT affirm that I have a certificate of consent to self ,COUNTY OF LOS ANGELES: BUILDING AND SAFETY e or a certificate of Workers Compensation Insurance or certified copy thereof(Sec 3800 Lab C) v FOR APPLICANT TO FILL IN JOB gDDRESS(Q Policy No, Company New Residential Bldgs &Pools EACH NO FEE Certified copy is hereby furnished 1 8f2 Family Sq Ft $ — $ LOCALIT ❑ Multi family Sq Ft NEAREST Certified copy is filed with the county building inspection CROSS ST department Residential Swimming Pools M OWNER Orr /J// a FIRM NAM Date Applicant Outlets RecLLight�Sw MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS Total No . Additional CITYTel N.-.2 // �+'d COMPENSATION INSURANCE t (O '�73 } PLAN CHECK/ C- (This section need not be completed if the work involved Lighting Fixtures First 20 PPLICANT OU by the permit is for one hundred dollars ($100) or less) ,tom ADDRESS aJ Additional cc Total No I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No permit is issued I shall not employ any person in any manner 1 PERMIT W so as to become subject to the Workers Compensation Laws Range_ Heater D W APPLICAN a i Oven _ Dryer_W M ADDRESS to �,aT To _ FAU _W H _ Dat�Apphcant p zCIT Tel No26 f_ S Hood _ Fan —Other— NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond_ LICENSE OR aa�� Exemption you should become subject to the Workers REG NUMBEROL Class Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO PROCESSED BY with comply with such provisions or this permit shall be ' deemed revoked Size&Type HP KW KVA or KVAR Up to 1 Incl Over 1 to 10 Incl FINALDATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl � � VALIDATION I hereby affirm that I am licensed under provisions of Chapter r 0 FINAL BY 9-4commencmg with Section 7000) of Division 3 of the Busi Over 100 ness and Professions Code and my license is in full force and Y effect Services License Number a 2413jC Lic Class — / 0 200 Amp Under 600 V u�/ 201 1000 Amp Under 600 V Contract' ) Illi" -Date�Q//.`� �' Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit 1 9 3 3 A License Law for the following reason (Section 7031 5 Busi Additional Sign Branch Circuits o 0 0 0 0 ness and Professions Code) + # i � � 2 Misc Conduits& Conductors 2�0,o 415 d Q I as owner of the property will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section o 0 o 4 5 0 0 v, 7044 Business and Professions Code) i CONSTRUCTION LENDING AGENCY 06,1 2—'8 4 I hereby affirm that there is a construction lending agency for the performance of the work fo which this permit is PERMIT FEE (Sub Total) issued (Sec 3097 Civ C) Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) Lender s Address PERMIT ISSUING FEE 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 aut representatives of this County to enter upon th bov mentio ed property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur f Permittee Date i t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1106130003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 5903 LT 49 6116 AVON AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752606 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 15386 009-042 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY Cl I IG1 OUTLETS LGT SW RECP 1 00 OUT 1 90 I I ITENANT IG2 LIGHTING FIXTURES 1 00 LGT 1 90 JISSUED ON PROCESSED BY PLAN BY TOTAL FEES 31 60 106/13/11 SR (OWNER TEL NO IF AL DATE FINAL BY CODE INGUYEN KIM (818) 749 8063 1 16116 AVON AV ISGAB 917752606 I IDESCRIPTION OF WORK I I IREPLACE OUTLET WITH GFI OUT ET AND VANITY LIGHT I I I I (APPLICANT TEL NO I I ISAME AS OWNER I I I I ISPECIAL CONDITIONS I I I I I I I I I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER I I I I LIC NO I ITEMPORARY POWER POLE I I I I I I 11 I I I (UNDERGROUND CONDUIT I I I I I I I I I (ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I I I I I LIC NO IROUGH CONDUIT I I I I I I I IROUGH WIRING I I I I I I I IMAIN WATER LINE I (PLASTIC Y/N METAL Y/N I I I I I I I I I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO BS0508 I I I I I I