HomeMy Public PortalAbout6414 BARELA AVE_Electrical__ �•,••� o_•, „ �• APPLICATION FOR PERMIT
DEPARTMENT OF sIIII.DING AND SAFETY ELECTRIC i
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENDIN[ER
FDR N
APPLICAT TD FILL IN DIBTRICT NO. 0R0 ZONE � 1 NO.
ELECTRICIANS (/
R[ NYD[iV[Q RREADY FOR DATE IfiLtD
ADDRISS L `�ij/ FIRaT INiP[IITION
CITY TIL No.
ODLJKTY LICENSE N "PIRES ADIDR IND BA cL
PERMTP FEE L3R�iITY G I
NUMBER OUTLETS EAOH
LIGHT
OR090 ST.
R[DEPTACLES B C
FIXTUR[1 6 T7 0 OWNE
WALL SWITOHO B MAIL
ADDRESS
ELFp, RAN O FA BB
[LED. HEATERS IIs DITY TIL. N0.
I HERESY AOKNQVh0.ID0[ THAT I HAVE READ THIS
NUMBER OF DIR13UITU INSTALLEDI
T13TAI APPLICATION AND STAT[ THAT THE MOVE 10 CDRR[DT
L REC[PT O AND AJ3Ri[ TD COMPLY WITH ALL COUNTY ORDINANDES
MOTORB AND STAT[ LAWS RIDULATINIt [LEOTRIDAL WIRING.
NuMtEm HOR"POW[RFL[ I CERTIFY THAT 1 POBisEt! OE THE ABVVALID Lo
NEW Mw. HF DvvA IND. LAai ANOELI7 DOUNTY L.ICIN6[, OR I AM THE LILMA QWN[R
OF THE RFAID[NTIAL PROP DES ISED ASDV[.
• LEa 111 .16
9 .BO 010HATURK o
9 B 1.00 P[RMITTI
B in 1.So INSPECTION RECORD
16 BO $LBO
Bo ZDO B.00
r
700 600 10.00 '
BOO 1120.0 1 IL 00 JQ
OVER 1000 00.00 Z
M.O. mjrT/rREXj. allANOER-Hr p
WILDIRBI AD-kVA Q'
0[N[RATDRM - KW O
TRANSFORMERS - kVA
TEMP. M=RS X76 OF DIIIS.1
MUV[D MOTOR■ 76 of onia
Misc.
BIONS
TYPEI N6 TRANS.
TYPKI NQ LAMPIF APPROVALS
FOR G.OH r[RMITI DATI INST[OTOR'■NAM[
WI RI N U 1.120 CP OONDU 1T
FIXTURtt 01.Em_ 00 WIRING
mJ .S FIXTURES
PQW[R
TOTAL FEE • UTILITY CO. NDTIFI[D
FINAL
WflFt107R'S COMPENSATION DECLARATION �9 DPW(12-81)
hereby affirm that I have a oertlficate of oonsent to self Insure, APPLICATION FOR ELECTRICAL PERMIT
or a certificate of Worker's Compeneatlon Insurance, or a certifled COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
oopy thereof(Sao.3800 Lab.C.)
Pdlcy No. Company PM APPL"Prr TO PLL IM B
RESS
❑ CerdW copy Is hereby fumbfi . New Reeldombal Bbgs.d Pools NO. EACH FEE LOCALITY
❑ Certffisd copy b tiled with the county building Inepectlon 1 S 2-FamFly,Sq.Ft — $ NEARES ST
departrnent- Mufti-famay Sq.Ft. CFKM ST.
Date Appikbm Residential Swimming Pooh ASSESSOR
MAP BOOK PAGE PARCa
CERTIFICATE OF EXEMPTION FROM WORIO=RS' Duties:Rec.—Litt Sw. � R t
COMPENSATION INSURANCE
(This eeotlon need not be completed H the work Involved by the Total RraAddt2D MAIADDL+ �
permit Is for one hundred dollars(✓f1DO)or less.)
I certify that In the performance of the work for which this permit CITY I TO'ND•
Is Issued, I shall not employ any person In any manner so as to PLS CHECK
beoome subject to the Workers'Compensation Laws. L�ghtlng Fbtiree Ftrsf 20 APPLK'1Nr
Total No. AddYtlonal
ADDRESS
Dae Applk ant RESIDENTIAL APPLUNCE$NOT OVER 3 HP.
NOTICE TO APPLICANT: If, atter making thls Certificate o1 CTIY Tel.ND.
Exemption,you should become sub)ect to the Workers'Compensatlon OTHER APPLIANCES NOT QUER 3 HP.
provisions of the Labor Code, you must forthwith comply with such PERU IT 1
provlelons or thli permit shall be deemed revoked. PoWer Apperatus S Large AppllaroDoe rrT
LICENSED CONTRACTORS DECLARATION Stxe it Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am Iloensed under provlelons of Chapter 9 Over 3 to 10 Ind. }
(commencing with Section 7000) o1 Dlvislon 3 of the Business and CITY Tel-ria d
Profeaslona Code,and my license Is In full force and effect Over 10 to 60 Ind.
Over 60 to 100 Ind. Fd�-O�NUW� D+eea 8
Omer 100 DISTRICT rao. PRDCEBSED BY .+�
LJoertse Number Lb.Class J
Services,8wbd.,MCC&Paneiboarde LL
Contractor Date 0-390 Amp.Under 600 V RNAL
DATE
❑ I am exempt under Sec. 400-1000 Amp.Under 800 V
VALIDATION
Over 1000 Amp.or Over 600 V FINAL
B.fiP.C.for this reason
BRANCH CIRCUIT FEES 8Y
Dade: 16A,or 206A120V,Lhjttng or Recept.
84gr>ahlre 1 To 10 Branoh Clroufts
11 To 40 Breach Craves ry
41 Or Man Brarafi 2
El Exam ption for Reg.Ma]n-L Elect. 16A,2A 206V To 277V Br. 'r f V
SINGLE FAMILY Temp.Power Pose S Appurtenances
HOME OWNEF43UILDER DECLARATION Slgn with One Branch Circuli
I hereby affirm that I am exempt from the Contractor's Ucense Law
for the following reason (Section 7031.6, Buelneea and Professlons Addttlonal Sign Branch Clrcuts i L IU P
Code): MA, 61--+
I,as owner of the property,will do the work and the structure Mlec.Conduits 8 CwOLxtors Lt
Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)
and Professlona Code). ,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there la a construction lending agency for the fyTy�{ y;F1
performanoe of the work for which this permlt Is Isaued (Sec. 3097, PERMIT FEE (Sub-Total) r' S11tll L �T► l+3
Cly.C.) . Z
PLAN CHECIaNG FEE
L.erxWa Name
PERMrr ISSUING FEE
Lenders Address
I oertffy that I have read thla eppficabon and under penalty of pulury state TOTAL FEE
that the above Informatlon Is comeaL I agree to comply with all County
ord]n end State lawn reguia&ng f]ectrical wlrtng,and hereby authortze
repreN tattvee of this County to enter upon the above-mentioned property
for In°p}°di°r pu SEE REVERBE FOR EXPLANATORY LANGUAGE
alit•ATURE of PETA TTEE DATE
WOR, R'S.COMPENSATlONDECLARATKDN 20gDPW(12-°1' APPLICATION FOR ELECTRICAL PERMIT
I herstry nttlrm,that I have a oartlflgnte of consent to call Insure, 7LA6E3 '
or a cardflcate of Worker's Compensatlon Insurance,-or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
oopy thereof(Sec.3800 Lab. C.)
Pofloy No. Company FDR APPLICANT To FILL LN
❑ Certtfled copy le hereby adh heby fumlshed. New Reeldeni:W Bge.h PooNO. EACH FEE
LOCALITY
❑ 1 &2 famlty,Sq.Ft
Cera led copy Is filed with the oounty bullding Inepectlan _ NEAAEBT
dap-m--rt. Mutts-famlty Sq.PL CROS9 BT. OL
Date Appllcarrt Residential Swlmming Pools A8
MAP BOOK PAGE PARCB_
CERTIFICATE OF D(EAfPT10N FROM WORKERS' Outlets:Roo._Light Sw. owNEa
NAl�
FiR11
COMPENSATION INSURANCE Flnr �{J
CMIs aacUon ns+d not be completed If the work Involved bAdd
y the dd is MAIL
permlit Is for one hunr(red dollars_(i100)or lam.) Total No. ttlonal
I certify that In the performance of the work for whloh this permit C
Aq
Is Issued, I shall not employ any person In any manner so az toPLAN CHECK
become subject to the Workers'CompensafJon Laws. U �
gp Ftxturee FRst 20 APPUCANT
Total No. — Addtdonal
ADDRE88
Date App4lcarrt RF$IDEN7IAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITY TOL No.
Exemption,you should become subject to the Workers'Compsnsaflon OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such
provisions or thla permit shell be deemed revoked. Power Apparatus S Large Appllanoea
LICENSED CONTRACTORS DECLARATION Stxe 8 Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions o1 Chapter 8 Over 3 to 10 Ind.
(commsncing with Sectlon 7000) of Division 3 of the Business and CrTY T«.Na
Professions Code,and my license Is In full force and effect. Over 10 to 60 Ind. LiC�Ortd
Ovsr 60 to 100 Ind. REO.NUMBER
pyg-6i1CT BY 8
Uterus Number Llc.Class Over 100 Na y
Services,Swbd.,MCC of Psnelboards 00
Contrsbfor Date 0-398 Amp.Under eco V DATE
❑ 400-1000 Amp.Under 800 V
I am exempt under Seo. Over 1000 Amp.or Over 600 VVAUPAMN LLI
R NAL d
B.BP.C.for this reason BRANCH CIRCUIT FEES By Cn
Dale:
16A,or 20A,12OV,LJghting or Recept Z
1 To 10 Branch Ctcutte
ra 11 To 40 Branch Choutts 7
41 Or 14ors Branch Ctrorib
F1Exan.El
mpUon for Rap.Mahn. 16Pti 20A,20 VV To 277V Br.Cirouds .T
SINGLE FAMILY Temp.Power Pole&Appurtenances ACCT CCTi
HOME OWNER$UILDb1
ER DECLAFAT10N Sign with One Branoh Circuit .
30
1 hereby affirm that I am exempt from the Contraotor's Uoenee Law
for the following reason (Section 703ss 1.6, Buelnaand Professions Additional Sign Branch I
Clroufts 1 TM
a):
MlcJk.a conducroro TOTAL 61 - 30
I, as owner so.Conduits of the property,will do the work and the structure�� �C/+ 61.30 r\\\ le not Intended of offered for Dale (Section 7044, Buclness Other m
(See Corn-plate Fee Schedule) LCL
and Professions Coda). ' DMIZ ■00
CONSTRUCTION LENDING AGENCY
I hereby attlrm that there Is a construction lending agency for they�{� iO 6
performance of the work for which this permit Is Issued (Sec. 3087, PERMIT FEE (Sub-Tota 0000-"1 3/1$/96
CN. C.)
PLAN CHECK]NO FEE 5342 1 AM 9:208
Lender's Name
PERMIT ISSUING FEE 7 O
Lender's Address
I oerttfy that I have read this app8oatlon and under penalty of purjury state TOTAL FEE '50
ttui the above Infomu0on Is correct. 1 agree to comply with 0 County
ordln end�tate taws regulating E1&aWFcel whiny,and hereby authortre
of th County ro enter upon the above-mentioned property
for I SEF REVERSE FOR E)ULANATORY LANOU AGE
OF PB%UTTff
COUNTY OF LDS ANGELES TEMPL2 CTTY 0508 ELECTRICAL PERMIT
DEPARTt= OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304160065
BU=ING AND SAFETY / LAND DEVEWPMENT TE►SPLE CITY CA 91780
PHOSE: (621 285-0488 ETT:
LEGAL ID: _ PAID BU-=IM ADDRESS:
TR: 16867 IT: 9 6414 Andra AV -
- FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801405
ASSESSOR INFORMATION NUMBER: NEARRST CROSS STREET: VAL *^�.-�'� _
5383-017-003 Al PER= ISSUANCE FSE 27.80 THCX9l.9 PAGE: 596 (SAID: J1 LOCAL=: TEMPLE CTTY CA
GI OUTLETS-L3T,SW,RECP 10.00 OUT 20.00
TRNIUU: G2 LIGHTING FIXTURES 11.00 IAP 22.00 ISSUED ON: PROCESSED BY: PLAN BY:
• - TOTAL FEES 69.80 04/16/13 SR
OWNER: TEL. NO - - DATE B CODE; -
HOFSTAD 9TEVEN;VTa00 CARR. (626) 627-0301-
6414 AARF.TA AV '
THN:P 917801405 DES ON OF WORK
10 OUTLETS AND 11 LIGHT F
ARM
APPLICANT: TEL. NO:
SAME AS OWNER - -
SPECIAL CONDITICIGS:
CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR-SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY PCVM POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND -
LIC. NO: - ROUGH C'IDUIT
ROUGH WTRT2PG
MAIN WATER LINE
PLASTIC Y/N METAL Y/N'
UTILITY 0AWANY NOTIFIED
REPORT ID: DPY265 ROUTE TO: B880508