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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