HomeMy Public PortalAbout6039 HART AVE_Electrical__ l C' '
76A663-CE806 11-71 A91PUC AU ON FOR MECUMCn,L PONT
COUNTT OF LOS ANGELES - -
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Hart
LOCALITY !e CIS
.., ..,. .
FOR APPLIC. NEAREST ANT TO FILL IN CROSS ST, erlH 05 OL
OUTLETS NO. EACH FEE 6B R%
/j )) 1
$ $ OWNER V e-cri R%r- a"d /se K)
RECEPT._ MAIL
ADDRESS rr►��
..LIGHT TOTAL FIRST 20 •29,
OVER 20 CITY TEL.
,SWITCH .10 PLAN CHECK
APPLICANT
TOTAL
LIGHTING FIRST 20 25
OVER 20 ADDRESS
FIXTURES •10
RESIDENTIAL APPLIANCES CITY r� TEL. NO.
RANGE DRYER_WTR. HTR. PERMIT
APPLICANTtilt'ie'2
STA. COOK DISP. - F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS:
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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 &TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR y
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF D.
CALIFORNIA OR THAT I.AM.THE LEGAL OWNER OF, AND INTEND TO O
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
V
SIGNATURE
10 - 50 5.00 OF PERMITTEE
50'- 100 10.00 DISTRI C'T NO. ASS ZONE I PROCESS6 BY
W
CL
100 - 500 15.00 ov Q
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: dd t ""��//
TUBE, ORtDAf Al C�
MARQUEE ADDITIONAL CIRCUITS 1.00 /il vmz4l"�
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
�.SERVICEOVER600VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
+UNDERSLAB WORK
c TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
'FIXTURES
POWER AUTHORIZED' _
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED G
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLA.:
N CHECK VALIDATION CK. M.O. CASH PERMIT VA I ATION CK. M.O. CASH
. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKERS.COMPENSATION DECLARATION . 76A663 t0/'sit„
I hereby affirm,that 1.have, a,certificate"of consent to self insure, CE-806G APPLICAMON TOR ELECTMICAL PERMIT
or-a certifica{e'of Workers' Compensation Insurance, or-a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy-thereof(Sec.3800 Lab.C.)
Policy No � Company �� � � FOR APPLICANT TO FILL INJOB `
` Certified.copy.is,hereby furnished' New Residential Bidgs.& Pools EACH NO.LL FEE
NDDRESS•'
LOCALITY. ' •9
Certified.copy is filed with the county building Inspection
1 & 2-Family,.Sq..Ft
department.+' :,, Multi-family Sq.Ft. ° NEAREST,
1 $ $
,� rg� �A� �G.Qe �
Resident Swimming Pools.' r
lk� R
Date A licant
pP ., ,
CROSS ST.:
. CEFIRM
RTIFICATE OF EXEMPTION'FROM WORKERS' " "7 'M 'L NA
Outlets: Rec. Light Sw: ME qd
COMPENSATION INSURANCE":,: s - ADDRESS
_ .•..
(This section need not be completed if the'work iovolved,by-the: First 20 CITY; Tel.No.
periniY;is for one,hundred,dollars($700) or less) -Total'No. Additional
PLAN A
I certify.'that in the:performance,of.'tfie`•work fo6whichahis permit f APPLCANTK
is.-issued,;l shall,':not employ, any, person•in any,mannerrso as to
become'subject to the,VVorkers'Compensation;Laws Lighting Fixtures' First 20` ADDRESS
t Total No. Additional
Date Applicant ^`
'OITY: Tel No
NOTICE:'TO APPLICANT:,e,If,,^ after making°this Certificate of Fixed Appliances Not Over'1 HP; PERMIT'.
;Ezemption,'you should,become subject to the:Workers Compensation" Range_ Heater=;D.W. APPLICANT k
provisions.of;-the Labora,Code, you must:forthva`ith comply with,such OvenDryer ; W.M 'ADDRESS '
--provisions or Phis permit shall.be deemed revoked' -, Top , -•FAU_;, W.H
LICENSED CONTRACTORS DECLARATION. Hood - Fan ..= Other_
I:hereby affirm thlt l am•:licensed:,under}provisions of;,Chapter 9 = J R
Disp. ,-'Room Air Cond.: NUMBER.. c Class '
CIT. Tel N
(commencing..with Section.7000).of Division:3;of.the Business and
Professions'Code,and my license is in'full fOreeand effect. "• ° DISTRICT NO. PROCESSED BY
Power Apparatus&Large Appliances
e Slze& Type HP KW;,KVA or,KVAR 0.
License Number � Z. Lic Class Up to-1 Incl FINAL °
Over•,;1 to 10.Incl DATE
Contractor Date. j VALIDATION. 0
• Over 10 to 50 In cl FINAL
_..I am:exempt:under.Sec. a . Over 50 to,100 Inc.-.. BY
.. _ ra..
U
.&P.C:for this reason Over 100
B0-
Pane boar
`•' Services CC& I ds Z
Date _
- 200 Am �er 600 V
Signature 201 = 1000 Amp.Under'600 V
..._
r Over 1000 Amp. or Over 600'V
❑ Exemption for'.Reg.Maint Elect.
- a,.
SINGLE FAMILY Temp:.Power.Pole.& eSr.
HOME OWNER-BUILDER DECLARATIONSign.with•One Branch Circuit, -2
' I hereby affirm'that lam exempt from the Contractor's License Law �• Ts
for the,following reason(Section 703)^5,,Business and Professions . :_ Additional Sign Branch Circuits' ee{{ T
�Vt 50
Misc.Conduits& Cohductors' T 4V a
❑ I,as owner of the property,will;do the.work and.the'structure, f;..J-I E tS.';'
is not`intended,or offered.for sale (Section 704,4; Business''. Other(See Complete.Fee Schedule) _
and Professions.Codej. LITA ' 40 c so
I hereb affirm
CONSTRUCTION,
isOa construction'
'.
CHECK tot
Y ng agency for.the'. t:R�Lt-t 5" YVn`ctl
performance of the work for which this permit is issued`(Sec.3097, PERMIT FEE :' (Sub Totap " CHANGE .,�0
Civ.C.).
r
t. 'PLAN CHECKING-FEE:
,
t' Lender's.Name r01 .
PERMIT ISSUING FEE $blvd
a00 i ia�
Lender's,Address 9.A.
I certify that I have read'{his application and state that the above - TOTAL FEE...
information is correct. I agree to comply.with all County ordinances „
and Statelaw egelati+ - ctrical wiring, and hereby authorize _
repre Ives of this Count t enter upon the'above-mehtioned:,
perty fo' ' spec n ses
-SEE REVERSE FOR EXPLANATORY LANGUAGE - -
Sig' ure of Permi tee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0411030007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 322 6039 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801915
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-015-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 TSSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 35.55 11/03/04 JK 05/02/05
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
CAI, SHENG HONG, QIAN, HUIMING (626) 287-7859- ;60Y/2 iv
6039 HART AV
TEMP 917801915 DESCRIPTIO OF WORK
ELECTRICAL FOR NEW BATHROOM.
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0402260008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 322 6039 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801915
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-015-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.85
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 35.55 02/26/04 VG 08/24/04
OWNER: TEL. N0: FINAL D/LTE FINAL BY: CODE:
CAI, SHENG HONG, OIAN, HUIMING (626) 287-7859-
6039 HART AV
TEMP 917801915 DESCRIPTION OF WORK
ELECTRICAL FOR NEW BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS`ANGELES TEMPLE CITY ` -- # 0508. ELECTRICAL 'PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0508310006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: - FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 322 6039 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801915
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-015-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
JX MOTORS, LT 3 HP 1.00 MOT 15.30
TENANT: TOTAL FEES 43.05 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
08/37./05 JK 02/27/06
OWNER: TEL. NO: FINAI, ATE FINAL BY: CODE:
HUANG, GRACE Y (626) 286-0639- .2 /TE
6039 HART AV z J d
TEMP 917801915 - DESCRIPTION OF WORK "^1�,1
MOTOR FOR ELECTRIC GATE
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO1, ,� ) � Y - TEMPORARY POWER POLE
`zi l Y
-t- UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND '
LIC. NO: I ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
�'REPORT ID: DPR265 ROUTE TO: ES0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0903040009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 265-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS:
ITR: 5904 LT: 322 6039 HART AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801915
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 1
15384-015-018 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I lG1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40 I I
(TENANT: IG2 LIGHTING FIXTURES 6.00 LGT 11.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 TOTAL FEES 62.85 103/04/09 SR 08/31/09 I
(OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE.:
ILY, CANH H (626) 286-0639- h nn -G)
16039 HART AV I of
ITEMP 917801915 1 IDE RIPTIOR OF WORK I
1 112 OUTLETS AND 6 LIGHT FIXTURES 1
1APPLICANT: TEL. NO: 1 I
1AU (626) 319-2021-
1145 ORANGE STREET I ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91776
(CONTRACTOR: TEL. N0: I(APPROVALS DATE INSPECTOR SIGNATURE 1
ITHOMSON MAC (626) 378-2899- 1s
14419 N HALIFAX RD - LIC. NO 1 ITEMPORARY POWER POLE I I I
IEL MONTE CA 91731 730284 B i I I I I
I' 1UNDERGROUND CONDUIT I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
1AU, HERRICK Y. (626) 319-2021- 1 i
1145 ORANGE ST. LIC. NO: 1 IROUGH CONDUIT I I I
ISAN GABRIEL, CA 91776 C26770 1 I I I I
1 IROUGH WIRING I I
1 IMAIN WATER LINE I I I
I IPLASTIC Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIE51 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 1 I
I I I I I I
COUNTY,.OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0811170014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: I
ITR: 5904 LT: 322 1 1 6039 HART AV I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801915
(ASSESSOR INFORMATION NUMBER: I _ I NEAREST`CROSS ,STREET: LONGDEN 1
15384-015-018 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCAL2'P)�: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 20.00 OUT 39.00 1
(TENANT: IG2 LIGHTING FIXTURES 5.00 LGT 9.75 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
TOTAli FEES 76.50 111/17/08 SR 05/16/09 1
I I I I
(OWNER: TEL. NO: I (FINAL DATE FINAL BYi CODE: 1
ILY, CANH H (626) 286-0639- 1 �
16039 HART AV I_
ITEMP 917801915 I - IDE SSSCRIPTI N OF WORK
(ELECTRICAL FOR ADDITION AND REMODEL
I I I I
(APPLICANT: TEL. NO: 1 I
IAU (626) 319-2021- I
1145 ORANGE STREET I (SPECIAL CONDITIONS: I
ISAN GABRIEL CA 91776 I -
I I I I
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ITHOMSON MAC (626) 378-2899- 1 1
14419 N HALIFAX RD LIC. NO ITEMPORARY POWER POLE I I I
1EL MONTE CA 91731 730284 B 1 1
I (UNDERGROUND CONDUIT I I I
1ARCHITECT OR ENGINEER: TEL. NO: 11 IUFER GROUND I I. I
IAU, HERRICK Y. (626) 319-2021- 1 1 1
1145 ORANGE ST. LIC. NO: (ROUGH CONDUIT I I
(SAN GABRIEL, CA 91776 C26770 - I I
IROUGH WIRING
I I I MAIN.WATER LINE 1
I (PLASTIC YIN METAL YIN 1
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 1
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 I I
I (REPORT ID: DPR265 ROUTE TO: BS0508 1 I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY #, 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0403150005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 322 - 6039 HART AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801915
ASSESSOR INFORMATION NUMBER: ' NEAREST CROSS,STREET: GARIBALDI
5384-015-018 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 -LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40
TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 03/15/04 VG 09/11/04
H9 RES APPL LT 3HP 1.00 RES 10.95
OWNER: TEL. NO: TOTAL FEES 4' 82.80 FINAL D TE FINAL BY' CODE:
CAI, SHENG HONG, QIAN, HUIMING (626) 287-7859-
6039 HART AV
TEMP 917801915
DESCRIPTION OF WORK
ELECTRICAL FOR GARAGE WITH STORAGE
APPLICANT: TEL. NO:
PA LAM CONSTRUCTION CO. (626) 293-1612-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PA LAM CONSTRUCTION CO. (626) 695-3439-
819 N. GARFIELD AVE. LIC. NO TEMPORARY POWER POLE
ALHAMBRA, CA 91801 NONE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508