The URL can be used to link to this page

Home My Public Portal About6121 HART AVE_Electrical__ .76A663C- CE8066�12/75 &PPU QUM FOR ELEO MUM PERM BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB ADDRESS AJ Jv el P • /� New Residential Bldgs. &Pools EACH NO. FEE' 1 &2 Finaily Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. CROSS ST. Residential Swimming Pools OWNER OR FIRM NAME#,2&e (f� Outlets: Light,Switch &Receptacle MAI L First 20 Q ADDRES 7'� Additibnal CITY 1SO/� Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT" Range Heater_ D.W. ADDRESS.2 v� Oven Dryer W.M. >0�( • Top _ FAU W.H. CITY 4N Hood Fan SE OR 1/�—� RECG.NNUM ER of 9 0�� Y Class. p Disp. �. A.C. 7 v I HEREBY ACKNOWLEDGE THAT 1 HAVE READ HIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AN—AGREE TO COMPLY Q Power Apparatus& Large Appliances .WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING !— Size&T ELECTRICAL WIRING. Type HP, KW, KVA,or KVAR � Up to 1 Incl. N I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR' z Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA"OR THAT 1 AM THE LEGAL.OWNER OF THE ABOVE Over 10 to 50 InCI. OESCRIB EO RESIDE TIAL PROPERTY. Over 50 to 501) Incl. PER MITEE 6�&A� Over 100 SIGNATUR iz DISTRICT NO. PR CES E BY Services 0 0-200 Amp. Under 600 V •.�--a.�T��' 201 - 1000 Amp. Under 600 V APPROVALS E INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) (f UTILITY CO.NOTIFIED ydp PLAN CHECKING FEE (One-Fourth Perr-A&4 ¢�` "�) FINAL PERMIT ISSUING FEE TOTAL FEE NOTES V PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALI A ION CK. M.O. CASH r r-, \ U, � tD 1 t;.?1�L, x..1. �. U V " C lip a r'. I -r— ---- TEMPLE CITY 76A'663-CE.806 10/72 appduc�'Alm r oQ ��oC L pERWT - . °• COUNTY.OF LOS ANGELES" DEPARTMENT OF COUNTYsENGINEER 'OB ".BUILDING.AND SAFETY DIVISION ADDRESS .6171' Hart LOCALITY City _ NEAREST FOR APPLICANT.TO FILL IN CROSS ST. OUTLETS NO. EACHFEE FIRM NAM SARULLO JAMES RECEPT._ MAIL LIGHT. TOTAL FIRST 20 „25 ADDRESS CITY le Ci L: NO.28:5-5341 SWITCH_ OVER 20 .10 PLAN CHECK FIRST 20 ..25 APPLICANT LIGHTING`," � TOTAL _ '1 - ADDRESS `FIXTURES ;OVER 20 '10 ' RESIDENTIAL APPLIANCES•, CITY TEL.' NO. _ PERMIT - - RANGE - DR_YER.",. WTR. HTR. APPLICANT, - - :! - .. STA..COOK DI,SP. F.A.U. - ADDRESS Peck RQa"d.:�, SPACE HTR,-j- AIR COND. CITY sn El Mon tT6L*. NO.,579�_�7982 CLOCHES WASH. DISHWASH - LICENSEOR C-10 REG. NUMBEP CLASS. FAN ` OTHER 1.00 " I. HEHEB1 ACK±NOW LEDGE• THAT I HAVE READ THIS`APP.L'I CATION AND.STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS,'TRANS FORMERS 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 PROPERLYREGISTERED AND/OR' O - L 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA- OR THAI I AM THE',LEGA OWNER OF THE ABOVE • 1 - 10 3.00 OESCRIP:ED RESIDENTIAL PROP TY.. p- O PERMITEE ,U 10 - 50 5.00 SIGNATURE l � CD 50 — 100 10.00 v DISTRICT N0. SSED BY LLJ loo - 500 15:00 c \O SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS PATE INSPECT 'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS - 1.00 ,TEMP. POWER POLE SERVICENOTOVER600' ` R'20 UNDERSLAB WORK SER VI C - OO VOLTS OR 200"AMP 10.00 ROUGH CONDUIT' TEMP'SERVICE, POLE, &APPURTENANCES - ,5.00 WIRING TEMP"LIGHT OR'RECEPT, SYSTEM 3.00 FIXTURES - POWER AUTHORIZED - UTILITY CO, NOTIFIED _..,1 FINAL PERMIT FEE (SUB TOTAL) - 'NOTES: I PLAN CHECK .FEE PERMIT ISSUING FEE 3.00 3 TOTAL FEE 100 1 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 8 U'ri4ihR. 7 2 7.0 U SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE. - .• 76A663-CE306 12-65 APPUCAIMN FOR ELECUMCr p mff LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS Cl- A2 o:eL JOHN A. LAMBIE,,COUNTY ENGINEER / COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING: LOCALITY-7 �. NEAREST FOR APPLICANT TO FILL IN CR.:: ST. /L O� ''RECEPT• TOTAL NO. IEACH FEE - OUTLETS� $ $ OWNER iglw05 'T C� 'LIGHT'S FIRST 20 ADD*L4{J/ •20 Q'O MAIL / �] T .SWITCH (- -I OVER 20I / •1O Q ADDRESS Ak. B^�0 /n�(J/,3/ 1 TOTAL FIRST 201 •20 n CITY La G TEL. N0.1 "T b Y`3O� LIGHTING 'l FIXTURES [/ FIXTURES J( CONTRACTOR If OVERVER 2 20 .10 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK �STATE DISHWASH. AUTO.-WASH.SPACE HTRS. STA. APPL. .SO NO. MOTORS: OVER NOT OVER H.P. CTN GR E P° 1r� 1.00 J[L (� s 1.50 INSPECTION R C RD O u 3 8 2.00 8 15 2.50 0 15 50 3.00 v V ®�i�/A�f.�`•-oJ ICJ D_ 50 100 5.00 to Z SIGNS: NO.TRANS NO.LAMPS SERVICE 0.60OV-Nor OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'SSIGNATURL TOTAL FEE $f Q Q ° UNDERS LAB WORK I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT r+ k 4 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING ✓ Y ��! 1 HEREBY CERTIFY THAT I 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,AND INTEND TO POWER RESIDE IN.THEDESCRIBED RESIDENTIAL ROPERTY. SIGNATUR UTILITY CO.NOTIFIED OF PERMITTE ` r FINAL (DATION J04EPH C. ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER L At-- 72.2 FEB 17 2 D 1 O.90- I WORKERS'COMPENSATION DECLARATION CE-806 10/81 ARgjPj p C y MON 2®R 20 2� TMIC/A p PERNT I hereby affirifn that I have a certificate of-consent to self insure, CE-806G I��II��I� �o6�U Iltl Ir Lr–L�L�I� �lll� or a certificate of Workers' Conl)ensation•fgsurance;or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB /' –/�• 6�2 GTP f E] Certified NO. FEE ADDRESS AVP Certified copy is hereby furnished. New Residential Bldgs.& Pools _ r-11 & 2-Family, Sq.Ft. $ — $ LOCALITY Certified copy is filed with the county building inspection department. - - Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME MSS I�x+(10 CERTIFICATE OF EXEMPTION FROM WORKERS' 2,Q MAIL ' l)� Outlets:Rec—Light Sw.— 14ART COMPENSATION INSURANCE �O ADDRESS ��--� �, C�T�FQ (This section need not be completed if the work involved by the �/Q First 20 permit is for one hundred dollars($100) or less.) Total No.� Additional CITY T��1 12L,7_-- (�' Tel.No. I certifythat in the performance of the work for which this ermit PLAN'CHECK P P � APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Date J--23 – 9 y Applicant PO 6 L-F�> Total No. CITY Tel.No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ HeaterD.W. _ provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS (73,91 E P-4A1^3 3 provisions or this permit shall be deemed revoked. Top — FAU _ W.H. CITY CA, 1014 F=/v Tel.No. T" –p 3 LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO. �^ PROC ED ?4Y'4, G/sCIL Size& Type HP,KW,KVA,or KVAR � License Number Lic.Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATEOA Contractor Date VALIDATION O ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY. W BAP.C.for this reason Over 100 N Services,Swbd.,MCC&Panelboards Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg.Maint.Elect. ' SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch CircuitAC*CTa4 I hereby affirm that I am exempt from the Contractor's License Law ;,_.. *CT.T _...'....:........ _ for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits- X0-7 85.Be Code): "• El 1, Conduits & Conductors • ITES M I,as owner of the property,will do the work and the structure Other See Complete Fee Schedule q is not intended or offered for sale (Section 7044, Business ( p ) D �- t I�TA� ,��m �� and Professions Code). CHECK 35.830 CONSTRUCTION LENDING AGENCY' I hereby affirm that there is a construction lending agency for the CHANGE ell performance of the work for which this permit is issued(Sec:3097, PERMIT FEE (Sub-Total) Civ.C.). –� � PLAN CHECKING FEE � _� � 5/23/90 Lender's Name ..�'�r'"•�S S�-2N'(La 1 /� PERMIT ISSUING FEE � 0360 1 AAMf°a+f7 Lenders Address 1,,"('( `1 rf" fl=, AVE—AV I certifythat I have read this application and state that the above TOTAL FEE (f information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned prpurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of&Imittee Date –_ lr� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0604200034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 219 BL: .001 6121 HART AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801629 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5384-008-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C JX MOTORS, LT 3 HP 1.00 MOT 15.30 TENANT: TOTAL FEES 43.05 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 04/20/06 JK 10/17/06... OWNER: TEL. NO: FIN L DATE/ FINAL BY: CODE.: TERRY TUNG (626) 255-3017- �� 6121 HART AV TEMP 917801629 DESCRIPTION OF WORK PUT ON ELECTRICAL GATE MOTOR AT THE FRONT YARD 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: ROUGII CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED ) .I REPORT ID: DPR265 ROUTE TO: BS0508