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HomeMy Public PortalAbout6156 HART AVE_Electrical__ TEMPLE CITY 76A663-CE806 10-61 QPPUC AMN FOR RECTG°3 AL' PERN7 g COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER p Bu1LDING BUILDING AND SAFETY DIVISION ADDREssvie JOHN A. LAMBIE, COUNTY ENGINEER / WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY �" 1e e -- - NEAREST FOR APPLICANT TO FILL IN cRoss ST. 1 T E M NO. EACH FEE OUTLETS: (FIRST 20) $20 $ OWNER $ LIGHTS RECEPT. SW. / - OUTLETS: (ADD'L UNITS) ADRESS C / G / �lj LIGHTS � AP DRESS� RECEPT. SW. CITY .*lj / {/ �}- TEL. NO.- �/ LIGHTING FIXTURES: (FIRST 20) •20 - LIGHTING FIXTURES: (ADDITIONAL) ,10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(+/z N.P.MAX.) -60 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTQ{CIT GRO P Z7 P OG Z BY O 1 1.00 5 (per, I 1 3 1.50 /INSPECTION RECORD 3 8 2.00 rJG �� Q 8 15• 2.50 t .' O 15 50 3.00 - 50 100 5.00 O. SIGNS: NO.TRANS. r Z NO.LAMPS SERVICE 0.600V-NOT OVER 200A 1.00 ' .,�- y cam" _ •�;� SERVICE 0.60OV-OVER 200 A. 2.00SERVICE OVER OVER 600V 5.00 MISC. /7� ///1 /7, fid'✓�v1'E'E'i:�'�i^ w�f � /P �'� {I.L'f"✓ e,1�y. v `f PERMIT ISSUING FEE 2.00 _ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 W TOTAL FEE $ OZ� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING •ELECTRICAL WIRING. ` WIRING / �� /J,G%' �4 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE TIAL PROPERTY. "r POWER _ SIGNATURE UTILITY CO.NOTIFIED A /� OF PERMITTE FINAL VA_LIDATI ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 29 2 .® 3000- h, �/p�� �r��+ I� In FOP, c;�(/�/�nG�I�17�' G�I776A663-\8 12/75 L�O�U ��CU"�l ll ��JU V' ll O� IS ISLSCU��V-!/' 115 n. PEP IIVU� U; LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER __jJOB n BUILDING AND SAFETY DIVISION ADDRESS /� FOR APP ICAN TO F IN LOCALITY 1 New Residential Bldgs& Pools EACH NO. FEE NEAREST 1 & 2,Family, Sq. Ft. $ .025 — $ CROSS ST. 4 I T/ OWNER OR Multi-family Sq. Ft. .02 — FIRM NAME Residential Swimming Pools 20.00 MAIL / ADDRESS Outlets: Light, Switch & Receptacle CITY .Tr- a& �`�jpTel.No. ._��� First 20 .. .50 PLAN CHECK Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No: Additional .30 PERMIT A � J 672 f n l; �� . APPLICANT ? C Fixed Applsances Not Over 1 HP ADDRESS ,`of�V��� Range Heater_D.W. CITY �� /� ry Oven_DryerTel.No.W.M. f l r �lr� '7' 26 LICENSE OR p c Top FAU _W.H._ REG.NUMBER 6 fG Class. Hood I Fan ___ 2.00 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Disp.�A.C. ___ AND STATE THAT THE ABOVE IS CORRECT�AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. - Power Apparatus& Large Appliances Size& Type HP, KW, KVA, or KVAR LI HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Y ICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Up to 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE QQ Over 1 to 10 Incl.- 5.00 OESCRMED RESIDENTIAL '0 0 Over 10 to 50 Incl. 10.00 PERMITEE U A Over 50 t0 100 Incl. - 20.00 SIGNATURE (� H Over 100 30.00 DISTRICT NO. PR CES;" BY Services MA 0- 200 Amp. Under 600 V 12.50 INSPECTOR'S 0� 201-1000 Amp. Under 600`V 25.00 APPROVALS DATE SIGNATURE In Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE UNDERSL-AS WORK Temp. Power Pole& Appurtenances 30.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES F 0_6'0 ! xa— PLAN CHECKING FEE (One-Fourth Permit Fee) Y,-12 C_4t_LXF;b 60.v. T✓� i PERMIT ISSUING FEE $6.00 ( TOTAL FEE 14 .30 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION'--' -CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Y `f� WORKERS' COMPENSATION DECLARATION 76-6669 DPW 3ie7 - -76A663 /tel PP C n TIOO N FOR EL EC IJ ll�� `v-/r-�1L� Il'L�II�II OT insure, or a certificate of Workers' Compensation Insurance, `I hereby affirm that I have a certificate of consent to self, CE-806G !�1 ll L� !tel COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ` ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS #Am C.6 6 ElCertified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ tion Tion department. Multi-family Sq. Ft. NEAREST - CROSS ST. ResidentialSwimming Pools OWNER - OR „I ?�Y Date Applicant FIRM NAME 17T ,4 LL-4 •CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec %3 LightCA MAIL COMPENSATION INSURANCE �Sw.— 0 ADDRESS (This section need not be completed if the work involved by First 20 CITY pL Total No. Additional the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to.the Workers'Compensation Laws. Lighting Fixtujes First 20 U ADDRESS Additional Total No.� CITY - Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION Exemption, you should become subject to the Workers' Range— Heater—D.W. — Compensation,provisions of the Labor Code, you must forth- Oven — Dryer —W.M:— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood 1_ Fan —Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATIONJ A9 LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. keRESSED BY d and Professions Code, and my license is in full force and effect. Size&Type HP; KW, KVA, or KVAR z � O License Number Lic. Class ,Up to 1 Incl. FINAL V Over 1 to 10 Incl. DATE �� /a cr_ VALIDATION 0 Contractor Date Over 10 to 50 Incl, H ❑ FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 d Services, Swbd., MCC& Ponelboards Z Date: d Z 0- 200 Amp. Under 600 V D 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 I herebyaffirm that I am exempt from the Contractor's License Sign with One Branch Circuit P Additional Sign Branch Circuits ��"' °a Law for the following reason (Section 7031.5, Business and g Professions Code): Conduits&Conductors ! t-u- I, as owner of the property, will do the work and the Misc. •>• =t+-tj= structure is not in or offered for sale(Section 7044; Other (See Complete Fee Schedule)— /Business and Professions Code). i H= +==_:•• 90 CONSTRUCTION LENDING AGENCY cum-, ', I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) G IST{moi_ (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Namef_ l It i "5" PERMIT ISSUING FEE / `- !;`" 77 Lender's Address q ' i j' I certify that I have read this application and state that the TOTAL FEE a�g above 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 th bove-mention property for inspection.purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ©s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0602220003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: - FEES PAID BUILDING ADDRESS: TR: 5904 LT: 228 6156 HART AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801628 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 5384-010-009 Al_ PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 TENANT: JX MOTORS, LT 3 HP 1.00 MOT 15.30 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 45.00 02/22/06 JK 08/21/06 OWNER: TEL. NO: FINAL DATE CODE: PADILLA RITA M (626) 278-2182- 6156 HART AV EXPIRED TEMP 917801628 DESCRIPTION OF WORK ELECTRICAL FOR SUMP PUMP 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 YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508