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Home My Public Portal About6224 HART AVE_Electrical__ 7SA663 DBS SA 11-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES O WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUE-D-f ADDRESS /�jl FIRST INSPECTION CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING `Sl PERMIT FEES ADDRESS o i NUMBER EACH Are LOCALITY _(=! LIGHT OUTLETS NEAREST r RECEPTACLES - CRO 55 ST. WALL SWITCHES .y OWNER TOTAL OUTLETS 5C _s MAIL ELEC. RANGES 25 ADDRESS.2. 2'- - ELEC. HEATERS. 25 CITY TEL. N.,4,r Q FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 112 6 LESS $ .25 SIGNATURE OF %2 2 .50PERMITTEE _ 2 5 1.130 INSPECTION APCORD _ 5 1s 1.511 15 SQ 2.50 _ SQ 2130 S.O❑ _ zao SOD 1❑.00vw. /3A Q J Soo 1000 15.00 Q n 11Tl is //v elR- y z -OVER /OO❑ 20.130 --' /� h!t — � m.s. SET/FREQ. CHANGER-HP WELDERS:AC-KVA lT � �� `,� ��-�/r� O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG•) t— "- MOVED MOTORS (75% or ORIG.) ��a/1 o — Ro-r MISC. �JI/f,?d I .� O�"'b ��• '5113N5 NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: )DATE ,IN,'3P,ECTOR'S NAME WIRING $1,00 / CONDUIT �d `�� •r FIXTURES ^1.00 / WIRING - SUPPLEMENTARY .50 FIXTURES / POWER TOTAL FEE $ l0 UTILITY CO.NOTIFIEDr //•(/Q/s��"('/ Yti/ FINAL r 1 D.B.S.SA p25M SETS 10-p4�7 BUILDING ��p�gp '. Wr diEJCL"LK.CR1(&t,E�1QV7JpLJ��O�F 1iD WJ�II1�lJ1�+Ull1e'0G P671��D SAFETY "PLICATION FOR ��I OF M. J. F CHIEF ENGINEER ELECTRIC Z. NAME DISTRICT NO. GROUP I ZONE PERMIT NO. ADDRESS5 ` 1 RECEIVED BY READY FOR DATE ISSUED. U CITY TEL.NO. V FIRST INSPECTION ItJ A COUNTY e W CERT,NO. EXPIRES APPLICANT PILI. IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS ;Z �-�- NUMBER OF OUTLETS ON CIRCUITS LOCALITY 0" LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS FOOT CROSS ST. CIRCUIT A B C I D I E F G H it NAME Z MAIL 0 ADDRESS CITY TEL.N 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM THE]LEGAL OWNER OF THE PROP TY CRIBED ABOVE OWNER. CORRECTIONS J � C Z 0 ILLTOT NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES DATE INSPECTOR'S NAME . NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING tto f NO. OF RANGES OR IE*-ERV' $ a FIXTURES MI§CELLAMMUS POWER PERMIT FEE $ q UTILITY CO.NOTIFIED _TOTAL FEE aFIN L t 76A663-C E806 11/70 0 D10 0 O , FOR O � APP UC�QVUOk COQ REC�IrM d [ m COUNTY OF LOS ANGELES' DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT'TO FILL�IN CROSS ST, OUTLETS - NO. EACH FEE OWNER RECEPT._ s Is MAI L LIGHT TOTAL FIRST 20 25, ADDRESS CITY TEL, NO. SWITCH_ OVER 20 .10 PLAN CHECK FIRST 20 25 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS FIXTURES .10 ' APPLIANCESCITY TEL. NO. PERMIT / RANGE DRY ER-�-WTR. HTR. APPLICANT STA. COOK DISP., F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. N0. J CLOTHES WASH. _DISHWASH. - LICENSE NO. CLASS. FAN OTHER 1.00I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION oa•'� ✓ 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 0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO >- 1 — 10 3,00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PR PERTY. O SIGNATURE _ V 10 - 50 5.00 OF PERMITTEE � 50 - 100 10.00 DISTRICTNO. CLASS ZONE PRO BY - 100 - 500 t5A0 4 a LU a - tq SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 ! APPROVALS DATE' INSPECTOR'S SIGNATURE S ERVI CE OV ER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP-SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDI UT WIRING FIXTURE'S POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE 3.001 1 &-v FINAL JOS PH C. ROOHAN TOTAL FEE �� - SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH , ., c: Lt ivo- 4 DEC G O 2 'D 9.0 0- J SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION CE-806G 12-80) APPHICA11 N FOP EL EC I1 IIS ALS Ir15R11 T I hereby affirm. that I'have a certificate of consent to self COUNTY OF LOS ANGELES . J— (2e BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or s / i a certified copy thereof(Sec. 3800,Lab.C.) C-1677321-9 Pacific- Employers' FOR APPLICANT TO FILL IN JOB 6224 NO. Hart Ave. Policy No. Company EACH NO. FEE ADDRESS Ins. Co. New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Temple City' Multi-family Sq. Ft. — NEAREST Certified'copy is filed with the county building inspection. CROSS ST departmen L Residential Swimming Pools OWNER OR : 2-27-8 Anthony Pools FIRM NAME Datz Applicant Outlets: Rec.—Ligh-t Sw. MAIL 6224 N0. Hart Ave. First 20 ADDRESS " CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional, CITYTemple City Tel No.285-1029 } COMPENSATION INSURANCE PLAN CHECK !., a (This section need not be completed if the work involved APPLICANT AntonPools o U by the permit is for one hundred dollars ($100) or less.) . Lighting Fixtures First 20 ADDRESS - Additional Total No. 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY S0. Gate' Tel No. 928-3381 permit is issued, I shall not employ any person in any manner PERMIT- W so as to become subject to the Workers' Compensation Laws. Range_ Heater D.W. APPLICANT Anthony Poolsd Oven _ Dryer_W.M. ADDRESS5871 Firestone Blvd. z Date Applicant Top' ._ FAU _W.H.. Hood Fan _Other_ CITY So- Gate Tel No. 928-11,81 NOTICE TO APPLICANT: If, after'making this Certificate of Disp: Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER 190179 Class C-53 Compensation provisions of the Labor Code,'you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE ED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR •�� deemed revoked. L�s e'� f.�: ' . Up to 1.Incl. • FINAL Over 1 to 10 Incl. DATE LICENSED CONTRACTORS DECLARATION VALIDATION Over 10 to 50 Incl. I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100-;.: ness and Professions-.Code, and my license is in full force and effect. Services 190179 C-53 0-200 Amp. Under 600 v -11 r �� 35 License Number ' Lic.Class 201-1000 Amp.Under 600 V Contractor Anthony Pool;ate 2-27-81 Over 1000 Amp.or Over 600 V HOMEOWNER-BUILDER DECLARATION Temp. Power Pole.&Appurtenances Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's . Additional Sign Branch Circuits License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits&Conductors 2443.7A I,.as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section # 0 0 0 0 0 2 7044, Business and Professions Code). CONSTRUCTION LENDING•AGENCY 210'0 4 LL 5 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Su b-Total) 3 jJ o•o'o 4 5 0 5 issued (Sec. 3097,Civ.C.). Lender's Name cash PLAN CHECKING FEE (One-Fourth Permit Fee). 0 .3 Lender's Address ' PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE d above information is correct. f agree to comply with all County ordinances.and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the abo Toned pro pert spection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE 2-27-81 S' n ure of P r� Ony Vo0 $ Date COUNTY OF LOS ANGELES .TEMPLE CITY ;t 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0406090009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMP!_E CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID EUILDING'ADDRESS: TR: 5904 LT: 233 6224 HART AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP.CA 91°7801630 ASSESSOR INFORMATION NUMBER: _ ' -INtAREST CROSS STREET: GARIBALDI . - 5384-009-004 Al PERMIT ISSUANCE FEE. 27:-75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: JA HEAT PUMPS +3-10HP 1.00 HT 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES` 58.35 06/09/04 VG 12/06/04 OWNER: TEL. NO: I FINAL DATEFINAL .BY: CODE: BLUM CARL L;JEANETTE M TRS BLUM TRU (626) 287-4745- `` 6224 HART RV '� t TEMP 917801630 DESCRIPTION OF WORK ELECTRICAL FOR HEAT PUMP APPLICANT: TEL. NO: AIR TRO (626) 357-5311- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO:' APPROVALS DATE � INSPECTOR SIGNATURE AIR TRO (626) 357-5311- 1630 MYRTLE AVE LIC. NO TEMPORARY POWER POLE MONROVIA CA -91016 258228C10 * E UNDERGROUND CONDUIT • ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: RCUGLI-CONDUIT ROUGH WIRING i. MAIN'! TER LINE PLASTIC Y/N METAL, Y/N UTILITY COMPANY NOTIFIED !. - i * ADDITIONAL DATA ON 'FILE REPORT ID: DPR265 ROUTE TO: BS0508 i