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Home My Public Portal About5937 IVAR AVE_Electrical__ 76A663 eE-806R 9/76 APPLICATION FOR ELECTRICAL .PERMIT COUNTY OF LOS ANGELES5NEER �` 1 , DEPARTMENT OF COUNTY ENGIJOB JO DRESS 5a J �J• V�� NEAREST BUILDING AND SAFETY DIVIS FOR APPLICANT TO FILL INCALITY y,� MPL GI New Residential Bldgs.&Pools EACHNE OSS ST. 1 fE R N►osa M S PkTE.�. 1 &2-Family,Sq. Ft. $ 025NER ORMulti-family Sq. Ft. .02M NAME woRK N COTResidential Swimming Pools 20.00AILO Z+IL?t.11DRESS P. �4Outlets:Rec�LightLSw. Y �,..A. G�� TeI. No. 9 • p'CtFirst 20AN.CHECK Total No.� Additional .30PLICANT ADDRESS Lighting Fixtures First 20 .50 CITY ,p Tel. No. Tocol No. Additional 30 IT APPLICANT �RK ONLAMI E0 <Z%f. Fixed Appliances Not Over 1 HP ADDRESS 'L ZEL-AA AVE: Range_Heoter—D.W._ CITY RBSe bh Tel. No.qd�b • Oven —Dryer—W.M. LICENSE ORa Top —FAU —W.H._ REG.NUMBER 2�7 SSo Class. TiJ Hood-Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. — Room Air Cond. 2.00 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2.00 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNI R THAT I AM Up to 1 Incl. THE LEGAL OWNER OF 7HE VE DESC D RESIDE TIAL PROP TY. Over 1 to 10 Incl. 5.0014 17 Over 10 to 50 Incl. 10.00 PERMITTEE Over 50 to 100 Inc. 20.00 SIGNATURE %JW AF 30.00 0 Over 100 DISTRICTTNO. ® /� P s C,F/SS a" Services 0-200 Amp.Under 600 V 12.50 INSPECTOR'S 201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE Tem Power Pole&A 10.00 UNDERSLAB WORK Temp. Appurtenances Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 15.00 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE ISub-Total) / NOTES PLAN CHECKING FEE (One-Fourth Permit Fee)- PERMIT ISSUING FEE 9:s TOTAL FEE • PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 1 4 7rJUN 23 2 7.3 0 0�l SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ®s 76A663-CES06.10.56 APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING (� -{— County of Los Angeles ADDRESS 6 3' T- JOHN A.•LAMBIE,COUNTY ENGINEER ` CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY NEAREST q, FOR APPLICANT TO FILL IN PERMIT FEES OWNER p:`� C F* t C- C-f( F- LIGHTS RECEPTACLES SWITCHES -� NUMBER 1 T E M FEE MAIL ADDRESS TOTAL OUTLETS $ ,10 $ ". ELEC. RANGES, WATER HEATERS, CITY TEL. NO. CLOTHES DRYERS .50 ELECTRICIAN Pt/Vl S -S fq 111P 1S'EZ.�� ELE /� E EATERS, STAT'Y. ( g._ I<•1 / y; GAR GAGE DISP ADDRESS � V 1.. l'� 'Ila n HERS, DISHWASHER .25 LIGHTING FIXTURES .10 CITY L_1'_�. TEL. NOL49-16% 1 MOTORS STATE o R'7 LICENSE NO. l HORSEPOWER H.P. OVER INC. DISTRICT-NO. GROUP ZONE READY FOR INSPECTION 1/2 &LESS . .25 1/2 - 2 a0 INSPECTION. RECORD 2 5 1.00 5 15 15 50 2.50 ' a ('�'/�4 /z A-S ��. �✓?/�F�� /�/ST 50 200 5.00 S�Py/C E' f.Sl w/7-A-j-5/2-.�-' W/ F . MISC. F CPC.eR�I/I cF d SIGNS. I NO.TRANS NO.LAMPS SERVICE O-600V 1.00 _ SERVICE OVER 600V 5.00 WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 APPROVALS _ TOTAL FEE -- - DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 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 THE ABOVE POWER DESCRIBED RESIDENTIAL PROPERTY. I SIGNATURE - UTILITY CO. NOTIFIED OF PERMITTEE FINAL JOHN A. LAMBIE. VALID ARTHUR C.VEIT, COUNTY ENGINEER CK MO psH SUPERVISING ELECTRICAL ENGINEER 7 WORKERS'COMPENSATION DECLARATION - 10/61 APPLICATION FOR ELECTRICAL PERMIT • I hereby affirm that CE I have a certificate of consent to self insure, CE-Bos806 e or a certificate 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 IN JOB ❑ Certified copy is herebyfurnished. EACH NO. FEE ADDRESS New'Residential Bldgs.& Pools ❑ 1 & 2-Family,Sq.Ft. $ _ $ LOCALITY G� Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR �J FIRM NAME /Al 6 V 0 VA CERTIFICATE OF EXEMPTION FROM WORKERS' / MAIL COMPENSATION INSURANCE Outlets:Rec Light T t 2 �^, a v •� J ADDRESS (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less.) Total No. Additional CITY Tel.No. I certifythat in the performance of the work for which this permit PLAN CHECK p APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Date Applicant v �G Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If,. after making this Certificate of �-A J Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. APPLICANT /`�'� provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer _ W.M. ADDRESS ,�O, vc provisions or this permit shall be deemed revoked. Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATIONCITYi��/L C' Tel.No. LICEHood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 REG. EOR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Z O /— Class. Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliance DISTRICT NO. PROCESS BY Appliances Size&Type HP,KW,KVA,or KVAR 0 License Number Lic.Class Up to 1 Incl. FINAL U Over 1 to 10 Ind. DATE ��Q V (DATION 0 Contractor, II(C.��C/�l.-77 Date ( Over 10 to 50❑ Incl. GJ U FINAL I am exempt under Sec. Over 50 to 100 Inc. By W Over 100 B.&P.C.for this reason Z Services,Swbd.,MCC& Panelboards _ ate: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V 6$Q.Q A ❑ Over 1000 Amp.or Over 600 V Exemp on for Reg.Maint.Elect. # 000,® 02 SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ° ° 5 5 7 5 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits 0.0. .° ° 5 5 7 505 Code): , ❑ Misc.Conduits & Conductors 04, 1 x 8 7 I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that 1 have read this application and state that the above TOTAL FEE r information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize repr t, s this County to enter upon the above-mentioned ert r i ectio rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ure of Per ee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9912010014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 115 5937 IVAR AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801520 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5386-011-059 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3. LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 14.00 OUT 27.30 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H7 RES EXHAUST FANS 2.00 EX 21.90 12/01/99 UT 05/29/00 TOTAL FEES 80.85 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: TANDYA MADE;MAYLIE (818) 286-1654- 5937 IVAR AV - o TEMP 917801520 DESCRIPTI OF WORK ELECTRICAL FOR REMODELING-HOUSIN REHAB APPLICANT: TEL. NO: HUNT INTERIORS, INC. (626) 285-8439- 1100 S. SAN GABRIEL _._-_ SPECIAL CONDITIONS: SAN GABRIEL, CA co CONTRICTORIORS, INC. TEL. N285 8439 APPROVALS DATE INSPECTOR SIGNATURE HUE1100 S. SAN GABRIEL BLVD. LIC. NO TEMPORARY POWER POLE SAN GABRIEL, CA 91776 6565246 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND , LIC. L N0� 1111111 ROUGH CONDUIT- Ir_ ROUGH WIRING (� C � /1 /]G(n��/J � MAIN WATER LINE IUB U ILh \`1IJ/1`1 Jl/ ILIA US IU�� PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED O 0 I O 0 ,2 El [Ell d REPORT ID: DPR265 ROUTE TO: BS0508