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HomeMy Public PortalAbout6003 IVAR AVE_Electrical__ ,76A663-CE806 10/72 APP UCCAMN FOR `ELECTPUCAL PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rJADS BUILDING AND SAFETY DIVISION ITY ST FOR APPLICANT TO FILL IN ST, f 4 ,OUTLETS 4 NO. EACH FEE - OR _ I - $ $ AME M RECEPT. S ljL MAIL ADDRESS LIGHT TOTAL FIRST 20 �-� 25 A 44 CITY TEL. NO. SWITCH OVER 20 .10 PLAN CHECK FIRST 20 25 /1 APPLICANT LIGHTING )l, TOT L Cf ' ( ADDRESS - FIXTURES I OVER 20 10 RESIDEN AL APPLIANCES CITY TEL. N0. PER � RANGE` DRYER / WTR. HTR._ ,. APPLICANT' l✓ STA. COOK DISP._/_F.A.U. ADDRESS � 0�--- r SPACE HTR.—Al R COND. CITY EL. NO. � CLOTHES WASH.rDISHWASH._L_ LICENSE ' �CLASS.f/ e) REG. NUMBB ER .FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I•HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -MOTORS; TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES A,ND STATE' LAWS, REGULATING IND..HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE& TYPE OVER TO " I HEREBY-.CERTIFY THAT V PROPERLY REGISTERED AND/OR 0 — 1 '100 LICENSED. AS REQUIRED B' S ANGELES COUNTY AND TATE 'CALIFORNIA OR THAI THE LEGAL OWNER OF - AB DESCRWED RESIDE NTI PROPERT . 1 — 10 3.00 0 PERMITEE V 10 — 50 5.00 SIGNATURE 50 — 100 10.00 U DISTRICT N0. - PROCESSED BY W 100 — 500 15.00 wry cC/) SIGN, GAS' SIGNAND ONE CIRCUIT 5.00 APPROVALS 'DATE I SPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK . SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT • ' TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRINGI�. a R 7 fJ/ TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES ,. POWER AUTHORIZED,.` - - UTILITY CO. NOTIFIED FINAL 66nh .s%��f PERMIT FEE (SUB TOTAL) N"OGT /� wES: d/�—Z �1/3GG - �c.9"' e��1..v4s✓ PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK'VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH` 6.4 4r'4_'N0V 6 2 D 1. 2.25 A'�jd SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE n r��n1f1 n f�t1 I�/�5�� /� �I�y�� -l��y���/-7--' 76A663-CE806 9-67 ��1\I�Iy�il �C![1\��OIIp11 FOR ELI}!! 11 R9CAL ll E11�11�vn\�4 1 { COUNTY OF LOS ANGELES V LSrJ ll tr�� 11Vl! IILLJJII DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION. BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �Q O COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING ]LOCALITY I• - ••-I -:• _. �ti... - .`k. NEAREST .�• z^ FOR APPLIC•A NT TO FILL IN CROSS ST. NO. EACH FEE _ $ $ OWNER '> RECEPT% ._ MAIL- LIGHT TOTAL . FIRST 20 .20 ADDRESS '+ 'i SWITCH_ OVER 20 .10 CITY TEL. NO. •, LI,GHTING 1 TOTAL FIRST 20 .20 CONTRACTT r )j y' FIXTURES/� OVER 20 ..10 ADDRESS�J S� //j/��S RA NGE.�DRYERW TR.HTR,_ . CIT /►"� �- TEL. N / !p iSTA.COOK_DISP.-F.A.U._ LICENSE NO. 4SV +o -` SPACE HTR. AIR COND. ( IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY !`-CLOTHES WASH. DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. •.': FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM EG L OWNER OF, AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABO DE R ED ESIDENTIAL PROPERTY. SIZE & TYPE OVER TO SIGNATURE u' OF PERMITTEE � 0 - 1 1.00 d 1 — 10 3.00 1 DISTRICT N GR Z f3 V 10 - so 5.00 '� SO - 100 10.00 NOTES: 100 - 500 15.00 S t��-7"4"'7 &'oQ �a.n rsJt r .CL r a SIGN,GASSIGN AND ONE CIRCUIT 3.00 /L 9. e"' " �.lp�G. td-j A t'fL Z TUBE, OR ��Q� MARQUEE ADDITIONAL CIRCUITS 1,.00 �., -1"p,kn s _ A5a6pd.f� r 4La SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 �' ISZ� �� ���✓!� �1,,, �� � !,1 SERVICE OVER 600 VOLTS OR 200 AMP ,5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE r° �G TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT ^i ISSUING FEE 2.00L') WIRING WIRING d FIXTURES •I SUPPLEMENTARY ISSUING FEE 1.00 - POWER AUTHORIZED PERMIT FEE UTILITY CO.NOTIFIED .1/ ..stl A PLAN CHECK FEE (50% PERMIT FEE) 'f'.FINALTF TOTAL FEE 5 JOSEPH C. ROOHAN _-: ,•,. .a .zr -- irs ..-�1 SUPERVISING ELEC ICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .00SELAbo s 5 9' fLv 16 2 0 5.00- SEE E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -// WORKERS'COMPENSATION DECLARATION 76A663. 10/81 0 0 0 0 0 0 1 hereby affirm that I have a certificate of consent to self CE-806G APPUCQTPON FOR ELEC�IMC AL> pEG3Fi�iv 'T o insure„or a.certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILD ING.AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. -Company FOR APPLICANT,TO FILL IN JOB V” EACH NO. FEE ADDRESS "+ i Certified copy is hereby furnished. New Residential Bldgs. &Pools 1 & 2-Family, S Ft.—, $ — $ LOCALITY Certified copy is filed with the county building inspec- y- q tion department. Multi-family Sq. Ft. — 'NEAREST CROSS ST: Residential Swimming Pools OWNER OR Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec i ' Light Sw.'"''F_ MAIL COMPENSATION INSURANCE ADDRESS This section need not be completed if the work involved b First 20' p Y Total No. CITY Tel. No. 1 the permit is for one hundred dollars ($100)or less.) Additional PLAN CHECK r- licertify'that in the performance of the work for which this APPLICANT ;permit is issued,'l shall not employ any person in any manner ., so.,as to become subject to the Workers'Compensation Laws. Lighting Fixtures ` First 20 ADDRESS 3' t Total No Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICETO APPLICANT:'If, after making this Certificate of APPLICANT 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 wiih•,comply with such provisions or this permit shall be' Top FAU —W.H. — deemed revoked. CITY Tel No.. Hood Fan —Other_ LICENSED CONTRACTORS DECLARATION 'LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class i i. (commencing withSection7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY a <and Professions Code,and rriy license is in full force and effect: Power Apparatus& Large Appliances Size &Type HP, KW, KVA,'or KVAR t r' o License Number Lic. Class Up to 1 Incl. LU IFINALOver 1'to'l0lncl. EContractorDate• VALIDATIOPdOver 10 to 50 Incl: ALIarri exempt under Sec. Over 50 to 100 Inc. Q Over 100 d' B.&P:C.for this reason O y Services, Swbd., MCC & Panelboards a Date: 0 -200 Amp. Under 600•V w d Signature ' 201 -.1000 Amp. Under 600 V 1J r+ Over 1000 Amp. or Over 600 Vf1 Exemption for Reg. Maint. Elect. JW \ SINGLE FAMILY Temp. Power Pole &Appurtenances HOME-.OWNER-BUILDER DECLARATION Sign with One Branch Circuit. I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section.7031.5, Business and Professions Code): - i'1''J+ i tf f Int rr aMisc. Conduits&Conductors y+- 1, as owner-'df the property, will do the work and the pf "4 ' }'e; I is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D ++ *r" 7044, Business and Professions Code). CONSTRUCTIONLENDING AGENCY f 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) E� (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE ,.• Lender's Address I certify that I have read this application and state that the TOTAL FEE C 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 the above-mentioned'property for inspection purposes. X SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0901140015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: I ITR: 5904 LT: 117 UN: .002 1 6003 IVAR AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801522 (ASSESSOR INFORMATION NUMBER: I . I NEAREST CROSS STREET: 1 15386-011-062 JAI PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I JHA FAU LESS 3HP 1.00 FAD 10.95 D (TENANT: JJB AC UNITS +3-10HP 1.00 AC 19.65 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: J TOTAL FEES 58.35 101/14/09 SR 07/13/09 DOWNER: TEL. NO: IFINAL DATE FINAL CODE: 1 IMR. & MRS. GALDOS (760) 724-4053- 16003 IVAR AVE. 1 r� ITEMPLE CITY CA 91780 1 1DESCRIP ION OF WORK J I JELECTRICAL FOR A/C - HEAT S TEM D (APPLICANT: TEL. NO: 1 I ICARRA CONTRERAS OF CONNOR AIR (626) 286-3157- 1 D I 14931 N. ENCINITA AVE I ISPECIAL CONDITIONS: I ITEMPLE CITY CA 91780 J I I ICONTRACTOR: TEL. NO: D JAPPROVALS DATE INSPECTOR SIGNATURE J ICONNOR AIR CONDITIONING (626) 286-3157- 1 I 1 I 14931 ENCINITA AVE LIC. NO ITEMPORARY POWER POLE I 1 D ITEMPLE CITY, CA 91780 403735 C20 1 I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IUFEP.. GROUND I I LIC. NO: I IROUGH CONDUIT 1 1 I I IROUGH WIRING D 1 I IMAIN WATER LINE I I D IPLASTIC Y/N METAL Y/N D JUTILITY COMPANY NOTIFIEDI I I J I I • I I I I I I I I I I I I I I I I I I D I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 J I I I J I I I I