The URL can be used to link to this page

Home My Public Portal About6027 IVAR AVE_Electrical__ 76A663-CE806 10/72 QppUCAMN FOR ELEC UMICAL p.EU°36`V UU COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'OB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY ` „c . NEAREST � FOR APPLICANT TO FILL IN CROSS ST. j OUTLETS NO. EACH FEE OWNER OR $ $ FIRM NAME iA0 - RECEPT. MAI L LIGHT TOTAL FIRST 20 25 ADDRESSy t• OVER 20 CITY C. C TEL. N0. .C. SWITCH .10 PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .10 ADDRESS - ' RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYERWTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR, AIR COND. CITY TEL. N0, CLOTHES WASH. 01SHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 ' HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE >_ 1 - 10 3.00 DESCRIBED RESIDENTIAL OPERTY. O PERMITEE C-.')10 - 50 5.00 SIGNATUR ✓Z o 50 - 100 10.00 C_3DISTRICT N0. PROCESSED BY 1y 100 - 500 15.00 O/ SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600VOLTS OR200AM 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED ✓, UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ✓K• M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /\ I x WORKERS'COMPENSATION DECLARATION 76A663 10/81 D D D O O O e 'affirm that I have a certificate of consent to self CE-806G insure; or a certificate of Workers' Compensation Insurance; COUNTY OF LOS ANGELES BUILDING AND.SAFETY or a certified copy-thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN ADDRESS v Certified 'copy is hereby furnished. New Residential Bldgs& Pools EACH NO. FEE Certified copy,is filed with the county building inspec- 1 8 2-FamilySq, $ — LOCALITY. ;•� /r / I Ft. — $ G �l tion department. Multi-family Sq. Ft. NEAREST CROSS S V e 4,7 e- ✓�_ tT Date Applicant Residential Swimming Pools OWNER OR !1 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL 'COMPENSATION INSURANCE Outlets: Rec Light Sw._r ` ADDRESS r" First 20 -� (This section need not be completed if the work involved by Total No. Additional CITY Tel. Na 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 Fixtures First 20 ADDRESS _ Additional Total No. CITY - Tel. No. Datpplica - ' Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT 7, 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 � V UG G" with comply with such provision-§ or this permit shall be Top _ FAU , J_W.H. — 7 deemed revoked. Hood _ Fan _Other— LICENSED CIT if �,r� Tel. No. ,3,' LICENSED CONTRACTORS•DECLARATION utENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER clas5cf - (commencing with Section 7000) of Division 3 of the Business DISTRICT,NO. PRO C S D BY and Professions Code,and m license is in full force and effect. Power Apparatus 8-Large Appliances '" Y Size'&Type HP, KW, KVA, or,KVAR' ✓ r � O ' License Number Lic. Class Up to 1 Incl:'. Q FINAL �/ U 'Over 1 to 10 Incl. _ j ( VALIDATION O Contractor Date Over 10 to 50 Incl.. V FINA I am exempt under-Sec. Over 50 to 100 Inc: BY.. W B.&P.C. for this reason Over 100 91 0 IL 0 A' Z Services,Swbd., MCC & Panelboards Date: 0 -200 Amp. Under 600 V.' '�' l DVO # 0 0 0 0 0 2 Signature' 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V. ( 0 ° 1 4,00 Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances 0 ° ° 1 !! 0 0 0 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ( 1 0 8_-8 4 f l hereby affirm that am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ' Misc. Conduits& Conductors I, as owner of the property, will do the work.and the ' structure is not intended or offered for sale (Section Other.(See Complete Fee Schedule)— D 7044; Business 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 PERMITTEE (Sub-Total) '3 ,S-0 (Sec. 3097, Civ. C.), PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Q Q Lender's Address T I certify that I have read this application and state that the TOTAL FEE (J above information is correct. I agree to comply with all County ordinances and State laws.regulating Electrical wiring, and hereby outhoiize representatives of this County to enter upon the ab �entionedprope, nspection purposes. SEE REVERSE FOREXPLANATORY LANGUAGE Signature of Permittee L/—D / ' A Ly WORKERS'COMPENSATION DECLARATION 10/81 APPUCAMN FOR ELECTMIChU PERM? CE-806G affirm that I have a certificate of consent to self CE-806G �j insure, or a certificate of Workers' Compensation Insurance, COUNTY.OF LOS ANGELES BUILDING AND SAFETY It'JII or a certified copy thereof (Sec. 3800, L b. C. ' Policy t��SSgy37 Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS OpZ 1 & 2-Famil S Ft. $ — $ LOCALITY TI-te—rtified copy is filed with the county building inspec- Y- q 15tion depart ent. Multi-family Sq. Ft — NEAREST . Residential Swimming Pools CROSS ST. WNER OR Date Z Applicant FFIIRM NAME ,,ry CERTIFICATE OF EXEMPTICKROM W KERS' / MAIL Outlets: Rec Light Sw. COMPENSATION INSURANC ADDRESS This section need not be completedFirst 20 ( if the work involved b Y Total No. CITY Tel.Nglj ✓J the permit is for one hundred dollars($100)or less.) Additional I certifythat in the performance of the work for which this PLAN.CHECK P erAPPLICANT permit 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 Fixed Appliances Not Over 1-HP PERMIT NOTICE'TO.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.—' 9 ADDRESS o �� With comply with_such provisions or this permit 'shall be Top FAU ,W.H.' — deemed revoked. CITY 'Tel. No-'S �. LICENSED CONTRACTORS DECLARATION Hood Fan _Other_ LICENSE OR I.hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond.. REG. NUMBER ,Z Class. (commencing with Section 7000) of Division.3 of the Business DISTRICT NO. PROC E BY per„' and Professions Code,and my license is in full force.and effect. Power Apparatus& Large Appliances /� 0 Size �j Type HP, KW, KVA, or KVAR' t v 0 License Number �y� �� Lic. Class_ //33' Up to 1 Incl. UP I FINAL C� Contractor Date �, Over 1 to 10 Incl. DATE VALI ATION 0' Over 10 to 50 Inc[. FINAL W' I am exempt under Sec. Over 50 to 100 Inc. BY d' Over 100 B.&P.C. for this reason Z Date: Services, Swbd., MCC & Ponelboards D 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V OOver 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 3 0 STA SINGLE FAMILYTemp. Power Pole&Appurtenances # o•o o 0 o2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License L.( o o 1 5 2 5 Law for.the following reason (Section 7031.5, Business and Additional Sign Branch Circuits' Professions Code): _' I, as owner of the property, will do the work and the Misc. Conduits&.Conductors ,o 0 1 525.0 structure is not intended or offered.for sale (Section Other (See.Complete.Fee Schedule)- 0 2'-8 5 7044, Business 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 PERMIT FEE (Sub-Total) (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 above information is correct. I agree to comply with all County ordinancesand ate laws regulating Electrical wiring, and hereby authori representatives of this County to enter upon" the Ae-moned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa(' of Fermi Date COUNTY OF LOS ANGELES TEMPLE CITY #•0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 05080006120035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 119 6027• IVAR AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801522 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5386-011-067 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 28.00 OUT 49.80 TENANT: G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: JB AC UNITS +3-10HP 1.00 AC 19.65 06/12/00 UT 12 09/00 TOTAL FEES 116.70 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: YASSINE SAM H;FATMEH N 6027 IVAR AV TEMP 917801522 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION AND FOR UP ADE A/C UNIT APPLICANT: TEL. NO: KATSOF, ARON (626) 564-9323- 975 E. GREEN ST. _ SPECIAL CONDITIONS: PASADENA ----�� &E L CONTRACTOR: TEL. NO: �9 APPROVALS DATE INSPECTOR SIGNATURE TAI HEATING AND A, C (626) 575-0843- 9625 ALPACA ST LIC. NO \ TEMPORARY POWER POLE S. EL MONTE, CA 91733 506659 C20x/ I UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: //�/ r \ UFER GROUND AIKD ARCHITECTS (626) 564-932975 E. 3ROUGH CONDUIT PASADENA,GREEN 205 CA 91006 C20713 -- -- I cls �� - ----- — - t U ROUGH WIRING iMAIN WATER LINEf �- F [o ;`l///' \c PLASTIC Y/N METAL Y/N �—- - —- ------ - UTILITY COMPANY NOTIFIED I Ug %Teb�lv gee REPORT ID: DPR265 ROUTE TO: BS0508 /I