HomeMy Public PortalAbout6106 IVAR AVE_Electrical__ 76A663C- CES06B 12/75 fl:
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BUILD] AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
New Residential Bldgs.& Pools
EACH NO. FEE ADDRESS
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST.OWNER OR
FIRM NAME
Outlets: Light,Switch& Receptacle MAI L
First 20 ADDRESS Additional CITY f, Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel. No 7
Fixed Appliances Not Over 1 HP APPLICANT T''�/ /^�e 14k 610&4-r�1
Range Heater_ D.VV. ADDRESS �' �-
Oven Dryer W.M.
Top FAU W.H. CITY Tel. No. >-
Hood Fan LICENSE OR
Disp. A.C.
REG. NUMBER / 2 .�� Class. v
�
I "'
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size&Type HP, KW; KVA,or KVAR ELECTRICAL WIRING_
C/)Up to 1 Incl. Z
1 HEREBY CERTIFY THAT TAM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ORTHAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RES I�DgENTIAL PROPERTY.
Over 50 to1001nc1. •PERMTEE pJ/�/��1.� �
Over 100 SIGNATU �/7/i[7
DISTRICT NO.
M
SED B
Services A
0-200 Amp. Under 600 V �� U
201 -.1000 Amp. Under 600 V APPROVALS DATE INSP CTOR'S
Over 1000 Amp.or Over 600 V '
S NATURE
TEMP. POWER POLE
'Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT _
(Other) WIRING 2-17-79 .
FIXTURESIF
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
TOTAL FEE NOTES
V -1PLAN'.CKECK%V<AILIDAZIO,NFEF Mild T9 CAS PERMIT VALIDATION CK. M.0. CASH
58 SrFU6 'S 2 D
POLICY HOLDER:
C
POLICY NUMBER:
7GA663-CESOG-11-57 A P P L I C A T I O N - O R ,,E L E C T R a C PERMIT
'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, County Engineer
CAWATT D. GRIFFIN, Supt of Building LOCALITY
;� :...,_ m: . .:9 .- NEAREST �L✓ _
FOR APPLICANT TO FILL IN CROSS ST. -
PERMIT FEES '
ITEM �NUMV EACH FEE- OWNER '
�. OUTLETS $ $ //� MAIL
LIGHTS RECEPT. SW .10 i� a ADDRESS
LIGHT]Na FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50
ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- jj_CITY `SEL.NO
J WASHERS STA.COOKI G UNITS d` .25 STATE
LICENSE No.
fes✓ '
,IMO ORS: OVOER INC. H.P. 25rDISTRI&NO. [GROUP� ZONE READ IFOR INSPECTION,
f
1/2 — 2 . a.50: ••
INSPECTIONRECORD
2 — 5 1.00
5 — 15 1.50
15 — 50 2.50
50— 200 5.00
NO.TRANS.
SIGNS:'
NO.LAMPS -
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50'
TOTAL FEE $ / APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP IC 0 DATE INSPECTOR'S SIGNATURE
; AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT '
i•
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING '
ELECTRICAL WIRING. WIRING
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 M THE LEGAL OWNER OF THE ABOVE41 POWER
FF DESCRIBED RESIDEN IA RO E
SIGNATURE UTILITY CO.NOT[FIED' - �'"GO -q,, ���•
h OF PERMITT59FINAL 7-40 /J a S�I�JiC�t.c'�^✓
W�MATION ARTH U R C.V EIT,
SUPERVISING ELECTRICAL ENGINEER
CK MO. CASH
1
76A663-CE806 12/75 n PP �n B�R 69CU
�OCA
PERICOULNTY OIIF LOS ANGELES, lllllllll��} IIS
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
FOR APP 1 ANT TO F IN LOCALITY
New Residential Bldgs & Pools EACH NO. FEE NEAREST
1 & 2-Family, Sq. Ft. $ .025 — $ CROSS ST.
OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME
Residential Swimming Pools 20.00 MAIL
ADDRESS a o
Outlets: Light, Switch & Receptacle D C TY.TT I.No. _
First 20 /PLAN CHECK
Additional .30 APPLICANT
ADDRESS
Lighting Fixtures
CITY Tel.No.
First 20 .50
Additional .30 PERM CIT d
Fixed Appliances Not Over 1 HP ADDRESS 4
Range_Heater_D.W.
Oven DryerW.M. CITYSo �Q Tel.No-
_ _
LICENSE OR
Top _ FAU _W.H._ REG.NUMBER Class.
Hood_ Fan
2.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Dlsp._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& T e HP, KW, KVA, Of KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
yP LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Up t0 1, Incl. 2.00CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 1 to 10 Incl. �.
5.00 DESCRIrED RESIDENTIAL PROPERTY.
Over 10 to 50 Incl. 10.00 t
RMITEE
Over 50 to 100 Incl.
20.00 NATURE O H
Over 100 30.00 14
STRICT NO. PROCESSED BY l ,
Services r U
0- 200 Amp.Under 600 V 1i4b6— INSPECTOR'S 0.
201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE VD
Z
Over 1000 Amp.or Over 600 V 50.00 MP.POWER POLE
UNDERSLAB WORK
Temp. Power Pole& Appurtenances 10.00
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 I? C/rPA aJ�/d iL00
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE !., �. -
TOTAL.FEE 0._
—PrAWIGRECEW I A•T.10.,P 0; CASH L. PERMIT VALIDATION C MO. CASH
, -1�4 2:
1 a2- UPOLICY HOLDER: K, C-
SPEOE L1W'. P &SR1ON;FOR COMPLETE SCHEaDULE'. !
,
If /` 2isr
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0208150024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
--LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 44 6106 IVAR AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801523
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5384-002-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95
ENAN G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON-- PROCESSED BY: PLA BY: EXPIRES ON:
JB AC UNITS +3-10HP 1_._OD AC 19.65 08/15/02 JK 02/11/03
LB 200 AMP PANE 1 00 PAN�9'85
OWNER: TEL. NO: TOT FEES- 90.15 FI�AL DATE FINAL BY: CODE:
LY LAM THAI;VAN TRINH (626) 285-6444- U'ZJ�Cj4 ,®
6106 IVAR AV O 63 --
TEMP 917801523 DESCRIPTION OF WORK
ELECTRICAL FOR HVAC, UPGRADE ELECTRICAL PANEL
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: %" .�� A� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO /j✓ �i ��� \\` TEMPORARY POWER POLE
r �
X � UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: ` _ 7 -Y1 \ \ ` i UFER GROUND
LIC. NO �1_ I_ i --,�. ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
' PLASTIC Y/N METAL Y/N
- UTILIi.Y COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508