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HomeMy Public PortalAbout6122 IVAR AVE_Electrical__ Y_ ' - _ J'\ •�- is 764663`CE-806(11 /78) N FO COUNTY OF LOS ANGELES BUILDING AND'SAFETY yFOR APPLICANT TO FILL IN JOB New ResidentioLBldgs.&Pools` EACH­r NO. FEE ADDRESS -- 1 &2i Family,Sq. Ft. $ :025' .- $ LOCALITY . Multi-family Sq•�Ft._ - - 02 - NEAREST - ~ 25.00 CROSS ST. G V Residential'Swim ping Pools ,«. ._ :.OWNER:OR _ FIRM NAME Outlets:,Rec Light Sw: MAIL r-- s. First 20 50.' ADDRESS i:.. a%� Total No .. - _ .- : Additional; 30. CITY_. �F -i Tel. No90a .. PLAN C ECK _.. AP.PCICANT. Lighting Fixtures First 20 50' ADDRESS Total No. CITY 7Tel. No. Fixed Appliances Not Over I.HP-- -- - PERMIT' �^ Range_Heater_.D.W. — APPLICANT ADDRESS _ . ; Oven—Dryer— W.M. 1 ` .Q.d Top FA'U W.H. CITY _ T,el. No. -� _Fan _Other._ LICENSE OR O Hood _- 2.50 Class Room Air Cond: _-REG.NUMBER, ;• _... DiSp. . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA., Power Apparatus&Large Appliances TION AND STATE'THAT.THE-ABOVE IS CORRECT AND AGREE TO, Size COMPLY WITH ALL' COUNTY ORDINANCES`AND-STATE'L'AWS &T ype HP,.KW, KVA,or KVAR REGULATING ELECTRICAL WIRING.. Up to l.lncl, 2'S0' -I HEREBY•CERTIFY AT-1--XM.PROPERLYREGISTERED'ANTU70R' Over 1 to 10 Incl., 5.00 " LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF �wy�'ti 1 2.50_ CALIFORNIA OR;THAT I M_ERTTHE,LEGAL. WNER OF THE ABOVE. .._®. Over 10 to 50 Inch-- 25.00 DESCRIBED RESID • IAL OPY.. ,. Over 50'to 100 Inc 40.00 PERMIT•EE„ ' Overul'00' SIGNATURE' Services / DISTRICT .0..- 200 Amp. Under 600 V' 1 2.50 L � ..a... 1000 Amp:Under 600 V 25:00 - - - `�2%�=2:f/ �,���T7•' ' 50.00 Over 1000 Ain'p.:or Over 600.V Z ✓ .. Temp..Power Pole.&Appurtenances' 1.0.00 a Q Sign with One Branch Circuit 10:00 Additional Sign Brdnch.Circuits 2.00 . INSPECTION INFOIWATION. L C� Misc.Conduits _.W &Conductors 1'0.00 -; c9'3 7 ON REVERSE" a . Other(See Complete Fee Schedule) SIDE , cw #.o'b 0,o o C d 2 0'0 1"9,50 PERMIT FEE (Sub-Total) o o o,.,! 9,:5 0 \ . . Z PLAN CHECKING FEE (One-Fourth Permit Feel O 0'3:1 4-.80 PERMIT ISSUING FEE .$7.00 7 i o TOTAL FEE > INSPECTION FINALED LU W date: -7r �� By (�q_�' -"''���.� ©s, *WORKERS' COMPENSATION DECLARATION �b-WI3 DPW 3/87 APPUCAMN FOR ELEUMC AL PERN'T O I;.��er.e.by,�firm Shot I have >, certificate of consent to self Ce-e06G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS orrdcertified'copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft 6_ $ — $ LOCALITY tion department. Multi-family Sq. Ft. f NEAREST r r / Residential Swimming Pools CROSS ST.OWNER O Date Applicant I FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' LSA MAIL Outlets: Re�l2Light Sw.� COMPENSATION INSURANCE � � ADDRESS � This section need not be completed if the work involved b _� First ti _ v ( P Y Total No. Additional CITY � Tel. No�(�� 9Q/, the permit is for one hundred dollars ($100)or less.) PLAN CHECK 1 certify that in the.performance of the for which this APPLICANT permit is issued, I shall not emplo y pers n any m nner so as to become subject to the orke ensatio aws. Lighting Fixtures First 20 ADDRESS y^ Additional Date oL Applic Total No.� CITY Tel. No. NOTICE TO APPLICANT: If, after ma in this Certificate of/ Fixed Appliance��s/!cNot Over 1 HP PERMIT �y Exemption, you should' become subject to the Workers' Range_ Heaie D W. APPLICATION '/, ley Compensation provisions of the Labor Code, you must forth- Oven Dryer —W.M.— ADDRESS with comply with such•provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood Fan —Other_ r, CITY Tel. No. LICENSED CONTRACTORS DECLARATION Disp. Room'Air Cond. — LICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER .(commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICTO. PR SED BY >_ and Professions Code,and my license is in full force and effect. a- Size A Size&Type HP, KW, , or KVAR Q License Number Lic. Class Up to Incl. FINA U Contractor Date Ov 1 t l0 Incl. DATE O_•a /: VALIDATION Q O Ove 10 to 50 Incl. FINAL ""f I am exempt under Sec. O r 50 to 100 Inc. BY W B.&P.C. for this son Over 100 d Services, Swbd., MCC& Panelboards D Z ate 0- 200 Amp. Under 600 V Signot 201 - 1000 Amp. Under 600 V - �' Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Power Pole &Appurtenances 2p. r` HOME OWNER-BUILDER DECLARATION Tem I herebyaffirm that I am exempt from the Contractor's License Sign with One Branch Circuit P - Hi.•�•�o Law for the following reason (Section 7031.5, Business•and Additional Sign Branch Circuits s Professions cle): 3307 41.00 I, as owner of the property, will do the work and the Misc. Conduits&Conductors 1 ITEM structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_. Business and Professions Code). D TOTAL 4-1, 00 CONSTRUCTION LENDING AGENCY' CASH 41.00 1 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) C•H44GE .00 (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name2/2f 189 PERMIT ISSUING FEE Lender's Address M 7786 1 AM 9e�� I certify that I have read this application and state that the TOTAL FEE U +dation is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby out ze represen!,glives of this County to enter upon the a oned pr erty for inspection Ourposes. SEE REVERSE FOR EXPLANATORY LANGUAGE `of Permittee Date Os WORKER'S COMPENSATION DECLARATION 20-0019 DPW(72-91) APPL ICAT�®IIYJ FOR EL�E'L TMICAL PERNT �J I In affirm76A663,that lhave a certificate of consent to self insure, ' or a certificate'of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof.(Sec..3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN - JOB ADDRESS . .Certified copy is he furnished. New Residential Bldgs.&Pools NO. EACH FEE • _ $ $ LOCALITY Certified co is filed with the count building inspection - 1 &2-Family,Sq.Ft. ❑..'. PY Y 9 P - NEAREST department. Multi-family Sq.Ft. CROSS ST. Lo nl dc, /t/d Residential Swimming Pools ASSESSOR Date Applicant MAP BOOK PAGE PARCEL NER OR CERTIFICAiE OF EXEMPTION FROM WORKERS' OWCOMPENSATION INSURANCE Outlets: ea gW. FIRM NAM First 20 MAIL (Thi's section_ need not be completed if the work involved by the ADDRESS permit Is`for one hundred dollars(5100)or`less.) Total No. Additional �•' ?%r/t� I certify that in the performance of the work for which this permit CITY Tel.No. i is issued, I shall not employ any person in any fnanner so as to PLAN CHECK 'become subject.to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional A ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel:No. Exemption,you should become subject to'the.Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.. provisions of the.Labor Code, you must forthwith comply with Such PERMIT; provisions or this permit shall be deemed revoked. Fower Apparatus&Large Appliances APPLICANT v)� LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I.hereby affirm that I am"licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of'Division 3 of the Business and CITY Tel.N . Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. } SE OR Over 50 to 100 Incl. RIEGNNUMBER Class. d Over 100 - DISTRICT NO. -.ESSED BY License Number' Lic.Class / U Services,Swbd.,MCC&Panelboards Contractor Date. 0-399 Amp.Under 600 V FINAL DATE O ❑ 400-1000 Amp.Under 600 V �`7j1"�, VALIDATION V I am exempt under Sec: d Over 1000 Amp.or Over 600 V FINAL B.&P.C.for this reason BRANCH CIRCUIT.FEES BY W Date: 15A,or 20A,120V,Lighting or Recept. _ _• 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits ❑ Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances -.:.— X. HOME OWNER-BUILDER DECLARATION '•, I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch-Circuit _y for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): r� ELL I, as owner of the property,will do the work and the structure Misc..Conduits&Conductors 1 f _ /`— is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D €_; I_ .1�6 and Professions Code). _ l; 1 JZ. L=.is 102- 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) //Q IZA Civ.C.) PLAN CHECKING FEE i 3,I Lender's Name PERMIT ISSUING FEE / D u a.= 1 rr4 Lender's Address TOTAL FEE I certify that I have read this application and under penalty of purjury state o that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize repr n e this County to enter upon the above-mentioned property nsp urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE O EE DATE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) AIT'I�L� CA II IO FOR EIS�EN�TMICAL� PERNT I hereby affirm that I have a certificate of consent to self insure, 76A663 • or a-certificate-of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS -BUILDING AND SAFETY DIV. copy thereof;(Sec. 3800 Lab. C.) -' Policy No - Company FOR APPLICANT TO FILL IN - JOB- 2:? � � J� �,-/ . ADDRESS G.�C__ /� �/ - ❑ Certifl'ed copyis hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ' LOCALITY 1&2-Family,Sq.Ft: — $ ' $ i/�'CJ� e_r.trfied copy is filed with the count I in I pecti0 NEAREST. / department:, Multi-family Sq.ft. — CROSS Sr. %✓� �t� Dat Applican Residential Swimming Pools 'ASSESSOR •..• MAP 800K PAGE PARCEL CERTIFICATE OF EXEMPTI FRO RKERS' OWNER OR .^ COMPENSATI INSU N Outlets Rec._Light Sw. FIRM NAME (This section need not be co Dieted if work.involved,by the First 20 MAIL permit is for one hundred dollars'($100 or less:) Notal No. Additional ADD Z2 V I certify that in the performance of-the work'for which this permit CITY TeL No8'S_0J is issued, I shall not employ any person in any manner so as to PLAN CHECK become_subject tothe Workers' Com ensation Laws. Lighting Fixtures First 20 APPLICANT ^o Total No. Additional ^7 ADDRESS b 3 0 3 M 1 Date Applicant' RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: Jf, after making this Certificate of CITY 10N IBJ( Tei.No. -3 Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisi-ons of"theLabor Code, you must forthwith comply with such PER provisions or this permit-shall Power Apparatus&Large Appliances APPLICANT be'deemed revoked. `' • LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I h•ereby-affirm that I'Am'licensed under provisions'of-Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000).of Division 3:of the Business and CITY Tel.No. Professions Code, and my license is in full force and effect. Over 10 to 50 Incl Over 50 to 100 Incl. LICENSE REG.NUMBER ER Class. d License Number "� `� Lic.Class C Over 100 DISTRICT NO. y SED BY O C/ Services;Swbd.,MCC&Panelboards �p G �iG�t�� ¢� U. Contractor Date �/ 0-399 Amp.Under 600.V DATE 0 ?000.Amp.Under 600 V I am xempt d Sec. �- VALIDATION V Over 1000 Amp.or Over 600 V FINAL•- a .&P.C.for,this reason BRANCH CIRCUIT FEES BY (L Date: 15A,or 20A,.120V,Lighting or Recept. Z _..1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits °- 0 Exemption for Reg.Maint. Elect. 15A,20A,208V To 277V Lighting Br.Circuits s s - _•' .7 SINGLE FAMILY Temp: Power Pole&Appurtenances HOMEOWNER-BUILDER DECLARATIONaE;µ I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason Section 7031.5, Business and Professions Additional'Sign Branch Circuits '• O Code): ;w x5 I, as owner of the property, will do the work and the structure Misc.Conduits&Conductors I SJ HL '"s - -� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CH and Professions Code). _ :..H�at.G JM 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.) IU: rl 36t f._..;+. n{Ti,i a+ .-•e PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 10 that the above infor ti is correct. I agree to comply with all County ordinance/np ate I S re ting El f wiring,and hereby authorize representt s C to en1 o the above-mentioned property for inspo SEE REVERSE FOR,EXPLANATORY LANGUAGE SIGNATU OF PERMITTEE WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPL�IQ,/A�� N FOR ELECT ICA LL PERNT ' �J I hereby afficm that I have a certificate of consent to self insure, 76A663 or`a certificate ompensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab. C.) J Policy No. ompany � L+ FOR APPLICANT TO FILL IN JCB ��Certified ADDRESS-ertI e py is hereby furnished. New Residential Bldgs.&P olys NO. EACH FEELOCALITY 1 &2-Family,Sq.Ft. Q�_ $ $ copy is fl a he county building inspection NEAREST /'�,, r depar ment. Multi-family Sq.Ft. CROSS ST. 64),ef, Date _ Applic nt' Y D� Residential Swimming Pools ASSESSOR MAP PAGE PARCEL CERTIFICATE OF EXEM TION FROM WOR S'', Outlets:Rec.Za Light Sw. OWNER NAME COMPENSATI NINSURANCE ��Q First20 MAIL ) (This section need not be completed if the work involved by the ADDRESS permit is for one hundred dollars(S100)'or less.) Total No. Additional C� ♦ A . 9 I certify that in the pCITY Tel. No.C erformance of the work for which this permit �L is issued, I shall not employ any person in any rnan ner so as t0 PLAN CHECK become subject-to the Workers'-Compen sation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE.TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption, you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions of the Labor Code, ou•must forthwith comply with such PERMIT s' P y P y PPLICANT provisions or this permit shall be'deemed revoked. Power Apparatus&Large Appliances 9'Irt5 LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. C' (commencing with Section 7000) of Division 3 of the Business and CITY �� LAS` �/t Tel.No.pVr—C' Profession ode, and my license is in full force d effect. Over 10 to 50 Incl. . LICENSE B Class. } Over 50 t0 100 Incl. REG.NUMBER d 'h 3 Over 100 DISTRICT NO. ESSED BY C) License Number J 83' � Lic.Class� ,(d Services,Swbd., a b so Contractor ',v ate .0-39 nder�� DATE ❑ 400-1000 Amp.Under 600 V ��, VALIDATION V I am exempt under Over 1000 Amp.or Over 600 V FINAL - r LU B.&P.C.for this r son BRANCH CIRCUIT FEES BY CL tD Date: 15A,or 20A, 120V,Lighting or Recept. - Z / 1 To 10 Branch Circuits Signat 11 TO 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pale&Appurtenances HOME OWNER-BUILDER DECLARATION -r. I a I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit '`''" ' for the followingreason Section 7031.5, Business and Professions Additional,Sign Branch Circuits t+ I. I i'°` t I, as owner of the property, will do the Misc.Conduits&Conductors work and the structure is not intended or offered for sale Section 7044, Business Other See Complete Fee Schedule) 's j-r 'j j " " and Professions Code). 0, _ _ r S .. : ..• may, . CONSTRUCTION LENDING AGENCY �i I hereby affirm that there is a construction lending agency for the =t,tlt'-_T� performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) + Civ.C.) , PLAN CHECKING FEE _i (_;i-01`04 ri :3j'7l , Lender's Name _ (� _ - PERMIT ISSUING FEE S"t Lender's Address o I certify that I have read this application and under penalty of purjury state TOTAL FEE /� / that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize aT as of this County to enter upon the above-mentioned property Pur ses. SEE REVERSE FOR EXPLANATORY LANGUAGE o / PERMI E DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306100045 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 5904 LT: 42 UN: .002 1 r. .,. I 6122 IVAR AV 1 I IFEE DESCRIPTION: 'pr„i QUANTITY: UOM: AMOUNT: 1 TEMP CA 917801523 1 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: GARIBALDI 1 15384-002-012 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I IE1 TEMP SERV POWER POLE 1.00 TMP 43`70 (TENANT: I TOTAL FEES 71.'50 (ISSUED ON: PROCESSED BY: PLAN BY: I 106/10/13 SR I TOWNER: TEL. N0: I IF ALT FI CODE: ILIAD, HSI CHUNG (626) 679-4091- I 1 1 16122 IVAR AV ( 1 I ITEMP 917801523 I ID RIPTIO OF WORK I I 1 ITEM?ORARY POWER POLE I I I I I (APPLICANT: TEL. NO: 1 I ILIAD, AARON (626) 757-4248- 1 1 1 13940 DELTA AVE 1 ISPECIA.L CONDITIONS: I IROSEMEAD CA 91770 I I I I I I I I I I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IK D V DEVELOP (626) 757-4248- I .1 13940 DELTA AVENUE LIC. NO 1 (TEM?ORARY POWER POLE I IROSEMEAD CA 91770 977791 1 2 2 1 I (UNDERGROUND CONDUIT y1 1 1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I IPAYTON, ROY (818) 225-7127- I 11 1 122543 VENTURA BLVD STE 221 LIC. NO: 1 IROUGH CONDUIT I 1 1 IWOODLAND HILLS, CA 38610C I I I I I 1 IROUGH WIRING 1 1 1 I I I I I I 1 I 1MAIN WATER LINE 1 1 1 1 I IPLASTIC YIN METAL YIN 1 1 1 1 1 1UTILITY COMPANY NOTIFIEDI1 1 I ! I I i I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: 13S0508 I 1 1