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Home My Public Portal About6243 IVAR AVE_Electrical__ ' pE� C76A663 CE-806R 9/76APPMCknu O4LRma � - "COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS -6243 N. Ivar CLA. 0_ FOR APPLICANT TO FILL IN LOCALITY Temple City ' New Residential Bldgs.&Pools EACH NO, FEE. NEAREST $ CROSS ST.$—. 1 &2-Family,Sq. Ft. 025 OWNEROR. ;Multi-family Sq: Ft. .02 — FIRM NAME LUSK (KEN) Residential Swimming Pools 20.00 MAIL ADDRESS Same Outlets: Rec Light,_Sw. CITY, Tel. No.286-2844 First 20 50• PLAN CHECK Total No. .30 APPLICANT ,_ . Additional _ ADDRESS Lighting Fixtures First 20 150 CITY Tel. No. . IT Total No. Additional 30 APPPERLICANT CAMPBELL LECTRIC Fixed Appliances Not Over 1 HP ADDRESS Po O,_BQX 912 Range—Heater—D.W._ CITYLA MIRADA, CA, Tel. No.521"1359 Oven _Dryer—W.M._. LICENSE OR Top —FAU —W.H-_ REG.NUMBER 302$63 Class.0 10 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 1 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 CALIFORNIA OR THAT I A Up to 1 Ind. THE LEGAL OWNE O THE ABOVE DESCRIBED RE ENTIAL PROPERT Over 1 to 10 Incl. 5.00 Over 10 to 50 Incl. 10.00 PERMITTEE V Over 50 10 100 Inc. 20.00 SIGNATURE 1. Over 100 30.00 DISTRICT NO. PR CESS BY Services 6 , 0 5 _.��n U 0-200 Amp.Under 600 V 12.50 1 1 12. SO APPROVALS DA INSPECTOURE Z 201-1000 Amp.Under 600 V 25.00 Over 1 000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&AppJitenances 10.00. Sign with One Branch Circuit 10.00 ROUGH CONDUIT elkAdditional Sign Branch Circuits �2.00 WIRING d FIXTURES Misc.Conduits&Conductors 15.00 Other(See Complete Fee Schedule) I POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL 1 PERMIT FEE (Sub-Totah 12.50 NOTES 1 PLAN CHECKING FEE (One-Fourth Permit Feel READY FOR INSPECTIO PERMIT ISSUING FEE $6.00 7.00 TOTAL FEE 19.A5- PLAN 9. -PLAN CHECK VALIDATION CK. M.O. CASH / PERMIT VALIDATION •CK. M.O. CASH z.. 37cMHY . 2.2 2 1 9..5V SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS' COMPENSATION DECLARATION CE-806 toiBt APPUC AMN FOP, ELEC�TMICad PERN'T I hereby 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.) r Policy No. Company R. FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished. EACH NO. FEE ADDRESS 6a'T 3 l�• �U IY"�' PY Y t. � New Residential Bldgs. & Pools ❑ 1 & 2-Famil S � Ft. $ _ $ LOCALITY Certified copy is filed with the county builying inspec- Y- 9 tion department. Multi-family Sq. Ft. NEAREST 1 CROSS ST. Residential Swimming Pools OWNER OR �. Date Applicant _ FIRM NAME Pk Q CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec3Light Sw._ � MAIL First 20 COMPENSATION INSURANCE ADDRESS6ar{3 -1-VAC "C- (This (This section need not be completed if the work involved by Total No. Additional CITY CiU� LC C�f7OTel. No -71(3 / 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,1 shall not employ any person in any manner . o as to become subject to.ihe Workers'Compensatioe~- Do Lighting Fixtures First ti ADDRESS i AdditionalTotal No. CITY Tel. No. te i�-><- —Applicarif��- Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making th s Certificate ficate 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 eA with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood _ Fan _ Other_ CITY VZ Tel. No. - . LICENSED CONTRACTORS DECLARATION' LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9' Disp. _ Room Air Cond.. REG. NUMBER Class.' PROCES D BY (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. and Professions Code,and m license is in full force and effect. Power Apparatus& Large Appliances y- y ffSize &Type HP, KW, KVA, or KVAR' .'Ol� o License Number Lic. Class- Up to 1 Incl. FINAL V Over 1 to 10 Incl. DATE .� ry _ VALIDATIOfd o Contractor Date Over 10 to 50 Incl. FINAL U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY J J am, LU B.&P.C. for this reason Over 100 Z Date: Services, Swbd., MCC & Panelboords D — 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ElExemption 1000 Amp, or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances -P.0 2 7.3 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o olo o-0 2 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): 12 127-5 ❑ I, as"owner of the property, will do the work and,the Misc. Conduits&Conductors o n o 11 2,7 5`u structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ D 7044, Business and Professions Code). 04 0 5-8 4 r 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) 2. (Sec. 3097, Civ. C.). - PLAN CHECKING FEE O Lender's Name PERMIT ISSUING FEE r-- S Lender's Address I certify that l have read this application and state that the TOTAL FEE 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 Illpro rt�nspection purposes. ; SEE REVERSE FOR EXPLANATORY LANGUAGE � � e Signature of Pe mittee Date WORKERP' COMPENSATION DECLARATION 76A663 10/81 �j2j��pp11((�� kyr irm ffi-arI have a certificate of consent to self insure, CE-806G ��®� ®� �� j�L�lfppr%p�� or a cern icate of Workers' Compensation.Insurance, or a certified COUNTY OF LOS-ANGELES BUILDING AND SAFETY copy thereof(Sec.�3�r800,Lfb-f.) Policy No. Q®`-F.� any b'rAA-- 61)JZ /AA FOR APPLICANT TO FILL IN JOB FEE ADDRESS Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. . ❑ Certified copy is filed with ttie county building inspection 1 & 2-Family,Sq.Ft. $ _ $ LOCALITY departme t. Multi-family Sq.Ft.. NEAREST ,tom � CROSS ST. Date / 7 Applicant /i(JJ�BM ]� �r Residential Swimming Pools OWNER OR - - -• - - � � FIRM NAME yr�f CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets:Rec Light — Sw. COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the / First 20. 'CITY Tel.No./, �. .permit is for one hundred dollars($100)or less.) Total No. Additional PLAN CHEC I certify that in the performance of the work for which this permit APPLICANT K 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. Date Applicant Fixed Appliances Not Over 1 HP PERMIT q NOTICE. TO APPLICANT: If, after making this Certificate of �Q(lye K KT P Exemption,you should become subject to the Workers'Compensation Range_ Heater W. APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven DryerW.M._ ADDRESS provisions or this permit shall be deemed revoked. Top FAU lzW.H. _ - v TV LICENSED CONTRACTORS DECLARATION 4 Hood Fan ( 90ther_ CITY Tel.No. I hereby; affirm, that I am licensed.under. provisions of Chapter 9 �/ LICENSE B '1 Disp.' — Roo Air Cond. REG.NUMBER Z!/ Class. (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. DISTRICT NO. ^ PROCE BY -Power Apparatus& Large Appliances !� /f a �1O d Size& Type HP,KW,KVA,or KVAR f U License NumbeI 7�- - Lic.Class 6 j Up to 1 Incl. FINAL V Over 1 to 10 Incl. DATE ContractorlC l 1S!bM lwr�� Date /L_a� LIDATION Q ❑ / Over:10 to 50 Incl. I am exempt under Sec. Over 50 to 100 Inc.-- W BAP.C. for this reason Over 100 7 S Q 8 A � �, Services,Swbd.,MCC& Panelboards ) D # o o.o 0:0 2 Z Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V I o o 51, 5 0 ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. 0,0'0 5 1.5 0 50 SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 7.2 2 b 8 7 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 Code): El1,as owner of the property,will do the work and the structure Misc.Conduits& Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D 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 v Lender's Address -�l I certify that I have read this application and state that the above - TOTAL FEE 6 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 rSEE REVERSE FOR EXPLANATORY LANGUAGE "Date r ��N'FOl.E _ r r.. ... 'MwA11M rw' r mu um4 SND.BmT7� �•-.; GOOK • DUIWI!Ga`T AD tA .t.C1V►ITY�NOtA[ '' _ 8:. jk ..r:. 'CADGATT p.•M/1h yF OttAwP:.Ic✓.ra�TofILL-f-N w ~ _ ,}4�Cj � 7.�G.—r- ��.>.:�.,>:�, ../.fr••��Y��'3A.,., 1cotasowr 77 FiN .4 M� . 7� .an..�,- �r-w�.-•e..;-.. MIR to _ . ; v •' wat,'we'"h' _ '"'. YTMr•� r Ltd HTO_VTLtT1 ~a .x+Nf '�e1TY'�" "� }= ,F ,F�' I 'e7C` �4 ,',•'y�Jc MA O N A _ ^�� •rY A /rA �r�—t VTA �- +LICt1A�pOl"> ��/GT Na _ •a>-'=+� IONS t� v...�. ^_ mor Sp 21 j=ORV `1 .1 MOTORS MT•r Nvu M' O7to �tNO••• � • ..yAy L_ �• � _ - _ l.. 1 — 100 - c•+=4rir.�"`«.:ua� .�. .S(ONi ...t-n•rs�NO.TIIANI....� K'i..ai+ �" - - �� fi'M� ��,� 4. AMPS -;c.:rw�-�__ .,, �- ..w-x ��p'pg0`lalL9 `"-,�_ •' ' T" a13 coon T•, .,,may• ., 1r-!f t� ;..► MCRIfT' TNs-�fii Gt3i TO COM►LT:} AtTxO'D��' • rr AFi iCL[t `ANO ITATtl'.iAt Tlll AGO pCs MIX= RtGYLAilllt:•R _ - .,y# WITII ALL.COIaI1TT-91<41hA. _ e _ ,...r - •••aer>>"�S �..:. 4AP•f'"''r""tee' INMADaY t0 Al10/0[» r^ z j},(C?R{GlL Air I 0►Mtf ft'G1G'ItA r. r Sr'• - y-p 1 N�lMttf" ANGtLq cow*T'� D {TATs l _ �``tCLN3ftMu Or71M TNi GA 'YDt TDt AGO -.. YY� tALf x 16HA•wMl � '•'-'Z„ IHA ^ �• A,`�.tP'�FYf aM~�t'r; �� (3:r T •q_�r'fl�� Air PmLotmrrx Y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT `DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0309240007 ' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 . .LT:-27 UN: .002 6243 IVAR AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801526 ASSESSOR INF0 A 0 NUMBER: NEAREST CROSS STREET: LONGDEN 5386-010-033 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 TENANT: TOTAL FEES 29.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/24/03 JK 03/22/04 OWNER: TEL. N0: FINAL DATE pY: CODE: CHANG MAY III 6243 IVAR AV n3N TEMP 917801526 DESC IPTION REPLACE GFI IN BATHROOM APPLICANT: TEL. NO: SIMON LUY (626) 821-8638= 1327 S SECOND AVE SPECIAL CONDITIONS: ARCADIA 91006 CONTRACTOR: TEL. N0: �� ' y ®Q9� APPROVALS DATE INSPECTOR SIGNATURE LUY CONSTRUCTION CO (626) 821-8638- 1829 S SECOND AVENUE LIC. NO / � TEMPORARY POWER POLE ARCADIA,- CA 91006 637318 B // UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: A/ UFER GROUND c- --- LIC. N0: II `1 � 1 1 ROUGH CONDUIT u� f_ ! 1111,11 1,,�1 ROUGH WIRING �F�, LJ 1`J� n✓ MAIN WATER LINE I, I J r I PLASTIC Y/N METAL Y/N LTJ �1 ��J''��U�� -- --- --------- --- - UTILITY COMPANY NOTIFIED Ll REPORT ID: DPR265 ROUTE TO: BS0508