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Home My Public Portal About6263 IVAR AVE_Electrical__ Vm that COMPENSATION DECLARATION 20-0019 DP'N9/89 APPLICATION rP IC hA TION FOR ELECTRICAL PERMIT 76A663 /,5i,11�'I�L� ldoG*� II he af�;rm that I'have 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 .� _1V / . ADDRESS V ❑.. Certified copy is.hereby furnished. &Pools New Residential Bldgs. oos EACH NO. FEE ' $ _ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. _ NEAREST i department. Multi-family Sq.Ft. CROSS ST. Date 'Applicai4 Residential Swimming Pools MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw. OWNER RM NAME COMPENSATION INSURANCE First 20 ! (This section need not be completed if the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional a /� I certify that in the performance of the work for which this permit CITY r e Tel.No. is issued, I shall not employ any person in any manner SO as t0 PLAN CHEC become subject to•the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional - ' ADDRESS Date Applicant 15 OR 20A,'120V BRANCH CIRCUITS' NOTICE"TO-A'PPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT P Y P Y ... - APPLICANT ,(o / • provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH }. LICENSED'CONTRACTORS DECLARATION ADDRESS 4. I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH O (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. U Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR (j - - Class. O Power Apparatus&Large Appliances _ REG.NUMBER License Number Lic.Class Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY Up to 3 Incl. UJ Over 3 to 10 Incl. FINAL O-' Contractor Date DATE - W Over 10 to 50 Incl. / Z ❑ I am exempt under Sec. Over 50 to 100 Incl. �( � VALIDATIONB.&P.C.for this reason Over 100 - FINAL .Service w d MCC � dR2f rds BY Date: d 0- Signature -.-201 .1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. 2 SINGLE FAMILY Temp.Power Pole&Appurtenances _ _ ACCT, g HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit C�J07 :,c(} cc I hereby affirm ttiat I am exempt from the Contractor's License Law ,.t.t for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ITEMS,Code): ITEMr Misc.Conduits&Conductors — TOTAL s=- �"�" �,as owner of the property,will do the work and the structure TO 1 _a9 ®_e_a is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHECK and Professions Code). 1 CHECK i 59.55 J5 CONSTRUCTION LENDING AGENCY CHANGE '130 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.) 0000-0001 8/21A 4 ' PLAN CHECKING FEE - �W Lender's Name n 51233 1 AM S=Ili PERMIT ISSUING FEE or Lender's Address I certify that I have read this application and state that the above TOTAL FEE 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 thelove-mentioned property for inspegtion purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OFAPPLICANT OR AGE, DA., T - DECLARAT WORKER'S COMPENSATION of consent to 76A669DPW9/89 APPA �(f�gt9 ION FOR EL ECTMICAL� PERNT 76A663 L� l�9G�U II I•heveby affirm that'!-have 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 thergof•(Sec.3800 Lab. C.) T MP,Policy No. Company FOR APPLICANT TO FILL IN ' JOB ADDRESS T Certified copy is'hereby furnished. New Residential Bldgs.&Pools EACH NO. _ FEE- Ave. ❑... $ — $ LOCALITY l Certified copy is filed with the county building inspection' 1&2-Family,Sq.Ft. de,artment- Multi-family S Ft. — NEAREST �.( .'I P• Y q- CROSS T. A\J Date Applicant Residential Swimming Pools W ASSESSOR .•,! ` -<t 1' •MAP,BOOK' PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR t\ COMPENSATION INSURANCE Outlets:Rec. Light Sw. FIRM NAME j J (This section need not be completed if the work Involved by the First 20 �� C�3 MAIL c:f permit is for one hundred dollars($100)or less.) Total No.� Additional F ADDRESS I certify that in the performance of the work for'which this,permit CIT Y'-� l�� TeI.No. is issued, I shall not employ any person in any manner so,as to CK become subject to the Workers,' Compensation Laws. Lighting Fixtures First 20 PLAN C T J p _ 9 � "APPLICANT Total No. Additional ' - ADDRESS Date Applicant. 15 OR 20A,120V•BRANCH CIRCUITS NOTICE TO APPLICANT: If; after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers' Compensation 1 TO 10 INCLUSIVE EACH provisions of the Labor Code, you must forthwith.comply,with such -11 TO 40 INCLUSIVE EACH PERMIT P Y _ - _ - - APPLICANT es' e/yY=+=^C%ems provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION ADDRESS fl I hereby affirm that I am licensed'under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH O (commencing with Section 7000)of Division 3of the Business and _ CITY TeI,No. Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR Cc Power Apparatus&Large Appliances REO.NUMBER Class. 0 License Number Lic.Class Size&Type HP,KW,KVA,Or KVAR DISTRICT NO. PRO ESSED BY F— // q / �✓ p _ Up to-31ncl._._: (O / G- ee/ •f d Over 3 to 10 Incl. IMF n" Contractor Date ..... .__ .. . . _-❑ Over 10 to 50 Incl. 7 I am exempt under Sec. Over 50 to 100 Incl. �/� ZJ VALIDATION FINAL B.&P.C.for this reason Over 100 - BY Services,Swbd.,MCC&Panelboards Date: 0-200 Amp.Under 600 V Signature 201 --1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V , Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION 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 Code• "'"" ' C i C i � sc.Conduits&Conductors, =t I, as owner of the property,will do the work and the structure M is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). - - - CONSTRUCTION LENDING AGENCY 1_•t a_ I hereby affirm that there is a construction lending agency for the _ fi'.3' .'•L' performance of the work for which this permit is issued (Sec. 3097, PERMIT.FEE _ (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name - - _ i-) ?}l €_(! •. PERMIT ISSUING FEEi'"' ID 0Lender's Address / I certify that I have read this application and state that the above TOTAL FEE k ation is correct. I agree to comply with ail County ordinances tate laws regulating Electrical wiring, and hereby authorize entatives of this County to enter upon the a Ove-mentionedIiity for inspection purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE E OF APPLICANT OP,4GENT DA E CoUrTY'OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1310280054 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: IFEES PAID I BUILDING ADDRESS: ' . ITR: 5904 LT: 29 UN: .0021 � •$�'•' � ,�,� i 6263 IVAR AV I I _IFEE DESCR3PTION: •; . .'� QUANTITY: UOM:�•� AMOUNT: ( TEMP CA 917801526 1 (ASSESSOR INFORMATION NUMBER: I �+ (- - ;�1; `I NEAREST CROSS STREET: LONGDEN 15386-010-029 IA1 PERMIT'tiISSUANCE- FEE. - 'i 27.80}I_ THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 2.00 1_ I 1TENANT: THA FAU LESS 3HP 1.00 FAU 11.00 TISSUED ON: PROCESSED BY: PLAN BY: I I IJB AC UNITS +3-10HP 1.00 AC 19.70 110/28/13 SR_ I I OWNER: ILB 200 AMP PANELS,- MCC " 1.00 PAN 38.90 1 I 1SU ANDREW W;LI SHAN L TRS TEL. NO: I TOTAL FEES 99.40 (FINAL DATE FINAL BY: CODE: (62I 6) 286-2544- 1 L I 16263 IVAR AVENUE I (TEMP 917800525 (DESCRIPTION OF WORK I (INSTALL A 120 V OUTLET, UPAIE PANEL TO 200 AMP, 4 TON AC 1 I I (UNIT AND FAU 1 (APPLICANT: TEL. NO: I I ICORREA, MANNY (626) 786-2347- 1 12509 EUCLID CREST E ISPECIAL CONDITIONS: (UPLAND CA 91784 (CONTRACTOR: TEL. NO: - 1 (APPROVALS DATE INSPECTOR SIGNATURE IS X D CONSTRUCTION (626) 786-2347- 12509 EUCLID CRSS E LIC. NO 1 (TEMPORARY POWER POLE 1 I I (UPLAND CA 91784 627142 1 I I I I I (UNDERGROUND CONDUIT 1 I 1 1ARCHITECT OR ENGINEER: TEL. NO: - IUFER GROUND 1 I I I I I I I LIC. NO: IROUGH CONDUIT I I I (ROUGH WIRING 1 IMAIN WATER LINE I I (PLASTIC Y/N METAL Y/N I I I . (UTILITY COMPANY NOTIFIED�I 1 I I I A I I I I I I I I I I I 1 I I I 1 I 1 1 I I I I I I I I I I I 1 I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I 1 � � I I I I s. CGUNTY OF LOS ANGELES TEMPLE CITY # 0508 '"ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 1--EL 0508 0003020035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING-ADDRESS:,.. . TR: 5904 LT: 29 UN: .002 6263 I.VAR'-AV„ = _2vy FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801526 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5386-010-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C G1 OUTLETS—LGT,SW,RECP 12.00 OUT 23.40 TENANT: G2 LIGHT.ING FIXTURES 6.00 LGT 11.70 ISSUED ON: PROCESSED BY: PLAN BY: EXRES ON: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 03/02/00 UT /29/00 PI H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 H00 10.95 FINAL DATE FINAL B CODE: SU ANDREW W;LI SHAN L TRS (626) 286-2544— H7 RES EXHAUST FANS 1.00 EX 10.95 6263 IVAR TOTAL FEES .106.65 — -'— TEMP 917800525 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION AND REMODELING APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: ELF CONTRACTOR: TEL. NO: � � �� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE G UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. N0: / �— ! 1111111 1 ROUGH CONDUIT �— ROUGH WIRING U � L �0W/VQ �� MAIN WATER LINE 112 ILl�'L�.1 PLASTIC Y/N METAL Y/N -- UTILITY COMPANY NOTIFIED 6 0 D ❑ '` i�1pi rq�� o C El REPORT ID: DPR265 ROUTE TO: BS0508 DO e.A 7.3O Vit..• DEPARTMEST OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES EI.,ECTRIC ATUltE OF MSTAIA,,,,r�;M'0 DISTRICT NO. GROUP TYPE PERMIT No. WIRIN'S FIXTURES I ' SCRVICH ^ 7 �- � 90 }d�V --READY.POR RECEIVED BY DATE ISSUED RANGE H[ATlR al POVvER FIRST INSPECTION ?In"A �MIGC£LLANEOUR APPLICANT FILL IN HEAVILY OUTLINED POPTION ONLY zJOB NAME r ^ ADDRESS L U s. AP!n R.Ess A-� LOCALITY _ NEAREST W CITY' TY I�'� V I CROSS ST. v STATE �y L,2�' COLNTY L IC lN94 _O }K NAME . .. ...._......._...::...: W DESCRIPTION OF WORK z I MAIL NUMD[R OF OUTLETS ON CIRCUfT9 - - � ADDRESS - LOCATION BY ROOMS CITY i� �TTEL No. LIGHT OUTLETS :RW. PLUGS rlxT CORRECTIONS _CIRCUIT I�AI B•�I C' I I' EI IF � GIH LIVING Room!�•I 1 y DINING ROOM) BRF9T. RM. I I BATH I ' 1 _ S,Fq. HALL HALL No. J I fa- FRONT PORCH) o�lTclo� _ _KITCHEN SERV. PCH. _ St HDR14. NO. CLOSET APPROVALS iMOP4CT0 R'a MAM4 CONDUIT WIRING r TOTAL NO^OF OUTLETS S POWER n�•,- NO. OF FIXTURES UTILITY CO. NOTIFIED �? FINAL 1�. v NO. OR MOTORS H. P. b I AM THE LEGAL OWNER THE ABOVE LOS ANGELES NO. OF SIGN-9 TRANS. 9 I COUNTY RRGI9TRATION N ER. NO. O? RANGES OR HEATLIP9 _ QLQCTRICIAM. M19CELLANEOU9 b I AM THE LEGAL OWNER OP THE.rROPERTY DESCRIBED Z. PERMIT FEF � ABOVE. .. . . .'.�. -TOTAL FE[ 1 - r,o o , ISM APPLICATION FOR PERMIT ,". DEPARn,LENT OF BUILDING AND SAFETY ��. � �•` COUNTY OF LOS ANGELES Wh1. J. FOX CHIEF ENGINEER I_ NATURE OF INST. ALLA R)"N DISTRICT NO. GRQIJP /E PERM^No. WIRING / FIXTURES r SERVICE - y7!/ O READY FOR RECEIVED DY DATQIODUQD RANGE _I HEATER POWER FIROT INSPECTION SIMNS -MISCELLANEOUS E APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB Z614AME ADDRESS U e ADDRESS tl LOCALITY 444 NEAREOT. U CITY TEL a. CROSS 8T. _ In COUNTY REG. NO. D EXPIRES/I.-3d d OC NAME 0 .T DESCRIPTION OF WORK i MAIL 3 ADDRESS NUMBER OF OUTLETS ON CIRCUITS O ��__•_.__ LOCATION BY ROOMS_ _ _ 1 t CITY TEL No. �l,1GHT OUTLETS I£W.1 PLUGS 1►1XT. CORRECTIONS f CIRCUIT A B C I}I-D E f i F I G H LIVING ROOM DINING ROOM Ill RM. BATH ENT. HALL HALL NO. _} ` FRONT PORCHI�. I __�-_ 2 OUTSIDE r— I M ; o KITCHEN I {� SERV. PCH. I J L I CLOSET I I BOWw. No. � - ctosrT I _I I -: APPROVALS DATE rwoveerox•o waeaa • ` � I--- CONDUIT,- WIRING '-Y a •'E TOTAL I FIXTUIl tt - NO. OF OUTLETS POWER NO. OF. FIXTURES C/ ( 8 `� V UTILITY CO.NOTIFIED i F I,/ NO. OF MOTORS H. P. ( II ,Ls.G•' �+ FINAL"" I �J ✓ ' NO. OR SIGNS TRANS. II 1 AM THE LEGAL OWNER OF THQ ABOVE LOC ANZlS1iA COUNTY REGISTRATION NUM E ;• NO. OF RANGES OR HEATERS MIS�C�ELLAN SOUSII a�acTRruAw IAM THQ LEGAL OWNER OF TH[[ PROPERTY DESCRiDIID PERMIT FEE II ABOVE ` TOTAL FEE '...onOM'jMN• .. try. I, A_ S' r Paskari