HomeMy Public PortalAbout10046 LIVE OAK AVE_Electrical__ 'G
76A663-G£BO,6 1/79 A(�PMCAT�4N FOR � ClrPtlC I� /PERWT(
COUNTY OF LOS ANGELES �C\4y (�LL55 LaC U
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADORES
JOHN A. LAMBIE, COUNTY ENGINEERVFEE
LOC Y
COLEMAN W. JENKINS SUPERINTENDENT OF BU
NEAREST
FOR APPLICANT TO FILL INCROSS ST,
OUTLETS NO EACH OWNERRECEPT. $ $ AMAIL
DDRESS O
LIGHT TOTAL FIRST 20 20
OVER 20 TEL N
SWITCH_ 10 PLAN CHEC
LIGHTING TOTAL
FIRST 20 20 APPLICAN
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLI j/
STA. COOK DISP F.A.U. ADDR SS G
SPACE HTR. AIR COND. CIT TEL. N
CLOTHES WASH. DISHWASH. LICENSE CLASS. '
FAN OTHER 100 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, THE ABOVE DESCRIPED RESIDENTIAL PROPERTY }
SIGNATURE
10 - 50 500OF PERMITTEE 0
50 - 100 1000
DISTRICTNO LASS OROU - ZON PR C BY
100 - 500 1500 0
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES; N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 100
SERVIR VO S OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE ER 600 VOLTS O R 200 AM P 500
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300 _
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE '
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 100 JOSEP . ROOHAN
TOTAL FEE SUPERVIS N FyL.EC ICAL ENGINEER.
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATI cK M 0 CASH
Lf t1,0 5 F G 6 -3 APR 1 Q 2 D 6.Q O rn
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663 DBS SA 3-SOAPPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
1 WILLIAM J. FOX, CHIEF ENGINEER
FOR-APPLICAN?TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
.� Fcl�6
ELECTRICIAN, � _ '
READY FOR DATE ISSUED
ADDRESS ® f�i-Im '"y/i irJ RECEIVED BY FIRST INSPECTION
CITY ,CC�f- --QAS�r9/3JS.s] TEL NO. 1Q�
COUNTY LICENSE NO.�®/O EXPIRESBUILDING
ADDRESS
PERMIT FEES rJ
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS � NEAREST lJ
RECEPTACLES / CROSS ST.
WALL SWITCHES OWNER .D I'd, 1
TOTAL OUTLETS Sc
MAIL v
ELEC. RANGES 25 ADDRESS
ELEC..HEATERS 25 CITY TEL. NO.
FIXTURES 6
I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF,RECEPTACLE CIRCUITS ZI AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HP OVER INC. [DH OF THE RESIDENTIAL PROPERTY DEFEE SCRIBED ABOVE.
Al I/2 4 LcaS $ .25 SIGNATURE OF6�
%2 2 .50 PERMITTED - vn
6'
2 5 1.00 UINSPECTION RECORD
5 15 1.50
15 SO 2.50
50 200 6.00
200 BOD 10.00 J
500 1000 E15E- .00 Z
OVER 1000 20.00 Q
M.G. BET/FREQ. CHANGER-HP R'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
-APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $11.00 6 WIRING S L
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE >$�� UTILITY CO.NOTIFIED
VVV FINAL I G
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91)-663 APPLICATION FOR ELECTRICAL PERMIT
20 �J
I hereby affirm that 1 have a certificate of consent to self insure, -
or a'certificate of Worker's Compensation Insurance, or a certlfied 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
i'` ADDRESS
0 `, Certified copy is hereby'furnished New Residential Bldgs &Pools NO EACH FEE
$ LOCALITY -
$
E-1- Certified copy,is fled with•the�county bud1 &2-Family,Sq'Ft ding inspection - _ NEAREST'
department, Multi-family Sq,Ft CROSS ST
Residential Swimming Pools ASSESSOR
Date Applicant-_' +'. MAP BOOK d PAGE O�� PARCEL
z . CERTIF,ICATE OF EXEMPTION FROM WORKERS'` Outlets Rec Light Sw OWNER OR
_ COMPENSATION INSURANCE RM NAME G r
First 20 MAIL"
(This section need not be completed if the work involved by the ADDRESS
� Total No Additional
permit is for one hundred'dollars($100)or)ess.)
I Ce'rtify`that in the performance•of the work for which this permit CITY Tel No
is issued, I shall not employ any person in any manner'so as to PLAN•CHECK
become,suble•ct to the Workers' Compensation Laws, Lighting Fixtures First 20 APPLICANT `
r -Total No Additional ADDRESS
Date ,i ••' ^ 'Applicant W RESIDENTIAL APPLIANCES NOT OVER 3 HP
NOT.ICEt 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, ou must forthwith coin I with such PERMIT
a y P y Power Apparatus&Large Appliances APPLICANT
provisions or thi" permit shall be deemed'revoked
e• LICENSED'CONTRACTORS DECLARATION� Size&Type HP,KW,KVA,or KVAR ADDRESS _
I Iieretiyiaffirm'that"l 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
LICENSE Class
' Over 50 t0 100 Incl REG NUMBER a
Over 100 � DISTRICT NO PR ED BY Q
License Number Lic Class U
Services,Swbd,MCC&Panelboards �� P=
r�G
Contractor Date
0-399 Amp Under 600 V FINAL
• - ,_. _ DATE
❑' 4
00-1000 Amp Under 600 V O
I am exempt under Sec VALIDATION W
_ Over 1000 Amp or Over 600 V, FINAL
-B&P C for this reason BRANCH CIRCUIT FEES BY d
Date 15A,or 20A,120V,Lighting or Recept 4 Z_
- - - 1 To 10 Branch Circuits
Signature <` 11 To 40 Branch Circuits
❑ _ 41 Or More Branch Circuits
• 'Exemption for Reg'Main Elect 15A,20A,208V To 277V Lighting Br Circuits
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 11L t =e
for the following reason (Section 7031 5, Business and Professions AdditioF
nal Sign Branch Circuits _ T � '" _-13
Code) !. 'I_i tf -
I, 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) ITS 33m60
and Professions Code) 7��{
, I
vF1J!l - e'
CONSTRUCTION LENDING AGENCY A
I hereby affirm that there is A construction lending agency for the ::{1AN--E ,{sl}
performance of the work for which this permit is issued (Sec 3097,- PERMIT FEE (Sub-Total) ;
Civ C)
PLAN CHECKING FEE # "S 19-
Lender's Name i� U��ILI tt
PERMIT ISSUING FEE
s'9t r iym Gal I
Lender's Address - - - _
I certify that I have read this application and under penalty of pupury 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
representatives of this Co ty to enter upon the above-mentioned property -
for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0702160012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE (626) 285-0488 EXT
ILEGAL ID: I FEES PAID I BUILDING ADDRESS - 1
ITR 16957 LT 28 I I 10046 LIVE OAK AV
I IFEE DESCRIPTION QUANTITY. UOM AMOUNT I TEMP CA 917802711 1
(ASSESSOR INFORMATION NUMBER: I 1 ' NEAREST CROSS STREET- BALDWIN 1
18586-021-015 IAL PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE: 597 GRID A3 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 1 00 OUT 1_95 I I
(TENANT: IG2 LIGHTING FIXTURES 1 00 LGT 1 95 TISSUED ON PROCESSED BY PLAN BY EXPIRES ON: 1
IHA FAU LESS 3HP 1 00 FAD 10 95 102/16/07 JK 08/15/07 I
IJB AC UNITS +3-10HP 1 00 AC 19 65 1
(OWNER TEL NO ILB 200 AMP PANELS, MCC 1.00 PAN 38 85 IF AL DATE FINAL CODE I
IDANG, KEVIN (626) 447-7127- I TOTAL FEES 101 10 I
110046 LIVE OAK AV I I I
ITEMP 917802711 I ID SCRIPTION 6F WORK
(ELECTRICAL FOR HVAC SYSTEM UD UPGRADE SERVICE PANEL TO
I 1200 AMP
I
(APPLICANT TEL NO. 1 1 I
IFAN ON CO (323) 842-8306- I I
11948 LANSDOWNE AVE. I ISPECIAL CONDITIONS I
ILOS ANGELES CA 90032 1 I I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
IFAN ON CO (323) 842-8306- I _ 1
11948 LANSDOWNE AVENUE LIC NO I ITEMPORARY POWER POLE I I I
ILOS ANGELES, CA 90032 685787 B 1 I -1-1 I
(UNDERGROUND CONDUIT
_ I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I I
4 , I I I
LIC NO ,j IROUGH CONDUIT I I I
I I I
I I IROUGH WIRING I
I I I
I I IMAIN WATER LINE I 1
I I IPLASTIC Y/N METAL Y/N I I I
I I (UTILITY COMPANY NOTIFIEDI I I
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