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HomeMy Public PortalAbout10130 LIVE OAK AVE_Electrical__ 76A663 DBS SA 3-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 3s COUNTY OF LOS ANGELES `I WILLIAM J. FOX, CHIEF ENGINEER FUR APPLICANT TO FILL IN DIBTRICT'NO. GROUP ZONE PERMIT NO. / I � s k-7y3 ELECTRICIA ,S RECEIVED BY READY FOR DATE ISSUED ADDRESS �adl.[S D X51 �A FIRST INSPECTION CITY V TEL NO. COUNTY LICENSE NO. O EXPIRES BUILDING ADDRESS/0 /3 G .7,J PERMIT FEES �// NUMBER EACH FEE LOCALITY /y LIGHT OUTLETS NEAREST U CROSS BT. RECEPTACLES WALL SWITCHES OWNER/- , TOTAL OUTLETS Sc >$ MAIL v I ELEC. RANGES 25 ADDRESS ELEC. HEATERS 2S 2� CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 3- 3 S AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNEFEE 1R INC. OF THE RESIDENTIAL PROPERTY NEW MVD. HP OVER I I2 6 LESS III .25 SIGNATURE OF �l / • V2 2 .50 PERMITTEE./ 2 s 1.oD jINSPECTION RECORD 5 15 1.50 is s0 2.50 50 - 200 5.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 - Q M.O. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA - TEMP. MOTORS (75% OF DRIG•) MOVED MOTORS (75% OF GRIG.) MISC. B113NS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING 51.100 a CONDUIT ,/ FIXTURES $1.00 WIRING - 'n'/'e,- SUPPLEMENTARY ,50 FIXTURES POWER TOTAL FEE �� UTILITY CO.NOTIFIED FINAL 79AG63-CESOG--9-57 ® ® ICATION FOR ,E LECR.I V PERMIT ERMIT _ �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING . BUILDING AND SAFETY DIVISION iO/�� /ADDRESS / /k,6 JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY7FAoz,6 ZZY ' NEAREST FOR APPLICANT TO FILL IN CROSS ST M PERMIT FEES ITEM NUMBERI EACH FEE OWNER OUTLETS: $ $ MAIL ' LIGHTS RECEPT. SW. .10 O - A'DDR ESS LIGHTING FIXTURES .10 CITY TEL.NO .R NGES CLO.DRYER ELECTRICIAN WATER HEATERS .50 O ADDRESS ` ELEC.SPACE HTRS. DISHWASHERS TEL GARBAGE DISPOSERS AUTO.- CITY TEL.NO ZZ WASHERS STA.COOKING UNITS .25 STATE � r• LICENSE NO. MOTORS: OVER INC. H P. DISTRICT NO. GROUP 'ZONE READY FOR INSPECTION; O — I/2 .2 5 I/2 — 2 .50 2 — S 100 INSPECTION RECORD .G� S — 15 1.50 All, 15 50 2 50 r SO— 200 500 SI NS: NO TRANS. NO.LAMPS S VICE 0-600V 1.00 �+ SE ICE OVER 600V Soo MISC. 6 - WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .SO' TOTAL FEE $ APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP CAT 0 DATE INSPECTOR'S SIGNATURE- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING y ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER 3 DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE UTILITY CO NOTIFIED -OF =EIr FINAL ATION ARTHUR C.VEIT. CK EM1O CASH SUPERVISING ELECTRICAL ENGINEER 2155 MAR 19-' 2 A 4.75 P'S COMPENSATION DECLARATION 20.0019 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT have a certificate of consent to self insure, ker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. 0 Lab. C.) _Company FOR APPLICANT TO FILL IN JOB ADDRESS sv, ADDRESS \ )(.3 is herebyfurnished. NO. EACH FEE LOCALITY New Residential Bldgs.&Pools o is filed with the count building inspection 1 &2-Family,Sq.Ft. — $ $ PY Y 9 P NEAREST ,ant. (/� R Multi-family Sq.Ft. _ CROSS ST. t '4_2--r-1 A ppIiCa \�._y.� aye Residential Swimming Pools ASSESSOR Crt. �}O C G n J---5-=—= qP BOOK © PAGE a PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light 2 Sw. OWNER ORu COMPENSATION INSURANCE First 20 V /1�1 MAIL FIRM NAME ,.;section need not be completed if the work involved by the ADDRESS t Cfi3C permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY Tel.No. 444 .-X,4f+t4 is issued, I shall not employ any person in any manner so as to PLAN CHECK ' become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Tota(No. Additional ADDRESS Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3HP. CITY TeLNo. (j(( 2�� Exemption, you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. Z� provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT ,y�,C. 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.No. l.NZ Z-74'11 Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. �y r LS OR Over 50 t0 100 Incl. RIEGNNU BER �1 L4 Class. -4 a 4:3t Over 100 DISTRICT NO. PROCESSED BY 0 License Number Lic.Class �i U Services,Swbd.,MCC&Panelboards t7a LC f 1��11 4 0 p. FINAL DATE O Contractor PC, -399 AmUnder 600 V`-�+/'�� Date ❑ 400-1000 Amp.Under 600 V VALIDATION U I am exempt under Sec. W Over 1000 Amp.or Over 600 V FINAL CL B.&P.C.for this reason BRANCH CIRCUIT FEES BY . W LLDate: 15A,or 20A,120V,Lighting or Recept. � Z Signab,rer t�...+�h"'-'t-"�-� 1 To 10 Branch Circuits 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 - HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I 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): ❑ 1, 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) 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) G� Civ. C.) 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 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 County to enter upon the above-mentioned property f-for�nspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIG 9ATURE OF PERMITTEE DATE •COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309300040 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT LEGAL ID I FEES PAID BUILDING ADDRESS ITR 16957 LT 35 1 10130 LIVE OAK AV I IFEE DESCRIPTION QUANTITY UOM. AMOUNT TEMP CA 917802712 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1 18586-020-006 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE: 597 GRID B3 LOCALITY TEMPLE CITY CAI I IG1 OUTLETS-LGT,SW,RECP 8 00 OUT 16 00 ITENANT IG2 LIGHTING FIXTURES 2 00 LGT 4 00 11SSUED ON- PROCESSED BY PLAN BY 1 1 IH7 RES EXHAUST FANS 1 00 EX 11 00 109/30/13 SR 1 1 TOTAL FEES 58 80 1 1 (OWNER TEL NO: 1 IFINAL DATE FI CODE 1 IWOO, JEFFREY (626) 757-2375- I 1 110130 LIVE OAK AV I I ? /Z 1 ITEMP 917802712 1 IDE C I TION OF WORK�- 1 I I 18 OUTLETS, 2 LIGHT FIXTURES AND EXHAUST FAN FOR THE NEW 1 I I (ADDITION I (APPLICANT: TEL NO I I 1 (SAME AS OWNER - I I (SPECIAL CONDITIONS. (CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 (SAME AS OWNER - 1 I I I LIC NO ITEMPORARY POWER POLE I I I I 1UNDERGROUND CONDUIT I I I I I (ARCHITECT OR ENGINEER TEL NOI 1UFER GROUND I I _ I I 1 1 LIC NO I (ROUGH CONDUIT I 1 I I I 1 (ROUGH WIRING I I I 1 (MAIN WATER LINE 1 I IPLASTIC Y/N METAL Y/N I I 1 (UTILITY COMPANY NOTIFIEDI 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 I I I I I I I I I I I I (REPORT ID DPR265 ROUTE TO. BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103290001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID II FEES PAID I BUILDING ADDRESS 1 ITR 16957 LT- 35 1 I 10130 LIVE OAK AV 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802712 1 (ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET 18586-020-006 1A1 PERMIT ISSUANCE FEE 27 80 1 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl IF1 120V, 15/20A BR CKTS 3 00 BR 51 90 1 ITENANT 1LB 200 AMP PANELS, MCC 1 00 PAN 38 80 (ISSUED ON PROCESSED BY PLAN BY I I TOTAL FEES 118 50 103/29/11 SR I 10WNER TEL. NO: IFI J, DATE FINAL BY CODE 1KENNEDY, JOSEPH (626) 446-5484- 110130 LIVE OAK AV 1TEMP 917802712 1 1DE9CRIPTION OF WORK 1 I I 1 (1) UPGRADE 200 AMP (3) CIRCUIT BREAKERS I (APPLICANT TEL NO 1 1ZAMORA, CARLOS (818) 735-7876- 1 15858 DOVETIAL DR 1 1SPECIAL CONDITIONS AGOURA HILLS 91301 1 I I I I I I 1CONTRACTOR TEL. NO I IAPPPOVALS DATE INSPECTOR SIGNATURE 1 1THE ELECTRIC CONNECTION (818) 446-0888- 1 1 19937 COMMERCE AVENUE LIC NO 1 1TEMPORARY POWER POLE I I 1TUJUNGA CA 91042 406002 C10 *I I I I I I UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I I I LIC NO I _ IROUGH CONDUIT 1 1 IROUGH WIRING I I I I J� 1MAIN WATER LINE I I I I I I 1PLASTIC Y/N METAL Y/N I I I I 1UTII,ITY COMPANY NOTIFIEDI7 2n S I i I I I I 1 I I I I I 1 i I I I I 1 I I I I I I 1* ADDITIONAL DATA ON FILE I I I I I I I I !REPORT ID DPR265 ROUTE TO BS0508