HomeMy Public PortalAbout10420 LIVE OAK AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer ELEV
FOR APPLICANT TO FILL IN DISTRICT NO. CROUP I ZONE PERMIT N
ELECTRICIAN
R17C VED BY READY FOR DATE ISSUED
ADDRESS u� .S ri Al dSJam. ' FIRST INSPECTION _
CITY TEL NO. 74lVel>) a-t-1
COUNTY LICENSE NO. EXPIRE_q(,-,00-,6_T ADDRESS
O I`
PERMIT FEES ___
FEE
NUMBER EACH LOCALITY��
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS BT.
WALL SWITCHES OWNER
TOTAL OUTLETH 41 7 SO $ MAIL
ELEC. RANGES S5 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 _
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
14
NEw MVD. HP OVER INC. EACH OF THE REBIDENTIA7PER_T�r DESCRIBED ABOVE.
%2 & LEBB $ .25 BIGNATURE OF
I/2 2 .50 PERMITTEE
2 s 1.00 INSPECTION RECO -D
5 is 1.50 _
15 so 2.50
s0 200 5.00
200 Soo 10.00 J
BOO 1000 15.00 Q
Z
OVER 1000 20.00
M G. SET/FREQ. CHANGER-HP Ln
IY
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIB.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NO. APPROVALS
LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 Q CONDUIT 'I
FIXTURES $1.00 WIRING ✓ _ -s� -" .w+.�
SUPPLEMENTARY .50 FIXTURES
O POWER
TOTAL FEE UTILITY CO. NOTIFIED 1 �
FINAL i
ICA663 DBS$ 5A 4-52
78A883 CE 806R ,L'0(g7 APPUC/r11M0 V FOP., ELECT Il tSRWIr
t
^ '60UNTY OF LOS ANGELES
�. DEA'ARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
FOR APPLICANTTO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEAREST
1 &2 Family,Sq Ft $ 025 — $ CROSS ST
OWNER OR
Multi-family Sq Ft 02 — FIRM NAME
Residential Swimming Pools 2500 MAIL At I
ADDRESS ` ,� Z•U U�
Outlets Rec Light_Sw CITY Tel No 2.
First 20 50 1 PLAN CHECK -
Total,No Additional 30 APPLICANT
ADDRESS
! Lighting Fixtures First 20 50 CITY Tel No
Additional 30 PERMIT
Total No APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS91
J
Range_Heater—D W `CITY �. Tel-N
Oven _Dryer—W M_ LICENSE OR
Top —FAU —W H REG NUMBER Class -- f✓
Hood_Fan —Other— I AND \,
250 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION STATE
Disp - Room Air COnd THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING -
Power Apparotus&Large Appliances
Size&Type HP, KW, KVA,or KVAR HEREBY CERTIFY THA AM PROPERLY REGISTERED L NSED AS
REQUIRED BY LOS A EL UNTY AND ST E OF L N HAT I AM a
Up to 1 Incl 2 50 THE LEGAL OWNER_F OV
DESC SID P C
i Over 1 to 10 Incl 500 c�
F Over 10 to 50 Incl 1250 PERMITTEE + o
c 25 00 SIGNATURE
Over 50 to 100 In
Over 100 40 00DISTRICT NO �^ OCE ED BY. N
� z
Services
0-200 Amp Under 600 V 1250 / �Z1 INS CTOR S
201-1000 Amp Under 600 V
25 00 APPROVALS DATE NATURE
Over 1000 Amp or Over 600 V 50 00 TEMP POWER POLE
. Temp Power Pole&Appurtenances
10 00 UNDERSLAB WORK
Sign with One Branch Circuit 10 00 ROUGH CONDUIT
2 00 WIRING
Additional Sign Branch Circuits
Misc Conduits&Conductors 1000 FIXTURES
Other ISee Complete Fee Schedulei POWER AUTHORIZED a
UTILITY CO NOTIFIED - 7
FINAL
PERMIT FEE r= Sub Totals ; NOTES
PLAN CHECKING,FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $700 - 225 t
TOTAL FEE
PLAN CHECK VALIDATION CK - MO CASH PERNUT VALIDATIONM O CASH
0 3.9 t"E AUb 1 2 U 1 9.5 0,
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r
1. WORKERS'COMPENSATION DECLARAT:`Jri CE 806G (2-80) APP UCQMN FOR ELECTMAL PERMT.
i
I hereby affirm that I have a' certificate of consent to self COUNTY OF LOS ANGELES �` BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or V z- r /1, �,a � B /�
a certified copy thereof(Sec 3800,Lab C) Cr 10
/�-•� e�►� FOR APPLICANT TO FILL IN' - ,JOB
Policy No *9�i/—Cf npany a /g�� EACH NO FEE ADDRESS
- New Residential Bldgs &Pools
Certified copy-is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY p t
Multi-family Sq Ft — NEAREST AleCertified copy is filed with the county building inspection CROSS ST
department Residential Swimming Pools OWNER OR
� FIRM NAME
e (Dat6� Apphcant JO411T — _
MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel N
COMPENSATION INSURANCE PLAN CHECK O}
(This section need not be completed if the work involved APPLICANT O
by the-permit is for one hundred dollars ($100) or less.) Lighting Fixtures- First 20 ADDRESS U
Total No Additional cc
1 certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No 0
permit is issued, I shall not employ any person in any manner PERMIT ° (�
so as to become subject to the Workers' Compensation Laws- Range_ Heater_D W APPLICANT W
Oven Dryer_W M ADDRESS'/ (n-
Top F'AU _W H � Z
Date Applicant
Hood Fan _Other_ CITY o Tel No
NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond.. LICENSE OR �
Exemption, you should become subject to the Workers' REG NUMBER Class
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCE SED BY
with comply,with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR
deemed revoked 16 leg
_
Up to 1 Incl
i FINAL
LICENSED CONTRACTORS DECtiARATION
9 ``�����TT' TT��Over 1 to 101nc1- c DATE VALIDATION
,Over 10 to 50 Incl
I hereby affirm-that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL
BY
9 (commencing with Section 7000) of Division 3 of the Busi- Over 100
ness and Professions Code, and my license is in full force and
effect Services
0-200 Amp Under 600 V
License Number Lic Class C �10
p 201-1000 Amp Under 600 V
Contractor�Z7�MAf Date oI� r7 Over 1000 Amp or Over 600 V
HOME OWNER-BUILDER,DECLARATION Temp.Power Pole&Appurtenances -
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031 5, Busi- Additional Sign Branch Circuits
ness and Professions Code) - -
Misc Conduits& Conductors 24 t 0 8 A
I, is owner of the property, will do the work and'the Other(See Complete Fee Schedule)— # o 0,0 0 0,2
structure is not intended or offered for sale (Section
7044, Business and Professions Code) `
CONSTRUCTION LENDING AGENCY 2 ° ° 1 2 0 0
I her affirm that there is a construction lending agency
for the performance of the work for which this permit is ° ° ° 2.0 0 c=>
PERMIT FEE (Sub-Total)
issued (Sec 3097,Civ C)
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel 02 1 8-81
Lender's Address PERMIT ISSUING FEE
I certify that I 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 property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
r'� ����
Signature of Permittee Date ��
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0711140010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID- FEES PAID I BUILDING ADDRESS. 1
ON FILE I 10420 LIVE OAK AV E 1
IFEE DESCRIPTION QUANTITY UOM AMOUNT I ARCD CA 910078462 1
(ASSESSOR INFORMATION NUMBER. I NEAREST CROSS STREET
18586-013-035 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID D3 LOCALITY TEMPLE CITY, Cl
1G1 OUTLETS-LGT,SW,RECP 28 00 OUT 49 80 I
ITENANT IG2 LIGHTING FIXTURES 23 00 LGT 43 05 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON.
IH1 RES ELEC OVEN LT 3HP 1 00 OVE 10 95 111/14/07 SR 05/12/08 I
I 1H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 1 I
(OWNER- TEL NO 1H3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 IFINAL DATE FIN CODE I
IDU, VAN (626) 378-2140- IH4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 1r,
1714 PLYMOUTH ROAD I TOTAL FEES 164
ISAN MARINO, CA 91108 I 1 ESCRIPTION OF WORK 1
I I (ELECTRICAL FOR KITCHEN AND 2 BATHROOMS REMODEL 1
-1APPLICANT TEL NO I I
SAME AS OWNER i (SPECIAL CONDITIONS 1
I I I I
(CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - II I
LIC NO ITEMPORARY POWER POLE
I I-
(UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL. NO IUFER GROUND I I I
1 LIC NO I IROUGH CONDUIT I I
I I IROUGH WIRING 1
IMAIN WATER LINE I I
I IPLASTIC Y/N METAL Y/N I I
(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
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508 I I I I
I I I I I I
•+ COU-NtY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0709100029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
10420 LIVE OAK AV E
ON FILE IFEE DESCRIPTION QUANTITY UOM AMOUNT I ARCD CA 910078462
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET.
18586-013-035 IA1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID D3 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 5 00 OUT 9 75
ITENANT - - IG2 LIGHTING FIXTURES 1 00 LGT 1 95 (ISSUED ON PROCESSED BY: PLAN BY EXPIRES ON
TOTAL FEES 39 45 109/10/07 SR 03/08/08 1
(OWNER TEL. NO IFINAL DATE FIN BY CODE
IDU, VAN (626) 378-2140- I I I�"���/� I
1714 PLYMOUTH ROAD 1 I
ISAN MARINO, CA 91108 I D SCRIPTION OF WORK
1ELECTRICAL FOR STORAGE ROOM
(APPLICANT TEL NO 1
IDU (626) 378-2140- 1 I
1714 PLYMOUTH ROAD ISPECIAL CONDITIONS I
ISAN MARINO, CA 91106 I 1
ICONTRACTOR TEL NO. I (APPROVALS DATE INSPECTOR SIGNATURE
IVAN DU (626) 378-2140- 1 I I
117231 RAIROAD STREET 300 LIC NO ITEMPORARY POWER POLE I
ICITY OF INDUSTRY, CA 91748 NONE
(UNDERGROUND CONDUIT I
1ARCHITECT OR ENGINEER TEL NO IUFER GROUND I
1 LIC NO 1 IROUGH CONDUIT I
I I I
IROUGH WIRING
IMAIN WATER LINE 1
PLASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIEDI I
1 I I I I I
I I I I I I
1 I I I I I
I I I I I I
1 I I I I I
1 I I I I I
I I I I I I
IREPORT ID DPR265 ROUTE TO BS0508 1 I I
I I I I I I