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Home My Public Portal About9704 LIVE OAK AVE_Electrical__ TEMPLE CITY 76A689-CE606`90-89 A P P U/lam AT MN FOR P LE q T r9 .P E R n T COUNTY OF LOS ANGELES -,,'. n. , 7 :a .; ,. I{F du�ul! DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. L.AMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY APPLICANT TO FI *~ 15 .nz..r.-:. ::-�':' -:;s _ wa -: a •. -.a..u.• " ' FOR _.. LL IN NEAREST CROSS ST. PERMIT .FEES- L � � �� -- 4 1 T$M NUMBER EACH FEE ,OWNER MAIL OUTLE7 . ? ADDRESS LIGHTS RECEPT.q /. /' - 1O d l - a, LIGHTING FIXTUREt� 1O ,"��, �j`! CITY / :; TEL.NO. S ELEC.RANGES 'CLO.DRYERS - ELECTRICIAN,/o;', WATER HEATERS ELEC.SPACE HTRS. DISHWASHERS � �� 7/ CITY a G.�f' -!�_ �' TEL. NO•5 C-2.y"r�`/� .l GA4BA4E.i]13P_6SERS AUTO.- $TATE WASHERS_ STA.COOKING UNITS / .25 „a i..-� LICENSE NO. MOTORS: OVER INC. ' H.P. DISTRICT NO. GROUP ZONE J PR CESSE .Y a O— .�/xj .25 �: �� dY . I 0 F . 1/=— 2 '50 INSPECTION RECORD 2- 5 1.00 5— i5 1.50 - 15— 50 2.50 50—200 5.00 - SIGNS: NO.TRANS. - NO.LAMPS i SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 - FIXTURE PERMIT - 1.00 SUPPLEMENTARY PERMIT .50. TOTAL FEE $� so 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT.THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. - --W:40 � i ,,1� I HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -� WIRING LICENSED AS/REQ1 IRED BY LOS ANGELCOUNTY AND STATE OF C; FIXTURES ~ CALIFORNIA OR T AT I •AM THE LEGAL OWNER OF THE ABOVE ROWER $OFPERMITT EDESCRIBED R: rIA> o�� /- ''� '> � •- " �/UTILTYCO.NOTIFIED (._ e� �•0 l FINAL ®F ) MOCASH/--VALIDATION ARTHUR C.VETT, CK MO CSUPERVISING ELECTRICAL ENGINEER _ 3 L"3 V L!i, 8 M F V o n 76A663-cE8.06 9-64 /nl PPUCA 1�f��N OoR marc C/n�L�1I�LL (Jr/�P D Il/1� COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY ENGINEER ' BUILDING BUILDING AND SAFETY DIVISION ADDRESS O� JOHN A. L'AMBIE, COUNTY ENGINEER COLEMAN W. JENKIN.S, SUP'T. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. R EGEP T. TOTAL NO. EACH FEE OUTLETS FIRST ZO $ 20 $ vZ� OWNER L. \'A LIGHT � '- '' MAIL � y SWITCH. �' .\ � ADD'L 10 ADpV DRESS _X OVER 2O / TOTAL ri CITY \� �\`- C\ TEL. NO. �9-7 1. LIGHTING FIRST 20 .20 FIXTURES ADD'L OVFR 20 10 ELECTRICIAN RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK - CITY TEL NO. - DISHWASH. AUTO.--WASH. STATE SPACE HTRS. STA.APP.(vz H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISCT N¢. GR P E PO ED BY O i 1.00 1 3 1.50 INSPECTION RECORD' 3 8 2.00 O V 8 15 2.50 15 50 3.00 - O F 50 100 5.00 U W SIGNS: NO.TRANS. d NO.LAMPS h Z SERVICEO.60OV-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2:00 SERVICE OVER 600V 5.00 - MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 - - - TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT 1.'HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COU NTY ORDINANCES AND STATE LAWS REGULATING en ELECTRICAL WIRING. WIRING I HEREBY .CERTIFY THAT I. AM PROPERLY REGISTERED AND/OR FIXTURES - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA GR THAT I.AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE OESCRIB D RESIDENTIAL PROP Rtv., POWER ,,... a SIGNATUREUTILITY CO.NOTIFIED OF PERMITTEE - w FINAL VALIDATION JOSEPIiJC. ROOHA d fC/K MO CASH. .SUPERVISING ELECTRICAL ENGINEER LflU0 0 1 1.' (� r� 2 D 620- V WORKERS' COMPENSATION DECLARATION 76A669 lout APFUC� TPOH FOR ELEC��'G° ICAC pC RNT 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 AICD SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT,TO FILL.IN. JOB / v '7 /. !" .Certified copy is hereby furnished. New Residential Bldgs. ADDRESS /_J V e Oak 8 Pools 'EACH NO. FEE ❑ — Certified copy.is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ $ LOCALITY � 9 tion department. Multi-family Sq. Ft. — NEASSSREST T. J CRO & Date Applicant' Residential Swimming Pools OWNER OR IRM NAME Si) vk h t4 jr> L CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw. MAIL r f COMPENSATION'INSURANCE _ ADDRESS (This sectioP Y Total. No.n need not be completed if the work involved b First 20 Additional CITY Tel. No. the permit is For one hundred dollars.($100)or less.) I certify that in-the erforrriance of the-work for'which this'' PLAN CHECK P permit.is issued,I shall not employ any person in any manner APPLICANT so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS j Additional Total No. CITY Tel. No. � Date r Applicants Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after m c ng�eyou s Certificate of APPLICANT Exemption, you should become s• j:cthe Workers' Range__Heater_D.W. — Compensation provisions of the Labor Co must forth Oven '_ Dryer _ W.M.— ADDRESS With comply with such provisions or this permit shall be Top FAU —.W.H. — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood — Fan _Other_ Disp. Room Air Cond. LICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSE BY and Professions Code, and my license is in full force and effect. Size &Type HP, KW, KVA, or KVAR0 License Number Lic. Class ' Up to 1 Incl. or V FINAL Over 1 to 10 Incl. DATE VALIDATION cc Contractor Date Over 10 to 50 Incl. � ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY us B.&P.C. for this reason Over 100 CA Date: Services, Swbd., MCC & Panelboards s 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 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 3 4 a 8 A I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): #j0 0 0 0,0 2 ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors (�0A 2,5,.5 Q structure is not intended or offered for saleSection Other (See.Complete Fee Schedule)_ 7044;Business and Professions Code). ( D ob ° 2.5!5 0 CONSTRUCTION LENDING AGENCY ' , 8 :5.-8 4 1 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) (Sec. 3097, Civ. C.). PLAN CHECKING FEE , Lender's Name PERMIT ISSUING FEE Lenders Address 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 gn e� ermittee Date