HomeMy Public PortalAbout6343 LIVIA AVE_Electrical__ 76A663 OBS 6A 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION �7
CITY TEL. NO.A'os
COUNTY LICENSE NO. EXPIRES O Z- BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEARECROSS ST i0 t3
RECEPTACLES •�
WALL SWITCHES OWNER ,�VCvy..O,�
--
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 / ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES S 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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER IINC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 a LESS $ .25 91G PERM TTEATUPE 01V
_ ��2 2 2 .50
2 5 1.00 INSPECTION RECORD
5 is 1.50
_
is 50 2.50 -
_ 50 200 5.00 _
200 500 10.00 J
500 1000 15.00 z
OVER 1000 20.00 0
M.G. SET/FREQ. CHANGER-HP m
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
i
MOVED MOTORS (75% OF ORI13.)
MISC.
SIGNS
NO. NO.TRAN S.
NO. NO. LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 C CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .51) FIXTURES
POWER
TOTAL FEE 5 UTILITY CO.NOTIFIED
FINAL
rWORKER'S COMPENSATION DECLARATION 76A669 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT
76A663
I hereby affirm 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(Sect 3800 Lab tC) .4 't e ., t 7, a
Policy No Company FOR APPLICANT TO FILL IN-- JOBJ" '�L �� 1 1 ^
ADDRESS Y V 1A
' -i ' i. ,t t� Ym• - EACH._ NO _ FEE
Certified copy Is hereby furnished � New Residential Bldgs &Pools ,/�
Y r i :r. ? $ — $ LOCAL•ITY"�'�YL- C_
❑ Certified co Is filed with the county building inspection 1 &2-Family,Sq Ft
PY tY 9 P — NEAREST
department + o,• ,•s,; ,r r• -. _. Multi-family e7
-family Sq Ft CROSS ST �jyV
1,+,,, - t Residential Swimming Pools ASSESSOR
MAP BOOK
Date 'ApphCant - PAGE PARCEL
V
,« CERTIFICATE OF EXEMPTION FROM WORKERS' {4 t Outlets Rec LI ht Sw 1 OWNER OR���
O 9 _ NAME
CMPENSATION INSURANCE. - -
FIRM
t 1. •-4 „ .:: ti. First 20 �/
(This section need not be completed If the work involved by the I MAIL S 1 V I
+ •'a•^ ,+, '• Total No Additional --- ADDRESS
permit Is for one hundred dollars�($100)�or�less.)• ( � + ,
I certify that In the performance of the work for whichtthis permit i CITY. -E- G� Tel No �ZI
Is Issued, I shall not employ'an rson'iri any'mann'er's`o as to
become subject to•the Work , Compens- Lighting Fixtures First 20 i * PLA CANTK '
7Total No Additional ADDRESS
Date• `�' Apple t, -
NOTICE TO-APPLICANT If, after ma mg'this Cert ate of 15 OR 20A,120V BRANCH CIRCUITS - - - CITY Tel No -
Exemption,you should become subject to the Workers',Compensation 1 TO 10 INCLUSIVE EACH
prPERMIT
ovisions of the Labor Code, you,must,forthwith comply with,such 11 TO 401NCLUSIVE�EACH -- APPLICANT
provisions or this permit shall be deemed revoked 41 OR MORE BRANCH CIRCUITS EACH
LICENSED CONTRACTORS DECLARATION a' _ ____ ADDRESS���
15 OR 20A,208V TO 277V LIGHTING EACH
I hereby affirm'that I am licensed under provisions of Chapter 9 0(commencing with Section 7000) of Division 3 of the Bu"sines"s and " CIT C Tel No � -:5 Z V
Professions Code, and my license Is In full force and effect RESIDENTIAL APPLIANCES UP TO 3HP
LICENSE OR Class CUD 0
/J{�
Power Apparatus&Large Appliances _ �y REG NUMBER ij 1�
License Number 3lo�Z?� Llc Class �l�/ Sze&Type HP,KW,KVA,or KVAR DISTRICT NO (� PROC S BY
i,' ' • 1 r i - - Up to 3-Incl �" O V" C' �
-&,-< r/� Over 3 t0 10 IDCI FINAL �
Contra r Date ✓ DATE �/ _
❑ -- - Ovei 10 to 50 Incl" 8. U �Z Z
I am exempt under Sec Over 50 to 100 Incl FINAL- f/eA VALIDATION
- B&P C for this-reason - - Over 100
BY
Seances,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 -- - - - - ;f;�n
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 Qrcuds_ =5
Code)
El Misc Conduits&Conductors 1}`°=
I, as owner of the property,well do the work and the structure _
is not Intended or offered for sale (Section 7044, Business Other(See,Complete Fee Schedule) ® 1 CTr,- 5117— - 55
and Professions Code)
,HE
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),-
Civ C)
PLAN CHECKING FEE
Lender's Name PERMIT ISSUING FEE _ -� -4- L ° At, -, 7=
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE L,
information Is correct I agree to comply with all County ordinances - -
and State laws regulating Electrical wiring, and hereby authorize
represent.l the Coun a above-mentioned
propertion ur os SEE REVERSE FOR EXPLANATORY LANGUAGE
-lo-92
SIGNATURE OF APP ANT O AG DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAI$PERM I:Tj
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS IEL,-0508 9702.200016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
-LEGALFEES PAID BUILDING
TR: 12115 LT: 7 6343 LIVIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801328
ASSESSOR FO NEAREST CROSS STREET:
5382-021-041 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90
TENANT: - HA FAU LESS 3HP 1.00 FAU 10.80 ISSUED 0 : EXPrWET
TOTAL FEES 42.45 02/20/97 TC 02/20/98
OWNER: TEL. O: FINAL DA FINAL BY CODE:
GOOD JOHN M;ALISON K;ROSE MARIE (818) 286-2129-
6343 LIVIA AV * -
TEMP 917801328 DESCRIPTION OF WURIC
ELECTRICAL FOR NEW CENTRAL HEA IN YSTEM
APPLICANT:
DONALD E. WALLIN HEATING & A/C (909) 466-0527-
��� SPEC L CONDITIONS:
CONTRACTOR: TEL. NO: O� APPROVALS DATE INSPECTOR SIGNATURE
DONALD E. WALLIN HEATING AND A/C (909) 466-0527-
5357 TOPAZ ST. LIC. NO C"✓✓ TEMPORARY POWER 0
ALTA LOMA, CA 91701 609238/C20
O UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: 14 UFER GROUND
LIC. NO: ^i ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL_Y/N
�C/
r
n r _
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0708230021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT
ILEGAL ID I FEES PAID BUILDING ADDRESS: 1
ITR 12115 LT 7 I 6343 LIVIA AV
I IFEE DESCRIPTION- QUANTITY UOM AMOUNT I TEMP CA 917801328 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET.
15382-021-041 IAl PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID. H2 LOCALITY TEMPLE CITY, Cl
I IMI CONDUITS, CONDUCTORS 1.00 MIS 65 25 I
(TENANT. I TOTAL FEES 93 00 (ISSUED ON: PROCESSED BY PLAN BY EXPIRES ON
I 108/23/07 SR 02/19/08
TOWNER TEL NO1 IFI ��l FINAL CODE I
IARMUS, PAM (626) 286-0180- I _ /
16343 LIVIA AV 1 I - I
ITEMP 917801328 1 IDESCRIPTION Ot WORK I
I I (INSTALL LOWER SUPPLY WIRING ERGROUND TO MAIN PANEL DUE TOI
IEDISON UPGRADE IN THIS AREA
(APPLICANT. TEL NO
IPAUL YOUNG (626) 331-0701-
ISPECIAL CONDITIONS. 1
(CONTRACTOR
TEL NO APPROVALS DATE INSPECTOR SIGNATURE I
TACE PELIZON PLUMBING (626) 331-0707- 1
1120 E BADILLO LIC NO ITEMPORARY POWER POLE I I
ICOVINA CA 91722 800472042 * I I I I
I I (UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL. NO IUFER GROUND I I I
1 LIC NO I IROUGH CONDUIT 1 I /'
IROUGH WIRING I �J
IMAIN WATER LINE I
IPLASTIC Y/N METAL Y/N I 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* ADDITIONAL DATA ON FILE I I I I
IREPORT ID: DPR265 ROUTE TO. BS0508 I I I I
f
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT _
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL_0508_9903310013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ES PAID BUILDING ADDRESS:
TR: 12115 LT: 7 6343 LIVIA AV-
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801328
ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: LONGDEN
5382-021-041 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
JB AC UNITS +3-10HP 1.00 AC 19.80
TENANT: TOTAL FEES 47.55 ISSUED 0 Y: EXPIRES ON:
03/31/99 UT 03/31/00
OWNER: TEL. NO: FINAL DATE FINAL B CODE:
GOOD JOHN M;ALISON K;ROSE MARIE (626) 256-2129-
6343 LIVIA AV
TEMP 917801328 D S ON OF WORK
ELECTRICAL FOR ADDITION OF AIR CONDITIONING TO EXISTING
SYSTEM
APPLICANT: TEL. NO:
AIR TRO HEATING/AIR CONDITIONING (626) 350-5311-
1630 S. MYRTLE SPECIAL CONDITIONS:
MONROVIA, CA
R,�CvIELES Co
CONTRACTOR: TEL. NO: ®� ��J. APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO, INC. (626) 357-5311- !i
1630 S MYRTLE AVE LIC. NO TEMPORARY POWER POLE
MONROVIA, CA. C36 C38 B A
UNDERGROUND CONDUIT
i
ARCHITECT OR ENGINEER: UFER GROUND
LIC. NO 1111111 ROUGH CONDUIT
IRINGL
U O L� W MAIN WATER LINE
W v O��� PLASTIC Y/N METAL Y/N
49 0 :
0 ®y
0 �0
Se"vice
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508