HomeMy Public PortalAbout6427 LIVIA AVE_Electrical__ E3S 5-A 6 46
DDEPARTMEN'!I' OF B6JII.IDING ANDSAFI�"I'SL �g•HCA�'I®N FOR PERMIT
COUNTY OF LOS ANGELES �1��4���I�
WM. J. F�O•X CHIEF ENGINEER
Q NAMEcy7777 727 ,
��y r .! (�/♦ DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS �ylA� .cC �/ �{/'
U CITY /7 p,G TEL.NO J:T�7�/ ,[R/ECEIVED BY FIRSREADY
IN/SYPECTIQON DATE ISSUED
J COUNTY 7 9"? EXPIRE3���Q�!' vim' -' �'' �'_ _ ` �/�
W CERT.NO.� CJ GJ
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK DDRESS 701/ ,/,/;-/Q
NUMBER OF OUTLETS ON CIRCUITS LOCALITY '�•
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS - SW. PLUGS FIxT CROSS ST.
CIRCUIT A B C D E F G 1H K NAMEILI
AIL
3 ADDRESS Odd �Q• ���� �7�0
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERT TE,OF ALIF CATI
ELECTRICIAN.
1 AM THE LEGAL OWNER H
E PROPERTY DESCRIBED
ABOVE
IV OWNER.
AM AV CORRECTIONS
J
Z_
C7
D
TOTAL y
NO. OF OUTLETS �✓'~ $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT A
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE / $ / UTILITY CO.NOTIFIED „ ¢� /\AAA-,IAY
TOTAL FEE �� ! '� FINAL
DBS SA 11,46 AE1711f Y/'l TION FOR T*t1A*,f9 r
DEPARB'COU OF BUILDING AND SAFETY +��"�1�1►�11�1V Lll r�T�l�LL�1L�
' COUNTY OF LOS ANGELES
M FOX CHIEF ENGINEER
a NAME r� L'' DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS 11401.F. R L, / I
CITY y � TEL.NO �73 �7 ��VED BY READY FOR DATEISSUED
'
FIRST INSPECTION `/ /��
r
m COUNTY / .S
CERT.NO. 3 EXPIRES T
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK DDRESS �T/
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /•i::�-
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS ISW. PLUGS rIXT CROSS ST dQ
CIRCUIT A I B C D I E F IG H - 0! NAME • • ' •
Z MAIL
.=
ADDRESS So. l�c,je2W4fCr
O CITY//40 Je yYf e47 TEL NO 0, Q
1 AM THE LEGAL POSSESSOR, OF THE ABOVE LOS
AN6$LES COUNTY CERT @6ALIFICATtOid
ELECTRI W AN.
I AM THS me OWNER O B PROPERTY DESCRIBED
ABOVE
OWNER.
1 CORRECTIONS
t
J
— Q
_Z
[7
O
TOTAL /
NO. OF OUTLETS t7 S APPROVALS
1 NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING 4-1
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED /
TOTAL FEE FINA -
76A663 CE-806R 9/76 /1 ,J
COUNTY OF LOS ANGELES
Lr DEPARTMENT OF COUNTY ENGINEER JOB
RESS 6427 Livia Avenue
BUILDING AND SAFETY DIVISION
ADD
FOR APPLICANT TO FILL IN LOCALITY Temple City
New Residential Bldgs &Pools EACH' NO FEE NEAREST
1 &2-Family,Sq Ft' $ 025 — $ CROSS ST
OWNER T
Multi-family Sq Ft 02 — FIRM NAME Lydia E. & Adelaide Heath
Residential Swimming Pools 2000 MAIL 27'Livia Avenue
�? / ADDRESS
Outlets Rec Li htSw CITY Temple City No
287-2929 -
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS -
Lighting Fixtures, First 20 50 CITY Tel No
IT
Total No Additional 30 APPPERLICANT AAA CONDITIONED AIR INC.
Fixed Appliances Not Over 1 HP ADDRESS 10160'E. Valley' Blvd.
Range_Heater!D W —
Oven_Dryer—W M— CITY El Monte Tel No' 7 _1800
Top —FAU —W H —
LICENSE
GNNUMBER 293529 Class C-20
Hood_Fan -Other I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ,
Disp — Room Air Cond 200 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or,KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl 2 00 THE LEGAL OWNE THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
Over 1 to 10 Incl 5 00 '
Over 10 to 50 Incl 10 00 PERMITTEE O
Over 50 to 100 Inc 2000 SIGNATURE
Over 100 3000 DISTRICT NO PROCES BY O
Services
0-200 Amp Under 600 V 12 50 I APPROVALS' D Z INSPECTOR S V�1
SIGNATURE
201-1000 Amp Under 600 V 25 00 TEMP POWER POLE
Over 1000 Amp or Over 600 V 5000
UNDERSLAB WORK
Temp Power Pole&Appurtenapces 1000
Sign with One Branch Circuit ) 1000 ROUGH CONDUIT 2 00
Additional Sign Branch Circuits WIRING
Mlsc Conduits&Conductors 15 00 FIXTURES
Other(See Complete Fee Schedule) ` POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL,
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $600,
TOTAL FEE s,
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M0 CASH
6 8 -0 c--FEB 15 2 U
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ®s
76A883 CE 8088 10/77 APPMCAMN FOR ELECT ICAL PERM�TTEMPLE CIfiY
' COUNTY OF LOS ANGELES
„D*PARTMENT OF COUNTY ENGINEER JOB 6427 Livia Avenue
BUILDING AND SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN LOCALITY TempLe City
New Residenti6l Bldgs &Pools EACH NO FEE NEAREST
1 &2-Family,Sq Ft $ 025 — $ CROSS ST
Multi-family Sq Ft 02 — OFIRM NAME Lydia & Adelaide Heath
Residential Swimming Pools 25 00 MAIL 27 Livia Avenue
ADDRESS
Outlets Rec Light—Sw _ CITY Temple Cit Tel No 287-2929
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Total No Additional 30 APDPERL CAIT NT AAA CONDITIONED AIR, INC.
Fixed Appliances Not Over 1 HP ADDRESS 101.60 E. Valley Blvd.
Range—Heater_D W _ CITY El Monte Tel No 579-1800
Oven ^Dryer_W M_ LICENSE OR
Top —FAU —W H — REG NUMBER 293529 Class C-20
Hood—Fan _other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp _ Room Air Cond 2 50 1 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM ?'
Up to 1 Incl 2 50 THE LEGAL O F THE ABOVE DESCRIBED RESIDENTIAL PROPERTY 0
Over 1 to 10 Incl 500 00 v
Over 10 to 50 Incl 1250 PERMITTEE Y.
Over 50 to 100 Inc
2500 SIGNATURCD
Over 100 4000 DISTRICT NO � p� PRED B�
Cn
Services �6
0-200 Amp Under 600 V 1250 INSPECTOR S
201-1000 Amp Under 600 V-
25'00_ APPROVALS DATE SIGNATURE
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
' Temp Power Pole&Appurtenances 10.00
10 00 ROUGH CONDUIT
Sign with One Branch Circuit
Additional Sign Branch Circuits
200' WIRING
Misc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $700
TOTAL FEE 1-2 .00
_el9dS fl 19 SH PERMIT VALIDATION CK M0 CASH
10
(POLICY HOLDER,° JUL 12 2 �_ 1 .0
SEE'bA`FC'Qr P .� l KIQR COMPLETE SCHEDULE F^
•e WORKER'S COMPENSATION DECLARATION 20-0079 DPW(12-91) A�PLDCATION FOR ELECTRICAL PERMIT
�J
I hereby affirm that I have a certificate of consent to self Insure, 76A663 PLICATION
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(Sec,38000 Lab
2C) (�
Policy No 2gLQ3 l.Ompany RAW FOR APPLICANT TO FILL IN JOB �n , f r✓1
ADDRESS L ll
Certified copy Is hereby furnished New Residential Bldgs &Pools NO EACH FEE
$ $, LOCALITY
Certified co Is fled with the count building inspection 1 &2-Family,Sq Ft
copy y 9 p NEAREST
Ddep`aartment Multi-family Sq Ft CROSS ST O/lJ�iFVZ1&'
Date (,-v Applicant ( r, Residential Swimming Pools ASSESSOR '
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' * OWNER OR �2
COMPENSATION INSURANCE Outlets Rec Light Sw FIRM NAME
First 20 MAIL
(This section need not be completed If the work Involved by the Total No Additional AO, -ss Z t
permit is for one hundred dollars($100)or less)
Icertify tfiat In the perforrnance of the work for which this permit CITY I �`� Tel No' PJE) ,5
Is issued, I shall not employ any person' In any manner so as to
become sub ect to the Workers' Com ensation Laws Lighting Fixtures First 20 ;PLAN CHECK , ^ ��
J p. 9 9 � APPLICANT (gip
Total No Additional
ADDRESS Zt7 v—
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP �y,��
NOTICE TO APPLICANT If, after making this Certificate of CITY Tel o ,'3—6TH
Exemption, you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP
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
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
Professions Code, and my license is In full force and effect Over 10 to 50 Incl }
LICENSE Class
Over 50 t0 100 Ind REG NUMBER 7 T
License Number • I` LIC Class �/ Over 100 DISTRICT NO �j PR SED BY O
Services,Swbd,MCC&Panelboards �O Q
Date —��3 0-399 Amp Under 600 V FINAL
+ O
Contractor C�Q
El 400-1000 Amp Under 600 V �-3"'T 3 VALIDATION U
I am exempt under Sec LU
Over 1000 Amp or Over 600 V FINAL (L
,B&P C for this reason BRANCH CIRCUIT FEES BY W
Date15A,or 2U N, 120V,Lighting or Recept Z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circwts
❑ 41 Or More Branch Circuits
Exemption for Reg Malnt Elect 15A,20A,208V To 277V Lighting Br Circuits
SINGLE FAMILY Temp Power Pole&Appurtenances _ r—
HOME OWNER-BUILDER DECLARATION U s
°
Sign with One Branch Circuit 't( s
I hereby affirm that I am exempt from the Contractor's License Law _
for the following reason (Section 7031 5, Business and Professions Additional Slgn Branch Circuits "})!L. - 20
Code) - i{ 7q• �t
1,as owner of the property,well do the work and the structure
Mlsc Conduits&Conductors 1 1 �{lJ
Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL 55- 20
and Professions Code) �. _ _ 'CHECK
55.2L_1
CONSTRUCTION LENDING AGENCY CHANGE I hereby affirm that there is a construction lending agency for the °l€(')
performance of the work for which this permit Is Issued (Sec 3097, PERMIT FEE (Sub-Total) --
Civ C) _
PLAN CHECKING FEE [I�—� C{j 6/ /
Lender's Name - - •l-I
PERMIT ISSUING FEE �p 1l1i t All v:}IL
Lender's Address -
I certify that I have read this application and under penalty of purjury state TOTAL FEE ��a
that the above Information is correct I agree to comply with all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
represe4ur
�ntytoter upon the above-mentioned property
r InspSEE REVERSE FOR EXPLANATORY LANGUAGE
Z-�3 NA DATE