HomeMy Public PortalAbout6446 LIVIA AVE_Electrical__ M FOR
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` 75A563:4E�'U8 I/70 (r�ly�PU /r'11M V 11 OR EL�IS�7UMC L ��11�1UV11UU LJ
!-� COUNTY-OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO EACH I FEE
OWNER
RECEPT._ $ $ MAIL6, 1 �
FIRST 20 20 ADDRESS q/ 1I 0`
LIGHT TOTAL CITY , C TEL. NO.2_f�-(p-93,3
SWITCH_ OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 20 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY �L I TEL. NO.
RANGE DRYER_WTR. HTR. APPLII ANT �l,�4 -�• D� �f
STA. COOK DISP. F.A.U. B ADDRESS .x'02 v3 (/V-,;z
,
SPACE HTR. AIR COND.� CITY /F C' 3,S'12_
� TEL. N0.y7V,;zo
CLOTHES WASH. DISHWASH. �1 LICENSE NO. �� J Qj! Z CLASS. G'10
FAN OTHER 100 m�l 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP KW KVA ELECTRICAL WIRING
SIZE � TY E OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
�^ 3 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3001
RESIDE IN, THE ABOVE OESCRInED RESIDENTIAL PROPERTY.
d
10 - 50 500 SIGNATURE OOF PERMITTEE V
50 - 100 1000c[
DISTRICT NO. CLASS GROUP ZONE PRO ES9 ED Y
100 - 500 1500 �`� �' �j t Q ri
W
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES: N
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1001 z
SERVICENOTOVER600VOLTS OR200AMP 200
APPROVAL.S DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP 500
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 300 _
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO NOTIFIED
PERMIT ISSUING FEE200 0 �
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 100
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION M Q CASH
Ar 0 ! 7 5 cam- jJN 1 O 2 D 8.0 0-
SEE
J"'SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91)
76A663 �J�P'YPPUCb'1TM FOR ELEC Y ��i. AL PEWT
• �J
I.herehy_afhrm_that-1 have'a Certificate of'consent to self-insure,_ _ ___ __- _______
or certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof(Sec 3800 Lab.0)
JOB
Policy No ,` Company _ FOR APPLICANT-TO FILL IN ADDRESS
`Certified copy is hereby furnished New Residential Bldgs &Pool NO EACH FEE
c,e $ $ LOCALITY
❑ ,Certified co Is filed with the count building inspection 1 &2-Family,Sq Ft
PY Y 9 P NEAREST
department Multi-family Sq Ft CROSS ST
Date Applicant Residential Swimming Pools ASS BOOK
' PAGE •OI PARCEZIC/ ,
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec -4I LI ht I-& Sw � OWNER OR �L
1' 9 _ 'l FIRM NAME
' COMPENSATION INSURANCE First 20 V
(This section need not be completed if the work Involved by theGO
ADDRESS
permit Is for one hundred dollars($100)or'less) Total No Additional �'Xnr�XryJ
I certify that in the performance of the �Jork for which this permit CITY Tel No
is issued, I shall not employ any person in any manner so as to (7 D ' PLAN CHECK
become subject to the Workers' Compensation Laws Lighting FixturesF!_ First 20 APPLICANT ��f blk/
Total No l(0 Additional
ADDRESS
Date w Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP
NOTICE,TO;APPLICANT,,If; after making this Certificate of CITY " Tel No
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 PERAPPLICANT
IT
provisions or this permit shall'be deemed revoked Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS -
I heretiyaffirm'that,I'am' licensed under provisions of'Chapter 9 Over 3 to 10 Ind
(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 ,
Over 50 t0 100 Incl REG NNUMBER -SE OR Class d
Over 100 - E
ICT NO RO ESSED BY O
License Number Lic Class O� c)
— -Services,Swbd,MCC,&Panelboards
0-399 Amp Under 600 V
Contractor Date❑ I am exempt under Sec-. 400-1000 Amp Under 600 V LLI
VALIDATIONOver 1000 Amp or Over 600 V L a
-B-&P C-for-this reason-s BRANCH CIRCUIT FEES BY U)
Date 15A,or 20il 120V,Lighting or Recept Z
s - - - 1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits -
❑ 41 Or More Branch Circuits ?
Ezeniption�for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits
SINGLE FAMILY Temp'Power Pole&Appurtenances ACCT.g
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 203 - " 176 n5
I hereby affirm that I am exempt from the Contractor's License La 3 �a� _
for the following reason (Section 7031 5, Business and Profession Additional Sign Branch'Circuits
.Code) •- �1yi 1 GI! .
❑ I, as owner`of the property,will do the work and the structurE Misc Conduits&,Conductors _ TOTAL X74 ®25
is not intended or offered for sale (Section 7044, Business er(See Complete Fech duIe) _ tatifCFt s[sri _ 176.225
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)
Civ C) - - 0000-0001. 7/26/93
PLAN CHECKING FEEAM
6
Lender's Name O 0926 1 7.K
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
repr ntatives of this County to enter upon the above-mentioned property
f ins ti pur SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGN UR OF PERMITTEE DATE _
WORI(EF'S COMPENSATION DECLARATION 20-0019 DPW(12-91)
76A663 {'' PP LICAT�ON FOR ELECTRICAL PERMIT
ry' o
hereby affirm that I have a certificate of consent to self Insure,
or a cgrtificate of Worker's Compensation I surance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV
copy thereof Sec 3800 Lab C)
- FOR APPLICANT TO FILL IN -
Poll No Company JOB
ADDRESS
Certified copy Is hereby furnished ' New Residential Bldgs &Pools NO EACH - FEE
$ $ LOCALITY -
❑ Certified co is filed with bu ldm Ins ho 1 &2-Family,Sq FtPYY P 7 NEAREST
de artment Multi-family Sq Ft CROSS ST
Date Applic Residential Swimming Pools ASSESSOR
SS SSOR
PAGE PARCEL
VJ
CERTIFICATE OF EXEMPTION FROM WORK S' q OWNER OR
Outlets Rec 1/�.Light ' Sw o FIRM NAME
COMPENSATION INSURANCE �,O
�J c First 20 MAIL
(This section need not be completed if the work Involved by the Total No Additional ADDRESS
permit Is for one hundred dollars($100)or less)
I certify that-in the performance of the work for which this'permit CITY Tel No
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
Total No Additional
ADDRESS-
Date Applicant
NOTICE TO APPLICANT ,If, after making this Certificate of CITY Tel No
Exemption,you should become subject to the Workers'CompR ENTIAA IA CES OT OVER 3 HP ensation OTHER APPLIANCES NOT OVER 3 HP
P yP Y
provisions of the Labor Code, you must forthwith comply with such PERMIT +/
�11G
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 Iq
(commencing with Section 7000) of Division 3 of the Business and CITYTeI No Z,
Professions Code, and my license Is in full force and effect Over 10 to 50 Incl Z2" Ind
LICEN E OR Class }
Over 50 to 100 Incl REG NUMBER d
Over 100 DISTRICT NO P O SED BY 0
License Number Lic Class 0
_ r Services,Swbd,MCC&Panelboards W
1140-399 Amp Under 600 V FINAL 0
Contractor Date DATE
❑ 400'-1000 Amp Under 600 V 2 '
I am ex mpt under Se �— W
Over 1000 Amp or Over 600 V FINAL VALIDATION
B-&P C for this reason- BRANCH CIRCUIT FEES BY fl
U)
Date 15A,or 20A, 120V,'Lighting or,Recept Z_
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
El
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 k•'L•T.5
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 Circuits ''Ff)' 4'1e i I
Code) r
❑ ,
i ITENL'
I,as owner of the property,will do the work and the structure Misc Conduits&Conductors _ t
Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 1 j 1 i HL 93
and Professions Code) D _ it,Pr t, —fr,• 1q0
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)
LU
PLAN CHECKING FEE (_i0130— 0f
Lender's Name
PERMIT ISSUING FEE Q�lp 4.� ? J°= 1
Lender's Address D
I certify that I have read this application and under penalty of purjury state TOTAL FEE /
that t above information Is correct I agree to comply with all County
ordln ces and State la regulating Electrical wiring,and hereby authorize
repr entatives o his unty to enter upon the abov -me toned property
or nspection p pos SEE REVERSE FOR EXPLANATORY LANGUAGE
IG O RMI EE DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
fJ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0805050018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID FEES PAID BUILDING ADDRESS
ITR 12504 LT- 18 BL- 001 UN 002 6446 LIVIA AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801329
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN
15382-018-005 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 2 00 OUT 3.90
ITENANT IG2 LIGHTING FIXTURES 3.00 LGT 5.85 (ISSUED ON PROCESSED BY. PLAN BY EXPIRES ON 1
. TOTAL,FEES 37.50 105/05/08 SR 11/01/08
OWNER TEL NO FINNAL( AT FIN CODE
CHRIS
1
6446 LIMA AV
ITEMP 917801329 ID SCRIPTION OF WORK 1
12 OUTLETS AND 3 LIGHT FIXTURES 1
(APPLICANT TEL NO 1
ITRANG (626) 589-2027-
12607 WALNUT GROVE AV I ISPECIAL CONDITIONS: 1
IROSEMEAD, CA 91770 1
ICONTRACTOR TEL NO: (APPROVALS DATE INSPECTOR SIGNATURE
IPHD BUILDER INC (626) 589-2027- 1
12607 WALNUT GROVE AVE LIC NO - ITEMPORARY POWER POLE I I I
IROSEMEAD, CA 91770-3264 868680 B II I
I (UNDERGROUND CONDUIT I .�
(ARCHITECT OR ENGINEER TEL NO. IUFER GROUND I I I
1 LIC NO 1 IROUGH CONDUIT
IROUGH WIRING I I
IMAIN WATER LINE '
I IPLASTIC Y/N METAL Y/N I I
(UTILITY COMPANY NOTIFIEDI I I
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I IREPORT ID DPR265 ROUTE TO BS0508 1 I I
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• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801230053
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS 1
ITR 12504 LT 18 BL: 001 UN -002 1 1 6446 LIVIA AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801329
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET-
15382-018-005 IA1 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 596 GRID- Hl LOCALITY: TEMPLE CITY, Cl
I ILB 200 AMP PANELS, MCC 1 00 PAN 38 85 11"
(TENANT- I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
1 101/29/08 SR 07/27/08 1
(OWNER TEL NO: 1 IFINALEJA TE FIN Y CODE 1
IJACOBS, CHRIS
16446 LIVIA AV
(TEMP 917801329 I lDgSCRIPTIOIT OF WORK I
1 I (UPGRADE ELECTRIC SERVICE FROM 125 AMP TO 200 AMP SERVICE 1
(APPLICANT TEL NO-
(WOODS (626) 582-1747- 1 I 1
15236 HALLOWELL AVE I ISPECIAL CONDITIONS I
(TEMPLE CITY CA 91780 I 1 I
ICONTRACTOR TEL NO. I (APPROVALS DATE INSPECTOR SIGNATURE I
IREALM ELECTRIC (626) 582-1747- 1 1_ I
15236 HALLOWELL AVENUE LIC NO I (TEMPORARY POWER POLE I I I
(TEMPLE CITY, CA 91780 902721 C10 1 I I I I
I - (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER TEL NO I IUFER GROUND I
I - I •60 I I
1 LIC NO TROUGH CONDUI I I
I 1 (ROUGH WIRING I I I
• IMAIN WATER LINE I I I
' IPLASTIC Y/NETAL /N I
I I (UTILITY COMPANY NOTIFIED��( 1
I I I I I I
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1 I I I I I
I I I I I I
I
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I
1 II I
I
I (REPORT ID DPR265 ROUTE TO B50508
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