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HomeMy Public PortalAbout9538 LIVE OAK AVE_Electrical__ 76AG63-CESOO-11.57Appm^'09 G®®B LICATI®N FOR ELECTRIC PPERV'T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS � t v 1rOFIIi A. LAME, Co uaty Ea ees CASSAT!D. GBIFPIN.SIIpt app LocALITY FOR APPLICANT TO FILL IN CROSS ST i • e� 9f'1 PERM FEES ITEM NUMBER EACH FEE OWNER OUTLET $ 5 ® ADDRESS MAIL LIGHTS RECEPT. SW � 10 ' LIGHTING FIXTURES .10 CITY TEL O ELEC.RANGES CLO DRYERS ELECTRICIAN ,w�-e44 WATER HEATERS 50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS P AUTO- CITY _ /)&q A ,4TEL NO WASHERS STA.COOKING UNITS 25 STATE �� LICENSE NO MOTORS: OVER INC H.P. ^f' - O — 1/2 25 D S RIC G READY FOR INSPECTION. I/z — 2 50 - 1 2 — s 1.00 INSPECTION RECORD 5 — 15 150 15 — 50 2.50 50— 200 5 00 SIGNS: NO TRANS J ' NO LAMPS eve ` SERVICE 0-600V 100 b SERVICE OVER 600V 500 MISC WIRING PERMIT 100 FIXTURE PERMIT 1.00 JANDR � .�.� /� SUPPLEMENTARY PERMIT - 50 /� , 10r, TOTAL FEE g APPROVALS `4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APDATE INSPECTOR'S SIGNATURE y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TCONDUIT -ee-a WITH ALL COUNTY ORDINANCES AND ,STATE LAWS RE ELECTRICAL WIRING. WIRING i-�-• ��, X_�/,� 1 HEREBY CERTIFY T 'C�I AMROPERLY iREGISTERED •��'-�`c.rst.t LICENSED AS REQUIR9D BY �OS (PROPERLY CES COUNTY AND FIXTURES CALIFORNIA OR THAT 1 A - GAL WNER OF THPOWERDESCRIBED RESIDE IAL PROPE TY.SIGNATURE PERM TTE UTILITY CO NOTIFIED 'uT•/ (d-1"1y� ~FINAL ATION ARTHUR C.VEIT, SUPERVISING ELECTRI N EER CK MO_ CASH ' o;l . I 9 ti AUG19 2.-,A 4.9 5 �,. WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT CE-806 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 a certified copy thereof(Sec. 3800, Lab. C.) FOR APPLICANT TO FILL IN SOB Policy No. Company EACH NO. FEE ADDRESS �S 38 ;-,_I G/� ©�(� New Residential Bldgs.&Pools ❑ Certified co is hereby furnished. $ — $ LOCALITY copy Y 1 &2-Family,Sq. Ft. � ❑ Multi-family Sq. Ft. — NEAREST Certified copy is filed with the county building inspection CROSS ST v department. Residential Swimming Pools OWNER OR FIRM NAME Date Applicant Outlets: Recd—Light �' Sw. AMAIL DDRESS First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.4Z Additional CITY Tel No. �2 r g COMPENSATION INSURANCE PLAN CHECK (- (This section need not be completed if the work involved APPLICANT 0 by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Lr Additional O Total No. 1 certify that in the performance of th ork for which this Fixed Appliances Not Over 1 HP CITY Tel No. permit is issued, I shall not employ a erson in an anner PERMIT -1 W so as to become subject to the Wor Compens i Laws Range_ Heater_D.W. _ APPLICANT vvC�C d G L, Oven _ Dryer_W.M. ADDRESS / 13.4--;2CC_D Applican Top _ FAU W.H. _ a C Hood _ Fan _Other_ CIT //Z,,4LCW Tel N NOTICE TO APPLICANT: If, after aking this Certificate of Disp. _ Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG. NUMBER 57cxlass Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROC SSED BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR S�o Up to 1 Incl. !/ FINAL Over 1 to 10 Incl. DATE �I �� VALIDATION LICENSED CONTRACTORS DECLARATION 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 / S 0-200 Amp. Under 600 V License Number�✓�` Lic.Class 201-1000 Amp. Under 600 V '74j�j , Contract Date 71 "�(+'7 L'� 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): 9 3.7)7.2 A Misc.Conduits&Conductors ❑ 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section #;o io.o o o 2 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY 2 - - 3550 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) o)o:- 3S500 = issued (Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 0 U.2161-8.2 Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above informat*AV is correct. I agree to comply with all County ordinances a d tate laws regulating Electrical wiring, and hereby aut or' a representative f this County to enter upon the abovpWntioned prop t f �Vurposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE. gnat e 0 P mitt a ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0411230002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9538 LIVE OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802513 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8588-006-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 TENANT: TOTAL FEES 29.70 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 11/23/04 JK 05/22/05 OWNER: TEL. NO: FINA DATE FINAL BY: CODE: KANTRIM RITA A;HAMRICK JAMES S - 9538 LIVE OAK AV - TEMP 917802513 DESCRIPTION OF WORK 1 GFI APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR NGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT J ROUGH WIRING / MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508