HomeMy Public PortalAbout9655 LIVE OAK AVE_Electrical__ 76A663C CE806B 12,75 Q PUMV0 FOR LSLEVIJUEX •U EL1UM .
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO,FILL IN JOB
New Residential Bldgs.& Pools
EACH NO. FEE ADDRESS ' /
1 &'2 Finaily Sq. Ft. $ — $ LOCALITY
Multifamily Sq. Ft. — - NEAREST
Residential Swimming Pools CROSS ST.
OWNER OR
Y - FIRM NAME 41Outlets: Light,Switch & Receptacle j GO ADDRESS
First 20 /�
Additional CITY // Tel. No. 6—
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Healer_ D.W. ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY Tel. No. >-
Hood Fan LICENSE OR
Disp. A.C.
REG. NUMBER Class.
�
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0
^`f 1 .AND STATE THAT`THE ABOVE IS CORRECT AND AGREE TO COMPLY V ,
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLI
Size&Type HP, KW, KVA;or KVAR 1ECECTRICAL WIRING.
C�
UpU to 1 Incl. Z
1 HEREBY CERTIFY.THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED'By LOS-'ANGEL'ES COUNTY AND STATE OF
F
CALIORNIA, OR•.THAT I AM 'THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDE)N/TEAL PRO PER�TY..
Over 50 to 100 InCI. PERMITU /��G�z�i
Over 100 � SIGNATURE /l
Services
DISTRICT.NC PROCESSED-
I
0-200 Amp: Under 600 V
201 - 1000 Amp. Under 600,V, APPROVALS DATE INSPECTOR'S
SIGNATURE
Over 1000 Amp.or Over 600 V
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT, Q
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) " 4 UTILITY CO.NOTIFIED //
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL y ,eb
PERMIT ISSUING FEE
NOTES
TOTAL FEE O C/
PLAN CHECK VALIDATION CK. M.0. CASH ( PERMIT VALIDATION CK. M.O. CASH
6_5 5 SEP 7 81.9.(
f^�' ppp,�pp ELECTRIC
��ar
76A665-CES06-6-57 A++. PUCAT9®II �1 FOR L4 LECTRIC P'LRWT �
COUNTY OF LOS ANGELES . w
DEPARTMENT OF COUNTY ENGINEER BUILDING !S 7
BUILDING AND SAFETY DIVISION ADOREss b
JOHN A.LAMBIE,COUNTY ENGINEER 1.
CASSATT D.GRIFFIN,SUPT OF BUILDING a LOCALITY l—-IL
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. o
PERMIT F=
Q LIGHTS RECEPTACLES /Y SWITCHES '2� OWNER ~ +
F NUMBER ITE M EACH FEE MAIL
q; ADDRESS
TOTAL OUTLETS $ .10 $ b -
,° ELEC. RANGES• WATER HEATERS, CITY T .N y
4 CLOTHES DRYERS/'— .50 'SU ELECTRICIAN
ELEC. SPACE EATER STAT'Y. COOK-
T ING UNITS. GARBAGE DISPOSERS,-_ l V V S l Z
. AUTO WASHERS, DISHWASHER .25 ADDRESS"•
LIGHTING FIXTURES .10 CITY TEL.NO —7P7
MOTORS STATE Q
LICENSE NO.
HORSEPOWER f
H.P: OVER INC. DISTRICT NO. T GROUP ZONE r READY FOR INSPECTION
-
+/i&LESS .25
+�2 — 2 .50 INSPECTION RECORD.
2 — 5 1.00
5 — 15 1.50 0
15 — 50 2.50
3 50 — 200 5.00
J
MISC.
P r,
SIGNS NO.TRANS
NO.LAMPS
y
SERVICE O-600V 1.00 V C"
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
4 FIXTURE PERMIT 1.00
+ SUPPLEMENTARY PERMIT1 .50 LS—C)
_ APPROVALS
o TOTAL FEE S /S DATE INSPECTOR'S SIGNATURE -
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY , CONDUIT
r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING - `�-
I HEREBY CERTIFY THAT t AM PROPERLY REGISTERED AND/OR > FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
' CALIFORNIA OR THAT I AM THE ,LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI OPER ,
SIGNATUREUTILITY CO.NOTIFIED -
OF FERMI Tr
FINAL
JOHN A.LAMBIE. (DATION ARTHUR C.VEIT,
COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
1 3.5
s 9 4 OCT30 p 2
WORKERS'COMPENSATION DECLARATION CE-806G.(2-80) Q��It L A Il MN `FOR LSLLEC ll I1� ICAL; IrLSII�CUVII� Il
I herebcy 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 ,
lily
fi d opy th reof(Sec. 3800,Lab. C.) "
µ11� FOR APPLICANT TO FILL IN JOB -N ompany ZtJ ` ADD RES .'New Residential Bldgs.&PoolsEACH NO. FEE .
ertifiedcopy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALIT.YMulti-family Sq. Ft. NEAREST
Certified copy is filed with the county'buildirfg inspection CROSS ST
�\p partment. Residential Swimming Pools OWNER O_R
FIRM NAME {
Date` Applicant l Outlets: Rec.—Light— Sw. AMAIL
DDRESS
First 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITYTeI No.
COMPENSATION INSURANCE }
PLAN-CHECK f1
(This section need not be completed if the work involved APPLICAN O
by the permit is for one hundred dollars ($100) or less.), Lighting Fixtures . First 20 ADDRESS
Total No. Additional
cc
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. O
permit is issued, Fshall not employ any person.in any manner PERMIT `
so as to become subject to the,Workers' Compensation Laws. Range_Heater_D.W. APPLICANT \ W
Oven _ Dryer_W.M. ADDRESS to
DaV�Applicant.. Top _ FAU'_W.H.,_ CITY TeI No Z-
Hood— Fan _Other_
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Condi_ LICENSE OR
Exemption, you should become subject to the Workers' REG. NUMBER Class
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. P C SED BY
with comply with such provisions or this permit shall be Size&Type HP;KW'; KVA,or KVAR
.deemed revoked.
Up to 1 Incl. FINAL lam`
Over 1 to 10 Incl DATE
LICENSED CONTRACTORS DECLARATIONVALIDATION
Over 10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter' Over 50 to 100 Inc. FINAL
BY Fly/4 �
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
License Number Lic.Class 0-200 Amp. Under 600 V v /
_ r, 201-1000 Amp;Under 600 V
Contracto Date 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): 2."2'A '
Misc.Conduits&Conductors
I, as owner of the property, will do the work and the, Other (See Complete Fee Schedule)— #;o,lo• o o;o
structure is not intended or offered for sale (Section .
7044, Business and'Professions Code). ;¢ 3 2, Q
CONSTRUCTION LENDING AGENCY '.
I hereby affirm that there is a construction lending agency 0.:O,d 3 2 0 Q C
for the performance of the work for which this permit is PERMIT FEE (Sub Total)
issued (Sec. 3097,Civ.C.).
9; 8 1
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Feel
Lender's Address PERMIT ISSUING FEE
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
���v�tio�nedproperty for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
3 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703230010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 FEES PAID 1 BUILDING ADDRESS: I
ITR: 6561 LT: 550 UN: .002 1 1 9655 LIVE OAK AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802501 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMELLIA 1
18587-022-027 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 11.00 OUT 21.45 1 1
(TENANT: IG2 LIGHTING FIXTURES 14.00 LGT 27.30 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
(HILL, DAVID IHA FAU LESS 3HP 1.00 FAU 10.95 103/23/07 JK 09/19/07 1
1 IJA HEAT PUMPS +3-10HP 1.00 HT 19.65 1 1
(OWNER: TEL. NO: ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 IFINAL DATE FIN Y: CODE: I
ITHEILACKER MARLON S;GAYLE C (818) 285-6555- 1 TOTAL FEES 145.95I 1
15702 CAMELLIA AV , 1 I -�
ITEMP 917802501 1 IDESCRIPTION OF WORK '' �k 1
I (ELECTRICAL FOR REMODEL AND UPGRADE SERVICE PANEL TO 200 AMP 1
(APPLICANT: TEL. NO: I 1 I
ISAME AS OWNER
1 ISPECIAL CONDITIONS: I
ICONTRACTOR: TEL. NO: I - (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC. NO I ITEMPORARY POWER POLE I I I
I I I I I
I I (UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND I I I
_ 1 1 I
LIC. NO: I IROUGH CONDUIT 1 I I
I I I
I I I ROUGH WIRING I/'� 1 1
I IMAIN WATER LINE ,�y
I IPLASTIC Y/N METAL Y/N
I I I
I I (UTILITY COMPANY NOTIFIED( I 1
I I I 1 J 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
i I I I I I
1 IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1308200003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: 1 FEES PAID - BUILDING ADDRESS:
ITR: 6561 LT: 550 UN: .002 9655 LIVE OAK AV
I IFEE DESCRIPTION.: QUANTITY: UOM: AMOUNT: I TEMP CA 917802501
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMELLIA
18587-022-027 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI
IF1 120V, 15/20A BR CKTS 2.00 BR 34.60 I 1
(TENANT: IG2 LIGHTING FIXTURES 1.00 LGT 2.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1117 RES EXHAUST FANS 1.00 EX 11.00 108/20/13 SR
I TOTAL FEES 75.40 1
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1
ITHEILACKER MARLON S;GAYLE C (626) 285-6555- 1 1 1
15702 CAMELLIA AV I I
ITEMP 917802501 I ID SCRIP ION OF WORK 1
I 1 IMASTER BATHROOM REMODEL, NEW GF RECEPTACLE, MOVE GF, RECEPTAI
I i ICLE NEW LIGHT, MOVED LIGHT FOR TANKLESS WATER HEATER W/CONTRI
(APPLICANT: TEL. NO: i 1OL PANEL ELECTRIC FOR VENTILATION FAN, SWITCH AND 5 SMOKE 1
ITHEILACKER, MARLON (818) 516-9694- 1 1 1
15702 CAMELLIA AVE I ISPECIAL CONDITIONS: I
ITEMPLE CITY CA 91780 I I 1
I I I 1
I I I I
ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
IFJ CONSTRUCTION (818) 516-9694-
11058 HORMEL AVENUE LIC. NO ITEMPORARY POWER POLE II I
ILA VERNE, CA 91750 782310 11 1
I (UNDERGROUND CONDUIT
1 1 I
1ARCHITECT OR ENGINEER: TEL. NO: 1UFER GROUND 1 1
1 1 1
LIC. NO: I IROUGH CONDUIT I 1 1
I I I I I I
1 I 1 ROUGH WIRING
a �
I 1 IMAIN WATER LINE 1�( I
1 1 IPLASTIC Y/N METAL Y/N 1 1 I
I I I I I I
1 1 1UTILITY COMPANY NOTIFIEDI I 1
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 I I I I
I I I I I I
I I I I I I
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I 1* ADDITIONAL DATA ON FILE 1 1
1 IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 1
I I I I I I