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Home My Public Portal About5749 OAK AVE_Electrical__ 70A93C-CES088 12/78 APPLICATION FOR ELECTRICAL PERMIT BUILIN ND SAFETY DIVIS IN /may FOR APPLICANT TO FILL IN JOB ADDRESSS7 Off`\F�. New Residential Bldgs &Pools EACH NO FEE , 1 &2 Finaily Sq Ft $ — $ LOCALITY Multi family Sq Ft — NEAREST f A c .1 .1�+1s CROSS, 14/TJ V Residential Swimming Pools FIRMNAME MPVr VIN W I IJ C9C3 Outlets Light,Switch&Receptacle MAI L First 20 D ADDRESS Additional CITY Tel No PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITU Tel No Fixed Appliances Not Over 1 HP APPLICANT �- Range_ Heater_ DW Oven _ Dryer _ W M ADDRESS v 10 Top _ FAU _ WH CITY Tel N057r�✓�, 4� Hood Fan ROR EG SEICENNUMBER 314 5 Class D isp A C o: 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Power A AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING yl Size&Type HP, KW KVA,or KVAR V ELECTRICAL WIRING o- rA U to 1 Incl z P 1 HEREBY CERTIFY THAT 1 AM PROPERLY LY RfiG18TERQD AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA O THAT 1 A HE LEGAL OWNBR P THE ABOVE Over 10 to 50 Incl DESCRIBED RE 1 ENTIAL P OP RTY Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE Services DISTRICT NO P ED BY 9 0 200 Amp Under 600 V 1 201 1000 Amp Under 600 VAPPROVALS DATE INS CTOR'S Over 1000 Amp or Over 600 V SIGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING ]FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITYCO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) FINAL PERMIT ISSUING FEE JNOTES TOTAL FEE k PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION M O CASH 1 0 219V0V 3 2 0 9.4 0 Atk O�y I Wm that I COMPENSATION of coARAnoN CE 808 ,DSS, APPLICATION FOR ELECTRICAL PERMIT + I hereby affirm that I have a certificate of consent to self insure ' �Base or a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS ❑ Certified copy is filed with the county building Inspection 1 & 2-Family Sq Ft $ — $ LOCALITY department Multi-family Sq Ft NEAREST CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME 4 CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light3 Sw J �U COMPENSATION INSURANCE a. ADDRESS (This section need not be completed K the work Involved by the /� Fust 20 permit Is for one hundred dollar&($100)or less) Total No_f J� Additional CITY Tel No I certify that in the performance of the work for which this permit PLAN CHECK is Issued I shall not employ any person in any manner so as to APPLICANT become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No� Additional ' CITY Tel No Nate Applicant NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption you should become subject to-the Workers Compensation Range_ Heater_ DW _ APPLICANT provisions of the Labor Code you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS provisions or this permit shall be deemed revoked Top _ FAU _ WH p LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other CITY Tel No O –/�,Ao I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp _ Room Air-Gond Class (commencing with Section 7000)of Division 3 of the Business and F � � REG NUMBER Professions Code and my license Is in full force and effect Power Apparatus&Large Appliances DISTRICT No pSSED BY Size&Type HP KW KVA or KVAR License Number LIc Class Up to 1 Incl FINAL Q Contractor Date Over 1 to 10 Incl DATE Z f VALIDATION Over 10 to 50 Incl O ❑ 1 am exempt under Sec Over 50 to 1100 Inc FINAL BY N AL B&PC for this reason Over 100 N Date Services Swbd MMCC&Panelboards , Z 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Mamt Elect � . SINGLE FAMILY Temp Power Pole&Appurtenances Rn HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law additional Sign Branch Circuits the following reason(Section 70315 Business and Professions Code) ❑ I as owner of the property will do the work and the structure Misc Conduits&Conductors is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) 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) d b Civ C) PLAN CHECKING FEE Lenders Name PERMIT ISSUING FEE O Lenders Address I certify that I have read this application and state that the above TOTAL FEE information is correct I agree to comply with all County ordinances and Sta laws regulating Electrical wiring, and hereby authorize repres sof tha; Cou enter•upon the above-mentioned prop y/for insp I n p oses SEE REVERSE FOR EXPLANATORY LANGUAGE ig ture of Permittee V Dat V WORKERS COMPENSATION DECLARATION 76A663 10/81 IO/BI APPLICATION FOR ELECTRICAL PERMIT �I hereby+af;irm that I have a certificate of consent to self inLure o,a'certifutate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800 Lab C ) 1 Policy NrlO S/ sQa3 c�mpany FOR APPLICANT TO FILL IN JOB • ` r �'�'� ` Certified copy is hereby furnished New Residential Bldgs 6 Pools EACH PNO FEE ADDRESS `�Certified copy is filed with the count wilding inspec 1 8 2 Family Sq Ft S E LOCALITY r tion depar ent Multi family Sq Ft NEAREST Date .3' Applicant Residential Swimming Pools cRoss sr OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION M WO S Outlets Rec _Light Sw_ / MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by First 20 the permit Is for one hundred dollars(:100)or less) Total No rr Tel No Additional CITY c;V, 7 feylolep PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If after making this Certificate of PENT Exemption you should become subject to the Workers Range_ Heater_D W — APPLICANT Compensation provisions of the Labor Code you must forth Oven _Dryer _W M _._ ADDRESS O2� /_ &—�.Y with comply with such provisions or this permit shall be Top _ FAU _WH _ J-?t/L _ _ deemed revoked Hood Fan Other CITY Tel N 3 LICENSED CONTRACTORS DECLARATION LICENSE OR CkA I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond —. REG NUMBER erg- 3 Class "0 (commencing with Section 7000)of Division 3 of the Business DISTRICT NO P D B a and Professions Code and my license is in full force and effect Power Apparatus&Large Appliances lay 8 1�z HP KW KVA or KVAR U License Number rQ� Lac Class _/ Up to 1 Incl FINAL W Contractor &NAI• J �4JDate O Over 1 to 10 Incl DATE V LIDATION ❑ Over 10 to 50 Incl FINAL W I am exempt under Sec Over 50 to 100 Inc BY n_ B&P C for this reason Over 100 Z Date Services, Swbd, MCC&Ponelboards ► 0 200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Exemption for Reg Mamt Elect Over 1000 Amp or Over 600 V ` SINGLE FAMILY Temp Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 3 3 4 b A I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits Law for the following reason (Section 7031 5 Business and # e e e e s 2 Professions Code) ❑ I, as owner of the property will do the work and the Misc Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ® ( e e 1 5 2 5 7044 Business and Professions Code) e - 15255 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 1 (130-85 the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE D Lender s Address 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 Ae laws regulating Electrical wiring and hereby autholl r presentatives of this County to enter upon the a met ned property for inspection purp ses SEE REVERSE FOR EXPLANATORY LANGUAGE l� Sign Pi Permi Dat COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1110240022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT (LEGAL ID I FEES PAID I BUILDING ADDRESS I ITR 6561 IT 733 1 I 5749 OAK AV I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802431 I (ASSESSOR INFORMATION NUMBER II NEAREST CROSS STREET 18587-005-011 jAl PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY Cl I IG1 OUTLETS-LGT,SW,RECP 2 00 OUT 3 90 I I ITENANT 1G2 LIGHTING FIXTURES 4 00 LGT 7 80 (ISSUED ON PROCESSED BY PLAN BY I TOTAL FEES 39 50 110/24/11 SR (OWNER TEL NO I IFINAL DATE FINAL BY CODE I IDANG, ANDREW (626) 285-9091- 1 1 I 15749 OAK AV 1 I I ITEMP 917802431 1 IDESCRIPTION OF WORK 1 I (ELECTRICAL FOR BATHROOM REMODEL 1 (APPLICANT TEL NO 1 I I IGLYCHER, ELINOR (800) 418-7055- I I I I 1 (SPECIAL CONDITIONS I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I ICALIFORNIA PREFERRED BUILDERS (800) 418-7055- 1 1 I 120335 VENTURA BLVD # 422 LIC NO i ITEMPORARY POWER POLE I I I WOODLAND HILLS, CA 91364 929364B I 1 JUNDEIGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NOI IUFER GROUND _ I I I LIC NO i TROUGH CONDUIT ROUGH WIRING I I IMAIN WATER LINE I I IPLASTIC Y/N METAL Y/N I 1 JUTILITY COMPANY NOTIFIED( I I I I I I I I Rar'.u I 1* ADDITIONAL DATA ON FILE I I I I IREPORT ID DPR265 ROUTE TO BS0508 I I I I I 1 I I I