HomeMy Public PortalAbout5939 OAK AVE_Electrical__ DOS SA I2 sa APPLICATION FOR ELECTRIC PERMIT 1,
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DIVISION OF BUILDING AND SAFETY
Deportment of Couaiy Eng><naes
County of LOs Angeles BUILDING
WM J FOX COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES CROSS ST
LIGHT OUTLETS
NUMBER EACH
FEE
OWNER
RECEPTACLES _ MAIL
ADDRESS
WALL SWITCHES _ :_
TOTAL OUTLETS f Q_ !Sd f CITY TEL NO
ELEC RANGES 25 ELECTRICIAN
ELEC HEATERS 25 ADDRESS
KW EA CITY TEL N;,40.0
FIXTURES 5 LICENSE NO
NUMBER OF LIGHT CIRCUITS
DISTRIQT 'GROUP ZONE READY ROR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
UT-
NUMBER HORSEPOWER FEE INSPECTION BECORD
NEW MVD HP OVER INC EACH
LESS 5 25
2 50
_ 2 a 100
_ S 15 1150
15 50 250
50 200 500
0
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING ii 00
4e TIT-
FIXTURES 5100
SUPPLEMENTARY 50
$ ,� ?� APPROVALS
TOTAL FEE DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY y+��
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING " T
ELECTRICAL WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM THE LEGAL WN ER OF THE A OVE
DESCRIBED RESIDENT PROPERTY
SIGNATURE � UTILITY CO NOTIFIED
OF PERMITTEE FINAL ►
WILLIAM J FO OUNTY ENGINEER VALIDATION n •�0
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BY
DEPUTY
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76AS63 CESGS I I S,APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTNIEN t OF COUNTY ENGINEER BUILDING
M-IMrMING AND SAFETY DMSION ADDRESS
t
CASSATr D GREMb1 .pt
of LOCALITY
NEAREST
FOR APPLICANT TO FILL IN C
ROSST
ITEM PERT FM
NBER EACH FEE R
Iq
OUTLETS S $ �/�
LIGHTS RECEPT SW 10 S
LIGHTING FIXTURES 10 / TEL NO
ELEC RANGES CLO DRYERS RICIAN AC
WATER HEATERS 50
ADDRESS-5C-C �
ELEC SPACE HTRS DISHWASHERS
GARBAGE DISPOSERS AUTO TEL47
WASHERS STA COOKING UNITS 21! / g//
LICENSE NO //!
MOTORS OVER INC H P
0-
1/2 25 DISTRICTNO FGROUPRE INSPECTION
1/2 — 2 s0 '
2 — s 100 1N$PECTION RECORD
s — is Igo
Is — so 250
50— 200 Boo
SIGNS NO TRANS f
NO LAMPS
SERVICE O GOOV 100
SERVICE OVER GOOV Boo
MISC AP/4 141111K h'
All
WIRING PERMIT 1 00p 2 A907 4�✓+�
FIXTURE PERMIT 1 00 a{I
SUPPLEMENTARY PERMIT s0 p Sr /����Iy /�D,D�r�D�✓I9l�So
TOTAL FEE s3 APPROVALS - /'DJ..
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT i
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING fI1
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /04
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P ERTY POWER
SIGNATURE �' UTILITY CO NOTIFIED
OF PERMITT1
FINAL
A1'jQ ARTH U R C IT
CK MO
CASH
SUPERVISING MLECTRICAL ENGINEER
APa5 APR23 2 A 3.30 �
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SCREMON OF WORKLOCATION BY ROOMSr
NUMBER OFF OUTLETS ON CIRCUIT8
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ANGGLES COUNTY CZRTIFICATIK OF QUALIFICATION
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WORKERS COMPENSATION DECLARATION 2D-W19DPW 31U APPLICATION FOR ELECTRICAL PERMIT Q
1 hereby aAat I have a certificate of consent to self iE
ff6hv
Insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS
or a certified copy thereof(Sec 3800 Lab C)
Policy No Company FOR APPLICANT TO FILL IN JOB /�
13 Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS DAK 1+02P
Certified copy is filed with the county building Inspec 1 &2 Family Sq Ft $ _ $ LOCALITY I
tion department Multifamily Sq Ft NEAREST
Residential Swimming Pools CROSS ST 1/9S TUNg �'
S 60
Date Applicant OR
F1 NAME /-fV N
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light Z' Sw Z MAIL i S QMe
COMPENSATION INSURANCE � O ADDRESS r�Afe
(This section need not be completed if the work Involved by First ti CIN
.the permit is for one hundred dollars($100)or less) Total No Additional `i/ Tel No ��6 /�'/
I certify that in the performance of the work for which this PLAN CHECK
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
Additional
` Total No CITY Tel No
Date Applicant
NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERMITRan e— Heater—D W _ APPLICATION
Exemption you should become subject to the Workers 9
Compensation provisions of the Labor Code you must forth Oven — Dryer —W M — ADDRESS
with comply with such provisions or this permit shall be Top — FAU —W H — i
deemed revoked Hood — Fan —Other_ CITY Tel No
` LICENSED CONTRACTORS DECLARATION Disp _ Room Air Cond — LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER Class
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO PR ED BY >_
and Professions Code and my license is in full force and effecta
Size 8 Type HP KW KVA or KVAR •loop Q
License Number Lic ClassU
t Up to 1 Incl FINAL
1 Over 1 to 10 Incl
Contractor
Date DATE VALIDATION 0O
F Over 10 to 50 Incl FINAL I_I am exempt under Sec Over 50 to 100 Inc BY W
B 8P C for this reason Over 100 ServicesN
Date Swbd MCC&Panelboards , Z
0 200 Amp Under 600 V
�. Signature 201 1000 Amp Under 600 V
aO
Exemption for Reg Maint Elect ver'1000 Amp or Over 600 V
SINGLE FAMILY
HOME OWNER BUILDER DECLARATION Temp Power Pole 8 Appurtenances +-
Sign with One Branch Circuit t
E I hereby affirm that 1 am exempt from the Contractor s License FAL CT o e
Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits
Professions Code) 3307 +91.661]
U j as owner of the property will do the work and the Mlsc Conduits&Conductors 1 ITEMS
structure is not intended or offered for sale(Section 7044 Other(See Complete Fee Schedule)_ Poo TI Ij� r ?�
Business and Professions Code)
CONSTRUCTION LENDING AGENCY CHECK 25■60
1 hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is Issued PERMIT FEE (Sub Total) 0A1'1C1E .IJa
(Sec 3097 Civ C )
I PLAN CHECKING FEE _
Lender s Name / 0000-owl 8/ &/9 L PERMIT ISSUING FEE 5425
Lender s Address 1 �'
I 00,
certify that 1 have read this application and state that the TOTAL FEE
OU
above information is correct I agree to comply with all County
ordinance and State jaws regulating Electrical wiring and
hereby a ize representatives of this County to enter upon
the abov Honed property for inspection urpos s SEE REVERSE FOR EXPLANATORY LANGUAGE
IV 1
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9611040025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LSGAL-19' FEES PAID BUILDING ADDRESS
TR 6561 LT 342 5939 OAK AV
FEE DESCRIPTION QUANTITY LION AMOUNT TEMP CA 917802028
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS
8587 007 005 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY
G1 OUTLETS LGT SW RECP 18 00 OUT 35 10
TENANT G2 LIGHTING FIXTURES 8 00 LGT 15 60 ISSUED ON PROCESSED
JOE'S AUTO BODY IA N RES EX FANS LT 3HP 1 00 EX 15 45 11/04/96 TC 11/04/97
JY MOTORS 5HP 1 00 MOT 19 65
OWNER TEL NO TOTAL FEES 113 55 FINAL DATE FINAL BY DE
BAGHDADLIAN JOSEPH H,HOURIG (818) 286 2852 C71-1 Q
5142 BARELA AV �+
TEMP 917803846 DESCRIPTION OF WORK
NEW SPRAY BOOTH AT AUTO BODY SAPPLICANT TEL NO
HOP
SIMICH CONSTRUCTION (310) 519 8203 �, S
1400 S HARBOR BLVD SPECIAL CONDITIONS
SAN PEDRO CA ® i
CONTRACTOR TEL NO 00t
DATE INSPECTOR SrdgXTaffF--
SIMICH CONSTRUCTION (310) 519 82030� }
1400 S HARBOR BLVD LIC NO �;i+ :R POLE
SAN PEDRO CA 90731 410855
UNDERGROUND C69ff9rr-
SNHoY AA 9 ollan(j UFER GROUND
LIC NO ROUGH CONDUIT
ROUGH WIRING
7 '%-% !Z 06
MAI WATER LINE
C BLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED -
S3���
REPORT ID DPR265 ROUTE TO BS0508