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HomeMy Public PortalAbout5939 OAK AVE_Electrical__ DOS SA I2 sa APPLICATION FOR ELECTRIC PERMIT 1, Ba as 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 2 1 IG gap sm25 0 BY DEPUTY t � 1 s 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 � t r 1 1 A1 ' � mom r APMCAW FML t MAVM Y WiUNW PORTIONONLY DF SCREMON OF WORKLOCATION BY ROOMSr NUMBER OFF OUTLETS ON CIRCUIT8 ■■■■■■F�■■■ ME a . ANGGLES COUNTY CZRTIFICATIK OF QUALIFICATION �■■■■■■■■■■ — ■■■�l�7■■■■ •, 1 ■■fV■■l��, ■■■ MEN �mam■■■m�■■■- WV%�JM 'M■■lZMlEEl■■ ■ i-ir. ■■�■■■�■■■ ■ ■l AWr d■■■■■■ MINK F1 iii/r■■■■■■■ MEWIN■l■■■■ MME■ IN r�iiii■i■■■■■ s■■ MINE- ■■ NONE BIT 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 � I Slg mlttee Dbte a ®! i 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