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HomeMy Public PortalAbout6056 OAK AVE_Electrical__ 78A`d83-0BBCB;0;;4 APPLICATION .F It ELECTRICAL PERMIT COUNTY OF LOS ANGELES• --ftimARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS p j(ra ��— LOCALITY �^ NEAREST FOR APPLICANT TO FILL IN CROSS ST. t OUTLETS O. EACH FEE FIRM NAME RECEPT. I 5 $ MAIL r LIGHT TOTAL FIRST 20 .25 ADDRESS 20 CITY TEL. NO. SWITCH I OVER 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR.-Al R-COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. REG NSE OR CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF D , CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE o- — 1O 9.00 DESCRIBED RESIDENTIAL PROPERTY. CC3 PERMITEE 94 10 - 50 5.00 SIGNATURE C3 V 50 - 100 10.00 DISTRICT NO. PROCESSED BY y 100 - 500 15.00 S", Lo 1. Z SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600VOLTS OR200AMP 3.00 UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 1 TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) 7 NOTES: U PLAN CHECK FEE PERMIT ISSUING FEE 9.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAL ION CK. M.O. CASH 0 3 a L2 AUG 15 2 4.7 5 m96 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 78%1863M CE80610r74 1 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS 6 BUILDING AND SAFETY DIVISION 4 670 0,4 ER OR LOCALITY I NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE FIRM NAME O RECEPT.� S $ MAIL LIGHT 3 TO AL FIRST 20 ADDRESS ..��// OVER 20 CITY TEL. NO. SWITCH CaL 10 PLAN CHECK LIGHTING 1 TO L FIRST 20 ,25 r U APPLICANT 1( OVER 20 ADDRESS FIXTURES •10 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITYEL. NO. CLOTHES WASH. DISHWASH. LICENSE U9ER CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS NTY AND STATE OF CALIFORNIA OR TN AM HEYR ER OF THE ABOVE 1 - 10 3.00 DESCRIBED REST NT L P PCC) TEE 10 - 50 5.00 S GNAPERMITURE ` 50 - 100 10.00 DISTRICT N0. SED BY Ia 100 - 500 15.00 S �/ Z SIGN, GASA[SIGN AND ONE CIRCUIT 5.00 APPROVALS o DATE INSPECTOYC SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVI CENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAS WORK SERVICEOVER600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,@APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH' 369ti^PR 15 2 D 12i0 ©=j SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE V(jORKERS'COMPENSATIONDECLARATION APPLICATION FOR ELECTRICAL PERMIT - . 'CE-806G (2.80).,CE-806G �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.) P FOR APPLICANT TO FILL IN JOB �+ C?�� t Policy No. Com any EACH NO. FEE ADDRESS G ter, New Residential Bldgs.&.Pools r ❑ Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITY ❑ , Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSS ST department. Residential Swimming Pools OWNER OR * FIRM NAME Jr Date Applicant Outlets: Reigh4-rirst Sw.� MAIL • 20 Q ADDRESS . n^ CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY f Tel No. COMPENSATION INSURANCE PLAN CHECK a (This section need not be completed if the work involved D APPLICANT 0 by the permit is for one hundred dollars ($1.00) or less.) Lighting Fixtures First 20 ADDRESS Additional Total No._?2 I certify that in the performance of the work for which this CITY Tel No. Fixed Appliances Not Over 7 HP permit is issued, I shall not employ any person in any mannerPERMIT IL so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT pe Oven — Dryer_W.M._ ADDRESS to Date Applicant Top _ FAU _W.H.._ z Hood _ Fan .'Other— CITY Tel No. NOTICE TO APPLICANT: If, after making.this Certificate of Disp. —Room Air Cond._ LICENSE OR Exemptidn, '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. PROCESSE I .B with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW;KVA,or KVAR Up to 1 Incl. v Over 1'to 10 Incl. FINAL LICENSED CONTRACTORS DECLARATION DATE VALIDATION Over 10 to 50 Incl. I hereby affirm that I am license&under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY .. ' ness and Professions.Cod.e,and my license is in full force and effect. Services License Number 0-200 Amp.Under Q00 V Lic.Class 201-1000 Amp.Under 600 V Contractor 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 CircuitJr 8.OJ A License Law for the following reason (Section 7031.5, Busi= Additional Sign Branch Circuits ness and Professions Code): #f o 0 0 0 0 2 Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 2 0 0 1 structure is not intended or offered for sale (Section. 3,90 7044,Business and Professions Code). o ­ 139,05 CONSTRUCTION LENDING AGENCY I hereby affirm thaf there is. a construction fending agency for the performance of the work for which this permit is 0727-82 issued 'Sec:3097,Civ.C.). �./ PERMIT FEE (Sub-Total) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address -.. PERMIT ISSUING FEE , I certify that I have read.this application and state that the TOTAL FEE / 9 above informakon fs c rrect.I to comply with all County ordinances anto laws gulating Electrical wiring, and hereby auth resent ive f this County to enter upon the above ed ope t or'nspection purposes. SEE-REVERSE FOR EXPLANATORY LANGUAGE. 7 r��~ ignatur f ernlittee Date A COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL ER11I7-----1 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0003010001 •BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -1 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDI G ADDRESS: TR: 6561 LT: 334 6056 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802029 ASSESSOR I FORMATIO MBER: NEAREST CROSS STREET: GARIBALDI 5385-pg6-028 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUE ON: PROCESSED Y: PLA B XPIRES ON: TOTAL FEES 43.35 03/01/00 UT 08/28/00 OWNER: TEL. NO: FINAL DATE FINAL BY• CODE: CHAN JOHN G;SUEI M (626) 287-7857- 6056 OAK AV Z- co TEMP 917802029 DESCRIPTION OF WORK ELECTRICAL FOR WORKSHOP APPLICANT: TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: Cj VALES CO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT' OR ENGINEER: TEL. N0: UFER GROUND LIC. N�y 1111111 ROUGH CONDUIT NROUGH IRI G Gin U n'18-11) ��� ���On�ur�-,u��l/ S MAIN WATER LINE �u�(��] PLASTIC Y/N METAL Y/N TILITY COMPANY NOT FIED p y All El Ll c Service'fhat REPORT ID: DPR265 ROUTE TO: SS0508