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HomeMy Public PortalAbout6122 OAK AVE_Electrical__ 76A668 D853A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY � C"MR COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT /NO. ELECTRICIAN ,r RECEIVED BY READY FOR DATE ISSUED ADDRESS /,' /) N�' .t./�?: / /• FIRST INSPECTION CITY A iY , TEL.N0. !�!:% ri AA I I � COUNTY LICENSE NO. EXPIRES �. ( ,� BUILDING / �i�s� �/' p PERMIT FEES ADDRESS / /r� -•! i-'�� �+ FEE NUMBER EACH LOCALITY 4_ i/1�.•js't 's��VL✓ �%r��l LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER ��/�✓J! �/ '�•7 ! '•;.! TOTAL OUTLETS 5D III h MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS £�; 25 f � CITY TEL. NO. FIXTURES -B� 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY-LICENSE, OR 1 'M THE LEGAL OWNER NEw MvD. HP DYER INC. EACH OF THE RE910 NT AL PRO ERTY D SC BED`BOVE. a LESS $ .25 '� SIGNATURE OF I/ 2 .5O PERMITTEE a 9 1.00 IN$PE TION RECORD 5 is 1.50 ` 15 so 2.50 V 50 200 15.013 200 BOB 10.00 J 500 1000 15.00 Z OVER 'l BOB 20.00 0 M.G. BET/FREq. CHANGER-HP WELDERS:AC-KVA 13 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75%6 OR DRIG.) MOVED MOTORS (75 Dv DRIGJ M19C. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT: DATE INBPECTDR'B NAME WIRING !$1.00 CONDUIT 2 FIXTURES 81.00 [i'd WIRING / SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE S - UTILITY CO.NOTIFIED 'FINAL ' �,WQItKER 'COMPENSATION DECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT I hereby'afffim that .I*-have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING.AND SAFETY insup,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab:C.) FOR APPLICANT TO FILL IN JOB ' Policy No...�Company ADDRESS � � V©� New Residential Bldgs.&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY 1. ertiffed copy is filed wit;t .count buil in Multi-family Sq.Ft. NEAREST y g inspection � CROSS ST 1�19daptm t. Residential Swimming Pools. i OWNEROR l FIRM NAM Date Applica Outlets.: Rec.L Light Sw. , � �D ADDRESS. First 20 CER, IFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. } COMPENSATION INSURANCE I PLAN-CHECK (This 'section need not be completed if the work involved. APPLICANT V by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS 0C Total No. Additional I certify that in the performance of the work for which thisCITY Tel No. permit.is issued, I shall not employ any person,in any manner Fixed Appliances Not Over 1 HP PERMIT W so as to become subject to the Workers'Compensation Laws: Range_Heater D.W._ APPLICANT f1 Oven _ Dryer_W.M. N _ ADDRES �" 1 m . Z Date Applicant Top _ FAU W.H.._ Hood _ Fan Other_ CITY. v . - I NoZ NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond._ LICENSE OR �y Exemption, you should become subject. to the Workers' REG..NUMBER✓��f 7lo Class� �Clcr"»� Compensation provisions of the Labor Code., you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCE E BY with comply with such provisions or this permit shall be !r deemed revoked. Size&Type HP,KW,K'VA,or,KVAR V ' Up to 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE Over 10 to 50 Incl. VALID TION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL r 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ' ness and Professions:Code,and my license is in full force and effect. Services License Nu be� 2 Lic.Class�"� �'` 0-200 Amp.Under 600 V i 201.1000 Amp.Under 600 V ate D c jar Contracto N-ED ` / dr, Over 1000 Amp,or Over 600 V •`� H ME O NER-BUILDER DECLARATION Temp.Power Pole&Appurtenances �j . ;2 2 7 46 A vI hereby affirm that I am Sign with One Branch Circuit,exempt from, the Contractor's , Additional Sign Branch Circuits } # 0 0 0 0 02 License Law for the following reason (Section 7031..5, Busi- ness and Professions Code): „ o o l 7.00 M(sc:Conduits&'Conductors 0. I, as owner of the Other(See Complete Fee Schedule)— o o o 1 7 0 0= property, will do the work and the v sttucture is not intended or offered for .sale (Section 7044,.Business and Professions Code). 0 a 2 1 -8 5 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,Civ.C.). PERMIT FEE ' ' (Sub-Total) �• Lender's Name PLAN CHECKING FEE (One-Fourth Permit.Fee) Lender's Address PERMIT ISSUING FEE JJ/1 I certify that I vead this application and state that the TOTAL FEE above informs ' is rrect.I agree to comply with all County ordinances a St laws regulating Electrical wiring, and hereby auth i e entatives of this Co3upty toenter upon - t e ove- a ro er on pur oses. /' SEE'REVERSE FOR EXPLANATORY LANGUAGE Sign re o Pe ittee D e • '°WOERS'COMPENSATION DECLARATION 76.663 1081 CE-8APPLICATION FOR ELECTRICAL PERMIT I he.C 'y affirm that I have a certificate of consent to self 06G insure, or a certificate of Workers'Compensation Insurance, COUNTY OF1O5 ANGELES I BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) r Policy No. Company FOR APPLICANT TO FILL.IN ( JOB /� �1 a/O . Certified copy is hereby furnished. I New Residential Bldgs. &Pools EACH NO.. FEE ADDRESS 4A Certified copy is filed with the county building inspec- i 1 &2-Family,.Sq. Ft. $ = $ I LOCALITY tion d part ent. ., Multi-family Sq. Ft. NEAREST p'/ Residential Swimming Pools CROSS ST. Date J Applicant OWNER OR FIRM NAM ERTI CATE OF EXEMPTIO FRONT ORKERS' Outlets, Rec Light Sw.-� MAIL COMPENSATION INSURANCE .1 ADDRESS (This section need not be completed if the work involved by First 20 ' the permit is for one hundred ).dollars(5100)or less. Total No.- Additional ,CIN Tel. No. I PLAN CHEeK I certify that:in the performance of the work for which this I APPLICANT permit is issuedi 1 shall not employ any person in any manner I 1 so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional Date Applicant Fixed Appliances Not Over 1 HP PERMIT CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of � APPLICAN Exemption, you should become subject to the Workers' Range.— Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS �n with comply with such. provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. , I CITY Tel. IVo. 1r j^/j�! Hood — Fa ,Other— LICENSED CONTRACTORS DECLARATION i* LICENSE OR �D I hereby affirm that I am licensed under provisions of Chapter 9 ' Disp. —.Room it Cond. — REG.NUMBERI–J :3'/ Class. (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCESSED B and Professions Code,and my license is In full.force and effect. Power Apparatus 8 Large Appliances i ,1 a/ Size&Type HP, KW, KVA, or KVAR' License Num er � 5. ►-� Lie. Class Up to 1 Incl.. FINAL 99 Over 1 to 10 Incl. Contractor ate � � - DATE VALID ION ❑ Over 10 to 50 Incl. LP FINAL I am exempt under Sec. Over 50 to 100 Inc. BY Au B.&P.C. for this reason Over 100 U) Date: Services, Swbd.,MCC&Panelboards 0 -200 Amp. Under 600 V Signature 201 -1000 Amp. Under 600 V ,J ❑ ' Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp..Power Pole&Appurtenances •(\' ` ;P,2 4 b 6 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # 0 0 0 o o 2 1 hereby affirm that I am exempt from the Contractor's License { Law for the following reason. (Section 7031.5, Business and Additional SignBranch Circuits 0 o 17.75 Professions Code): i ' I, as owner of the property, will do the work and the Misc. Conduits&Conductors ® 0 0 0 1 7.750' structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). I 0 7. 16-S 5 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 PERMIT FEE (Sub-Total). (Sec. 3097, Civ. C.). j PLAN CHECKING FEE Lender's,Name PERMIT ISSUING FEE Q Lender's Address I certify that I have read this application.and state that the TOTAL FEE. above informal' n i correct: I agree To comply with all County I ordinances a St a laws regulating Electrical wiring, and' hereby aut' ri presentatives of this County to enter upon e abov m d property for.inspection pur osis. 7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signa tur of Permittee Datdf I y WORKERS'COMPENSATION DECLARATION 20.OD19 DPW 3/87 %eby affirm that I have a certificate of consent to self 11 APPLI-rt,ATION FOR ELECTRICAL PERMIT O , �inLuie• or a certificate of Workers'Compensation insuranc COUNTY OF & ANGELES DEPT. OF PUBLIC WORKS or•a{'d 5ij coptJaOre f c. 3800, Polio o, Company FOR APPLICANT TO FILL IN JOB ❑Certiilied copy is hereby furnished. New Residential Bldgs. &Pools EACH NO: FEE ADDRESS ertified co is filed with the count building inspec- 1 &2-Family, S Ft. $ — $ LOCALITY Py Y 9 � P Y� 9• ion�epartme Multi-family Sq. Ft. NEAREST Date Applicant Residential Swimming Pools OWN RCROSS ST. OR ff�� i FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec�Light�LSw. MAIL COMPENSATION INSURANCE First 20 Q ADD>tF = (This section need not be completed if the work Involved by Total Na4L.. Additional CITY Tel. No. the permit is for one hundred dollars($100)or les"s.) I 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 Additional ' Total No.� CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT:,If; after making ,this Certificate Of Exemption, you should become subject to the Workers' Range— Heater—D.W. — ARPLICATIONV. Compensation provisions of the Labor Code, you must forth- Oven — Dryer !W.M.— ADDRESS �^ with comply with such provisions or this permit shall be I Top — FAU 4—W.H. = Po deemed revoked. CITY Hood — 'Fan ` Other— �0 t ' _ LICENSED CONTRACTORS DECLARATION Disp. — Room Air Cond. — I� LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER Class. L° (commencing with Section.7000)of Division 3 of the Business Power Apparatus&•Large Appliances DISTRICT NO, P O SED BY and Professions Code,and my license is in full force and effe t. // I Size 8 Type HP, KW; KVA, or KVAR Od Q License Number � LJ3Lic. Class / Up to 1 Incl: FINAL U Over 1 to 1.0 Incl. DATE VALIDATION W Contractor Date Over 10 to 50 Incl. ❑ FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 a- Services, Swbd.,MCC&Panelboards 'I ® Date: 0-200 Amp. Under 600 V I 0 Z Z Signature 20.1 - 1000 Amp. Under 600-V ❑ Over 1000 Amp..or Over 600 V Exemption for Reg. Maint. Elect. r SINGLE FAMILY HOME OWNER-BUILDER DECLARATION i Temp' pp Power Pole&Appurtenances y s I hereby affirm,that I am exempt from the Contractor's License Sign.with One Branch Circuit i-i(, •t.v Law for the following reason (Section 7031.5, Business,and Additionai.Sign Branch Circuits 330 w!= Ll Professions Code): j,❑ t Tr" -: Misc. Conduits&Conductors. I i i F_I, as owner of the property, will do the work and-the • sfructure is not intended or offered for-sale(Section 7044, ' Other(See Complete Fee Schedule)_ ( Poo I jp - f Business and Professions Code). � CHECK ��'4111 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for y t: iii IGE e i the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) !�. (Sec. 3097, Civ. C.).. PLAN CHECKING FEE ` f'jf�f ll3 's1 ili 31 Lender's Name PERMIT ISSUING.FEE sr� i �i�i�.1 L Lender's Address _ I ` I certify that ave;read this application and state that the TOTAL FEE (p above info r tion is correct. I agree to comply with all County ' ordinanc nd State I'a s reg ting Electrical wiring, and hereby horize re a at[ of this County to enter upon the a ve-menti d pr for inspection purposes. ` SEE REVERSE FOR EXPLANATORY LANGUAGE i ig ature of—Perm—Me—e to i ®° I r ♦, WORKERS'COMPENSATION DECLARATION 7 DPW 3/87 APP.I,�C#TION FOR ELECTRICAL PERMIT O I hereby affirm that I have a certificate of consent to self CE-806G b injure, or a certificate of Workers'Compensation Insuranc COUNT OF LOS ANGELES DEPT. OF PUBLIC WORKS or a`a tj f iSOP tt re f c. 3800, aG • Polido/[/ Company FOR APPLICANT TO FILL IN JOB ADDRESS ❑Certified copy is hereby furnished. Fv Residential Bldgs. &Pools EACH NO. FEE ertified co is filed with the count building inspec- &2-Famil S Ft. $ LOCALITYPY Y 9 P Y� q• NEAREST ion epartmenL ulti-family Sq. Ft. CROSS ST. J� Date Applicant Residential Swimming Pools OWNER OR n f FIRM NAME ,f l 14,1 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Recz Light__L._ MAIL COMPENSATION INSURANCE First 20 / ) Q ADDRESS—, (This section need not be completed if the work involved by Total NW Additional CITY ' Tel. NojC� � f the permit is for one hundred dollars($100)or less.) PIAN CHECK I certify that in the performance of the work for which this I 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 Date Applicant I Total No. CITY Tel. No. Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of �� Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATIO 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. — deemed revoked. Hood — Fan —Other— �� �� CITY 6� No. L LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. — REG. NUMBER Class. c°f (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P O SED BY >_ and Professions Code,and my license is in full force and effeyt. � i1 2 License Number . 7//J� Class Size&Type HP, KW, KVA, or KVAR ,4– ' Q Lic. / Up to 1 Incl. FINAL U Date Contractor ��y�+� � l Over 1 to 10 Incl. DATE / VALIDATION cc: ❑ Over 10 to 50 Incl. FINAL O I am exempt under Sec. Over 50 to 100 Inc.. BY U W B.&P.C. for this reason Over 100 iIL Services, Swbd.,MCC&Panelboards Date: 0-200 Amp. Under 600 V f70 Z Signature 201 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V 1, SINGLE FAMILY Temp. Power Pole&AppurtenancesHOME OWNER-BUILDER DECLARATION I - s I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit r34i.•%.-W Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ?sir _4ti Professions Code): Misc. Conduits&Conductors Ell, as owner of the property, will do the work and the structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ 67 m 40 Business and Professions Code). r f.4- CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for i�liii�lGE •;.1-= the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) A (Sec. 3097, Civ. C.). PLAN CHECKING FEE MCC PERMIT Lender's Name ` PERMIT ISSUING FEE / ii't Lender's Address s I certify that ave read this application and state that the TOTAL FEE l above infor tion is correct. I agree to comply with all County ordinanc nd State la s reg ting Electrical wiring, and hereby horize re a ati of this County to enter upon the a ve-mentio.• d pr for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ig ature of Perms ee ate es 4 � COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1107260031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE I 6122 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT.1 TEMP CA 917801653 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15385-008-029 IP2 PC RES PV41OKW 153.90 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl IA1 PERMIT ISSUANCE FEE 27.80 1 1 TENANT 1P3 INVRTR RES PV<l0KW 27.90 ISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 209.60 110/10/11 SR OWNER: TEL. NO: 1 IFINAL DAE FINAL BY: CODE: 1 ]GOODWIN THOMAS P;DONNA J (626) 309-9400— 1 16122 OAK AV 19 ITEMP 917801653 [ 1 ESCRIPT ON OF WORK 1 11NSTALLING 5KW SOLAR PV SYSTEM ON ROOF I IAPPLICANT: TEL. NO: 1 ALVANDI, SHAWN (818) 667-6633- 110319 LEOLANG AVE 1 ISPECIAL CONDITIONS: 1 ISUNLAND CA 91040 1 ICONTRACTOR. TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE ILA SOLAR ENERGY (866) 744-3374— I 1 1 110319 LEOLAND RD LIC. NO I ITEMPORARY POWER POLE I I ISUNLAND, CA 91040 841332 1 [UNDERGROUND CONDUIT I I (ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND LIC. NO: IROUGH CONDUIT I 1 IROUGH WIRING I 1 1 1 1 IMAIN WATER LINE-1-1 IPLASTIC Y/N METAL Y/N I [UTILITY COMPANY NOTIFIEDI I 1 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 1 [REPORT ID: DPR265 ROUTE TO: BS0508 I I I a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1109230010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ON FILE I 1 6122 OAK AV I I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801653 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15385-008-029 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI I ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 1 1 TENANT: I TOTAL FEES 66.60 JISSUED ON: PROCESSED BY: PLAN BY: 1 109/.23/11 SR I (OWNER: TEL. NO: I IF DATE FIN BY: CODE: I IGOODWIN THOMAS P;DONNA J I 16122 OAK AV 1 Itofn::lI ITEMP 917801653 I ID SCRI ON OF WORK 1 (UPGRADING MAIN SERVICE PANE FROM 100 AMP TO 200 AMP 1 (APPLICANT: TEL. NO: I I I IALVANDI, SHAWN (818) 667-6633- I I I 110319 LEOLANG AVE I ISPECIAL CONDITIONS: ISUNLAND CA 91040 I i I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ILA SOLAR SYSTEMS (818) 667-6633- 1 110319 LEOLANG AVE LIC. NO I [TEMPORARY POWER POLE I I I ISUNLAND CA 91040 841332 I 1 I I I I I 1UNDERGROUND CONDUIT I I I [ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND I I I LIC. NO: i [ROUGH CONDUIT I 1 I IROUGH WIRING I I IMAIN WATER LINE I I I I I (PLASTIC YIN METAL YIN I I UTILITY COMPANY NOTIFIED[ I 1 I I I I I I I I I I I I I I I I I i I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I 1 I I I I I