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Home My Public Portal About6136 OAK AVE_Electrical__ 76AS63 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N.O. A- 1 ` ELECTRICIAN q Py� . ADDRESS �/1 RECEIVED BY READY FOR FIRST INSPECTION DATE ISSUED CITY E/ � ?°� TEL.NO.dr�i�AQT COUNTY LICENSE NO. t/7,0 //y EXPIRES —1D`J3 BUILDING PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY ��E'/1�/yL� / /•l'Y TyT� LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER ArigRX TOTAL OUTLETS 5c $ MAIL ELEC. RANGES � 25 +� ADDRESS_ ELEC. HEATERS 25 �? CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, JIR 1 AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH NTIAL P OPE TY OF THE RESIDEY DESCRIBED ABOVE. %2 G LESS $ .25 SIGNATURE OF -17 t� cf:,J,c- 1/2 2 .50 PERMITTEE ,- .r 2 5 1.90 INSPECTION RECORD 5 15 1.50 15 50 2.50 513 200 SAID 200 500 10.00 J 51313 1000 15.00 Z OVER 1000 20.00 Ij M.G. SET/FREQ. CHANGER-HP Q� WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% of oRIB.) MOVED MOTORS (75% of DRIB.) MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO.LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.130 CONDUIT FIXTURES $1.00 rxj WIRINGSUPPLEMENTARY .50 FIXTURES ' 1 [/ Tfro POWER TOTAL FEE. $ UTILITY CO.NOTIFIED, J h FINAL IIV f 0 U c lr6L`"6 WORKER'S COMPENSATION DECLARATION 7Z63 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 11 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certiflil JCOUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified ibfurnished.copy s hereby urnse . New Residential Bldgs.&Pools NO. EACH FEE ❑ — 1 &2-Family,Sq.Ft $ $ LOCALITY Certified copy is filed with the county building inspection . Multi-family S Ft. NEAREST ROSS ST. department. Y q• Date Applicant Residential Swimming Pools ASSESSOR PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FlRM NAME AyelI-C the COMPENSATION INSURANCE First 20 MAIL (This section need not be completed If the work Involved by the Total No. Additional ADDRESS permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tel.No.a g6_.7f/pd is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT g Total No. Additional ADDRESS Date /0~�] Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certif ate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such PERMIT p Y P Y APPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances per' C C — LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS _77CYZ 4Ch I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. r (commencing with Section 7000) of Division 3 of the Business and Over 10 to 50 Incl. CITY i'�� Tel.Not3.6�L.Z;Y Professions Code,and my license is in full force and effect. LICENSE OR t/ i } J -7!7!V f�y Over 50 to 100 Incl. REG.NUMBER 0 a 7 Classes R C a !D Ov� ! Lic.Class 0 Over 100 DISTRICT'O. PROCESS 0 License Number () Services,Swbd„MCC&Panelboards S • C 41 , Contractor ��bi S�� Date `�f�2 _ 0-399 Amp.Under 800 V (? FINAL DATE 0 g ❑ 400-1000 Amp.Under 600 V 9 7 n VALIDATION V I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL �� d B.&P.C.for this reason BRANCH CIRCUIT FEES BY t/ W Date: 15A,or 20A,120V,Lighting or Recept. 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits i SINGLE FAMILY Temp.Power Pole&AppurtenancesACCT.a Sign with One Branch Circuit HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law 3307 60°75 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): 1 zTEMv F1 I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 5 Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOTAL '�'� °i and Professions Code). CHECK 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) Civ.C.) PLAN CHECKING FEE GOOQ-00131 2/10/132 Lender's Name {y 2' °32' . PERMIT ISSUING FEE � 7 s•r1+-�v' �, � �°�� Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE (D�! that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property a.I...TU oon pur seSEE REVERSE FOR EXPLANATORY LANGUAGE OF PERMITTEE ` DATE WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby afflyrl that I have a certificate of consent to self insure, 76A683 ora Certificate of Worker's Compensation Insurance,or a certified COUNTY OF LOS ANGELES DEPT,OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(SP 3800 Lab.C.) / /► Policy No. I f Company FOR APPLICANT TO FILL IN ADDRESS (p /�Q• U� Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY Certified copy is filed with the county building Inspection 1 &2-Family,Sq.Ft. department. Multi-family Sq Ft.. — NEAREST CROSS ST. �G—may Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE �� PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec.�Light Sw. OwNER OR COMPENSATION INSURANCE g PIRM NAME rytp �1� - 7D � (This section need not be completed If the work Involved by the Total No. First 20 MAIL Additional ADDRESS permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tre Gam( Tel.No.J 7 _p. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must forthwith comply with such PERMIT � provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. >_LICENSE OR Class. a Over 50 to 100 Incl. REG.NUMBER Over 100 DISTRICT NO. P C SED BY O License Number Lic.Class �D d V Services,Swbd.,MCC&Panelboards Q Q Contractor Date 0-399 Amp.Under 800 V DATE 12�� Z V F-1I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION (yl Over 1000 Amp.or Over 600 V FINAL fL B.&P.C.for this reason BRANCH CIRCUIT FEES BY /J� > 2 Date: 15A,or 20A,120V,Lighting or Recept. "'��t� _ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑ 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 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) Poo. 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) �3 Civ.C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address TOTAL FEE I certify that I have read this application and under penalty of purjury state � that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize ZISIGN. ve of thisCounter upo a above mentoned property' D` SEE REVERSE FOR EXPLANATORY LANGUAGE PER I E COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0805200030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ` PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BIIILDING ADDRESS: ON FILEI 6136 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801653 ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: LONGDEN 5385-010-012 lAl PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY. TEMPLE CITY, Cl JB2 1 OR 2 FAMILY DWELL 638.00 SQ 66.99 TENANT: I TOTAL FEES 94.74 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 05/20/08 SR 11/16/08 OWNER: TEL. NO: I (FINAL DATEFI Y: CODE: DAIKOVICH, MARIA (626) 524-6722- 6136 OAK AV TEMP 917801653 ID SCRIP ION OF WORK 14 ELECTRICAL FOR GUEST HOUSE APPLICANT: TEL. NO: JDAIXOVICH� (626) 524-6722- 16136 OAK AVE. ISPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE MARIA DAIKOVICH (626) 524-6722- 16136 OAK AVENUE LIC. NO ITEMPORARY POWER POLE TEMPLE CITY, CA 91780 NONE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND JVIDIKAN, ANDREW (310) 815-0667- 13611 MOTOR AVENUE LIC. NO: ROUGH CONDUIT ISTE210 35623 LOS ANGELES CA 90034 I TROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN [UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508