HomeMy Public PortalAbout6158 OAK AVE_Electrical__ 768663-CE606 IO,-72_ -,APPLICATION FO EC R C�Ct. PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB / r �-
BUILDING AND SAFETY DIVISION ADDRESS Lmr
LOCALITY
NEAREST ,
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACH FEE OWNER OR
� 5 5 FIRM NAME
RECEP?Hla
�r,� ADDRESS 0 . _ ,4✓•i-LIGHTOTAL AIL
FIRST 20 Q� ,2S oCIT TEL. NO.SWITCOVER 20 .10
PLAN CHECK
FIRST 20 .25 v APPLICANT
LIGHTING TOTALez
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..AIR COND._Z CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR VCLASS.
REG. NUMBER
FAN-/—OTHER 1.00 �fyo 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
CJ ANp STATE THAT THE ABOVE 15 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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI 1 AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 DESCRIBED RES
ENTIAL PROPERTY. O.
PERMITEE /"_ _ �C2
10 - 50 5.00 SIGNATURE lF-l.w- cc
O
50 - 100 10.00DISTRICT N0. OC ED BY W
100 - SOO 15.00 O�
Z_
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECSSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP / 3.00 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT P J 2 s & )
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING i
TEMP LIGHT OR RECEPT. SYSTEM 3.061 1 FIXTURES
i�
POWER AUTHORIZED
UTILITY CO. NOTIFIED i a,,/
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.001 kpo
TOTAL FEE
PLAN CHECK VALIDATION - CK. M.O. ` CASH PERMIT VALIDATION CK. M.O. CASH
3 4 7 AUG 5 2 0 0.3 0 mbd
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
ISA663PE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELESG.E. _ BUILDING AND SAFETY
FOR APPLICANT TO FILL.IN- JOB
New Residential Bldgs &Pools EACH ' NO., FEE ADDRESS 6.158 N. Oak.AV2rili2
:
1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY Twple City
Multi-family Sq.Ft. .02 25.00 — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR .
FIRM NAME iO
Outlets:Rec Light Sw. MAIL
First 20 •50 ADDRESS 6158. N.' Oak Aveme-
Total No. Additional .30 CITYTeiTel.N .
PLAN CHECK
• APPLICANT _
Lighting Fixtures First 20 X50 ADDRESS
Additional .30
Total No. CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT Buil13er S..Center ALIC, It1C
Range—Heater—D.W._ ADDRESS
Oven—Dryer_W.M. 1911 Chris Ime
Top _FAU —'W.H._ CITY Ar 3M Tel.No.835-3323
Hood_Fan _.Other_ LICENSE OR
Disp.—Room Air Cond. 2.50 REG.-NUMBER. J ..O (P S C d'L Class.
I HEREBY ACKNOWLEDGE.THAT I HAVE READ THIS APPLICA.
Power Apparatus&Large Appliances TION AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO
Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS y�
2.50 REGULATING ELECTRICAL WIRING. �y
A/-der
to 1 Incl. I'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
3 H.P. A
"r ver 1 to 10 Incl. 5.:00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 59 Ind." 12.50 CALIFORNIA OR THAT I AM THE.LE AL OWNER OF THE ABOVE
25.00: DESCRIBED RESID AL PROPERTY
Over 50 to 100 Inc. 40.00 PERMITEE ply
Over 100 SIGNATURE 96
Services 12.50 DISTRICT NO. P CESSE
0-200 Amp.Under 600 VO
201-1000 Amp.Under 600 V 25.00
Over 1000 Amp.of Over 600 V 50.00
q.
fJ 9Z
Temp.Power Pole&Appurtenances enances 10.00
a O 10.00 � � 0 � PS
Sign with One Branch Circuit
Additional'Sign Branch Circuits 2'00 INSPECTION >
u
Misc.Conduits&Conductors 10.00 INFORMATIONON REVERSE s
Other(See Complete Fee Schedule) SIDE u '
Z -- 413.8A
o o 0 0 0 2
PERMIT FEE (Sub--Total) 5 0 20 0 1200
Z
PLAN CHECKING FEE (One-Fourth Permit Fee) 7 0 O 0 0 0 1 2 0 0 3
F
PERMIT ISSUING FEE $7.00 12 0 o 0 5.0 2'—', 9
TOTAL FEE >
INSPECTION FINALED ����a W
date: _5/—P/7f By�e�� Os
WORKER S'COMPENSATION DECLAFLATION- CE-8036G (2.80)
'�CE$Oir
APPLICATION FOR ELECTRICAL PERMIT
I. hereby affirm that I 'have a .certificate. of consent to self COUNTY OF LOS ANGELES C , BUILDING AND SAFETY
insure,ora certificate of Workers'Compensation Insurance,or
a certified
'�cco t ereof(Sec.3800,,LLaab�.-C..))
Policy NJOB
olte pany—a&__6�'1—�iy FOR-APPLICANT TO FILL IN ADDRESS l\y
New Residential Bidds.&Pools EACH NO. FEE
❑ Certified copy is hereby furnished. i 1 &2-Family,Sq.•Ft. $ — $ LOCALITY'Tek, o-' 6
❑ Certified copy isMulti-family Sq. Ft. NEAREST
filed wiWhecount bu'din insp tion CROSS ST
depart ent. Residential Swimming Pools OWNER OR �o t
Dat `Applicant ` FIRM NAME
Outlets: Regaught.�.Sw.— f;p �d MAIL
First 2 ADDRESS.
CERTIFICATE OF EXEMPTION FROM,WORKERS' Total.No.. Additional '� �� CITY Tel No..
COMPENSATION INSURANCE l' a
PLAN CHECK
APPLICANT 0
(This section need `not. be completed if the work involved G U G U
by the: permit is for one hundred ,dollars ($1.00) or less.) L'igh'ting Fixtures First 20 ADDRESS
Total No.. Additional � NBe
o
I certify that In the performance of the work for which this CITY 'Tel No. 0
Fixed Appliances Not Over 1 HP
permit is issued, I shall not employ any person in any manner PERMIT vW
so as to become subject to the Workers'Compensation'Laws. Range_Heater D.W. _ APPLICANT/119 'Q. n,
Oven •_ Dryer_W.M._ N
ADDRESS.
Date Applicant Top _ FAU _W.H.._ o. I
Hood _ Fan _Other_ CIT 2 S 5el No.NOTICE TO APPLICANT:If, after making this Certificate of Disp. _Room Air Cond._ LICENSE OR
Exemption, you should become subject to the ,Workers' REG.NUMBE 01d Class
Compensation provisions of the•Labor Code, you must forth- Power Apparatus•&large Appliances D:IST9ICT NO.• PROLE S
with comply with such provisions nor this permit shall be. Size&Type HP,KW,KVA,or KVAR ,a d
deemed revoked. d
Up.to 1 Incl.
FINAL
Over 1 to 10 Incl. DATE
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION '
I hereby affirm that I am licensed 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.'Code, and my license is in full force and
effect. Services' I
— ► 1f1200 Amp.Under 600 V � .
Lice Number ic.Class 201-1000 Amp.Under 600 V
C04N% Date r �� 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 Brdfibh Circuit ( !?4•?
License Law for the following reason (Section 7031.5, Busi-
ness Additional Sign Branch Circuits
and Professions Code): ;. o o o'c o 2.
Misc.Conduits&Conductors
❑ I, as owner of the property, will do the work and the -Other(See.Complete Fee Schedule)— c o 3,470
structure is not intended or offered for sale (Section ,
7044,Business and Professions Code). . , r. 7 f,U
CONSTRUCTION LENDING.AGENCY n o a
I hereby affirm that there is a construction lending agency I C O 8 L
for the performance of the work for which this permit is
PERMIT FEE (Siub-Total) `
issued(Sec.3097.,Civ.C.)..
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE S
I certify that I have. read this application. and state that the TOTAL FEE 3-3 76
above information is correct.I agree to comply with all County
o igances and State laws regulating Electrical wiring, and
t13 authorize representatives f this County to enter upon
ve-mentioned fo inspe tion pur oses. 7 SEE'REVERSE FO.R EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0109060001
BUILDPNG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6158 OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801653
ASSESSOR INFOR14ATION NUMBER: NEAREST CROSS STREET:
5385-010-035 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 41.00 OUT 67.35
G2 LIGHTING FIXTURES 8.00 LGT 15.60 S 0 0 S D 8 L S ..
TOTAL FEES 110.70 09/06/01 UT 03/05/02
OWNER: TEL. N0: InU
B CODE:
CHEUNG THQMAS;HELEN TRS CHEUNG TRUS - �
6158 OAK AV `-
TEMP 917801653 0
FINALIZE EXPIRED PERMIT 2
APPLICANT:
S N W DEVELOPMENT -
319 SAN GABRIEL SPECIAL CONDITIONS:
SAN GABRIEL _
CONTRACTOR: TEL. 0: its\ �KAPPROVALS DATE INSPECTOR SIGNATURE
S N W DEVELOPMENT, INC. (626) 286-5178- �� Af��
319 N. SAN GABRIEL BLVD LIC. NO TEMPORARY� P ER POLE
SAN GABRIEL CA 91776 487758, B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: �'; I� �I ` i �I~ -A N UFER GROUND
LIC. NO.-:� �I �� I I --, ROUGH CONDUIT
h ;I
ROUGH
ii-� 1' r - -`�J+�
�rl AIN WATER LINE
i L_'-�ILI]
Il �' +�:' �•-�) _ ',!;, t+ =� PLASTIC Y/N METAL Y/N
- ------ -- --- - ----- - ----_ UTILITY COMPANY OfrFM
lee,-vices
ss"
REPORT ID: DPR265 ROUTE TO: BS05O8