HomeMy Public PortalAbout6204 OAK AVE_Electrical__ DBS-VA• 9.68 APPLICATION FOR ELECTRIC PERMIT' 1
DBS-VA
DMSION OF BUILDING AND SAFETY -
DepDstment of County Engineer y
County of LOS Angeles BUILDING Q
WM.J.FOX.COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING U a
LOCALITY
FOR APPLIGANT TO FILL IN NEAREST
011V V
PERMIT FEES CROSS ST..
NUMBER EACH SEE
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
49
ADDRESS O
WALL SWITCHES l
TOYAL OUTLETS g¢ $ GITY TEL.N f
ELEC.RANGES 25 ELECTRIC N
ELEC.'HEATERS 25 ADDRESS
KW EA CITY TEL.NO.
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GRO P ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS P�
NUMBER HORSEPOWER •FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
]f1 8 LESS S .25
2 .50
2 5 1.00
5 15 1.50
IS 50 2.50
50 200 5.00
MISC.
h '
` NO.SIGNS NO.TRANS..
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING 5.1.00
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS. IC ION .. CONDUIT
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM .PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIREDY LOS ANGELES COUNTY ND STATE OF
CALIFORNIA OR THAT AM THE LEG OW F THE ABOVE POWER
DESCRIBED RESIDENTI ROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
WILLIAM J.FOX.COUNTY ENGINEER. VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
O a.1 5* ocz ,1 2 2.90
i
7SAGS3 OBB SA 3-SO 1 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY I � �
COUNTY OF LOS ANGELES •
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP Z NE PERMIT NO.
ELECTRICIAN �,�,(,(%� �fES+�� / '
RECF_VED BY READY FOR DATE ISSUED
ADDRESS n �j;c� _ ✓� *J f_ FIRST INSPECTION - p
CITY N0. �i� ,/� k7v
(�
COUNTY LICENSE NO. o _EXPIREB ��- pDDRE 8G�/!6 �J / /Z9
PERMIT FEES C
NUMBER EACH REE LOCALITY
LIGHT OUTLETS NEAREST �+
RECEPTACLES CROSS 9T.
WALL SWITCHES OWNER
TOTAL OUTLETS SO !s I MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB 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 LOB
NUMBER HORSEPOWERFEE L ANGELES COUNTY LICENSE, OR 1 AM THE LEGAOWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%2 A LESS $ .25 G��i SIGNATURE OF P CQ
2 .6o PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
is 5O 2.50
6o 200 8.00
200 Boo 10.00 J
500 1 000 15.00 Z
OVER 1000 20.00 L7
M.G. SET/FREQ. CHANGER-HP FE
WELDERS:AC-KVA 17
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% DF DR10.)
MOVED MOTORS (75% or CRIG.)
MIBC.
SIGNS
NO. ND.TRANS
NO. NO.LAMPS APPROVALS
Ll
FOR EACH PERMIT: DATE INBPECTORFB NAME
CONDUIT 7717 ,
WIRING $1.00 y `
WIRING
FIXTURES $1.00 6
'� G�i",�t•
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE ✓ I UTILITY Co.NOTIFIED IFINAL
11
w. ..
i
S8
MSPSA 11.99 APPLICATION FOR ELECTRIC PERMIT 1 :
�B
DMSION OF BUILDING AND SAFETY
Depcn�n6nt of County Lwbwer BUILDING
COua Of LOS Aag6168 ADDRESS
JOHN A.LA�BIE.COUNTY ENGINEER `�/��A
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY / 6.• 1 �4 I/
FOpRAP�rPL1A`SNT TO FILL IN NEAREST
FEE
C OSS 9T.
NUMBEROWNER G� v
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS -Q /L /
WALL SWITCHES FEE
�y
CITY rLV l EL.N eOL
TOTAL OUTLETS ® Be S ELECTRICIAN
ELEC.RANGES 29 ADDRESS
ELEC:HEATERS 28
' KIN EA CITY TEL.NO.
STATE
FIXTURES g LICENSE NO.
MOTORS DISTRICT NO. GROUPE BEADY FOR INSPECTION
NUMBER HORSEPOWER FEE _
NEW MVD. HP OVER INC. EACH
a#LESS s .2II�TSPECTION RECORD
CORD
Yz 2 .so
z s 1.00 /i A'/ e4ff; J iV / r AIA L -
S is LEO !
is so 2.50 r!2 JvA/�f�'!n�✓ A �"
so 200 5.00 �1='/� / N 1=��/✓�
MISC. ell
r -
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS "• .QA �'/ J /fd/. f"P !`�%'�'.l
FOR EACH PERMIT: /� ft1.'yy)'"•?J?•
WIRING $1.00 9 �-.a. /' tbl J'��I�'//✓�' TD Gh'l�fl/rl�-
FIXTURES $1.00 / 0-0 �-
SUPPLEMENTARY ,SO /s 7—pkow 1W,011
,s AWROVALS
TOTAL FEE S z. 7 DATE INSPECTOR'S SI NA URE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION n
AND STATE THAT THE ABOVE IS CORRECT AND AGREE To COMPLY CONDUIT -/ (' Q
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
hF// sl 1� -� �•�•�'./.!!�/
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES Ll
LICENSED AS REQUIRED Y LOS ANGELES COUNTY_AND STATE OF -
CALIFORNIA OR THAT AN THE LEGAL NE OF THE ABOVE PO ER i
DESCRIBED RESIDENTI OPERTY ILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL - jsL.xJQ�
'OHN A.LAMBIE,COUNTY ENGINEER +ID ARTHUR C.VETT.CHIEF EL=r.INSPECTOR
NMO CASH
o * 8 7- MAY25 2 2.5 5 0
'eAgeB.cEBos 1D, iZRICA62 APPLICATION FOR EL'; L RMIT
1.COU'NTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERI-5L.CTR.C.AN
G
BUILDING AND SAFETY DIVISION O
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING Y
f a / rn
! FOR APPLICANT TO FILL IN T. LRECEPT. TOTAL NO. EACH FEEOUTLETS FIRST 20 n,011 .20 SLIGHT swlrcH. ADD'4 ov.R20TOTA � L.NO.LIGHTING L/l FIRST ZO -2OFIXTURE OADD'LVER .toICIAN 16
RANGES CLO.DRYERS WTR.HTRS. 1.00 A0DRES8
GARB.DISP. STA.COOK CITY L�
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST T Gr P ZONE P EE
BY
O 1 1.00
I s 1.50
INSPECTION R CORD
3 s 2.00
e is 2.50 ' O
15 50 8.00 N �� f- '
50 100 5.00• I f V
SIGNS: NO.TRANS.
NO.LAMPS 3 s! w o a`"'-+'�
SERVICE O-BOON-Nor OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00 �lr �' � i !f
l C-vl �� x�`Y a d
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 '
SUPPLEMENTARY PERMIT ISSUING FEE 11.00NI01/�� r 1 C�q �7
TOTAL FEE q �7 /7
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPL CATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY +
CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING . Q
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR r g
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OW R O THE ABOVE
DESCRIBED IRESIDEHI�IJA PROPERTYF POWER
SIGNATURE UTILITY CO.NOTIFIED t�
OF PERMITTE
FINAL
VALIDAT� ARTHUR C. VEIT]ELECTRICAL' CK MO CASFI SUPERVISING]ELECTRICAL ENGINEER
Lr'ILo 7 0� 4 1 ZL DEC 2 2 2 D 0
WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-806G
insure, or a certificate of Woikers'.Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
.=�dr a certified copy thereof(Sec. 3900, Lab. C.)
Pol'�cy No. Company FOR APPLICANT TO FILL IN JOB
❑
Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS 6 2 0 Al 04 k
er�E
r_1 Certified Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ T AJlF e4 E
tion department. Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST.
OWNER OR Q SE
Date Applicant FIRM NAME . %/ iv
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec _� MAIL
Light Sw.
COMPENSATION INSURANCE First 20 � DDRESS
(This section need not be completed If the work involved by Total No. Additional CITY Tel. No.
the permit is for one hundred dollars(;100)or less.)
I certifythat in the performance of the wor for which this PLAN.CHECK
P � APPLICANT
permit is issued, I shall not employ'aRy person in any manner
so as to become subject to the`Workers'Compensation Laws. Lighting Fixtures First 20 J ADDRESS
�J Total No. Z Additional
CITY
Date �+"3D .4 / Applicant el'. No.
p
NOTICE TO APPLICANT: If, after makin this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT
Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS IV
with comply with such provisions or this permit shall be Top _ FAU —W.H. —
deemed revoked. Hood _ Fan _Other_ CITY Tel. No.
LICENSED CONTRACTORS DECLARATIONLICENSE OR
I hereby affirm that Lam licensed under,provisions of Chapter 9 Disp. _ Room Air Cond. REG.NUMBER Class.
(commencing with Section 7000) of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. - E D BY `
and Professions.Code,and my license is in full force and effect. ,
Size&Type HP, Kull, KVA, or KVAR 0
License Number Lic. C ass
Up to 1 Incl. FINAL
Over 1 to 10 Incl. DATE VALIDATION 0
cc
.
Contractor DateOver 10 to 50 Incl. FIN V
❑ I am exempt under Sec. Over 50 to IOQ Inc. B
B.&P.C. for this reason Over 100 of
Services, Swbd., MCC&Panelboards
Date: 0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Maint..Elect. Over 1.000 Amp. or Over 600 V
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 additional Sign Branch Circuits I
ProLaw f r The following reason (Section 7031.5, Business and
f signs Code):
LYJ I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_
7044, Business and Professions Code).
2737,6A
CONSTRUCTION LENDING AGENCY }' g o 0 0 0 2
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) '11 o o 1 a 7 5
(Sec. 3097, Civ. C.). o 0 o I �']5 v
PLAN CHECKING FEE
Lender's Name PERMIT ISSUING FEE �D 0 b 3 0,`8 7
Lender's AddressPI Lr
I certify that I. have read this application and state that The TOTAL FEE
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 bove- entione property for inspection purposes.
/ SEE REVERSE FOR EXPLANATORY LANGUAGE
• < . G -36--97
Signatu of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0507220001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6204 OAK AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801655
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5385-010-034 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90
TENANT: G2 LIGHTING FIXTURES 17.00 LGT 33.15 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
HA FAV LESS 3HP 1.00 FAU 10.95 07/22/05 JK 01/18/06
JB AC UNITS +3-10HP 1.00 AC 19.65
OWNER: TEL. NO: TOTAL FEES 95.40 FINAL DATE FINAL BY: CODE:
DIAZ, EUFEMIA (626) 292-1365- _
6204 OAK AV
TEMP 917801655 DESCRIPTION OF WORK
ADD 17 LIGHT FIXTURES, 2 SWITCHS, FORCE AIR UNIT (FAU),
AC/UNIT
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508