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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