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Home My Public Portal About6211-6211 1/2 OAK AVE_Electrical__ DBS S-A 6'46 ,• AWLICAT O FORI1E1R`+�l DEPARTMENT OF BUILDING AND SAFETY i� COUNTY OF LOS ANGELES ELECTRIC WM. J. FOX CHIEF ENGINEER _d NAME DISTRICT NO. GROUP ZONE PERMIT NO. U ADDRESS /'•'J,/Al A 2 lC v i �4 ii UYI CITY r `fEL.NO. REC IVSD BY READY FOR DATE ISSUED COUNTY FIRST INSPECTION /$14 7 CERT.NO. EXPIRES `7/ ZL off/ . APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK NUMBER OF OUTLETS ON CIRCUITS LOCALITY JJ�l,c �_ �.y ,y l�tA..z/ - LOCATION BY ROOMS _ - NEAREST _�-v LIGHT`OUTLETS SW: PLUGS FIf[T CROSS ST. 17+ -4RJ�+�� CIRCUIT A 13 C D E F G H 19 NAME moi: fa2r r`.'ar� &op/-1/c y f W - ®9� Z MAIL -; `", }� ADDRESS ._. _.+-. I' =l O � 9d .n C..A.'CTEL.NO.�j% -,I 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS" ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. 7/ • 6LEC7RICIAN. 1 AM TH6 lsECiAL OWNER OF THE PROPARI1Y DESCRIBED ABOVE f ��p��rg�� 7�7Q OWNER. COR"MONS J Z_ I7 c 0 TOTAL �� Z NO. OF OUTLETS .�(� ffi i3G APPROVALS NO. OF FIXTURES '� ffi kG� DATE INSPECTOR'S NAME NO. OF MOTORS H.P. ffi CONDUIT C� /� NO. OF SIGNS TRANS. ffi WIRING NO. OF RANGES OR HEATERS I ffi J d FIXTURES MISCELLANEOUS �'� ffi POWER i PERMIT FEE /'' ffi UTILITY CO.NOTIFIED TOTAL F + FINAL 7SAGS3 OBB SA 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIANhtc- 1;,- 9 Z0 XCVEDADDRESS �EIB� FIRST INSPECTION Y READY FOR DATE ISSUED CITY TEL NO. tt �� ( `�c COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS J NUMBER OUTLETS EACH FEE LOCALITY To kv Ll LIGHT Be NEAREST CROSS 9T. LY i RECEPTACLES 5 FIXTURES 410 OWNER An v / 1!4'e, c s WALL SWITCHE6 5 MAIL C �y ELEC. RANGES 25 ADDRESS L �S ELEC. HEATERS 25 2TCITY �� TEL NO.#76—(j08 NUMBER OF CIRCUITS INSTALLED: I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS G TOTAI APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATELAWS REGULATING ELECTRICAL WIRING. NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEW MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER %a a LESS 18 .25 OF THE RESIDENTIAL.PROPERTY DESCRIBED ABOVE. %a 2 .50 SIGNATUREPERMITTE F zI� �'LC al v'k9/ :-f� 2 5 1.00 • 5 15 ,.sD INSPECTON RECORD 15 50 2.50 50 200 5.00 200 500 10.00 500 1000 15.130 Q OVER 1000 20.00 Z M.S. SET/FREQ. CHANGER-HP m WELDERS:AC-KVA FE GENERATORS - KW O TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIB-) MOVED MOTORS (75% OF ORIG.) Misc. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: ATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE S� UTILITY CO.NOTIFIED FINAL I WORKERS'COMPENSATION ALARAN I 76A883 10/81 li`v J/-5//t7 J I hereby affirm that I have a certificate of consent to self insure,. CE-806G APPLICATION FOR ELECTRICAL PERMIT {J or a certificate of Workers' Compensation Insurance,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY u copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB d7 � ' ® A,�tQ ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS (� ,�r` PY Y New Residential Bldgs.&Pools Certified copy is filed with the county building inspection 1 &2-FamilY,Sq.Ft. $ — $ LOCALITY E] 64y department. Multi-family Sq.Ft. I NEAREST 440/ CROSS ST. Date Applicant Residential Swimming Pools OWNER ORj�� FIRMNAME�1'�"�L CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Recs Light_Sw. NA E ® ., COMPENSATION INSURANCErib ARr/ 3 (This section need not be completed If the work Involved by the First 20 ' CITY I `� �® permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the Wk for which this permit PLAN CHECK is issued, I shall not employ any pers n y manner so as to APPLICANT become subject to the Workers'Co n Ughting Fixtures First 20 ADDRESS Additional rr�1�.*. Total No. CITY Tel.No. Date ` 0 P FIA4 Appliances Not Over 1 HP p I p.. NOTICE TO APPLICANT: f ft ang this Certifi to f . a Exemption,you should be u to the Workers'Comp ns ti n Range_ Heater_ D.W. —M,/ A , provisions of the Labor u must forthwith comply w h su h Oven _ Dryer_ W.M._ klfv .• provisions or this per it a deemed revoked. Top _ FAU _ W.H. _ Te --n f AE LICENS CONTRACTORS DECLARATION Hood _ Fan Other_ 1 hereby affirm that I am licensed under provisions of Chapter LICENSE OR q de Disp. — Room Air Cond. (commencing with Section 7000)of Division 3 of the Busihess and REG.NUMBER d Clas Professions Code,and my license is in full force and effect. DISTRICT NO. PROC ED BY Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR (� License Number Lic.Class Up to 1 Incl. FINAL U Over 1 to 10 Incl. DATE /VALIDATION Contractor Date Over 10 to 50 Incl. F- ❑ FIN / U I am exempt Sec. Over 50 to 100 Inc. B /) t O 6 B.&P.C. iz fo s a Over 100 Cn / 00000 � Z Ad ,Swbd.,MCC&Panelboards 1� te: _ Ad -200 Amp.Under 600 V Si 01 - 1000 Amp.Under 600 V ° ° 7 a J O Over 1000 Amp.or Over 600 V , ❑ r Reg.Maint.Elect. ° ° L r �� SINGLE FAMILY Temp.Power Pole&Appurtenances 1 1.20-87 OWNER-BUILDER DECL A ON' Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Con Cr's License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): /4 I Se. -ft R3 Misc.Conduits&Conductors El 1,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule is not intended or offered for sale (Section 7044, Business ) — 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) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE (� Lender's Address I certify that I have read this application and state that the above TOTAL FEE informatio is correct.I agree to comply with all Cou rdinances and St aws regulating Electrical wiring, and re authorize M s of this Coun upon the abo -mentioned C' SEE REVERSE FOR EXPLANATORY LANGUAGE ermittee Date v WORKERS'COMPENSATION DECLARATION i 76-663 10i61 APPLICATION FOR ELECTRICAL �'ARWT""' I hereby affirm that I have a certificate of consent to self insure, CE-606G `7 1 or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY 'CJI copy thereof(Sec.3800.Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JO ❑ Certified copy is hereby furnished. New Residential Bldgs &Pools EACH NO. FEE A o E] Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ _ $ ' L department. Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER O .a9� FIRM NAM CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec 2—Light_Sw.— 3 COMPENSATION INSURANCE First 20 (This section need not be completed if the work involved by the CITY .G permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work or which this rmit APPLICANT K is issued, I shall not employ any person ' y anner so a to become subject to the Workers'Compen s Ligh g Fixtures First 20 ADDRESS rAdditional Tot I No. CITY Tel.No. Date plicant Fixed A pliances Not Over 1 HP amI NOTICE TO APPLICANT: If, 1 this Ce '1 e of � kStItW— Exemption,you should become c o Workers' nsation Ran _ Heater D.W. provisions of the Labor Code, ust forthwith co ly ith suchOven _ Dryer_ W.M._ S �,L=A/ provisions or this permit shall eemed revoked _ FAU _ W.H. _ � LICENSED CONT CTORS DEC N Hood _ Fan _ Other_ Tel. I hereby affirm that I am. licensed under provisions of Chapter 9Disp. — Room Air Cond. LICENSE OR 2-4q q �/ C w r (commencing with Section 7000)of Division 3 of the Business.and REG.NUMBER L— G. �P Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. /�t/ PROCESSED Y Size&Type HP,KW,KVA,or KVAR �,.1 c " (,J( License Number Lic.Class Up to 1 Incl. FINAL Over'1 to 10 Incl. DATE. �� VZDATION Contractor Date. Over 10 to 50 Incl. C/ .FIN- ❑ I am exempt der Sec. Over 50 to 100 Inc. BY �� 8 4 �,/I A W ?OM a n Over 100 9L D MServices,Swbd.,MCC&Panelboards / ^ , # 0 0 0 0 0 Z v`� 0-200 Amp.Under 600 V V 0 P 201 - 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V eg.Maint.EI ct. I' ° ° Z 7 i�0 SINGLE FA Y Temp.Power Pole&Appurtenances ° o o L 7;)(}U NER-BUILDER LARATION Sign with One Branch Circuit I hm exempt from the Contractor's License LawAdditionalSigp Branch Cirouitsfon(Section 7031.5,Business and Professions C O:.8 7 Code): M16 L•R"Aa RS ❑ 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) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE6q40 Lender's AddressI certify that I have read this application and state that the above TOTAL.FEE information is co I agree to comply with all County ordinances and State la a'ng Electrical wiring, and hereby authorize representat' s ;tolo ty an - entioned propert r' p P s. ^ SEE REVERSE FOR EXPLANATORY LANGUAGE Ig mit a Date I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9806100020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID B ILDING ADDRESS: _ ON FILE 6211 OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801656 ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: 5385-002-003 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 01 OTHER INSPECTIONS 1.00 HOU 109.35 TENANT: TOTAL FEES 137.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 06/10/98 UT 06/10/99 OWNER: TEL. NO: FINAL DATE FINAL B CODE: GIRVIN THOMAS B;DARRYLIN (818) 287-0621- 6213 OAK AV (o! f rl TEMP 917801656 DESCRIPTION OF WOR INSPECTION OF SWIMMING POOL LIGHT PER SENATE BILL 873 APPLICANT: TEL. NOW. SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: . NO: FER GROUND LIC. NO: _ ROUGH CONDUIT I ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508