HomeMy Public PortalAbout6326 OAK AVE_Electrical__ 76A669 DBH 6A -B, 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 I ZONE PERMIT NO.
ELI=CTRICIAN /�( r
ADDRESS •_ J �� s RECEIVEBY READY FOR ;7ZA
UED
q "� p 1( a 0, FIRST INSPECTION ��
CITY .5 � TEL. NO a til V
COUNTY LICENSE ND. EXPIRES P (J BUILDING /
PERMIT ES ADORES. (a 1 ' a
FEE LOCALITY
• NUMBER EACH '
LIGHT OUTLET. NEAREST
RECEPTACLES CR0989T.
'
WALL SWITCHES �9 OWNER .
TOTAL OUTLETS so 5 Y MAIL
ELEC. RANGES 85 °� ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 ® 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 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 I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENS OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EADN OF THE RESIDENTIAL OP RTYz
ED ABOVE.
%2 S LESS G .25 ® SIGNATURE OF
%2 2 .50 PERMITTEE
a s 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
s0 200 5.00
200 BOB 10.00 J
500 1000 15.00 Z
OVER 1000 20.00
M.G. SET/FREI9. CHANGER-HP
WELDERS:AO-KVA _ O
GENERATOR. - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIB.) rl
MOVED MOTORS (75% OF DRISJ
MISC.
SIGNS
NO. NO.TRANS
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'.NAME
WIRING 51.00
CONDUIT i'
FIXTURES WIRING 7 1.
SUPPLEMENTARY .s0 FIXTURE.
POWER
TOTAL FEE S UTILITY CO.NOTIFIED
FINAL
WORKER S'COMPENSATION DECLARATION CE-806 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGEES I DING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or �1 "fl
a certified copy thereof(Sec.3800,Lab.C.)
Policy NV—
New
Compa5`-3ny gaa� FOR APPLICANT TO FILL IN JOB ! ,/f
New Residential Bldgs.&Pools EACH NO. FEE ADDRE 3 i° ��R
Certified copy is hereby furnished. —�--�� 1 &2-Family,Sq.Ft. $ — $ LOCALITY
ElMulti-family Sq. Ft. — NEAREST
Certified copy is filed with the county building inspection CROSS ST
department. Residential Swimming Pools OWNER OR
Date Applicant FIRM NAME
Outlets: Rec�Light Sw. MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. L-2n, Additional CITY Tel No.
COMPENSATION INSURANCE PLAN CHECK 0-
APPLICANT
(This section need not be completed if the work involved U
First 20 Fixtures xtures
by the permit is for one hundred dollars ($100) or less.) LigAdditional ADDRESS W
I certify that in the performance of the work for which this Total No. 3 CITY Tel No.
Fixed Appliances Not Over 1 HP
permit is issued, I shall not employ any person in any manner PERMIT C� �L W
so as to become subject to the Workers'Compensation Laws. Range_Heater D.W._ APPLICANT OC 40 � . a'`i Q p.
Oven Dryer_W.M._ ADDRESS �/ $ o t (.s 7 Z
Date Applicant Top _ FAU _W.H.._ ,d
pp Hood _ Fan _Other_ CITY 6dC.,(#Al ld 19/ INO. 3 }j t
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond._ LICENSE OR y9 G
Exemption, you should become subject to the Workers' REG.NUMBER ! s�3 [ Class Gild
Compensation provisions of the Labor Code, you must forth- Power Apparatlus& Large Appliances DISTRICT NO. P CES D BY
with comply with such provisions or this permit shall be
deemed revoked. Size&Type HP,KW,KVA,or KVAR (/
Up to 1 Incl. FINAL d
Over 1 to 10 Incl. DATE ( VALI DATI N
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. C]
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 my4icense is in full force and
effect. Services
License Number /
3971.ic.Class C—r d 0-200 Amp.Under 600 V
201-1000 Amp.Under 600 V
Contractor "Ire'-4iiifGal Date W fid-' 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 Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):
Misc:Conduits&Conductors
I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)—
structure is not intended or offered for sale (Section `; 2 A7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency ti a.° ' o ° 2
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
issued(Sec.3097,Civ.C.). O D
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) ° 1 L� r, `i
Lender's Address PERMIT ISSUING FEE Q 0420-81
1 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
thea ve-m tioned property faA inspection purposes.
SEE'REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date l
i
WORKERS'COMPENSATION DECLARATION I 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I hove a certificate of consent to self CE-806G
insure, or a certificate of Workers'Compensation InsurancesCOUNTY OF LOS ANGELES BUILDING AND SAFETY
or 6 certified copy thereof(Sec...3800, Lab. C. '
Policy NtCom,7nFOR APPLICANT TO FILL IN JOB /y
❑ Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS
Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY
tion department. I Multi-family Sq. Ft. — NEAREST
Date ��—�� dpplico _ ` CROSS ST. �Q /
Residential Swimming Pools OWNER OR
i FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' MAfL
COMPENSATION INSURANCE Outlets: Rec Light Sw._ ADDRESS de- (/
(This section need not be completed if the work involved by First 20
Total No
the permit is for one hundred dollars($100)or less.) . Additional CI Tel.
I certify that in the performance of the work for which this[ PLAN CHECK /
permit is issued,I shall not employ any person in any manner, APPLICANT
so as to become subject to the Workers'Compensation Laws.' Lighting Fixtures First 20 ADDRESS
(' Additional
Date /►pplicant I Total No. CITY Tel. No. `
'NOTICE TO APPLICANT: If; after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption, you should become subject to the Workers' Range= Heater_D.W. i APPLICANT
Compensation provisions of the Labor Code, you must forth-.' Oven —Dryer _W.M. ADDRESS '�7;7
with comply with such provisions or this permit shall. be Top — FAU —W.H. —
deemed revoked. Hood _ Fan _Other_ CITY Tel.
Tel.
LICENSED CONTRACTORS DECLARATION LICENSE OR
Disp. _ Room Air Cond. I ��Q Classe�Q
I hereby affirm that I amlicensed under provisions of Chapter 9 REG.NUMBER
(commencing with Section 7000)of Division 3 of the Business power Apparatus.8'Large Appliances ' DISTRICT NO. PROCES D 13 LL
and Professions Code,and my license is in full force and effect. ' p
��1 �_0. Size&Typ P, KW, KVA, or KVAR'
License Numb.2 1 . Lic. Class Up to 1 Incl. FINAL
PQ Over 1 to 10 Incl. i DATE 1DATION
on ractor uaTe FINi
Over 10 to 50 Incl.
❑ I.am exempt under Sec. Over 50 to 100 Inc. ! BY AL
i
BAP.C. for this reason Over 1'00
Date: Services, Swbd:, MCC 8 Ponelboards I
0 -200 Amp. Under 600 V
Signature 201.-1000 Amp. Under 600 V
❑ Exemption.for Reg. Mainf. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY I Temp. Power Pole&Appurtenances
HOME OWNER-BUILDER DECLARATION
i ., Sign with One Branch Circuit
I hereby affirm that-1 am exempt from the Contractor's License Additional Sign Branch Circuits
Law for the following reason (Section 703.1.5, Business and '
Professions Code): 18 4 art A
❑ 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)_ I , 0,0 0 0 0 2
7N4, Business and Professions Code). q o q1 Q,5 0
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 PERMIT FEE (Sub-Total) 0 0 Oil 4 5 Q�
(Sec. 3097, Civ. C.). 1 A'2
PLAN CHECKING FEE Q"$7
Lender's Name ` I `D
PERMIT ISSUING FEE /
Lenders Address 4
I certify that I have read this application and state that.the 1 TOTAL FEE
above information is correct. I agree to comply-with all County f
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon '
the above-mentioned pro erty for inspe1�7�;
.C% �� �( SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date j ,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1210020055
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 14533 IT: 2 I 1 6326 OAK AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801335 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
5382-020-023 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 12.00 I I
(TENANT: IG2 LIGHTING FIXTURES 8.00 LGT 16.00 (ISSUED ON: PROCESSED BY: PLAN BY: I
IH2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 110/02/12 SR I
IH4 RES RANGE HDS IT 3HP 1.00 HOO 11.00 1 I
(OWNER: TEL. NO: IH5 RES WASH MACH IT 3HP 1.00 WAS 11.00 IFINAL DATE FINAL BY: CODE: I
TYING FANG TAN (626) 616-1682- [ TOTAL FEES 88.80
6326 OAK AV
ITEMP 917801335 1 IDESCRIPTION OF WORK [
(ELECTRICAL FOR INTERIOR REMODEL
I
(APPLICANT: TEL. NO: I I I
ILIU, MICHAEL (626) 641-8208- I I I
12550 W. MAIN ST.#211 i [SPECIAL CONDITIONS: I
JALHAMBRA, CA 91801
I
CONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE I
IYING FANG TAN (626) 616-1682- 1 1 I
16326 OAK AVENUE LIC. NO I ITEMPORARY POWER POLE I I I
ITEMPLE CITY, CA 91780 NONE I I I I I
[ [UNDERGROUND CONDUIT I I I
[ARCHITECT OR ENGINEER: TEL. NO: - [ [LIFER GROUND I I I
LIC. NO: I IROUGH CONDUIT I [
IROUGH WIRING
I I IMAIN WATER LINE I1 I
I I IPLASTIC Y/N METAL Y/N
I
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[UTILITY COMPANY NOTIFIEDI I I
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IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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