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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 I I I [UTILITY COMPANY NOTIFIEDI I I I I I I I [ I I I I I I I I I I I I I I I I I [ [ I I I I [ I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I I