HomeMy Public PortalAbout6339 OAK AVE_Electrical__ 9"869 APPLICATION FOR ELECTRIC PERMIT 1
DBS•8A 9.88`
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer pU1LDING
County of Los Angeles ADDRESS ��
WM.J.FOX,COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR��IAppTPP�PPLICANT TO FILL IN NEAREST
PER=_
CROSS ST.
NUMBER EACH FEE r
�• LIGHT OUTLETS OWNER
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES �.
TOTAL OUTLETS CITY TEL.NO.
ELEC.RANGES25
ELECTRICIAN77t/
_ELEC. HEATERS 25 ADDRESS /
KW EA CITY TEL.NO
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICLW. I GROWP I ZONE I READY FOR INSPECTION
Is NUMBER OF RECEPTACLE CIRCUITS �. 1 �r
MOTORS d+
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
I y64 Yu Y2&LESS 3 .25
V2 2 .50 I' '
2. 5 1.00 ✓
5 15 1.50 I 1�y+/A! �,�I •E� Sr I�,AT/J •'---rQ
15 50 2.50 ' e� 04die W/A TZ-00-
50 200 '5.00
1-0 h!P Nr 7- YP-7-
MISC.
-7yMISC.
L�,�7' aA/n
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING .31.00 Q
FIXTURES $1.00 0
SUPPLEMENTARY .50 APPROVALS
' TOTAL FEE S DATE 1NNS�P✓ECTOR`S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION CONDUIT
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING --re A-WI! i r•�
ELECTRICAL WIRING. y
n I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERBY.,
SIGNATURE UTILITY CO.NOTIFIED P-7--s-76-
OF
—SZ6OF PERMITTEE FINAL
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR
':i.o 5 �; JUL 16 2 7.9
9 N
,
i
aWORKERS'COMPENSATION DECLARATION CEA8663°eG '°'B1APPLICATION FOR ELECTRICAL PERMIT'
I tai reby afffrm•.thol I have'a certificate of'consent to self insure, '
or a certificate of Workers' Compensation Insurance, or a certified • COUNTY OF LOS ANGELES BUILDING AND-SAFETY
copy the of;(Sec.3SOOr,Lab.C/.)
Policy No&C ✓Ofol pany r" FOR APPLICANT TO FILL IN JOB
ADDRESS ,C lYp
❑ Ce..i i�d copy is hereby furnished. New Residential.Bldgs.8:Pools EACH NO. FEE ��J�
1 &2-Family,Sq.Ft. $ — .$ i LOCALITY/, 10/16
Certified copy is filed with th ty building inspection NEAREST
/depar nt. t Multi-family Sq.Ft. '— r
�. Residential Swimming Pools CROSS O
AppliC IOWNER OR
Date FIRM-NAME
CERTIFICATE OF EXE ON F M WORKERS' MAIL
•COMPENSATI INSURANCE Outlets:Rec—Light T_Sw.— ADDRESS
. This section need not be com leted If the work involved by the First 20
( P i 'CITY E Tel.No.'��/�
Total No. Additional
permit is for one hundred dollars($100)or less.) • HECK
' ''PLAN CHECK -
I certify,that in.the performance of the work for which this permit ;APPLICANT
is issued, I shall not employ any person in any manner so as to
become subject,to the Workers'Compensation Laws. Lighting Fixtures First 20 'ADDRESS
Additional i
Total No. .CITY - Tel.No.
Date Applicant Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT: If, after making this .Certificate of PERMIT APPLICANT
--y-
Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W.
provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS/
provisions or this permit shall be deemed revoked. Top _ FAU _. W.H. _ Q�� . } S�jI
LICENSED CITY CONTRACTORS DECLARATION ,. Hood— Fan _ Other_ WI-4No:
0 Tel
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE BER Clas&
(commencing with,Section 7000)of Division 3 of the Business and REG.NUMB
Professions Code,and my license is in full foroe and effect. ' `' DISTRICT.NO. PROCESSED-BI'
Power Apparatus&Large Appliances (�
Size&Type HP,KW,KVA,or KVAR ��o_ ��Jt .�1i�'�v
License Number�� Lic.Class ✓7<y Up to 1 Incl. -FINAL
Conttactor �t/� Da(e —Over 1 to 10 Incl. DATE VALIDATION
Over 10 to 50'Incl. FINAL FU-
❑ I am exempt,under Sec.. Over:50 to 100 Inc. By W
B.&P.C.for'this reason Over 100 py
Services,Swbd.,MCC&Panelboards ® Z
Date: 0-200 Amp.Under 600 V
Signature 201 - 1000 Amp.Under 600 V
Over 1000 A.mp,or Over 600 V
❑ Exemption for Reg.Maint.Elea..
SINGLE FAMILY Temp.Power Pole&Appurtenances w-
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm.that I am exempt from the Contractor's License Law additional Sign Branch Circuits
for the following reason(Section 7031.5,Business and Professions .fit .l1
Code)' ;
Misc.Conduits&Conductors 1 i i 1G
❑'
],*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 poll. ii TAA ,�_�(30,
and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the C ;CHA.11 ,5 =tit
performance of the work for which this permit is issued(Sec.3097, PERMIT,FEE (Sub Tdtal.)
Civ.C.).
PLAN CHECKING FEE -
-j
Lender's Name (�(li- fULite f l icC.l 1
PERMIT ISSUING FEE 3 ROM . 1 A.h75
5
Lender's.Address
I certify that I have read this application and state that the above TOTAL FEEa, !!�
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 above-m toned +'
arty for inspe n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
a of Permittee D �,
WORKERS'COMPENSATION DECLARATION 20.0019 DPW 3/87
hErciy affirm that I have a certificate of consent to self � ' APPLICATION FOR ELECTRICAL PERMIT O
.insure, or a certificate of Workers'Compensation,Insurance, COUNTY OF LOS ANGELESI DEPT. OF PUBLIC.WORKS
or a certii*d copy thereof(Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
ADDRESS 3 3.FEE NO. '
Certified copy is hereby furnished. ( ;,New Residential Bldgs. &Pools EACH �.
Certified copy is filed with the county building inspec- i 1 &2-Family, Sq. Ft. $ — $ (, LOCALITY
tion department. Multi-family Sq. Ft. — T NEAREST
Residential Swimming Pools j CROSS ST. I_Qn ev1
Date Applicant OWNER .
FIRM NAME Iry
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Ree Light Sw._ MAIL
COMPENSATION INSURANCE ADDRESS 3� d
First 20 /
(Th4 section need not be completed if the work involved byCITY TeI.:No. rr,'
the permit is for one hundred dollars($100)or less.) Total No. Additional .1.. 7a�Z®3
PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall-not employ any person in any manner Lighting Fixtures First 20 ( ADDRESS
so as to become subject to the Workers'Compensation Laws. i. l
Additional
Date Q Total No. ( CITY Tel. No:
Applicant i Fixed Appliances.Notbver 1 HP PERMIT /
NOTICE TO APPLICANT: If, after makin this Certif ate of �, j APPLICATION L,. �. L/ ..
Exemption, you should become subject to the Workers' Range— Heater—D.W. i )
Compensation provisions of the.Labor Code, you must forth- I Oven — Dryer —W.M.— I ADDRESS ` � r�.�' >°S
with .comply with such provisions or this permit shall be Top — FAU —W.H. — r
deemed revoked. Hood — Fan —Other— I CITY Tel. No aoig
LICENSED CONTRACTORS DECLARATION. '
I` Disp. _ Room Air Cond. — r LICENSE OR
REG.NUMBER%&I 7 Class.G 10
I hereby affirm that I am licensed under provisions of Chapter 9 (. •
(commencing with Section 7000)of Division'3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PR ESSED BY d
and Professions Code,and my license is in full force and effect. I r �/
J' 4 Size&Type HP, KW, KVA, or KVAR d`d Q �� O
License Numb erb�31 7Lf Lit. Class/� 'L� 1 i Up to 1 Incl. S FINAL V
G� Over 1 to 10 Incl. DATE S,-"/ VALIDATION cc
Contractor ter ( Over 10 to 50,,Incl. ( O
❑ "FINAL
1.0' . exempt.under Sec. ..- Over 50'to 100 Inc. BY U
LU
Over 100 —
B.&P.C. for this reason , N
Services, Swbd., MCC&Panelboards Z
Date: ( 0-200 Amp:Under 600 V I —
Signature 201 - 1000 Amp. Under 600 V
Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect. ;; y
-SINGLE FAMILY '
Temp.TemPower Pole&Appurtenances I 't•io
HOME OWNER-BUILDER DECLARATION � E -
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit 330 3:-
Law for the following reason (Section 7031.5, Business and Additional.Sign Branch Circuits
ProfessionsI ,���{ 01 :1
( r,
Code): I' ,I ITERS
Conduits&Conductors
I, as owner of the property, will do the work and the Misc. j TOTAL --_:5 -1 a 00
structure.is not intended or offered.for sale.(Section 7044,. Other(See Complete Fee Schedule)_
i_ 1 f'
Business and Professions Code). ��1I:�X31.013i
CONSTRUCTION LENDING AGENCY iNANGIE.
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)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE - 7/ El t-
Lender's Name I PERMIT ISSUING FEE ` I 7877 1 AM11:04
Lender's Address
I certify that I have read this application and state that the TOTAL FEE eel
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 above=menti red property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
-7v 9' jL - ®s
Signatur of Permitteib Date
1 •
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1203070001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ON FILE I I 6339 OAK AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801336
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-017-031 IA1 PERMIT ISSUANCE FEE 27.80THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 12.00 I I
(TENANT: G2 LIGHTING FIXTURES 3.00 TOTAL FEES LGT 456.00.80 103/07/12N : PROCESSED BY: PLAN BY:
I I2 SR
�
(OWNER: TEL. NO: I IFI ATE FINAL CODE: I
ICHAN, CHO SEE (626) 262-1821- I 1 I
16339 OAK AV
ITEMP 917801336 I IDEOCRIPTION OF WORK
(ADD 8 OUTLETS AND 3 LIGHT AXTURES FOR FAMILY ROOM
IAPPLICANT: TEL. NO: I I
ISAME AS OWNER -
I I SPECIAL CONDITIONS:
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
[SAME AS OWNER - I I
LIC. NO I (TEMPORARY POWER POLE I I I
1 (UNDERGROUND CONDUIT I 1
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I
IWU, HAROLD P (626) 288-0708- 1 1 I I 1
11168 SAN GABRIEL BLVD LIC. NO: [ IROUGH CONDUIT I I 1
ISUITE N 1 I I
IROSEMEAD CA 91770 I TROUGH WIRING �Jr
1 I IMAIN WATER LING
IPLASTIC Y/N METAL YIN I I I
1 I (UTILITY COMPANY NOTIFIED( I 1
I I I I I I
I I I I I I
1 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* ADDITIONAL DATA ON FILE I I [ I
IREPORT ID: DPR265 ROUTE TO: BS0508 I I I 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1403120033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
]LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
] ON FILE ] , ] 6339 OAK AV
] ]FEE DESCRIPTION: QUANTITY- UOM: AMOUNT:] TEMP CA 917801336 ]
[ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15382-017-031 IA1 PERMIT ISSUANCE FEE 27'.80 ] THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 10.00 OUT 20.00 ]
ITENANT: IG2 LIGHTING FIXTURES 14.00 LGT 28.00 [ISSUED ON: PROCESSED BY: PLAN BY:
IH2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 103/12/14 SR
IH5 RES WASH MACH IT 3HP 1.00 WAS 11.00 1
(OWNER: TEL. NO: I TOTAL FEES 97.80 IFINAL DA E FI Y: CODE:
ICHAN, CHO SEE (626) 262-1821- I 1 ]
16339 OAK AV ] 1
ITEMP 917801336 1 ID SCR PTIO OF WORK
I I 10 OUTLETS, 14 LIGHT FIXTURES, GARBAGE DISPOSAL, AND WASHING]
1
(APPLICANT: TEL. NO: I I
IVAN, STEVEN (626) 675-7052- 1 I
1798 GIGAR TERR 1 [SPECIAL CONDITIONS:
(WEST COVINA CA 91792
I I I I
[CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE
IDATKAM CONSTRUCTION, INC. (626) 675-7052- 1 I
11798 GIGAR TERR LIC. NO I [TEMPORARY POWER POLE I I I
[WEST COVINA CA 91792 859760 1 1 I ]
] I (UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND I I I
ILIC. NO: I (ROUGH CONDUIT
I TROUGH WIRING ]
IMAIN WATER LINE I I I
I I (PLASTIC Y/N METAL Y/N I I
I I [UTILITY COMPANY NOTIFIED[
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 I I
I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I ]
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1307220056
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: I
ON FILE I I 6339 OAK AV [
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:J TEMP CA 917801336 I
[ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-017-031 JAI PERMIT ISSUANCE FEE 27.80 [ THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I JB2 1 OR 2 FAMILY DWELL 636.00 SQ 64.30
(TENANT: I TOTAL FEES 92.10 JISSUED ON: PROCESSED BY: PLAN BY:
I 07/22/13 SR 1
JOWNER: TEL. NO: I IFINAL DATEFI CODE: [
ICHAN, CHO SEE (626) 262-1821- 1 1 1
16339 OAK AV 1 1
ITEMP 917801336 113ESCRIPTIOlk OF WORK [
I 1 (ELECTRICAL FOR A NEW 2ND: AT [
JAPPLICANT: TEL. NO: [ I
[VAN, STEVEN (626) 675-7052-
1798 GIGAR TERR J ISPECIAL CONDITIONS:
(WEST COVINA CA 91792
ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE [
JDATKAM CONSTRUCTION, INC. (626) 675-7052- 1
1I 1
11798 GIGAR TERRACE LIC. NO I ITEMPORARY POWER POLE
IWEST COVINA CA 91792 859760
JUNDERGROUND CONDUIT I I
I I �
JARCHITECT OR ENGINEER: TEL. NO: JUFER GROUND [ I
ILEE, PETER (626) 280-9000- 1
8748 E VALLEY BLVD SUITE L LIC. NO: 1 IROUGH CONDUIT
ROSEMEAD CA 91770 859760
IROUGH WIRING
[ IMAIN WATER LINE I 1 1
I I [PLASTIC YIN METAL YIN I J I
I 1 ]UTILITY COMPANY NOTIFIED[ [
1 I I I I I
I I
I I
1 i* ADDITIONAL DATA ON FILE
IREPORT ID: DPR265 ROUTE TO. BS0508 I [ 1 I