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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