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Home My Public Portal About6517 OAK AVE_Electrical__ CITY OF TZeLZ CITY 3ASSS=CE80010-60 APPLICATION FOR ELECTRICAL PERMIT L� . COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING 6517 N.Q. Oak BUILDING AND SAFETY DIVISION ADDRESS JOHN A.LAMBIE.COUNTY ENGINEERe 1 WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY r y •I NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMIT FEES OWNER I T E M c NUMBRRI EACH PER. MAIL. 6513 �Q S Oak ADDRESS uorTi•Lrs ECEPT Sw. � $10 $ 0 CITY Tem 1e Citi TEL: NO. LIGHTING FIXTURES 13 13 .f0 1 30 ELM RANGES CLO.DRYERS ECECTRICIAIV United Electrical Ent. WATER H.E A T E R B .s0 ADDRESS: 8070 Monroe Avy,e• - ELEC.SPACE HTRS. DISHWASHERS CITY Stanton TEL NO.` A8-6275 GARBAGE DISPOSERS AUTO.- STATE WASHERS 1 STA.COOKING UNITS 1 S - 25 LaciNSE NO. MOTORS: )VER INC. H.P. DIST CT T�10. Imp Z P CESSED B 0— Va :25 Va— 2 :so � INSPECTION RECORD 2— s 1.00 !oP Q s— 1s u "1.80 a is— so " 2.50 �.�_ ... go— 200 5.00 C. SIGNS: NO TRANS. y NO.LAMPS t SERVICE O-BOOV 1.00 1 00 SERVICE OVER SOOV 5.06 M ISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT 80 TOTAL FEE S 9. 2 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND-STATE THAT THE ABOVE 15 CORRECTAND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. c WIRING i' �f'' • I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR v LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RE ERTY. POWER SIGNATURE 00, UTILITY CO.NOTIFIED . I . OF PERMITTE FINAL 9. (p LIDATION —ARTHUR C.VETT',' cit Mo CASH SUPERVISING ELECTRICAL- ENGINEER. L nl✓.� t7 1 �D Q-E 15 2 V 9.2 5 lR city OF TEMPLE CITY SA668-CE808410-60 APPLICATION FOR ELECTRICAL 'PERMIT 1 COUNTY-OF LOS ANGELES ^ .D BUILDINGTOF COUNTY AND SAFETY DIVISION ENGINEER BUILDING 4ADDRESS L JOHN A. LAMBIE, COUNTY ENGINEER67NOWILLIAM A.JENSEN,SUPT OF BUILDINGCALITYTemple City ARESTFOR APPLICANT TO FILL' INOSS ST. PERMIT FEES owNER ' Davis I T E M NUMBER EACH FEEMAIL-OUTLET6513 No• '0$k ' LIGHTS S' RECEPT. SW. ..10 $ 1. ADDRESS 3 CITY Temple CitY TEL.NO. LIGHTING FIXTURES .10 �T t=.RANGES CLO.DRYERS ELECTRICIANUnited Electrl�al EYlt• WATER HEATERS .50 ADDRESS 801 0 Monroe. AVe• ELEC.SPACE HTRB. DISHWASHERS a • CITY t tOA TEL NO.TAO" GARBAGE DISPOSERS AUTO.- _ STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. 192247 MOTORS: OVER INC. H.P. DISTRICT O. G P N PR CESSED BY 0— 1/2 28 24 1/a— 2 .so INSPECTION RECORD 2— 5 LOO - O 5— Is 1.50 u 1s=— so 2.50 L G so_ zoo 5.00 W TRANS. NO - H SIGNS: ;z NO.LAMPS t ' SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1 1.00 FIXTURE PERMIT 1:00 SUPPLEMENTARY PERMIT .5.0 TOTAL FEE S t 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS . DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY •'CONDUIT %. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING J ELECTRICAL WIRING. WIRING 7� I IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - 2 �- - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA ;OR THAT I AM THE LEGAL OWNER OF THE ADV V6. - y DESCRIBED RESIDENTIAL OF TY. POWER SIGNATURE UTILITY CO.NOTIFIED /./k1�. OF PERMITTE FINAL d All// vv UA IIDATION ARTHUR .VERT r v cK MO CASH SUPERVISING ELECTRICAL ENGINEER �r::.r2 y 1 6 ��' �� 2 D 1 .25 r t,�b '=wm that I have a COMPENSATION DECLARATION CE-808G ,o,B, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self.insure, CE-aosG or a.certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB / , /+f ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS fp A c New Residential Bldgs.&Pools e ❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. *%� $ _ $ LOCALITY , f C NEAREST department. Multi-family Sq.Ft. CROSS ST. L_1 / L►(Y Date Applicant Residential Swimming Pools OWNER OR FIRM NAME [ Q CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:RecA Light—Sw.— MAIL COMPENSATION INSURANCE ADDRESS 6 J 1 6�Oave- (This section need not be completed if the work involved by the First 20 CITY JJ Tel.No.�/////// Q/' permit is for one hundred dollars($100)or less.) Total No. Additional _ _ C.1 "/o /Jt3 I certifythat in the performance of the work for which this permit PLAN CHECK P P APPLICANT W& TA ,S Z 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,65/ z Ave_ y/' Additional Date h* "� Applicantn y� L� C L�� '� Total No. CITY I Tel.No. 6�� - NOTICE APPLICANT: If, after making this Certificate of Fixed Appliances Not Over HP / PERMIT �_ Exemption,you should become subject to the Workers'Compensation Range Heater n/ D.W. y APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven Dryer_ W.M. ADDRESSCom. provisions or this permit shall be deemed revoked. Top >� FAU _ W.H. CITY 7e`yf /e C A Tel.No. ¢416% LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp. - Room Air Cond. REG.NUMBER Clara (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT No. PROCESSED BY Size&Type HP,KW,KVA,or KVAR ✓.D p License Number Lic.Class Up to 1 Incl. FINAL 0 Over 1 to 10 Inc[. DATE a (DATION R' Contractor Date FIN 3 g q b 4 A O Over 10 to 50 Incl.. ❑ I am exempt under Sec. Over 50 to 100 Inc. BY 0 B.&P.C.for this reason Over 100 # o o o 0 02 OW.. Services,Swbd.,MCC&Panelboards 1 0 . 3600 Z Date:. 0-200 Amp.Under 600 V 0 0 .360030-- Signature 201 - 1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V p 6,23-88 El Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances 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 Cod LLLLLLIII 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) and 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.). /� _7� ` / � PLAN CHECKING FEE Lender's Name U PERMIT ISSUING FEE Lender's Address TOTAL FEE I certify that I have read this application and state that the above ry 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-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE e'2/t/U1 Signature of Permittee �- Date