HomeMy Public PortalAbout6523 OAK AVE_Electrical__ 76A663 DBB SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS-ANGELES
WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC - I
FOR AP LICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N.O.
ELECTRICIAN
R RIVED BY READY FOR DATE ISSUED
PADDRESS fld� �r FIRST INSPECTION
TEL NO.Y LICENSE NO. EXPIRES AB N13DULD'DRESS �� - !I Jl �/J `
PERMIT FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. ^ems"
WALL SWITCHES OWNER
TOTAL OUTLETS 5c B MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES / /1 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
M18C. hsLM - APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT 9IRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 P088ESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MvD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERT/�' DE8 RIBED ABOVE.
YX A LEBB B .25 SIGNATURE Ei �'
%2 2 .5O PERMITTED 1 1 '
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 5O 2.50
5O 200 5.00
200 BOO 10.00 J
Soo 1000 15.00 Z
OVER 1000 20.00
M.O. SET/FREq. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of ORIS.)
MOVED MOTORS (79% DF amm.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NAPPROVALS
O.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING 81.00 CONDUIT
FIXTURES 81.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE B ' UTILITY CO.NOTIFIED
FINAL I q" 7-11 1 Rmw
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County'Engineer
DIVISION OF BUILDING & SAFETY ��
WILLIAM,J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
f Y7-1 ELECTRICIAN / _ +!1'a_��G3t�
RECEIVED B + READY FOR DATI= ISSUED
ADDRESS L G FIRST INSPECTION
CITY TEL,N 10e -
COUNTY LICENSE NO. - , EXPIRES de l�?Y BUILDING
PERMIT FEES • ADDRE139
�
NUMBER EACH FEE LOCALITY 7—;97.,o",d2 Z
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS BT. JB}I 'Al
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 '
,fTEL. NO.
!� CITY � 9 I
FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER'OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HIS OVER INC. EACH OF THE RESIDENTIAL ROPERTY DESCRIBED'ABOVE.
— V2s �EeS 8 .25 SIGNATURE OF
V22 .SO PERM[TTE ����r
2 B 1.00 INSPECTION' RECORD
6 15 1.50
15 50 2.50
S0 200 5.00
200 500 10.00 J
500 1 10013 15.00 Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF aRio.)
MOVED MOTORS (75% OF DRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMITS DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING S n _ rr i�.1r
SUPPLEMENTARY . .50 FIXTURES
POWER
TOTAL FEE $ �} �� UTILITY CO.NOTIFIED
"c. FINAL
7r.Ae53 085*5A Z-53
76AS63 D88 5A 3-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS-ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR AP LICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT N.C.
ELECTRICIAN
�# RE EIVED BY READY FOR DATE ISSUED
ADDRESS ,J � �+� FIRST INSPECTION
CITY TEL
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
CROB13 ST.
RECEPTACLES
WALL SWITCHES .OWNER
TOTAL OUTLETS 5c N MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES / /S 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMB R OF LIGHT dIRCurrs AND AGREE TO COMPLY WITH ALL COUNTY ORDJ'NANCEB
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw Mvo. HP OVER INC. EACH OF THE RESIDENTIAL PR13PERTY DESP.RIBED ABOVE.
YJ A LE89 III .25 SIGNATURE OF s� �
I/2 2 .60 PERMITTED
2 B 1.130 INSPECTION RECORD
5 1.9 1.50
15 130 2.50
50 200 B.1313
200 1900 10.00 Q
500 1000 15.00 Z
OVER 1000 20.00
M.G. BET/FREq. CHANGER-HP R�
WELDERS:AD-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOT13RB (76% OF CRIB-)
MOVED MOTORS (75% DF ORIm.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 I CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED / y� ��/
FINAL I' A,VV
e WORKERS'COMPENSATION DECLARATION I 76AW APPLICATION FO
DPW 3/87
I R ELECTRICAL PERMIT Q
hereby affirm that I have a certificate of consent to self ce-eoaa �
insure, oro certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES I DEPT. OF PUBLIC WORKS
or a•FArtified Copy thereof(Sec. 3800, Lab. C.)
Policy. Company I FOR APPLICANT TO FILL IN JOB
❑C rtified copy is hereby furnished. I New Residential Bldgs. &Pools EACH NO. FEE ADDRESS '2 }3. CAk A vi;
Certified. co is filed with the count building ins ec 1 &2-Family, S Ft. $ -- $ LOCALITY
PY • Y 9 � P f Y q•
tion department. Multi-family Sq. Ft. — NEAREST
CROSS Residential Swimming Pools OWNER OR ��I�O� S
Date Applicant FIRM NAME .] h S
I ' .
CERTIFICATE OF EXEMPTION FROM WORKERS' j Outlets: Rec Light Sw._ MAIL
COMPENSATION INSURANCEADDRESS k R_
.2I td, O -AV
s First 20 i
(This section need not be completed if the work involved by Total No. Additional CITY C Tel. No.
the permit Is for one hundred dollars($100)or less.) i PLAN CHECK
I certify that in the performance of the work for which this i APPLICANT
permit 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
Date Applicant Total No. CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of
Exemption, you should become subject to the Workers; Range— Heater—D.W. — APPLICATION
Compensation provisions of the Labor Code, you must forth' Oven — Dryer —W.M.— ADDRESS
with comply with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked. Hood — Fan —Other— CITY Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
Disp. — Room Air Cond. — Class.
I hereby affirm that I am licensed under provisions of Chapter 9 REG.NUMBER
(commencing with Section 7000.)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. P O SSED BY a
and Professions Code,and my license is in full force and effect.
Size&Type HP, KW, KVA, or KVAR 9 U
License Number Lic. Class ✓ Up to 1 Incl, FINAL R
Over 1 to 10 Incl. DATE may// VALIDATION 0
Contractor Date a Over 10 to 50 Incl. �FINAL U
I am exempt under Sec. I Over 50 to 100 Inc. BY �
P
B.&P.C.for this reason Over 100 /�//'�'ry� d
Z
' Servi}e. , Swbd., MCC 8 Panelboards Z
Date: <0_ Under 600
Signature 201 - 1000 Amp. Under 600 V
Over 1000 Amp. or Over 600 V
Exemption for Reg. Maint. Elect.
SINGLE FAMILY Temp. Power Pole&Appurtenances i
HOME OWNER-BUILDER DECLARATION . ,
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit : s-�. j a
Law for the followingreason Additional Sign Branch Circuits
(Section 7031.5, Business and 0-
Professions Code):
�I, as owner of the property, will do the work and .the Misc. Conduits&Conductors
structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)— TOTAL _18 00
Business and Professions Code). , CHECK
CONSTRUCTION LENDING AGENCY
s s S;-C• I-
I hereby affirm that there is a construction lending agency for r•CnANG>_ -
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
'(Sec. 3097, Civ. C.).
PLAN CHECKING FEE CC!;C-I fj11111 C5! 4r`s,'i
Lender's Name
PERMIT ISSUING FEE t'_E _ �N 7.l..
Lender's Address TOTAL FEE
I certify that I have read this application and state that the
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
h.Qreby authorize representatives of this County to enter upon,
1hi aboXe�entioned property for inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE
5gnature of Permittee Date ®s
e COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS ' 9701 LAS TUNAS EL 0508 0403310020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA ID: FEES PAID BUILDING DD S :
ON FILE 6523 OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801307
ASS SSOR INFORMATIONNUMBER: NEAREST CROSS STREET: LEMON
5382-015-023 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 37.50 03/31/04 VG 09/27/04
OWNER: TEL. NO: FINAL DATE' FINAL Y: CODE:
HU, KO (626) 294-9052- `/.J
6523 OAK AV
TEMP 917801307 DESCRIPTION OF WORK
ELECTRICAL FOR NEW GARAGE
APPLICANT: TEL. NO:
NATIONAL BUILDER, INC. (626) 821-0572-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NATIONAL BUILDER, INC. (626) 821-0572-
735 W DUARTE RD #203 LIC. NO TEMPORARY POWER POLE
ARCADIA CA 91007 497755 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TE 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0601230006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6523 OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801307
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LEMON
5382-015-023 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H7 RES EXHAUST FANS 1.00 EX 10.95 01/23/06 JK 07/22/06
TOTAL FEES 50.40
OWNER: TEL. N0: FINAr/ � CODE:
SU, KO-CHOU - G, --�
6523 OAK AV
TEMP 917801307 DESCRIPTION OF WORK
ELECTRICAL FOR NEW BATHROOM
APPLICANT: TEL. NO:
NATIONAL BUILDER, INC. (626) 821-0672-
735 W. DUARTE RD SPECIAL CONDITIONS:
ARCADIA, CA 91007
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NATIONAL BUILDER, INC. (626) 821-0572-
735 W DUARTE RD #203 LIC. NO TEMPORARY POWER POLE
ARCADIA CA 91007 497755 B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508