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HomeMy Public PortalAbout10732 ARROWOOD ST_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201110023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE .CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID - BUILDING ADDRESS: I ITR: 17867 LT: 37 I 1 10732 ARROWOOD ST I I . IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803403 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18574-002-013 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl G2 LIGHTING FIXTURES 22.00 LGT 41.60 I (TENANT: I TOTAL FEES 69.40 (ISSUED ON: PROCESSED BY: PLAN BY: . 101/11/12 SR I (OWNER: TEL. NO: (FINAL DATE FIN BY: CODE: I HUA, IDAL P (626) 705-4763- 110732 ARROWOOD ST I ITEMP 917803403 I ID�C�N OF WORK I 1REPLACE AND INSTALL 22 LIGHT FIXTURES I (APPLICANT: TEL. NO: I (SAME AS OWNER - I I - ISPECIAL CONDITIONS.: I I I I I (CONTRACTOR: TEL. NO: I - (APPROVALS DATE INSPECTOR SIGNATURE (SAME AS OWNER - I LIC. NO ITEMPORARY POWER POLEI I I I I I (UNDERGROUND CONDUIT I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND - I I I I I LIC. NO: I (ROUGH CONDUIT 1 I IROUGH WIRING I I I I I IMAIN WATER LINE I 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 I I I I I I I I I I I I I I I I I I 1 I I I I IREPORT ID: DPR265 ROUTE TO: 9SO508 COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112220052 BUILDING AND SAFETY / LAND DEVELOPMENT _ ,TEMPLE CITY,CA 91780 PHONE: (626) 285-0488 EXT:" ILEGAL ID: I - FEES PAID I BUILDING ADDRESS: I ITR: 17867 LT: 37 I . - - 107.32 ARROWOOD ST 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803403 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18574-002-013 - 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl I IG2 LIGHTING FIXTURES 10.00 LGT 19.40 I (TENANT: IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.90 (ISSUED ON: PROCESSED BY: PLAN BY: i I IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 112/22/11 SR I I ILA• 100 AMP PANELS, MCC 1.00 PAN 38.80 1 I (OWNER: TEL. NO: I TOTAL FEES 107.801F NAL DATE FIJI BY: CODE: 1. IHUA, IDAL P - (626) 705-4763- I �� 110732 ARROWOOD ST ITEMP 917803403 1 , IDESCRIPTION OF WORK •I I (ELECTRICAL FOR KITCHEN REMODEL, 2 BATHROOMS REMODEL AND I I I ISUB-PANEL 60 AMP 1 (APPLICANT: TEL. NO: I SAME AS OWNER - 1 ISPECIAL CONDITIONS: ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I LIC. NO I ITEMPORARY POWER POLE . I I (UNDERGROUND CONDUIT I I IARCHITECTOR ENGINEER: TEL. NO: I _ IUFER GROUND I 1 I LIC. NO: I IROUGH CONDUIT 1 1 I I' IROUGH WIRING If L I IMAIN WATER LINE I " IPLASTIC YIN METAL YIN I I I I I 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 t I I I I I IREPORT ID: DPR265 ROUTE TO: BSO508 I I COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer -171(clrRic DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT T FILL IN DISTRICT O. GROUP I ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS ., a��1 FIRST INSPECTION CITY �,ji/ TEL. Q .7 1-71 J COUNTY LICENSE NO. ,a/ -q EXPIRES LI ` BUILDIN 37- PERMIT FEES ` ADDRESS ,® d' �v_ u✓VW �'�'�'F3t... FEE V NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS 5C B MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS - 26 CITY TEL. NO. FIXTURES — S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS Z11,5 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ADOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DES ISED ABOVE. a, LESS >$ .25 SIGNATURE OF %2 a .50 PERMITTEE W w 2 ea 1.00 INSPECTION RECORD 5 16 1.50 15 50 2.50 50 200 5.00 200 500 10.00 J _ 500 1000 15.00 a Z -OVER 1000 20.00 (5 M.G. SET/FREQ. CHANGER-HP _ Ir WELDERS• AC-KVA O GENERATORS - KW TRANSFORMERS - KVA _ TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS --- DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1 00 Q Q CONDUIT FIXTURES $1.00 ® WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE UTILITY CO.NOTIFIED FINAL G I 76A663 DBS##5A 4-52 �� v WORKERS'COMPENSATION DECLARATION 76A663 DPW 3/87 ^ PPUCAy� N FOR ELEM CAL PERN7 O v:• � ,I (iereby affirm that I have a certificate of consent to self Ce 806G [ l� �J �J�J -irtis&e, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy t eof,,.(•8ec. 3800, Policy I�� Company /� FOR APPLICANT TO FILL IN JOB f� 7 ❑Certified copy is hereby furnished. . New Residential Bldgs. & Pools EACH NO. FEE ADDRESS f;/ ®�f� 4 ertified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $, LOCALITY tion depart m t. Multi-family Sq. Ft. �y - / �►�J Residential SwimmingPoops CROSS ST. /r/1/ �-' C=F��� „/t✓ WNER OR Date r Applicant y" FFIIRM NAME Q� CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw.— MAIL COMPENSATION INSURANCE ` ADDRESS Ga'J This section need not be completed if the work involved b ,First"20 _-7ff) ( P Y Total No. Additionbl� ,y CITY Tel. No. the permit is for one hundred dollars ($100)or less.) ('certify.that in the performance of the work for which this PLAN CHECKAPPLICANT 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 Total No. CITY Tel. No. Date' Applicant Fixed Appliances Not Over 1 HP PERMIT + NOTICE TO APPLICANT: If, after making this Certificate of APPLICATIO Exemption, you should become subject to the Workers' Range— Heater—D.W. — 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— ITY ,Tel. N LICENSED CONTRACTORS DECLARATION r ICENSE OR _ I hereby affirm that I am licensed underDis provisions of Chapter 9 p' —�rFAir Cond. 1L_ REG. NUMBER ' Clas . (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESS Y d and Professions Code,and my license i 'R full force and effect. / � � � Size &Type HP, KW, KVA, or KVAR r Q License Number S Lic. Class Up•to 1 Incl. FINAL- 0 � �� Over 1 to 10 Incl. DATE Cr Contractor I-�/s 12 Date 0` VALI ATION O Over 10 to 50 Incl. FINAL' / ❑ I am exempt under Sec. Over 50 to 100 Inc. BY . W B.&P.C. for this reason Over 100 a. D Services, Swbd., MCC& Ponelboards Z Date: 0-200 Amp. Under 600 V Z Signature 201 - 1000 Amp. Under•600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. 2 IL 3 A SINGLE FAMILY Temp. Power Pole &Appurtenances 2.0. HOME OWNER-BUILDER DECLARATION o 0 0 0 0 2 1 hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit # ' Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits ",o 0 29,0,0 Professions Code): Misc. Conduits&Conductors = Ell, as owner of the property, will do the work and the o 0 0,2 q.0 Q'v structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— D Business and Professions Code). 8 8 CONSTRUCTION LENDING AGENCY 0�,2 O'- 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 Lender's Name PERMIT ISSUING FEE Lender's Address � I certify that I have read this application and state that the TOTAL FEE above formation is correct. I agree to comply with all County ordin ces and State laws regulating Electrical wiring, and here y authorize epr tiv of this County to enter upon th bove-me i e pro rt for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit a Date ©: