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Home My Public Portal About9437 BLACKLEY ST_Electrical__ F 76A663-CE806-11-57 A P P L I C A T I O N FOR ,E L E C TRI C PERMIT - 1� COUNTY OF LOS ANGELES- DEPARTMENT OF COUNTY ENGINEER fA I L D I NG BUILDING AND SAFETY DIVISION DRESS ]]e A LAMBIE, County En eer CASSATT D. GRIFFIN, Supt of Suildwg CALITY 7 �9 l , AREST h FOR APPLICANT TO FILL IN CROSS ST PERMIT FEES /.] ITEM NUMBER EACH FEE OWNER[ �{ _ OUTLETS / $ E MAIL LIGHTS RECEPT SW 10 ADDRESS --V'-�,b- r LIGHTING FIXTURES / 10 � D CITY TEL NO. ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS ELEC SPACE HTRS DISHWASHERS GARBAGE DISPOSERS AUTO- CITY TEL NO WASHERS STA COOKING UNITS 25 STATE LICENSE NO MOTORS OVER INC H P O — 1/2 25 DIS RIC 'NO GR UP Z NE READY FOR INSPECTION �—� 1/2 — 2 so INSPECTION RECORD - 2 — 5 100 5 — 15 1 50 15 — 50 250 50— 200 500 - SIGNS NO TRANS NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V 500 MISC WIRING PERMIT 1 00 FIXTURE PERMIT 1 00 SUPPLEMENTARY PERMIT 50 TOTAL FEE APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS-A PLICATION DATE INSPECTOR SSIGNATURE LHEREBY STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT A - ALL COUNTY ORDINANCES AND STATE LAWS REGULATING TRICAL WIRING WIRING �D _ CERTIFY THAT I AM PROPERLY REGISTERED AND/OR SED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEPOWER RIBED RESIDENTIAL PROPERTY ATURE ► UTILITY CO NOTIFIEDPERMITTE 0-4 B y t FINAL YMPATION ARTHUC VETT, CK MO CASH SUPERVISING ELECTRICAL ENGINEER LT02663N JL 9 2 A 2.4G' � &ale`��- 76A663 DBS 5A 11-50 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY I �% COUNTY OF LOS ANGELES' jr Lm jr WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O GROUP ZONE PERMIT NO. ELECTRICt=Mjjt4 TY ELECTRIC MAINILMANCt 06-5vv ADDRESS N AVf L A 33 RECEIV�//�E�D�,,BY READY FOR DATE ISSUED �"� `^ FIRST�Q I ION ! —,�� CITY ANOGIuS 1-28f& NO /' COUNTY LICENSE NO EXPIRESO d" BUILDING PERMIT FEES ADDRESS /'��C� NUMBER EACH FEE LOCALITY Gam',-lt y 4:,-- LIGHT OUTLETSNEAREST RECEPTACLES CROSS ST J- G&7v,,r WALL SWITCHES OWNER TOTAL OUTLETS Sc $-121-1 MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS .25 CITY TEL NO FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISCAPPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS i d-� V AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ` NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING' MOTORS 1 CERTIFY THAT I POS ESS THE ABOVE VALID LOS ANGELES COUNTY LICENS OR I AM TH LE A OWNER NUMBER HORSEPOWER FEE NEW H OVER INC EACH OF THE RESIDENTIAL ES IS D A E. 1/2 &LESS $ 25 1` SIGNATURE OF 1/2 2 50 PERMITTE 2 5 100 INSPE ECORD 5 15 1 50 15 50 2 50 L 50 200 5 00 200 500 10 00 .Q Ta�� J 500 1000 15 00 Q OVER 1000 20 00 r � M G SET/FREQ CHANGER-HP 0-�bpQ �Aj Q' WELDERS AC-KVA .�.$�/ 'DC7 ,��teLj O GENERATORS-KW TRANSFORMERS-KVA TEMP MOTORS (75%OF ORIG MOVED MOTORS (75%OF ORIG MISC SIGNS NO NO TRANS I APPROVALS' NO NO LAMPS DAT)e, INSPECTOR'S NAME FOR EACH PERMIT WIRING $1 001 1 CONDUIT A FIXTURES $1 00 / WIRING /� Gs✓��/`�/r SUPPLEMENTARY 50 FIXTURES / POWER TOTAL FEE $ UTILITYCO NOTIFIED A r✓ ® FINAL N J 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. GROMP ZONE PERMIT NO. ELECTRICIAN 00 44 7 RECEIVED BY READY FOR DATE ISSUED ADDRESS Al( GV A-N fivC FIRST 1 SPECTION _q CITY .. TEL.NO N "Z6 XJL✓. /U 10—I 4-3 COUNTY LICENSE NO EXPIREsIS-3rO' BUILDING / ^I -4 ./ PERMIT FEES ADDRESS -}� /► N/IV�J �/ NUMBER EACH FEE LOCALITY �/ w C C:� l LIGHT OUTLETS NEAREST ��JJ RECEPTACLES CROSHST WALL SWITCHES OWNS Y' /<22 ///''' TOTAL OUTLETS 5c S MAIL �1 // ELEC RANGES 25 ADDRESS �/ ELEC HEATERS 29 CITY TEL. NO FIXTURES 8 I HEREBY ACKNOWLEDGE THAT I 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 I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LE OWNER NEW MVD OVER INC EACH ` OF THE RESIDE L_8 RTY D CR D B E I/2 6 LESS $ 25 ZJ SIGNATURE OF %2 2 50 PERMITTEE i 2 s 100 INSPECTIO ORD 5 15 1 50 15 so 250 s0 200 Soo 200 500 1000 J 500 1000 1500 Z OVER 1000 2000 L7 M O SET/FREQ CHANGER-HP WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP, MOTORS (75% DF DRIB) MOVED MQTORS (75% DF DRIG) MISC SIGNS NO NO TRANS. APPROVALS NO NO LAMPS FOR EACH PERMIT. D E INBPECTOR•B NAME WIRING $1.00 CONDUIT FIXTURES $1.00 � WIRING SUPPLEMENTARY SD l V FIXTURES POWER TOTAL FEE $ r ,� UTILITY Co NOTIFIED FINAL 76A663 DBS#SA 2-53 ---��--P- �e 0 c'T 76A663-CE606 468 APPLICATION FOR ELECTRICAL PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING , 47 BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE. COUNTY ENGINEER / COLEMAN W. JENKINS, SUPERINTENDENTOFBUILDING LOCALITY NEAREST 67�� FOR APPLICANT TO FILL IN CROSS ST 67 47- `y� Q NO EACH FEE RECEPT_ $ $ OWNER MAIL LIGHT TOTAL FIRST 20 20 ADDRESS ' SWITCH_ OVER 20 10 CITY "� Y TEL NO PLAN CHECK LIGHTING �TOTAL FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE—DRYER_WTR HTR CITY TEL NO STA COOK_DISP F A U - CONTRAC rOR SPACE HTR AIR COND ADDRESS CLOTHES WASH _DISHWASH 4 CITY TEL NO FAN—OTHER Z 1 00 Z. OU LICENSE IJO CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC' HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPEOVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEG OWNER , AND INTEND TO 10 - SO 5 00 RESIDE IN, THE 7E DE ED RE NTIAL PROPERTY SIGNATURE O_ SO - 100 10 00 OF PERMITTEE O U too - 500 15 001DIST ICT O GR P N PR ESSED BY o TUBE OR SSlIGN,GAS IGN AND ONE CIRCUIT 3 00 (•o� ., U MARQUEE LLI ADDITIONAL CIRCUITS 1 00 a NOTES CIO) SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 2- 0-0 Z SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES' 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH'CONOUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 Z �'O UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE 461 JOSEPH C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M OeAS LAC-11 14 511.0 ,Illi.2 5 2 D 6.0 5EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� EIS 1 5A 3 35 APPLICATION FO • ELECTRIC RIC ■ ERMIT � D DBS 8A 'DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING WM J FOX, COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST /r PERMIT FEES CROSS ST NUMBER EACH FEE OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES �V TOTAL OUTLETS 5¢ $ 1,26 CITY TEL NO 4aV ELEC RANGES 25 ELECTRICIP.N _ELEC HEATERS 25 ADDRESS KW EA CITY TEL NO FIXTURES 5 LICENSE NO omwam NUMBER OF LIGHT CIRCUITS - DISTRICT NO I GROI�I Z E I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS v NUMBER HORSEPOWERFEE INSPECTION RECORD NEW MVD HP OVER I INC EACH 1/2 a&LESS $ 25 1/2 2 50 2 5 1 00 5 15 1 50 15 50 250 50 - 200 500 ' MISC' NO SIGNS - NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 rw FIXTURES $100 SUPPLEMENTARY 50 / APPROVALS TOTAL FEE S / ✓ DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 1 ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTI L PROPERTY SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL 1 I WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A C EIT.CHIEF ELECT INSPECTOR - AC0 8 5 3 6S) SEP 3 0 2 2.25 c WORKERS' COMPEINSATIQN DECLARATION 76A663 10/81 1 11I hereby affirm that I have a certificate of consent to self insure, GE-806G APPLICATION FOR E,LECTRIC�AL PERIIAIT 1fl , oc a`certifieate of Workers Compensation Insurance, ora certified COUNTY OF LOS ANGELES BUILDING ANDrSAFETY " copy,thereof(Sec 3800Lab'C)`� y - "' Polic N om an�� FOR`APPLICANTT0.FI- IN + JOB r. y p y ' EACH_ NO `FEE ADDRESS4 ti' ❑ Certified copy is hereby furnished New Residential Bldgs &,Pools Pit Certified copy is filed with the cou w nspection 1 &2-Family, Sq Ft $ — $ LOCALITY ' NEAREST ,department Multi-family Sq Ft — '' CROSS ST s' = Residential Sv3immmg Pools $' OWNER OR `Date ApplfC �� S�. ;� FIRM NAME CERTIFICATES.,OF EX TIOWFROM WORKERS' Outlets Rec�Li ht' Sw h , `' e + P )..`z y 'MAIL ` COMPENSATION INSURANCE ti w g ADDRESS First 20` t (This section need not be'completed rt the work involved by the ' - ' 2 permit„s for one hundred dollars ($100)or,less) Total No Additional Additional CITY ` �� Tel No O ' PLAN CHECK / y a I certify that in the performance of,the work for;which this permit = �” APPLICANT G. 641, . is-issued;I shalk not.employ any,person in any manner so,as to ,, + > become subject to the Workers'Co'mpensation'Laws h Lighting'Fixtur First 20r- c, b + ADDRESS r _ J , fr x , -Additional r e �' � r , a- ° Total No CITY Tel'No + Date Applicant ro / NOTICE TO APPLICANT , If, after making this Certificate of Fixed Appliances Not Over i HP PERMIT > l/ Range. Heater_ D W ' 'z APPLICANT Exemption,you should become subject to the Workers'Compensation g y —I _ ti provisions of the Labor Code, you must forthwith comply with such Oven Dryer W M ADDRESS 1' provisions or this permd shall rbe deemed revoked _ Top ` FAU_` W HCITY` �` �', Tel N G y LICENSED CONTRACTORS DECLARATION 'Hood Fan Other_ I hereby`affirm that I,am licensed under provisions of Chapter 9 LICENSE B Disp — Room Air Cond Class " d (commencing wNA Section 7000) of Division 3 of the Business and REG NUMBER S�"Zd Professions Code,and my license is'in'full force and effect power Apparatus& Large Appliances DISTRICT NO PR ED BY • w' Size& Type HP, KW,KVA, or KVAR � I 084 License Number ��2 0 Lic Class Up to 1-Incl FINAL /> / Over 1 to 10 Incl DATE' Contractor^" ��` 45 Date - 0 r �/- VALIDATION ' ❑ , Over 10 to 50 Incl FINAL V I am exempt under Sec ,Over 50 to 100 Inc + BY a B&PC for this reas" verl)0aO (n Ser ices, w d,MGC(&/Pan Iboar - Z1 . 0- 200 Amp Under 600 V _ vISi 201 - 1000 Amp Under 600 V Over 1000'A4 or Over 600 V emption for;Reg Maint Elect 2 +- -+' SINGLE FAMILY '�` Temp Power Pole'& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractons'License Law7 j for the following reason`(Section 7031 5, Business and Professions Adddional Sign.Branch Circuits "-�, _ 3301Code) _ ,,F 1 . TEM ❑` I,as owner of the property,will do the work and the structure Mist Conducts & Conductors Other See Com Iete_Fee,Schedule) TOTAL, .30 ` is not intended,or offered for sale (Section 7044, Business �,, p _ _ - ' _ �' - f `I . a f 'and Professions Code) I ° _ 4 �i �G a wl� t - CONSTRUCTION LENDING AGENCY ' CHANdE + , ) ' r I`hereby affirm that"there is a construction lending agency for the performance ofithe wofk'for which this permit is issued,(Sec 3097, PERMIT FEE (Sub-Total): Civ C) Q 1 2/24/90 PLAN CHECKING FEE o-- i AMID Lenders Name ;, o 7 1308' 1 AM10=„' PERMIT ISSUING,FEE 08r Lender's Address ' I certify that•,I have read this application and state that the above TOTAL FEE s ` +information is-correct I a e to comply with all County ordinances, ° and State,laws r Electrical wiring, and hereby authorize , 'represent .Of s County to er'u In th above-mentioned grope form coon purposes SEE REVERSE FOR EXPLANATORY.LANGUAGE.. t e,of Permdtee Date WORKERS' COMPENSATION DECLARATION -663 10/81 APPLICATION FOR ELECTRICAL PERMIT CE -806G hereby affirm that I have a certificate of consent to self insure, CE-806G i 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 �.. Certified copy is hereby furnished. New Residential Bldgs.& Pools EACH NO. FEE ADDRESS 11 •j L� y^ ❑ 1 & 2-Family,Sq.Ft. $ — $ LOCALITY Certified copy is filed with the county building inspection department. Multi-family Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecLight Sw. MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the rf First 20 permit is for one hundred dollars ($100) or less.) Total No. Additional CITY Tel.No. I certify that in the performance of the work for which this permit PLAN APPLICANT CHECK 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. 0 CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT 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. CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR } (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. Cl REG.NUMBER ass } Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY a" Power Apparatus& Large Appliances U f !. Size & Type HP,KW,KVA,or KVAR W License Number Lic.Class Up to 1 Incl. FINAL --t Over 1 to 10 Incl. DATE VALIDATION ContractorDate Over 10 to 50 Incl. >– ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. BY Q B.&P.C.for this reason r Over.100 0 Services,Swbd.,MCC& Panelboards , CL 'Date: -- 0-200 Amp.Under 600 V W Signature 201 - 1000 Amp.Under 600 V ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V 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 for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ❑ 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) pop. 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.). PLAN CHECKING FEE ,nder's Name PERMIT ISSUING FEE der's Address tify that I have read this application and state that the above TOTAL FEE ation is correct. I agree to comply with all County ordinances tate laws regulating Electrical wiring, and hereby authorize :entatives of this County to enter upon the above-mentioned ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE e of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1104120015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID I FEES PAID BUILDING ADDRESS I ON FILE 1 9437 BLACKLEY ST I I IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803141 I ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET ENCINITA I 18590-003-002 IA1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl I IG2 LIGHTING FIXTURES 1 00 LGT 1 90 I ITENANT I TOTAL FEES 29 70 JISSUED ON PROCESSED BY PLAN BY 1 104/12/11 SR I (OWNER TEL NO IFINAL DATE FINAL BY CODE I ITAMANAHA, GLENN (626) 230-5668- 1 19437 BLACKLEY ST I ITEMP 917803141 1 IDESCRIPTION OF WORK (INSTALL ONE RECCESSED LIGHT I (APPLICANT TEL NO I I 1 IBAUTISTA, HERMAN (626) 202-5481- 1 I 1 111232 WILMOT ST I ISPECIAL CONDITIONS 10AK HILLS, CA 92345 1 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IJJ HERMAN HOME IMPROVEMENT INC (626) 202-5481- 1 1 111232 WILMONT STREET LIC NO ITEMPORARY POWER POLE I I (OAK HILLS, CA 92345 870022 B 1 11 I v IUNDLRGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NOIUFER GROUND I I I _ I I I LIC NO i TROUGH CONDUIT IROUGH WIRING I I I 1 1 IMAIN WATER LINE 1 (PLASTIC Y/N METAL Y/N I 1 (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 1 I I I I I I I I I 1 I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO BS0508 I I I I