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Home My Public Portal About9511 BLACKLEY ST_Electrical__ 7GA663 CBs 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC I WILLIAM J. FOX, CHIEF ENGINEER FOR I)r T TO IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIA f RECEIVED BY READY FOR DATE ISSUED ADDRESW FIRST INSPECTION CITY O. S� COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FF&g ADDRESS NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES .OWNER TOTAL OUTLETS 5C $ MAIL ELEC. RANGES /./.,�A�[y� 25 .ADDRESS ELEC. HEATERS 44VJ 7y 25 CITY TEL. NO. FIXTURES _ S 1 HEREBY ACKNOWLED THAT I HAVE READ THIS MISC. APPLICATION AND STAT HAT THE ABOVE 18 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 ANGELES COUNTY LIC SE, OR 1 M THE LEGAL OWNER FEE NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL RTY ESCRI D A U & LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTE / z s 1.ao INSPECTION RECORD 5 is 1.50 is so 2.50 5 1 200 s.OD _ 200 1500 10.00 Q sou 1000 15.00 Z OVER 1000 20.OD @J M.G. SET/FREQ. CHANGER-HP 0 WELDERS: AC-KVA 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 CONDUIT FIXTURES $1.00 WIRING11!` w SUPPLEMENTARY ,so FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED _ FINAL e 0 WC�FIKER'S COMPENSATION DECLARATION 20-0019 DPW 9/89 76A663 APPLICATION FOR ELECTRICAL PERMIT 76A66 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab. C.) ❑ Policy No[/ C /g Company /-� ( ""�G FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished. " ' �� New Residential Bldgs.&Pools EACH NO. FEE LOCALITY 0--C- — e 1 &2-Family,Sq.Ft. $ $ rtified copy is tiled with the county building inspection _ department. Multi-family Sq.Ft. NEAREST ST. Date G If If,- Applicant Residential Swimming Pools MAP BOOK PAGE PARCEL CERTIFICATEOF EXEMPTI FROM WORKERS' Outlets:Rec.f Light Sw. FFIIRM NAME WNER /"!/f. / COMPENSATIO SURANCE First 20 (This section need not be completed if the work involved by the MAIL L permit is for one hundred dollars($100)or less.) Total No. Additional 0 ADDRESS f - / 1 certify that in the performance of the work for which this permit CITY -1_7 G� G� � el.No. is issued, I shall not employ any person in any manner so as t0 - PLAN CHECK become subject to the Workers'.Compensation Laws. Lighting Fixtures First 20 v APPLICANT Total No.- _�?— Additional ADDRESS Date Applicant 15 OR 20A,.120V CIRCUITS NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH / provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT P Y P Y APPLICANT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH - / >_ LICENSED CONTRACTORS DECLARATION ADDRESS S T�/✓ O- I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH 0 (commencing with Section 7000) of Division 3 of the Business and CITY No.� �JD� 0 Professions Code, and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE ORa. Power Apparatus&Large Appliances REG,NUMBER D Class. G/O 0 License Number 6 0 Lic.Class Gl« Size&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESSED BY U ` Up to 3 Incl. OL'Zyz R-r�� W y/ Over 3 to 10 Incl. FINAL � Contractor Date�`" DATE El Over 10 to 50 Incl. `� -11Y-1,F2_ Z I am exempt under Sec. Over 50 to 100 Incl. / VALIDATION Over 100 FINAL B.&P.C.for this reason BY Services,Swbd.,MCC&Panelboa�rd7s�� U Date: 0-200 Amp.Under 600 V(R &ot Signature _-201 -1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. i SINGLE FAMILY Temp.Power Pole&Appurtenances * a HOME OWNER-BUILDER DECLARATIONt.t:I e3 I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit 7 ;•�y_ for the following reason (Section 7031.5, Business and Professions Additional,Sign.Branch Circuits ° .f: 07 68.45 Code): 1 ITEMS Misc.Conduits&Conductors I,as owner of the property,will do the work and the structure TOTAL �� ® ,,* is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) IAL 4 and Professions Code). , CHECK )C CONSTRUCTION LENDING AGENCY NE a�f1 I hereby affirm that there is a construction lending agency for the CHANGE performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE _ (Sub-Total) �� n Civ. C.) 130013-03131 3/24/92 PLAN CHECKING FEE _ Lender's Name , L 5161 1 AM 7 a 47 PERMIT ISSUING FEE c�`T a Lender's Address I certify that I have read this application and state that the above TOTAL FEE 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 //x,-, V, (_fz_?��ZZ) SIGNAr OF APPLICANT R AGEFNT f DATE i WORKERS'COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT , I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY ora certified 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 Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY tion deportment. Multi-family Sq. Ft. NEAREST71 CROSS ST. Residential Swimming Pools Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. Additional CITY Tel. No. the permit is for one hundred dollars ($100)or less.) I certifythat in the performance of the work for which this PLAN CHECK P erAPPLICANT 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 Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT 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_ CITY Tel. No. a LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. V (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO. PROCESSED BY Ld and Professions Code, and my license is in full force and effect. J Size &Type HP, KW, KVA, or KVAR t% License Number Lic. Class Up to 1 Incl. FINAL r Over 1 to 10 Incl. DATE VALIDATION Contractor Date ❑ Over 10 to 50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc. BY a B.&P.C. for this reason Over 100 W Date: Services, Swbd., MCC & Ponelboords ► I- 0 - 200 Amp. Under 600 V 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 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and 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 Other (See Complete Fee Schedule)_ ► 7044, Business 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 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 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 Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT �. DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0601300037 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17190 LT: 7 9511 BLACKLEY' ST . FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803143 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8590-005-009 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID.: J4 LOCALITY: TEMPLE CITY, C C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45 ' TENANT: G1 OUTLETS-LGT,SW,RECP 45.00 OUT 72.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 20.00 LGT 39.00 01/30/06 JK 07/29/06 HA FAU LESS 3HP 1.00 FAU 10.95 OWNER: TEL. NO: H1 RES ELEC OVEN LT 3HP 1.00 OVE 10.95 FIN L T FINAL BY: CODE: ZHANG, SAM (626) 203-9639- H2 RES GRBG DISP LT 3HP •-•1.00 DIS 10.95 9511 BLACKLEY ST H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 -'- TEMP 917803143 H4 RES RANGE HDS LT 3HP' 1.00 HOO 10.95 DE CRI ION OF WORK JB AC UNITS +3-10HP 1.00 AC 19:65 ELECT ICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE JX MOTORS, LT 3 HP 1.00 MOT 15.30 200 AMP APPLICANT: TEL. NO: LA 100 AMP PANELS, MCC 1.00 PAN 38.85 ZHU (626) 203-9639- TOTAL FEES 322.50 556 W. LAS TUNAS DR SPECIAL CONDITIONS: SAN GABRIEL CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE NOVEL DEVELOPMENT, INC. (626) 202-5448- 319 N. SAN GABRIEL BLVD. LIC. NO TEMPORARY POWER POLE SAN GABRIEL, CA 91775 855491E UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: 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