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Home My Public Portal About9519 BLACKLEY ST_Electrical__ 'COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER ELECTRIC DIVISION OF BUILDING & SAFETY • WILLIAM J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL,IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN % I /z OG2' ADDRESS t GSM RECEIVED BY READY FOR DATE ISSUED /,rte FIRST INSPECTION CITY TEL. NOd.J�j�„�, �/�� •� - COUNTY LICENSE N0. EXPIRES BUILDING PERM FEES ADDRESS FEE NUMBER EACH LOCALITY. LIGHT OUTLETS 0*Q NEAREST RECEPTACLES ,� ROSS ST. - WALL SWITCHES , OWNER ,r TOTAL OUTLETS e) , Sc $ A* Q a /� C`" MAIL y /9 �c �. ELEC. RANGES 25 ADDRESS J �,/ 9 L/ lg+ { ELEC. HEATERS .� 25 � A - FIXTURES �Q 5 (� CITY �' TEL. NO. MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER OF LIGHT CIRCUITS ` APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBEFt OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORS POWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER New MVD. HP OVER INC. EF'CH OF THE RESIDENTIAL PROPERTY DESCRIBifD ABOVE. I/p a-LEss $ 25 'sem SIGNATURE OF I/a 2 .50 PERMITTE _ lviuu'��Tl 2 - s ' 00 5 15 ,1.50 INSPECTION RECORD •15 50 2 50 7 Z' ri ` 50 200 5.00 �� QarogyT� 200 500 10.00 SOO 1000 15.00 �+� ` Z 0 OVER 100 20.00 /T 7-Al-AlJ-Oat��s r M.G. SET/FREQ. CHANGER-HP - - WELDERS: AC-KVA Y'}4G T•' LiV - 0— GENERATORS -KW TRANSFORMERS-KVA vL TEMP. MOTORS (75% OF ORIG.) J,, MOVED MOTORS (75% OF OR](;.)' 1 / L lw T. i43 TA'✓AcAd MISC. T _ SIGNS NO. NO. TRANS. NO N0. LAMPS APPROVALS FOR EACH PERMIT: DATr INSPECTOR'S NAME WIRING $1.00, L7 A CONDUIT FIXTURES - - $1.00 00 WIRING '+ .�,��,,,. , A,. /1" SUPPLEMENTARY 50 FIXTURES - POWER ` TOTAL'FEE, $ Z UTILITY CO. NOTIFIED FINAL Y/ 76A 663 DBs#• 6A, 4-32 - / COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, COUNTY. ENGR= ELECTRIC 1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN ' �� l A- I 7023a ADDRESS RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION CITY TEL. NO. ...••�� •,�/,�J'vC�J�l -" COUNTY LICENSE NO. EXPIRES' BUILDING PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY � LIGHT OUTLETS NEAREST / y RECEPTACLES �� ROS ST /rT WALL SWITCHES OWNER TOTAL OUTLETS Sc $ C7 MAIL d�J ELEC. RANGES 25 - ADDRESS 19 ,. /� `/ ,�'• �y ELEC. HEATERS 25 CITY TEL. NO�A#9 FIXTURES 1 5 _ MISC - I HEREBY -ACKNOWLEDGE THAT 1 HAVE READ THIS _ NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT 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 ABOVE VALID LOS 'NUMBER - HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MVD, HP OVER INC, EACH - OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 a LESS $ 25 . SIGNATURE OF I/2 - 2 .50 PERMITTEE � V 2 s 1 00 INSPECTION RECORD 5 '-15 1.50 _ 15" 50 2 50 50 200 5 00 a 11-0 n-0 'kI.4 P zoo 500• 10 00 500 1000 15.00 Q OVERIGOO 20.00 �iSe- Duni ,SGT- "=I7A-- T ? M G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA 'GENERATORS -KW TRANSFORMERS-KVA TEMP MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. "7 II E •"J"„' _ _ 1 SIGNS NO. NO. TRANS. - APPROVALS NO NO. LAMPS _ FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING_ $1.00_L d , CONDUIT FIXTURES $1.00 WIRING - SUPPLEMENTARY * 50 FIXTURES _ POWER TOTAL FEE' UTILITY CO, NOTIFIED INAL Lac LG S 76A 888 DBS# 8A. 4-82 I' WCarjt COMPENSATION DECLARATION 10/8, APPLICATION FOR ELECTRICAL PERMIT I herebythat CE-8066 laffirm that I have a certificate of consent to self CE-806 insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY 'uI or a certified copy thereof (Sec 3896TLab C ) • 6 Policy Nq� / Company FOR APPLICANT TO FILL IN JOB41 ICI Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS FRI-tS — ertified copy is filed with the county build1 & 2-Family,inspec- Y, 9 Ft $ $ LOCALITY tion department Multi-family Scl Ft NEAREST Residential Swimming Pools CROSS ST Date Applicant OWNER OR 1 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec� Light Sw` MAIL COMPENSATION INSURANCE ADDRESS First(This section need not be completed If the work involved by Add ti C Tel No ,the permit is for one hundred dollars ($100)or less.) Total No Additional I certify that in the performance of the work for"which this APPLICANTPLA ' K permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS Total —�No Additional /CITY Tel Np�$ 7,s Date Applicant Fixed Appliances Not Over 1 HP RM -NOTICE TO APPLICANT If, after making this Certificate,of A T 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 ADDRE .Z Z/ with comply with,such provisions •or this permit shall be Top — FAU —W H — CITY Tel ,,deemed revoked Hood Fan _ Other_ �S LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I,am,I icensed under provisions of Chapter 9 Disp Room Air Cond REG NUMBER / Class (commencing with Section 7000) of Division 3 of the Business ppDISTRICT NO PROCESSED (L ' Power Apparatus& Large Appliances and Professions Code,and my license is in full force and effect /� - O � Size &Type HP, KW, KVA, or KVAR V( O V License Numbe -�/7 Lic Class Up to 1 Incl FINAL / //� Over 1 to 10 Incl to 5ncl FIN DATE `/ VALIDAT F- Contrac Date (� Over 10 0 IG ❑ I a CL exempt under Sec Over 50 to 100 Inc BY � Over 100 B&P C for this reason z Date Services, Swbd , MCC& Panelboards 0-- 200 Amp Under 600 V Signature 201 --1000 Amp Under 600 V ❑ - Over 1000 Amp or Over 600 V 3 3 7'2'A 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 I'( ° °1 6 5,0,Law for the following reason (Section 7031 5, Business and Professions Code) ,o 0,0,1 650,5 ❑ 1, 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)_ ( 1• 0 1 -8 5 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) U (Sec 309 , iv ) PLAN CHECKING FEE Lender's Name ' PERMIT ISSUING FEE 10,50 Lender's Address `it 1 ce y that I hav read this application and state that the TOTAL FEE ove formation is correct I agree to comply with all County din cesand State-laws reg ting Electrical wiring, and y authori a rep se tativ of this County to enter upon e above-m do pert or inspection purposes F SEE REVERSE FOR EXPLANATORY LANGUAGE , r gnat f P r ittee Date i COUNTY OF-LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL:PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9907210046 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LE I AID ADDRESS: TR: 17190 LT: 8 9519 BLACKLEY ST ;FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803143 ASSESSOR TIO NEAREST CROSS STREET: CLOVERLY 8590-005-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.70 TENANT: TOTAL FEES 66.45 ISSUED ON: PROCESSED B EXPIRES 07/21/99 UT 0 •/17/00 OWNER: TEL. NO: FINAL DATE FINAL BY- CODE: WILKINSON ROBERT K;LAURA A (818) 286-3756- 9519 BLACKLEY ST TEMP 917803143 DESCRIPTION OF WOW UPGRADE ELECTRICAL SERVICE PANE GOO AMP APPLICANT: 0: SAME AS OWNER - - SP CIAL CONDITIONS: Es -C®. SAME ACTOR: TE 0: - I� ®5 vM�•� AP PROVALS ER 0 DATE INSPECTOR SIGNATURE LIC. NO UNDERGROUND CONDUIT ARCHITECTD LIC. N0� 1111111 ROUGH CONDUIT ROUGHR G Uo �� MA WATER LINE C W0 PLASTIC Y/N METAL Y/N UTTLITY COMPANY NOTIFIED O 0 D c'Service That REPORT ID: DPR265 ROUTE TO: BS0508 'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9912150014 BUILDING AND SAFETY / LAND DEVELOPMENT, , TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17190 LT: 8 9519 BLACKLEY ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803143 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8590-005-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: A LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 32.00 OUT 55.20 G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISSUED 0 : PROCESSED BY: PLAN Y: EXPIRES H7 RES EXHAUST FANS 2.00 EX 21.90 12/15/99 UT TOTAL FEES 124.35 OWNER: TEL. NO: FINAL DATE FINAL BY — CODE: WILKINSON ROBERT K;LAURA A (818) 286-3756- 9519 BLACKLEY ST TEMP 917803143 D SCR TTON OF WORK ADDITION OF MASTER BEDROOM AND EYWH, 1/2 BATHROOM, LAUNDRY ROOM AND EXTEND FAMILY ROOM APPLICANT: TEL. NO: TOM OILEARY 5823 AGNES AVE. SPECIAL CONDITIONS: TEMPLE CITY, CA EI ES CC TOM TOALEARY CONSTRUCTION (818)N287-0927 APPROVALS DATE INSPECTOR SIGNATURE 5823 AGNES AVENUE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 489354 B-1 UNDERGROUND CONDUIT ARCHITECT OR ENGIN UFER GROUND LIC. NO: ,� 1111111 ROUGH CONDUIT ROUGH WIRING U L Cn /1/]0�P/JMAIN WATER LINE \1V//\1v1/ IUUU^SUUU IU��] PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 0 O. 0 ®y 45 Servoce REPORT ID: DPR265 ROUTE TO: BS0508