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Home My Public Portal About9116 DUFFY ST_Electrical__ ?6A663 Das 6A 7-SI APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES � �� i WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC 10. GROUP ZONE PERMIT NO. ELECTRICIAN, RE C VED BY READY FOR DATE ISSUED ADDRESS 1/1// FIRSTA(45PECTNIN CITY TEL NO. COUNTY LICENSE NO. ® EXPIRES BUILDING // PERMIT FEES ADDRESS (� PEE LOCALITY _ 10 NUMBER EACH LIGHT OUTLETS *-TqCROSS BT. NEAREST RECEPTACLES i WALL SWITCHES --�////� OWNER TOTAL OUTLETS SC $ �b MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 yC_:L I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS MISC. T 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 RESULATI NG ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER. FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MVD. HP v[q INC. EACH OF THE RESIDENT PROPE Y DE9CR1 D ABOVE. LESS .25 BIONATURE OF I�E 2 50 PERMITTEE 2 IS 1.00 I SPECTION RECORD 5 is 1.50 f 1s 50 2.50 _ sD 200 5.00 rte_ 200 Soo 10.00 J1 soa TODD 15.00 OVER IOD❑ 20.00 —7— M.S. _ �� /M.G. SET/FRED. CHANGER-HP � p Y- 4 WELDERS: AC-KVA \ $ / '0,;e*l O GENERATORS - KW TRANSFORMERS TEMP. MOTORS (959'. OF DgID.) _ MOVED MOTORS MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT _ FIXTURES _ $1,00 WIRING SUPPLEMENTARY .50 FIXTURES / POWER TOTAL FEE $ /^ UTILITY CO. NOTIFIED _ L (((JJJ FINAL -'W-4—,4 � 4— . 76A663C- CE806B 1305 GS°. PPLICAT0 FOR ELECTMadP[(�//�t RM �1 BUILDING LA�FE TyNISI .I/!/V--/J✓� . FOR APPLICANT TO FILL IN New Residential Bldgs.& Pools EACH NO. FEE ADDRESS i, 1 &2 Finaily Sq. Ft. - $ LOCALITY Multi-family Sq. Ft. _ NEAREST Residential Swimming Pools CROSS ST.OWNER OR FIRM NAME nu Meyer, Outlets: Light, Switch & Receptacle MAIL First 20 ADDRESS Additional CITY Tel. No. ja r^" PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D.W. _ ADDRESS , �- Oven Dryer W.M. boje 13 Top FAU W.H. CITY�30 VA Tel. No. - >- Hood Fan LICENSE OR REG. NUMBER Class. Disp. A.C. I HERE" ACHNIHNIC DOC THAT I NIVI HEAD THIS AP�IHIATION AND STATE T.AT THE ABOVE IS C.RRG�' AND AGREE TO COMPLY0 Power Apparatus& Large Appliances WITH ALL COUNTY ono ."""CFE AND STATE LAWS "FOUL".H" � w Size&Type HP, KW, KVA,.Or KVAR ELECTRICAL w'"'"`' d h Up to 1 Incl. I Droll Z Over 1 to 10 Incl. REOUIREU By LOS ANGELES COUNTY AND Over 10 to 50 Incl. oEIC ODD N L o.D LEGALDANIA OR THAT I AM INC OWNER DP ."e Ape O Over 50 to 100 Ind. PERMITEE es ay Over 100 SIGNATURE DISTRICT NO. FLROC SED BY Services 0-200 Amp. Under 600 V U 2 + 201 - 1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S SIGNATURE Over 1000 Amp.or Over 600 V TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTI LITV CO.NOTIFIED 6�ii '7a�i h-...' PLAN CHECKING FEE (One-Fourth Permit Feel FINAL PERMIT ISSUING FEE NOTES TOTA�JL RKFES SA N PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH 7 8 1 JUN 7 2 U 2 0.5 0 &4 POLICY HOLDER:ga. ti+• — - - - POLICY NUMI3ER: C L 7 ? Cr SLP WORKERS' COMPENSATION DECLARATION CE-806 to/Bt APPLICATION TION FOR ELECTRICAL n ECTRI � A p PERMIT I,hareby of firm hat I have a certificate of consent la self" CE-8066 PYIr Ir IL Pri II YI IL rbi"i 1L Ctl9 insure, ar a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or A certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB `?116 (i FF LK Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS b vL ❑ Certified copy is filed with the county building inspec- 18 2-Family, Sq. Ft. $ — S LOCALITY NEAREST lion department. Multi-family$q. FL CROSS ST. Date Applicant Residential Swimming Pools _ N _ OWNER OR ,,/ CERTIFICATE OF EXEMPTION FROM WORKERS' FIRM NAME ew le ��(i / Outlets: Rec 3 Light_Sw. ADD / ?/- COMPENSATION INSURANCE First 20 7S 3 -- ADDRESS �I� ?1 6( �� (This section need not be completed if the work involved by Total No Additional CITY G Tel. No. S—� the permit is for one hundred dollars ($100)or less.) 1 certify performance that in the of the work for which this PLAN CHECK permit is issued, I shall not employ any person in any manner APPLICANT s0 as to become subject to the Workers' pensatio ws. Lighting Fixtures First 20 ADDRESS ' ys c Total No. Additional CITY Tel. No. Date ` —�� Applicant - Fined 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. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _Disp. _ Room Air Cond. LICENSE OR 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 DISTRICT N P ED and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances m Size 8 Type HP, KW, KVA, or KVAR' 1/.?� V License Number Lic. Class— FINALUp to 1 Incl 1% Over 1 to 10 Incl. DATE VALIDATION O Contractor Date Over 10 to 50 Incl. V ❑ I am exempt under Sec. Over 50 to 100 Inc. BY N B.BP.C. for this reason Over 100 Z Date: Services, Swbd., MCC 8 Ponelboards 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Moint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY - Temp. Power Pole 8 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 Pr scions Code): I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— D 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ;2 5 3 8 6 A 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) # 0," 0,0 2 (Sec. 3097, Civ. C.). PLAN CHECKING FEE ( ° ° 1 3 5 O Lender's Name e 0 e 1 3 5 0 5 PERMIT ISSUING FEE O Lender's Address I certify that I have read this application and state that the O Q 9 8 c 8 6 TOTAL FEE / 3-� above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby gylhorize rep sentatives of this County to enter upon the a >t$v6-men operty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 9 _2f__1V:G Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY q 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9908300005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL FES PAID BUILDING ADDRESS: TR: 16134 LT: 10 9116 DUFFY ST FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917802448 ASSESSOR INFORMATION MB : NEAREST CROSS STREET: 5387-021-005 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.95 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 TSSUED ON: PROCESSED BY: PLAN BY: EXPIRON: TOTAL FEES 58.35 08/30/99 UT 02/ 0 OWNER: TEL. NO: FINAL DA E FINAL W7. CODE: KLEINEDLER WALTER J JR;MARIKO (818) 285-0361- 9116 DUFFY ST TEMP 917802448 SCRI N OF WORK" ELECTRICAL FOR NEW HVAC AND Ald SYSTEM APPLICANT: T . NO: ECONO AIR (800) 503-2666- 4522 EISENHOWER CIR. SPECIAL CONDITIONS: ANAHEIM, CA CONTRACTOR: TEL. NO: 5 P,NGE LE S CC) APPROVALS DATE INSPECTOR SIGNATURE ECONO AIR (800) 503-2666- 4522 EISENHOWER CIRCLE LIC. NO TEMPORARY POWER POLE ANAHEIM CA 92807 BUSLICENSE % UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: / R GROUND LIC. NOc 7111711 ROUGH CONDUIT MAIN WATER LINE PLASTIC Y/N METAL Y/N Ufr[71TCDMPANY NOTIFIED ( a D Ail 0 0 7 A 0 �� ®9 c Service That * ADDITIONAL DATA ON FILE REPORT ID: DPR265 ROUTE TO: BS0508