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Home My Public Portal About9973 DUFFY ST_Electrical_09/24/1951 76A663 DES SA 11-50 - - ' ' APPLICATION FOR PERMIT, DEPARTMENT"OF BUILDING, AND-"SAFETY COUNTY OF LOS ANGELES LEEk'�3T l: I WILLIAM J.. FOX, CHIEF ENGINEER FOR PLI AI?IT FILL IN DISTRICT NO. GROUP' ZONE PERMIT"NO. ELECTRICI RECEIVED BY READY FOR DATE ISS ED ADDRES!LZe/f/p �/"' FIRST INSPECTION 7y r CITY - TEL. NO:- COUNT LICENSE NO. .EXPIRES /�. BUILDING C ADDRESS PERMIT FE SOF FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST _. CROSS ST. RECEPTACLES i WALL SWITCHES • OWNER TOTAL OUTLET 5c $ ® MAIL ELEC, RANGES 25 ADDRESS - r ELEC. HEATERS' 25 CITY EL. NO. FIXTURES .5 1• HEREBY ACKNOWLEDGE THAT 1 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- • I" CERTIFY THAT I POSSESS THE ABOVE, VALID LOS Nur.1EER HORSEPOWER ,) - ANGELES COUNTY LI SE, OR 1 AM THE LEGAL OWNER _ FEE OF THE RESIDENTIA P. RTY 'D RIBED BOV NEW MVD.. HP OVER I 'INC. EACH - I 1/2 fi LESS $ - .25 SIGNATURE OF 1/2 2 .50 PERMITTE 2 5 1.06 INSPECTION RECORD 5 15 t.so Is 50 2.50 • r 50 . 200 5.00. 200 500, 10.00 '" J 500 . 1000 15.00 _ a Z OVER 1000 20.00 (� 'M. G. SET/FREQ. CHANGER-HP C WELDERS: AC-KVA O GENERATORS-KW , - - TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) t MOVED MOTORS (75%OF ORIG.) MISC. SIGNS No. NO. TRANS. I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT. WIRING $1.00 C iA_�a..ti�� C? 1�/. FIXTURES' WIRING� $1.00 A - - ",� , FIXTURES SUPPLEMENTARY ,.50 POWER TOTAL .FEE" I $ _ I '�^ UTILITY CO..NOTIFIED I �!" A n a .. FINAL WORKERS'COMPENSATION DECLARATION 76-06 13 DPW 3/87 n P P n C n 'sr M N FOR E n E C7 M CQ n p E RWT O i/I herebyrjaffirm that I have a certificate of consent to self •ce-aoaG !r`U !6 Grit � ll'CI [!� LLS, l�..v Ili L� LS UVU ,,insure, oy a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 2 Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 3 4000 f .Yr 2' ? Certified copy is filed with the county building inspec- l &2-Family, Sq. Ft. i $ _ $ LOCALITY 7C�/n� 0-7,?`" tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools' CROSS ST, N�C.�u)yIJ Date Applicant OWNER OR ,'�` G - �� .FIRM NAME A/ AAj1AJ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL p �� First 20 COMPENSATION INSURANCE ADDRESS 7 �J 7— //W (This section need not be completed if the work involved by Total No. Additional CITY /�� 7� Tel. No.Zsf "`I the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work t4 which this APPLICANT permit is issued, I shall not employ any pers an nner Lighting Fixtures First 20 ADDRESS so as to becom subject to the Workers' a io L s. Additional Total No. CITY Ly Tel. No. Dote App lica t Fixed Appliances Not Over 1 HP PERMIT NOT I E TO APPLICANT: If, after making this Certificate of APPLICATION 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 t Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO.' PROCESSED BY Dr.. and Professions Code,and my license is in full force and effect. Size &Type HP, KW, KVA, or KVAR y '4 O License Number Lic. Class Up to 1 Incl. FINAL x' f t) Over 1 to 10 Incl. DATE VALIDATION Contractor Date Over 10 to 50 Incl. , ' 6/ ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc. U gY / dB.&P.C. for this reason Over 100 l Services, Swbd., MCC& Panelboards Z Date: 0- 200 Amp. Under 600 V Signature 201 - 1000 Amp, Under 600 V Over 1000 A p. r Over 600 V �t0.3 2•0.A Exemption for Reg.SINGLE F Elect. � /aS� Z� SINGLE FAMILY Temp. Powe &Appurtenances #�?o'o 0 0.0 2 HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ( o'0 2 rj 0 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): o:'o,o;2 S 5 0'.0 91, as owner of the property, will do the work and the Misc. Conduits& Conductors 0 8, 01 '-'8 8 structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ 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 /Q J1Z Lender's Address TOTALFEE �y I certify that I have read this application and state that the GS.J, above information is correct. I agree to comply with all County ordinances and Sta ows regulating Electrical wiring, and hereby outho a es ves of this County to enter upon the above- e e ro rty f inspection purposes. y SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date es COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT 5EPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0902040008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 17200 LT: 15 1 9973 DUFFY ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802608 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18588-013-021 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I IF1 120V, 15/20A BR CKTS 1.00 BR 17.25 I I (TENANT: - IG1 OUTLETS-LGT,SW,RECP 24.00 OUT 44.40 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I IG2 LIGHTING FIXTURES 6.00 LGT 11.70 102/04/09 SR 08/03/09 1 IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 1 1 (OWNER: TEL. NO: IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 IF NAL-DATE FINAL BY: CODE: I IFENTON, JOHN (626) 443-2100- IH4 RES RANGE HDS LT 3HP 1.00 H'OO 10.95 I 19973 DUFFY ST IH7 RES EXHAUST FANS 1.00 EX 10.95 I •� '1 1 ITEMP 917802608 I TOTAL FEES 144.90 IDESCRIPTION OF WORK 1 I (ELECTRICAL FOR KITCHEN REMODEL I I I I I (APPLICANT: TEL. NO: I IJIM TURTZER (562) 665-2693- I I 116250 SKAGWAY ST. ISPECIAL CONDITIONS: IWHITTIER, CA 90603 I I I I I I ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE ID & T GENERAL CONTRACTING (562) 945-2083- 1 18407 ENRAMADA AVE. LIC. NO ITEMPORARY POWER POLE I I I IWHITTIER, CA. 90605 423766BC10 I I I I (UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I LIC. NO: I IROUGH CONDUIT I II . I I I I I I I I I ROUGH WIRING IMAIN WATER LINE 1 / I I IPLASTIC Y/N METAL Y/N I 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 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 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 IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I I I I