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HomeMy Public PortalAbout9506 FLAHERTY ST_Electrical__ 76A663 DBS SA 11 50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICIAN R.F. Walton —50" d — 2--RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N. // FIRST INSPECTION CITY San Gab. TEL NO AT 68583 /`� 7—14 COUNTY LICENSE NO 1104 EXPIRESABUILDING DDRESS 9506 Flaherty St. PERMIT FEES FEE Temple Cl } NUMBER EACH LOCALITY p LIGHT OUTLETS 14 NEAREST RECEPTACLES 23 CROSS ST WALL SWITCHES 19 OWNER Meeker TOTAL OUTLETS 56 Sc $ 2 80 MAIL ELEC RANGES P5 ADDRESS ELEC HEATERS 25 25 CITY TEL NO FIXTURES 14 5 70 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 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OVER NEW MVD HP I I EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE NC 1/2&LESS $ 25 1 25 SIGNATURE OF 1/2 2 50 PERMITTEE L 2 5 1 00 INSPECTION RECORD 5 15 1 50 15 50 2 50 50 200 5 00 200 Soo 10 00 .J 500 1000 15 00 Q Z OVER 1000 20 00 G M G SET/FREQ CHANGER HP ix WELDERS AC KVA 0 GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (75%OFORIG ) MOVED MOTORS (75%OF ORIG ) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR S NAME � O—' WIRING $1 00 I CONDUIT FIXTURES $1 00 WIRING -8W-L SUPPLEMENTARY go FIXTURES 0-{S PAW/JW/ 6 M POWER TOTAL FEE $ W UTILITY CO NOTIFIED ® I FINAL IV IV V\1 1t e 'GAe83 CEB06 10 60 APPLICATION FOR ELECTRICA PERMIT COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING "NEAREST .Ir BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING FOR APPLICANT TO FILL IN �/PERMIT FEES A et"c% /7 1 T E M NUMBER EACH I FEE MAIL OUTLETS $ $ ADDRESS LIGHTS RECEPT SW ✓ .l 10 ��j CITY TEL NO LIGHTING FIXTURES to �/ ELECTRICIAN WATER HEATERS 50 ADDRESS I/ ELEC SPACE HTRSISHWASHERS / q,. CITY vC/,r�%�� TEL NO � GARBAGE DISPOSERSAUTO y ../ ✓ STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS'/ OVER INC HPD � yCT,NO GRF1P ZONE I P CESSED BY 0— /2 2 5 50 INSPECTION RECORD 2— 5 100 Pyr ti.la" /r CL 5— 15 150 O is— 50 250 OC 50— 2000 0 SIGNS NO TRANS �t NO LAMPS n' N SERVICE O 600V 100 Z SERVICE OVER 600V Boo M ISC WIRING PERMIT 1 00 FIXTURE PERMIT i 00 SUPPLEMENTARY PERMIT 50 TOTAL FEE $ J U 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT /f ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST 11'E OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNS �THEV(AIBOVEDESCRIBED RESIDENTIA POWER SIGNATURE `� UTILITY CO NOTIFIED OF PERMITTE -- FINAL IDATION ARTHUR C VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 9160 JIM6 2 D 59 WORKER S COMPENSATION DECLARATION 20 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I herebyiatflrm that I have a certificate of consent to salt Insure 76A663 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 $e i•38Q0� b C) Policy N (/(J_ I]I c/l, CompanyC12e FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy Is hereby furnished New Residential Bldgs &Pools NO - EACH FEE LOCALITY 1 ® 1 &2 Family Sq Ft — $ $ Certified copy is filed with the county bulldi Inspection _ NEAREST ^dep eft Multi family Sq Ft CROSS ST Date I— Apphca ZtW Residential Swimming Pools ASSESSOR PAGE PARCEL ~ CERTIFICATE OF EXEMPTION FROM WO ERS � OF OR JanO COMPENSATION INSURANCE Outlets Rec —Light First 20 FIRM NAME SBO MAIL (This section need not be completed if the work Involved by the Total No Additional ADDRESS permit is for one hundred dollars($100)or less) I certify that in the performance of the work for which this permit CITY Tel N is issued I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 APPLICANT Total No Additional ADDRESS Date Applicant R66ID LAPP IA ES NOT OVER 3 HP NOTICE TO APPLICANT If after making this Certificate of /�� �D CITY Tel No Exemption you should become subject to the Workers Compensation `�'r P LIA OT OVER 3 HP provisions of the Labor Code you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Slze&Type HP KW KVA O h ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over t `� (commencing with Section 7000) of Division 3 of the Business and CITytQM0Q Tel No 15 Professions Code and my license Is in full force and effect Over 10 to 50 Incl LICENSECla s Over 50 t0 100 Incl REG NUMBER52 d ���(/1/'�,J Over 100 DISTRICT NO ESSED BY Q License Number "'��✓ 5 Lic ClassC� ! /�� ^` Services Swbd MCC&Panelboards FINAL UX a:Contracto Date ` 0 399 Amp Under 600 V DATE 0 ❑I am exempt under Sec 400 1000 Amp Under 600 V �� — Over 1000 Amp or Over 600 V FINAL IIIJJJ VALIDATION W B&P C for this reasonBY BRANCH CIRCUIT FEES Cn Date 15A or 20A 120V Lighting or Recept D Z_ ^ 1 To 10 Branch Circuits 17 Signature 11 To 40 Branch Circuits F-141 Or More Branch Circuits Exemption for Reg Maint Elect 15A 20A 208V To 277V Lighting Br Circuits 2 SINGLE FAMILY Temp Power Pole&Appurtenances ACCT s HOME OWNER BUILDER DECLARATION ACC I g I hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit -, Or}22oc for the following reason (Section 7031 5 Business ano Professions Additional Sign Branch Circuits 3302 .77 Code) 1 ITEMS ❑ 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) '`uTAL 925 and Professions Code °2o CONSTRUCTION LENDING AGENCY 81.3 1 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) 14 0000-0401 7/25r56 Civ C) t3v V 11 PLAN CHECKING FEE 7676 1 PH �°7,1 Lender s Name PERMIT ISSUING FEF Lender s Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above Information is correct I agree to comply with all County ordinances and State I regulating Electrical wiring and hereby authorize representatives of th County to enter upon the above mentioned property r Ins ion purpo s SEE REVERSE FOR EXPLANATORY LANGUAGE SIG ATUR OF PERM I E DATE YIr .` i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0107090001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID LD NG ADDRESS TR 17179 LT 12 9506 FLAHERTY ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801643 ASSESSOR 0 R NEAREST CROSS STREET PRIMROSE 5385 008 012 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY F1 120V, 15/20A BR CKTS 7 00 BR 120 75 TENANTG1 OUTLETS LGT SW RECP 66 00 OUT 101 10 ISSUED ON PROCESSED BY PLAN BY EXPMFET-a G2 LIGHTING FIXTURES 24 00 LGT 44 40 07/09/01 UT 01/05/02 H1 RES ELEC OVEN LT 3HP 1 00 OVE 10 95 OWNER TEL NO H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 FINAL DATE FINA Y CODE DELLAQUILA CAROL J (626) 287 5501 H3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 r `J�` 9506 FLAHERTY ST H4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 / TEMP 917801643 H5 RES WASH MACH LT 3HP 1 00 WAS 10 95 DESCRIPTION H7 RES EXHAUST FANS 1 00 EX 10 95 410 ADDITION (FAMILYR 3/4 BATHRM & LAUNDRY) KITCHEN REMOD APPLICANT TEL NO TOTAL FEES 359 70 OILEARY 5823 AGNES SPECIAL CONDITIONS TEMPLE CITY CONTRACTOR TEL NO APPROVALS�f� APPROVA S DATE INSPECTOR SIGNATUR TOM OILEARY CONSTRUCTION (626) 287 0927 5823 AGNES AVENUE LIC NO TEMPORARY OL TEMPLE CITY, CA 91780 489354 B 1 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER0 UFER GROUND LIC NO / 1111111 ROUGH CONDUIT ROUGH MAIN WATER �UJ `SL �\== \ \1(\��1) "\ NE PLASTIC Y/N IMETAL Y/N - v - u u �J UTILITY � L7 0 iii G 0 ,+ V O D ; it El11 vice REPORT ID DPR265 ROUTE TO BS0508