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Home My Public Portal About9524 FLAHERTY ST_Electrical__ 76A663 bBS SA 11 sa APPLICATION FOR PERMIT DEPARTMENT OF BUILDING LAND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICIAN aECJEIVED BY READY FOR DATE ISSUED ADDRESS FIRST INSPECTION CITY TEL NO COUNTY LICENSE NO 10 EXPIRES ABUILDING DDRESS PERMIT FEES 1, t NUMBER EACH FEE p LOCALITY G -,;,2 e t LIGHT OUTLETS NEAREST RECEPTACLES CROBS ST WALL SWITCHES ! OWNER TOTAL OUTLETS Sc $ MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 CITY TEL. NO MISC APPLICATION FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS CATION 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 ELECTRILAL WIRING MOTORS ( 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ' FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER NEw MVD HP OVER INC TEACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE %2 & LESS $FF 25 SIGNATURE OF I/2 2 1 50 PERMITTEE I 2 5 1 Do INSPECTION RECORD 5 15 l 1 SO 15 50 250 _ t r 50 200 ! 5 OD 200 500 11000 J 50D 1000 X15 Do Z OVER 1000 20 OO n M G BET/FREQ CHANGER HP r (y WELDERS AC KVA J O GENERATORS KW SSi TRANSFORMERS KVA d _TEMP MOTORS (75% Dr'ORID) , MOVED MOTORS (75% OF nwa t _ MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS 1 FOR EACH PERMIT , DATE INBPECTOR'S NAME WIRING 00 _� CONDUIT FIXTURES 1$1 00 WIRING SUPPLEMENTARY �� 50 FIXTURES POWER TOTAL FEE � I.s' UTILITY CO NOTIFIED 1 FINAL 1 77- �'lI mi'I&I i 7GA663 DBS SA 11 60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS I'ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO ELECTRICIAN 9 ` u- RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N AcaciW t �� FIRST INSPECTION CITY San Gab n� a TEL NO AT 68583 COUNTY LICENSE NO 1104 EXPIRES BUILDING PERMIT FEES ADDRESS 9524 Flaherty St. NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS 14 NEAREST RECEPTACLES 23 CROSS ST WALL SWITCHES 19 OWNER Mekker TOTAL OUTLETS 56 Sc $ 21 80 MAIL ELEC RANGES P9 1 ADDRESS ELEC HEATERS 1 25 25 CITY TEL NO FIXTURES 14 5 70 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISE APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES k NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER NEW MVD HP OVER I INC EACH OF THE RESIDENTIAL PROPE TY DESCRIBED ABOVE 1/2 &ILESS $ 25 25 SIGNATURE OF 2 50 PERMITTE L2. 5 1 0oINSPECTION RECORD 15 1 s0 i 50 2 50 50 200 5 00 i 200 Soo 10 00 J Soo 1000 15 00 Q OVER 1000 20 00 Z� M G SET/FREQ CHANGER HP WELDERS AC KVA O GENERATORS KW TRANSFORMERS KVA I TEMP MOTORS (75%OF OR1G ) MOVED MOTORS (75%OFORI G ) I MISE 1 SIGNS NO NO TRANS ' I APPROVALS , NO NO LAMPS DATE INSPECTOR S NAME FOR EACH PERMIT I WIRING $1 00 I 1 0o CONDUIT / 0—/0 1 090K/ FIXTURES _ $1 00 1 oo WIRING SUPPLEMENTARY 1 so FIXTURES GO v r 6 W POWER TOTAL FEE 1 $ I UTILITY CO NOTIFIED rn v—I /),bAA. vv1 FINAL WORKER S COMPENSATION DECLARATION 20 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT �1 76A663 I hereby affirm that I have a certificate of consent to self Insure 76A663 or a certificate of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DCI%T OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) r� Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS VS-2— Certified copy is hereby furnished r New Residential Bldgs &Pools NO EACH FEE LOCALITY ❑ ` 1 &2 Family Sq Ft — $ $ A Certified copy is filed with the county bulldmg inspection _ NEAREST department s Multifamily Sq Ft CROSS ST Date `Applicant tv Residential Swimming Pools ASSESSOR 1 MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec _Light Sw OWNER OR JJ u a 1 COMPENSATION INSURANCE FIRM NAME `( (This section need not be completed If the work Involved by the First 20 } r MAIL permit Is for one hundred dollars($100)or less) Total No Additional ADDRESS s-I 1 No CITY I certify that in the performance of the work for which this permit , _ Z Is Issued I shall not employ any person in any manner so as to PLAN become,subject to the,Workers Compensation Laws Lighting Fixtures First 20 APPLICANT K `r 1 Date Applicant Total No Additional ADDRESS - NOTICEE TO APPLICANT If after rrXing this Ce RESIDENTIAL APPLIANCES NOT OVER 3 HP ificate of CITY Tel No Exemption you should become subject t e Workers CVmpensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you mus orthwith comply with such PERMITd AlI, provisions or this permit shall be deemed revoked Power Apparatus&Large Appliances APPLICANT N vC y LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Z� Tel No 1-vi.rs Professions Code and my license Is In full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE B �/3 Class ��(� a I, REG NUMBER �f. leo License Number ��/3 �� LIC CIBSS () 1101- Over 100 DISTRICT NO P SED BY O Services Swbd M C&Pa elboards Cc Contractor Date -1-1` 3 0 399 A n er 600 V FINAL DATE � O El ° 400 1000 Amp Under 600 V ,nn V l a xempt under SVALIDATION LV V^ Over 1000 Amp or Over 600 V FINAL 0- B B&P C for this reason BRANCH CIRCUIT FEES BY �Oz- CONSTRUCTION fnDate 15A or 20A 120V Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circults-Exemption for Reg Mamt Elect 15A 20A 208VTo 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&AppurtenancesHOME OWNER BUILDER DECLARATION Sign with One Branch Circuitt Il l�I hereby affirm that I am exempt from the Contractors License Law '- for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuitst i�Code) I as owner of the property will do the work and the structure Misc Conduits&Conductors �H�i I' Is not Intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) CHANGEand Professions Code) R G LENDING AGENCY 1 I hereby affirm that there is a construction lending agency for the -42 I performance of the work for which this permit is issued (Sec 3097 PERMIT FEE (Sub Total) Civ C) 17(��L�I�Jf335 1 4'1jO��,11,�f r ?:`it PLAN CHECKING FEE Lender s Name PERMIT ISSUING FEE 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 laws regulating Electrical wiring and hereby authorize representatives of is County to enter upon the above mentioned property for pection pur ses SEE REVERSE FOR EXPLANATORY LANGUAGE -► - 3 SIGNA E OF PERMITTEE DATE v COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0303070016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING TR 17179 LT 9 9524 FLAHERTY ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801643 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET PRIMROSE 5385 008 009 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY E1 TEMP SERV POWER POLE 1 00 TMP 43 65 TENANT G1 OUTLETS LGT SW,RECP 45 00 OUT 72 75 ISSUED ON PROCESSEDLA G2 LIGHTING FIXTURES 12 00 LGT 23 40 03/07/03 JK 09/03/03 H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 OWNER TEL NO H4 RES RANGE HDS LT 3HP 1 00 HOD 10 95 FINAL DATE FINAL BY C005 QIAN CHENG YIN & XUAN HUA WANG (626) 287 1168 H5 RES WASH MACH LT 3HP 1 00 WAS 10 95 5035 SERENO DR H7 RES EXHAUST FANS 2 00 EX 21 90 TEMPLE CITY 91780 JB AC UNITS +3 10HP 1 00 AC 19 65 DESCRIPTION OF WORK LA 100 AMP PANELS MCC 1 00 PAN 38 85 ELECTRICAL FOR ADDITION/REMODEL TOTAL FEES 280 80 APPLICANT SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO APPROVALS DATE INSPE SIGNATU SAME AS OWNER LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT 0 ERTEL NO LIFER GROUND LIC NO ROUGH CONDUITt ROUGH 2Ll U ✓t/ WIRING /( 14AIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIE5 ( l PP i3 0 REPORT ID DPR265 ROUTE TO BS0508 S