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Home My Public Portal About9536 GIDLEY ST_Electrical__ 7SA663 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FDX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. _ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS v �' C ,fylStr, ��- FIRST INSPECTION 7- C I TY /}--G(¢Q_,Q1J{/ T E L.yN O. COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS NUMBFEEtER EACH LOCALITY LIGHT OUTLETS / NEAREST RECEPTACLES CRASS ST. WALL SWITCHES OWNS TOTAL OUTLETS SO $ MAIL ELEC. RANGES Z5 ADDRESS ELEC. HEATERS 25 CITY 1.7 / TEL. NO. FIXTURES 5 r I HEREBY ACKNOWLEDGE THAT I 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 BTATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %2 6 LESS $ .25 SIGNATURE OF f c. . I/2 2 .50 PERMITTEE �.� 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 Sp 2.50 60 200_1 5.013 200 500 L 10.00 J 500 1000 15.001 Z OVER 1000 20.00 ur M.G. SET/FREQ. CHANGER-HP Q WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. M13TORS (75% OF ORIGJ MOVED MOTORS (75% OF DRIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INBPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1.0 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL J ' �-- 76A663-CE806 1 1-71 APPLICATRW46W EECLECT�ICAL ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 9536 GIDLEY LOCALITY TEMPLE CITY NEAREST L D FOR APPLICANT TO FILL IN CROSS ST.TEMPLE CITY OUTLETS N0. EACH $ FEE OWNER N TIER NUFACTURING CO RECEPT._ MAIL ff��AA,,ttn FIRST 20 ADDRESS9440 GIDLEY LIGHT TOTAL .25' CITY TEMPLE CITY TEL. NO. 686 0202 SWITCH OVER 20 IO - PLAN CHECK LIGHTINGTOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 .10 ADDRESS I, RESIDENTIAL APPLIANCES CITY TEL. No. PERMIT RANGE DRYERWTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS 2822 E WALNUT ST.. SPACE HTR, AIR COND. CITY PASADENA TEL. No-7957'795 1 195 CLOTHES WASH. DISHWASH. LICENSE NO. 274084 CLASS.C 10 FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 �� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 103.00 Q U RESIDE IN, TH7AB �DESC IBED RESIDENTIAL PROPERTY. O SIGNATUREy ix 10 - 50 5.00 OF PERMITTEEC. O 50 - 100 10.00 DISTRICT N0. CLASS ZONE -ROCOSSED qY LU 100 - 500 15.00 "� d f cn SIGN, GAS [SIGN ONE CIRCUIT 5.00 NOTES: _ ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP '1_ 3.00 4 CIU f^' APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) PLAN CHECK FEE UTILITY CO. NOTIFIED / FINAL PERMIT ISSUING FEE 3.00 TOTAL FEE 43 ao PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ` CK,j M.0. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKER'S I COMPENSATION Df consent to 78-°°"19°P"'cies APPLICATION POR'=L C�'ICAL PERMIT I here nftlrm that I have a aerttflcnte of consent to self Insure, 7BAA63 � or a cats of Workees Compeneatlon Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLI WORKS BUILDING AND SAFETY DIV. copy thereof(8ec.3800 Lab.C.) Po"No. Cizz/� FOR�)CA?r TO RLLN G t q C xttfled copy is hereby tuirdshed 4:9" —�93 New Resldwalal Bldgs.a Pooh EACH NO. FEE LOCALJTY LJ Certttbd copy Is fled whh the oou bul Inspection 1 S z-F m y,Sq.Ft. $ Muhl-fwnM 8q.I'L — woes ST. . Date AW 0Z_ App{�rt GE Ree{denttal Swtmmhp Pooh ,SOA MAP BOOK PAPARCa Ge"TE OF FROM WORKER& Outlets:Rec. LIpN 8w. FAM NALE , COMPENSATI INSURANCE First 20 (This section need not be completed if the work tnvotved by the pwmR Is for one hundred dollars(=100)or las.) Total No Additbral I certify that In the performance of the work for which this permit Cf TY T T Is Issued, I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workers' Compensatlon Laws. LighbW Ftxiures First 20 App Total No. Adcll onal ADDRE38 , Ddls APPllci" 18 OR 261 120V BRANCH CIRCUITS ' NOTICE TO APPLICANT. If, after making this Certificate of CITY (121T Exemption,you should become sub)ect to the Workero'Campermstton 1 TO 10 INCLUSIVE EACH PffWT provislona of the Labor Code, you must forthwith comply wfth such 11 TO 40 1NCLUSNE EACHtIC AAPLJGANT provisions or this permit stall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH >- l.}CENSM CONTRACTORS DECLARATION 16 OR 261 206V TO 2T1V LIGHTING EACH ADDRESS a I hereby affirm that I em licensed under provisions of Chapter e Q (commencing with Seadon 7000) of Dfvlslon 3 of the Business and GTy TOL No. U Professions Code,and my license le In full force and effsoL RESIDENTIAL APPLIANCES UP TO 3HP LKANBE ORlZ Parer Apparatus8 Large Applianoes �NUMBER Z LL ate' G—l Q(� Siype HP,TCW,KVA,or WAR D18113lCT NO. BY O ize Licerne Number Z�O l 4 Gass Ir aFi 1•� ! .T () Up to 3M. a��O ::il? t 3.i4Q C.Am.tnr 1 L A Die Over 3 t1 10[nal. DATE �r Over 10 to 60 incl TDI`, Z ❑ I am exempt under 8491[L Over 6o to 100 Ind T B.hP.C.for this mason Oyer 100 �, . t!J service.,Swbd.,MCC a Paneiboards aECK 14 o-zoo u Signature 201-1 �V Clhf�f ❑ Em.pi Tor Reg.Matrrt.Elect Over 1000 Amp.or Over eco V 8INGLE FAMILY Temp.Power Pole A Appurt49nnnoee 11/572 I hereby amrmHOME ONRJthat I am xER$L11empt TLD rom theDE C SAA rs License Law with one Brand,ciroun '?6 i f F `1 9 for the following reason (Section 7031.6, Business and Profeastons Addtlonai Sign Brnnoh Ctraufts Code): ❑ 1,as owner of the property,will do the work and the structure Misc.Cordiutts S Conductorp Is not Intended or offered for sale (8eotlon 7044, Business Other(See Complete Fee Schedule) and Professions Code). , 272 155L CON8TRUCTYON LENDING AGENCY !e 77 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Seo. 3007, PERMIT FEE (Sub-Total) Ctv.C.) PLAN CHED(ING FEE Lendees Name PFAMIT ISSUING FEE a LerWeee Address rJ I oerttfy that I have road this application and state that the above TOTAL FEE / Inforrnatlon Is oorreat- I agree to comply with all County ordinances and State !pllva regulating Electrical wiring, and hereby authorize ropreaeN ee of this Coun to enter upon the abov mentioned 7, , 0",7n r Ina pu SEE REVERSE FOR EXPLANATORY LAfi(;Ill1Al3E APPLIGlrr OR